1.Findings on the Impact of Unhealthy Food Consumption on Oral Health Among Students in General Education Schools of Uvurkhangai Province
Oyunchimeg B ; Regzedmaa Ts ; Dashzeveg B ; Zolzaya M
Mongolian Medical Sciences 2026;215(1):20-36
Background:
Overconsumption of unhealthy foods and beverages, namely those high in sugar, salt, and
saturated or trans fats, is observed among children and is associated with poorer health
outcomes. The global trend of increasing consumption of foods with high energy and low
nutrient density, including refined foods such as sugary and savory snacks, is reflected across
all socioeconomic groups. Unhealthy food consumption increases the risk of overweight
and obesity, and consequently elevates the risk of developing non-communicable diseases
(NCDs) [1]. Therefore, it is necessary to assess the level of unhealthy food consumption
among general education school students, disseminate the findings to the public, and
develop and implement evidence-based interventions accordingly.
Material and Methods:
A cross-sectional analytical study design was employed. A total of 5,578 students were
randomly selected from 33 schools operating in Övцrkhangai Province and included in the
study. Quantitative data were analyzed using IBM SPSS Statistics version 23.
The prevalence of unhealthy food consumption and oral hygiene status among students was
expressed as frequencies and percentages. The association between two variables was
assessed using Pearson’s Chi-square test, and a p-value of less than 0.05 was considered
statistically significant.
The internal consistency reliability of the questionnaire was determined using Cronbach’s
alpha coefficient.
Results:
Among the participating students, 92.7% reported regularly consuming fast food,
and 75.8% consumed it more than three times per week. The main reasons for consuming
unhealthy foods included “being quick and convenient” (53.9%), “craving” (43.6%), and “the widespread availability of such foods nearby” (6.9%). Consumption of all types of sugary and
processed foods showed a statistically significant association with dental caries (p=0.0001),
indicating that these products contribute to the development of tooth decay. Furthermore, the
prevalence of healthy teeth was highest (84.1%) among students who brushed their teeth at
least twice a day, whereas dental caries was more common among students who brushed
once daily or did not brush at all. This suggests that increased frequency of toothbrushing is
associated with lower rates of dental caries, and this relationship was statistically significant
(p<0.000).
Conclusion
The majority of students participating in the study regularly consume unhealthy
foods such as fast food, carbonated beverages, sugary products, ice cream, and chocolate,
and 58.6% were found to have dental caries. When comparing by location, both the
frequency of unhealthy food consumption and the prevalence of dental caries were higher in
the provincial center and in larger or roadside soums.
2.Risk Factors and Clinical Characteristics of Pulmonary Embolism Among Mongolian Patients
Javzan-Orlom D ; ; Chuluunbileg B ; Gantogtokh D ; Enkhtuguldur M ; Munkh-Erdene D ; Zolzaya B ; Enkh-Amgalan Ts ; Altankhuyag N ; Amgalandari B ; Badamsed Ts ; Tumur-Ochir Ts ; Solongo B
Mongolian Journal of Health Sciences 2025;90(6):55-62
Background:
The annual incidence of pulmonary thromboembolism is reported to be 39–115 cases per 100,000 population,
with rates of 60–120/100,000 in Western countries and 10–20/100,000 in Asian countries. In Mongolia, few studies
revealed the prevalence of risk factors and clinical manifestations of acute pulmonary embolism. Over the past 30 years,
the incidence of risk factors for non-communicable diseases, which are mainly triggered by lifestyle and social parameters,
has rose. Moreover, environmental conditions such as cold climate, hypoxia, and blood hyperviscosit may contribute
to higher incidences of acute pulmonary embolism in high-altitude regions. This condition is potentially fatal and can
become impair quality of life.
Aim:
We aimed to compare risk factors and clinical characteristics based on age and sex, and to evaluate laboratory findings
and diagnostic tests among Mongolian patients diagnosed with acute pulmonary embolism.
Materials and Methods:
This retrospective research included total 232 patients meeting inclusion criteria. The information
was collected from patient histories, including general demographics, risk factors, comorbidities, symptoms, and
physical examination findings. Laboratory analyses included complete blood count, coagulation profile, and immunological
markers (D-dimer, NT-proBNP, troponin, protein C, homocysteine, and C-reactive protein), as well as selected
imaging parameters. We used Wells and Geneva scoring systems to assess probability of acute pulmonary embolism and
Pulmonary Embolism Severity Index to determine disease severity. Differences by age and sex were analyzed using independent
t-tests for continuous variables and chi-square tests for categorical variables.
Results:
Among participants with acute pulmonary embolism, the prevalence of tobacco and alcohol use was significantly
higher among males (p<0.001). Among comorbidities, arterial hypertension and other pulmonary diseases were more
common in males, whereas cardiac diseases were more frequent in females (p=0.028). Participants aged 65 years and
older showed higher rates of comorbid conditions and regular medication use (p<0.001). The most common symptoms
were dyspnea (90.9%), chest pain (74.2%), cough (70.5%), leg pain (38.9%), hemoptysis (20.7%), and cyanosis (9.3%).
According to sPESI scoring, 69.8% (n=162) were at high risk of death within 30 days, with no significant difference by
sex. However, mortality risk within 30 days was significantly higher in participants aged 65 years and above (p<0.001).
As increasing age, the neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio were elevated, indicating an acute
inflammatory response (p=0.001). Contrast-enhanced CT scans revealed that 95 participants (44.2%) had main pulmonary
artery involvement, with no significant sex difference, though involvement of the main pulmonary artery was more
frequent in those aged 65 and older.
Conclusion
Dyspnea, chest pain, and cough were the most common symptoms among patients diagnosed with acute
pulmonary embolism. The 30-day mortality risk associated with it was higher among males and increased with advancing
age.
3.Results of the Study on the Effect of Glycyrrhiza uralensis and Inula helenium L. Extracts on Nitric Oxide Production in a Lipopolysaccharide-Induced Inflammation Model
Anand A ; Ariunzaya Lkh ; Ariunzaya M ; Enkhsaikhan Lkh ; Zolzaya B ; Sarnai Ts ; Shiirevnyamba A ; Ariunzaya B
Mongolian Journal of Health Sciences 2025;86(2):70-76
Background:
Nitric oxide (NO) is a biological messenger molecule that plays a significant role in the pathogenesis of
inflammation. It has anti-inflammatory effects under physiological conditions but can act as a pro-inflammatory mediator
when produced excessively under abnormal conditions. NO is involved in the pathogenesis of inflammatory diseases affecting
the joints, intestines, and lungs. Therefore, compounds that inhibit NO production are considered important for the
treatment of inflammatory diseases and are used clinically. The RAW 264.7 mouse macrophage-like cell line is a widely
used model for inflammation studies. Lipopolysaccharide (LPS), a component of the outer membrane of Gram-negative
bacteria, is used to activate RAW 264.7 cells and create an inflammation model. Glycyrrhiza uralensis, also known as
licorice, is a perennial herbaceous plant in the Fabaceae family. It has been widely used in traditional medicine due to its
anti-inflammatory, antiviral, and hepatoprotective properties. Recent studies have shown that licorice contains bioactive
compounds such as glycyrrhizin, liquiritigenin, and isoliquiritigenin, which play an important role in inhibiting the synthesis
of pro-inflammatory cytokines in macrophages induced by LPS. Inula helenium L., also known as elecampane, is a
perennial herbaceous plant used as an expectorant, anti-infective, anti-inflammatory, and anti-helminthic agent in various
respiratory diseases. Licorice and Inula helenium are included in Mongolian traditional medicine prescriptions, but their
anti-inflammatory effects have not been fully determined, which forms the basis for this research.
Aim:
To study the effect of Glycyrrhiza uralensis and Inula helenium extracts on the production of NO, the end product
of inflammation, in RAW 264.7 macrophage cell lines stimulated with lipopolysaccharide.
Materials and Methods:
The non-toxic dose of the plant extracts was determined in RAW 264.7 mouse macrophage-like
cell line cultures using the MTT assay. Nitric oxide production in RAW 264.7 cell line cultures stimulated with lipopolysaccharide
was assessed using the Griess method. Statistical analysis of the results was performed using SPSS 25.0
software, with the p-value calculated by one-way ANOVA, and the differences between groups were evaluated.
Results:
In RAW 264.7 cell cultures, Glycyrrhiza uralensis and Inula helenium extracts were non-toxic and promoted
cell growth at doses ranging from 1 to 25 μg/ml, while a dose of 50 μg/ml was toxic and inhibited cell growth (p<0.01).
When the combined plant extracts were applied to cells at doses ranging from 1 to 100 μg/ml, they were also non-toxic
and enhanced cell growth, while a dose of 500 μg/ml was toxic and inhibited growth (p<0.001). In terms of nitric oxide
production, Glycyrrhiza uralensis extract increased NO production in a dose- and time-dependent manner compared to
the control or PBS-treated group. However, Inula helenium extract did not show a dose- or time-dependent effect on NO
production. In the lipopolysaccharide-induced inflammation model, licorice extract inhibited NO production at a dose of
30 μg/ml after 12 hours, and further reduced NO production in a dose- and time-dependent manner after 48 hours. Conversely,
no significant changes were observed in the Inula helenium extract group at a dose of 25 μg/ml after 48 hours, but
a reduction in LPS-induced NO production was observed at a dose of 25 μg/ml after 48 hours.
Conclusion
Glycyrrhiza uralensis extract alone increased NO production in a dose- and time-dependent manner. It also
reduced LPS-induced NO production in a dose- and time-dependent manner. In contrast, Inula helenium extract inhibited
LPS-induced NO production at a dose of 25 μg/ml after 48 hours.
4.The cell protective effect of licorice and elecampane plant extracts from hydrogen peroxide-induced cytotoxicity
Anand A ; Ariunzaya M ; Ariunzaya Lkh ; Zolzaya B ; Sarnai Ts ; Ariunzaya B
Diagnosis 2025;112(1):14-20
:
The increasing prevalence of noncommunicable diseases (NCDs), driven by factors such as population growth, urbanization, and economic development, presents significant individuals,
families, challenges and to healthcare systems. These diseases are often linked to lifestyle choices, poor diet, and physical inactivity. As a result, there is growing interest in finding alternatives to synthetic
drugs, particularly those derived from medicinal plants. Medicinal plants are known to contain bioactive compounds that offer therapeutic properties with fewer side effects compared to conventional
pharmaceuticals. This study explores the cytoprotective effects of Glycyrrhiza uralensis (licorice) and Inula helenium (elecampane) extracts against oxidative stress induced by hydrogen peroxide (H2O2) in RAW 264.7 macrophage-like cells.
The study found that both plant extracts were non-toxic at doses ranging from 1 to 25 µg/mL and promoted cell growth (p<0.01). The results suggest that these extracts support cell survival and exhibit
biological activity.
To assess the antioxidant effects, various concentrations of H2O2 (10–400 µM) were tested, and 200 µM was found to significantly reduce cell viability. Licorice and elecampane extracts (10 µg/mL and 25 µg/ mL, respectively) enhanced cell viability and reduced oxidative damage. Both extracts significantly reduced cell death compared to the H2O2-only group (p<0.01), highlighting their potent antioxidant properties.
Conclusion
Glycyrrhiza uralensis and Inula helenium extracts demonstrated strong cytoprotective and antioxidant effects, supporting their potential as natural therapeutics for oxidative stress-related conditions.
5.The effects of Particulate matter (PМ2.5) pollutants on cancer cells in in vitro model
Baljinnyam T ; Bilguun E ; Batchimeg B ; Zolzaya D ; Lkhaasuren N ; Oyungerel G ; Munkhtsetseg B ; Khaliun M ; Khulan U ; Batkhishig M ; Uranbileg U ; Sonomdagva Ch ; Bilegtsaikhan Ts ; Munkhbayar S ; Munkhtuvshin N ; Erkhembulgan P
Mongolian Medical Sciences 2021;197(3):17-25
Introduction:
Air pollution has become one of the major problems in socio-economic and health
issues in Mongolia. Among the various hazards of particulate matter (PM) pollutants, microorganisms
in PM2.5 and PM10 are thought to be responsible for various allergies and for the spread of respiratory
diseases. Recent studies have shown that PM2.5 particles can cause chronic heart failure, heart
arrhythmias, and strokes, as well as lung damage, cirrhosis, inflammation, cancer, cardiovascular
disease, and metabolic disorders. Furthermore, some studies have concluded that PM2.5 particles
in the environment are a risk factor for gastrointestinal, liver, colon, and lung cancer as well as it
affects the growth and metastasis of various cancer cells caused by other factors. In our country, the
health effects of air pollution and the relationship between the pathogenesis of cancer research are
scarce. Therefore, the study of the effects of PM2.5 particles on cancer cell proliferation, migration
(metastasis) can provide a significant role for cancer treatment, diagnosis, and prevention.
Purpose:
Determining the effects of PM2.5 particles on cancer cell proliferation, migration (metastasis)
in in-vitro
Material and Methods:
A human liver cancer cell line (HepG2), human gastric cancer cell line (AGS)
were obtained from the central scientific research laboratory in the Institute of medical sciences.
HepG2, AGS cells were seeded at a concentration of 1*105 cells/mL in a culture flask and cultured
in RPMI-1640 medium supplemented with 10% FBS, 1% antibiotic mix (penicillin, streptomycin) in a
humidified atmosphere of 5% CO2 at 37 °C. The cytotoxic effect of PM 2.5 in AGS, HepG2 cells were
evaluated by MTT, CCK8 assays. AGS, HepG2 cells were incubated in 96 well plates for 24h then
treated with different concentrations (0, 5, 10, 25, 50 and 100 μg ) of Bayankhoshuu, Buhiin urguu,
and Zaisan samples for 24h, respectively.
Results:
Concentrations of 10, 25, and 50 μg/ml of samples collected from the Bukhiin urguu and
Zaisan in March increased HepG2 cell growth, while doses of 25, 50 μg/ml of samples collected from
Bayankhoshuu in March and December increased HepG2 cell growth. Therefore, concentrations of
25 and 50 μg/ml of samples collected from Bayankhoshuu in March increased AGS cell growth, while concentrations of 25, 100 and μg/ml of samples collected in December increased AGS cell growth.
However, no cytotoxic effect was observed in the sample collected from Zaisan in March, whereas
the PM2.5 sample enhanced AGS cell growth in dose dependent manner in December.(p <0.05)
Conclusion
High levels of heavy metals were detected in samples collected in December from
Bayankhoshuu, Bukhiin urguu and Zaisan of Ulaanbaatar. Concentration of 25 μg/ml of samples
collected from the Bukhiin urguu and Zaisan in March increased HepG2 cell growth. Concentrations
of 25 μg/ml of PM2.5 collected from three regions around Ulaanbaatar increased HepG2 and AGS
cell migration.
6.Involvement of Vitamin D in Immune system
Baljinnyam T ; Batchimeg B ; Zolzaya D ; Ganchimeg D ; Lkhaasuren N ; Oyungerel G ; Munkhtsetseg B ; Khaliun M ; Khulan U ; Bilguun E ; Batkhishig M ; Tulgaa L ; Bilegtsaikhan Ts ; Munkhbayar S ; Munkhtuvshin N ; Munkhbat B
Mongolian Medical Sciences 2020;192(2):51-59
Research of function of vitamin D on immune system has been studying since the study revealed
that vitamin D receptor is expressed on the surface of the immune cells. 1,2-dihydroxyvitamin
D3 [1,25(OH)2D], physiologically active form, can be generated through hydroxylation of
25-hydroxyvitamin D3 [25(OH)D], inactive form of vitamin D, in a liver, connecting with specific VDR
make biological action. Vitamin D make different biological actions depends on connecting with
different immunological cells. Some studies indicated that Vitamin D plays pivotal role in antibacterial
innate immune responses through regulating reaction of the main cells as macrophages and dendritic
cells. Moreover, calcitriol, the active form of vitamin D, is connected with VDRE, modulates the innate
immune response through directly inducing expression of catelicithin and β-defensin as antimicrobial
peptides, reducing secretion of IL-1b, IL-6, TNF-a, RANKL, COX-2 as proinflammatory cytokines and
increasing production of IL-10, an anti-inflammatory cytokine. Vitamin D plays in proliferation and
differentiation of T and B cells and regulates the activities of over 500 genes. Vitamin D differently
impacts on per se stages of T cells’ proliferation. Vitamin D indirectly mitigates the differentiation from
immature B cells to plasma B cells while it directly impacts on regulation of overloaded production of
antibodies in plasma B cells. In conclusion, vitamin D modulates the innate- and adaptive immune
response through regulation on activation of APCells, proliferation and differentiation of immune cells,
secretion of some antibacterial peptides.
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