Food and Nutrition Bulletin最新文献

{"title":"Household Food Production and Dietary Diversity in a Remote, Former Socialist Society: Panel Data Evidence from Tajikistan.","authors":"Hiroyuki Takeshima, Isabel Brigitte Lambrecht, Kamiljon Akramov, Tanzila Ergasheva","doi":"10.1177/03795721251366106","DOIUrl":"https://doi.org/10.1177/03795721251366106","url":null,"abstract":"<p><p>BackgroundDespite a growing interest in household-level agriculture-nutrition linkage, evidence remains thin in countries like Tajikistan, one of the poorest former socialist countries where food crop production decisions by individual farm households had been significantly regulated by the government until recently.ObjectivesWe narrow this knowledge gap by examining the linkages between households' food production practice as well as their productivity performances and dietary diversity scores (DDS) of both the household and individual women in Tajikistan.MethodsWe use a panel sample of households and individual women of reproductive ages in the Khatlon province of Tajikistan, the poorest province and a major agricultural region of the country. Difference-in-difference propensity score regressions and panel fixed-effects instrumental variable regressions are applied.ResultsHigher overall diversity in food groups (FGs) produced by households, as well as greater overall production per land and per household member at the household level, leads to higher DDS both for the household and for individual women, particularly in areas with poor food market access. FG-specific analyses suggest that for vegetables, fruits, legumes/nuts/seeds, dairy products, and eggs, significant one-on-one linkage exists between own production and consumption for these FGs.ConclusionsResults underscore the importance of supporting household-level agricultural diversification and agricultural productivity growth in Tajikistan to improve dietary diversity, especially in remote areas.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721251366106"},"PeriodicalIF":1.6,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are Iran's Current Policies and Infrastructure Supporting Healthier Food Environments?","authors":"Saeid Sadeghian-Sharif, Nasrin Omidvar, Fatemeh Mohammdi-Nasrabadi, Mina Babashahi","doi":"10.1177/03795721251364648","DOIUrl":"https://doi.org/10.1177/03795721251364648","url":null,"abstract":"<p><p>BackgroundIran has developed a comprehensive action plan aimed at reducing premature mortality as a result of noncommunicable diseases (NCDs) by 25% by 2025.ObjectiveThis study aimed to describe and assess current policies and actions that public sectors in Iran are taking to create healthy food environments for prevention and management of obesity, NCDs, and their related inequalities.MethodsThe Healthy Food Environment Policy Index was the principal tool used, and interaction with key stakeholders was the main approach. Available evidence of policy implementation was collated for 47 good practice indicators across 13 policy and infrastructure support domains through searches on institutional websites and verified by government stakeholders. The final evidence report was rated by a national expert panel based on the level of implementation compared to international best practices.ResultsOverall, 89 relevant documents were identified, classified, and analyzed, comprising 5 constitutional laws or general policies, 20 parliamentary mandates, 5 national documents, 22 national regulations, and 37 national programs which were categorized into policy (<i>n</i> = 62) and infrastructure (<i>n</i> = 42) components. Notably, the highest level of evidence was observed in Leadership5 (14 documents), Provision1 (13 documents), and Provision2 (8 documents). No indicator was rated as \"high\" implementation, while nearly two-thirds of the indicators were rated as low or very low.ConclusionsDespite the Iranian government's broad landscape in supporting policies that help create healthier food environments. The findings also show the need to reform all of their policies and supportive infrastructure in order to achieve significant results.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721251364648"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Intervention Strategies on Fruit and Vegetable Intake in Low-, Middle- and High-Income Countries: A Scoping Review.","authors":"Nadia Koyratty, Fusta Azupogo, Taryn J Smith, Guy-Marino Hinnouho, Manisha Tharaney, Lilia Bliznashka, Deanna K Olney, Sonja Y Hess","doi":"10.1177/03795721251350208","DOIUrl":"10.1177/03795721251350208","url":null,"abstract":"<p><p>BackgroundDespite well-documented health benefits, fruit and vegetable (F&V) intake remains below recommended levels globally.ObjectivesThis scoping review aimed to identify effective intervention strategies to increase F&V intake.MethodsWe searched PubMed and Web of Science (February 2023) for intervention studies assessing impact on F&V intake. Eligibility criteria included studies published in English since 2012, a valid control group, ≥2 weeks duration, and ≥50 participants per intervention arm. Analysis was done by intervention comparison. Findings were described by summarizing proportion of intervention comparisons reporting statistically significant increases in fruit, vegetable and/or combined F&V intake across standalone (nutrition communication, social protection, agriculture or food environment restructuring) and multi-component strategies.ResultsA total of 284 intervention comparisons (223 unique studies) were included. The majority of comparisons (191/284) came from high-income countries (HICs) and 93/284 from low- and middle-income countries (LMICs). Nutrition communication was the most common standalone strategy, with 121/218 comparisons reporting positive impacts on fruit, vegetable and/or combined F&V intake. Fewer studies evaluated standalone social protection (13/284), food environment restructuring (4/284), or agriculture strategies (3/284). Among the limited interventions, 7/13 social protection and 3/4 food environment restructuring comparisons reported positive impacts, while none of the 3 standalone agricultural interventions did. Multi-component interventions demonstrated potential with 28/46 comparisons having positive impacts.ConclusionsSome of the intervention strategies showed potential for increasing fruit and/or vegetable intake. However, given the heterogeneity of the interventions, small number of studies for some strategies and limited evidence from LMICs, more rigorous, context-specific research is needed.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"S19-S34"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144636655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Data to Decision: How the National Information Platform for Nutrition (NiPN) Bridges the Research-Policy Gap in Ethiopia's Nutrition Sector.","authors":"Taddese Alemu Zerfu, Aregash Samuel","doi":"10.1177/03795721251365122","DOIUrl":"https://doi.org/10.1177/03795721251365122","url":null,"abstract":"<p><p>Bridging the gap between research and policy continues to be a major challenge in Ethiopia, particularly in the nutrition sector, where evidence is often fragmented, inconsistently collected, and underutilized. Traditional research-to-policy approaches are frequently misaligned with policymaking needs due to differences in timelines, priorities, and communication practices. While these challenges are not unique to Ethiopia-and indeed, numerous global efforts have attempted to address them with varying degrees of success-examples from other settings offer useful insights for strengthening the interface between evidence and action. In the Ethiopian context, the National Information Platform for Nutrition (NiPN) represents an important shift toward a more responsive, demand-driven model that seeks to improve the relevance and uptake of evidence. Unlike conventional approaches that begin with research questions and proceed directly to data collection, Ethiopia's NiPN starts with policy question formulation, aligning evidence generation with real-time decision-making priorities. This approach emphasizes embedding research in institutional processes and tailoring outputs to policy needs. The paper explores how NiPN addresses structural barriers to nutrition governance-such as limited institutional capacity, fragmented coordination, and weak knowledge translation. It engages multiple sectors in mapping evidence, analyzing data, and supporting dialogue to inform actionable recommendations. Using examples like the Seqota Declaration and the School Feeding Programme, the paper demonstrates how NiPN has improved policy relevance, intervention targeting, and national ownership. The Ethiopian case offers transferable insights for other countries seeking to institutionalize evidence-informed policymaking in complex, multisectoral domains.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721251365122"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions on Fruit and Vegetable Intake in Low-, Middle-, and High-Income Countries: A Scoping Review of Evidence and Knowledge Gaps.","authors":"Fusta Azupogo, Nadia Koyratty, Taryn J Smith, Guy-Marino Hinnouho, Manisha Tharaney, Lilia Bliznashka, Dorcas A Amunga, Imelda Angeles-Agdeppa, Eva Goyena, Frederick Grant, Joyce Kinabo, Irene Medeme Mitchodigni, Renuka Silva, Hasara Sitisekara, Deanna K Olney, Sonja Y Hess","doi":"10.1177/03795721251314141","DOIUrl":"10.1177/03795721251314141","url":null,"abstract":"<p><p>BackgroundAdequate fruit and vegetable (F&V) intake is important for health, yet populations globally are failing to meet recommendations.ObjectiveA scoping review to summarize available evidence of evaluations of interventions to increase F&V intake globally, focusing on target populations, intervention strategies, research methods, and summarizing their evaluated impacts.MethodsWe searched PubMed and Web of Science in February 2023 for intervention studies in which dietary intake of fruit and/or vegetables were documented. Eligible studies included all age groups, excluding those targeting populations with specific disease-related conditions, such as cancer patients/survivors. Only articles published in English since 2012 were included in the review.ResultsWe identified 6338 articles, with 226 meeting inclusion criteria, comprising 223 unique studies and 284 intervention comparisons. Most comparisons occurred in high-income countries (<i>n</i> = 192) compared to low- and middle-income countries (<i>n</i> = 92). Randomized controlled trials (RCTs; 37.3%) and cluster RCTs (52.5%) were predominant. Interventions primarily targeted adults (31.7%), school-aged children (18.0%), children under-five (14.4%), and adolescents (13.7%), lasting an average of 24 weeks (range: 2 weeks to 20 years). Food-frequency questionnaires (59.2%) and 24-h recalls (26.8%) were the most used dietary assessment method. Health and nutrition communication (75.9%) was the most common intervention, utilizing interpersonal communication, mass media, and information-communication technology, often in combinations. Positive impacts on fruit (43.9%), vegetable (40.2%), and combined F&V intake (53.0%) were observed in nearly half the intervention comparisons.ConclusionsThese findings highlight the predominance of health and nutrition communication interventions, predominantly in high-income countries, showing mixed success in improving F&V intake, emphasizing the need for context-specific strategies and standardized methodologies to design sustainable, cost-effective interventions for better diet quality and health outcomes.Plain language titleA literature review assessing what we know and do not know about efforts to improve fruit and vegetable intake across the world.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"S5-S18"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Global and Some National Perspectives on the Current Evidence of Interventions on Fruit and Vegetable Intake in Low-, Middle-, and High-Income Countries.","authors":"Sonja Y Hess, Imelda Angeles-Agdeppa, Joyce Kinabo, Irene Medeme Mitchodigni, Renuka Silva, Manisha Tharaney, Fusta Azupogo, Lilia Bliznashka, Guy-Marino Hinnouho, Nadia Koyratty, Taryn J Smith, Deanna K Olney","doi":"10.1177/03795721251357385","DOIUrl":"https://doi.org/10.1177/03795721251357385","url":null,"abstract":"<p><p>Adequate amounts of fruit and vegetables (F&V) are an important part of a healthy diet, yet intake is suboptimal in most population groups worldwide. To better understand the evidence of strategies aiming to improve F&V intake, we conducted a scoping review of interventions assessing the impact on F&V intake, including those aiming to improve F&V intake explicitly and those targeting diet, health, lifestyle, or food environment generally. Among all eligible interventions reviewed, most of which were implemented in high-income countries, about half reported a significant positive impact on fruit and/or vegetable intake. Interventions that used a multicomponent strategy (61%) and those that focused on F&V specifically (72%) were most likely to find a significant increase in fruit and/or vegetable intake. Detailed summaries are provided in 2 accompanying articles. In the present article, we put these findings into perspective. Specifically, we considered the evidence for 4 target countries of the Fruit and Vegetables for Sustainable Healthy Diets Initiative: Benin, the Philippines, Sri Lanka, and Tanzania. When considering available evidence at the national level, there is a paucity of information from intervention trials despite evidence of inadequate F&V intakes in each of these countries. When considering available evidence at the global level, and especially for low-and-middle income countries, there is a critical need to strengthen the evidence across various intervention strategies, particularly related to targeting, timing, intensity, duration, frequency, and other key characteristics, to better understand how to enhance their impact on F&V intake in various population groups and contexts.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"46 1_suppl","pages":"S35-S44"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Foreword to a Scoping Review of Interventions on Fruit and Vegetable Intake in Low-, Middle-, and High-Income Countries: A Global Perspective.","authors":"Sonja Y Hess, Deanna K Olney","doi":"10.1177/03795721251322825","DOIUrl":"10.1177/03795721251322825","url":null,"abstract":"<p><p>A healthy diet low in fat, sugars, and sodium and high in fruit and vegetables (F&V) is recommended to ensure overall health and reduce risk of noncommunicable diseases. However, despite the evidence of strong health benefits, dietary intake of both fruit and vegetables is inadequate in most populations worldwide. To better understand the state of the evidence of what has worked to improve F&V intake, we conducted a scoping review to summarize available evidence of interventions focusing on the impact on F&V intake, including those aiming to improve F&V intake specifically and those targeting diet, health, lifestyle or environment more broadly. We chose to take a global view as lessons learnt from studies in high-income countries may provide important insights for other contexts. The evidence summarized in this <i>Food and Nutrition Bulletin</i> supplement can be used to inform program and policy design as well as future research areas.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"S3-S4"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of a Nutritional Intervention in Children with Moderate Acute Malnutrition: A Randomized Controlled Trial in Sri Lanka During the Economic Crisis in 2023.","authors":"Guwani Liyanage, Sembakuttige Amali Chinthika Dalpatadu, Jagath C Ranasinghe, Kalana Peiris, Filippo Dibari, Dilka Peiris, Pujitha Wickramasinghe","doi":"10.1177/03795721251369186","DOIUrl":"https://doi.org/10.1177/03795721251369186","url":null,"abstract":"<p><p>IntroductionUndernutrition continues to be a significant public health concern, particularly among children under 5 years.ObjectivesThis study evaluated the efficacy of an additional nutritional intervention in improving growth parameters, dietary diversity and haemoglobin levels in children aged 6 to 59 months with moderate acute malnutrition (MAM) during the 2023 economic crisis in Sri Lanka.MethodsThis was a randomized-controlled trial and children with MAM were randomly allocated to either the intervention group, receiving additional food transfers and nutrition education, or the control group, receiving standard care. The outcomes improvement in growth parameters, dietary diversity and haemoglobin levels. Regression analysis was used to adjust for potential confounding variables. A total of 510 children were enrolled and followed for 6 months. The intervention group showed a significant proportion of children improving to normal weight-for-height <i>Z</i>-scores than the control group in addition to the improvement in dietary diversity. However, the two groups had no significant difference in stunting and underweight.ConclusionsThe nutritional intervention improved weight for height <i>z</i>-scores and dietary diversity in this cohort of children with MAM. The study highlights the importance of targeted nutrient-adequate food security interventions in undernourished children during crises to support their nutrition rehabilitation effectively.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721251369186"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Cost and Cost-Effectiveness of Vitamin A Supplementation: An Assessment of a Vitamin A Days-Plus Event in Burkina Faso.","authors":"Stephen A Vosti, Mira Korb, Melissa Baker, Rolf Klemm, Romance Dissieka, David Doledec, Regina Khassanova","doi":"10.1177/03795721251355015","DOIUrl":"https://doi.org/10.1177/03795721251355015","url":null,"abstract":"<p><p><b>Background:</b> Campaign-based vitamin A supplementation (VAS) programs are under pressure to reduce costs and increase coverage. <b>Objectives:</b> This study examined coverage, costs, cost-effectiveness, and cost burdens of a campaign-based VAS event (JVA+) in the Yako and Kombissiri health districts of central Burkina Faso. <b>Methods:</b> Data were collected from groups of JVA+ event implementers and caregivers. Post-event coverage surveys measured coverage; spatially scaled primary data provided estimates of costs. Costs of caregiver participation were measured. Data were provided by all actors involved in the design and implementation of the JVA+ event. <b>Results:</b> Overall, 88% of the target age group was covered. Overall coverage did not differ across health districts but was lower in urban areas. Children 6 to 11 months of age had lower coverage, especially in urban areas. The VAS event cost ∼137k USD. Average cost per child reached was 1.34 USD, ranging from 1.19 USD (Yako) to 1.62 USD (Kombissiri). National costs, with international support, covered VA capsules and community health worker salaries. Community stakeholders incurred administrative and transportation/communication costs; regional and district-level stakeholders made small contributions. Caregivers in rural areas contributed significant amounts of time (∼20% of total program costs in some areas). <b>Conclusions:</b> The vast majority of Burkinabe children suffer from vitamin A inadequacy. JVA+ events can be generally effective in distributing twice-annual VAS, but are expensive and heavily reliant on international assistance, and are unsustainable. Young children were consistently under-reached, especially in urban areas. Costs to caregivers were high in rural areas. Evidence-based, area-specific changes in program design could increase coverage and efficiency.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721251355015"},"PeriodicalIF":1.6,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial.","authors":"Corey O'Hara","doi":"10.1177/03795721251367844","DOIUrl":"https://doi.org/10.1177/03795721251367844","url":null,"abstract":"","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"46 2-3","pages":"67-68"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}