Food and Nutrition Bulletin最新文献

{"title":"Improved Multisectoral Nutrition Governance in Kenya is Influenced by Ministry Affiliation and Level of Nutrition Prioritization in Line Ministries.","authors":"Jacob Korir, Wanjiku N Gichohi-Wainaina, Surya Niraula, Nikhil Dhurandhar, Wilna Oldewage-Theron","doi":"10.1177/03795721251357628","DOIUrl":"https://doi.org/10.1177/03795721251357628","url":null,"abstract":"<p><p>BackgroundKenya has shown progress in social, economic, and health indicators over the past two decades. Yet, malnutrition remains a critical public health issue. Effective Multisectoral Nutrition Governance (MNG) is an enabling determinant of nutrition ensures that nutrition policies are well-coordinated, adequately funded, and effectively implemented, leading to better nutrition outcomes.ObjectiveOur study assessed the status, evolution, and factors associated with MNG in Kenya using a cross-sectional design at two distinct time points (2012 and 2023). The two distinct time points provided valuable comparative perspectives allowing for the assessment of progress and trends in MNG allowing further analysis.MethodsThe study targeted 96 government and nongovernmental staff from eligible ministries at the national level. It used a structured closed-ended questionnaire adapted from a validated Nutrition Governance Index.ResultsOur findings reveal an improvement in MNG status, from 58.4% in 2012 to 71.1% in 2023 (<i>P</i> < .01). The six MNG domains demonstrated varying performance levels, with mean scores ranging from 3.1 to 4.0 (out of 5). Despite the performance variation, the domains contributed equally to the MNG status. A positive relationship was found between the MNG score and respondent affiliation with the Ministry of Health and the level of prioritization of nutrition in a ministry (<i>P</i> < .05).ConclusionsFurther efforts are needed to strengthen specific MNG domains, particularly nutrition financing, transparency, accountability, and capacity, to ensure progress in tackling malnutrition in Kenya. These findings can inform efforts to enhance MNG strategies to improve nutrition outcomes sustainably in Kenya.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721251357628"},"PeriodicalIF":1.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144658849","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":"https://doi.org/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 three 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":"3795721251350208"},"PeriodicalIF":1.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The School Food Environment in Ghana is Associated With Dietary Diversity and Anemia: Findings From the 2022 National Nutrition and Health Survey of In-School Adolescents.","authors":"Mica Jenkins, Esi Foriwa Amoaful, Mutala Abdulai, Veronica Quartey, Porbilla Ofosu-Apea, Jevaise Aballo, Maku E Demuyakor, Maria Elena D Jefferds, Nancy J Aburto, Usha Ramakrishnan, Reynaldo Martorell, O Yaw Addo","doi":"10.1177/03795721251348343","DOIUrl":"https://doi.org/10.1177/03795721251348343","url":null,"abstract":"<p><p>BackgroundSchool food environments may play an important role in shaping children's dietary habits, health, and nutrition.ObjectivesThis study aimed to evaluate associations between the school food environment and nutrition among in-school adolescents in Ghana.MethodsData were collected in Ghana in 2022 in a national nutrition and health survey of adolescents attending junior (JHS) and senior high schools (SHS). Foods observed on campus or reported in the dietary recall were aggregated, a composite Adolescent Dietary Diversity Score (ADDS) was derived, and the proportion achieving minimum dietary diversity was estimated. Multi-level regression models were used to assess associations between a ranked school food environment score (FES) and nutrition outcomes.ResultsThe number of food groups served or available for purchase was 6.2 in JHS and 8.1 in SHS (<i>P</i>-value <.0001). The mean (95% CI) FES was 10.9 (10.1, 11.7) at JHS and 14.3 (13.6, 14.9) at SHS. ADDS ranged from 4.1 to 4.8 across strata. Higher FES was positively associated with ADDS and minimum dietary diversity among SHS students and negatively associated with anemia in girls and boys. Girls from high FES schools had 24% lower odds of anemia (OR: 0.76, 95% CI: 0.63, 0.93) while boys had 46% lower odds (OR: 0.54, 95% CI: 0.34, 0.84) compared to students in low FES schools.ConclusionsHigher FES was associated with greater dietary diversity among SHS students and lower odds of anemia in girls and boys, suggesting that the school food environment may play a role in determining nutrition outcomes.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721251348343"},"PeriodicalIF":1.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144495576","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":"How a Microfinance-Based Livelihood Program can Combat Food Insecurity Among Families of Children With Cerebral Palsy in Bangladesh-Evidence From a Randomized Control Trial.","authors":"Nuruzzaman Khan, Mahmudul Hassan Al Imam, Israt Jahan, Mohammad Muhit, Nadia Badawi, Gulam Khandaker","doi":"10.1177/03795721251348338","DOIUrl":"https://doi.org/10.1177/03795721251348338","url":null,"abstract":"<p><p>BackgroundHousehold food insecurity is a critical concern for ultra-poor families in low- and middle-income countries like Bangladesh, particularly those with members who have disabilities. The COVID-19 pandemic has worsened this situation.ObjectiveThis study aimed to assess the impact of microfinance-based livelihood programs on food insecurity in ultra-poor families with members affected by cerebral palsy in Bangladesh.MethodsData were extracted from the SUPPORT CP trial for 251 children with cerebral palsy. The Household Food Insecurity Access Scale score was the outcome variable. The explanatory variable was the intervention type, dividing the sample into 3 arms: Arm C (care as usual), Arm B (Community-Based Rehabilitation [CBR]), and Arm A (CBR with the integrated microfinance-based livelihood program [IMCBR]). Both linear regression and the Generalized Estimating Equations model were used to determine the association of outcome variable with explanatory variables adjusting for covariates.ResultsWe found a consistent level of household food insecurity across each time point, with a significant increase in the midline during the peak of COVID-19 pandemic in 2020. However, following the end of the COVID-19 pandemic, both Arms A and B, where interventions were provided, reported a significant decline in food insecurity. Notably, Arm A, where IMCBR was provided, exhibited the fastest decrease in food insecurity followed by Arm B, where only CBR was provided, compared to Arm C.ConclusionMicrofinance programs can reduce food insecurity among families of children with cerebral palsy in Bangladesh, especially during crises like COVID-19, underscoring the need to integrate them with tailored disability rehabilitation services.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721251348338"},"PeriodicalIF":1.8,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324947","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":"Energy and Nutrient Content of a Disaster Kitchen Menu and Nutrition Services Coordination Experience: Kahramanmaraş Earthquake, Türkiye.","authors":"Osman Guldemir, Hilal Hizli-Guldemir","doi":"10.1177/03795721251345181","DOIUrl":"https://doi.org/10.1177/03795721251345181","url":null,"abstract":"<p><p>BackgroundOn 6 February 2023, two major and aftershock earthquakes occurred in Türkiye. These earthquakes caused disasters in Kahramanmaraş, Hatay, and its surroundings. More than 50 000 people lost their lives. The day after the earthquakes, disaster/emergency kitchens were established in these cities with the initiatives of various institutions and organisations. One of these kitchens is the 'Anadolu Mutfağı', which was established by Anadolu University in 2023. Approximately 15 000 people benefited from the emergency kitchen in Belen district of Hatay every day.ObjectiveIn this study, the daily needs of adults eating in this kitchen were evaluated. Additionally, the basic problems and requirements encountered during the operation of nutrition services are included.MethodsBreakfast, lunch, and dinner menus served in the emergency kitchen were monitored on-site by the researcher for a week and the amounts served to one person were recorded. Daily energy and nutrient values were calculated. These values were evaluated using Türkiye Nutrition Guide 2022 reference values.ResultsIt was determined that the energy intake of adults fed from the disaster/emergency kitchen was sufficient; however, the daily recommended intake of important minerals and vitamins such as calcium and vitamins E and C was not met. In addition, it was observed that daily water consumption of individuals was insufficient. In addition, it was also observed that those with chronic diseases had difficulty in accessing the special diet products they needed.ConclusionIn such crisis, it is recommended that strategies for community nutrition should be developed, updated, coordinated, and implemented immediately.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721251345181"},"PeriodicalIF":1.8,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265828","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":"Vitamin A Intakes and Status of School-Aged Children in High-Risk Areas of the Philippines.","authors":"Glaiza V Calayo-Garvilles, Noelle Lyn C Santos, Shylene Belle A Cadiao, Aleli H Lim, Dave Briones, Kyler Kenn M Castilla, Maria Fatima Dolly R Reario, Rolf D W Klemm, Amanda C Palmer","doi":"10.1177/03795721251341976","DOIUrl":"https://doi.org/10.1177/03795721251341976","url":null,"abstract":"<p><p>BackgroundVitamin A (VA) deficiency affects approximately 15% of preschool-aged children in the Philippines (serum retinol < 0.7 μmol/L). Data on school-aged children are lacking.ObjectiveTo characterize intake of VA-rich foods and VA status among school-aged children in 3 areas of the Philippines at high risk of undernutrition.MethodsWe conducted a cross-sectional study, randomly selecting n = 520 children from primary schools in 3 high-risk provinces. We collected data on household characteristics, past-week food intake, and children's weights and heights. Venous blood samples were drawn and analyzed for plasma retinol, C-reactive protein, and α₁-acid glycoprotein.ResultsMost children (96.7%) had consumed preformed VA-rich foods at least once in the prior week, mainly eggs and fortified foods, with a median consumption frequency of 7 times [p25, p75: 4, 12]. While 93.7% had consumed proVA-rich foods-mainly dark green leafy vegetables-the frequency was lower (5 times [2, 9]). Approximately one-quarter took multinutrient supplements (median 600 μg retinol equivalents [400, 1185]). The mean (± SD) plasma retinol concentration was 0.95 ± 0.23 μmol/L. The prevalence of VA deficiency (retinol <0.70 μmol/L) was 13.6% (4.9% adjusted for inflammation), and 59.0% (52.0% adjusted for inflammation) had marginal status (0.70-1.05 μmol/L).ConclusionsThe VA status of school-aged children in high-risk areas was similar to that of preschool-aged children nationally. Despite adjusting for inflammation, most children were classified as having marginal VA status that could be improved by increasing intake of the available preformed and proVA-rich foods in the study area.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721251341976"},"PeriodicalIF":1.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119141","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":"Food Insecurity in the United States LGBTQ+ Population: A Cross-Sectional Analysis of <i>All of Us</i> Data.","authors":"Whitney R Linsenmeyer, Michelle R Dalton, Rowan Hollinger, Regina Huang, Katie Heiden-Rootes","doi":"10.1177/03795721251332099","DOIUrl":"https://doi.org/10.1177/03795721251332099","url":null,"abstract":"<p><p>AimTo assess food insecurity prevalence among the lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ+) population and to investigate variations by age, race and ethnicity, and gender identity.MethodsData were obtained from the <i>All of Us</i> Research Program, a longitudinal cohort study that includes 34 148 LGBTQ+ participants. Food insecurity prevalence was reported using descriptive analyses, and chi-square tests were performed for comparison between groups.Results6.7% of the LGBTQ+ population was food insecure with wide variance based on gender identity. Transgender participants were more likely to be food insecure than cisgender participants (9.8% vs 6.2%, <i>P</i> < .001). Black, Indigenous, and People of Color (BIPOC) LGBTQ+ participants were more likely to be food insecure than white counterparts (9.5% vs 5.4%, <i>P</i> < .001).ConclusionStandardized language to assess sex and gender identity will improve precision in food insecurity estimates. Wide variations in food insecurity prevalence persist among demographic variables with the highest rates among Black, transgender, and younger participants. Interventions are needed to address food insecurity, especially among BIPOC and transgender populations.SummaryBased on newly data available from over 34 000 LGBTQ+ people, food insecurity impacts groups within the United States differently. Transgender people experience food insecurity at higher levels than cisgender people, and Black, Indigenous, and People of Color (BIPOC) are impacted by food insecurity at higher levels than white communities.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721251332099"},"PeriodicalIF":1.8,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971105","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 Impact of Vitamin B12 on Cognitive Health in the Filipino Elderly.","authors":"John Patrick C Toledo","doi":"10.1177/03795721251330686","DOIUrl":"https://doi.org/10.1177/03795721251330686","url":null,"abstract":"","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721251330686"},"PeriodicalIF":1.8,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778914","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":"Access to and Satisfaction with the Women, Infants, and Children (WIC) Program: Differences Across Race, Ethnicity, Income, and Urbanicity among Missouri Residents.","authors":"Amanda Gilbert, Tyler Frank, Laura McDermott, Najjuwah Walden, Jason Jabbari, Stephen Roll, Dan Ferris","doi":"10.1177/03795721251323312","DOIUrl":"https://doi.org/10.1177/03795721251323312","url":null,"abstract":"<p><p>BackgroundThe Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is a federal nutrition assistance program aiming to address food insecurity and improve health. Participation varies across marginalized groups (eg, Black, Hispanic, low-income, rural), likely due to WIC access barriers and satisfaction, limiting WIC's impact on health disparities.ObjectiveAssess WIC access and satisfaction across marginalized groups to understand determinants of WIC participation in Missouri, where food insecurity is high (11% overall, 12% Hispanic, 26% Black) and WIC participation low (41%).MethodsThis cross-sectional study used data from the Missouri WIC Experience Survey (April 2022-June 2022). Bivariate and multivariate logistic regression assessed access (eg, clinic wait times, clinic hours, clinic location) and satisfaction (eg, nutrition education, meeting dietary needs, shopping experience) across race/ethnicity, income, and urbanicity.ResultsThe sample (<i>n</i> = 2232) consisted of 69% White, 16% Black, and 8% Hispanic WIC-eligible households. Most had monthly incomes of $4000 or less (69%) and 32% lived in rural areas. Black households had 75% higher odds of experiencing barriers compared to White households. Compared to urban households, rural households experienced 30% lower odds of being satisfied overall with WIC, but 75% higher odds of being satisfied with WIC meeting dietary needs. Hispanic households had 85% higher odds than White households of being satisfied with WIC.ConclusionsFindings offer considerations for addressing WIC access and satisfaction. WIC design and implementation should focus on barriers to access for Black households and improving overall satisfaction with WIC among rural and low-income households.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":" ","pages":"3795721251323312"},"PeriodicalIF":1.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656551","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":"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":"https://doi.org/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":"3795721251322825"},"PeriodicalIF":1.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}