Nutrition and health最新文献

{"title":"Zinc as an adjunct in radiation-based therapies: Evidences of radioprotection and mechanistic insights.","authors":"Sachin Tayal, Navpreet Kaur, Tanzeer Kaur, Vijayta D Chadha","doi":"10.1177/02601060251329404","DOIUrl":"10.1177/02601060251329404","url":null,"abstract":"<p><p>BackgroundRadiation-based therapies are a progressive modality for managing life-threatening diseases such as cancer. However, these treatments often inflict damage on non-target tissues, necessitating the development of effective radioprotective agents. Zinc, known for its diversified role under various pathological conditions, has emerged as a potential protective agent against radiation-induced injuries due to its antioxidant, anti-inflammatory and immune-regulating properties.AimThis review aims to evaluate the potential of zinc in mitigating the adverse effects associated with radiation-based therapies, focusing on its protective role in normal tissue injury.MethodsA comprehensive literature review was conducted using multiple databases, including PubMed, NCBI, SciFinder, Google Scholar and Science Direct. Relevant studies assessing the radioprotective effects of zinc were identified and analysed to summarise its efficacy and potential benefits in radiation therapy.ResultsThe review highlights the beneficial effects of zinc in managing radiation-induced adverse effects, such as oral mucositis, skin injury, dermatitis, xerostomia, dysgeusia, dysosmia, bone marrow regeneration and oxidative stress reduction. Zinc's role as an antioxidant and anti-inflammatory agent, along with its ability to regulate immune system homeostasis, underpins these protective effects.ConclusionsZinc shows promising potential as a radioprotective agent in mitigating the adverse effects of radiation-based therapies. Despite the positive preclinical and clinical findings, further randomised trials with larger sample sizes and rigorous methodologies are needed to confirm zinc's efficacy. Additionally, further research is warranted to explore zinc's potential in addressing other radiation-induced events, ultimately contributing to improved patient care during radiation therapy.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"851-866"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102301","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":"Assessing post-operative dietary intake in older adult hip fracture patients: An observational study protocol.","authors":"Helen Lloyd, Naomi Burn, Sarah Allison, Cecile Jones, John Derek Franklin","doi":"10.1177/02601060241307768","DOIUrl":"10.1177/02601060241307768","url":null,"abstract":"<p><p><b>Background:</b> Fragility fractures of the hip are a common injury in England. Meeting post-operative resting energy expenditure (REE) needs are fundamental to recovery from trauma that with greater nutritional intake, post-operative complications and length of stay can be reduced. However, dietary intake can be overlooked when the goal is prompt surgery to reduce pain and lower the risks of mortality at 30 days and 1 year. <b>Aims:</b> The primary aim of this study is to observe if post-operative dietary energy intake (kJ/kcal) of older adult hip fracture patients meets their post-operative REE needs to mobilise post-surgery. Secondly, we aim to explore if there is a relationship between length of stay, comorbidity and post-operative complications in relation to dietary intake. <b>Methods and analysis:</b> Using a weighed food method, all food and fluid intake from the day of surgery until post-operative day three inclusive will be recorded for a cohort of 30 older adult hip fracture patients. Dietary intake per day will be compared against REE and macronutrient requirements. Baseline sociodemographic and medical history data will be obtained, along with admission data such as malnutrition screening and type of fracture. Regression analysis will be used to explore associations between dietary intake, post-operative complications and length of stay where indicated and to identify if there are areas for further dietary development in this specific patient group. <b>Ethics and dissemination:</b> The Health Research Authority approved this study (REC 24/NE/0034). Findings will be published in peer-reviewed, scientific journals and presented at academic conferences.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"805-811"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143008501","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":"Management of adolescent obesity in developing countries: A systematic review.","authors":"Michael Akenteng Wiafe, Jessica Ayensu, Georgina Benewaa Yeboah, Divine Eli-Cophie, Anita Benewaa","doi":"10.1177/02601060251330027","DOIUrl":"10.1177/02601060251330027","url":null,"abstract":"<p><p><b>Background:</b> Adolescent obesity is a menace that demands a multi-factorial approach to its management and prevention. <b>Aim:</b> The purpose of this review was to assess interventions used in the management of adolescent obesity in developing countries. <b>Methods:</b> Electronic search were conducted between January 2000 and December 2022 on six databases: Pubmed, GoogleScholar, CINAHL, SCOPUS, Cochrane Library and Science Direct and three clinical trial registries: Pan African Clinical Trial, World Health Organization and clinicalTrial.gov. The quality of the included studies was assessed using the Effective Public Health Practice Project. <b>Results:</b> Eighteen studies met the inclusion criteria. The studies were conducted in Africa (<i>N</i> = 7), Asia (<i>N</i> = 6) and South America (<i>N</i> = 5). The sample size ranged from 10 to 4003 at baseline. The studies were carried out in schools (<i>N</i> = 13) and hospitals (<i>N</i> = 5) with four main varied designs: controlled trial (<i>N</i> = 7), quasi-experimental (<i>N</i> = 3), cohort (<i>N</i> = 3) and longitudinal (<i>N</i> = 4). The duration of the interventions ranged from six weeks to three years. The interventions were nutrition education (NE) and physical education (PE) (<i>N</i> = 11), PE only (<i>N</i> = 3), Surgery/NE (<i>N</i> = 1), Surgery/NE/PE (<i>N</i> = 1) and psychotherapy/NE/PE (<i>N</i> = 2). Three studies that used NE and PE and five studies that used same reported significant differences in body mass index for-age z score (zBMI) and waist circumference, respectively. Studies that included surgeries in the interventions reported significant differences in weight, zBMI and waist-to-hip ratio. <b>Conclusions:</b> Few intervention studies have been done on management of adolescent obesity in developing countries and largely effective. All interventions prioritized nutrition and/or PE. The studies were largely school-based.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"891-906"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701048","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":"Beneficial effects of saw palmetto (<i>Serenoa repens</i>) fruit extract on the urinary symptoms of healthy Japanese adults with possible lower urinary tract symptoms: A randomized, double-blind, placebo-controlled study.","authors":"Mai Kimura, Ikuya Ishii, Asami Baba, Tsuyoshi Takara","doi":"10.1177/02601060241265389","DOIUrl":"10.1177/02601060241265389","url":null,"abstract":"<p><p>Saw palmetto extract (SPE) is the most commonly used supplement for the treatment of lower urinary tract symptoms (LUTS), but most evidence is for those with LUTS, and little data is verifying its effectiveness for those who do not have the disease but are troubled by symptoms. The purpose of this study was to examine the effect of SPE on the improvement of urinary frequency problems that present stress due to urinary urgency in daily life, among healthy Japanese adults aged ≥50 years who are not diagnosed with benign prostatic hyperplasia or overactive bladder. They were randomly assigned to the SPE group or placebo group (34 participants per group) using a computerized random number generator. Each participant was instructed to take one capsule containing SPE (320 mg) or placebo every day for 12 weeks. Subjective symptoms were assessed using the overactive bladder questionnaire, and the score of symptom bother by frequent urination during the daytime hours was set as the primary outcome. The other outcomes were subjective urinary symptoms and urinary frequencies. The final efficacy analysis dataset was per protocol set, and 33 participants in each group were analyzed. After SPE intervention for 12 weeks, the score of symptom bother by frequent urination during the daytime hours was significantly improved and the daytime frequency of urination assessed using the urinary log was significantly decreased. The consumption of SPE improved urinary frequency-related quality of life such as bother of urinary symptoms in healthy Japanese adults (UMIN000045334).</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"965-977"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141752279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The nutritional status according to anthropometric indexes and growth patterns in children and adolescents with cerebral palsy: A scoping review of the literature.","authors":"Andrea A García-Contreras, Lucía Vázquez-Rocha, Carlos García-Contreras","doi":"10.1177/02601060251337779","DOIUrl":"10.1177/02601060251337779","url":null,"abstract":"<p><p><b>Background:</b> Determining the nutritional status of children with cerebral palsy (CP) presents numerous challenges. Accurate nutritional assessment is crucial in this population to ensure the provision of appropriate and effective nutritional interventions. <b>Aim:</b> This scoping review aimed to analyze the most frequently used anthropometric indexes and growth patterns to determine the nutritional status of children and adolescents with CP. <b>Methods:</b> The literature search was performed in six databases Scopus, Cochrane Library, Web of Science, SciELO, Medline and PubMed. It was conducted on studies that included children aged 0 to 18 years. Sixty-three publications met the inclusion criteria. <b>Results:</b> The prevalence of undernutrition was higher when WHO growth standards and CDC growth charts were used (93.3% and 56.8%, respectively), whereas the prevalence of normal nutritional status was higher when US CP growth charts were used (92.5%). The prevalence of stunting was higher with the WHO growth standards (97.7%) and lowest with the US CP growth charts (4.3%). The WHO growth standards were the most frequently used (50.8%), followed by the CDC growth charts (22.2%) and the US CP growth charts (12.7%). <b>Conclusion:</b> The index with more relevance in this scoping review was BMI since it was addressed in 77.8% of the studies. When assessing the nutritional status with typically developed children's patterns, there was a higher prevalence of undernutrition and stunting. When using US CP growth charts, more children were included in the normal range. More studies are needed to determine which growth pattern is a better indicator of health.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"867-878"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102283","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":"Preliminary findings on the influence of the presence of others' eyes on food intake.","authors":"Risa Santa, Mana Miyamoto, Kenichi Shibuya","doi":"10.1177/02601060241282941","DOIUrl":"10.1177/02601060241282941","url":null,"abstract":"<p><p><b>Background:</b> The presence of others' eyes has been shown to influence food evaluation. <b>Aim:</b> The purpose of the present study was to investigate whether the presence of others' gaze would lead to a reduction in food intake in accordance with social norms. <b>Methods:</b> In this study, we enlisted the participation of 30 volunteers. During the experiment, participants had the opportunity to consume noodles freely as much as they wanted while viewing one of the three images: (1) featuring a person with open eyes (Open condition), (2) depicting a person with closed eyes (Closed condition), and (3) displaying an image devoid of a person (None condition). <b>Results:</b> Food consumption in each condition was 460.00 ± 20.97 g for the Open condition, 515.57 ± 22.97 g in the Closed condition, and 505.03 ± 21.05 g in None condition. The condition had a statistically significant main effect (<i>F</i> = 4.656, <i>p</i> = .013). The Least-Square means analysis revealed that food consumption in the Open condition was significantly lower than in the other two conditions (Closed and None conditions) (Closed - Open: <i>t</i> = 2.872 [95% CI: 16.844-94.289], <i>p</i> = .006; None - Open: <i>t</i> = 2.328 [95% CI: 6.311-83.756], <i>p</i> = .023). There was no significant difference in food consumption between the Closed and None conditions (Closed - None: <i>t</i> = 0.545 [95% CI: -28.189-49.256], <i>p</i> = .588). <b>Conclusion:</b> The results of the present study suggest that the presence of others' eyes would reduce food intake in accordance with social norms.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1189-1194"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292320","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":"Protein intake by master swimmers: Implications for practice in Sports Nutrition-A cross-sectional study.","authors":"Michelle Santos de Souza, Cássia Daniele Zaleski Trindade, Flávio Antônio de Souza Castro, Caroline Buss, Cláudia Dornelles Schneider","doi":"10.1177/02601060241276918","DOIUrl":"10.1177/02601060241276918","url":null,"abstract":"<p><p><b>Background:</b> Proteins are essential for the maintenance, repair, and growth of muscle mass. This is particularly important for master athletes because aging has been associated with loss of muscle mass, function, and strength. Moreover, the timing of intake has been shown important for the best protein utilization. <b>Aim:</b> To analyze timing, quantity, and source of dietary protein in competitive master athletes according to current recommendations. <b>Methods:</b> Twenty-one male master swimmers (47.9 ± 10.0 years; 79.2 ± 6.5 kg; 179.1 ± 5.5 cm; 23.5 ± 4.9% body fat; 73.3 ± 4.2% lean mass) participated in this cross-sectional study. Protein intake was analyzed based on 7-day food records, regarding quantity, timing, and sources of intake. Protein intake was evaluated according to current international sports nutrition guidelines, including the International Society of Sports Nutrition Position Stand. Body fat (%) and lean mass (%) were evaluated using dual-energy X-ray absorptiometry. <b>Results:</b> Participants' mean protein intakes were 1.9 ± 0.5 g/kg/day, 0.6 ± 0.2 g/kg/meal post-training, and 33.5 ± 23.9 g during the pre-sleep period. Daily intake was within the recommended values of 1.4 and 2.0 g/kg/day (<i>p</i> = 0.01 and 0.147, respectively). Mean pre-sleep intake was within the recommendation values of 30-40 g (<i>p</i> = 0.28 and 0.147, respectively). Most of the daily protein intake was consumed at lunch (66.7 ± 6.9 g) and dinner (48.0 ± 4.5 g). Regarding protein sources, intakes from animal, vegetal, and supplements were, respectively, 65.7%, 29.2%, and 5.1%. <b>Conclusion:</b> Master swimmers presented a total protein intake within the recommendations for a daily basis, but the majority of intake was at lunch and dinner. Protein intake could be better distributed throughout the day to optimize protein synthesis. Guidance on daily protein intake distribution should be reinforced in clinical practice.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1095-1101"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142109979","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":"Fat-soluble vitamins as biomarkers of nutritional status and their relation with complications in polytrauma patients.","authors":"Esmee A H Verheul, Ebru Horzum, Suzan Dijkink, Pieta Krijnen, Jochem M Hoogendoorn, Sesmu M Arbous, Ron Peters, Inger B Schipper","doi":"10.1177/02601060241273640","DOIUrl":"10.1177/02601060241273640","url":null,"abstract":"<p><p>Background and AimsThis exploratory observational prospective study aimed to evaluate fat-soluble vitamin plasma levels during hospital admission and its relation with the development of malnutrition and complications in polytrauma patients, considering the protocolized multivitamin supplementation during intensive care unit (ICU) admission.MethodsIn 49 well-nourished polytrauma (injury severity score ≥ 16) patients admitted to the ICU of two level-1 trauma centers, vitamin A, D, and E levels were assessed weekly during hospital stay. All patients received multivitamin supplementation during ICU stay. Linear mixed-effect models were used to assess a trend in vitamin levels over time during hospital stay. Mixed-effects logistic regression analysis was performed to relate vitamin concentrations with malnutrition, defined as a subjective global assessment score ≤5, and complications.ResultsVitamin A levels increased 0.17 µmol/L per week (95% confidence interval 0.12-0.22, p < 0.001), vitamin D levels increased 1.49 nmol/L per week (95% confidence interval 0.64-2.33, p < 0.01), vitamin E levels increased 1.17 µmol/L per week (95% confidence interval 0.61-1.73, p < 0.001) during hospital stay (29 ± 17 days). Vitamin levels were not related to malnutrition or complications during hospital stay.ConclusionVitamin A, D, and E levels increased due to supplementation during hospital admission. Plasma levels of vitamins A, D, and E do not seem to be useful as biomarkers for the nutritional status of polytrauma patients during hospital stay. No correlation with complications could be demonstrated.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"1067-1075"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000471","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":"Is enteral vitamin A supplementation the right approach for preventing bronchopulmonary dysplasia in preterm infants?","authors":"Anum Akbar, Muhammad Hamza Khan, Amna Zaheer, Asad Gul Rao","doi":"10.1177/02601060251349883","DOIUrl":"10.1177/02601060251349883","url":null,"abstract":"<p><p>BackgroundVitamin A is a fat-soluble micronutrient crucial for vision, immune function, and cellular growth. Deficiency remains a significant public health issue, particularly in developing countries, contributing to increased morbidity and mortality. Despite various supplementation and fortification programs, vitamin A deficiency persists due to dietary inadequacies and socioeconomic disparities. Recent studies have also explored concerns about excessive intake, linking high doses to toxicity and adverse health outcomes.AimThis letter aims to highlight the ongoing challenges in addressing vitamin A deficiency, emphasize the importance of balanced intake, and propose strategic interventions for improving vitamin A status globally. Strengthening public health initiatives and increasing awareness about the risks of both deficiency and toxicity can lead to better health outcomes.ObjectiveTo assess the current burden of vitamin A deficiency, discuss the limitations of existing supplementation and fortification programs, and suggest evidence-based strategies to ensure optimal vitamin A levels in at-risk populations.MethodsNot Applicable.ResultsDespite extensive public health efforts, vitamin A deficiency affects millions, particularly children and pregnant women. While supplementation has shown benefits in reducing mortality and blindness, gaps in distribution, adherence, and dietary diversification hinder progress. Additionally, excessive vitamin A intake has been associated with hepatotoxicity and teratogenic effects, necessitating a balanced approach.ConclusionAddressing vitamin A deficiency requires a multifaceted approach, including sustainable dietary interventions, improved supplementation strategies, and stricter regulation of fortified foods to prevent toxicity. Strengthening nutrition education and integrating vitamin A programs with broader health initiatives can enhance effectiveness and long-term impact.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"827-830"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285825","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":"Food insecurity and use of electronic vapor products among high school students.","authors":"Namrata Sanjeevi","doi":"10.1177/02601060241258578","DOIUrl":"10.1177/02601060241258578","url":null,"abstract":"<p><p><b>Background:</b> Studies have shown that food insecurity is associated with electronic vapor products (EVP) use in adults; however, an understanding of this relationship in adolescents is needed to inform prevention efforts in this age group. Aim: Examine the relationship of food insecurity with EVP use patterns, frequency and source of acquisition in high school students. <b>Methods:</b> This cross-sectional study used Youth Risk Behavior Survey (YRBS) 2019 data from states that incorporated the YRBS' optional food insecurity question. The data included 42,154 high school students with complete information on food insecurity and two EVP-related questions. Responses to EVP-related questions identified \"ever users,\" \"current users,\" \"former users,\" \"current dual EVP-cigarette users,\" and assessed \"frequency of EVP use among current users\" and \"source of EVP acquisition.\" Logistic regression examined associations of food insecurity with EVP-related outcomes. <b>Results:</b> The proportion of high school students who ever used EVP was 48.3% and the proportion of food-insecure students was about 12%. Food security status significantly differed by race/ethnicity of students, such that the proportion of food insecure students classified as \"non-Hispanic White\" was lower than the proportion of food secure students classified as \"non-Hispanic White.\" Food insecurity was significantly associated with greater odds of ever EVP use (odds ratio (OR) = 1.75; 95% confidence interval (CI) = (1.55, 1.96)), current EVP use (OR = 2.07; 95% CI = (1.80, 2.37); using never users as reference category) and current dual use of EVP and cigarettes (OR = 2.91; 95% CI = (2.38, 3.55)). Food insecurity also was associated with greater odds of current EVP use (OR = 1.54; 95% CI = (1.28, 1.84)) when former users were used as reference category. In current users, food insecurity was related to greater odds of daily EVP use (OR = 1.40; 95% CI = (1.14, 1.70)) compared to occasional use. <b>Conclusions:</b> Study findings imply that efforts targeting prevention/cessation of EVP use should consider reducing food insecurity in high school students.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"925-931"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162020","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}