Frontiers in Nutrition最新文献

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Dietary transformations and health implications in migrant populations: a global perspective. 移徙人口的饮食转变和健康影响:全球视角。
IF 4 2区 农林科学
Frontiers in Nutrition Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI: 10.3389/fnut.2025.1623556
Joseph Vinod Varre, Mia Dustin, Stephan Van Vliet
{"title":"Dietary transformations and health implications in migrant populations: a global perspective.","authors":"Joseph Vinod Varre, Mia Dustin, Stephan Van Vliet","doi":"10.3389/fnut.2025.1623556","DOIUrl":"10.3389/fnut.2025.1623556","url":null,"abstract":"<p><strong>Background: </strong>Dietary acculturation-the process by which migrants adopt the dietary patterns of their host country-has become increasingly relevant given the unprecedented scale of international migration. This phenomenon is often associated with a shift from traditional diets toward host-country patterns that are higher in ultra processed foods, added sugars, and fats, with potential implications for chronic disease risk.</p><p><strong>Objective: </strong>This mini-review aims to synthesize global evidence on the dietary transformations experienced by migrant populations and to assess the health implications and modulating factors influencing these changes.</p><p><strong>Methods: </strong>A targeted literature search was conducted in PubMed, Scopus, and Web of Science for articles published between January 2000 and April 2024, using keywords related to dietary acculturation, migration, and health outcomes. After applying inclusion and exclusion criteria, 30 studies directly addressing dietary change and health outcomes post-migration were included. Key themes were identified through iterative synthesis.</p><p><strong>Results: </strong>Evidence indicates a consistent trend of dietary acculturation across diverse migrant groups, typically involving increased consumption of energy-dense, processed foods (a 15-20% increase) and decreased intake of traditional staples such as whole grains (down by 10-15%), pulses, and fresh vegetables. These dietary shifts are associated with a heightened risk of obesity (increasing by 5-10%), type 2 diabetes (7-12% rise), and cardiovascular diseases. Factors such as length of residence (1-5 years), age at migration (20-30 years), socioeconomic status (bottom 20%), food environment (availability dropping by 30%), and health literacy significantly modulate these changes. Emerging evidence also points to changes in gut microbiota as a consequence of dietary transformation.</p><p><strong>Conclusion: </strong>Dietary acculturation among migrant populations is a multifaceted process that increases the risk of nutrition-related chronic diseases. There is a critical need for culturally sensitive public health interventions and policies that support the preservation of healthy traditional diets while facilitating healthy adaptation to new food environments. Addressing research gaps-such as longitudinal data and the experiences of underrepresented migrant groups-will strengthen strategies to mitigate adverse health outcomes.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1623556"},"PeriodicalIF":4.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial: The first 1000 days: window of opportunity for child health and development. 社论:头1000天:儿童健康和发展的机会之窗。
IF 4 2区 农林科学
Frontiers in Nutrition Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI: 10.3389/fnut.2025.1673003
Shoba Suri, Giovanna Verlato, Subhasree Ray
{"title":"Editorial: The first 1000 days: window of opportunity for child health and development.","authors":"Shoba Suri, Giovanna Verlato, Subhasree Ray","doi":"10.3389/fnut.2025.1673003","DOIUrl":"10.3389/fnut.2025.1673003","url":null,"abstract":"","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1673003"},"PeriodicalIF":4.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial: Unlocking marine food potentials: empowering bioactive compounds, precision nutrition, and sustainable dietary solutions. 社论:释放海洋食物潜力:赋予生物活性化合物、精准营养和可持续饮食解决方案力量。
IF 4 2区 农林科学
Frontiers in Nutrition Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI: 10.3389/fnut.2025.1674047
Weiyang Zhao, Yifeng Zhang, Han Sun
{"title":"Editorial: Unlocking marine food potentials: empowering bioactive compounds, precision nutrition, and sustainable dietary solutions.","authors":"Weiyang Zhao, Yifeng Zhang, Han Sun","doi":"10.3389/fnut.2025.1674047","DOIUrl":"10.3389/fnut.2025.1674047","url":null,"abstract":"","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1674047"},"PeriodicalIF":4.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of obesity-related anthropometric indicators with chronic constipation and diarrhea among U.S. adults: a cross-sectional study. 美国成年人中肥胖相关人体测量指标与慢性便秘和腹泻的关联:一项横断面研究
IF 4 2区 农林科学
Frontiers in Nutrition Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI: 10.3389/fnut.2025.1610214
Yu Ning, Xiaoting Hu, Laifu Li, Yan Zhuang, Fei Dai
{"title":"Association of obesity-related anthropometric indicators with chronic constipation and diarrhea among U.S. adults: a cross-sectional study.","authors":"Yu Ning, Xiaoting Hu, Laifu Li, Yan Zhuang, Fei Dai","doi":"10.3389/fnut.2025.1610214","DOIUrl":"10.3389/fnut.2025.1610214","url":null,"abstract":"<p><strong>Aim: </strong>Prior studies have linked obesity indicators to constipation/diarrhea, but multi-measure comparisons remain limited. We analyzed these associations in U.S. adults.</p><p><strong>Methods: </strong>This cross-sectional study utilized data from three cycles (2005-2010) of the National Health and Nutrition Examination Survey (NHANES). The final analysis included 13,105 participants after excluding those aged < 20 years or with missing data for any study variables. Bowel habits were categorized using the Bristol Stool Form Scale (BSFS). Multiple analytical approaches were employed: descriptive statistics, weighted multivariable logistic regression, weighted restricted cubic spline (RCS) analysis, subgroup analyses, and sensitivity analysis. We evaluated the diagnostic performance of various anthropometric indices-waist circumference (WC), body mass index (BMI), relative fat mass (RFM), body roundness index (BRI), weight-adjusted waist index (WWI), waist-to-height ratio (WHtR), and a body shape index (ABSI)-for chronic diarrhea and constipation using receiver operating characteristic (ROC) curve analysis and the area under the curve (AUC).</p><p><strong>Results: </strong>Weighted multivariable logistic regression revealed significant positive associations between seven obesity indicators and diarrhea (all <i>P</i> < 0.05), with the highest odds ratios (ORs) observed in the top quartiles for WWI (OR = 1.937, 95% CI = 1.516-2.474, <i>P</i> < 0.001) and RFM (OR = 1.870, 95% CI = 1.254-2.790, <i>P</i> = 0.003). Meanwhile, RFM, BRI, WC, BMI, and WHtR showed significant inverse associations with constipation (<i>P</i> < 0.05), with the lowest ORs observed for the top quartiles of BMI (OR = 0.530, 95% CI = 0.408-0.689, <i>P</i> < 0.001) and RFM (OR = 0.599, 95% CI = 0.409-0.879, <i>P</i> = 0.011). By contrast, the top ABSI quartile exhibited a positive association with constipation (OR = 1.262, 95% CI = 1.014-1.571, <i>P</i> = 0.038). ROC analysis indicated RFM as the most discriminative indicator for constipation (AUC = 0.577) and WWI for diarrhea (AUC = 0.614), respectively, among tested indices. RCS analysis demonstrated an inverse J-shaped relationship between RFM and constipation and a linear positive association between WWI and diarrhea. Subgroup analyses further validated the robust associations of RFM and WWI with intestinal disorders across strata of age, sex, race, smoking, drinking, sleep disturbances, diabetes, and depression. Sensitivity analyses yielded consistent results, supporting the stability of these findings.</p><p><strong>Conclusions: </strong>The seven indicators are useful indicators for assessing intestinal disorders in U.S. adults, with RFM and WWI demonstrating the highest discriminative ability for constipation and diarrhea, respectively.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1610214"},"PeriodicalIF":4.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial: Dietary habits in liver health and disease: preclinical and clinical studies. 社论:饮食习惯与肝脏健康和疾病:临床前和临床研究。
IF 4 2区 农林科学
Frontiers in Nutrition Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI: 10.3389/fnut.2025.1670605
Evelyn Nunes Goulart da Silva Pereira, Caroline Fernandes-Santos
{"title":"Editorial: Dietary habits in liver health and disease: preclinical and clinical studies.","authors":"Evelyn Nunes Goulart da Silva Pereira, Caroline Fernandes-Santos","doi":"10.3389/fnut.2025.1670605","DOIUrl":"10.3389/fnut.2025.1670605","url":null,"abstract":"","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1670605"},"PeriodicalIF":4.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The protective effect of Saudi Arabian bee honey against excessive weight gain and obesity-related parameters in rats fed a high-fat diet. 沙特阿拉伯蜜蜂蜂蜜对喂食高脂肪饮食的大鼠体重过度增加和肥胖相关参数的保护作用。
IF 4 2区 农林科学
Frontiers in Nutrition Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI: 10.3389/fnut.2025.1582408
Abdullah Al Tamim, Ghedeir M Alshammari, Abu ElGasim A Yagoub, Ali Saleh, Mohammed A Mohammed, Mohammed Abdo Yahya
{"title":"The protective effect of Saudi Arabian bee honey against excessive weight gain and obesity-related parameters in rats fed a high-fat diet.","authors":"Abdullah Al Tamim, Ghedeir M Alshammari, Abu ElGasim A Yagoub, Ali Saleh, Mohammed A Mohammed, Mohammed Abdo Yahya","doi":"10.3389/fnut.2025.1582408","DOIUrl":"10.3389/fnut.2025.1582408","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to investigate the anti-obesity, hepatic protective, and metabolic effects of Sidr and Talh honey, two Saudi honey, in rats fed a high-fat diet (HFD) and examined some possible mechanisms of their action.</p><p><strong>Methods: </strong>Adult rats were divided into eight groups (<i>n</i> = 8 each) and were administered HFD for 12 weeks, with or without oral doses of Sidr or Talh honey at 500, 700, and 1,000 mg/kg.</p><p><strong>Results and discussion: </strong>Talh honey significantly reduced body weight, fat mass, and adiposity markers, including mesenteric, subcutaneous, and epididymal fat, compared to the HFD group. It also improved plasma glucose, insulin, HOMA-IR, HbA1C, leptin, triglycerides, cholesterol, LDL-c, and increased adiponectin. Sidr honey showed no effects on the majority of these factors, except it was able to lower glucose, HbA1C, and HOMA-IR, but was less effective than Talh honey. Both honeys reduced hepatic triglycerides and cholesterol, but Talh honey had superior effects on liver enzymes (ALT, AST, γ-GTT), inflammatory cytokines (TNF-α, IL-6), and oxidative stress markers (MDA, GSH, SOD). Talh honey also enhanced hepatic nuclear Nrf2 levels and AMPK signaling in the liver and white adipose tissue. These findings indicate that Talh honey exhibits more potent anti-obesity, hepatoprotective, antioxidant, and anti-inflammatory effects than Sidr honey, likely via modulation of AMPK and Nrf2 pathways.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1582408"},"PeriodicalIF":4.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Physical activity and screen time behavior, and non-alcoholic beverage consumption during the COVID-19 pandemic in the longitudinal study of adult health (ELSA-Brasil). 更正:在成人健康纵向研究(ELSA-Brasil)中,COVID-19大流行期间的身体活动和屏幕时间行为以及非酒精饮料消费。
IF 4 2区 农林科学
Frontiers in Nutrition Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI: 10.3389/fnut.2025.1674419
Yazareni José Mercadante Urquía, Haysla Xavier Martins, Taísa Sabrina Silva Pereira, Letícia Batista de Azevedo, Luís Carlos Lopes Júnior, Maria Del Carmen Bisi Molina
{"title":"Correction: Physical activity and screen time behavior, and non-alcoholic beverage consumption during the COVID-19 pandemic in the longitudinal study of adult health (ELSA-Brasil).","authors":"Yazareni José Mercadante Urquía, Haysla Xavier Martins, Taísa Sabrina Silva Pereira, Letícia Batista de Azevedo, Luís Carlos Lopes Júnior, Maria Del Carmen Bisi Molina","doi":"10.3389/fnut.2025.1674419","DOIUrl":"https://doi.org/10.3389/fnut.2025.1674419","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fnut.2025.1503010.].</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1674419"},"PeriodicalIF":4.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The dietary inflammation index and body mass index mediate the association between the dietary index for gut microbiota and sarcopenia in older women: evidence from NHANES 2011-2018. 饮食炎症指数和体重指数介导老年女性肠道微生物群饮食指数与肌肉减少症之间的关联:来自NHANES 2011-2018的证据。
IF 4 2区 农林科学
Frontiers in Nutrition Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI: 10.3389/fnut.2025.1624844
Xiaoyan Zhang, Liangzhi Wu, Yutian He, Shuyao Zhang, Wenfeng Hua
{"title":"The dietary inflammation index and body mass index mediate the association between the dietary index for gut microbiota and sarcopenia in older women: evidence from NHANES 2011-2018.","authors":"Xiaoyan Zhang, Liangzhi Wu, Yutian He, Shuyao Zhang, Wenfeng Hua","doi":"10.3389/fnut.2025.1624844","DOIUrl":"10.3389/fnut.2025.1624844","url":null,"abstract":"<p><strong>Background: </strong>The dietary index of gut microbiota (DI-GM) was developed to assess dietary quality by reflecting the diversity of the gut microbiota composition. This study examined the relationship between DI-GM and sarcopenia risk and evaluated the potential moderating effects of diet-related factors on sarcopenia risk in adult individuals.</p><p><strong>Methods: </strong>This cross-sectional study included 8,872 adults from the National Health and Nutrition Examination Survey (NHANES) database between 2011 and 2018. Weighted multivariable logistic regression, restricted cubic splines (RCS), and subgroup analyses were used to investigate the association between DI-GM and sarcopenia. Mediation analysis was employed to examine the impact of the dietary inflammatory index (DII), systemic immune-inflammatory index (SII), and body mass index (BMI) on the relationship between DI-GM and sarcopenia.</p><p><strong>Results: </strong>Among the eligible participants, 773 (8.71%) had sarcopenia. The mean DI-GM value was significantly lower in the sarcopenia group than in the non-sarcopenia group (4.76 vs. 4.99, <i>p</i> < 0.001). Multivariable logistic regression analysis revealed a negative association between DI-GM and the risk of sarcopenia, irrespective of whether the independent variable was analyzed as a continuous variable or in quartiles in the fully adjusted model (Model 3, continuous variable: OR = 0.91, 95% confidence interval (CI): 0.88-0.95, <i>p</i> < 0.001; Q4 vs. Q1: OR = 0.67, 95% CI = 0.56-0.80, <i>p</i> < 0.001, <i>p</i> for trend<0.001). The RCS curves illustrated a non-linear relationship between DI-GM and sarcopenia risk. Subgroup analyses indicated an inverse relationship between DI-GM and sarcopenia risk across various covariates in the study. Mediation analysis demonstrated that 46.32, 2.29, and 29.63% of the association between DI-GM and sarcopenia was mediated by the DII, SII, and BMI, respectively.</p><p><strong>Conclusion: </strong>A lower DI-GM score was strongly associated with an increased risk of sarcopenia, particularly among older adults, women, individuals with hypertension, and individuals with reduced physical activity. The DII and BMI may mediate the relationship between DI-GM and sarcopenia risk, suggesting that a diet promoting gut health could be an effective strategy for preventing sarcopenia. Additional longitudinal or interventional studies are required to substantiate the findings of this study.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1624844"},"PeriodicalIF":4.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: African walnut (Plukenetia conophora) oil improves glucose uptake and metabolic activities in erythrocytes. 更正:非洲核桃油改善葡萄糖摄取和红细胞代谢活动。
IF 4 2区 农林科学
Frontiers in Nutrition Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI: 10.3389/fnut.2025.1679967
Ochuko L Erukainure, Chika I Chukwuma
{"title":"Correction: African walnut (<i>Plukenetia conophora</i>) oil improves glucose uptake and metabolic activities in erythrocytes.","authors":"Ochuko L Erukainure, Chika I Chukwuma","doi":"10.3389/fnut.2025.1679967","DOIUrl":"https://doi.org/10.3389/fnut.2025.1679967","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fnut.2025.1607386.].</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1679967"},"PeriodicalIF":4.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diabetes management during and after Ramadan among pregnant women in Saudi Arabia: exploring self-efficacy, self-care, and glycemic control. 沙特阿拉伯孕妇斋月期间和之后的糖尿病管理:探索自我效能、自我保健和血糖控制。
IF 4 2区 农林科学
Frontiers in Nutrition Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI: 10.3389/fnut.2025.1643107
Omar Mohammed Alamri, António Raposo, Ayoub Ali Alshaikh, Hani A Alfheeaid, Ali Mohammed Alamri, Mohammed Abdullah Alasmri, Nada Mohammed Alwubayran, Ahmed Khaled Shukri, Thamer Alslamah, Najla A Albaridi, Md Faruque Ahmad, Abdullah Y Otayf, Ariana Saraiva, Najim Z Alshahrani
{"title":"Diabetes management during and after Ramadan among pregnant women in Saudi Arabia: exploring self-efficacy, self-care, and glycemic control.","authors":"Omar Mohammed Alamri, António Raposo, Ayoub Ali Alshaikh, Hani A Alfheeaid, Ali Mohammed Alamri, Mohammed Abdullah Alasmri, Nada Mohammed Alwubayran, Ahmed Khaled Shukri, Thamer Alslamah, Najla A Albaridi, Md Faruque Ahmad, Abdullah Y Otayf, Ariana Saraiva, Najim Z Alshahrani","doi":"10.3389/fnut.2025.1643107","DOIUrl":"10.3389/fnut.2025.1643107","url":null,"abstract":"<p><strong>Background: </strong>Fasting during Ramadan poses distinct challenges for individuals with diabetes, especially pregnant women, due to increased metabolic demands and the heightened risk of hypoglycemia, hyperglycemia, and dehydration. Although medical guidelines often advise against fasting in this group, many women still choose to observe the fast. This study aims to explore diabetes self-efficacy and self-care behaviors during and after Ramadan among pregnant women.</p><p><strong>Methods: </strong>This cross-sectional study was conducted during and after Ramadan 2025 at Abha Maternity Hospital in Aseer region in Saudi Arabia. Pregnant women with gestational or pre-existing diabetes were recruited. Data were collected using validated Arabic versions of the Diabetes Self-Efficacy Scale and the Summary of Diabetes Self-Care Activities questionnaire. Paired t-tests and correlation analyses were used to examine changes and relationships.</p><p><strong>Results: </strong>A total of 162 pregnant women with diabetes participated in this study. Self-efficacy scores remained stable during and after Ramadan (mean 4.8 vs. 4.9, <i>p</i> = 0.2), while self-care scores declined significantly post-Ramadan (32.5 to 29.8, <i>p</i> = 0.001). HbA1c distribution shifted slightly, with fewer participants in the <5.7% range after Ramadan and more in the 5.7-6.4% range. Most managed diabetes using oral drugs with diet and exercise (42%). Medical education was linked to higher self-care scores (<i>p</i> < 0.001), while trial fasting improved self-efficacy (<i>p</i> = 0.001). Perceived glycemic control improved post-Ramadan (difficulty decreased from 72.8 to 65.4%, p = 0.001). Hypoglycemia caused 26.5% of fast-breaking episodes, though \"other reasons\" were more common. Older age and higher pregnancy order correlated with lower self-care and self-efficacy, while education and perceived health showed positive correlation.</p><p><strong>Conclusion: </strong>This study underscores the need for culturally sensitive, pregnancy-specific interventions to support safe fasting. Sustained education, individualized care, and preparation before Ramadan were linked to better outcomes, highlighting the importance of ongoing support beyond the fasting period for optimal diabetes management.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1643107"},"PeriodicalIF":4.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12405727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145000164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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