Public Health Nutrition最新文献

{"title":"Assessment of construct validity and reliability of the Canadian Ultra-Processed Product Screener.","authors":"Virginie Hamel, Sara Desmarais, Sharon Kirkpatrick, Jane Y Polsky, Carmen Byker Shanks, Maria Laura da Costa Louzada, Lana Vanderlee, David Hamond, Didier Gariguet, Jean-Claude Moubarac","doi":"10.1017/S1368980026102304","DOIUrl":"10.1017/S1368980026102304","url":null,"abstract":"<p><strong>Objective: </strong>The Canadian Ultra-Processed Product Screener (CUPS) was developed to rapidly assess ultra-processed food (UPF) and drink product intake among Canadian adults. The CUPS is an online self-administered screener that includes twenty-eight questions and assesses the intake of a variety of UPF available in Canada, both in French and English. This study aimed to assess the construct validity and reliability of the CUPS among a sample of adults in Canada.</p><p><strong>Design: </strong>Cross-sectional study (between July and November 2023).</p><p><strong>Settings: </strong>Participants completed the online CUPS screener in three versions (1-d (twice), 7-d and 30-d CUPS) and three 24-h dietary recalls (24HR) (the reference measure) over the course of 26-28 d.</p><p><strong>Participants: </strong>354 Canadians aged 18-60 years.</p><p><strong>Results: </strong>The CUPS had an acceptable construct validity, with moderate correlation coefficients between the CUPS score and UPF consumption level measured using multiple 24HR (from 0·33 to 0·44). Reproducibility was also acceptable (intraclass correlation = 0·61) and internal consistency ranged from good to excellent (Cronbach's <i>α</i> = 0·72 for the 1-d and 0·86 for the 30-d CUPS). CUPS scores were also associated with higher intake of added sugars, saturated fats and Na.</p><p><strong>Conclusions: </strong>This study provides evidence supporting the construct validity and reliability of the CUPS among Canadian adults. The CUPS is useful for identifying low and high consumers of UPF and could serve as a proxy measure for one key dimension of diet quality, which is the type of food processing.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e69"},"PeriodicalIF":3.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147378370","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}

{"title":"Do sustainable diets take food processing into account? A scoping review.","authors":"Matheus Santos Cordeiro, Luana Lara Rocha, Bruna Aparecida Avelar, Alex de Oliveira Camara, Dayan Carvalho Ramos Salles de Oliveira, Mariana Carvalho de Menezes","doi":"10.1017/S1368980026102237","DOIUrl":"10.1017/S1368980026102237","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine how food processing is addressed within indices/tools used to assess healthy and sustainable diets.</p><p><strong>Design: </strong>A scoping review was conducted following the PRISMA-ScR protocol. Peer-reviewed studies developing or applying indices/tools for assessing sustainable diets were included. Two independent reviewers performed the selection, with disagreements resolved by discussion, and, when necessary, a third reviewer was consulted to reach a consensus.</p><p><strong>Setting: </strong>The review included studies published in English, Portuguese or Spanish, without time restrictions and indexed in PubMed, Scopus, Web of Science and SciELO databases.</p><p><strong>Participants: </strong>A total of fifty-seven studies about sustainable diets were analysed.</p><p><strong>Results: </strong>Most studies showed significant gaps in addressing food processing and other food system components when assessing sustainable diets. The majority of studies were conducted in recent years and primarily in high-income countries, and while environmental and health dimensions of sustainability are widely explored, economic and sociocultural dimensions remain underrepresented.</p><p><strong>Conclusions: </strong>The assessment of diet sustainability remains incomplete without accounting for the role of food processing and the broader food system. There is a need for comprehensive methodologies that integrate all sustainability dimensions while also considering local contexts, particularly in low- and middle-income countries.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e73"},"PeriodicalIF":3.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345131","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}

{"title":"Eat UP: a precise, science-based, value-aware, translatable diet quality metric for public health nutrition.","authors":"Beverley O'Hara","doi":"10.1017/S1368980026102201","DOIUrl":"10.1017/S1368980026102201","url":null,"abstract":"<p><p>Current approaches to measurement of diet quality lack precision, do not translate well beyond academia and may have unintended consequences. A novel metric 'unrefined plantfoods' (UP) is proposed. The UP metric is grounded in established science, precise, easy to measure, consistent with wider nutrition agendas and policies, reduces potential commercial and ideological exploitation of public health nutrition goals, is unbiased, translatable and inclusive. The concept is value-aware and grounded in a harm minimisation approach.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e64"},"PeriodicalIF":3.0,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147326857","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}

{"title":"A quasi-experimental study to explore the association between nutritional education within the Holiday Activities and Food programme and related outcomes for children.","authors":"Emily K Hope, Paul B Stretesky, Margaret Anne Defeyter","doi":"10.1017/S1368980026102225","DOIUrl":"10.1017/S1368980026102225","url":null,"abstract":"<p><strong>Objective: </strong>Across school and community-based contexts, nutritional education interventions are often associated with improvements in a range of food-related and health-related outcomes. The aim of this study was to investigate whether the nutritional education component of the Holiday Activities and Food (HAF) programme in England was similarly associated with changes in these outcomes for children who attend.</p><p><strong>Design: </strong>A quasi-experimental, mixed-factorial 3 (School) × 3 (Group) × 2 (Time) design was employed. Outcome variables were liking and frequency of trying new foods, perceived cooking competence and health-related quality of life.</p><p><strong>Setting: </strong>Pre-post data were collected at three primary schools in one local authority in the North East of England at two time points (before and after the summer holidays).</p><p><strong>Participants: </strong>A non-probability, purposive sample of 169 children (mean age = 9·4 years, sd = 0·54) self-selected into groups of children who did not attend HAF over the summer holidays (No HAF; <i>n</i> 123), attended their school-based HAF club (HAF; <i>n</i> 29) or attended their school-based HAF club alongside a bespoke nutritional education programme (NEP) (HAF NEP; <i>n</i> 17).</p><p><strong>Results: </strong>Kruskal-Wallis and Mann-Whitney <i>U</i> analyses found no significant between-group differences for any outcome, apart from perceived cooking competence. HAF NEP was associated with improved perceived cooking competence.</p><p><strong>Conclusions: </strong>Standard HAF was not associated with improved outcomes related to nutritional education. The HAF NEP group was associated with improved cooking competence only. The lack of significant findings in the intervention groups suggests that further research into HAF nutritional education is required.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e59"},"PeriodicalIF":3.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147309575","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}

{"title":"Food brand recall and its association with diet-related behaviours among Thai children.","authors":"Nongnuch Jindarattanaporn, Salakjit Chuenchom","doi":"10.1017/S1368980026102183","DOIUrl":"10.1017/S1368980026102183","url":null,"abstract":"<p><strong>Objective: </strong>Food brand marketing is one of the techniques used by the food industry to create positive images and enhance brand recall among children. The objectives of this study were to assess food and beverage brand recall and to examine the sociodemographic characteristics associated with food brand recall, as well as the purchasing and consumption of branded foods among Thai children.</p><p><strong>Design: </strong>Cross-sectional analysis of secondary data from the 2024 Monitoring on Food and Beverage Marketing to Children in Thailand survey. A validated and reliable questionnaire was used for data collection. Descriptive statistics were used to summarise sociodemographic characteristics, food and beverage brand recall, and purchasing behaviours. Associations between brand recall and purchasing behaviours were examined using multivariable logistic regression models.</p><p><strong>Setting: </strong>Eleven provinces across Thailand.</p><p><strong>Participants: </strong>A total of 2113 children aged 10-18 years.</p><p><strong>Results: </strong>Nearly 40 % of children recalled sweetened beverage brands, while 35 % recalled snack brands. Food and beverage brand recall was statistically associated with purchasing and consumption of branded foods across several product categories after adjustment for sociodemographic characteristics.</p><p><strong>Conclusions: </strong>Food and beverage brand recall was commonly reported among Thai children and showed statistically significant associations with purchasing and consumption behaviours. These findings contribute to the evidence base on food marketing exposure among children in Thailand.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e63"},"PeriodicalIF":3.0,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147309613","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}

{"title":"Content Prevalence Is Not Adolescent Exposure in TikTok Influencer Food Marketing Surveillance.","authors":"Yihan Hu","doi":"10.1017/S1368980026102213","DOIUrl":"10.1017/S1368980026102213","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-4"},"PeriodicalIF":3.0,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147309595","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}

{"title":"Potential cost-effectiveness of outdoor unhealthy food and drink advertising restrictions in Western Australia.","authors":"Jaithri Ananthapavan, Mary Rose Angeles, Emma Groves, Victoria Brown, Kathryn Backholer, Gary Sacks, Ainslie Sartori","doi":"10.1017/S1368980026102249","DOIUrl":"10.1017/S1368980026102249","url":null,"abstract":"<p><strong>Objective: </strong>To model the potential value for money of implementing proposed unhealthy food advertising restrictions on Western Australian (WA) transport-owned assets to prevent obesity-related diseases.</p><p><strong>Design: </strong>A cost-benefit analysis using a societal perspective was undertaken to model the policy intervention over a 30-year time horizon. The effectiveness of the intervention was based on a similar policy implemented in the United Kingdom by Transport for London, adapted to the WA context. The ACE-Obesity Policy model, a validated multi-state lifetable Markov model, was used to assess the expected health (quantified as health-adjusted life years (HALY)) and economic outcomes of the intervention's impact on unhealthy food consumption. The potential costs of policy development and monitoring and revenue impacts on government and industry (outdoor advertising companies) were included in the modelled analysis.</p><p><strong>Setting: </strong>Western Australia.</p><p><strong>Participants: </strong>Greater Perth population.</p><p><strong>Results: </strong>The cost of implementing the policy was estimated at A$28 million (95 % uncertainty intervals (UI): $23, $35), 71 % borne by the government and the remaining by outdoor advertisers. A mean population weight reduction of 0·58 kg (95 % UI: 0·28, 0·90) was estimated, which translated to 5906 health-adjusted life years gained (95 % UI: 2750, 9084) with a monetary value of A$1374 million (95 % UI: $642, $2112). Eight percent of the monetised benefits were attributed to healthcare cost savings, while 92 % were associated with monetised health gains. The intervention was estimated to generate a net-present value of $1346 million (95 % UI: $614, $2082) and benefit-cost ratio of 50 (95 % UI: 23, 81).</p><p><strong>Conclusion: </strong>Policy to restrict advertising of unhealthy foods on WA transport-owned assets is likely to represent excellent value for money.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e54"},"PeriodicalIF":3.0,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147309677","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}

{"title":"Children still exposed to high rates of unhealthy food advertising in Austria: does self-regulation work?","authors":"Felizitas Moll, Bettina Meidlinger, Irene Wallisch, Katrin Seper-Nagl, Magdalena Muc, Mimi Tatlow-Golden, Alexandra Wolf","doi":"10.1017/S1368980026102171","DOIUrl":"10.1017/S1368980026102171","url":null,"abstract":"<p><strong>Objective: </strong>To assess the exposure of Austrian children to TV high in fat, sugar and/or salt (HFSS) food and beverage ads and identify changes in HFSS food advertising after the implementation of self-regulatory measures of marketing restriction.</p><p><strong>Design: </strong>All ads shown on five popular TV channels for Austrian children/teenagers were coded over 4 d (360 h) using the WHO TV Monitoring Protocol, to identify food/beverage marketing, marketing strategies, target audience and presence in peak viewing times. Nutrient analysis was performed using nutrient profile models (NPM), which classify foods as permitted or not permitted for marketing to children: WHO EURO NPM for international comparability and Austria's NPM for local regulatory compliance. Results were compared with pre-regulatory Austrian TV monitoring data.</p><p><strong>Setting: </strong>Austria.</p><p><strong>Participants: </strong>None.</p><p><strong>Results: </strong>Of 9099 ads captured, 17·0 % were for foods and beverages. Most promoted products not permitted for marketing to children according to WHO EURO NPM (81·8 %) and Austria's NPM (83·8 %). On all channels, the advertising rate for food ads rose throughout the day, culminating during child/teen peak viewing times in the evening. A mix of marketing strategies and persuasive appeals was used; emotional themes (e.g. friendship, holidays and enjoyment) were more common in not permitted ads, compared with permitted ads. Not permitted ads featured elements appealing to children/teenagers significantly more often than permitted ads.</p><p><strong>Conclusions: </strong>Despite self-regulatory measures of marketing restriction, children and teenagers in Austria are still exposed to a high number of advertisements for HFSS foods using impactful emotional marketing strategies on TV. To protect children from this influence, further regulations are called for.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e57"},"PeriodicalIF":3.0,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147309674","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}

{"title":"Sodium in Canadian processed foods between 2010 and 2020: implications for future sodium reduction initiatives.","authors":"Emily R Ziraldo, Yahan Yang, JoAnne Arcand, Anthea Christoforou, Jennifer J Lee, Mary R L'Abbé","doi":"10.1017/S1368980026102067","DOIUrl":"10.1017/S1368980026102067","url":null,"abstract":"<p><strong>Objectives: </strong>To assess changes in (1) Na content of processed foods in the Canadian food supply and (2) the proportion of products meeting Health Canada's voluntary Na reduction targets (SRT) between 2010 and 2020.</p><p><strong>Design: </strong>This repeated, cross-sectional study used foods from the 2010 (<i>n</i> 6929), 2013 (<i>n</i> 9366), 2017 (<i>n</i> 10 324) and 2020 (<i>n</i> 15 797) collections of the University of Toronto's Food Label Information and Price database, categorised into Health Canada's Na categories. Quantile regression was used to assess changes in Na content. Firth's bias-reduced logistic regression was used to evaluate changes in the proportion of foods meeting the SRT, and trends were assessed with Cochran-Armitage tests.</p><p><strong>Setting: </strong>Canada.</p><p><strong>Participants: </strong>Processed foods.</p><p><strong>Results: </strong>Between 2010 and 2020, 54 % (7/13) of major categories had a left shift (reduction) in their Na distribution, 15 % (2/13) had a right shift (increase), 15 % (2/13) had both a left and right shift and 15 % (2/13) did not change. The proportion of products meeting the average targets and maximum levels increased 6 % and 4 % from 2010 to 2013 and 4 % and 3 % from 2013 to 2017, then decreased 3 % and 1 % between 2017 and 2020, with trends for improvement over time (<i>P</i>-trend < 0·001).</p><p><strong>Conclusions: </strong>Although many categories decreased in Na, some did not change or increased in Na and improvements in the proportion of products meeting the SRT were modest and occurred early on. Further actions, such as implementing accountability initiatives that promote industry adherence to voluntary SRT or introducing mandatory measures, alongside frequent and transparent monitoring are needed to reduce Na in processed foods in Canada.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e52"},"PeriodicalIF":3.0,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146228454","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}

{"title":"Trade, investment and nutrition: lessons from the Canadian case for food systems governance.","authors":"Sylvain Charlebois","doi":"10.1017/S1368980026102134","DOIUrl":"10.1017/S1368980026102134","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e47"},"PeriodicalIF":3.0,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146220824","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}