Nutrition and health最新文献

{"title":"Association between the global leadership initiative on malnutrition criteria-defined malnutrition and hospitalization-associated disability in older patients: An observational cohort study.","authors":"Takako Nagai, Hidetaka Wakabayashi, Shinta Nishioka, Eiji Kose, Nao Hashida, Ryo Momosaki","doi":"10.1177/02601060261485350","DOIUrl":"https://doi.org/10.1177/02601060261485350","url":null,"abstract":"<p><p>Background and AimOlder adults are susceptible to hospitalization-associated disability (HAD), particularly when nutritional status is impaired. This study aimed to examine the association between GLIM-defined malnutrition and HAD in hospitalized older adults and to descriptively compare HAD-related clinical characteristics according to HAD status within GLIM malnutrition and non-malnutrition groups.MethodsThis prospective observational cohort study used a multicenter database to identify 166 patients aged ≥70 years who were admitted to acute care wards between February 2023 and March 2025 and were independent in ADL before hospitalization. GLIM-defined malnutrition was assessed at admission and treated as the exposure. Patients were categorized into GLIM malnutrition and non-malnutrition groups and followed until discharge to determine the occurrence of HAD. Logistic regression analysis was used to identify the independent HAD predictors.ResultsThe mean age of the patients was 80 years; 103 were men and 63 were women. GLIM malnutrition was present in 67 (40%) patients. The occurrence of HAD during hospitalization was higher in patients with GLIM malnutrition than in those without GLIM malnutrition (48% vs. 16%, <i>p</i> < 0.001). Patients with malnutrition were older, frailer, and had lower body mass index. Multivariable logistic regression analysis showed that GLIM malnutrition was independently associated with HAD (odds ratio, 2.732; 95% confidence interval, 1.190-6.271; <i>p</i> = 0.018).SummaryGLIM-defined malnutrition is independently associated with HAD in older patients. Early nutritional assessment, targeted frailty prevention, and integrated prehospital care may help reduce the risk of HAD and improve recovery after discharge.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060261485350"},"PeriodicalIF":1.4,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891780","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":"Breaking the link: The moderating role of <i>mindful eating behaviour</i> in the relationship between binge eating and body mass index.","authors":"Cerasela Oana Gavril, Alexandra Iuliana Negoita, Kyriaki Giannou, Michail Mantzios","doi":"10.1177/02601060261485043","DOIUrl":"https://doi.org/10.1177/02601060261485043","url":null,"abstract":"<p><p>BackgroundThere is growing recognition of the positive role of mindful eating in improving eating behaviours and weight management.AimHowever, there is limited research that explored how <i>mindful eating behaviour</i> (i.e., regulated attention while eating) may moderate the association between binge eating (BE) and body mass index (BMI), which was the primary aim of the present research.MethodsIn a cross-sectional study, 146 participants were recruited through online opportunity sampling to complete an online survey administered via QuestionPro exploring BE, mindful eating behaviour, and BMI, and bivariate correlations and Hayes' PROCESS Macro were used to explore relationships and moderations.SummaryFindings suggested that there is a significant positive association between BE and BMI, which was moderated by mindful eating behaviour with a significant interaction effect (<i>p</i> < .001). Specifically, in individuals who scored low in mindful eating behaviour, there was a significant relationship between BE and BMI, while higher scores made this relationship non-significant. While mindful eating may not directly reduce the frequency of BE in all contexts, it serves as a factor that weakens the positive association between BE and BMI. The research, therefore, emphasised the potential of mindful eating behaviour as a targeted intervention for individuals at risk of weight-related health difficulties. Implications, limitations, and recommendations for future research are discussed.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060261485043"},"PeriodicalIF":1.4,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148887578","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":"Potential effects of kombucha on endoplasmic reticulum stress and weight regulation in a high-fat diet-induced obesity model.","authors":"Didem Korkmaz, Ayşe Gül Mutlu","doi":"10.1177/02601060261485647","DOIUrl":"https://doi.org/10.1177/02601060261485647","url":null,"abstract":"<p><p>BackgroundObesity is increasingly recognized as a global metabolic disease, often accompanied by endoplasmic reticulum (ER) stress, which contributes to the development of metabolic disorders such as insulin resistance and type 2 diabetes. Kombucha, a fermented tea known for its health-promoting effects, has been associated with weight loss and lipid-lowering properties.AimThis study aimed to evaluate the potential effects of kombucha on ER stress in obese rats induced by a high-fat diet (HFD).MethodsFifty male Wistar albino rats were randomly assigned to four groups: Control, Kombucha, HFD, and HFD combined with Kombucha (HFD + Kombucha). Rats in the Kombucha and HFD + Kombucha groups received oral kombucha at a dose of 5 ml/kg daily for 5 weeks. Body weights were monitored weekly. At the end of the experimental period, liver tissues were collected for analysis of ER stress markers (p-inositol-requiring enzyme 1, activating transcription factor 6, p-JNK, p-eIF2a, GRP78) using western blotting. Serum samples were also analyzed for metabolic parameters.SummaryRats treated with kombucha exhibited less weight gain compared to those fed an HFD alone. Although no statistically significant differences were observed in the expression of ER stress markers, numerical reductions were noted in the kombucha-treated groups, suggesting a potential modulatory effect on ER stress rather than a definitive reduction. Kombucha may be associated with reduced weight gain and may have a potential role in ER stress modulation; however, these findings should be considered preliminary due to the lack of statistically significant differences. Importantly, the western blot findings do not support a definitive conclusion regarding ER stress attenuation. The absence of statistically significant differences in ER stress markers represents an important limitation of the study. Further studies involving larger cohorts and longer intervention periods are needed to confirm these findings.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060261485647"},"PeriodicalIF":1.4,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148887788","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":"Antioxidant status and dehydroepiandrosterone sulfate in aging: Evidence from MIDUS 3 biomarkers cohort.","authors":"Laith Ashour, Leen Altiti, Rand Khawaldeh, Batool Abuqudaira, Rakan Hani Wadi, Mera Jaber, Basae'r Najadat, Shaima Jaber, Rand Ibrahim Awwad, Tuqa Waleed Smadi, Sara Jamal Mohammad","doi":"10.1177/02601060261483849","DOIUrl":"https://doi.org/10.1177/02601060261483849","url":null,"abstract":"<p><p>BackgroundDehydroepiandrosterone sulfate (DHEAS) has been consistently linked to cardiovascular and skeletal health; however, the relationship between circulating antioxidant concentrations, including vitamins, and DHEAS levels in older adults has been insufficiently examined.AimTo assess associations between serum DHEAS and five antioxidants: β-cryptoxanthin, total lycopene, α-tocopherol, γ-tocopherol, and retinol.MethodsData from the Midlife in the United States (MIDUS3) Biomarker Project (2017-2022) were analyzed in a cross-sectional design. Analyses evaluated associations between DHEAS, antioxidant levels, and demographic and metabolic characteristics, including age, sex, smoking history, creatinine, HbA1c, total cholesterol, body mass index, dietary quality, alcohol intake, physical activity, and sleep quality. Multivariable linear regression models adjusting for all antioxidants and potential confounders were conducted following square-root transformation of DHEAS.SummaryThe analytical sample comprised 747 participants (55.8% female) with a mean age of 66.0 years (SD = 9.64). In adjusted models, higher α-tocopherol concentrations were associated with lower DHEAS levels (β = -0.09; 95% CI: [-0.172 to -0.009], <i>P</i> < 0.031) whereas retinol demonstrated a positive association with DHEAS (β = 0.081; 95% CI: [0.009-0.154], <i>P</i> = 0.029). None of the other antioxidants had a significant association with serum DHEAS. Increasing age, female sex, and poorer sleep quality were significantly associated with lower DHEAS concentrations. In conclusion, in older adults, serum retinol levels are positively associated with DHEAS concentrations, whereas α-tocopherol shows an inverse association. Conversely, no significant associations were observed between serum DHEAS levels and β-cryptoxanthin, total lycopene, or γ-tocopherol.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060261483849"},"PeriodicalIF":1.4,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148887471","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":"Influence of a culturally adapted pre-Ramadan nutrition education intervention on diabetes-related knowledge and self-management practices among Egyptian adults with type 2 diabetes: A single-group pretest-posttest study.","authors":"Naqaa Alomari, Dalia Tayel, Doaa Tawfik","doi":"10.1177/02601060261485646","DOIUrl":"https://doi.org/10.1177/02601060261485646","url":null,"abstract":"<p><p>BackgroundManaging type 2 diabetes becomes more difficult during fasting Ramadan. Alterations in meal timing, food choices, and medication schedules can increase the risk of glycemic complications. Although pre-Ramadan education is strongly recommended, there are still few culturally tailored interventions.AimThis study assessed the impact of a culturally appropriate pre-Ramadan nutritional education program on diabetes-related knowledge and practices for self-management.MethodsA one-group, pretest-posttest quasi-experimental study was carried out in Egypt. A sample of 53 adults with type 2 diabetes was included. A culturally suitable intervention based on the guidelines of the International Diabetes Federation and Diabetes and Ramadan Alliance was specified. Data collection at baseline, after Ramadan, 3 months, and 6 months was conducted using a structured assessment questionnaire.SummaryFemale participants were 64.2%, and the average age was 52.2 ± 7.8 years. The mean total knowledge score rose from 26.3 ± 8.4 at baseline to 35.2 ± 6.9 (<i>p</i> < 0.001) after 6 months. Ramadan-specific knowledge increased significantly, from 8.6 ± 3.3 to 11.0 ± 1.8 (<i>p</i> < 0.001), and nutritional knowledge scores rose from 7.2 ± 3.1 to 9.5 ± 2.9 (<i>p</i> < 0.001). Improvements in self-management practices were observed, including better identification of hypoglycemic symptoms (77.4-98.1%). Self-reported medication adherence rose from 41.5% to 71.7%. Among Egyptian adults with type 2 diabetes, a culturally tailored, Ramadan-focused diabetes education program greatly and sustainably boosted knowledge and self-management practices. Healthy fasting behaviors are improved by including religious and cultural contexts in diabetes education.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060261485646"},"PeriodicalIF":1.4,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148887710","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":"Trends in consumption of energy and total sugars from sugar-sweetened beverages in the United States among youth and adults, NHANES 2003-March 2020 and August 2021-August 2023.","authors":"Mary M Murphy, Maribeth M Anderson, Kelly A Higgins","doi":"10.1177/02601060261480196","DOIUrl":"https://doi.org/10.1177/02601060261480196","url":null,"abstract":"<p><p>BackgroundSugar-sweetened beverages (SSB) are a key source of energy and sugars in the American diet.AimThis assessment examined trends in SSB and sugar-sweetened carbonated soft drink (ssCSD) consumption.MethodsIntake estimates were generated using NHANES 2003-2020 and August 2021-August 2023 and temporal trends were examined using linear and logistic regression.SummaryThe percentage of individuals ≥2 years consuming SSB or ssCSD declined significantly from 2003 to 2023. The percentage of youth consuming SSB or ssCSD dropped from 2003 to 2023 (76%-44% and 56% to 22%, respectively), as did the percentage of adults consuming SSB or ssCSD (52%-32% and 42%-22%, respectively). Per capita energy intake from SSB or ssCSD declined among youth (-135 and -96 kcal/day, respectively) and adults (-89 and -75 kcal/day, respectively). The downward trends in SSB or ssCSD consumption among the US population suggest trends consistent with dietary recommendations.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060261480196"},"PeriodicalIF":1.4,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881082","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":"Preconception nutritional supplementation and behavioral interventions and their association with maternal and neonatal health: A systematic review and meta-analysis.","authors":"Salima Meherali, Yared Asmare Aynalem, Saba Nisa, Megan Kennedy, Zohra S Lassi","doi":"10.1177/02601060261483862","DOIUrl":"https://doi.org/10.1177/02601060261483862","url":null,"abstract":"<p><p>BackgroundPreconception health influences pregnancy outcomes, with poor nutrition and health-related behaviors linked to anemia, preeclampsia, and fetal growth restriction. Despite increasing attention to these adverse outcomes, evidence on preconception nutritional and behavioral interventions remains limited, fragmented, and inconsistently synthesized.ObjectivesTo synthesize evidence on the role of preconception nutritional supplementation and behavioral interventions in supporting maternal and neonatal health outcomes.MethodsWe conducted a systematic review and meta-analysis following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines with the protocol registered in PROSPERO (#CRD42024592645). Studies published from the inception to October 1, 2024, were identified through six databases. A total of 24 studies met the eligibility criteria, which included randomized, non-randomized, and controlled before-after studies involving women aged 18-45 planning pregnancy or interconception period. Preconception interventions included nutritional supplementation (e.g., folic acid, calcium, multiple micronutrients) and behavioral/lifestyle strategies (e.g., counseling, diet, physical activity). Findings were analyzed separately by intervention type and outcome. Two reviewers independently screened studies and extracted data. Meta-analyses were conducted using RevMan software. Risk of bias was assessed using Cochrane RoB 2 and ROBINS-I, and certainty of evidence was rated using Grading of Recommendations, Assessment, Development, and Evaluation (GRADE).ResultsThe included studies suggested that lifestyle interventions reduced the risk of gestational diabetes mellitus (GDM) with Risk Ratio (RR): 0.76; 95% Confidence Interval (CI): 0.60-0.95), lowered gestational weight gain (GWG) with Mean Deviation (MD): -3.88 kg; 95% CI: -10.53 to -4.75), and improved GWG adequacy (RR: 1.62; 95% CI: 1.17-2.25). Nutritional supplementation were associated with reduced GDM risk (RR: 0.55; 95% CI: 0.43-0.71), increased birth weight by 72.26 g (95% CI: 47.40-97.12; I² = 96%), reduced preeclampsia risk with calcium (RR: 0.71; 95% CI: 0.54-0.92), and lowered neurodevelopmental disorder risk with folic acid/multivitamin use (RR: 0.14; 95% CI: 0.11-0.18). No pooled or synergistic association across intervention categories was estimated.ConclusionOutcome-specific evidence suggests that preconception nutritional and behavioral interventions are associated with improvements in selected maternal and neonatal outcomes. However, heterogeneity and limitations of underlying studies constrain causal inference, underscoring the need for rigorous longitudinal and integrated intervention research.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060261483862"},"PeriodicalIF":1.4,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881084","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 the nutritional status of Syrian refugee women in the lactation period.","authors":"Tülay Işık, Muazzez Garipağaoğlu","doi":"10.1177/02601060251399642","DOIUrl":"10.1177/02601060251399642","url":null,"abstract":"&lt;p&gt;&lt;p&gt;BackgroundThe Syrian civil war has caused large-scale displacement, with many Syrian refugee women migrating to Türkiye. Lactation is a critical period requiring adequate nutrition for maternal and infant health. However, data on the nutritional status of lactating Syrian refugee women are limited.AimThis study aimed to assess the nutritional status of lactating Syrian refugee women who migrated to Türkiye due to the Syrian civil war.MethodsA cross-sectional study was conducted between October 5, 2017, and January 29, 2018, with 102 lactating Syrian refugee women with infants aged 0-6 months attending the Istanbul Al Farah Child and Family Support Center. Participants were selected using convenience sampling. Inclusion criteria were being a Syrian refugee woman in the lactation period, having an infant aged 0-6 months, and volunteering to participate in the study. Women with chronic illnesses or metabolic disorders were excluded. Data were collected through face-to-face interviews with the assistance of a translator, using a structured Turkish questionnaire covering demographic information, anthropometric measurements, and 3-day dietary records. Dietary intake was analyzed with the BEBIS9 program and compared to the Türkiye Nutrition Guide recommendations. Although the dietary data were collected in 2017-2018, the analysis was conducted using the most up-to-date national guidelines to reflect current public health priorities.ResultsParticipants (n = 102) had an average age of 27.9 ± 5.7 years, BMI of 27.3 ± 4.6 kg/m², and monthly income of 1267 TL. Their daily energy intake was 1593.7 ± 556.5 kcal/day. A large proportion of participants had inadequate intake of micronutrients, with the highest insufficiency observed for pyridoxine (88.2%), followed by vitamin A (81.4%), vitamin C (76.5%), thiamine (71.5%), riboflavin (63.7%), folic acid (81.4%), vitamin B&lt;sub&gt;12&lt;/sub&gt; (72.6%), iron (62.8%), and zinc (68.6%). Women with higher BMI in early lactation consumed more fat (&lt;i&gt;p&lt;/i&gt; &lt; 0.05). Significant associations were found between micronutrient intake and sociodemographic factors (&lt;i&gt;p&lt;/i&gt; &lt; 0.05). However, due to the small sample size and use of convenience sampling, the generalizability of the findings is limited. Future studies with larger and more representative samples are needed to confirm these results.ConclusionSyrian refugee women in the lactation period showed inadequate intake of energy and essential micronutrients, likely due to poor socioeconomic and living conditions. Interventions such as culturally sensitive nutrition education, postpartum micronutrient supplementation, and improved access to migrant-friendly healthcare services are needed. Additionally, targeted policies and sustainable public health nutrition programs-such as food voucher schemes, fortified food distribution, and maternal support groups-should be developed in collaboration with health institutions and NGOs to improve maternal and infant health outcomes in thi","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1721-1733"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150304","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":"Breastfeeding practices and attitudes among women in West Sumatra, Indonesia.","authors":"Frankie Fair, Katie Marvin-Dowle, Zuhrah Taufiqa, Nur Indrawaty Lipoeto, Hora Soltani","doi":"10.1177/02601060251395426","DOIUrl":"10.1177/02601060251395426","url":null,"abstract":"<p><p>BackgroundSignificant variations in breastfeeding initiation and continuation exist in different global communities. Understanding women's attitude and experiences about breastfeeding within different communities is important to inform optimum infant feeding practices.AimTo explore breastfeeding practices and gain insights into women's practices, knowledge and beliefs concerning infant feeding in West Sumatra, Indonesia.MethodsA mixed methods study was undertaken. Breastfeeding data were collected from mothers at birth, 6 weeks, 6 and 9 months of infant's age within a feasibility study of antenatal nutritional supplementation in West Sumatra (n = 158). Additionally, a convenience sample of mothers (n = 19) undertook qualitative semi-structured interviews. Interviews were analysed thematically.ResultsWhile only 84.2% of infants were exclusively breastfed within the 24 hours prior to hospital discharge, 93.7% of infants at 6 weeks and 64.7% at 6 months were exclusively breastfed. At 9 months 92.9% of infants continued to breastfeed. Qualitative interviews generated three overarching themes: (1) 'Mothers' attitude'. Women viewed breastfeeding as normal and natural and strongly valued the health benefits of exclusive breastfeeding. (2) 'Cultural perspectives' showed breastfeeding was the default choice within the women's communities. (3) 'Family and social support' found women received good family support and encouragement to breastfeed.ConclusionThe exclusive breastfeeding rate of 64.7% and any breastfeeding rate of 96.0% at 6 months in West Sumatra is noteworthy. Cultural values, family and social support along with a positive attitude reinforced by information and knowledge regarding breastfeeding appeared to catalyse high rates of breastfeeding. Further international comparative studies to provide insights into the underpinning social and belief constructs that may contribute to these positive health behaviours (or lack of it in other communities) is worthy of further investigation.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1757-1768"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13538911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557487","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 nutrition counselors' perceptions of a 6-week Nutrition Intervention Program in Cameroon, Africa: A qualitative study using reflective journaling.","authors":"Viridiana Gonzalez Huizar, Alena M Clark, Kate Liberati, Nkuoh Godlove Nkwain, Megan Mueller, Rachel Lucas-Thompson, Annie Campain","doi":"10.1177/02601060251401017","DOIUrl":"10.1177/02601060251401017","url":null,"abstract":"<p><p>BackgroundCameroon, Africa, scores as one of the highest for malnutrition worldwide, significantly affecting maternal and childhood health. In response, the Cameroonian government pledged in 2013 to support nationwide policies that promote and protect breastfeeding and address malnutrition. To meet these needs, the Cameroon Baptist Convention Health Services created the Nutrition Improvement Program (NIP) to provide nutrition counseling within their hospital system. The NIP trains nutrition counselors through a 3-month training and internship program.AimThis study explored the experiences of NIP trainees in Cameroon using reflective journaling.Methods39 participants documented their experiences during training through reflective journaling. Three researchers independently coded and analyzed the entries to identify common themes through triangulation.SummaryAnalysis of journals unveiled positive and negative experiences and highlighted seven main themes: feelings of fulfillment, self-evaluation and analysis, relationships with the NIP hospital system, their educational environment, resources, barriers to completing the training, and their overall perceptions towards their trainers. The journals unveiled a transformative mindset towards current and new exercises implemented into nutrition counselor training and revealed disparities and areas of opportunity to enhance nutrition counselors' practices. Trainees' reflections called for continued support of the NIP training and increased resources to support the ongoing battle of malnutrition.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1665-1673"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145743566","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}