Nutrition and health最新文献

{"title":"Breastfeeding barriers and facilitators in Thai postpartum women with type 2 diabetes mellitus.","authors":"Ratchanok Phonyiam, Chiao-Hsin Teng, Yamnia Cortés, Catherine Sullivan, Aunchalee Palmquist, Eric A Hodges, Marianne Baernholdt","doi":"10.1177/02601060251371840","DOIUrl":"10.1177/02601060251371840","url":null,"abstract":"<p><p>BackgroundBreastfeeding positively influences glucose regulation in postpartum women with diabetes.AimThis study aimed to describe breastfeeding barriers and facilitators in postpartum women with type 2 diabetes mellitus (T2DM).MethodsThis qualitative analysis utilized data from a parent study with a convergent parallel mixed-methods design. We interviewed postpartum women with T2DM and extracted fasting plasma glucose levels from medical records taken at 4 to 6 weeks after childbirth.ResultsEight postpartum women with T2DM participated. Those who exclusively breastfed had normal fasting plasma glucose levels. Six themes emerged as breastfeeding barriers and facilitators across individual, interpersonal, and societal levels. Individual barriers included low milk production, dietary cravings, and emotional challenges of first-time motherhood. Interpersonal barriers involved lactation issues, baby conditions, and mother-baby separation post-birth. Societal barriers included short maternal leave, workplace difficulties with pumping, baby's location, and healthcare costs. Individual facilitators included breastfeeding intention and dietary practices to boost milk. Interpersonal facilitators were understanding baby cues and family support. Societal facilitators were involved in Thai postpartum traditions, health literacy, and lactation rooms in hospitals.ConclusionsOur findings highlighted the importance of identifying women's barriers and facilitators in breastfeeding, addressing physical and emotional challenges, and conducting lactation assessments. The study emphasized the need for increased workplace support for ongoing breastfeeding and individualized support that considers cultural beliefs and hospital practices.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1287-1297"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070109","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":"Understanding insulin resistance in osteosarcopenic obesity: Therapeutic approaches for prevention and management.","authors":"Abdul Ahad Khan, Musaddiq Irfan Sattar, Syed Aatir Mahmood, Muhammad Abdus Subhan Siddiqui","doi":"10.1177/02601060251412680","DOIUrl":"10.1177/02601060251412680","url":null,"abstract":"<p><p>Osteosarcopenic obesity (OSO) is a multifaceted condition in which obesity is present along with reduction in bone and muscle mass. The coexistence of these conditions increases the risk of fractures, physical disability and insulin resistance. This article explains the mechanism of insulin resistance in individuals with OSO highlighting the role of adipokines, lipid metabolites, pro inflammatory cells like Tumor Necrosis Factor-alpha, Interluekin-6, Interleukin-1 in causing the defective insulin signaling and exacerbating insulin resistance. The pathophysiology involves muscle atrophy and bone loss exacerbated by insulin resistance. Life style interventions like low resistance exercise and intake of diet full of nutrients especially proteins can be helpful in preventing this condition. A combination therapy of resistance trainings and protein rich diet can be considered as effective approach in combating OSO and improving insulin signaling. This article accentuates the importance of lifestyle and dietetic alterations in addressing OSO and its associated metabolic and hormonal disturbances.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1131-1133"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145985276","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":"Precision Nutrition Using Continuous Glucose Monitors: Hype, Hope, and the Road Ahead.","authors":"Waqas Asghar, Komal Javed, Nauman Khalid","doi":"10.1177/02601060261463785","DOIUrl":"10.1177/02601060261463785","url":null,"abstract":"","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1103-1105"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148318443","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 impact of health and environmental consciousness on consumer attitudes toward sustainable food: The mediating role of a healthy lifestyle.","authors":"Pooja Garg, Harbhajan Bansal","doi":"10.1177/02601060261461926","DOIUrl":"https://doi.org/10.1177/02601060261461926","url":null,"abstract":"<p><p>BackgroundThe consumers' wants have gradually resulted in the shift toward the sustainable food paradigm, where foods that are environmentally friendly, ethically produced, and good for health are being emphasized. Thus, sustainability has become one of the most important purchasing decision criteria along with nutrition and quality.AimThe paper aims to see the effect on consumer's attitude and behavior towards sustainable food by the factors of health and environmental consciousness, with the focus on the mediation of a healthy lifestyle.MethodsThe PLS-SEM (Partial Least Squares Structural Equation Modeling) method was used for the analysis of the data collected by the questionnaires given to 443 people in Haryana, India.SummaryThe study brought out the conclusion that health and environmental consciousness both significantly and positively influence consumer attitudes towards sustainability in food, along with the healthy lifestyle being a vigorous mediator of the consumer attitudes and, health and environmental consciousness. The model was found to have a very high explanatory power and also a high predictive relevance. The study in its theoretical aspect broadens the value-attitude-behavior framework by connecting awareness to lifestyle practices, while in its practical aspect it gives marketers and policymakers a signal to promote sustainable food through health and environmental consciousness.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060261461926"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148361153","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":"1375-1385"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","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":"Use of telemedicine to provide initial home parenteral nutrition training during COVID-19 pandemic: A case series.","authors":"Manpreet S Mundi, Osman Mohamed Elfadil, Ryan T Hurt, Katherine O'Donnell, Chanelle N Hager, Sara L Bonnes, Bradley R Salonen","doi":"10.1177/02601060251374384","DOIUrl":"10.1177/02601060251374384","url":null,"abstract":"<p><p>BackgroundCoronavirus Disease 2019 (COVID-19) has led to dramatic changes including social distancing, closure of schools, travel bans, and issues of stay-at-home orders. The health-care field has been transformed with elective procedures and on-site visits being deferred. Telemedicine has emerged as a novel mechanism to continue to provide care. However, there remains a paucity of data regarding its efficacy in nutrition support, especially in patients with chronic intestinal failure (CIF).ObjectiveDescribe the utilization of telehealth in the routine management of CIF, particularly in the initiation and training of home parenteral nutrition (HPN).MethodsA case series presenting our experience with the use of telemedicine to provide training for HPN for three patients. The manuscript describes the utility of telehealth in providing remote and adequate training for patients commenced on HPN during COVID-19 pandemic.ResultsSince the onset of the COVID-19 pandemic, we have successfully provided virtual training to three patients, including two who were noted to be severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positive and one patient who could not be transferred to our facility for training. For SARS-CoV-2 positive patients, the risk of transmission to nursing staff with 8-10 h of face-to-face training in two cases was felt to be too significant for in-person training. We determined that the best option would be to stabilize parenteral nutrition in the hospital and perform virtual training. Although virtual training was successfully performed, it was felt that training in this manner took much longer, required frequent adjustment of the tablet device to ensure patient remained in field of view, and made it difficult to connect with the patient emotionally.ConclusionsTelemedicine has significantly improved care provided during COVID-19 as a modality for effective training on HPN, while in-person communication was significantly limited due to the pandemic. However, when possible, it should be used in a manner that complements but does not supplant standard care.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1323-1330"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030272","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":"β-carotene and fatty acid composition of <i>Attalea phalerata</i> oil and its effect on metabolism as the sole source of vitamin A precursors in deficient rats.","authors":"Elaine Cristina de Lara Spada, Daniela de Souza Vial Dahmer, Adriene de Moura Barboza, Wéliton Barreto da Silva, Edgar Willibaldo Allebrandt Neto, Mariana Favero Boaventura, Claudia Marlise Balbinotti Andrade, Ailton José Terezo, Carla Grazieli Azevedo da Silva, Márcia Queiroz Latorraca, Suelem Aparecida de França Lemes","doi":"10.1177/02601060251375505","DOIUrl":"10.1177/02601060251375505","url":null,"abstract":"<p><p><b>Background:</b> The fruit of <i>Attalea phalerata</i> has high nutritional value, including carotenoids and unsaturated fatty acids, in its pulp. <b>Aim:</b> To evaluate the effects of <i>A. phaler</i>ata pulp oil as a source of vitamin A in animals with deficiency. <b>Methods:</b> Male Wistar rats, 21days old (∼60 g) were divided into three groups: Control Group(C): received AIN-93G diet for 75 days; <i>A. phalerata</i> oil group (AO): received AIN-93G diet without vitamin-A for 45 days followed by a diet containing <i>A. phalerata</i> oil for 30 days, β-carotene (BC) group: received AIN-93G diet without vitamin-A for 45 days followed by a diet containing synthetic β-carotene for 30 days. <b>Results:</b> β-carotene concentration (308.1 µg/mL) and fatty acid profile (48.59% of oleic acid) were quantified in oil by high-performance liquid chromatography. Groups AO and BC had a corneal tissue weight 92% higher than the C. The conjunctival weight was 89% higher in the AO group and 98% higher in the BC group versus the C group. Urea levels were 17% higher in the AO group compared to the BC group. The concentration of carbonyl proteins in the liver of the AO group was 233% higher than that of the C group. The BC group showed levels of carbonylated proteins lower than the AO group and equal to the controls. <b>Conclusion:</b> <i>A. phalerata</i> pulp oil may be an effective source of β-carotene for recovering animals with vitamin A deficiency; nonetheless, recovery with <i>A. phalerata</i> oil was not sufficient to improve the oxidative damage caused by 45 days of nutritional insult.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1331-1339"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070102","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":"Early introduction of complementary foods among infants exposed to maternal incarceration <i>in utero</i>.","authors":"Elissa Dakers, Jennifer Coates, Joanna Boyles, Natalie Slopen, Bethany Kotlar","doi":"10.1177/02601060251414561","DOIUrl":"10.1177/02601060251414561","url":null,"abstract":"<p><p>BackgroundEarly nutrition is critical to later health outcomes. Infants exposed to maternal incarceration are a marginalized population and may be at elevated risk for suboptimal feeding.AimTo assess adherence to recommended timing of complementary food introduction among infants exposed to maternal incarceration <i>in utero</i>.MethodsWe analyzed data from 69 infants and caregivers in Georgia. Formerly incarcerated mothers (<i>n</i> = 17) and nonmaternal caregivers (<i>n</i> = 52) reported timing of complementary food introduction. Regression analyses assessed associations with independent variables, including poverty, food insecurity, Supplemental Nutrition Assistance Program receipt, and caregiver education, psychological distress, and age.ResultsApproximately 47.8% of infants received complementary foods early, defined as before four months of age. The mean age of introduction was 3.6 months. Caregiver distress was associated with earlier introduction.ConclusionThis population of caregivers requires tailored nutrition education, financial assistance, and mental health and social support services to promote optimal infant feeding practices.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1145-1150"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146065404","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":"Increasing dental professional awareness of disordered eating behaviours and oral health impacts in people living with severe obesity.","authors":"Zanab Malik, Kathryn Williams, Deborah Cockrell, Clare E Collins","doi":"10.1177/02601060251413552","DOIUrl":"10.1177/02601060251413552","url":null,"abstract":"<p><p>BackgroundPeople living with severe obesity are at an elevated risk of poor oral health. Contributing factors to poor oral health in this population group include cariogenic dietary behaviours and social determinants of health. There has been minimal discussion of the possible impacts of disordered eating behaviours on oral health particularly for those living with obesity.AimThis short communication aims to increase the awareness among dental teams of disordered eating behaviours and possible impacts on oral health particularly for patients living with obesity.MethodsA short evidence-based report was developed to highlight the relevance and importance of increasing dental professional awareness of disordered eating behaviours.ResultsData on prevalence of disordered eating behaviours in the general population and individuals living with severe obesity have been reported. Some studies have revealed there may be a higher prevalence of some forms of disordered eating behaviours among people living with obesity. Potential negative sequelae on oral health include increased risk of missing teeth, periodontal disease, and active dental caries.ConclusionsCollaboration between the disciplines of oral health and nutrition and dietetics, and with primary care providers such as general practitioners, is important to foster successful nutritional strategies for both general and oral health in patients living with obesity. Suggested approaches include joint professional society statements and increased training for the dental profession on oral health impacts of disordered eating behaviours to facilitate early identification, provision of tailored oral health care and signposting for support. The integration of the dental team into current obesity management will add to their supportive role in the overall management of people living with severe obesity.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1139-1143"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13338481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145917980","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 and rheumatoid arthritis in European populations: Unraveling causal links and the mediating role of sex hormones via Mendelian randomization.","authors":"Mingdong Liu, Junwei Yan, Hongran Lv, Xiaopeng Yang, Yiying Yao, Zheng Liu","doi":"10.1177/02601060261425460","DOIUrl":"10.1177/02601060261425460","url":null,"abstract":"<p><p>BackgroundRheumatoid arthritis (RA) is a chronic autoimmune disease causing joint damage and disability. Vitamin D (VD) shows immunomodulatory effects in RA, but its causal role and potential mediation by sex hormones remain unclear.ObjectivesTo examine the VD-RA causal relationship and investigate androgen/estrogen mediation using Mendelian randomization (MR).MethodsWe conducted two-sample MR analyses using UK Biobank and IEU OpenGWAS data, with genetic variants as instruments. Mediation analyses assessed sex hormone effects.ResultsDietary VD associated with reduced RA risk (odds ratio (OR) = 0.994, 95%CI 0.992-0.996). Protective effects were stronger in males with seropositive RA (OR = 0.97, 95%CI 0.96-0.99) and females with seronegative RA (OR = 0.99, 95%CI 0.98-0.99). VD significantly lowered female testosterone (OR = 0.54, 95%CI 0.42-0.66), a RA risk factor (OR = 1.03, 95%CI 1.01-1.04), but did not affect male testosterone or female estrogen levels.ConclusionVD may reduce RA risk via gender-specific mechanisms, particularly by decreasing female testosterone. While MR supports causality, potential confounding requires cautious interpretation.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1201-1209"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147434450","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}