Public Health Nutrition最新文献

{"title":"Nutrition support in UK pharmacy practice: current practices and future needs.","authors":"Gizem Acar, Rachael Frost, Sukvinder Kaur Bhamra, Michael Heinrich","doi":"10.1017/S1368980026103358","DOIUrl":"10.1017/S1368980026103358","url":null,"abstract":"<p><strong>Objective: </strong>To examine pharmacy professionals' involvement in nutrition care, including the nutrition advice and services they provide, perceived barriers and facilitators, and resource needs for integrating nutrition into pharmacy practice.</p><p><strong>Design: </strong>Mixed-methods cross-sectional survey comprising quantitative items on knowledge, attitudes and practices, and open-ended questions analysed thematically.</p><p><strong>Setting: </strong>Online survey administered via Qualtrics.</p><p><strong>Participants: </strong>UK-based pharmacy professionals aged ≥18 years (<i>N</i> 220).</p><p><strong>Results: </strong>Nutrition advice was most frequently provided for diabetes (68·4 %), CVD risk factors (64·1 %), dietary supplements (49·3 %) and weight management (48·3 %). Knowledge was strongest for food-drug interactions and supplements, but weakest for sustainable diets and national dietary guidelines. Higher perceived knowledge was significantly associated with providing advice on diabetes, obesity, CVD and malnutrition (all <i>p</i> < 0·05). Nutritional assessment practices were limited: 67·7 % of participants did not conduct nutritional screening and 70·2 % did not perform dietary assessments. Overall, 65·3 % reported that nutrition training is essential. Key barriers included limited education, practical resources, unclear referral pathways and challenges initiating nutrition conversations, while respondents highlighted strong needs for practice-specific tools and collaboration with dietitians.</p><p><strong>Conclusions: </strong>Pharmacists commonly provide nutrition support for key non-communicable disease areas, yet provision remains inconsistent. Persistent gaps in knowledge, training and practical resources, combined with unclear referral pathways, limit their capacity to deliver nutrition care. Strengthening nutrition education, developing pharmacy-focused resources and enhancing interprofessional collaboration could enable more effective, integrated nutrition support in primary care.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e183"},"PeriodicalIF":3.0,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148679747","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":"Availability of alcohol content, calorie, nutrition and ingredient information on labels of alcoholic beverages sold in the USA in 2021.","authors":"Eva Greenthal, Sarah Sorscher, Aviva A Musicus","doi":"10.1017/S136898002610336X","DOIUrl":"10.1017/S136898002610336X","url":null,"abstract":"<p><strong>Objective: </strong>To assess the prevalence and formatting of voluntary alcohol, nutrition and ingredient information on the labels of alcoholic beverages sold in the USA in 2021.</p><p><strong>Design: </strong>We assessed labels from the top 150 beer, spirits and wine brands from 2021. Primary outcomes were presence of: (1) Statement of Average Analysis (SAA; includes calories, carbohydrates, fat and protein); (2) Serving Facts (SAA plus serving size, servings per container and alcohol content); and (3) ingredients lists. We also assessed the prevalence of nutrition- and ingredient-related claims. Attributes were considered present for a brand if they appeared on the label of at least one product from that brand. We used Fisher's exact tests to assess associations between primary outcomes and beverage characteristics.</p><p><strong>Setting: </strong>Labels were from a government-run label approval database.</p><p><strong>Participants: </strong>Unit of analysis was brands.</p><p><strong>Results: </strong>The analysis included 925 labels from 65 beer, 93 spirits and 101 wine brands. Forty-one beer brands (63 %), twenty-four spirits brands (26 %) and two wine brands (2 %) had SAA. Eighteen beer brands (28 %), eleven spirits brands (12 %) and no wine brands had Serving Facts statements. Eleven beer brands (17 %), but no spirits or wine brands, had ingredients lists. The presence of SAA was positively associated with having calorie or carbohydrate claims (beer and spirits), larger market share (beer only) and being a member of the beer industry's Brewers' Voluntary Disclosure Initiative (beer only) (<i>p</i> < 0·05).</p><p><strong>Conclusion: </strong>Low uptake of voluntary nutrition and ingredient information by top beer, spirits and wine brands suggests the need for mandatory standardised labels.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e184"},"PeriodicalIF":3.0,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148679702","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":"Consumer and food industry personnel understanding and perceptions of food processing related to whole grains.","authors":"Elissa J Price, Eden M Barrett, Marijka J Batterham, Eleanor J Beck","doi":"10.1017/S1368980026103310","DOIUrl":"10.1017/S1368980026103310","url":null,"abstract":"<p><strong>Objective: </strong>To explore consumers' understanding of whole-grain foods and their processing and food industry personnel's perceptions of whole-grain foods in processing classification systems.</p><p><strong>Design: </strong>Semi-structured focus groups and interviews.</p><p><strong>Setting: </strong>Online.</p><p><strong>Participants: </strong>Consumers (<i>n</i> 28) ≥ 18 years frequently purchasing/consuming grain foods. Food industry personnel (<i>n</i> 16) currently/recently employed within the grain industry.</p><p><strong>Results: </strong>Consumers generally used whole-refined grain comparisons to gauge the level of processing, perceiving whole grains as less processed. While some suggested processing elements, such as additives, may influence their food choices, healthfulness was typically judged based on the presence or absence of certain nutrients. Often, other drivers of behaviour took precedence (e.g. cost, familial preferences and culinary skills). Food industry personnel viewed food processing as complex but oversimplified in current food processing classification systems. They considered that while some processed foods can be unhealthful, this does not apply to all processed foods. They emphasised the importance of holistic consumer education including that processing needs to be considered together with the food's nutritional composition to help consumers differentiate between less healthy and 'healthier' processed foods (e.g. a highly processed refined grain food with added fats and sugars, and a fortified whole-grain product).</p><p><strong>Conclusions: </strong>Messaging around food processing should be considered alongside those on nutritional quality of foods to ensure consumers are informed in their understanding of a food's healthfulness. Policy measures addressing food processing should reflect its complexities, including the different types and functions of processing and their rationale, particularly in the context of whole grains.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e182"},"PeriodicalIF":3.0,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674145","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":"The German media debate on taxing meat and other animal-based foods: a framing analysis.","authors":"Anna Leibinger, Katharina Selda Moerschel, Annika Hagge, Lukas Fesenfeld, Benjamin Hawkins, Peter von Philipsborn","doi":"10.1017/S1368980026103346","DOIUrl":"10.1017/S1368980026103346","url":null,"abstract":"<p><strong>Objective: </strong>Consumption of meat - red and processed meat in particular - exceeds recommended levels in most high-income countries. Higher taxes on meat have been proposed as a response but have proven difficult to implement due to political controversy. We examined the role of framing in the media debate on taxing meat and other animal-based foods in Germany.</p><p><strong>Design: </strong>We conducted a framing analysis to identify themes characterising the debate, and key actors and their narrative and argumentative strategies.</p><p><strong>Setting: </strong>Germany.</p><p><strong>Participants: </strong>A total of 381 articles from eighteen German-language newspapers published between 2019 and 2023.</p><p><strong>Results: </strong>Frames in favour of higher meat taxes most commonly referred to potential animal welfare and environmental gains, with health playing a smaller role. Anti-tax frames most commonly concerned the amplification of inequalities, the alleged inefficacy of taxes and the superiority of regulation. Support for higher taxes came from across the political spectrum and from various stakeholders, including producers, researchers and environmental organisations. Conservative actors and producers often expressed support, conditional upon earmarking of revenue for animal welfare measures.</p><p><strong>Conclusions: </strong>Using framing strategies and policy designs that appeal to broadly shared values may help to reduce polarisation in debates on meat taxation. In countries where concerns for animal welfare are salient, earmarking revenue for animal welfare improvements may increase support. Anticipating and addressing concerns around equity and efficacy may help to defuse criticism. In the German context, legal obstacles to earmarking and rising inflation may have hindered policy adoption.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e180"},"PeriodicalIF":3.0,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674105","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":"Restricting outdoor advertising of unhealthy food: feasibility of using a nutrition classification system in Australia.","authors":"Claire E Pulker, Frith Klug, Georgina S A Trapp, Ainslie Sartori, Michelle McIntosh, Alexia Bivoltsis, Catrina McStay, Clare Whitton","doi":"10.1017/S1368980026103322","DOIUrl":"10.1017/S1368980026103322","url":null,"abstract":"<p><strong>Objective: </strong>Exposure to food advertising is associated with consumption. Globally, most outdoor food advertisements feature unhealthy foods or beverages. As Australian local government areas (LGAs) begin developing restriction policies, the feasibility of applying nutrient-based nutrition classification systems to outdoor advertising requires evaluation.</p><p><strong>Design: </strong>Observational study on (1) types of food business advertisements outdoors and (2) availability of quantitative nutrition and/or ingredient information for featured products. 178 outdoor advertisements were analysed, from a 500m audit around schools in sixteen stratified LGAs (2019), along with bus shelter audits in four LGAs (2022). Advertisements were categorised as featuring 'branded packaged products', 'food service product - chain', 'food service product - independent', 'branding only' or 'incidental food/beverage'. For packaged or food service advertisements, online searches were conducted to identify product-specific nutrition information.</p><p><strong>Setting: </strong>Metropolitan Perth, Australia.</p><p><strong>Results: </strong>Advertisements featured packaged products (34 % of advertisements), food service products - chain (21 %), independent (16 %), incidental food/beverage (18 %) and branding only (11 %). Nutrition information was located for 70 % of packaged products and 68 % of chain food service advertisements. Independent food service outlets provided no nutrition data and rarely depicted identifiable products. Overall, nutrition information was available for 45 % of advertisements and ingredient information for 35 %.</p><p><strong>Conclusions: </strong>The limited availability of quantitative data constrains the application of nutrient-based nutrition classification systems. A system based primarily on food categories, with nutrient limits for some categories and a robust approach to brand advertising, likely offers a practical and impactful approach for LGAs seeking to restrict unhealthy outdoor food advertising.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e190"},"PeriodicalIF":3.0,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674101","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":"Diabetes dietary self-care adherence in Ghana: a qualitative exploration of the roles of stakeholders.","authors":"Precious Adade Duodu, Joshua Okyere, Ransford Akrong, Caroline Barker, Gill Waring, Warren Gillibrand","doi":"10.1017/S1368980026103243","DOIUrl":"10.1017/S1368980026103243","url":null,"abstract":"<p><strong>Objective: </strong>To explore how key stakeholders contribute to dietary self-care support for adults with type 2 diabetes receiving outpatient care in diabetes clinics in the Ashanti Region of Ghana.</p><p><strong>Design: </strong>Descriptive phenomenological study. Purposive sampling technique was used to recruit the participants. A total of thirty-one interviews were conducted using a semi-structured interview guide. Reflexive thematic analytical framework was followed to analyse the data.</p><p><strong>Setting: </strong>Diabetes clinics in the Ashanti region of Ghana: Komfo Anokye Teaching Hospital, Manhyia District Hospital, Ejisu Government Hospita and Juaben Government Hospital.</p><p><strong>Participants: </strong>Healthcare providers, family caregivers and officials of health directorates.</p><p><strong>Results: </strong>Healthcare professionals contributed to dietary self-care by framing and interpreting dietary knowledge, offering psychological care and support and preparing family caregivers for their caregiving responsibilities. Family caregivers supported adherence by providing emotional reinforcement and behavioural motivation, assuming responsibility for managing the daily realities of dietary self-care and mobilising material and financial resources. Directors and officers at the health directorate contributed through supervision and quality control and through capacity building.</p><p><strong>Conclusion: </strong>The study underscores a need for continuous professional development programmes for healthcare providers, equipping them with updated knowledge on dietary counselling, psychological support and caregiver training. Additionally, the role of health directorates in supervising healthcare facilities and facilitating training programmes underscores the importance of strengthening institutional frameworks that ensure adherence to evidence-based dietary guidelines. Furthermore, the study highlights a need for healthcare facilities to strengthen the recognition and formalisation of the role of family caregivers in diabetes self-care practices.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e178"},"PeriodicalIF":3.0,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670567","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":"The food retail environment in an urban African township: An analysis of food availability, quality, pricing and promotion.","authors":"Ashleigh Craig, Khulu Gama, Vongani Maluleke, Tiago Canelas, Louise Foley, Yves Wasnyo, Motlatso Godongwana, Lisa K Micklesfield","doi":"10.1017/S1368980026103176","DOIUrl":"10.1017/S1368980026103176","url":null,"abstract":"<p><strong>Objective: </strong>Describe the food environment in an urban African township by examining the availability, quality, pricing and promotion of food items in areas of higher and lower deprivation, defined according to household income, unemployment and economic activity, dwelling type and basic service availability.</p><p><strong>Design: </strong>Cross-sectional study applied an adapted Environmental Profile of Community Health (EPOCH) tool to audit the food environment. Data were collected on food outlets (formal, informal, food service and specialty stores), grocery item quality and pricing and product advertising.</p><p><strong>Setting: </strong>Four areas (∼7·8 km²) of Soweto, South Africa, purposively selected by deprivation level.</p><p><strong>Participants: </strong>This study did not involve human participants.</p><p><strong>Results: </strong>We audited 241 routes, identifying 1899 food outlets (1169 lower-, 730 higher-deprivation). Outlet distribution differed by deprivation (<i>p</i> < 0·001): supermarkets were more common in lower-deprivation areas (6·5 % <i>v</i>. 1·1 %), while convenience stores selling cigarettes were more prevalent in higher-deprivation areas (9·0 % <i>v</i>. 3·8 %). Fast-food outlets dominated both settings, though alcohol stores and pubs were more frequent in higher-deprivation areas. Specialty and informal outlets, fruit and vegetable quality and pricing, did not differ significantly. While some food items were marginally more expensive in lower-deprivation areas, the difference was modest. Advertising patterns varied, with more packaged snack and alcohol advertisements in lower-deprivation areas and more sugar-sweetened beverage advertisements in higher-deprivation areas (<i>p</i> < 0·01).</p><p><strong>Conclusion: </strong>Findings highlight the need to expand healthy food access in higher-deprivation areas and regulate unhealthy food advertising in lower-deprivation areas. Context-specific interventions are essential to promote equitable, health-supporting food environments in Soweto.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e185"},"PeriodicalIF":3.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664614","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":"Fruit and vegetables for sustainable healthy diets: policy and political economy analysis in Tanzania.","authors":"Mario Sibamenya Venance, Nestor Alokpaï, Anne Marie Thow","doi":"10.1017/S136898002610319X","DOIUrl":"10.1017/S136898002610319X","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to analyse how political factors, institutions and governance influence the prioritisation, formulation and implementation of fruit and vegetables (F&V)-related policies in Tanzania, where - like in many low- and middle-income countries - consumption is low, but there is limited priority and action for F&V in food policies across sectors.</p><p><strong>Design: </strong>We undertook a qualitative policy analysis based on policy process and political economy theories. Data were collected using key-informant interviews (<i>n</i> 25) and review of thirty-one policy documents between 2022 and 2023. We used a purposive sampling approach to identify respondents who were knowledgeable about F&V policies. Policy information relevant to F&V food systems was extracted to a matrix. Interview data were coded and processed in Quirkos software based on theory and the aims of the study.</p><p><strong>Setting: </strong>Tanzania, sub-Saharan Africa.</p><p><strong>Participants: </strong>Key stakeholders who are knowledgeable about policy-making and implementation related to F&V.</p><p><strong>Results: </strong>The findings show a cross-sectoral action on F&V and highlight opportunities to strengthen policy coordination, stakeholder engagement and support for smallholder farmers. The promotion of sustainable, healthy diets necessitates improving access to financing, safe production promotion, market access and increased consumption through public campaigns.</p><p><strong>Conclusions: </strong>F&V are critical but neglected in Tanzania's nutrition policy agenda. Despite their roles in healthy diets being increasingly recognised, the F&V subsector is marginalised by priority staple food, fragmented mandates and poor coordination. Policy coherence, governance and fiscal and market support need to be enhanced to place F&V as a strategic lever of sustainable healthy diets.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e179"},"PeriodicalIF":3.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148631571","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":"Dietary intake of total protein, animal- and plant-based protein is associated with a lower likelihood of having sarcopenic obesity in 14 816 middle- and older-aged men and women of the European Prospective Investigation of Cancer (EPIC)-Norfolk cohort.","authors":"Tasneem Baabbad, Magaly Aceves-Martins, Graham Horgan, Phyo Myint, Baukje de Roos","doi":"10.1017/S1368980026103267","DOIUrl":"10.1017/S1368980026103267","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the association between the amount and source of dietary protein and the prevalence of sarcopenic obesity.</p><p><strong>Design: </strong>A prospective study using data from the European Prospective Investigation of Cancer (EPIC)-Norfolk cohort study.</p><p><strong>Setting: </strong>General population-based study conducted in the United Kingdom.</p><p><strong>Participants: </strong>About 14 816 community dwelling men and women aged 39-79 years.</p><p><strong>Results: </strong>The prevalence of sarcopenic obesity was 8·9 % in men and 11·9 % in women. Median dietary intake of total, animal and plant protein intake, based on fat free mass standardised for BMI to assess sarcopenia, was significantly lower in those with sarcopenic obesity compared with those without sarcopenia and obesity (0·80 <i>v</i>. 1·04, 0·51 <i>v</i>. 0·66, and 0·25 <i>v</i>. 0·35 g/kg body weight/d, respectively, all <i>P</i> < 0·001). Higher intakes of protein, either total, animal or plant-based (in g/kg body weight/d), were associated with a significantly lower likelihood of sarcopenic obesity (OR 0·14 (95 % CI: 0·08, 0·20), 0·58 (0·53, 0·62) and 0·46 (0·41, 0·52), respectively, <i>P</i> < 0·001 for all). The prevalence of both sarcopenic obesity and obesity was significantly (<i>P</i> < 0·001) higher in those with lowest compared with those in the highest intake quartiles of total- animal- and plant protein, but the prevalence of sarcopenia did not appear to depend on protein intake.</p><p><strong>Conclusions: </strong>Our findings indicate that consumption of total, animal- and plant-based protein is important for both the prevention of sarcopenic obesity and obesity during ageing, especially in women, smokers or those living with comorbidities such as diabetes and bronchitis.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e187"},"PeriodicalIF":3.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148631562","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":"Human milk banking services: an umbrella review.","authors":"Roisin O'Donovan, Margaret Murphy, Elaine Lehane, Edina Hanley, Jane Bourke, Liz Cogan, Jennifer Hanratty, Naomi Hurley, Aoife Long, Helen Mulcahy, Susan Rogers, Siobhan Ward, Gillian Weaver, Patricia Leahy-Warren","doi":"10.1017/S1368980026103231","DOIUrl":"10.1017/S1368980026103231","url":null,"abstract":"<p><strong>Objective: </strong>Donor human milk (DHM) is excess breast milk a woman donates to a human milk bank (HMB) for use by another infant. HMB requires operational sustainability to ensure consistent and equitable DHM supply. This review synthesises evidence from systematic reviews on how HMB services have been developed and scaled internationally. Results will inform the co-design of an evidence framework that incorporates governance, quality and sustainability criteria for HM banking.</p><p><strong>Design: </strong>An umbrella review was conducted following the JBI Manual for Evidence Synthesis. CINAHL, MEDLINE, PsycINFO, Embase, JBI Evidence Synthesis, Epistemonikos and PROSPERO datasbases were searched along with grey literature searches using Google Scholar, BASE and the National Institute for Health and Care Excellence website. Studies published between 2000 and June 2025 were screened by two independent reviewers.</p><p><strong>Setting: </strong>HMB or HMB service operating in any middle- and high-income country.</p><p><strong>Participants: </strong>Prospective, current or past HM donors; donor milk recipient families; staff working within HMB service.</p><p><strong>Results: </strong>Thirteen reviews were identified. Limited information on HMB organisational and funding models were identified. Key stakeholders include DHM donors and recipients, healthcare professionals and social supports. Institutional support and providing information about HMB were found to be facilitators of DHM donation and acceptance of DHM among recipient parents. Barriers to HMB development included limited public information, religious beliefs and lack of support.</p><p><strong>Conclusions: </strong>A significant information gap was identified in HMB funding and organisational models. Establishing sustainable funding models, standardised governance structures and strategies to improve healthcare professionals knowledge and public awareness are opportunities for future research.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e170"},"PeriodicalIF":3.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13469228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593012","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}