Nutrition and health最新文献

{"title":"The emerging role of sesame supplementation with aerobic exercise in athlete recovery and immunomodulation: A systematic review of human trials.","authors":"Ali Jafari, Mohammad Mehdi Khaleghi, Bahare Parsi Nezhad, Maryam Jafari, Sadaf Salehi","doi":"10.1177/02601060251408432","DOIUrl":"10.1177/02601060251408432","url":null,"abstract":"<p><p>BackgroundAerobic exercise improves fitness but can induce oxidative stress, muscle damage, and inflammation. Sesame (<i>Sesamum indicum</i> L.), rich in lignans and antioxidants, may help reduce these effects and support immune function.AimThis systematic review examines the synergistic effects of sesame supplementation and aerobic exercise on oxidative stress, muscle damage, immune response, and inflammatory markers in athletes.MethodsFollowing PRISMA guidelines, a systematic search of PubMed, Scopus, Web of Science, CENTRAL, and EMBASE was conducted up to September 2024. Eligible randomized controlled trials included semiprofessional athletes receiving sesame supplementation (oil, extract, capsule, or whole seed) for ≥4 weeks, with placebo or no-supplement comparators under identical training protocols. Primary outcomes assessed oxidative stress biomarkers, muscle damage markers, inflammatory cytokines, and immune response parameters.ResultsA total of 290 studies were initially identified, with four randomized controlled trials meeting the inclusion criteria after screening. These trials, spanning 4-10 weeks with a total of 140 participants, revealed that sesame supplementation significantly enhanced antioxidant defenses, as indicated by increased levels of glutathione peroxidase (GPx), superoxide dismutase (SOD), and vitamins A, C, and E, while reducing oxidative stress markers such as malondialdehyde (MDA). Additionally, the combination of aerobic exercise and sesame improved anti-inflammatory markers, including a reduction in interleukin-6 (IL-6) and interleukin-1β (IL-1β), though cytokine modulation appeared to be primarily attributable to exercise alone.ConclusionThese findings highlight the potential of sesame supplementation as a natural adjunct to exercise regimens in mitigating oxidative and inflammatory stress, with implications for enhancing athletic performance and recovery.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"831-843"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119595","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":"Benefit of <i>Lycium barbarum</i> polysaccharide supplementation in patients with nonalcoholic fatty liver disease: A pre-post study.","authors":"Yanna Fan, Yan Pu, Xiaojuan Xu, Jianjun Yang","doi":"10.1177/02601060251357979","DOIUrl":"10.1177/02601060251357979","url":null,"abstract":"<p><p><b>Background:</b> Nonalcoholic fatty liver disease (NAFLD) is characterized by an abnormal accumulation of lipids in the liver tissue. <b>Aim:</b> This study aims to evaluate the potential therapeutic effect of oral <i>Lycium barbarum</i> polysaccharide (LBP) capsules in patients with NAFLD. <b>Methods:</b> A pre-post-intervention clinical trial involving 13 participants, aged 28-50 years, was conducted at a community health center. Participants underwent abdominal ultrasound and laboratory tests, including alanine aminotransferase level measurements. During the 12-week intervention period, participants received a daily oral LBP supplement capsule (300 mg). We collected blood and stool samples at baseline and postintervention, which were for 16S rRNA gene sequencing and metabolomics analysis. <b>Results:</b> Postintervention, significant reductions (<i>p</i> < 0.05) were observed in gamma-glutamyltransferase (GGT), ALB, TP, and D-BIL levels. There were 125 upregulated and 65 downregulated metabolites. LBP supplementation increased Gemmiger abundance. Microbiota diversity, analyzed through 16S rRNA sequencing, showed altered phylum distribution in fecal samples, with PICRUSt2 indicating effects on linoleic acid metabolism. Changes in negative correlations between specific lipid metabolites, such as Her2Cer(d14:0_22:6), and enzyme activities like GGT, were also noted. <b>Conclusion:</b> <i>Lycium barbarum</i> polysaccharide intervention may enhance GGT, ALB, TP, and D-BIL levels, demonstrating beneficial effects on critical biochemical parameters in NAFLD patients. Correlation analysis showed LBP alters the relationship between specific lipid metabolites and enzyme activity, notably between GGT and Her2Cer(d14:0_22:6), laying groundwork for further research on LBP's impact on NAFLD. <b>Trial registration:</b> Chinese Clinical Trial Registry, ChiCTR2000034740, and Institutional Ethics Committee of Ningxia Medical University, 2019-329.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1045-1054"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760621","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":"Expanded mindful eating and environmental awareness: Impacts on food portion choices at restaurants.","authors":"Iori Nishida, Rie Akamatsu","doi":"10.1177/02601060251333498","DOIUrl":"10.1177/02601060251333498","url":null,"abstract":"<p><p><b>Background and aim:</b> To find ways to encourage \"ordering the appropriate amount of food\" at restaurants, we examined the relationship between dietary attitudes using Expanded Mindful Eating Scale (EMES) and \"ordering the appropriate amount of food.\" <b>Methods:</b> A survey was conducted on 1000 people aged 20 to 64 in Tokyo. The respondents were asked about items related to \"ordering the appropriate amount of food\" and then divided into two groups: low-scoring group and high-scoring group for \"ordering the appropriate amount of food.\" For the food attitude scale, we used EMES. Then, the two groups were compared with regard to scores of EMES and demographics using Mann-Whitney's U test and chi-square test. Moreover, logistic regression analysis was performed, with the two groups of \"ordering the appropriate amount of food\" as the dependent variable, each subscale of EMES as the independent variable, and demographics as the adjusting variables. <b>Results:</b> The results showed that those who ordered an appropriate amount of food were more likely to have global environmental consideration, food appreciation, and hunger and satiety (odds ratio [95% confidence interval]: 1.41 [1.08-1.85], 1.46 [1.05-2.03], 1.67 [1.22-2.30]). However, those who could control their appetite from external stimuli and those who did not judge food as good or bad were not associated with \"ordering the appropriate amount of food.\" <b>Conclusions:</b> Although causality cannot be established due to the cross-sectional design, this study suggests that promoting care for the global environment, appreciation for food, and awareness of hunger and satiety may encourage \"ordering the appropriate amount of food.\"</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"853-860"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020722","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":"Ultra-processed foods and premenstrual syndrome symptoms: Does consumption amount increase symptom severity?","authors":"Duygu Bekar, Aya Azmanı Matar, Kevser Tari Selçuk, Hande Öngün Yilmaz, Sedat Arslan","doi":"10.1177/02601060251338498","DOIUrl":"10.1177/02601060251338498","url":null,"abstract":"<p><p><b>Background:</b> Nutrition can influence the occurrence of Premenstrual Syndrome (PMS) symptoms such as depression and food addiction. However, there is insufficient evidence on how ultra processed foods (UPFs) characterised by high sugar, fat and additive content contribute to PMS symptoms. <b>Aim:</b> This study aimed to examine the relationship between UPF consumption and PMS symptoms including depressed affect, anxiety, fatigue, irritability, and pain severity among female university students. <b>Methods:</b> The study is cross sectional. It was conducted among 432 female students from Bandirma Onyedi Eylul University. The data collection tools included descriptive information form, UPF consumption frequency questionnaire, and the PMS scale. Numbers, percentages, mean, standard deviation and multiple linear regression analysis were used in the analysis of the data. <b>Results:</b> In this study in Model 1 and Model 2 and Model 3 adjusted for confounding variables, an increase in UPF consumption was found to be associated with an increase in PMS scale subscale scores (p < 0.05). <b>Conclusion:</b> This study shows that an increase in UPF consumption exacerbates PMS symptoms such as depression, anxiety, fatigue, irritability, depressive thoughts, pain, appetite changes, and sleep changes, except bloating. Given these results, limiting UPF intake and adopting a balanced diet rich in whole foods, fiber, and essential nutrients may help alleviate PMS symptoms. Future interventions should focus on dietary education and awareness programs to promote healthier eating habits among young women.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"905-912"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022125","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":"Vitamin D status and its association with diabetic complications in type 2 diabetes mellitus: A case-control study.","authors":"Ashna Chackochan, Swetha R Reghunath, Vasudeva Guddattu, Girish Thunga, Shivashankara Kaniyoor Nagri, Revathi P Shenoy, Vishnu Prasad Shenoy, Leelavathi D Acharya","doi":"10.1177/02601060251359708","DOIUrl":"10.1177/02601060251359708","url":null,"abstract":"<p><p><b>Background:</b> Vitamin D deficiency remains as a significant public health challenge, even in sun-rich countries like India. Emerging evidence indicates that vitamin D plays a critical role in the pathophysiology of various chronic conditions, including type 2 diabetes mellitus (T2DM). <b>Aim:</b> Our study aims to examine the association between vitamin D deficiency and diabetic complications. <b>Methods:</b> This case-control study was conducted at a south Indian tertiary care facility between August 2023 and August 2024. The medical records of patients with T2DM admitted to the Department of Medicine between 2017 and 2022, with recorded vitamin D levels, were included. Patients with diabetic complications were enrolled as cases (n = 873), and those without any complications (n = 566) served as controls. The association between vitamin D deficiency and diabetic complications was determined using multivariate logistic regression, expressed as odds ratios (OR) with 95% confidence intervals (CI) using R version 4.4.1. <b>Results:</b> Multivariate logistic regression indicated that vitamin D deficiency was significantly associated with the development of diabetic complications, specifically neuropathy (adjusted OR (AOR) = 4.09, 95% CI 2.34-7.63, p < 0.001), nephropathy (AOR = 5.23, 95% CI 2.72-10.85, p < 0.001), retinopathy (AOR = 2.52 95% CI 1.44-4.69, p < 0.001), ischaemic heart disease (IHD) (AOR = 2.19, 95% CI 1.33-3.76, p = 0.003) and diabetic foot disease (DFD) (AOR = 2.66, 95% CI 1.34-5.91, p = 0.008). Vitamin D levels were significantly associated with factors affecting sun exposure, such as gender (p = 0.005), place of residence (p < 0.001) and type of occupation (p = 0.006). <b>Conclusion:</b> Vitamin D deficiency was found to be independently associated with neuropathy, nephropathy, retinopathy, IHD and DFD, indicating its possible involvement in the pathophysiology of these diabetic complications.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1063-1071"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13144650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699054","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":"Opportunity cost of tobacco consumption on household nutrition in India: A state-level analysis.","authors":"Sajda Khatoon, Paramita Bhattacharya, Nirmalya Mukherjee, Amit Yadav, Pranay Lal","doi":"10.1177/02601060241257286","DOIUrl":"10.1177/02601060241257286","url":null,"abstract":"<p><p><b>Background:</b> The consumption of tobacco in low-income countries is linked to poverty and malnutrition, particularly in India, where 14% of the population suffers from undernourishment. This study aims to assess the opportunity costs of tobacco expenditure by quantifying nutritional losses and potential enhancements in household-level food energy status if funds allocated for tobacco were redirected towards food consumption in all Indian states. <b>Database and Methodology:</b> This study is based on secondary data obtained from NSSO 68th Round, 2011-12. The analysis involves the calculation of the costs of tobacco products along with essential cereals and proteins in order to assess the nutritional deficiencies experienced by households in different states. The National Institute of Nutrition's recommended \"My Plate\" per day food requirements in 2020, and calorie requirements for males and females as recommended by Recommended Dietary Allowance (RDA), 2020 were considered to calculate the opportunity cost of tobacco expenses. <b>Results:</b> Tobacco accounts for 3.6% of food expenditure in rural India and 2.9% in Urban India. Highest tobacco expenditure as proportion of food expenditure in rural India was found in Rajasthan (7.5%), Maharashtra (5.4%), North-eastern states (4.9%) and Haryana (4.8%) while Madhya Pradesh (3.5%), Maharashtra (3.4%), Rajasthan and North-east (3.3%) have the highest proportion in urban India. <b>Conclusion:</b> The findings suggest that reduction of tobacco expenses and proper re-allocation of resources will facilitate improvement and optimization of tobacco prevention and control strategies.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"845-851"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145438767","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":"Association between food parenting practices and adulthood portion size selection to avoid overeating among Japanese: The mediating role of health and food waste concern.","authors":"Yui Kawasaki, Sayaka Nagao-Sato, Misa Shimpo, Rie Akamatsu","doi":"10.1177/02601060251341002","DOIUrl":"10.1177/02601060251341002","url":null,"abstract":"<p><p><b>Background:</b> Food parenting practices (FPPs) play a crucial role in shaping children's adulthood-portion size selection to avoid overeating (PSO), which are integral in the prevention of obesity, reducing overproduction, and reducing food waste. <b>Aim:</b> This study aimed to describe the relationship between several FPPs and implementation of PSO in adulthood and the mediating role of interest in health (IH) in adulthood and attitude toward food waste (AFW) in the above-mentioned association among Japanese adults. <b>Methods:</b> A total of 1707 Japanese adults who responded to an anonymous web-based questionnaire survey in February 2023 were included in the analysis (women: n = 865, 50.7%). Data on FPPs (nine items), PSO (eight items), IH (five items), AFW (three items), and demographic and anthropometric data were collected. Nine mediation models for each FPP were created, and mediation analysis with percentile-corrected bootstrap confidence intervals adjusted for demographic and anthropometric data was performed to examine the direct and mediation effects. <b>Results:</b> Significant direct effects were observed for all nine models (<i>B</i> = 0.33-0.74, <i>p</i> < 0.001). In addition, partial mediation was established in all the models without AFW for one FPP. Adulthood IH (indirect effect-adjusted model: <i>B</i> = 0.06-0.13) and AFW (B = -0.03-0.06, except for one FPP model) mediated the association between FPPs and adult PSO. The indirect effects accounted for 11.4-22.3% (IH) and 3.6-5.6% (AFW) of the total effects, respectively. <b>Conclusion:</b> The results provide new insights for the establishment of appropriate FPPs to promote PSO. This study suggests the potential impact of FPPs on PSO in adulthood.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"957-965"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079168","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":"Creatine supplementation and cognitive aging: The challenge of crossing the blood-brain barrier.","authors":"Marco Machado","doi":"10.1177/02601060251404327","DOIUrl":"10.1177/02601060251404327","url":null,"abstract":"<p><p><b>Background:</b> Creatine supplementation has been widely studied for muscle health and aging. Recently, its possible effects on brain function and cognition in older adults have drawn attention, though consistent clinical evidence remains limited. <b>Aim:</b> To discuss current challenges and limitations regarding creatine supplementation as a strategy for cognitive improvement in older adults. <b>Methods:</b> Not applicable (commentary article, no original methods involved). <b>Summary:</b> A key uncertainty is whether supplemented creatine crosses the blood-brain barrier in sufficient amounts to affect neuronal metabolism. Although some studies show modest brain creatine increases, methodological constraints, individual variability, and the absence of standardized protocols limit firm conclusions. Assertions of cognitive enhancement based solely on supplementation risk overstating available data. This commentary highlights physiological and methodological barriers and calls for rigorous trials using advanced imaging, standardized dosing, and integration with lifestyle interventions. Until such evidence is available, creatine supplementation for cognition in older adults should be considered a hypothesis rather than an established clinical practice.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"761-763"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145701380","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":"Impact of diurnal versus nocturnal time-restricted eating on cardiometabolic health and circadian rhythm in healthy adults: A protocol for systematic review and meta-analysis.","authors":"Aleef Daniel, Kyaimon Myint, Ruby Husain, Salah A Alshehade, Mohammed Abdullah Alshawsh","doi":"10.1177/02601060261417201","DOIUrl":"10.1177/02601060261417201","url":null,"abstract":"<p><p>BackgroundCircadian rhythm, the body's internal clock, synchronises with the 24-h light-dark cycle and is influenced by environmental cues such as light exposure and meal timing. Disruptions in this rhythm due to modern lifestyle factors, including irregular eating schedules, are linked to increased risks of cardiometabolic diseases. Time-restricted eating (TRE), which limits food intake to an 8-12 h window, often aligns with daytime (diurnal) eating and supports circadian alignment. In contrast, nocturnal TRE patterns, such as during Ramadan, may disrupt this rhythm by shifting food intake to nighttime.AimTo conduct a systematic review and meta-analysis evaluating the differential impacts of diurnal and nocturnal TRE on cardiometabolic health and circadian rhythm in healthy adults.MethodsThis review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and is registered with PROSPERO (CRD42023374947). A comprehensive search will be conducted using PubMed, Web of Science and Scopus. Two independent reviewers will screen titles, abstracts and full texts, extract data using a standardized form and assess risk of bias. Qualitative and quantitative (meta-analysis) synthesis will be conducted where appropriate.SummaryThis protocol outlines the methodology for synthesising current evidence on the differential effects of diurnal versus nocturnal TRE patterns. The findings will inform future dietary interventions aimed at optimising cardiometabolic health through circadian-aligned nutrition strategies.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"733-748"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195209","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 board game-based nutrition education on nutritional behaviors, self-efficacy, and attitudes of primary school children.","authors":"Beyzanur Çamlıbel, Nazan Tokatlı Demirok","doi":"10.1177/02601060251337586","DOIUrl":"10.1177/02601060251337586","url":null,"abstract":"<p><p>BackgroundDeveloping healthy eating habits from childhood through nutrition education is crucial for healthy societies, and game-based educational approaches enhance learning by offering more engaging alternatives to traditional methods.AimThe aim of our study is to design a board game that enables primary school children to recognize food and to evaluate the effects of this game-based nutrition education intervention on children's nutritional behaviors, self-efficacy and attitudes.MethodsThis pre-test post-test randomized controlled experimental study included 50 fourth-grade students aged 9-11 years, 24 in the intervention group and 26 in the control group. The intervention group received the FoodHunter game once a week for 4 weeks. The participants' nutritional behaviors were evaluated with the Food Behaviour Scale (FBS) and the Food Frequency Questionnaire (FFQ), their nutritional behaviors with the FBS, their nutritional self-efficacy with the Children's Dietary Self-Efficacy Scale (CDSS), and their nutrition attitudes with the Nutrition Attitude Subscale (NAS) before and after the intervention. After the intervention, the game was evaluated with FoodHunter Evaluation Questions (FHEQ).ResultsIn the FoodHunter intervention group, the FBS, CDSS, and NAS scores were significantly greater in the postintervention group than in the control group (<i>p</i> < 0.05). A moderate positive and significant correlation was found between the FHEQ score and the NAS score (<i>r</i> = 0.419, <i>p</i> < 0.05) and between the FHEQ score and the FBS score (<i>r</i> = 0.474, <i>p</i> < 0.05).ConclusionsThis study confirms the effectiveness of the developed FoodHunter game intervention in improving primary school children's nutritional behaviors, self-efficacy, and attitudes.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"913-924"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991213","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}