Nutrition and health最新文献

{"title":"A systematic review of the effectiveness of the health belief model-based nutrition education for dietary behavior change and chronic disease risk reduction.","authors":"Sosthene F Siyou","doi":"10.1177/02601060251383095","DOIUrl":"https://doi.org/10.1177/02601060251383095","url":null,"abstract":"<p><p><b>Background:</b> The health belief model (HBM) provides a theoretical framework to understand and predict health-related behaviors. Numerous studies have shown that HBM-based nutrition education programs are effective in inducing the adoption of healthy dietary behaviors, which is an effective way to prevent diet-related chronic diseases. However, little is known about reviews of existing findings pertaining to the HBM and nutrition education, aiming to highlight the need for a validated HBM-based practical tool that can be adapted and used by program managers or related specialists when developing, implementing, and evaluating nutrition education programs. <b>Aim:</b> This study aims to review the application of the HBM in nutrition education and highlight the need for an HBM-based practical tool that can be consistently used in nutrition education programs. <b>Methods:</b> We searched articles published between 2014 and 2025, which were related to the HBM and nutrition education, using Google Scholar, PubMed, EBSCO, and Taylor & Francis databases. Twelve articles were selected for this review after applying the inclusion and exclusion criteria. <b>Results:</b> Across all the studies reviewed, HBM constructs were consistently shown to be significant predictors of positive dietary behavior changes (<i>p</i> < 0.05). All the articles reviewed indicated that the use of the HBM-based approach is an effective way to improve the effectiveness of nutrition education programs. <b>Conclusion:</b> The HBM can be used to assess and identify the HBM behavioral gaps of individuals, groups, or communities at the beginning of nutrition education programs, which can be subsequently addressed to induce the adoption of healthy dietary behaviors.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251383095"},"PeriodicalIF":1.4,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of 8-week creatine supplementation with and without ubiquinol on sperm quality biomarkers in normospermic and oligospermic men: A randomized controlled pilot trial.","authors":"David Nedeljkovic, Nikola Todorovic, Dejan Javorac, Sonja Baltic, Milan Vranes, Jovana Panic, Nebojsa Kladar, Laszlo Ratgeber, Jozsef Betlehem, Pongrac Acs, Tonje Holte Stea, Dagrun Engeset, Valdemar Stajer, Sergej M Ostojic","doi":"10.1177/02601060251385000","DOIUrl":"https://doi.org/10.1177/02601060251385000","url":null,"abstract":"<p><p>BackgroundNo studies have investigated whether dietary creatine, administered alone or in the combination with other nutrients, can induce changes in the physical-chemical and microscopic characteristics of human semen.ObjectivesThe primary objective of this randomized placebo-controlled exploratory pilot trial was to assess the effects of an 8-week supplementation regimen consisting of creatine, both with and without ubiquinol, on sperm quality in men classified as normospermic and oligospermic.MethodsA total of 15 volunteers (mean age 25.0 ± 6.1 years, body mass index 25.1 ± 2.0 kg/m²; including five oligospermic individuals) were randomly assigned, received the intended treatment, and were evaluated for spermiogram parameters, sperm biochemical markers, the World Health Organization (WHO-5) well-being index questionnaire, and the prevalence and severity of side effects.ResultsThere was a non-significant trend towards an increase in sperm concentration among participants receiving creatine-plus-ubiquinol, with an average rise of 7.4 million per milliliter (<i>P</i> = 0.22). Six out of ten participants receiving creatine (60%), both with and without ubiquinol, showed an improvement in sperm concentration at the 8-week follow-up, compared to only 20% of participants in the control group (<i>P</i> ≤ 0.05). In addition, all oligospermic men who received creatine and creatine-plus-ubiquinol demonstrated an improvement in sperm concentration at follow-up, whereas sperm concentration remained unchanged or further decreased among oligospermic men in the control group (<i>P</i> ≤ 0.05). Furthermore, there was a significant increase in sperm creatine concentration in the creatine-plus-ubiquinol group (<i>P</i> = 0.03), demonstrating an average rise of 125.4 µmol/L (35.8%) at the 8-week follow-up.ConclusionThese preliminary findings are of considerable interest for male fertility health; however, they require validation through well-designed longitudinal trials with larger sample sizes. The study is registered at ClinicalTrials.gov (NCT06202469).</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251385000"},"PeriodicalIF":1.4,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural comparison of factors influencing sustainable dietary behaviors among Japanese and German adults.","authors":"Yui Kawasaki, Emi Yoshii, Kahori Fujisaki, Misa Shimpo, Sayaka Nagao-Sato, Jana Boehnke, Rie Akamatsu, Petra Warschburger","doi":"10.1177/02601060251381870","DOIUrl":"https://doi.org/10.1177/02601060251381870","url":null,"abstract":"<p><p>BackgroundThe concept of integrated sustainable dietary behaviors (SDBs) focuses on a series of dietary behaviors from food choice, storage and preservation, preparation (cooking), consumption, and disposal, as well as dietary patterns.ObjectivesThis study qualitatively describes the factors influencing the implementation of SDBs in Japanese and German adults and quantitatively compares the factors between the two cultures.MethodsThe online survey targeted 700 Japanese and 235 German adults, while the oral interview focused on 16 Japanese participants, recruited by a web-research company in 2021. Manifest content analysis, alongside chi-square and Fisher's exact tests, was used.ResultsThe participants' mean (SD) ages were 40.5 (10.9; Japanese; questionnaire), 26.2 (8.1; German; Questionnaire), and 38.1 (12.6; Japanese; interview), respectively. The 2515 codes (Japanese: 930; German: 1585) that emerged from the content analysis were divided into five main categories: (1) intrapersonal, (2) interpersonal, (3) food environment, (4) government, local governments, and research institutions, and (5) other. Compared to the Germans, the Japanese participants had a higher percentage of references to the <b>\"</b>intrapersonal\" and <b>\"</b>government, local government, and research institution\" categories. Japanese participants were more likely to cite psychological factors, portion size, and other factors, whereas German participants frequently referenced biology, skills of SDB, local access to sustainable food, and neighborhood characteristics.ConclusionCultural differences were found in the perceived factors for implementing SDBs. This study provides insight into the factors in implementing SDBs and can assist the development of promotion strategies that consider the cultural backgrounds of target populations.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251381870"},"PeriodicalIF":1.4,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of ultra-processed food consumption and pro-inflammatory dietary load in adults diagnosed with fibromyalgia syndrome: A case-control study.","authors":"Isidro Miguel Martín Pérez, Sebastián Eustaquio Martín Pérez","doi":"10.1177/02601060251369916","DOIUrl":"https://doi.org/10.1177/02601060251369916","url":null,"abstract":"<p><p><b>Background:</b> Fibromyalgia syndrome (FMS) is a chronic condition marked by widespread musculoskeletal pain, persistent fatigue, and cognitive impairment. Its pathophysiology involves central sensitization, neuroinflammation, oxidative stress, and gut microbiota dysbiosis. Emerging evidence suggests that dietary factors-particularly the consumption of ultra-processed foods (UPFs)-may exacerbate these mechanisms and contribute to increased symptom burden. <b>Aims/Objectives:</b> This study aimed to examine the dietary patterns, inflammatory potential of the diet, and body composition profiles in adults diagnosed with FMS compared to healthy controls. <b>Methods/Methodology:</b> A case-control study was conducted with 89 adults (45 with FMS and 44 healthy controls). Dietary intake was assessed using a validated semi-quantitative Food Frequency Questionnaire. Food items were classified using the NOVA system, and the Dietary Inflammatory Index (DII) was calculated. Anthropometric data, body composition, and clinical variables-including pain intensity (Visual Analog Scale, VAS), fatigue (Fatigue Severity Scale, FSS), and Fibromyalgia Impact Questionnaire (FIQ)-were recorded. Statistical analyses included t-tests and Mann-Whitney U tests (significance set at <i>p</i> < 0.05). <b>Results/Findings:</b> Patients with FMS consumed significantly more UPFs (34.5 ± 8.9% vs. 26.7 ± 7.1% of total energy intake; <i>p</i> < 0.001) and had higher DII scores (45.3 ± 8.7 vs. 35.1 ± 9.2; <i>p</i> < 0.001). The FMS group exhibited higher body mass index (27.5 ± 4.2 vs. 24.9 ± 3.8 kg/m²; <i>p</i> = 0.014), increased fat mass (34.5 ± 5.3% vs. 28.1 ± 4.7%; <i>p</i> = 0.011), and lower muscle mass (47.5 ± 4.8% vs. 49.3 ± 4.2%; <i>p</i> = 0.019). Clinically, they reported greater pain (VAS: 6.8 ± 1.9 vs. 1.2 ± 0.5; <i>p</i> < 0.001) and fatigue (FSS: 5.1 ± 1.1 vs. 2.4 ± 0.7; <i>p</i> < 0.001), with significant impairments in FIQ scores. Nutritional analysis showed lower intakes of magnesium, vitamin C, and polyphenols, and higher consumption of saturated fats and refined carbohydrates. <b>Conclusion:</b> Adults with FMS display a pro-inflammatory dietary profile characterized by high UPF consumption and reduced intake of protective nutrients. These patterns are associated with worsened symptomatology and adverse body composition, underscoring the potential role of anti-inflammatory dietary strategies in multidisciplinary FMS management.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251369916"},"PeriodicalIF":1.4,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of probiotics on COVID-19 prevention and treatment against mild COVID-19 in outpatient care: A systematic review.","authors":"Chung Hang Hannah Chau, Denes Stefler, Michelle Man Sum Szeto","doi":"10.1177/02601060251378200","DOIUrl":"https://doi.org/10.1177/02601060251378200","url":null,"abstract":"<p><p>BackgroundIn previous research, probiotics have shown to be beneficial in preventing and limiting the progress of upper respiratory infections. Their effectiveness in relation to coronavirus disease 2019 (COVID-19) has been investigated mainly in hospitalized patients, and less so among outpatients who constitute majority of COVID-19 cases.AimThis systematic review evaluates the available evidence regarding the effectiveness of probiotic use on prevention and treatment of COVID-19 among patients with mild symptoms in outpatient settings.MethodsPubMed, Embase and Cochrane Library were searched for studies from their inception to May 2024, restricting to randomized controlled trials and before-and-after studies. The primary outcomes were infection incidence and complete remission rate. Cochrane risk-of-bias tool (RoB 2.0) and risk of bias in non-randomized studies of interventions tool (ROBINS-I) were used to assess the risk of bias. The Grading of Recommendations, Assessment, Development, and Evaluations approach was performed to assess the certainty of the evidence.ResultsEight randomized controlled trials and one pre-post study on 1235 participants were included. Four studies had low risk of bias. Probiotics were effective in reducing the incidence of COVID-19 upon exposure and accelerating the symptomatic remission of mild COVID-19 with less systemic symptoms. Overall, the certainty of evidence on both primary outcomes was moderate. Comorbidities and old ages were found to be significant confounders. Probiotics demonstrated significant immunomodulatory and humoral effects in the nasopharyngeal cavity.ConclusionThese results suggest that probiotics are effective at preventing COVID-19 and support faster recovery from mild COVID-19 among individuals seeking for outpatient care. People with comorbidities, that is, metabolic disorder and elderly benefit the most from probiotics supplements.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251378200"},"PeriodicalIF":1.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145176784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of nutrition education on premenstrual syndrome: Randomized controlled study.","authors":"Duygu Mataracı-Değirmenci, Nülüfer Erbil","doi":"10.1177/02601060251380475","DOIUrl":"https://doi.org/10.1177/02601060251380475","url":null,"abstract":"<p><p>BackgroundPremenstrual syndrome (PMS) is a prevalent condition that impairs quality of life and daily functioning in young women, particularly university students.ObjectivesThis study aimed to evaluate the effect of targeted nutrition education on PMS severity, nutrient intake, and anthropometric measures.MethodsEighty-three nursing students diagnosed with PMS (PMSS ≥111) were randomized into intervention (<i>n</i> = 43) and control (<i>n</i> = 40) groups. The intervention group received a 1-h nutrition education session, supported by follow-up emails at 30 and 60 days. PMS severity, dietary intake, and anthropometric data were collected at baseline and 4 months post-intervention.ResultsNutrition education led to significant improvements in the intervention group. PMSS total scores decreased by 27.5 points (<i>p</i> < 0.05), with notable reductions across subscales such as depressive feelings, anxiety, irritability, depressive thoughts, appetite changes, and sleep disturbances. Concurrently, body weight (-1.2 kg; <i>p</i> < 0.05), BMI (-0.5 kg/m²; <i>p</i> < 0.05), waist circumference (-2.1 cm; <i>p</i> < 0.05), and hip circumference (-1.5 cm; <i>p</i> < 0.05) significantly declined. Nutrient intake improved significantly, with increases in protein (+11.4 g/day), vitamin B2 (+0.3 mg/day), calcium (+184.3 mg/day), iron (+1.1 mg/day), and zinc (+0.6 mg/day) (<i>p</i> < 0.05). No significant changes were observed in the control group.ConclusionsEven a short-duration nutrition education intervention can substantially reduce PMS severity, improve dietary habits, and promote healthier body composition. These findings support incorporating nutrition counseling into PMS management as an effective, low-cost, non-pharmacological intervention.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251380475"},"PeriodicalIF":1.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145176813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between dietary patterns, lifestyle factors, and body mass index among female nutrition students: A classification and regression tree analysis.","authors":"Gloria Cecilia Deossa-Restrepo, Marco Segura-Buján, Argenis Giraldo, Sebastián Flores-Alvarado, Leonardo Galavis-Villamizar","doi":"10.1177/02601060251377593","DOIUrl":"https://doi.org/10.1177/02601060251377593","url":null,"abstract":"<p><p><b>Background:</b> The university period is critical for establishing positive lifestyle habits that can reduce long-term risk for chronic diseases. <b>Aim:</b> To analyze the associations between dietary patterns, lifestyle factors, and body mass index (BMI) among female university students enrolled in the Nutrition and Dietetics program at the University of Antioquia. <b>Methods:</b> A cross-sectional analysis was conducted with 251 female students (22.0 ± 2.8 years) selected via proportion-based random sampling. Sociodemographic, anthropometric, lifestyle, and food frequency data were collected using standardized questionnaires administered by trained nutritionists. A Dietary Index (DI) was calculated from 35 food groups to assess diet quality. Kendall's Tau-C test was used to evaluate associations between specific food groups and BMI. Additionally, Classification and Regression Tree (CART) analysis was applied to identify the variables most strongly associated with BMI, modeled both as categorical and continuous outcomes. <b>Results:</b> Students with higher food spending (<i>p</i> = 0.013), a healthy DI (<i>p</i> = 0.015), and enrollment in the contributory health system (<i>p</i> = 0.027) were more likely to have a normal BMI. CART analysis revealed that better DI scores and reduced screen time were associated with lower BMI, with the DI emerging as the primary discriminating variable. Individual food group analysis showed significant associations between BMI and frequent consumption of high-sodium sauces (<i>p</i> = 0.005; <i>r</i> = 0.142), canned foods (<i>p</i> = 0.034; <i>r</i> = -0.111), and sugar-sweetened beverages (<i>p</i> = 0.003; <i>r</i> = -0.113), though these correlations were weak. <b>Conclusion:</b> University settings should prioritize interventions such as healthy food services, nutrition education workshops, and accessible recreational facilities to promote healthy lifestyles among students. These strategies may help reduce the risk of overweight and obesity and support long-term health.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251377593"},"PeriodicalIF":1.4,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Astaxanthin supplementation mitigates oxidative stress by enhancing antioxidant capacity and restoring oxidation-antioxidant balance in Wistar rats exposed to cadmium toxicity.","authors":"Mohammed Al-Zharani, Mohammed Mubarak, Eman Almuqri, Hassan Rudayni, Shaikha A Albatli, Fahd A Nasr, Amin A Al-Doaiss, Mohammed S Al-Eissa","doi":"10.1177/02601060251380473","DOIUrl":"https://doi.org/10.1177/02601060251380473","url":null,"abstract":"<p><p>BackgroundAstaxanthin is a carotenoid phytochemical primarily found in <i>Haematococcus pluvialis</i>, <i>Chlamydomonas nivalis</i>, and various algae and crustaceans.Aims/objectivesThis study aimed to evaluate astaxanthin's in vivo antioxidant properties and investigate its effectiveness in mitigating oxidative stress induced by cadmium exposure.Methods/methodologyEighty experimental rats were divided into four groups (<i>n</i> = 20 each): an untreated control group (Group 1), an astaxanthin-treated group (Group 2), a cadmium-exposed group (Group 3), and a cadmium-astaxanthin group (Group 4). Rats in Group 2 received daily oral doses of astaxanthin at 50 mg/kg body weight, and those in Group 3 were given an aqueous solution of cadmium chloride at a final concentration of 5 mg/kg b.w. per day. Rats in Group 4 were treated with both astaxanthin and cadmium chloride. Hematological and biochemical assays were conducted to achieve the study's objectives.Results/findingsThe hematological and biochemical profiles of the cadmium-exposed rats (Group 3) showed significant alterations compared to the untreated control. In the biochemical assessments (serum profile), the astaxanthin-treated animals (Group 2) exhibited no significant changes compared to the untreated control. Conversely, rats in Group 4 (exposed to cadmium and treated with astaxanthin) showed increased levels of total proteins and significant increases in antioxidant markers, including total thiols, glutathione, total antioxidant capacity, superoxide dismutase, glutathione peroxidase, and catalase. Additionally, this group demonstrated significant decreases in blood cadmium levels, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, creatinine, blood urea nitrogen, urea, bilirubin, and oxidative markers and malondialdehyde compared to the cadmium-only group (Group 3). Tissue homogenates from the liver and kidneys of Group 3 exhibited similar results to those revealed by serum biochemical analyses.ConclusionThe study concluded that astaxanthin possesses effective antioxidant properties that significantly help reduce the oxidative stress induced by cadmium exposure.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251380473"},"PeriodicalIF":1.4,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fruit and vegetable intake among rural populations in the United States, by sociodemographic characteristics, behavioral risk factor surveillance system 2019, 2021.","authors":"Alain K Koyama, Diane M Harris, Reena Oza-Frank, Ann M Goding Sauer, Samantha L Pierce, Julie L Self","doi":"10.1177/02601060251379913","DOIUrl":"10.1177/02601060251379913","url":null,"abstract":"<p><p><b>Background:</b> Rural populations in the US experience a higher prevalence of chronic diseases compared with urban populations. Consumption of healthy foods in rural areas can be limited by factors such as reduced access and availability. Limited intake of fruits and vegetables is a common risk factor for chronic disease, but differences in intake by sociodemographic characteristics among rural populations are inadequately characterized. <b>Aim:</b> We described the prevalence of consuming fruits and vegetables at least once per day by sociodemographic subgroups among US adults in rural counties. <b>Methods:</b> We conducted a pooled, cross-sectional study of 218,905 US adults aged ≥18 years in rural counties (non-metropolitan and non-core counties defined by the National Center for Health Statistics) using 2019 and 2021 Behavioral Risk Factor Surveillance System data. Sociodemographic factors included age, sex, race or ethnicity, education, employment, income, healthcare access, US Census division, and state. The two primary outcomes were self-reported consumption of fruits and of vegetables at least once per day. Weighted prevalence estimates were calculated using predictive margins derived from adjusted logistic regression models. <b>Results:</b> The prevalence of consuming fruits at least once per day was 57.6% (95% confidence interval (CI): [57.1-58.0]) and for vegetables was 80.0% (95% CI: [79.6-80.4]). For both fruits and vegetables, prevalence was generally higher among rural adults who were older; female; reported higher education, higher income, greater healthcare access; or resided in states in New England. <b>Conclusion:</b> Fruit and vegetable consumption is inadequate across the population with some groups more likely to have lower consumption, such as younger adults, men, and adults of lower socioeconomic status. Interventions that address both population-level contextual factors and individual-level barriers for those most at risk for lower consumption may increase fruit and vegetable consumption.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251379913"},"PeriodicalIF":1.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12462905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092294","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":"Intuitive eating and mindfulness during pre-pregnancy, pregnancy, and postpartum.","authors":"Laudicéia Ferreira Fróis, João Paulo Lima de Oliveira, Lílian Gonçalves Teixeira","doi":"10.1177/02601060251379529","DOIUrl":"https://doi.org/10.1177/02601060251379529","url":null,"abstract":"<p><p><b>Background:</b> The pre-gestational, gestational, and postpartum periods are marked by physiological, hormonal, and emotional changes that can significantly impact women's eating habits and behaviors. In this context, mindful eating and intuitive eating have emerged as promising strategies to promote a healthier relationship with food throughout these stages. <b>Objectives:</b> To investigate the practice of mindful eating and intuitive eating during the pre-gestational, gestational, and postpartum periods. <b>Methodology:</b> This longitudinal study was conducted with pregnant women receiving care in both the public and private healthcare systems in Lavras, Minas Gerais, Brazil. Data related to the pre-pregnancy period (retrospective) and pregnancy were collected in person between July 2019 and February 2020. Postpartum data were collected through telephone interviews from March 2020 to May 2021, due to social distancing measures imposed by the COVID-19 pandemic. Eating behavior was assessed using self-administered versions of the Mindful Eating Questionnaire (MEQ) and the Intuitive Eating Scale (IES<b>)</b>. The MEQ was used to analyze mindful eating, and the IES was used to assess intuitive eating. Analysis of covariance was employed to compare the mean scores of eating behaviors across the different periods, followed by Bonferroni post hoc tests to identify significant differences. Data are presented as means and standard deviations. <b>Results:</b> The sample consisted of 103 participants (mean age 28.50 ± 6.11 years). During pregnancy, women showed higher mean scores for intuitive eating (3.43 ± 0.51) and mindful eating (2.69 ± 0.35) compared to the pre-pregnancy period (3.36 ± 0.55 and 2.59 ± 0.34, respectively; <i>p</i> = 0.038 and <i>p</i> < 0.001). However, when comparing pregnancy to the postpartum period, a higher mean score for mindful eating was observed in the postpartum period (2.75 ± 0.31; <i>p</i> < 0.001). <b>Conclusion:</b> Women showed greater engagement in intuitive and mindful eating during pregnancy compared to the pre-gestational period, and mindful eating behaviors were maintained postpartum. These findings suggest that maternal nutritional interventions can be enhanced by incorporating these approaches, fostering the development of self-regulation in eating and mind-body connection, which supports healthier and more sustainable food choices throughout the perinatal period.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251379529"},"PeriodicalIF":1.4,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}