Journal of Nutrition and Metabolism最新文献

{"title":"Undernutrition Among Pregnant Women in an Urban Municipality in Ghana: A Cross-Sectional Study.","authors":"Agartha Afful Boateng, Dorothy Serwaa Boakye, Charles Owusu-Aduomi Botchwey, Richard Boateng, Emmanuel Kumah","doi":"10.1155/jnme/4420685","DOIUrl":"10.1155/jnme/4420685","url":null,"abstract":"<p><p><b>Introduction:</b> Despite efforts to address malnutrition, it remains prevalent in Ghana and other developing nations. High rates of malnutrition hinder the achievement of the health-related sustainable development goals. Understanding the factors contributing to undernutrition among pregnant women (PW) is essential for developing targeted interventions. This study, therefore, aims to assess the prevalence of undernutrition, dietary diversity (DD), and predictors of undernutrition among PW in Effutu Municipality in the Central Region of Ghana. <b>Methods:</b> Two hospitals within the Effutu Municipality were recruited for the study. The study was conducted among 301 PW (15-49 years) recruited through simple random sampling from September 20, 2022, to October 24, 2022. The mid-upper arm circumference and minimum DD score for women were used as a proxy for undernutrition and DD, respectively. SPSS version 26 was used for data analysis. Descriptive statistics, bivariate analysis, and binary regression analysis were conducted to describe variables and identify the association between dependent and independent variables. <b>Results:</b> The majority of the respondents (40.5%) were in the age range of 26-30 years and were single (53.2%). The prevalence of undernutrition was 9.3%, while 7.6% of the respondents had poor DD scores. Factors identified to be associated with undernutrition were DD score (OR = 15.244, 95% CI: 5.399-43.040), employment status (OR = 3.311, 95% CI: 1.075-10.195), and parity (OR = 2.903, 95% CI: 1.125-7.492). <b>Conclusion:</b> Effutu Municipality in Ghana faces a moderate prevalence of undernutrition among PW, despite generally adequate DD. Targeted interventions focusing on improving DD, particularly among unemployed and multiparous women, are essential for addressing undernutrition and improving maternal and fetal health outcomes in the study area. These findings underscore the importance of context-specific strategies to combat malnutrition among PW.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2025 ","pages":"4420685"},"PeriodicalIF":2.3,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433042","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":"Review of Current Strategies to Address Micronutrient Deficiencies (MNDs) in Ghana: A Scoping Review.","authors":"Jolene Mateko Azagba-Nyako, Charles Tortoe, Paa Toah Akonor, Alice Padi, Jackline Boateng, Richard Otwey","doi":"10.1155/jnme/6652716","DOIUrl":"10.1155/jnme/6652716","url":null,"abstract":"<p><p>To achieve the Sustainable Development Goals by 2030, low-income countries like Ghana will require strategizing towards sustainable reduction in micronutrient deficiency (MND) diseases and MND-related morbidity and mortality. A scoping review was conducted to identify the policy framework around MND intervention, the actors implementing MND-related strategies and documented evidence on which strategies worked across implementation stakeholders. Forty-six peer-reviewed articles were selected (<i>n</i> = 46) including studies on nutrition-sensitive intervention studies (<i>n</i> = 15) and nutrition-specific intervention (<i>n</i> = 31). Eligibility criteria for inclusion of information from articles and publications were based on report findings on nutrition-related programmes and policies conducted and implemented in Ghana and should have been published between 2000 and 2024. Databases adopted for this scoping review include Google Scholar, PubMed, ScienceDirect, AGORA, Hinari and JSTOR. This scoping review obtained a comprehensive picture of the nutrition situation in Ghana by gathering nutrition surveillance data depicting the different strategies employed to combat MNDs in Ghana. The scoping review identified several MND intervention strategies; however, the sustainability of the strategies required effective implementation guidelines, policies and programmes that address dietary deficits specific to a particular population.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2025 ","pages":"6652716"},"PeriodicalIF":2.3,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414551","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 Tocotrienol on Cardiovascular Risk Markers in Patients With Chronic Kidney Disease: A Randomized Controlled Trial.","authors":"Liana Trugilho, Lívia Alvarenga, Ludmila Cardozo, Bruna Paiva, Jessyca Brito, Isis Barboza, Jonatas Almeida, Juliana Dos Anjos, Pramod Khosla, Marcelo Ribeiro-Alves, Denise Mafra","doi":"10.1155/jnme/8482883","DOIUrl":"10.1155/jnme/8482883","url":null,"abstract":"<p><p>Tocotrienols, isomers of vitamin E, may provide an effective nutritional strategy to mitigate common cardiovascular risks such as dyslipidemia, inflammation, and oxidative stress in patients with chronic kidney disease (CKD). This double-blind, placebo-controlled, randomized clinical trial aimed to evaluate the effects of a tocotrienol-rich fraction (TRF) supplementation (300 mg/day) on oxidative stress and inflammatory markers, including transcription factors in nondialysis (ND) and hemodialysis (HD) CKD patients for three months. Interleukin-6, tumor necrosis factor-<i>α</i> (IL-6 and TNF-<i>α</i>), C-reactive protein (CRP), lipid peroxidation, biochemical parameters, and transcription factors such as NRF2 and NF-<i>κ</i>B mRNA expression were evaluated. Seventeen HD patients (9 in the placebo group, 8 in the TRF group) and 16 ND CKD patients (8 in the placebo group and 8 in the TRF group) completed the study. In HD patients, significant reductions were observed in LDL cholesterol (<i>p</i>=0.04) and total plasma cholesterol levels (<i>p</i>=0.01) after TRF intervention. CRP serum levels decreased significantly in ND CKD patients (<i>p</i>=0.05) after TRF supplementation. Transcription factors NRF2 and NF-<i>κ</i>B mRNA expressions remained unaltered in both groups. This study suggests that TRF supplementation may mitigate dyslipidemia and inflammation, factors involved with increased cardiovascular risk, in CKD patients, with variations in efficacy between HD and ND patients. <b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT04900532.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2025 ","pages":"8482883"},"PeriodicalIF":2.3,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007010","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":"Glutamine Supplementation: A Possible Strategy to Help Mitigate Health Risks of Heat-Related Illness.","authors":"Micah Zuhl, Jonathan Specht, Sage Beatty, Christine Mermier","doi":"10.1155/jnme/1638244","DOIUrl":"https://doi.org/10.1155/jnme/1638244","url":null,"abstract":"<p><p>A rise in body temperature caused by physical work, including exercise, in a hot climate can lead to heat-related illnesses such as exertional heat exhaustion and stroke. Individuals who work physically demanding occupations in hot environments are at heightened risk of heat injury. The mechanisms that contribute to heat illness resulting from physical work in the heat are complex and include dehydration, tissue ischemia and damage, oxidative stress, and inflammatory events. Therefore, it is important to develop strategies that address these mechanistic underpinnings to prevent exacerbation to heat illness. Glutamine is an amino acid that has been considered conditionally essential during situations of biological stress (e.g., tissue burn, exercise, sepsis) due to high rates of tissue consumption. Evidence suggests that glutamine may serve as an important nutrient during heat stress and when combined with other preventative measures (e.g., cooling techniques, work/rest ratios, clothing) may help to mitigate heat illness among individuals working in extreme climates. The aim of this review is to examine the current literature on the role of glutamine during heat stress.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2024 ","pages":"1638244"},"PeriodicalIF":2.3,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769876","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 Effect of Grouper Bone Nano-Calcium (GBN) and Medium-Chain Triglyceride (MCT) Supplementation on the Ovariectomized Rats.","authors":"Pipin Kusumawati, Yudi Pranoto, Priyanto Triwitono, Fourier Dzar Eljabbar Latief","doi":"10.1155/jnme/4832594","DOIUrl":"10.1155/jnme/4832594","url":null,"abstract":"<p><p>The objective of this research was to investigate the calcium bioavailability and the influence of substituting synthetic calcium carbonate (CaCO₃) with grouper bone nano-calcium (GBN), and medium-chain triglyceride (MCT) with long-chain triglyceride (LCT) in the diet of ovariectomized rats maintained for 8 weeks. Twenty rats were randomly divided into four distinct groups: (1) The OX-C group: AIN-93M standard + synthetic CaCO₃; (2) the OX-D group: AIN-93M standard + no calcium; (3) the OX-1 group: AIN-93M standard + GBN; and (4) the OX-2 group: AIN-93M with MCT as lipid source + GBN. The test parameters conducted encompassed the evaluation of the rat's body weight, levels of calcium, phosphorus, and alkaline phosphatase in rat blood serum, examination of the microstructure of rat tibiae by histomorphometry and femora bones by means of 3D micro-CT image analysis, and assessment of the strength of rat femora bones by the three-point bending. The results indicated that the GBN calcium diet groups (OX-1 and OX-2) were successful substitutes for synthetic CaCO₃ of the OX-C group. GBN calcium diet groups have shown superiority in terms of trabeculae thickness (Tb.Th), bone volume (BV/TV), bone mineral density (BMD), and particularly in bone strength evaluations. The GBN calcium diet groups exhibited serum calcium, serum phosphorus, and alkaline phosphatase levels that were comparable to those of synthetic CaCO₃ calcium. As the calcium-deficient group, OX-D revealed a much lower and distinct performance than other groups. This research demonstrated that MCT exhibit comparable performance to LCT; however, it did not establish that substituting LCT for MCT was superior.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2024 ","pages":"4832594"},"PeriodicalIF":2.3,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710406","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":"Perceptual Health and Wellbeing, Self-Reported Sleep, and Hydration Status in Youth Soccer Players During Competition.","authors":"Michael King, Rachel Kimble, Matthew Brown, Seamus McCafferty, Hannah Lithgow","doi":"10.1155/2024/5086660","DOIUrl":"https://doi.org/10.1155/2024/5086660","url":null,"abstract":"<p><p><b>Introduction:</b> The aim of this study was to assess match time courses on hydration, wellness, and sleep as well as the interrelationship between these variables in youth national soccer players. <b>Materials and Methods:</b> Under-17 and under-19 youth national soccer players (age range: 16.96 ± 1.17 years) completed a perceptual wellness questionnaire, self-reported their sleep, and carried out hydration assessments each morning during a period of competitive match play. <b>Results:</b> Players reported having significantly more sleep leading into the day of a match (MD) compared to both the evening after a match (MD-2; <i>p</i> < 0.001; CI = 7.972 and 8.212) and the evening before a match (MD-1; <i>p</i> < 0.001; CI = 7.996 and 8.174). Furthermore, players reported better health and wellbeing scores on MD compared to both MD-1 (<i>p</i> < 0.001; CI = 19.231 and 19.692) and MD-2 (<i>p</i> < 0.001; CI = 18.911 and 19.489). When self-reported sleep was correlated with the individual components of health and wellbeing, it was highlighted that there were significant effects for fatigue (<i>r</i> = 0.304, <i>p</i> < 0.001; CI = 0.250 and 0.383), mood (<i>r</i> = 0.170, <i>p</i> < 0.001; CI = 0.112 and 0.243), general muscle soreness (<i>r</i> = 0.225, <i>p</i> < 0.001; CI = 0.162 and 0.306), and stress (<i>r</i> = 0.203, <i>p</i> < 0.001; CI = 0.147 and 0.274). <b>Conclusion:</b> It is important to consider sleep strategies to mitigate the potential impact of lack of sleep following match play. Self-reported sleep seems to be appropriate for estimating individual components of health and wellbeing, and therefore may be a suitable replacement for perceptual wellness questionnaires.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2024 ","pages":"5086660"},"PeriodicalIF":2.3,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142604737","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":"Exploring the Role of Licorice and Its Derivatives in Cell Signaling Pathway NF-<i>κ</i>B and MAPK.","authors":"Ieaman Fatima, Amna Sahar, Amna Tariq, Tabana Naz, Muhammad Usman","doi":"10.1155/2024/9988167","DOIUrl":"10.1155/2024/9988167","url":null,"abstract":"<p><p>Licorice is a therapeutic herb in traditional Chinese herbal medicine. Licorice is considered as an anti-inflammatory agent due to its suppression and inhibition of inflammatory pathways. Licorice has many bioactive compounds such as glycyrrhetinic acid, glycyrrhizin, liquiritigenin, and isoliquirtigenin which are principally accountable for its therapeutic benefits. These bioactive components reduce inflammation by preventing the activation of important inflammatory pathways including mitogen-activated protein kinases (MAPKs) and nuclear factor-kappa B (NF-<i>κ</i>B). As a result of this tumor necrosis factor-alpha (TNF-<i>α</i>), interleukin-1 beta (IL-1<i>β</i>) and interleukin-6 (IL-6) are among the proinflammatory cytokines whose production is inhibited. Components present in licorice inhibit the activation by suppressing the I<i>κ</i>B<i>α</i> phosphorylation and degradation. Moreover, licorice compounds also attenuate the MAPK signaling cascades by inhibiting the MAPK kinase phosphorylation and downstream MAPKs such as extracellular signal-regulated kinase (ERK), p38 MAPK, and c-Jun N-terminal kinase (JNK). The present review focuses on the current understanding of licorice effect on the NF-<i>κ</i>B and MAPK inflammatory cell signaling pathways at molecular level. Furthermore, emerging evidence suggested that licorice-derived bioactive compounds may attenuate the molecular mechanism which is associated with inflammation, providing the additional insights into the therapeutic potential. Further studies explained the precise molecular mechanism at the cellular level underlying the licorice anti-inflammatory effect and potential application in managing inflammatory disorders. In conclusion, licorice has a complex mode of action and is a valuable natural anti-inflammatory. Its natural origin and effectiveness in clinical applications make it an intriguing topic for additional study. As licorice becomes more widely used in medicine, future research should focus on refining its formulations to optimize therapeutic advantages.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2024 ","pages":"9988167"},"PeriodicalIF":2.3,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545981","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":"Ketogenic Diet: A Review of Composition Diversity, Mechanism of Action and Clinical Application.","authors":"Dominika Malinowska, Małgorzata Żendzian-Piotrowska","doi":"10.1155/2024/6666171","DOIUrl":"10.1155/2024/6666171","url":null,"abstract":"<p><p>The ketogenic diet (KD) is a special high-fat, very low-carbohydrate diet with the amount of protein adjusted to one's requirements. By lowering the supply of carbohydrates, this diet induces a considerable change in metabolism (of protein and fat) and increases the production of ketone bodies. The purpose of this article is to review the diversity of composition, mechanism of action, clinical application and risk associated with the KD. In the last decade, more and more results of the diet's effects on obesity, diabetes and neurological disorders, among other examples have appeared. The beneficial effects of the KD on neurological diseases are related to the reconstruction of myelin sheaths of neurons, reduction of neuron inflammation, decreased production of reactive oxygen species, support of dopamine production, repair of damaged mitochondria and formation of new ones. Minimizing the intake of carbohydrates results in the reduced absorption of simple sugars, thereby decreasing blood glucose levels and fluctuations of glycaemia in diabetes. Studies on obesity indicate an advantage of the KD over other diets in terms of weight loss. This may be due to the upregulation of the biological activity of appetite-controlling hormones, or to decreased lipogenesis, intensified lipolysis and increased metabolic costs of gluconeogenesis. However, it is important to be aware of the side effects of the KD. These include disorders of the digestive system as well as headaches, irritability, fatigue, the occurrence of vitamin and mineral deficiencies and worsened lipid profile. Further studies aimed to determine long-term effects of the KD are required.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2024 ","pages":"6666171"},"PeriodicalIF":2.3,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502350","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 Impact of Short-Term Supplementation With Guanidinoacetic Acid and Creatine Versus Creatine Alone on Body Composition Indices in Healthy Men and Women: Creatine-Guanidinoacetic Acid Affects Body Composition.","authors":"Sonja Baltic, David Nedeljkovic, Nikola Todorovic, Laszlo Ratgeber, Jozsef Betlehem, Pongrac Acs, Valdemar Stajer, Sergej M Ostojic","doi":"10.1155/2024/7815807","DOIUrl":"10.1155/2024/7815807","url":null,"abstract":"<p><p>The main objective of this pilot study was to compare the effects of short-term supplementation with a mixture containing creatine and guanidinoacetic acid (GAA) versus creatine alone on body composition indices in men and women. Twenty-three apparently healthy young adults (mean age: 21.4 ± 0.6 years; 10 females) were randomly assigned to receive either a mixture (consisting of 2 g of creatine monohydrate and 2 g of GAA) or an equimolar amount of creatine monohydrate in a pretest-posttest control group experimental crossover design. After the intervention period, participants entered a 2-week washout phase to minimize any residual effects of the treatment. Body composition was assessed using a multifrequency bioelectrical impedance analysis at baseline (preadministration) and at the 7-day follow-up (postadministration). A significant interaction effect was found for extracellular mass (<i>p</i>=0.009), with creatine-GAA outperforming creatine in augmenting extracellular mass across the whole sample. In the male subsample, creatine was superior to the mixture in increasing intracellular water (<i>p</i>=0.049), whereas the mixture increased extracellular mass, contrasting with the reduction observed with creatine alone (<i>p</i>=0.008). No significant differences between interventions were reported in the female subsample (<i>p</i> > 0.05), indicating that adding GAA to creatine may produce unique, sex-specific effects on body composition. Further studies are needed to validate our findings across different demographic cohorts and various interventional regimens.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2024 ","pages":"7815807"},"PeriodicalIF":2.3,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467964","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":"Vitamin D Status and Physical Functioning in Nursing Home Residents after Improved Adherence to the Vitamin D and Calcium Recommendation-A Quasiexperimental Study.","authors":"Charlotte Mortensen, Anne Marie Beck, Inge Tetens, Charlotte Jeppesen, Søren Frank Jørgensen, Leif Kofoed Nielsen, Michael Kristensen","doi":"10.1155/2024/2405429","DOIUrl":"https://doi.org/10.1155/2024/2405429","url":null,"abstract":"<p><strong>Introduction: </strong>Dietary supplements with vitamin and calcium are recommended to nursing home residents in Denmark, but adherence to the recommendation is low. In a previous part of this study, we reported improved adherence by means of The Model for Improvement leading to increased awareness and change of workflows at two nursing homes. However, potential effects of this improved adherence are unknown.</p><p><strong>Objective: </strong>The objective of this substudy was to investigate if the improved adherence to the recommendation affected vitamin D status, muscle strength, and physical functioning of the residents.</p><p><strong>Methods: </strong>This was a 20-week quasiexperimental study involving 40 residents from two Danish nursing homes. Baseline and endpoint measurements took place in October 2021 and March 2022, respectively. Outcomes were number of residents taking vitamin D and calcium supplements; vitamin D status; handgrip strength; and physical functioning with timed-up-and-go test and 30-second chair stand test.</p><p><strong>Results: </strong>Prevalence of vitamin D supplement users increased from 45 to 78% (mean dose 41 <i>μ</i>g) and of calcium supplement users from 40 to 72% (mean dose 769 mg) (both <i>P</i>=0.002). Among those having blood sampled at both baseline and endpoint (<i>n</i> = 30), mean vitamin D status increased from 66.6 ± 31.7 nmol/L to 82.8 ± 26.3 nmol/L (<i>P</i> < 0.001), and more residents were vitamin D sufficient at endpoint (90 vs. 63%, <i>P</i>=0.021). Endpoint vitamin D status among supplement users was 88.2 ± 22.2 nmol/L, which was higher compared to nonsupplement users (55.3 ± 30.4 nmol/L, <i>P</i> < 0.01). No effects were seen on muscle strength or physical functioning.</p><p><strong>Conclusions: </strong>Increased supplementation with vitamin D using The Model for Improvement positively affected vitamin D status and prevalence of vitamin D sufficiency but did not affect muscle strength or physical functioning. Longer-term studies involving more residents are needed to investigate effects of improved adherence on these outcomes. This trial is registered with NCT04956705.</p>","PeriodicalId":16587,"journal":{"name":"Journal of Nutrition and Metabolism","volume":"2024 ","pages":"2405429"},"PeriodicalIF":2.3,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11470817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467965","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}