Current Developments in Nutrition最新文献

{"title":"Implementing a Personalized Nutrition Service in a Real-Life Military Setting: Feasibility and Consumer Acceptance","authors":"Sandra van der Haar, Meeke Ummels, Suzan Wopereis, Femke P M Hoevenaars, Imre W K Kouw, Martijn W J Noort","doi":"10.1016/j.cdnut.2026.109533","DOIUrl":"10.1016/j.cdnut.2026.109533","url":null,"abstract":"<div><h3>Background</h3><div>Despite growing evidence that personalized nutrition (PN) can improve dietary behavior and health outcomes, the implementation of PN food services in real-world settings remains largely unexplored.</div></div><div>Despite growing evidence that personalized nutrition (PN) can improve dietary behavior and health outcomes, the implementation of PN food services in real-world settings remains largely unexplored.</div><div><h3>Objectives</h3><div>This study evaluated the feasibility of a PN service to deliver personalized nutrition products (PNPs) in a military setting and assessed consumer acceptance following repeated consumption.</div></div><div>This study evaluated the feasibility of a PN service to deliver personalized nutrition products (PNPs) in a military setting and assessed consumer acceptance following repeated consumption.</div><div><h3>Methods</h3><div>A PN service was developed to design, produce, and distribute PNPs. Twenty-five participants from the Royal Netherlands Army took part in a feasibility study, using a single-cohort pretest posttest design. Each participant consumed a PNP (in-between meal) on 10 consecutive days during a combat training exercise. Product liking was assessed through daily questionnaires, whereas broader user experiences were assessed at baseline (<em>t</em> = 0), 1-wk follow-up (<em>t</em> = 1), and 2-wk endline (<em>t</em> = 2).</div></div><div>A PN service was developed to design, produce, and distribute PNPs. Twenty-five participants from the Royal Netherlands Army took part in a feasibility study, using a single-cohort pretest posttest design. Each participant consumed a PNP (in-between meal) on 10 consecutive days during a combat training exercise. Product liking was assessed through daily questionnaires, whereas broader user experiences were assessed at baseline (<em>t</em> = 0), 1-wk follow-up (<em>t</em> = 1), and 2-wk endline (<em>t</em> = 2).</div><div><h3>Results</h3><div>The PN service was successfully implemented during a military training exercise. In total, 229 PNPs were produced and distributed. Participants evaluated all aspects of the PN service as slightly positive (4.5 ± 1.4 to 5.0 ± 1.7 on 7-point scales), except for variation in products, which was rated as slightly negative (3.4 ± 1.6). Across the different product combinations, mean overall liking and all sensory attributes were slightly positive (5.7 ± 1.7 to 6.1 ± 1.6 on 9-point scales). Overall product liking did not change over time (<em>F</em> (9, 194) = 1.242, <em>P =</em> 0.27). Attitudes toward a PNP service in the army were positive at study start but decreased to neutral at study end.</div></div><div>The PN service was successfully implemented during a military training exercise. In total, 229 PNPs were produced and distributed. Participants evaluated all aspects of the PN service as slightly positive (4.5 ± 1.4 to 5.0 ± 1.7 on 7-point scales), except for variation in products, which was rated as ","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"10 10","pages":"Article 109533"},"PeriodicalIF":4.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149201774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural Authority and Food Choices: How Intergenerational Power Shapes Maternal Diet in Rural South Africa","authors":"Praveenkumar Aivalli, Livhuwani Muthelo, Mxolisi Welcome Ngwenya, Frank Adusei-Mensah, Mabitsela Hezekiel Mphasha, Samuel Akinseinde, Joke-Folu Badejo, Fionnuala M McAuliffe, Catherine M Phillips","doi":"10.1016/j.cdnut.2026.109542","DOIUrl":"10.1016/j.cdnut.2026.109542","url":null,"abstract":"<div><h3>Background</h3><div>Maternal malnutrition remains a persistent public health challenge in South Africa, affecting both maternal and child health outcomes. Dietary practices during pregnancy and lactation are shaped by complex social dynamics that extend beyond individual choice.</div></div><div>Maternal malnutrition remains a persistent public health challenge in South Africa, affecting both maternal and child health outcomes. Dietary practices during pregnancy and lactation are shaped by complex social dynamics that extend beyond individual choice.</div><div><h3>Objectives</h3><div>This study explored maternal dietary practices during pregnancy, defined as the foods women reported consuming, avoiding, substituting, or concealing, and examined how cultural norms and intergenerational power relations influenced these practices within the context of routine antenatal nutrition counseling.</div></div><div>This study explored maternal dietary practices during pregnancy, defined as the foods women reported consuming, avoiding, substituting, or concealing, and examined how cultural norms and intergenerational power relations influenced these practices within the context of routine antenatal nutrition counseling.</div><div><h3>Methods</h3><div>We conducted a qualitative study in Capricorn district of Limpopo province (March–October 2025). Data comprised focus group discussions (<em>n</em> = 22) and individual interviews (<em>n</em> = 13) with 150 participants including pregnant women, grandmothers, fathers, community leaders, community health workers, mother mentors (lay peer counselors attached to clinics who support pregnant women and new mothers), and healthcare providers. Data were analyzed using reflexive thematic analysis. Interpretation drew on the Social Ecological Model and Bourdieu’s Theory of Practice.</div></div><div>We conducted a qualitative study in Capricorn district of Limpopo province (March–October 2025). Data comprised focus group discussions (<em>n</em> = 22) and individual interviews (<em>n</em> = 13) with 150 participants including pregnant women, grandmothers, fathers, community leaders, community health workers, mother mentors (lay peer counselors attached to clinics who support pregnant women and new mothers), and healthcare providers. Data were analyzed using reflexive thematic analysis. Interpretation drew on the Social Ecological Model and Bourdieu’s Theory of Practice.</div><div><h3>Results</h3><div>Four interconnected themes explained dietary behavior. First, elder women, especially grandmothers and mothers-in-law, held decisive authority based on experiential knowledge framed as care, which often was accepted over healthcare advice. Second, pregnant women balanced competing guidance, using respectful deference in public and selective adherence in private. Third, poverty, distance, and poor infrastructure made clinical advice largely unattainable. Fourth, digital messaging and peer networks provided supplementary ","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"10 10","pages":"Article 109542"},"PeriodicalIF":4.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149201776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breast Milk Macronutrients and Child Growth and Neurodevelopment in a Lactation Cohort in Rural Bangladesh","authors":"Krysten North, Sophie Driker, Rasheda Khanam, Salahuddin Ahmed, Chloe Andrews, Mandy B Belfort, Sara Cherkerzian, Nabidul H Chowdhury, Tarik Hasan, Sayedur Rahman, Unmesha Roy Paladhi, Amy Lopez Esteban, Carmen Monthe-Dreze, Fahmida Tofail, Abdullah Baqui, Sarbattama Sen, Anne CC Lee","doi":"10.1016/j.cdnut.2026.109531","DOIUrl":"10.1016/j.cdnut.2026.109531","url":null,"abstract":"<div><h3>Background</h3><div>Limited data exist on the relationship between breast milk macronutrient/energy concentrations and child outcomes in settings with high maternal undernutrition.</div></div><div>Limited data exist on the relationship between breast milk macronutrient/energy concentrations and child outcomes in settings with high maternal undernutrition.</div><div><h3>Objectives</h3><div>This study aims to determine associations of breast milk macronutrient (protein, fat, carbohydrate) and energy concentrations with child growth and neurodevelopment.</div></div><div>This study aims to determine associations of breast milk macronutrient (protein, fat, carbohydrate) and energy concentrations with child growth and neurodevelopment.</div><div><h3>Methods</h3><div>In this observational lactation cohort of 99 mother–infant dyads from Sylhet, Bangladesh, mothers provided hand-expressed breast milk samples at 2 and 5 mo postpartum. Infant anthropometrics were obtained at birth, 3, 6, 12, and 24 mo; neurodevelopment was assessed at 24 mo using the Bayley Scales of Infant and Toddler Development-III. Macronutrient concentrations were measured using midinfrared spectroscopy. Associations with growth and neurodevelopment <em>z</em>-scores were estimated using mixed models and linear regression, adjusted for a priori confounders. Primary outcomes were length-for-age <em>z</em>-score (12 mo) and cognitive <em>z</em>-scores (24 mo) in relation to 2-mo protein concentration.</div></div><div>In this observational lactation cohort of 99 mother–infant dyads from Sylhet, Bangladesh, mothers provided hand-expressed breast milk samples at 2 and 5 mo postpartum. Infant anthropometrics were obtained at birth, 3, 6, 12, and 24 mo; neurodevelopment was assessed at 24 mo using the Bayley Scales of Infant and Toddler Development-III. Macronutrient concentrations were measured using midinfrared spectroscopy. Associations with growth and neurodevelopment <em>z</em>-scores were estimated using mixed models and linear regression, adjusted for a priori confounders. Primary outcomes were length-for-age <em>z</em>-score (12 mo) and cognitive <em>z</em>-scores (24 mo) in relation to 2-mo protein concentration.</div><div><h3>Results</h3><div>Breast milk samples were provided at 2 (<em>n</em> = 98) and 5 mo (<em>n</em> = 87). We found no significant associations between 2-mo protein and 12-mo length-for-age <em>z</em>-scores or 24-mo cognitive <em>z</em>-scores. Higher 2-mo fat (g/dL) was associated with lower weight-for-age <em>z</em>-scores at 3 mo [<em>b</em>: –0.12 (95% confidence interval (CI): –0.24, –0.005)] and lower head circumference-for-age <em>z</em>-scores at 3 [–0.20 (–0.32, –0.09)], 6 [–0.19 (–0.31, –0.08)], and 12 mo [–0.17 (–0.29,–0.06)]. Similarly, 2-mo energy (kcal/dL) was inversely associated with 3-mo weight-for-age <em>z</em>-scores [–0.01 (–0.03, –0.001)] and head circumference-for-age <em>z</em>-scores at 3 [–0.02 (–0.04, –0.01)], 6 [–0.02 (–0.03, –0","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"10 10","pages":"Article 109531"},"PeriodicalIF":4.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149157135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incoming United States Army Basic Combat Trainees Report Lower Dietary Supplement Use than Active-Duty Soldiers","authors":"Maria C Canino,&nbsp;Stefan M Pasiakos,&nbsp;Joseph J Knapik,&nbsp;John A Caldwell,&nbsp;Meaghan E Beckner,&nbsp;Emily K Farina,&nbsp;Lauren A Thompson,&nbsp;Bridget A Owens,&nbsp;J Philip Karl,&nbsp;Lee M Margolis,&nbsp;Daniel W Trone,&nbsp;Ryan A Steelman,&nbsp;James P McClung,&nbsp;Harris R Lieberman","doi":"10.1016/j.cdnut.2026.109529","DOIUrl":"10.1016/j.cdnut.2026.109529","url":null,"abstract":"<div><h3>Background</h3><div>Dietary supplement (DS) use by active-duty service members has been extensively studied, with &gt;70% reporting use largely for purported effects on physical performance, weight management, and health. However, the prevalence of DS use among civilian incoming military trainees, before basic combat training, has not been extensively examined.</div></div><div><h3>Objectives</h3><div>This study aimed to compare the prevalence of DS use among incoming United States (US) Army trainees with a cohort of active-duty soldiers.</div></div><div><h3>Methods</h3><div>Using a similar questionnaire, US Army male infantry soldiers (<em>n</em> = 451, mean time in service 9.2 y) reported DS use, and 112 incoming male infantry trainees reported use before starting basic combat training. Responses were classified into 9 predefined DS categories and were based on how many DSs a participant reported taking over a period of 1 wk. χ² or Fisher’s exact tests were used to compare frequencies of DS use between groups and across DS categories. The total number of categories from which participants reported using DSs was also calculated.</div></div><div><h3>Results</h3><div>Prevalence of DS use among soldiers was 81% compared with 59% for trainees (<em>P &lt;</em> 0.001). The most frequently used DSs among soldiers were protein (58%), pre/post workout (48%), multivitamin/mineral (MVM; 48%), weight/fat loss (37%), and individual vitamin/mineral (IVM; 34%) products. The most frequently used DSs among trainees were protein (45%), pre/post workout (28%), MVM (24%), IVM (23%), and muscle-building (21%) products. Trainees used less DSs across all categories (all <em>P &lt;</em> 0.05) and consumed DSs from fewer categories than soldiers (median: 1.0 compared with 2.0 categories; <em>P &lt;</em> 0.001).</div></div><div><h3>Conclusions</h3><div>DS use was higher in soldiers than in incoming US Army trainees overall and across all categories of DSs. These cross-sectional findings indicate that DS use may change between the start of army training and active-duty service. Longitudinal analyses should be conducted to assess changes in DS use over time.</div></div>","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"10 10","pages":"Article 109529"},"PeriodicalIF":4.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149156993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beneficial Effects of Nuts on Cardiovascular and Metabolic Health: An Insight into the Gut–Cardiometabolic Axis","authors":"Mahak Hosseinikia,&nbsp;Laura M Beaver,&nbsp;Carmen P Wong,&nbsp;Emily Ho","doi":"10.1016/j.cdnut.2026.109535","DOIUrl":"10.1016/j.cdnut.2026.109535","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Cardiometabolic diseases (CMDs) are major contributors to global morbidity and mortality. Emerging evidence suggests that the gut microbiota plays a central role in the pathogenesis and progression of CMDs by regulating cardiometabolic endpoints, including lipid profiles, glucose homeostasis, immunity, inflammation, and oxidative stress. Nuts are nutrient-dense foods rich in unsaturated fatty acids, dietary fiber, polyphenols, vitamins, and minerals that interact with the gut microbiota. Additionally, nut intake has been associated with improved cardiometabolic health outcomes. This review examines current evidence on the effects of tree nut consumption on the gut–cardiometabolic axis, with an emphasis on clinical and mechanistic studies across different types of tree nuts. Clinical evidence of the capacity of nut consumption to affect CMDs is summarized. The bidirectional interaction between nut-derived microbial metabolites, including short-chain fatty acids, urolithins, phenolic acids, valerolactones, and gut microbiota, is highlighted. In addition, mechanisms by which changes in the nut-associated gut microbiome affect the CMDs via regulating lipids, glucose, energy homeostasis, and immunity modulation are discussed. The available evidence, although mostly associative, supports the potential favorable effects of nuts in modulating gut microbial composition and function in ways that may improve cardiometabolic health. However, future studies are needed to address limitations in current studies, including substantial heterogeneity across studies, the lack of established causal mechanisms, long-term clinical outcomes, and to investigate personalized responses to nut consumption given interindividual variability in gut microbiota.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Cardiometabolic diseases (CMDs) are major contributors to global morbidity and mortality. Emerging evidence suggests that the gut microbiota plays a central role in the pathogenesis and progression of CMDs by regulating cardiometabolic endpoints, including lipid profiles, glucose homeostasis, immunity, inflammation, and oxidative stress. Nuts are nutrient-dense foods rich in unsaturated fatty acids, dietary fiber, polyphenols, vitamins, and minerals that interact with the gut microbiota. Additionally, nut intake has been associated with improved cardiometabolic health outcomes. This review examines current evidence on the effects of tree nut consumption on the gut–cardiometabolic axis, with an emphasis on clinical and mechanistic studies across different types of tree nuts. Clinical evidence of the capacity of nut consumption to affect CMDs is summarized. The bidirectional interaction between nut-derived microbial metabolites, including short-chain fatty acids, urolithins, phenolic acids, valerolactones, and gut microbiota, is highlighted. In addition, mechanisms by which changes in the nut-associated gut microbiome affect the CMDs via regulating lipids, glucose, energy homeostasis, and immunit","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"10 10","pages":"Article 109535"},"PeriodicalIF":4.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149156994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between the Planetary Health Diet in Late Pregnancy and Pregnancy Outcomes in Women with a Raised BMI: Insights from the PEARS Study","authors":"Aoife Davis,&nbsp;Sophie Callanan,&nbsp;Gillian A Corbett,&nbsp;Eileen C O’Brien,&nbsp;Alexander P Douglass,&nbsp;Fionnuala M McAuliffe","doi":"10.1016/j.cdnut.2026.109540","DOIUrl":"10.1016/j.cdnut.2026.109540","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Diet quality in pregnancy is a modifiable factor with important implications for maternal and neonatal outcomes. The Planetary Health Diet (PHD), designed to promote both human health and environmental sustainability, has not been comprehensively evaluated in high-risk obstetric populations.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Diet quality in pregnancy is a modifiable factor with important implications for maternal and neonatal outcomes. The Planetary Health Diet (PHD), designed to promote both human health and environmental sustainability, has not been comprehensively evaluated in high-risk obstetric populations.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This study aimed to examine the PHD in a pregnant cohort with a raised body mass index (BMI) and its associations with pregnancy outcomes, hypothesizing that greater adherence is associated with more favorable pregnancy outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;This study aimed to examine the PHD in a pregnant cohort with a raised body mass index (BMI) and its associations with pregnancy outcomes, hypothesizing that greater adherence is associated with more favorable pregnancy outcomes.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This was a secondary analysis of data from the pregnancy exercise and nutrition research study with smartphone application support study. Pregnant women (&lt;em&gt;n&lt;/em&gt; = 319) with a BMI ≥25 kg/m&lt;sup&gt;2&lt;/sup&gt; an 11 d ≤39.9 kg/m&lt;sup&gt;2&lt;/sup&gt; in early pregnancy were included in the analysis, and the cohort was dichotomized into “Low” (≤92.9) and “High” (&gt;92.9) PHD Index (PHDI) groups based on the median score in late pregnancy (∼28 wk gestation). Differences in pregnancy outcomes between the “High” and “Low” groups were explored, with results adjusted for multiple testing.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;This was a secondary analysis of data from the pregnancy exercise and nutrition research study with smartphone application support study. Pregnant women (&lt;em&gt;n&lt;/em&gt; = 319) with a BMI ≥25 kg/m&lt;sup&gt;2&lt;/sup&gt; an 11 d ≤39.9 kg/m&lt;sup&gt;2&lt;/sup&gt; in early pregnancy were included in the analysis, and the cohort was dichotomized into “Low” (≤92.9) and “High” (&gt;92.9) PHD Index (PHDI) groups based on the median score in late pregnancy (∼28 wk gestation). Differences in pregnancy outcomes between the “High” and “Low” groups were explored, with results adjusted for multiple testing.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;In adjusted models, a “High” PHDI score was associated with a lower odds of preeclampsia and/or pregnancy-induced hypertension [adjusted odds ratio (OR): 0.21; 95% confidence interval (CI): 0.06, 0.68; &lt;em&gt;P&lt;/em&gt; = 0.01), and a higher likelihood to initiate breastfeeding postpartum (adjusted OR: 1.84; 95% CI: 1.04, 3.24; &lt;em&gt;P&lt;/em&gt; = 0.04). In the adjusted model, those in the “High” PHDI group had a lower risk of delivering an infant born small for gestational age (SGA) (birthweight &lt;10th centile) (OR: 0.31; 95% CI: 0.10, 1.93, &lt;em&gt;P&lt;/em&gt; = 0.04).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;In adjusted models, a “High” PHDI score was associated wit","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"10 10","pages":"Article 109540"},"PeriodicalIF":4.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149157136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspective: The Place of Milk, Yogurt, and Cheese in Sustainable Healthy Diets in France","authors":"Adam Drewnowski,&nbsp;Florent Vieux,&nbsp;Matthieu Maillot","doi":"10.1016/j.cdnut.2026.109538","DOIUrl":"10.1016/j.cdnut.2026.109538","url":null,"abstract":"&lt;div&gt;&lt;div&gt;The 4 pillars of sustainable healthy diets are health, economics, society, and the environment. The place of milk, yogurt, and cheese in the sustainability framework was examined using publicly available government agency databases from France. Nutrient composition data came from CIQUAL (Centre d’Information sur la Qualité des Aliments). Data on greenhouse gas emissions (GHGE) and total environmental impact of foods came from Agribalyse. Data on food costs came from published reports. Dietary intakes came from the INCA 3 study (Étude Individuelle Nationale des Consommations Alimentaires) of French children (3–17 y, &lt;em&gt;n&lt;/em&gt; = 1775) and adults (18–79 y, &lt;em&gt;n&lt;/em&gt; = 2121). Two version of the Nutrient Rich Food Index (NRF6.3 and NRF9.3) were applied to protein foods and to milk, yogurt, and cheese. The NRF model is composed of 2 subscores NR and LIM. The protein component of NR was corrected for PDCAAS (Protein Digestibility-Corrected Amino Acid Score. The LIM component was based on saturated fat, added sugar, and sodium. Diet quality metrics were based on the ratio of nutrients to calories. Nutrient density scores for dairy spanned a wide range from skim milk to blue cheese. Based on Agribalyse data for France, milk and dairy were associated with lower GHGE and environmental cost than red meat and were closer to eggs and some plant proteins. The cost in euros per kilogram and per 100 kcal was lower than red meat but above eggs and legumes. Diet-level analyses showed that milk, yogurt, and cheese provided more nutrients than calories to the total diet, meeting the definition of nutrient-rich foods. Milk, yogurt, and especially cheese, with its rich culinary history, are integral components of the French diet. Dairy foods provide affordable nutrient density and have a relatively low impact on the environment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;The 4 pillars of sustainable healthy diets are health, economics, society, and the environment. The place of milk, yogurt, and cheese in the sustainability framework was examined using publicly available government agency databases from France. Nutrient composition data came from CIQUAL (Centre d’Information sur la Qualité des Aliments). Data on greenhouse gas emissions (GHGE) and total environmental impact of foods came from Agribalyse. Data on food costs came from published reports. Dietary intakes came from the INCA 3 study (Étude Individuelle Nationale des Consommations Alimentaires) of French children (3–17 y, &lt;em&gt;n&lt;/em&gt; = 1775) and adults (18–79 y, &lt;em&gt;n&lt;/em&gt; = 2121). Two version of the Nutrient Rich Food Index (NRF6.3 and NRF9.3) were applied to protein foods and to milk, yogurt, and cheese. The NRF model is composed of 2 subscores NR and LIM. The protein component of NR was corrected for PDCAAS (Protein Digestibility-Corrected Amino Acid Score. The LIM component was based on saturated fat, added sugar, and sodium. Diet quality metrics were based on the ratio of nutrients to calories. Nutrient density scores f","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"10 10","pages":"Article 109538"},"PeriodicalIF":4.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149201777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidimensional Grocery-Store Preferences of Low-Income Caregivers of Toddlers","authors":"Aihui Li,&nbsp;Xingguo Wang,&nbsp;Stephanie Rogus,&nbsp;Yu Yvette Zhang,&nbsp;Alexandra L MacMillan Uribe","doi":"10.1016/j.cdnut.2026.109530","DOIUrl":"10.1016/j.cdnut.2026.109530","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Many United States toddlers do not meet recommended fruit and vegetable intakes, and intakes are lower in low-income households. Where caregivers shop shapes what they buy, yet studies of store choice have generally examined price and proximity alone, leaving other features of the retail environment largely unexamined.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Many United States toddlers do not meet recommended fruit and vegetable intakes, and intakes are lower in low-income households. Where caregivers shop shapes what they buy, yet studies of store choice have generally examined price and proximity alone, leaving other features of the retail environment largely unexamined.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;We examined how household characteristics influence grocery-store preferences among caregivers of toddlers from low-income households in Texas.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;We examined how household characteristics influence grocery-store preferences among caregivers of toddlers from low-income households in Texas.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We conducted a cross-sectional survey in which caregivers of toddlers aged 12 to 47 mo from low-income households residing in Dallas and Tarrant Counties, Texas, United States rated 37 store-attribute items. Exploratory factor analysis with oblique rotation identified latent preference dimensions, and factor scores were modeled as dependent variables in multivariable linear regressions. The sample consisted of 148 caregivers with a mothers-only subsample (&lt;em&gt;n&lt;/em&gt; = 121) analyzed separately.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;We conducted a cross-sectional survey in which caregivers of toddlers aged 12 to 47 mo from low-income households residing in Dallas and Tarrant Counties, Texas, United States rated 37 store-attribute items. Exploratory factor analysis with oblique rotation identified latent preference dimensions, and factor scores were modeled as dependent variables in multivariable linear regressions. The sample consisted of 148 caregivers with a mothers-only subsample (&lt;em&gt;n&lt;/em&gt; = 121) analyzed separately.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Five preference dimensions were identified: store quality and service, in-store accessibility, online and delivery options, price sensitivity, and food quality and health. Older caregivers and Hispanic participants showed higher preferences for store quality and service, in-store accessibility, and food quality and health. In mutually adjusted models, frequent food preparation was positively associated with most dimensions and frequent food shopping was negatively associated with several. The 2 indicators agreed for most caregivers, so the contrast between them was identified by 11 discordant caregivers and was estimated imprecisely. Supplemental Nutrition Assistance Program participation corresponded to lower price sensitivity. Among mothers, non-Hispanic Black predicted greater concern for food quality and health, whereas employment was linked to lower price sensitivity.&lt;/div&gt;&lt;/div&gt;&lt;d","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"10 10","pages":"Article 109530"},"PeriodicalIF":4.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149143870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opportunities and Challenges for Promoting Sustainable Diets within “Food is Medicine” Programs in the United States: A Qualitative Research Study","authors":"Katherine Consavage Stanley,&nbsp;Paige B Harrigan,&nbsp;Bailey Houghtaling,&nbsp;Elena Serrano,&nbsp;Adrienne Holz,&nbsp;Valisa E Hedrick,&nbsp;Vivica I Kraak","doi":"10.1016/j.cdnut.2026.109541","DOIUrl":"10.1016/j.cdnut.2026.109541","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The United States population is experiencing concurrent, interrelated challenges of diet-related chronic diseases, food and nutrition insecurity, and climate change. Food is Medicine (FIM) has been described as a range of food-based programs that aim to prevent, manage, and treat diet-related chronic diseases in partnership with health care systems. Research is lacking in how these programs could promote plant-rich dietary patterns and other sustainability practices to support both human and planetary health.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;The United States population is experiencing concurrent, interrelated challenges of diet-related chronic diseases, food and nutrition insecurity, and climate change. Food is Medicine (FIM) has been described as a range of food-based programs that aim to prevent, manage, and treat diet-related chronic diseases in partnership with health care systems. Research is lacking in how these programs could promote plant-rich dietary patterns and other sustainability practices to support both human and planetary health.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This study explored how FIM experts in the United States define FIM and plant-rich dietary patterns and their views on the opportunities and challenges to incorporating sustainable diet practices into FIM programs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;This study explored how FIM experts in the United States define FIM and plant-rich dietary patterns and their views on the opportunities and challenges to incorporating sustainable diet practices into FIM programs.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We conducted semistructured Zoom interviews with 20 national FIM experts between July and October 2024. Participants were recruited through purposive and snowball sampling. Data were analyzed using inductive and deductive thematic analysis guided by the socioecological model.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;We conducted semistructured Zoom interviews with 20 national FIM experts between July and October 2024. Participants were recruited through purposive and snowball sampling. Data were analyzed using inductive and deductive thematic analysis guided by the socioecological model.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Expert perspectives differed on the definition and scope of FIM but largely agreed on the components of a plant-rich dietary pattern. Participants viewed produce prescriptions and medically tailored meal and grocery programs as aligned with plant-rich dietary patterns but described challenges with the lack of standardization across programs. Experts described pilot FIM programs that have incorporated sustainability practices but lacked explicit messaging on the human and planetary health cobenefits. Supporting local or regenerative producers and reducing food waste were identified as sustainability practices that could be systematically incorporated into FIM programs. Challenges included misalignment with the political environment and policy and systems barriers that restrict enabling environments for ","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"10 10","pages":"Article 109541"},"PeriodicalIF":4.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149201775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Randomized Controlled Trial to Evaluate the Effects of Full-Fat and Low-Fat Fermented Dairy Foods on Markers of Cardiometabolic Health in Adults with Overweight or Obesity and Elevated Fasting Triglycerides","authors":"Kevin C Maki,&nbsp;Nana Gletsu-Miller,&nbsp;Indika Edirisinghe,&nbsp;Meredith L Wilcox,&nbsp;Caryn G Adams,&nbsp;Orsolya M Palacios,&nbsp;Lisa A Spence,&nbsp;Karen L Sprague,&nbsp;Emma James,&nbsp;Allon N Friedman,&nbsp;Elizabeth Guzman,&nbsp;Britt Burton-Freeman","doi":"10.1016/j.cdnut.2026.109516","DOIUrl":"10.1016/j.cdnut.2026.109516","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Consumption of fermented dairy has been associated with favorable cardiometabolic outcomes, but limited data from clinical trials have been available regarding the effects of fermented dairy products at differing levels of dairy fat on biomarkers of cardiometabolic health.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Consumption of fermented dairy has been associated with favorable cardiometabolic outcomes, but limited data from clinical trials have been available regarding the effects of fermented dairy products at differing levels of dairy fat on biomarkers of cardiometabolic health.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This randomized, controlled, parallel-arm, 12-wk trial evaluated the effect of replacing nondairy foods with 2 servings/d of either full-fat or low-fat fermented dairy foods on cardiometabolic health biomarkers in adults at risk of adverse cardiometabolic outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;This randomized, controlled, parallel-arm, 12-wk trial evaluated the effect of replacing nondairy foods with 2 servings/d of either full-fat or low-fat fermented dairy foods on cardiometabolic health biomarkers in adults at risk of adverse cardiometabolic outcomes.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Adults with a body mass index (BMI) of 25.0 to 39.9 kg/m&lt;sup&gt;2&lt;/sup&gt; and elevated fasting triglycerides (≥120 mg/dL) were randomly assigned to consume study foods provided as either 2 servings/d of full-fat fermented dairy foods, 2 servings/d of low-fat fermented dairy foods, or 2 servings/d of nondairy control foods, for 12 wk. Biomarkers of glucose homeostasis, lipid metabolism, inflammation, as well as anthropometrics and vital signs were assessed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Adults with a body mass index (BMI) of 25.0 to 39.9 kg/m&lt;sup&gt;2&lt;/sup&gt; and elevated fasting triglycerides (≥120 mg/dL) were randomly assigned to consume study foods provided as either 2 servings/d of full-fat fermented dairy foods, 2 servings/d of low-fat fermented dairy foods, or 2 servings/d of nondairy control foods, for 12 wk. Biomarkers of glucose homeostasis, lipid metabolism, inflammation, as well as anthropometrics and vital signs were assessed.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Mean (standard deviation) age and BMI of the intention-to-treat population (&lt;em&gt;N&lt;/em&gt; = 110) were 45.7 (13.5) y and 31.3 (4.28) kg/m&lt;sup&gt;2&lt;/sup&gt;, respectively. Full-fat fermented dairy showed a difference (&lt;em&gt;P&lt;/em&gt; = 0.047) for change in least squares geometric mean waist circumference compared with control (−1.62% compared with 2.21%, respectively) with an effect estimate of −4.13% (−7.33, −0.81). No other statistically significant differences were observed, including the primary outcome of Matsuda index of insulin sensitivity [effect estimates of 5.24% (−20.0, 38.5) for low-fat fermented dairy and −3.11% (−26.3, 27.3) for full-fat fermented dairy, respectively, compared with control for difference in percent change in least squares geometric mean].&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Mean (standard deviation) age and BMI of the intention-","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"10 9","pages":"Article 109516"},"PeriodicalIF":4.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148951094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}