Journal of Health, Population, and Nutrition最新文献

{"title":"The effect of intermittent fasting on insulin resistance, lipid profile, and inflammation on metabolic syndrome: a GRADE assessed systematic review and meta-analysis.","authors":"Ling Lu, Xi Chen, Sho Liou, Xiuping Weng","doi":"10.1186/s41043-025-01039-2","DOIUrl":"10.1186/s41043-025-01039-2","url":null,"abstract":"<p><strong>Background: </strong>Evidence revealed that fasting intervention may have favorable effects on metabolic and inflammation profile. However, the results are controversial. This study attempted to investigate and assess the effects of fasting on cardiometabolic risk factors in adults.</p><p><strong>Methods: </strong>We searched PubMed, Embase, Cochrane, Scopus, and Web of Science databases until March 2025 for randomized controlled trials (RCTs) which have evaluated the effect of fasting intervention on metabolic and inflammation profile. The GRADE approach was applied to assess the quality of evidence, and the Cochrane risk-of-bias (RoB) 2 tool was used to evaluate study quality.</p><p><strong>Results: </strong>Eight RCTs with 573 participants were included in the meta-analysis. Findings revealed that fasting could significantly decreased fasting blood glucose (FBS) (WMD = -3.34; 95% CI: -6.24, -0.45, P = 0.024), HbA1c (WMD = -0.08; 95% CI: -0.13, -0.02; P = 0.005), and HOMA-IR (WMD= -0.60; 95% CI: -0.91, -0.28; P < 0.001) in adults. Similarly, fasting intervention exerted its favorable effect by reducing low-density lipoprotein cholesterol (LDL-c) (WMD = -6.42; 95% CI: -12.26, -0.58; P = 0.031), and IL-6 (WMD = -0.58; 95% CI: -1.08, -0.08; P = 0.022), significantly. The sensitivity analysis, indicated that excluding any single study has no effect on the overall effect size. No evidence of publication bias was observed using Begg's test (P > 0.05).</p><p><strong>Conclusion: </strong>Overall this systematic review and meta-analysis demonstrated that fasting state contributed to improved glycemic control including FBS, HbA1c, and HOMA-IR levels. In addition, fasting intervention caused to an improvement in lipid metabolism (LDL-c) and inflammatory state indicated by IL-6.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"293"},"PeriodicalIF":2.8,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12363089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burden of opioid use disorder in the Middle East and North Africa (MENA): findings from Global Burden of Disease (GBD) study.","authors":"Mohammad Effatpanah, Homa Seyedmirzaei, Hossein Karami, Pegah Rasoulian, Reza Mehrizi, Khashayar Danandeh, Leila Ghamkhar, Zeynab Efatpanah, Amin Nakhostin-Ansari","doi":"10.1186/s41043-025-01029-4","DOIUrl":"10.1186/s41043-025-01029-4","url":null,"abstract":"<p><strong>Background: </strong>Opioid Use Disorders (OUDs) present critical health challenges across the Middle East and North Africa (MENA) region. The primary objective of this study is to assess the prevalence and burden of OUDs within the MENA region.</p><p><strong>Methods: </strong>In the current study, we used the Global Burden of Diseases (GBD) 2019 study data. In the GBD study, OUDs were defined as the ICD-10 codes of F11.0-F11.9, P96.1, and R78.1 and the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) code of 304.00. We retrieved the prevalence, death, and disability-adjusted life year (DALY) crude rates and age-standardized rates for OUDs throughout MENA countries, the MENA area, and globally, across years (from 1990 to 2019), genders, and age groups.</p><p><strong>Results: </strong>Age-standardized DALY rate of OUDs in MENA increased by 40.6%, from 104.4 (95% UI: 78.2-136.0) in 1990 to 147.0 (95% UI: 111.8-187.7) per 100,000 people in 2019. In 2019, the highest DALY rate of OUDs for both males (411.3 per 100000) and females (330.2 per 100000) and in total (372.3 per 100000) was in the 25-29 years age group. In 2019, the highest age-standardized DALY rates of OUDs were UAE (373.9 per 100000, 95% UI: 278.2-481.7), Libya (341.1 per 100000, 95% UI: 248.9-435.8), and Iran (281.5 per 100000, 95% UI: 221.1-349.0). Age-standardized DALY rates decreased in Qatar (-10.2%) and Iraq (-1.9%) from 1990 to 2019. While, age-standardized DALY rates increased in other countries, with the highest increases being in Libya (167.3%), Lebanon (121.1%), and UAE (113.31%).</p><p><strong>Conclusions: </strong>The burden of OUDs has increased from 1990 to 2019 in the MENA region. These results necessitate new governmental policies and global collaborations to effectively control opioid production and trafficking and manage their negative health-related outcomes.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"296"},"PeriodicalIF":2.8,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12363103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between dietary inflammatory index and hepatic steatosis: cross-sectional evidence from the NHANES 2007-2020.","authors":"Zhounan Wu, Yuhang Liang, Li Zeng, Jiayi Fang, Jinshen He","doi":"10.1186/s41043-025-01015-w","DOIUrl":"10.1186/s41043-025-01015-w","url":null,"abstract":"<p><strong>Background: </strong>Although inflammation and dietary habits have been linked to obesity-associated hepatic steatosis, the role of diet-mediated inflammation in the course of hepatic steatosis remains unclear. This study aims to investigate the association between the Dietary Inflammatory Index (DII) and hepatic steatosis in the US population.</p><p><strong>Methods: </strong>The cross-sectional portion of this study included participants from the National Health and Nutrition Examination Survey (NHANES) spanning from 2007 to 2020. Our investigation employed weighted logistic regression to explore the association between DII score and hepatic steatosis prevalence. Subgroup analyses were performed to identify potential confounding factors, while smooth curve fitting and threshold effect analysis were utilized to determine any non-linear relationships. Least absolute shrinkage and selection operator (LASSO) regression was used to identify the key nutrients associated with the risk of hepatic steatosis. Subsequently, a nomogram model based on these major dietary factors was constructed. The diagnostic power of the predictive model to screen for hepatic steatosis risk was evaluated using receiver operating characteristic (ROC) curves and calibration curves.</p><p><strong>Results: </strong>This study included a substantial cohort of 27,655 participants, representing 181 million residents in the U.S. Weighted logistic regression revealed a positive association between elevated DII scores and the risk of hepatic steatosis (DII as a continuous variable: OR = 1.07, 95% CI = 1.05-1.10; Q4 compared to Q1: OR = 1.35, 95% CI = 1.21-1.50). The nomogram model exhibited considerable power in disease risk assessment (the area under the curve (AUC) of the training set: 0.714, 95% CI = 0.706-0.721; the AUC of the validation set: 0.707, 95% CI = 0.697-0.716). The results of the sensitivity analyses indicated that a history of current or past hepatitis B infections and excessive alcohol did not interfere with the association between DII and hepatic steatosis.</p><p><strong>Conclusions: </strong>Our findings reveal a significant association between the DII score and hepatic steatosis. This suggests that dietary patterns with lower inflammatory potential may be associated with a reduced prevalence of hepatic steatosis. However, given the inherent limitations of the cross-sectional study design, further longitudinal studies or intervention trials are necessary to ensure such an association.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"295"},"PeriodicalIF":2.8,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global burden of paralytic ileus and intestinal obstruction, 1990-2021: a GBD 2021 analysis.","authors":"Yan-Ci Zhao, Hanpu Zhang, Shuzhen Wu, Junhan Pan, Yanyan Zhu, Huizhen Huang, Feng Chen","doi":"10.1186/s41043-025-01045-4","DOIUrl":"10.1186/s41043-025-01045-4","url":null,"abstract":"<p><strong>Purpose: </strong>Paralytic ileus and intestinal obstruction (PI&IO) are significant global surgical emergencies associated with high morbidity and mortality. This study aimed to comprehensively assess the global, regional, and national burden of PI&IO from 1990 to 2021.</p><p><strong>Methods: </strong>We used data from the Global Burden of Diseases Study (GBD) 2021, covering 204 countries and territories. We estimated the number of incident cases and years of life lost (YLLs), along with age-standardized incidence rates (ASIR) and age-standardized YLLs rates (ASYR), each with corresponding 95% uncertainty intervals (UIs). Analyses were stratified by age, sex, region, and Socio-demographic Index (SDI).</p><p><strong>Results: </strong>In 2021, there were approximately 15.8 million PI&IO cases (95% UI: 15.2-16.3 million) and 6.5 million YLLs (95% UI: 5.6-7.2 million) globally. The ASIR was 191.9 per 100,000 (95% UI: 185.4-198.8), showing no significant change since 1990. In contrast, the ASYR decreased slightly reaching 82.3 per 100,000 in 2021. Regionally, ASIRs were highest in high-income Asia Pacific, North America, and Australasia, while ASYRs peaked in Eastern and Western Sub-Saharan Africa. Nationally, Canada, Japan, and Cabo Verde had the highest ASIRs, whereas Mozambique, Eritrea, and Somalia reported the highest ASYRs. Age-specific trends revealed a J-shaped incidence curve and a U-shaped YLLs pattern, with the greatest burden in infants under 1 year and adults aged 80 years or older. YLLs in infants have declined steadily over the past three decades. A positive correlation was observed between ASIR and SDI, while ASYR was negatively associated with SDI.</p><p><strong>Conclusion: </strong>PI&IO continues to impose a considerable global health burden, with pronounced disparities across regions and socioeconomic contexts. While high-SDI regions experience higher incidence due to enhanced detection, low-SDI countries face persistently high YLLs owing to limited access to timely diagnosis and surgical care. Targeted public health strategies, including early intervention, healthcare infrastructure investment, and policies tailored to vulnerable populations such as infants, the elderly, and residents of low-resource settings, are essential to reduce preventable mortality.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"294"},"PeriodicalIF":2.8,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual quality of life and associated factors among podoconiosis patients in Wolaita zone, South Ethiopia.","authors":"Temesgen Lera Abiso, Amene Abebe Kerbo, Eskinder Wolka Woticha","doi":"10.1186/s41043-025-01012-z","DOIUrl":"10.1186/s41043-025-01012-z","url":null,"abstract":"<p><strong>Background: </strong>Sexual health is a crucial aspect of overall well-being, yet individuals with podoconiosis often face stigma and exclusion from healthcare services which promote sexual health. In Ethiopia, particularly in the study area, the Sexual quality of life (SQOL) of podoconiosis patients remains unexplored. This study aimed to assess the SQOL and associated factors among podoconiosis patients in Wolaita Zone, South Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted among 639 podoconiosis patients using a multistage sampling technique. SQOL-F and SQOL-M questionnaires (validated tools) were used to collect data via Kobocollect software. Generalized Linear Models (GLM) with a log link and gamma variance were employed to examine associations between SQOL and independent variables. Data analysis was performed using STATA version 14, with statistical significance set at p-value < 0.05.</p><p><strong>Results: </strong>The total of 639 respondents were included in this study. The median SQOL-F and SQOL-M scores were 50 and 22, respectively, with 60.5% of females and 84.2% of males having low SQOL score. Factors positively influencing SQOL-F score included having an educated partner, having family and government support, healthcare accessibility, ability to move from place to place, positive sexual health attitudes, and middle-income status. SQOL-M scorewas negatively affected by having a partner in government or private work, additional chronic illnesses, shorter disease duration, and poor healthcare experiences, while family and government support improved SQOL-M score.</p><p><strong>Conclusions: </strong>Podoconiosis significantly lowers SQOL score for both men and women. Strengthening family and community support, improving healthcare access, and integrating sexual health interventions are essential for improving SQOL score among affected individuals.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"292"},"PeriodicalIF":2.8,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12362911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144873491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strongyloides stercoralis contamination and risk factors in market vegetables: hidden dangers of communities living under poverty plate.","authors":"Chalachew Yenew, Almaw Genet Yeshiwas, Gashaw Melkie Bayeh, Tilahun Degu Tsega, Sintayehu Simie Tsega, Asaye Alamneh Gebeyehu, Getaneh Atikilt Yemata, Rahel Mulatie Anteneh, Amare Genetu Ejigu, Ahmed Fentaw Ahmed, Zeamanuel Anteneh Yigzaw, Abathun Temesgen, Abebaw Molla Kebede, Habitamu Mekonen, Anley Shiferaw Enawgaw, Getasew Yirdaw, Berhanu Abebaw Mekonnen, Meron Asmamaw Alemayehu, Zufan Alamrie Asmare, Addis Mekonnen, Mengistu Damitie","doi":"10.1186/s41043-025-00893-4","DOIUrl":"10.1186/s41043-025-00893-4","url":null,"abstract":"","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"289"},"PeriodicalIF":2.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144847119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing awareness of beverage grading policies and their association with beverage consumption patterns.","authors":"Jiaxing Li, Jingyi Zhang, Xiaowen Hu, Yu Sun, Jingyao Yu, Peiying Wang, Junhui Tang, Meihui Hua, Kefan Chen, Lixin Na","doi":"10.1186/s41043-025-01040-9","DOIUrl":"10.1186/s41043-025-01040-9","url":null,"abstract":"<p><strong>Background: </strong>Given the current lack of government-led front-of-package nutrition labeling policies in China, research on Chinese consumers' genuine perceptions of nutrition labels and their association with healthy behaviors remains scarce. Notably, Shanghai's beverage grading policy stands out as one of the rare existing initiatives, providing a valuable opportunity to explore public awareness of the policy, its potential determinants, and its associations with consumer choices.</p><p><strong>Design: </strong>To gain a clearer understanding of public perceptions of the beverage grading policy, a survey was conducted across seven hospitals in Shanghai, yielding 931 valid responses for analysis. Analysis We conducted descriptive analyses and multinomial logistic regression to explore factors associated with public awareness of the policy. We also examined how different levels of awareness were related to beverage consumption patterns.</p><p><strong>Results: </strong>More than half of the respondents were unaware of the policy. Greater awareness was associated with being female, younger, more highly educated, having a lower BMI, and paying closer attention to food nutrition and ingredient labels. However, respondents with nutrition-related chronic diseases and dietary restrictions did not exhibit significantly higher awareness. Individuals more familiar with the policy tended to purchase non-water beverages more frequently and, following its widespread implementation, adopted a more practical approach to their beverage choices. Moreover, higher policy awareness correlated with increased attention to sweeteners and trans fats.</p><p><strong>Conclusions: </strong>Overall, this study found that public awareness of the beverage grading policy remains low, highlighting persistent research gaps in health-promotion efforts-particularly regarding the psychological mechanisms linking policy awareness to consumption behavior, and the media's role in shaping consumers' understanding of key nutrients. Looking ahead, the broader implementation of front-of-package labeling in China will require addressing entrenched systemic challenges.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"290"},"PeriodicalIF":2.8,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144847118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Red blood cell distribution width to albumin ratio as a predictor of gallstones in US adults: a NHANES-based cross-sectional study.","authors":"Jiali Huang, Hong Liu","doi":"10.1186/s41043-025-00905-3","DOIUrl":"10.1186/s41043-025-00905-3","url":null,"abstract":"","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"288"},"PeriodicalIF":2.8,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12341070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144835268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Independent associations of social determinants of health with mortality and added predictive value beyond life's essential 8.","authors":"Yuansong Zhuang, Xinlong Zhao, Siqi Tang, Yakun Zhao, Yanbo Liu, Yuxiong Chen, Yitao Han, Jinyan Lei, Zhongjie Fan","doi":"10.1186/s41043-025-01038-3","DOIUrl":"10.1186/s41043-025-01038-3","url":null,"abstract":"<p><strong>Background: </strong>Social Determinants of Health (SDoHs) exert their influence primarily through social structures and environmental conditions. However, limited evidence exists regarding which specific SDoHs are associated with all-cause and cardiovascular mortality, and whether incorporating SDoHs into the Life's Essential 8 (LE8) framework improves mortality prediction.</p><p><strong>Methods: </strong>Data were analyzed from the 2005-2018 National Health and Nutrition Examination Survey (NHANES). Weighted Cox proportional hazards models were used to estimate associations between SDoHs and mortality. Additive interaction effects were quantified using the relative excess risk due to interaction (RERI). Predictive performance was assessed using continuous net reclassification improvement (NRI) and integrated discrimination improvement (IDI) for all-cause and cardiovascular mortality.</p><p><strong>Results: </strong>Among 22,938 participants, 2,344 all-cause deaths (7.29%) and 720 cardiovascular deaths (2.12%) were observed over a median follow-up of 7.83 years. Multivariable analyses revealed that unemployment (HR = 1.44, 95% CI: 1.25-1.66), low-income status (poverty-to-income ratio (PIR) < 1; HR = 1.75, 95% CI: 1.32-2.31), severe food insecurity (HR = 1.45, 95% CI: 1.19-1.78), and being unmarried or living alone (HR = 1.43, 95% CI: 1.28-1.59) were independent predictors of all-cause mortality (all P < 0.001). Low PIR (HR = 1.90, 95% CI: 1.21-2.97) and being unmarried or living alone (HR = 1.52, 95% CI: 1.26-1.85) were also significantly associated with cardiovascular mortality. Significant additive interactions were found between unemployment and low PIR (RERI = 0.90), food insecurity (RERI = 0.59), and unmarried or living alone (RERI = 0.37) for all-cause mortality. An additive interaction between low PIR and unmarried or living alone (RERI = 0.46) was observed for cardiovascular mortality. Including these SDoHs significantly improved 1-, 3-, 5-, and 10-year prediction of all-cause and cardiovascular mortality (NRI and IDI, all P < 0.05).</p><p><strong>Conclusion: </strong>Unemployment, low PIR, severe food insecurity, and being unmarried or living alone were identified as independent predictors of increased all-cause mortality. Low PIR and being unmarried or living alone were also associated with cardiovascular mortality. Incorporating these SDoHs into the LE8 framework improved predictive performance for both mortality outcomes.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"286"},"PeriodicalIF":2.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12341271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toward enhanced nutritional interventions in community pharmacies: personal attitude construct analysis.","authors":"Ryota Kumaki, Momoko Hatamoto, Rina Iida, Keiko Kishimoto","doi":"10.1186/s41043-025-01035-6","DOIUrl":"10.1186/s41043-025-01035-6","url":null,"abstract":"<p><strong>Background: </strong>A limited number of community pharmacies provide nutritional counseling. Furthermore, despite the increasing number of community pharmacies with registered dietitians on staff, the professional capacities of registered dietitians are not fully utilized. This study aimed to find ways to enhance nutritional interventions in community pharmacies.</p><p><strong>Methods: </strong>Between May and June 2022, an interview survey was conducted with pharmacists and registered dietitians to determine the knowledge and skills that both professionals believe are necessary for community pharmacies and the required improvements. Fifteen respondents-five pharmacists who had completed training related to health support pharmacies (PhHSs), five pharmacists working with a registered dietitian (PhRDs), and five registered dietitians employed in community pharmacies (RdCPs)-were interviewed. The interviews were conducted using the Personal Attitude Construct analysis technique, and the text data obtained were labeled to generate themes.</p><p><strong>Results: </strong>The following five themes emerged from the intervention points for patients with malnutrition and lifestyle-related diseases: image of the patient in need of intervention, information needed for assessment, correction of patient perceptions, suggestions for feasible ways, and points to consider during the intervention. The following four themes emerged regarding challenges in improving nutritional interventions: establishing a nutritional intervention flow, educating healthcare providers, publicizing to patients, and implementing institutional reforms.</p><p><strong>Conclusion: </strong>Establishing a structured intervention framework, improving training for healthcare providers, raising patient awareness, and implementing institutional reforms are essential aspects. In addition, optimizing the role of pharmacists and registered dietitians by clarifying the required knowledge and skills can contribute to effective nutritional counseling and enhanced patient outcomes.</p>","PeriodicalId":15969,"journal":{"name":"Journal of Health, Population, and Nutrition","volume":"44 1","pages":"287"},"PeriodicalIF":2.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12341206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}