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Impact of demographic and lifestyle factors on the association between BMI and the presence of sarcopenia at follow-up in community-dwelling people aged 40-74 years: a 9-year follow-up study. 人口统计学和生活方式因素对40-74岁社区居民体重指数与肌肉减少症之间关系的影响:一项为期9年的随访研究
IF 3 3区 医学
Public Health Nutrition Pub Date : 2026-07-27 DOI: 10.1017/S1368980026103255
Norihito China, Keiko Kabasawa, Kaori Kitamura, Yumi Watanabe, Tomoyo Komata, Yumi Ito, Akemi Takahashi, Toshiko Saito, Ryosaku Kobayashi, Rieko Oshiki, Ribeka Takachi, Shoichiro Tsugane, Kei Watanabe, Junta Tanaka, Suguru Yamamoto, Kazutoshi Nakamura
{"title":"Impact of demographic and lifestyle factors on the association between BMI and the presence of sarcopenia at follow-up in community-dwelling people aged 40-74 years: a 9-year follow-up study.","authors":"Norihito China, Keiko Kabasawa, Kaori Kitamura, Yumi Watanabe, Tomoyo Komata, Yumi Ito, Akemi Takahashi, Toshiko Saito, Ryosaku Kobayashi, Rieko Oshiki, Ribeka Takachi, Shoichiro Tsugane, Kei Watanabe, Junta Tanaka, Suguru Yamamoto, Kazutoshi Nakamura","doi":"10.1017/S1368980026103255","DOIUrl":"10.1017/S1368980026103255","url":null,"abstract":"<p><strong>Objective: </strong>Although BMI is associated with sarcopenia, factors that modify this association are unclear. This study aimed to clarify how demographic and lifestyle factors affect the association between BMI and sarcopenia in middle-aged and older adults.</p><p><strong>Design: </strong>A 9-year follow-up study.</p><p><strong>Setting: </strong>Community-based cohort in Japan.</p><p><strong>Participants: </strong>A total of 6632 individuals aged 40-74 years participated in this study. BMI, demographic and lifestyle factors and disease history were assessed in a baseline survey conducted between 2011 and 2014. Sarcopenia was not assessed at baseline. Sarcopenia status was assessed based on the diagnostic criteria of the Asian Working Group for Sarcopenia 2019 during follow-up examinations conducted in 2021 and 2022. The OR for the presence of sarcopenia at follow-up was calculated using multivariable logistic regression analysis.</p><p><strong>Results: </strong>A lower BMI was associated with a higher odds of sarcopenia in both males and females (<i>P</i> for trend < 0·0001). Significant interactions were observed between BMI and age (<i>P</i> for interaction = 0·0003) and between BMI and physical activity (PA) level (<i>P</i> for interaction = 0·0272), in sarcopenia. Specifically, the odds of sarcopenia among underweight individuals (< 18·5 kg/m<sup>2</sup>) were significantly higher than that of their counterparts in the subgroup aged < 68 years and in the subgroup with high total PA (≥ 40·1 MET-h/d).</p><p><strong>Conclusions: </strong>Low BMI is strongly associated with sarcopenia, and this relationship is modified by age and PA level. Specifically, the adverse impact of being underweight on sarcopenia was greater among middle-aged individuals and those with high PA levels.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e175"},"PeriodicalIF":3.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148592956","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}
引用次数: 0
Invisible and undernourished: food insecurity among international graduate students in the USA as an overlooked nutrition equity challenge. 隐形和营养不良:美国国际研究生的粮食不安全是一个被忽视的营养公平挑战。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2026-07-24 DOI: 10.1017/S1368980026103292
Abu Ansar Md Rizwan
{"title":"Invisible and undernourished: food insecurity among international graduate students in the USA as an overlooked nutrition equity challenge.","authors":"Abu Ansar Md Rizwan","doi":"10.1017/S1368980026103292","DOIUrl":"10.1017/S1368980026103292","url":null,"abstract":"<p><p>Food insecurity among international graduate students in the USA is a nutrition equity challenge that remains largely unaddressed by the nutrition science community. Prevalence estimates range from 22 % to 46 % across institutions, substantially exceeding the national household average, driven by converging financial constraints, restricted employment opportunities and limited access to culturally appropriate foods. These conditions promote rapid dietary acculturation towards energy-dense, low-nutrient food patterns with well-established associations with insulin resistance, hypertension and cardiometabolic risk. Despite a growing empirical base, longitudinal evidence on dietary quality and health outcomes in this population is virtually absent, and university nutrition support systems are poorly adapted to the cultural dietary needs of an internationally diverse student body. This commentary calls on nutrition researchers, dietitians and universities to recognise food insecurity among international graduate students as a substantive public health nutrition concern warranting targeted research and culturally responsive institutional action.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e171"},"PeriodicalIF":3.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148579860","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}
引用次数: 0
Food and beverage price promotions: perceptions of their impact on purchasing by Australian households. 食品和饮料价格促销:他们对澳大利亚家庭购买的影响的看法。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2026-07-23 DOI: 10.1017/S1368980026103279
Rebecca Bennett, Kathryn Backholer, Josephine Marshall, Lily Grigsby-Duffy, Gary Sacks, Adrian Cameron, Ainslie Sartori, Lisa Wood, Christina Zorbas
{"title":"Food and beverage price promotions: perceptions of their impact on purchasing by Australian households.","authors":"Rebecca Bennett, Kathryn Backholer, Josephine Marshall, Lily Grigsby-Duffy, Gary Sacks, Adrian Cameron, Ainslie Sartori, Lisa Wood, Christina Zorbas","doi":"10.1017/S1368980026103279","DOIUrl":"10.1017/S1368980026103279","url":null,"abstract":"<p><strong>Objective: </strong>Price promotions are widely used in supermarkets and are more commonly applied to less healthy foods and beverages. We aimed to examine how supermarket price promotions influence food and beverage purchasing among households with school-aged children in Australia, and how perceptions vary by income.</p><p><strong>Design: </strong>A cross-sectional qualitative study using semi-structured interviews, analysed using thematic analysis.</p><p><strong>Setting: </strong>Australia, within the supermarket retail food environment.</p><p><strong>Participants: </strong>Twenty-two parents or caregivers of school-aged children from households with differing income levels.</p><p><strong>Results: </strong>Participants across income groups reported using supermarket price promotions as a budgeting strategy, particularly in the context of rising food costs. Price promotions were described as encouraging unplanned purchases, most often for unhealthy foods and beverages. Compared with higher-income households, lower-income households reported greater awareness of supermarket pricing strategies and more frequent purchasing of price-promoted products. Participants perceived that healthy options were less frequently discounted and suggested that increasing promotions for healthy foods and beverages would better support healthy diets.</p><p><strong>Conclusions: </strong>Supermarket price promotions were perceived to shape purchasing decisions, often encouraging purchases of less healthy foods and beverages. Regulatory approaches that reduce promotions on less healthy products while improving the affordability of healthier options may support healthier and more equitable food environments, particularly for households experiencing financial constraints.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e177"},"PeriodicalIF":3.0,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148562834","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}
引用次数: 0
Stakeholder perspectives of a food redistribution supply chain programme to reduce food waste and improve food access for disadvantaged populations in Western Switzerland. 利益相关者视角的食品再分配供应链计划,以减少食品浪费和改善瑞士西部弱势群体的粮食获取。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2026-07-23 DOI: 10.1017/S136898002610322X
Chloe Parezanovic, Evelyne Hangartner, Veronique Grazioli, David J T Campbell
{"title":"Stakeholder perspectives of a food redistribution supply chain programme to reduce food waste and improve food access for disadvantaged populations in Western Switzerland.","authors":"Chloe Parezanovic, Evelyne Hangartner, Veronique Grazioli, David J T Campbell","doi":"10.1017/S136898002610322X","DOIUrl":"10.1017/S136898002610322X","url":null,"abstract":"<p><strong>Objective: </strong>Food waste is a major problem that contributes to climate change, while inequities in access to healthy food persist among socially vulnerable populations. Surplus food redistribution initiatives operate at the intersection of waste reduction and efforts to support food access. Our objective was to explore and better understand the perspectives and experiences of organisational stakeholders within the food redistribution system in the Canton of Vaud, Switzerland.</p><p><strong>Design: </strong>We conducted a qualitative descriptive study using semi-structured qualitative interviews, as well as field observations. Data were analysed using conventional qualitative content analysis.</p><p><strong>Setting: </strong>This study took place in the Canton of Vaud in Western Switzerland, with most participants being in the capital city of Lausanne.</p><p><strong>Participants: </strong>A variety of participants were interviewed, including managers of the food delivery organisations, social service organisations and grocery stores. A total of fourteen interviews and eight field observations were conducted.</p><p><strong>Results: </strong>Participants described the food redistribution system as a collaborative effort at reducing food waste and increasing access to nutritious foods for socially disadvantaged populations. Four major themes emerged: (1) Processes are in place to ensure the food that reaches individuals is reasonably fresh and of high nutritional quality; (2) food redistribution contributes to addressing food needs, while simultaneously reducing food waste; (3) a high degree of creativity and flexibility is required to optimally use the redistributed foods and (4) all parties involved in the food redistribution participate with goodwill towards one another.</p><p><strong>Conclusion: </strong>This study demonstrates that the success of the multi-stakeholder programme currently in place to redistribute food products in the Canton of Vaud is due to collaboration, adaptability and a shared goal of reducing food waste while improving food access.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e194"},"PeriodicalIF":3.0,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148562903","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}
引用次数: 0
Associations Between Long-Term Poverty and Food Insecurity at the Census Tract Level in the United States. 美国人口普查区长期贫困与粮食不安全之间的关系。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2026-07-23 DOI: 10.1017/S1368980026103280
Ryan Ramphul, Gundersen Craig, Tracey Farrigan, Yixiao Chen, Jooyeon Lee, Yanchen Liu, Ruth Rechis, Lorna McNeill, Karen Basen-Enquist
{"title":"Associations Between Long-Term Poverty and Food Insecurity at the Census Tract Level in the United States.","authors":"Ryan Ramphul, Gundersen Craig, Tracey Farrigan, Yixiao Chen, Jooyeon Lee, Yanchen Liu, Ruth Rechis, Lorna McNeill, Karen Basen-Enquist","doi":"10.1017/S1368980026103280","DOIUrl":"https://doi.org/10.1017/S1368980026103280","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association between long-term poverty exposure and census tract-level food insecurity rates across the U.S.</p><p><strong>Design: </strong>Cross-sectional study using nationwide census tract data. Spatial error models (SEM) were used to estimate differences in food insecurity rates by long-term poverty exposure, adjusting for rurality-urbanicity.</p><p><strong>Setting: </strong>All census tracts in U.S.</p><p><strong>Participants: </strong>U.S. census tracts with complete data on food insecurity, long-term poverty status, and rural-urban classification. Due to historical differences in data availability, sample sizes varied across models.</p><p><strong>Results: </strong>In the inclusive framework, tracts classified as Persistent Poverty Since 1990 had food insecurity rates 7.2 percentage points higher than other tracts (p < 0.001); tracts classified as Enduring Poverty Since 1980 had rates 7.1 points higher (p < 0.001); and those classified as Enduring Poverty Since 1970 had rates 6.3 points higher (p < 0.001). In the mutually exclusive framework, where each tract was assigned to only one poverty category based on the earliest qualifying decade, food insecurity was 6.3 points higher in tracts with Persistent Poverty only, 4.7 points higher in tracts with Enduring Poverty Since 1980 only, and 6.3 points higher in tracts with Enduring Poverty Since 1970 only (all p < 0.001). All models adjusted for RUCA codes and accounted for residual spatial autocorrelation.</p><p><strong>Conclusions: </strong>Long-term poverty exposure is strongly associated with elevated food insecurity at the census tract level. These findings underscore the importance of integrating historical measures of disadvantage and the value of tract-level analysis for identifying communities at risk of food insecurity.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-24"},"PeriodicalIF":3.0,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148562871","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}
引用次数: 0
Variations in dietary fibre and added sugar intake across global, regional and national levels: implications for non-communicable diseases. 膳食纤维和添加糖摄入量在全球、区域和国家层面的差异:对非传染性疾病的影响
IF 3 3区 医学
Public Health Nutrition Pub Date : 2026-07-21 DOI: 10.1017/S1368980026103188
Maab Mohammed Alballa, Xinran Feng, Ahmed Mohamed Hassan, Xin Qi, Xin Liu
{"title":"Variations in dietary fibre and added sugar intake across global, regional and national levels: implications for non-communicable diseases.","authors":"Maab Mohammed Alballa, Xinran Feng, Ahmed Mohamed Hassan, Xin Qi, Xin Liu","doi":"10.1017/S1368980026103188","DOIUrl":"10.1017/S1368980026103188","url":null,"abstract":"<p><strong>Objective: </strong>To examine global, regional and national trends in dietary fibre and added sugar consumption and to assess their implications for non-communicable disease (NCD) prevalence.</p><p><strong>Design: </strong>This study used a longitudinal ecological design. Dietary fibre (1990-2018) and added sugar (1990-2020) intake data were obtained from the Global Dietary Database (GDD). Intakes were analysed across GDD regions, age groups, education levels and urbanisation status. Subsequently, mixed-effects models were used to assess the association between NCD prevalence and intakes of fibre, added sugar and the fibre-to-added-sugar ratio, adjusting for socio-demographic index (SDI), national income and urbanisation.</p><p><strong>Setting: </strong>The GDD covers dietary intake estimates for 185 countries and territories.</p><p><strong>Results: </strong>Globally, median dietary fibre intake rose from 14·8 to 21·6 g/d, while added sugar intake increased from 7·7 % to 10·5 % of total energy intake. Fibre intake increased in all regions except high-income countries, where it declined from 21·5 to 16·4 g/d. In contrast, added sugar intake increased in all regions except Latin America and the Caribbean (15·6 % to 13·3 % of total energy). Intake patterns were associated with education and urbanisation levels, with higher added sugar intake observed in countries with a higher SDI (<i>r</i> = 0·195, <i>P</i> = 0·008). The association between dietary fibre-to-added-sugar ratio was not significantly associated with NCD prevalence (<i>β</i> = -10·15, <i>P</i> = 0·067).</p><p><strong>Conclusions: </strong>This study highlights global disparities in dietary fibre and added sugar consumption, driven by regional, educational and urbanisation factors. These findings underscore the need for targeted interventions to improve nutrition and reduce the NCD burden.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e169"},"PeriodicalIF":3.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13469227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536865","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}
引用次数: 0
Qualitative analysis of clinical and community perinatal providers' perceived barriers to equitable care for food insecurity. 临床和社区围产期提供者对粮食不安全公平护理的感知障碍的定性分析。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2026-07-20 DOI: 10.1017/S1368980026103152
Kaelia Lynn Saniatan, Alexandria Evans, Timothy Grigsby, Erika Marquez, Clariana Vitoria Ramos de Oliveira, Gabriela Buccini
{"title":"Qualitative analysis of clinical and community perinatal providers' perceived barriers to equitable care for food insecurity.","authors":"Kaelia Lynn Saniatan, Alexandria Evans, Timothy Grigsby, Erika Marquez, Clariana Vitoria Ramos de Oliveira, Gabriela Buccini","doi":"10.1017/S1368980026103152","DOIUrl":"10.1017/S1368980026103152","url":null,"abstract":"<p><strong>Objective: </strong>Food insecurity is prevalent among underserved communities and contributes to maternal-child health disparities. The perinatal period - from pregnancy through 1 year postpartum - provides a critical window of opportunity to identify and address food insecurity. However, perinatal providers face barriers that prevent them from providing screening, referrals and follow-up services. The study aimed to understand barriers perceived by perinatal providers to implement strategies to screen, refer and follow up for food-insecure pregnant people and children living in underserved areas.</p><p><strong>Design: </strong>This qualitative phenomenological study explored multi-level barriers perceived by perinatal providers when implementing strategies for screening, referral and follow-up for food insecurity guided by the socio-ecological model.</p><p><strong>Setting: </strong>This study was conducted within five zip codes of Southern Nevada (89101, 89106, 89030, 89031 and 89032) selected for their prevalence of food insecurity and health disparities.</p><p><strong>Participants: </strong>Semi-structured interviews were conducted with fifteen perinatal providers.</p><p><strong>Results: </strong>Barriers at the individual provider level included lack of knowledge and education on food insecurity; at the interpersonal level included patient hesitancy to reveal sensitive information to providers; at the institutional level included lack of standard procedures to conduct screening, referrals and follow-up services; and at the community and policy levels identified organisational capacity and historical distrust of healthcare systems as obstacles to offering equitable care for food insecurity in perinatal settings.</p><p><strong>Conclusion: </strong>Addressing these multi-level barriers is essential to implementing effective food insecurity mitigation strategies within perinatal care settings. Utilising the created recommendations may promote equitable care for food insecurity within clinical and community perinatal settings.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e164"},"PeriodicalIF":3.0,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520912","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}
引用次数: 0
When fish fails to protect: interrogating the South Asian cardiometabolic paradox in the era of aquaculture transition. 当鱼不能保护:询问在水产养殖转型时代南亚心脏代谢悖论。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2026-07-20 DOI: 10.1017/S1368980026103140
Abu Ansar Md Rizwan
{"title":"When fish fails to protect: interrogating the South Asian cardiometabolic paradox in the era of aquaculture transition.","authors":"Abu Ansar Md Rizwan","doi":"10.1017/S1368980026103140","DOIUrl":"10.1017/S1368980026103140","url":null,"abstract":"<p><p>South Asia presents a striking nutritional paradox: populations among the world's highest fish consumers carry disproportionate cardiometabolic risk at BMI levels well below disease thresholds for European populations. Marine fish is established as cardioprotective in fatty-fish-consuming coastal populations, yet this benefit appears to break down in South Asian contexts. This commentary interrogates four interlocking mechanisms. First, aquaculture-driven species substitution has replaced <i>n</i>-3-rich species such as hilsa and coastal sardines with leaner farmed varieties offering only a fraction of the cardioprotective lipid profile. Second, deep frying in high-<i>n</i>-6 oils substantially degrades PUFA bioavailability. Third, heavy metal co-contamination in arsenic- and mercury-affected watersheds may attenuate <i>n</i>-3 benefits. Fourth, urbanisation is eroding fish intake among the highest-risk subgroups, while aggregate dietary data obscure this heterogeneity. Generic eat-more-fish guidance is insufficient; ethnicity-sensitive, sustainability-conscious guidance on species, preparation and contamination risk is needed to realise fish's cardioprotective potential in South Asia.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e174"},"PeriodicalIF":3.0,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520872","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}
引用次数: 0
Structural determinants of child undernutrition: contribution of women's empowerment in India's nutritional transition. 儿童营养不良的结构性决定因素:妇女赋权在印度营养转型中的贡献。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2026-07-20 DOI: 10.1017/S1368980026103164
Bharti Singh, Shri K Singh, Deepanjali Vishwakarma
{"title":"Structural determinants of child undernutrition: contribution of women's empowerment in India's nutritional transition.","authors":"Bharti Singh, Shri K Singh, Deepanjali Vishwakarma","doi":"10.1017/S1368980026103164","DOIUrl":"10.1017/S1368980026103164","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate the impact of women's empowerment on child undernutrition from 2006 to 2021 in India at the state, primary sampling unit and household levels.</p><p><strong>Design: </strong>This study uses repeated cross-sectional data from three rounds of the National Family Health Survey (NFHS). Child undernutrition is assessed using stunting, wasting and underweight indicators, with women's empowerment as a key predictor. Kernel density and linear polynomial plots depict the progression of anthropometric indicators over time, while multilevel regression identifies correlates and clustering in the undernutrition outcome.</p><p><strong>Participants: </strong>Children under 5 years of age from all twenty-eight states and nine union territories of India living with their biological mothers, who are currently married or in union and not pregnant, were included in the study.</p><p><strong>Results: </strong>Findings indicate that NFHS-5 reports the lowest prevalence of stunting and underweight, while severe wasting persists across all survey rounds. Women's empowerment was not significant in NFHS-3, emerged as a significant determinant by NFHS-5 (NFHS-3 <i>β</i> = -0·08 (-0·26, 0·11); NFHS-5 <i>β</i> = -0·29** (-0·51, -0·07)). Among covariates, wealth quintile showed the strongest influence on child undernutrition from 2006 to 2021, with children from the richest households having the lowest risk of being underweight. Clustering remained higher at the household level in all survey rounds, reflected through the intra-class correlation.</p><p><strong>Conclusions: </strong>Higher women's empowerment is significantly associated with reduced child undernutrition, where higher clustering persists at the household level. These findings highlight the need for targeted policies promoting women's empowerment through community platforms and convergence with self-help groups to strengthen household-level health and nutrition outcomes.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e167"},"PeriodicalIF":3.0,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13469224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520841","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}
引用次数: 0
Are we Lovin' It? A single blind randomised controlled trial to investigate the influence of high in fats, salt and sugar food brand advertising on cognitive, affective and behavioural intention outcomes in UK adults. 我们喜欢吗?一项调查品牌广告对英国成年人认知、情感和行为意向结果影响的单盲随机对照试验。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2026-07-20 DOI: 10.1017/S1368980026103115
Christus Ferneyhough, Rebecca K Evans, Amy Finlay, Katharine Jenner, Emma Boyland
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