Otobo I Ujah, Olamide Asifat, Teniola Akinosho, Innocent A O Ujah, Russell Kirby
{"title":"Food insecurity status and perceived subjective well-being by maternal age and pregnancy status among women in Nigeria: a cross-sectional multilevel analysis.","authors":"Otobo I Ujah, Olamide Asifat, Teniola Akinosho, Innocent A O Ujah, Russell Kirby","doi":"10.1017/S1368980026102535","DOIUrl":"10.1017/S1368980026102535","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association between household food insecurity (HFI) and low subjective well-being (SWB) among pregnant and postpartum women and determine whether these potential associations differed by maternal age and pregnancy status.</p><p><strong>Design: </strong>We conducted a secondary analysis of nationally representative cross-sectional data from women of reproductive age (15-49 years). HFI was measured using the Food Insecurity Experience Scale and categorised as none/mild, moderate or severe. Weighted multilevel logistic regression models were used to estimate OR and 95 % CI for the association between HFI and low levels of three SWB measures: happiness, life satisfaction and optimism. Analyses were stratified by age and pregnancy status.</p><p><strong>Setting: </strong>Data were drawn from the 2021 Nigeria Multiple Indicator Cluster Survey, Round 6.</p><p><strong>Participants: </strong>The analytic sample comprised 12 587 women who were pregnant at the time of the survey or within 24 months postpartum.</p><p><strong>Results: </strong>HFI was significantly associated with all three measures of SWB, although the magnitude of associations varied by outcome, even after adjusting for individual-, household-and community-level characteristics. Stratified analyses revealed heterogeneity in the associations between HFI and SWB by age and pregnancy status. Overall, HFI was associated with lower levels of happiness, life satisfaction and optimism among pregnant and postpartum women in Nigeria.</p><p><strong>Conclusions: </strong>Our findings demonstrate a negative association between HFI and SWB among pregnant and postpartum women in Nigeria. These associations were modified by maternal age and pregnancy status, suggesting that strategies to mitigate HFI should account for subgroup differences in order to effectively improve maternal well-being.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e95"},"PeriodicalIF":3.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Grace Farhat, Musfirah Shariff, Charlotte Hopkinson, Zarish Yaqub, Sajda Majeed
{"title":"Dietary Knowledge and Perceptions in UK Pakistani/Bangladeshi Communities: A Survey on Low-Carbohydrate and Intermittent Fasting diets for Diabetes Prevention and Management.","authors":"Grace Farhat, Musfirah Shariff, Charlotte Hopkinson, Zarish Yaqub, Sajda Majeed","doi":"10.1017/S136898002610250X","DOIUrl":"https://doi.org/10.1017/S136898002610250X","url":null,"abstract":"<p><strong>Objective: </strong>To assess knowledge and perceptions of low-carbohydrate and intermittent fasting diets among UK-based Pakistani and Bangladeshi individuals for T2D prevention and management.</p><p><strong>Design: </strong>A cross-sectional survey.</p><p><strong>Setting: </strong>The survey was administered online using Jisc Online Surveys.</p><p><strong>Participants: </strong>Pakistani and Bangladeshi adults aged 18 and over who had lived in the UK for at least one year.</p><p><strong>Results: </strong>A total of 304 participants took part in the survey, of which 77% (N=234) were females and 80.3% (n=244) were Pakistanis. Intermittent fasting diets appeared to be somewhat more acceptable (N=107, 36%) than low-carbohydrate diets (N=68, 22.8%) particularly. Participants showed generally good dietary knowledge of carbohydrates and T2D, although some gaps were identified. Key barriers to dietary change included reluctance to alter established eating habits as well as low motivation. Age, education and living arrangements were significant predictors of dietary knowledge and dietary preferences.</p><p><strong>Conclusions: </strong>These findings support carrying out future research to test culturally tailored interventions, with particular attention to intermittent fasting approaches. Multidisciplinary interventions that involve family members, offer flexible meal timing and present dietary guidance within familiar cultural contexts may improve acceptability and adherence and lead to long term sustained benefits.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-27"},"PeriodicalIF":3.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Characteristics of the retail food environment and acceptability of policies promoting healthier restaurant food environments: to what extent are these concepts associated?","authors":"Jessica Lambert-De Francesch, Kadia Saint-Onge, Nazeem Muhajarine, Rosanne Blanchet, Lise Gauvin","doi":"10.1017/S1368980026102341","DOIUrl":"10.1017/S1368980026102341","url":null,"abstract":"<p><strong>Objective: </strong>This study explores associations between clusters characterising urban Canadians' retail food environments and their acceptability levels of three policies aimed at promoting healthier restaurant food environments (RFE).</p><p><strong>Design: </strong>The three examined policies related to (1) proposing healthier menu default options, (2) restricting the establishment of fast-food restaurants near schools and (3) eliminating unhealthy foods from municipal buildings' food outlets. Retail food environment clusters were available for 1- and 3-km buffer zones from the centroid of participants' residential dissemination area. Retail food environment data were extracted from <i>Can-FED</i>, whereas acceptability data were provided by the <i>THEPA</i> dataset.</p><p><strong>Setting: </strong>Retail food environments present across Canada's seventeen most populated census metropolitan areas.</p><p><strong>Participants: </strong>Urban-dwelling Canadians (<i>n</i> 27 162).</p><p><strong>Results: </strong>Results from multivariate multilevel logistic regression analyses showed that those who were surrounded by the greatest relative density of both healthy food outlets (HFO) and fast-food outlets (FFO) within a 3-km buffer zone were less likely to be in complete agreement with the fast-food zoning policy than the reference category. Findings also indicated that, within a 1-km buffer zone, those whose retail food environment was categorised as being the least healthy (no HFO and highest relative density of FFO) were less likely to be in complete agreement with the unhealthy food elimination policy than the reference category.</p><p><strong>Conclusions: </strong>This study provides new evidence of associations between retail food environments and RFE policy acceptability, which may help orient the implementation of these policies.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e97"},"PeriodicalIF":3.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Food consumption behaviour and self-perceived nutrition knowledge: a case study of students with limited formal nutrition education in pre-university schooling.","authors":"Wing-Fu Lai, Haotian Zhang, Sreekanth Reddy Obireddy","doi":"10.1017/S1368980026102468","DOIUrl":"10.1017/S1368980026102468","url":null,"abstract":"<p><strong>Objective: </strong>To investigate food consumption behaviour and self-perceived nutrition knowledge among university students, and to draw implications for nutrition education in contexts where formal nutrition education before university is limited.</p><p><strong>Design: </strong>A mixed-methods approach was adopted. A survey was first conducted to examine participants' food consumption behaviour and self-perceived nutrition knowledge. Thirty-four participants were then invited to take part in semi-structured interviews to gain more in-depth insights into their self-declared knowledge and related behaviours.</p><p><strong>Setting: </strong>Universities in China, representing a context of limited formal nutrition education in pre-university schooling.</p><p><strong>Participants: </strong>190 university students.</p><p><strong>Analysis: </strong>Interview transcripts were reviewed to verify participants' self-declared nutrition knowledge and identify misconceptions or gaps in understanding. Questionnaire data were analysed using descriptive statistics.</p><p><strong>Results: </strong>Students with higher education levels reported paying more attention to nutrition labels and selecting healthier snacks. However, interviews revealed that students who claimed to read nutritional claims during food purchases often misunderstood the meaning of sugar and fat content information. A significant 'illusion of knowing' was observed, and participants generally lacked awareness of authoritative food standards.</p><p><strong>Conclusion and implications: </strong>Illusion of knowing is common among students who have not received formal systematic nutrition education. Nutrition education programmes should prioritise raising students' understanding of basic food concepts and improving their ability to interpret nutrition information accurately, as part of broader health promotion efforts.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e98"},"PeriodicalIF":3.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Silvia Callegaro, Kyriaki Apergi, Francesca Scazzina, Daniela Martini, Donato Angelino, Alice Bongrani, Alice Rosi, Giovanni Passeri
{"title":"Nutrition knowledge and bone health: development and validation of the 'NutriBone' questionnaire for Italian adult women.","authors":"Silvia Callegaro, Kyriaki Apergi, Francesca Scazzina, Daniela Martini, Donato Angelino, Alice Bongrani, Alice Rosi, Giovanni Passeri","doi":"10.1017/S1368980026102444","DOIUrl":"10.1017/S1368980026102444","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to develop and validate a questionnaire assessing the nutrition knowledge (NK) of Italian adult women regarding the relationship between diet, lifestyle and bone health.</p><p><strong>Design: </strong>A thirty-item questionnaire in Italian was developed by experts based on a literature review. Participants completed the questionnaire twice, with a 2-4 week gap between the two administrations. During the initial administration, weight and height were recorded using a mechanical scale and a stadiometer, while bone mineral density (BMD) of the lumbar spine (L1-L4), femoral neck and total femur were assessed via dual-energy X-ray absorptiometry (DXA).</p><p><strong>Setting: </strong>Centre for Metabolic Bone Diseases at the Parma University Hospital, from January 2022 to June 2024.</p><p><strong>Participants: </strong>Women aged 45-75 years old, native Italian speakers, undergoing DXA at the Centre participated.</p><p><strong>Results: </strong>The sample included 295 women with a median age of 63 years (interquartile range 11·5). The questionnaire demonstrated good internal consistency (Cronbach's alpha = 0·698) and high temporal stability (R = 0·810, <i>P</i> = 0·002), effectively differentiating between individuals with and without a nutritional background. Regression analysis indicated negative associations between NK score and age (<i>β</i>1 = -0·130, <i>P</i> < 0·001) and BMI (<i>β</i>1 = -0·193, <i>P</i> < 0·001).</p><p><strong>Conclusions: </strong>The NutriBone questionnaire is a valid and reliable tool for evaluating NK related to bone health in Italian adult women undergoing DXA, with potential for future research applications.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e94"},"PeriodicalIF":3.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optimising school meals in Ghana: integrating new food and nutrient standards with aspects of affordability, cultural acceptability and environmental sustainability.","authors":"Patricia Eustachio Colombo, Alexandr Parlesak, Gloria Folson, Boateng Bannerman, Audrey Anang-Tetteh, Gabriel Ador, Lois Ackah-Swanzy, Melissa Vargas, Richmond Aryeetey, Aulo Gelli","doi":"10.1017/S136898002610247X","DOIUrl":"10.1017/S136898002610247X","url":null,"abstract":"<p><strong>Objectives: </strong>To optimise school food baskets in Ghana to meet newly proposed food and nutrition targets while considering cultural acceptability and cost.</p><p><strong>Design: </strong>This was a modelling study. Data on existing school meal menus were collected from various regions to provide baseline inputs. Linear programming (LP) was used to model school meal baskets that satisfied minimum nutrient and food targets for school meals while meeting cost and acceptability constraints. Five LP models were tested, each varying in budget constraints and acceptability/food-based parameters.</p><p><strong>Setting: </strong>Ghana.</p><p><strong>Participants: </strong>NA.</p><p><strong>Results: </strong>Baseline school food baskets were significantly deficient in energy, protein, Fe, Zn, vitamin A, folate, vitamin B<sub>12</sub> and vitamin C compared to food and nutrient standards for school meals in Ghana. Optimisation resulted in school food baskets that met cost, nutrient and food-based/acceptability targets but with substantial deviations from baseline. Achieving nutritional adequacy within cost limits increased reliance on animal-source foods and led to higher environmental impacts, indicating trade-offs between nutrition, affordability and environmental sustainability.</p><p><strong>Conclusion: </strong>The study underscores LP's potential for enhancing school meals in Ghana but highlights the need for increased financial investment for reaching dietary goals. Addressing local realities and cultural preferences is essential for implementing effective, sustainable school meal strategies and improving child health.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e99"},"PeriodicalIF":3.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mi Zhou, A Susana Ramírez, Xinyu Xu, Jacqueline Bergman
{"title":"Association between dietary self-perception and sugar-sweetened beverage consumption among young adult Latinas.","authors":"Mi Zhou, A Susana Ramírez, Xinyu Xu, Jacqueline Bergman","doi":"10.1017/S1368980026102523","DOIUrl":"10.1017/S1368980026102523","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the relationship between self-perceived overall dietary healthfulness and self-reported sugar-sweetened beverage (SSB) consumption among young adult Latinas, accounting for socio-economic and acculturation-related factors.</p><p><strong>Design: </strong>Cross-sectional analysis using survey data. SSB intake was assessed using the BEVQ-15, and dietary self-perception was measured via a two-item scale. Multiple linear regression models examined associations between self-perception and total daily SSB intake, adjusting for income, education and two validated acculturation indicators.</p><p><strong>Setting: </strong>Participants were recruited from a national online panel across the USA.</p><p><strong>Participants: </strong>A total of 881 Latina women aged 18-29 years participated. After removing cases with invalid outcome responses and outliers, 840 and 829 were included in descriptive and regression analyses.</p><p><strong>Results: </strong>Better dietary self-perception was significantly associated with greater total SSB intake in both unadjusted (B = 1·74, P = 0·048) and fully adjusted models (B = 2·10, P = 0·017). Lower income (B = -0·64, P = 0·031) and lower education (B = -0·77, P = 0·026) were also associated with higher intake. Acculturation variables were NS. Subcategory models showed positive associations between self-perception and sweet tea (B = 0·99, P < 0·001) and black coffee/tea with sugar (B = 0·51, P < 0·01) and a marginal inverse association with soft drinks (B = -0·47, P = 0·060).</p><p><strong>Conclusions: </strong>Young Latinas who perceive their diets as healthy may consume more added sugar from beverages than recommended. Public health efforts should address this perception gap and emphasise culturally relevant messaging about hidden sugars in commonly consumed drinks.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e102"},"PeriodicalIF":3.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniela Silva Canella, Patricia Gálvez Espinoza, Ana Beatriz Coelho De Azevedo, Larissa Loures Mendes
{"title":"Purchases and prices of unprocessed or minimally processed foods according to food outlets and income in Brazil.","authors":"Daniela Silva Canella, Patricia Gálvez Espinoza, Ana Beatriz Coelho De Azevedo, Larissa Loures Mendes","doi":"10.1017/S1368980026102481","DOIUrl":"10.1017/S1368980026102481","url":null,"abstract":"<p><strong>Objective: </strong>To assess the purchases and prices of unprocessed or minimally processed foods according to the type of food outlet and household income.</p><p><strong>Design: </strong>Cross-sectional study conducted with data from the 2017-2018 Brazilian Household Budget Survey. Food acquisition and income were the variables of interest. Unprocessed or minimally processed foods were identified according to the NOVA classification, and the shares of energy (kcal) and quantity (grams), as well as prices paid, were analysed. Food outlets were grouped into nine types. Household income per person was assessed in quintiles (Q). Descriptive analyses were conducted.</p><p><strong>Setting: </strong>Brazil.</p><p><strong>Participants: </strong>A nationally representative sample of 57 920 households.</p><p><strong>Results: </strong>The amount of unprocessed or minimally processed foods acquired varied from 320 g (Q1 of income) to 493 g (Q5). The increase in income had a positive effect on the share of foods purchased in supermarkets (Q1: 27·6 % v. Q5: 63·8 %) and fruit and vegetable retailers (Q1: 1·5 % v. Q4: 4·6 %). In contrast, an inverse relation was observed for Mini-markets (Q1: 34·9 % v. Q5: 16·2 %), butchers (Q1: 6·8 % v. Q5: 2·3 %), street markets (Q1: 13·3 % v. Q5: 3·8 %) and street food vendors (Q1: 5·3 % v. Q5: 1·0 %). The price paid for unprocessed or minimally processed foods in supermarkets, mini-markets, butchers and street markets was positively associated with income, which means that a higher mean price was observed in the highest income quintile.</p><p><strong>Conclusions: </strong>The availability and affordability of unprocessed or minimally processed foods differed according to food outlets and were influenced by income level.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e100"},"PeriodicalIF":3.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Olivia Gray, Ellen Wynn, Jennifer Brady, Annabelle Wilson
{"title":"Social justice in Australian and Canadian dietetic regulatory documents: a content analysis.","authors":"Olivia Gray, Ellen Wynn, Jennifer Brady, Annabelle Wilson","doi":"10.1017/S1368980026102493","DOIUrl":"10.1017/S1368980026102493","url":null,"abstract":"<p><strong>Objective: </strong>This research was conducted to determine if and how Australian and Canadian dietetic regulatory bodies incorporate social justice into regulatory documents and how this compares between two otherwise demographically and politically similar countries.</p><p><strong>Design: </strong>Quantitative and qualitative content analysis of Australian and Canadian dietetic regulatory documents was performed to determine how often and in what context social justice terms were incorporated into dietetics regulation.</p><p><strong>Setting: </strong>Australia and Canada.</p><p><strong>Participants: </strong>Regulatory documents in Australia and Canada.</p><p><strong>Results: </strong>Findings reveal that social justice is framed differently between the two countries, particularly related to working with people who experience marginalisation. Regulatory documents seldom addressed issues of systemic injustice, focusing instead on self-awareness and individualistic approaches to care.</p><p><strong>Conclusions: </strong>Social justice is currently framed in nutrition and dietetics regulatory documents in ways that do not align with core principles of social justice. Social justice should be reframed in regulatory documents to shift attention away from awareness, towards action, and should be done in a way that addresses systemic injustices in healthcare. Developing a clear and consistent definition of what social justice is is a critical first step in achieving this goal to overcome the challenges identified in this research study.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e101"},"PeriodicalIF":3.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Vittoria Conti, Lauren Fiechtner, Hellas Cena
{"title":"Beyond the clinic: sensory-adapted food services to support nutrition in autism spectrum disorder.","authors":"Maria Vittoria Conti, Lauren Fiechtner, Hellas Cena","doi":"10.1017/S1368980026102420","DOIUrl":"10.1017/S1368980026102420","url":null,"abstract":"<p><p>Autism spectrum disorder (ASD) is a population-scale condition with life-course health consequences, yet nutrition support remains inconsistently embedded in routine pathways. Food selectivity is common in ASD and is associated with restricted dietary variety, nutritional imbalance, gastrointestinal morbidity and cardiometabolic vulnerability. Current responses are predominantly clinic-and family-centred and are difficult to scale equitably. This commentary argues that institutional food services (schools, day-care and residential settings) are an underused public health platform to improve inclusion and accountability through sensory-accessible, nutritionally adequate meals. Because these services are commissioned, standardised and audited, sensory accessibility can be operationalised via procurement specifications and quality indicators, enabling benchmarking across sites. Evidence from sensory-informed menu adaptation and implementation work suggests feasibility within routine operations and supports evaluation using system-relevant outcomes (acceptability, nutritional adequacy, waste, feasibility and maintenance). Three policy actions are proposed: embed sensory accessibility in institutional standards, integrate nutrition across sectors and fund scale-up using implementation science.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"29 1","pages":"e81"},"PeriodicalIF":3.0,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147633883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}