Journal of Nutrition and Metabolism最新文献

{"title":"Effect of a Pregnancy Lifestyle Intervention Embedded Into a Home Visiting Program on Child Neurodevelopment.","authors":"Sarah S Farabi, Rosemary Bass, Amit Mathur, Cindy Schwarz, Candice Woolfolk, Richard Stein, Samuel Klein, Debra Haire-Joshu, Alison G Cahill","doi":"10.1155/jnme/5518243","DOIUrl":"https://doi.org/10.1155/jnme/5518243","url":null,"abstract":"<p><p>Maternal obesity is associated with a higher risk of abnormal child neurodevelopment. The aim of this study was to determine the effect of a lifestyle intervention embedded into a home visiting program, Parents as Teachers (PAT), on 18-month neurodevelopment in the offspring. Pregnant women (9-15 weeks) of African American Race, 18-45 years old, first-trimester BMI 25.0-45.0 kg/m², and socioeconomically disadvantaged (e.g., Medicaid status) were randomized to standard home visiting (PAT only) or home visiting with lifestyle weight management counseling (PAT+), which began after the baseline assessment in pregnancy and continued until 12 months postpartum. Cognitive, language, and motor development at 18 months was assessed using the Bayley III Scales of Infant Development. Neurodevelopment outcomes were compared between groups and between child sex using un-paired <i>t</i>-tests and ANCOVA. 200 children (105 PAT+/95 PAT only) completed the neurodevelopmental testing at 18 months. Cognitive, language, and motor composite scores did not differ between groups. Across groups, number of PAT visits was positively correlated with scores in the cognitive and language domains. Our findings suggest that a lifestyle weight management program which decreased gestational weight gain does not affect offspring neurodevelopmental outcomes at 18 months. <b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT01768793.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2026 ","pages":"5518243"},"PeriodicalIF":2.4,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perception and Practices Regarding Muscle Loss Protection in Childhood Cancer Patients: A National Survey of Chinese Pediatric Oncologists in China.","authors":"Feng Tian, Yali Han, Pengli Wang, Chencheng Xu, Qianjun Wan, Kejia Yang, Dapeng Jiang","doi":"10.1155/jnme/8934452","DOIUrl":"https://doi.org/10.1155/jnme/8934452","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate perception and practices regarding muscle loss protection (MLP) among Chinese pediatric oncologists in a nationwide survey.</p><p><strong>Methods: </strong>A nationwide online survey was conducted among pediatric oncologists using a self-designed structured questionnaire assessing predominant roles, barriers, practices, attitudes, and knowledge. Behavior and attitude were measured using a 5-point Likert scale. Barrier scores were based on classification: denial scores 3, uncertainty 2, and confirmation 1. Knowledge scores were calculated based on the number of correct responses (one point per correct answer). Binary logistic regression, ordinal logistic regression, and multiple linear regression models were applied to identify factors associated with knowledge, attitudes, behaviors, and composite scores related to MLP, and spatial analysis (Moran's I) was used to evaluate geographic clustering.</p><p><strong>Results: </strong>Among 253 respondents, physicians, surgeons, physiatrists, and nutritionists were most trusted to lead MLP. Physicians, particularly hematologists, received the most support as the predominant specialists. While the absence of relevant guidelines and consensus was a significant barrier, the primary barrier was illness severity. Although the general attitude was positive, behavior and knowledge were far from satisfactory. Doctors in centers with ML assessment resources had significantly higher practice scores. Spatial analysis indicated regional variation in scores, with localized patterns of relatively higher and lower performance across provinces.</p><p><strong>Conclusion: </strong>Chinese pediatric oncologists demonstrate positive attitudes but concerning deficiencies in MLP practices and knowledge, with notable disparities primarily associated with institutional resources and regional context. The development of evidence-based national guidelines is strongly recommended to standardize care and address these gaps.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2026 ","pages":"8934452"},"PeriodicalIF":2.4,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13126427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of Preoperative Very Low-Calorie Diets in Preparation for Metabolic and Bariatric Surgery.","authors":"Tala Abedalqader, Annabella R Strathman, Alberto Migliorini, Leonardo Garcia Cerecedo, Nour El Ghazal, Wah Yang, Adrian Dan, Manpreet S Mundi, Omar M Ghanem","doi":"10.1155/jnme/7371866","DOIUrl":"https://doi.org/10.1155/jnme/7371866","url":null,"abstract":"<p><p>Very low-calorie diets (VLCDs) have been commonly implemented prior to metabolic and bariatric surgery (MBS) with the goal of shrinking left liver lobe size and reducing intra-abdominal mesenteric fat. Through this manuscript, we aimed to review the available literature discussing the types of VLCDs, their mode of implementation, preoperative duration, and the intraoperative and postoperative measures. A total of 103 articles was used in the generation of this review, including 3402 MBS candidates across the studies. VLCD was shown to induce significant preoperative weight loss, reduction in body fat mass, glycemic improvement, and decrease in proinflammatory makers. Liver volume reduction of 5%-23% and abdominal wall circumference reduction of 2.0-8.5 cm were noted following short regimens of VLCD, leading to improvement in perceived intraoperative difficulty. Postoperatively, metabolic improvements and reduction in perioperative complication rates were observed in some studies. In conclusion, VLCD demonstrated potential preoperative, intraoperative, and postoperative improvements in patients undergoing MBS.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2026 ","pages":"7371866"},"PeriodicalIF":2.4,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Safety Profile of Aspartame: A Review of Regulatory Standards and Emerging Health Concerns.","authors":"Hasan Uğur Öncel, Zehra Sökmen","doi":"10.1155/jnme/4727546","DOIUrl":"https://doi.org/10.1155/jnme/4727546","url":null,"abstract":"<p><p>We reviewed the effects of aspartame, one of the artificial sweeteners widely used in the food industry, on human health. We evaluated the chemical structure, metabolic processes, and potential health effects of aspartame in light of scientific studies. Studies in various health areas, such as cancer risk assessment, effects on the nervous system and cardiovascular system, and its role in metabolic disorders, have led to various debates about the safety of aspartame for human health. While aspartame's low-calorie structure provides an advantage for metabolic diseases such as obesity and diabetes, its potential effects on insulin sensitivity and gut microbiota have led to different conclusions. In light of the adverse effects of the phenylalanine amino acid in the structure of aspartame on brain development, we have tried to emphasize that consumption levels should be more closely monitored in special risk groups such as phenylketonuria (PKU) patients, children, pregnant women, and the elderly. The widespread use of aspartame in the food industry has led to the view that this structure is safe when consumed as a sweetener at acceptable daily intake levels. This review seeks to answer, \"Is it a safe additive for human health when individual sensitivities and long-term effects are considered?\".</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2026 ","pages":"4727546"},"PeriodicalIF":2.4,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13096792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effectiveness of Probiotics in Psoriasis: An Umbrella Review.","authors":"Maulidah Ayuningtyas, Farapti Farapti, Siti Sarah Hajar","doi":"10.1155/jnme/1120062","DOIUrl":"10.1155/jnme/1120062","url":null,"abstract":"<p><strong>Background: </strong>Psoriasis is an immune-mediated inflammatory skin condition that is chronic and causes a great deal of disease burden, especially for those affected in their most productive years. Gut microbiota, immune parameters and, in turn, psoriasis symptom improvement have recently been associated with the use of probiotics in several different studies.</p><p><strong>Objectives: </strong>This study aims to conduct an umbrella review of systematic reviews and meta-analyses of the effectiveness of probiotic supplementation as a possible adjuvant in the treatment of psoriasis.</p><p><strong>Methods: </strong>This umbrella review is listed in the PROSPERO database (registration number CRD420251130518) and was referenced according to the PRISMA 2020 guidelines. The data were obtained after a systematic search of the literature in Cochrane, Scopus and PubMed. The quality of the methodology was evaluated using the AMSTAR 2 tool; the overlap was evaluated with the corrected covered area (CCA) method.</p><p><strong>Discussions: </strong>Five systematic reviews and meta-analyses were included, covering hundreds of adult psoriasis patients. The probiotics studied consisted of both single-strain and multistrain formulations, sometimes combined with prebiotics. Probiotics are associated with significantly reduced Psoriasis Area and Severity Index (PASI) scores, increased PASI 75 response rates, lowered inflammatory biomarkers (CRP, TNFα, IL-6) and improved Dermatology Life Quality Index (DLQI). Greater effectiveness was found with multistrain probiotics, treatment duration of ≥ 12 weeks and studies conducted in Asia. Most studies reported good safety and minimal side effects. However, a high overlap among included reviews was observed (CCA = 38.64%), which should be considered when interpreting the findings and their limitations.</p><p><strong>Conclusions: </strong>Probiotics, particularly multistrain formulations, show potential as a safe and effective adjuvant therapy for reducing psoriasis severity and improving patient quality of life. Further clinical trials are needed to identify the most effective strains and optimal duration of treatment.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2026 ","pages":"1120062"},"PeriodicalIF":2.4,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metabolic Syndrome With Concomitant Anaemia Among Patients With Type 2 Diabetes Mellitus in the Volta Region of Ghana: A Cross-Sectional Study.","authors":"Sylvester Yao Lokpo, David Avoyi, Eric Boateng, Samuel Ametepe, Francis Abeku Ussher, Michael Appiah, Precious Kwablah Kwadzokpui, Esther Ngozi Adejumo, Christian Obirikorang, James Osei-Yeboah, Kenneth Ablordey, Abigail Ibrahim","doi":"10.1155/jnme/1310197","DOIUrl":"https://doi.org/10.1155/jnme/1310197","url":null,"abstract":"<p><strong>Introduction: </strong>Anaemia and metabolic syndrome (MetS) worsen the pathogenesis of Type 2 diabetes mellitus (T2DM), leading to increased diabetes-related complications. This study aimed to assess the prevalence and associated factors of anaemia-MetS comorbidity in individuals with T2DM in the Ho municipality.</p><p><strong>Methods: </strong>A cross-sectional study was conducted between January and October 2022 at the Ho Municipal Hospital, targeting patients aged ≥ 20 years with T2DM who were conveniently selected from the diabetic clinic. Data on sociodemographic and clinical characteristics were collected using semistructured questionnaires. Anthropometric and blood pressure measurements were performed. Fasting blood samples were obtained to measure glucose, lipid profile and haemoglobin (Hb) levels. MetS was defined using the harmonized criteria, and anaemia was defined according to WHO gender-specific cut-offs. Logistic regression models were utilized to determine factors associated with anaemia alone and anaemia-MetS comorbidity.</p><p><strong>Results: </strong>A total of 193 participants were enrolled (61.7% female). The prevalence of MetS was 64.8% (<i>n</i> = 125), while anaemia prevalence was 23.8% (<i>n</i> = 46). Anaemia-MetS comorbidity was observed in 33 participants (17.1%). Anaemia with elevated fasting blood glucose (FBG) was the most frequent combination (23.8%). In the multivariable analysis, female sex was significantly associated with higher odds of anaemia-MetS comorbidity in the sociodemographic model (OR = 3.51; 95% CI: 1.34-10.31), but this association was attenuated after full adjustment. Current alcohol consumption was independently associated with substantially reduced odds of anaemia-MetS comorbidity in the fully adjusted models (OR = 0.10; 95% CI: 0.01-0.54).</p><p><strong>Conclusion: </strong>Anaemia-MetS comorbidity was common among patients with T2DM. Alcohol consumption was associated with lower odds of comorbidity, suggesting a potential protective effect that warrants further investigation. Female sex may confer increased risk, though this relationship is confounded by lifestyle and clinical factors.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2026 ","pages":"1310197"},"PeriodicalIF":2.4,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13071528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beneficial Outcome Pathways: A New Mechanistic Framework to Map the Health Effects of Fasting in Metabolic Dysfunction-Associated Steatotic Liver Disease.","authors":"Robin Mesnage, Verena Buchinger","doi":"10.1155/jnme/3190642","DOIUrl":"https://doi.org/10.1155/jnme/3190642","url":null,"abstract":"<p><p>Lifestyle interventions such as fasting are difficult to evaluate using placebo-controlled randomized trials, resulting in fragmented and heterogeneous evidence. The beneficial outcome pathways (BOPs) framework can address this limitation by integrating mechanistic data to clarify the causal processes leading to beneficial health outcomes, adapted from the adverse outcome pathway concept in toxicology. To illustrate the approach, we apply the BOP framework to fasting interventions for metabolic dysfunction-associated steatotic liver disease (MASLD). The initial trigger is an acute energy deficit that activates AMP-activated protein kinase (AMPK) signalling and inhibits mTORC1. Downstream key changes include the activation of autophagy and lipophagy, the suppression of de novo lipogenesis, the enhancement of fatty acid oxidation and ketogenesis, anti-inflammatory changes, and the restoration of hepatic and systemic insulin sensitivity. Overall, this new framework helps connect laboratory findings with clinical results and provides a clearer way to understand how fasting improves MASLD.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2026 ","pages":"3190642"},"PeriodicalIF":2.4,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147674258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Power of Food Scale Scores and Weight Among Black/African American Individuals Consuming a Vegan or Low-Fat Omnivorous Diet in a Randomized Controlled Trial.","authors":"Alexis Bell, John A Bernhart, Yesil Kim, Enid A Keseko, Gabrielle Turner-McGrievy","doi":"10.1155/jnme/4084525","DOIUrl":"https://doi.org/10.1155/jnme/4084525","url":null,"abstract":"<p><p>The NEW Soul study was a 2-year, 2-group randomized controlled trial intervention in South Carolina comparing the effects of a vegan (plant based) diet to those of a low-fat (< 30%) omnivorous diet among African American adults, ages 18-65 years old, and with overweight or obesity. The current study assessed changes in the Power of Food Scale (PFS) scores-a measure of hedonic hunger using three domains (food available, food tasted, and food present)-by group across the study and the relationship between changes in PFS scores and weight loss among all participants such that increases in PFS scores were associated with less weight loss. We used repeated measures models to compare changes in scores by group. We also used repeated measures models to see if changes in scores were associated with changes in weight, controlling for employment status, education, food security status, sex, and age. There were no differences in PFS scores between the vegan and low-fat omnivorous groups across time; however, both groups showed decreases in PFS domain scores over time suggesting reduced hedonic hunger among all participants. Furthermore, while score changes in the food available and food tasted domains were not associated with weight change, significant associations were observed for the food present domain and the total PFS scores (<i>p</i> < 0.05 for both). Future studies should more closely target food available, tasted, and present domains to see if changes are associated with weight loss. <b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT03354377.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2026 ","pages":"4084525"},"PeriodicalIF":2.4,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147674180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Green Tea-Intake Timing on Glucose and Lipid Metabolism in Older Adults: An 8-Week Randomized Controlled Trial.","authors":"Saeka Fuke, Kyoko Fujihira, Masaki Takahashi","doi":"10.1155/jnme/2301278","DOIUrl":"https://doi.org/10.1155/jnme/2301278","url":null,"abstract":"<p><p>Catechins in green tea have been reported to enhance glucose tolerance and lipid metabolism. However, the influence of chronic intake timing on these outcomes in older adults has not been fully elucidated. In this randomized controlled trial, we investigated the effects of green tea intake at different timings on glucose and lipid metabolism in older adults. Forty-five participants aged ≥ 65 years were randomly assigned to morning (<i>n</i> = 15), day (<i>n</i> = 15), or evening (<i>n</i> = 15) group. Participants consumed green tea daily for 8 weeks at specified times (0600-1100, 1100-1600, and 1600-2100 h for the morning, day, and evening groups, respectively). Glucose metabolism, lipid metabolism, and body composition were evaluated before and after the intervention. Blood glucose level, glycated hemoglobin level, body weight, and fat mass decreased with green tea intervention, while muscle mass increased across all groups (all <i>p</i> < 0.05). These findings indicate that individuals can expect similar improvements in glucose tolerance and body composition parameters from continuous green tea consumption regardless of intake timing in older adults. <b>Trial Registration:</b> University Hospital Medical Information Network (UMIN): UMIN000058708.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2026 ","pages":"2301278"},"PeriodicalIF":2.4,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13054514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Feeding Patterns as a Dominant Factor in the Occurrence of Stunting in Toddlers in Ponorogo.","authors":"Kurnia Dwi Artanti, Dyah Silviananda Widhiastuti, Devina Dwi Kurnia, Arina Mufida Ersanti, Taufiq Hidayat","doi":"10.1155/jnme/7589972","DOIUrl":"https://doi.org/10.1155/jnme/7589972","url":null,"abstract":"<p><strong>Introduction: </strong>Stunting in Indonesia, caused by nutritional deficiencies from pregnancy until the age of two, remains above the WHO target despite a decrease in prevalence from 37.2% in 2017 to 21.6% in 2022. The detrimental impact of stunting on child development and the high rates in Indonesia underscore the importance of improving maternal and child nutrition to reduce this prevalence.</p><p><strong>Objective: </strong>The objective of this study was to analyze the effect of feeding patterns on the incidence of stunting in toddlers in the Ponorogo District.</p><p><strong>Methods: </strong>This research is an analytical observational study with a case-control study design. The sample size was calculated using the case-control sample size formula with a 1:1 ratio, resulting in 44 cases and 44 control samples. The case samples consist of children aged 1-5 years who experience stunting in the North Ponorogo Community Health Center area. The control samples consist of children aged 1-5 years who do not experience stunting in the same area. The sampling method used is simple random sampling. Risk factor analysis uses the odds ratio (OR) value and a 95% confidence interval (CI).</p><p><strong>Results: </strong>There is an association between feeding patterns and the incidence of stunting, with an OR value of 14.54 (95% CI = 3.11 < OR < 67.86). There is no association between immunization completeness status and the incidence of stunting, with an OR value of 0.42 (95% CI = 0.14 < OR < 1.25).</p><p><strong>Conclusions: </strong>Based on the conducted research, it can be concluded that there is a significant relationship between feeding patterns and the incidence of stunting in the North Ponorogo Community Health Center area. Inadequate feeding patterns significantly increase the risk of stunting.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2026 ","pages":"7589972"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12951004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147348452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}