Frontiers in Nutrition最新文献

{"title":"Nutritional imbalances among university students and the urgent need for educational and nutritional interventions.","authors":"Keila Torres, Miguel A Cáceres-Durán, Constanza Orellana, Martina Osorio, Layla Simón","doi":"10.3389/fnut.2025.1551130","DOIUrl":"10.3389/fnut.2025.1551130","url":null,"abstract":"<p><strong>Introduction: </strong>The dietary habits of children and adolescents in Chile have been identified as inadequate, potentially contributing to low levels of essential vitamins and minerals, as well as the development of chronic diseases such as obesity and diabetes. However, the nutritional profile of Chilean university students and the impact of their diets on this profile remain largely unknown. This study aimed to assess the nutritional profile of Finis Terrae University students in the Santiago Metropolitan Region, Chile.</p><p><strong>Methods: </strong>A retrospective 24-h dietary survey, using the Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24®), was administered to 124 students between September and October 2024. Data on macronutrient and micronutrient consumption was analyzed using GraphPad Prism.</p><p><strong>Results: </strong>Among those surveyed, 90% reported consuming at least three meals daily (breakfast, lunch, and dinner). However, 61% consumed fewer calories than recommended, only 7% met the daily intake goals for dairy, 11% met the recommended fruit and vegetable intake, and 16% fiber intake. In contrast, 65% exceeded the upper recommended limits for sodium intake. Significant deficiencies were observed in the intake of calcium, magnesium, potassium, and vitamins A, C, D, and E. Meanwhile, the intake of copper, phosphorus, selenium, folate, niacin, riboflavin, thiamine, vitamin B6, and vitamin B12 met the recommended dietary allowances.</p><p><strong>Discussion: </strong>Although most of the students consumed three meals daily, the quality of their nutritional intake was suboptimal. These findings highlight the need for educational and nutritional programs to promote healthier eating habits and improve the quality of life of university students, emphasizing regular, balanced meals, developing skills in meal preparation to reduce reliance on ultra-processed foods, and prioritizing hydration with water.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1551130"},"PeriodicalIF":4.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11919654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662777","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}

{"title":"Efficacy of probiotics in the treatment of allergic diseases: a meta-analysis.","authors":"Zhang Xi, Xing Fenglin, Zhao Yun, Li Chunrong","doi":"10.3389/fnut.2025.1502390","DOIUrl":"10.3389/fnut.2025.1502390","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background information: &lt;/strong&gt;Allergic diseases are an increasingly serious health issue worldwide, affecting not only the physiological health of patients but also significantly reducing their quality of life, thereby imposing a substantial economic burden on families and society. According to data from the World Health Organization, the incidence of allergic diseases has risen markedly over the past few decades, particularly among children and adolescents, making it a significant public health challenge. Although several clinical studies have explored the effects of probiotics in the treatment of food-induced allergies and allergic diseases, the results have been inconsistent. Some studies indicate positive effects, while others fail to demonstrate their efficacy. Therefore, a systematic evaluation of the effectiveness of probiotics in allergic diseases is particularly important. Some studies indicate that patients with food allergies may also experience respiratory symptoms, and certain foods may be associated with the onset or exacerbation of allergic rhinitis and asthma. Diseases such as allergic rhinitis, asthma, and atopic dermatitis are characterized by inappropriate immune responses to typically harmless environmental allergens. The incidence of these diseases is continuously rising in urban populations, prompting researchers to extensively explore novel therapeutic strategies that can effectively modulate immune responses.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The aim of this study is to systematically assess the effectiveness of probiotics in the treatment of allergic diseases. By integrating the results of existing clinical studies, we hope to provide a clearer scientific basis for the treatment of allergic diseases.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We conducted a comprehensive literature search in databases such as PubMed for articles published before the end of 2023 that evaluated the effectiveness of probiotics in treating allergic diseases. Inclusion criteria focused on studies reporting binary outcomes related to the efficacy of probiotics in patients with food allergies, asthma, allergic rhinitis, or atopic dermatitis. Data were collected using Excel software, and the Review Manager software was used to analyze the collected binary variable data. The effectiveness of probiotics was assessed by calculating the risk ratio (RR) and its 95% confidence interval (CI). Heterogeneity among studies was evaluated using the I&lt;sup&gt;2&lt;/sup&gt; statistic, and publication bias was assessed through funnel plots.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The analysis of the aggregated binary data indicates that probiotics significantly improve clinical outcomes in patients with allergic diseases. Additional analysis using continuous variables (scores) further demonstrates the effectiveness of probiotics in alleviating allergic diseases. Subgroup analyses show that probiotics are effective in treating various common conditions, with two specific probi","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1502390"},"PeriodicalIF":4.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656769","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}

{"title":"Perspectives on barriers to implementing WHO's five keys to safer food in resource-limited rural areas of developing countries.","authors":"Vitowe Batch, Martina Kress, Aggrey Pemba Gama, Tinna Ng'ong'ola-Manani, Gabriella Chiutsi-Phiri, Ponyadira Leah Corner, Save Kumwenda, Chikumbusko Kaonga, Mphatso Kamndaya, Maurice Monjerezi, John F Leslie, Limbikani Matumba","doi":"10.3389/fnut.2025.1524580","DOIUrl":"10.3389/fnut.2025.1524580","url":null,"abstract":"<p><p>Food contamination is a critical global health issue, with the WHO estimating millions of deaths and Disability-adjusted life years (DALYs) lost annually due to foodborne diseases, particularly in developing countries. To address this, the WHO introduced the Five Keys to Safer Food (WHO-FKSF) to promote essential food safety practices. We analyzed the limitations of the WHO-FKSF for use in developing countries. We explore contextually relevant adaptations, such as community engagement, infrastructure improvements, and innovations like durable, child-resistant tippy taps (simple, low-cost handwashing devices that dispense water when tipped) for handwashing, required to make the WHO-FKSF applicable in rural portions of developing countries. Addressing cultural norms and involving men in water-related tasks can further align food safety practices with everyday realities. We recommend providing a specific rationale for each actionable step, beyond the general reasoning provided for the five keys themselves. This additional information will improve comprehension and adherence to the practices. We also recommend revising Key 4, \"Keep food at safe temperatures,\" to \"Store food safely\" to better accommodate the lack of refrigeration and to promote low-cost food preservation methods. Adapting the WHO-FKSF to the specific needs of these communities could significantly reduce foodborne illnesses and improve public health outcomes across sub-Saharan Africa.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1524580"},"PeriodicalIF":4.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656742","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}

{"title":"<i>Pediococcus pentosaceus</i> JS35 improved flavor, metabolic profile of fermentation supernatant of mulberry leaf powder and increased its antioxidant capacity.","authors":"Caiyan Meng, Yutong Wang, Jiawen Xie, Jiajia Xuan, Jingze Geng, Guanhui Liu, Jie Tu, Hang Xiao","doi":"10.3389/fnut.2025.1551689","DOIUrl":"10.3389/fnut.2025.1551689","url":null,"abstract":"<p><p><i>Pediococcus pentosaceus</i> JS35 was used to improve flavor, metabolic profile and antioxidant activity of mulberry leaf powder. Gas chromatography ion mobility spectrometry (GC-IMS) analysis revealed that fermentation increased the contents of floral and fruity flavor compounds such as dihydrolinalool and 2-phenylethanol, while decreased the grassy, pungent odor compounds. Non-targeted metabolomics analysis showed that <i>Pediococcus pentosaceus</i> JS35 altered the metabolic profile of mulberry leaf, especially increased the content of flavonoids metabolites such as kaempferol, quercetin and daidzein. Compared with the unfermented sample, the fermented supernatant had higher antioxidant capacity <i>in vitro</i> and in <i>Caenorhabditis elegans</i>. Furthermore, the fermented supernatant supplementation significantly prolonged the lifespan of <i>Caenorhabditis elegans</i>. In conclusion, fermentation by <i>Pediococcus pentosaceus</i> JS35 improved the flavor and active compounds of mulberry leaf, and the fermented product had effective antioxidant capacity. This study will provide ideas for the application of <i>Pediococcus pentosaceus</i> JS35 and the processing of mulberry leaf into functional foods or food ingredient.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1551689"},"PeriodicalIF":4.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656761","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}

{"title":"Caregiver feeding practices for infants and toddlers and their eating behaviors in Singapore.","authors":"Phaik Ling Quah, Daniel Wei Keong Chan, See Ling Loy, Chengsi Ong, Chai-Hoon Nowel Tan, Michael Yong Hwa Chia, Terence Buan Kiong Chua, Fabian Yap, Mei Chien Chua, Kok Hian Tan","doi":"10.3389/fnut.2025.1540031","DOIUrl":"10.3389/fnut.2025.1540031","url":null,"abstract":"<p><strong>Introduction: </strong>Research on early childhood caregiver feeding practices and eating behaviors is limited, especially within Asian populations. This study examined these practices across key feeding domains of variety, autonomy, and mealtime setting and timing, stratified by three age groups: 0 to <7 months, 7 to <13 months, and 13 to <36 months.</p><p><strong>Methods: </strong>A cross-sectional survey of 1,307 caregivers from a multi-ethnic population in Singapore captured demographic data, feeding practices, child eating behaviors, and caregivers' knowledge, attitudes, and practices. One-way analysis of variance (ANOVA), independent T-tests and the chi-square test were used to assess feeding practices and eating behaviors across age groups.</p><p><strong>Results: </strong>Regarding dietary variety, 14.8 and 6.1% of infants aged 7 to <13 months were offered three or fewer food groups frequently and daily, respectively. Additionally, 11.9% of infants were receiving processed foods often. At this age, only 1.0% of infants were consuming sugar-sweetened beverages (SSBs) often, while 2.0% consumed them daily. Among older children (aged 13 to <36 months), 8.1% were offered a limited variety of three food groups, while 4.5% were offered fewer than three. In contrast, a significantly higher proportion frequently consumed processed foods (24.0%) and sugar-sweetened beverages (25.2%; <i>p</i> < 0.05). In terms of autonomy, only 75.4% of infants (7- < 13 months) and 89.5% of older children (13- < 36 months) were able to self-feed. Caregivers of older children (13- < 36 months) were less likely to recognize hunger and satiety cues compared to those of infants (0-< 13 months; <i>p</i> < 0.05). Older children (13- < 36 months) also more frequently required special mealtime settings (36.6%), viewed screens during meals (29.9%), and were less likely to be offered post-midnight meals nightly (22.6% compared to infants; 70.3%; 0-< 13 months; <i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>These findings underscore the need for culturally tailored educational interventions to improve suboptimal feeding practices in children under three in Singapore's multiethnic population.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1540031"},"PeriodicalIF":4.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656763","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}

{"title":"Coffee and tea consumption on the risk of osteoporosis: a meta-analysis.","authors":"Wopei Li, Yujiao Xie, Lei Jiang","doi":"10.3389/fnut.2025.1559835","DOIUrl":"10.3389/fnut.2025.1559835","url":null,"abstract":"<p><strong>Objectives: </strong>This meta-analysis aims to quantify the relationship between coffee and tea consumption and the risk of osteoporosis and explore whether such consumption positively or negatively impacts this risk, thereby providing a scientific basis for understanding the effects of coffee and tea on bone health.</p><p><strong>Methods: </strong>We systematically searched PubMed, the Cochrane Library, and Embase for observational studies published up to November 5, 2024, using medical subject headings (MeSH) and keywords related to \"osteoporosis, tea, and coffee.\" Statistical analyses were conducted using Stata software version 14.0. A fixed-effects model was used when heterogeneity was low (<i>I</i> ² ≤ 50% and <i>p</i> > 0.1). A random-effects model was used for greater heterogeneity (<i>I</i> ² > 50%). Publication bias was assessed using funnel plots and Egger's regression tests.</p><p><strong>Results: </strong>This meta-analysis included 14 observational studies comprising 562,838 participants published between 2008 and 2024. The pooled analysis showed that coffee consumption is significantly associated with a reduced risk of osteoporosis (odds ratio [OR] = 0.79, 95% confidence interval [CI]: 0.73-0.84, <i>I</i> ² = 28.9%, <i>p</i> < 0.05). Tea consumption also demonstrated a protective effect, with a lower risk of osteoporosis (OR = 0.75, 95% CI: 0.62-0.91, <i>I</i> ² = 80.4%, <i>p</i> < 0.05). Subgroup analysis revealed that high-frequency coffee consumption (more than one cup per day) was associated with a greater reduction in osteoporosis risk (OR = 0.83, 95% CI: 0.74-0.93, <i>p</i> = 0.001) compared to low-frequency consumption (less than one cup per day), which showed no statistically significant reduction (OR = 0.86, 95% CI: 0.68-1.07, <i>p</i> = 0.171). Similarly, high-frequency tea consumption (more than four times per week) exhibited a slightly stronger protective effect against osteoporosis compared to low-frequency consumption (OR = 0.82, 95% CI: 0.70-0.97, <i>p</i> = 0.02).</p><p><strong>Conclusion: </strong>This meta-analysis suggests that long-term coffee and tea consumption is associated with a reduced risk of osteoporosis. Moreover, a higher frequency of consumption within a moderate range appeared to enhance the protective effect against osteoporosis.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024612101, PROSPERO CRD42024612101.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1559835"},"PeriodicalIF":4.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656764","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}

{"title":"C-reactive protein to high-density lipoprotein cholesterol ratio: an independent risk factor for diabetic retinopathy in type 2 diabetes patients.","authors":"Yuan Zhang, Guanhua Chen, Weimin Wang, Yali Jing","doi":"10.3389/fnut.2025.1537707","DOIUrl":"10.3389/fnut.2025.1537707","url":null,"abstract":"<p><strong>Background and objective: </strong>Diabetic retinopathy (DR) is associated with abnormal lipid metabolism and inflammation. However, a single lipid or inflammatory parameter cannot accurately predict the prognosis of DR independently, because it is prone to be affected by various confounding factors. This study aimed to explore the relationship between the inflammation-lipid indicator C-reactive protein (CRP)/high-density lipoprotein cholesterol (HDL-C) and DR occurrence in subjects with type 2 diabetes mellitus (T2DM).</p><p><strong>Methods: </strong>This hospital-based retrospective study included 784 T2DM patients. Diabetic retinopathy was diagnosed by nonmydriatic fundus photography and/or fundus examination apparatus. T2DM patients were divided into non-DR and DR groups. Demographics variables, clinical history and serum biochemical indicators of the subjects were collected. We also calculated the CRP/HDL-C ratio. The association between the CRP/HDL-C and DR was assessed using multivariate logistic regression analyses.</p><p><strong>Results: </strong>A total of 784 participants, 612 without DR and 172 with DR, were included in the final sample analysis. Compared with non-DR participants, the DR diagnostic group had significantly higher CRP/HDL-C (4.03 ± 1.67 vs. 2.66 ± 0.97; <i>p</i> < 0.001). Then, the patients were grouped based on the quartiles of CRP/HDL-C, there was a gradual increase in the prevalence of DR was noted in T2DM patients along with the increased quartile of the CRP/HDL-C ratio (Q1: 7.65%; Q2: 15.31%; Q3: 19.90%; Q4: 44.90%; <i>p</i> = 0.028). After adjustment for the impact of various covariates, the odds ratio (OR) of the third and fourth vs. the first quartile of CRP/HDL-C were 2.905 (95% confidence interval [CI]: 1.372 ~ 6.152, <i>p</i> = 0.005) and 9.938 (95% CI: 4.987 ~ 19.804, <i>p</i> < 0.001), respectively. Further, multivariate logistic regression model showed that the CRP/HDL-C ratio (OR 3.176, 95% CI: 1.280 ~ 7.877, <i>p</i> = 0.013) was identified as risk factor for DR. Moreover, the area under the curve (AUC) to evaluate the predictive value of CRP/HDL-C for the risk of DR occurrence was 0.752 (95% CI: 0.711 ~ 0.794).</p><p><strong>Conclusion: </strong>The ratio of C-reactive protein (CRP) to high-density lipoprotein cholesterol (HDL-C) is associated with DR in patients with T2DM, and CRP/HDL-C may be an effective marker to help identify the risk of DR in patients with T2DM.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1537707"},"PeriodicalIF":4.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656765","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}

{"title":"Editorial: Feast your eyes: diet and nutrition for optimal eye health.","authors":"Pinakin Gunvant Davey, Arunkumar Ranganathan","doi":"10.3389/fnut.2025.1579901","DOIUrl":"10.3389/fnut.2025.1579901","url":null,"abstract":"","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1579901"},"PeriodicalIF":4.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656768","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}

{"title":"Factors influencing nutrition literacy in patients of colorectal cancer: a cross-sectional study.","authors":"Jing Zhang, Dan Li, Jiai Yan, Ju Yang, Jing Sun, Yiran Liu, Yanping Xia, Hong Cao, Jiao Hua, Feng Zhang, Yingyu Wang","doi":"10.3389/fnut.2025.1526388","DOIUrl":"10.3389/fnut.2025.1526388","url":null,"abstract":"<p><strong>Background: </strong>Colorectal cancer (CRC) patients often experience varying degrees of malnutrition both pre-and post-treatment, highlighting the importance of their nutritional knowledge. However, studies on nutrition literacy (NL) in this population remain scarce. This study aims to evaluate the level of NL in colorectal cancer patients and identify key factors influencing NL.</p><p><strong>Methods: </strong>A total of 245 colorectal cancer patients participated in this study. The questionnaire included five sections: sociodemographic information, the Chinese Version of the Nutrition Literacy Assessment Instrument (CHI-NLit), the Montreal Cognitive Assessment Scale (MoCA), and the Hospital Anxiety and Depression Scale (HADS). Both univariate and multivariate analyses were performed to examine sociodemographic determinants of NL. We used Pearson and Spearman correlation coefficients to assess relationships between NL, MoCA and HADS.</p><p><strong>Results: </strong>The overall NL level among CRC patients was moderately low, with an average score of 19.224 ± 4.391-significantly below the normative neutrophil score of 21.5. Among the assessed dimensions, food groups received the lowest scores while food label calculation achieved the highest. Significant predictors influencing NL levels included age, years of education, family annual income, in review duration of illness, number of hospitalizations, memory and attention abilities and anxiety and depress symptoms.</p><p><strong>Conclusion: </strong>This study provides a comprehensive examination of NL in CRC patients. The findings indicate a relatively low level of NL within this group. Younger age, higher income levels, and urban residency correlated positively with elevated NL. Factors such as illness duration, number of hospitalizations, cognitive function measured by relevant scales are also emerged as significant determinants impacting NL. To enrich the research on NL, it is essential to conduct further data collection. From a clinical perspective, this evidence-based framework enables the development of stratified nutritional intervention protocols, specifically targeting vulnerable subgroups (e.g., elderly patients, rural dwellers, and those with extended illness duration). Such precision approaches hold significant potential to optimize dietary adherence, mitigate treatment-related complications, and ultimately enhance long-term quality of life in cancer survivorship care.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1526388"},"PeriodicalIF":4.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656739","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}

{"title":"A comparative study of multiple physical assessment indicators to identify psychological symptoms: a cross-sectional study based on Chinese adolescents.","authors":"Cunjian Bi, Xiaokang Ran, Feng Zhang, Yun Liu, Jun Li, Yintao Niu, Guangyan Yang","doi":"10.3389/fnut.2025.1511639","DOIUrl":"10.3389/fnut.2025.1511639","url":null,"abstract":"<p><strong>Background: </strong>Body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) have long been important physical assessment indicators. In recent years a body shape index (ABSI) and body roundness index (BRI) have gained importance as new physical assessment indicators. However, it is unclear how these physical assessment indicators assess psychological symptoms in adolescents. The main purpose of this study was to determine the ability of BMI, WC, WHtR, ABSI, and BRI indicators to recognize psychological symptoms in Chinese adolescents and to examine whether ABSI and BRI are superior to the traditional BMI, WC, and WHtR.</p><p><strong>Methods: </strong>In this study, 42,472 (boys, 21,026, 49.5%) adolescents aged 12-18 years from six geographic regions in China were assessed for multiple physical assessment indicators (BMI, WC, WHtR, ABSI, BRI) and psychological symptoms from 2015 to 2016. One-way analysis of variance, Spearman's rank test, multifactor logistic regression analysis, and ROC analysis were used to analyze the validity of multiple physical assessment indicators to identify psychological symptoms.</p><p><strong>Results: </strong>The prevalence of psychological symptoms among Chinese adolescents aged 12-18 years was 26.17%. The BMI, WC, WHtR, ABSI, and BRI of the adolescents were (20.19 ± 3.43) kg/m2, (69.68 ± 10.05) cm, (0.42 ± 0.06), (0.06 ± 0.01), and (2.05 ± 0.92), respectively. The results of Spearman's rank test showed a positive correlation (<i>p</i> < 0.001) between BMI, WC, WHtR, and BRI were positively associated with psychological symptoms (<i>p</i> < 0.001). The highest Spearman correlation coefficient was found between WC and psychological symptoms (<i>r</i> = 0.134, <i>p</i> < 0.001), and BMI was the lowest (<i>r</i> = 0.108, <i>p</i> < 0.001). Overall, the prevalence of psychological symptoms for all five physical assessment indicators (BMI, WC, WHtR, ABSI, and BRI) showed an increasing trend from Q1 to Q4 (<i>p</i> < 0.001). Overall, WC (AUC: 0.61, 95%CI: 0.61-0.62), WHtR (AUC: 0.61, 95%CI: 0.60-0.61), and BRI (AUC: 0.61, 95%CI: 0.60-0.61) were highly and identically predictive of psychological symptoms; ABSI was the least predictive of psychological symptoms (AUC: 0.51, 95%CI: 0.50 ~ 0.51).</p><p><strong>Conclusion: </strong>This study found that neither the ABSI nor the BRI was superior to BMI, WC, or WHtR in predicting psychological symptoms in Chinese adolescents. The ABSI was the least predictive of psychological symptoms in Chinese adolescents, whereas the BRI showed potential as a surrogate for WC and WHtR indicators for assessing psychological symptoms. This study provides additional help and suggestions for better identification of psychological symptoms in Chinese adolescents.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1511639"},"PeriodicalIF":4.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656762","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}