Public Health Nutrition最新文献

{"title":"Associations of Dietary Inflammatory Index Scores with the disability status and subjective health of older adults living in non-urban municipalities in Nagasaki and Ishikawa Prefectures, Japan.","authors":"Momoka Masuda, Chiho Goto, Hideki Imai, Shihomi Sakurai, Mikie Hidaka, Haruna Ushimura, Rieko Nakao, Mayumi Ohnishi, Masahiro Umezaki","doi":"10.1017/S1368980025000424","DOIUrl":"10.1017/S1368980025000424","url":null,"abstract":"<p><strong>Objective: </strong>To examine associations of Dietary Inflammatory Index (DII) scores with disability and subjective health, which is prognostic of disability, in a large, systematically sampled population of older adults living in non-urban areas in Japan.</p><p><strong>Design: </strong>Cross-sectional. The Tokyo Metropolitan Institute of Gerontology Index of Competence was used to assess disability. Both overall disability and disabilities in components of everyday competence (instrumental activities of daily living (IADL), intellectual activities and social participation) were examined. Participants who reported an inability to perform one or more activities were categorised as disabled. Subjective health was assessed based on the response to the following question: 'In general, how do you feel about your own health?'</p><p><strong>Setting: </strong>Six non-urban municipalities in Japan that differ in terms of regional characteristics.</p><p><strong>Participants: </strong>Adults aged 65-74 years (<i>n</i> 7930).</p><p><strong>Results: </strong>DII scores were positively associated with the odds of overall disability (OR (95 % CI)) = 1·23 (1·19, 1·28)); disabilities in IADL (OR (95 % CI) = 1·10 (1·05, 1·15)); intellectual activities (OR (95 % CI) = 1·28 (1·23, 1·33)); social participation (OR (95 % CI) = 1·17 (1·13, 1·22)) and poor subjective health (OR (95 %CI) = 1·09 (1·05, 1·14)).</p><p><strong>Conclusions: </strong>Our results imply the importance of reducing dietary inflammation to prevent both disability and a decline in subjective health, a predictor of disability.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e71"},"PeriodicalIF":3.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753853","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":"The role of dietary tracking on changes in dietary behaviour in a community-based diabetes prevention and management intervention.","authors":"Ranjita Misra, Delores James","doi":"10.1017/S1368980025000436","DOIUrl":"10.1017/S1368980025000436","url":null,"abstract":"<p><strong>Objective: </strong>The study examined the impact of the Diabetes Prevention and Management programme on dietary tracking, changes in dietary behaviour, glycosylated Hb (HbA1c) and weight loss over 6 months among rural adults with type 2 diabetes and prediabetes. The programme was a health coach (HC)-led, community-based lifestyle intervention.</p><p><strong>Design: </strong>The study used an explanatory sequential quantitative and qualitative design to gain insight on participant's dietary behaviour and macronutrient consumption as well as experience with food tracking. Five of the twenty-two educational sessions focussed on dietary education. Participants were taught strategies for healthy eating and dietary modification. Trained HC delivered the sessions and provided weekly feedback to food journals.</p><p><strong>Participants: </strong>Obese adults with type 2 diabetes or prediabetes (<i>n</i> 94) participated in the programme and 56 (66 %) completed dietary tracking (optional) for 6 months. Twenty-two participated in three focus groups.</p><p><strong>Results: </strong>Fifty-nine percent consistently completed food journals. At 6 months, average diet self-efficacy and dietary intake improved, and average weight loss was 4·58 (sd 9·14) lbs. Factors associated with weight loss included attendance, consistent dietary tracking, higher HbA1c, diabetes status and energy intake (adjusted <i>R</i>² = 43·5 %; <i>F</i> = 0·003). Focus group participants reported that the programme improved eating habits. The consistency of dietary tracking was cumbersome yet beneficial for making better choices and was key to being honest.</p><p><strong>Conclusions: </strong>Participants who consistently tracked their diet improved dietary self-efficacy and intake over 6 months. This model has the potential to be reproduced in other rural regions of the United States.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e73"},"PeriodicalIF":3.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721252","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 novel FFQ for Brazilian adults based on the Nova classification system: development, reproducibility and validation.","authors":"Evelyn Oliveira da Silva Frade, Kamila Tiemann Gabe, Caroline Dos Santos Costa, Daniela Neri, Euridice Martínez-Steele, Fernanda Rauber, Josiane Steluti, Renata Bertazzi Levy, Maria Laura da Costa Louzada","doi":"10.1017/S1368980025000412","DOIUrl":"10.1017/S1368980025000412","url":null,"abstract":"<p><strong>Objective: </strong>To describe the development and validation of the Nova FFQ (NovaFFQ) for Brazilian adults.</p><p><strong>Design: </strong>The NovaFFQ is a self-administered, semi-quantitative questionnaire. The food list includes the most consumed foods and drinks based on 2017-2018 National Food Intake Survey data. We identified and differentiated foods that could be classified into multiple Nova groups. We assessed reproducibility and criterion validity using the percent energy contribution of each Nova group. Reproducibility was assessed by comparing NovaFFQ estimates on two occasions. Criterion validity was assessed by comparing the first NovaFFQ estimate against the mean of two Nova24h recalls. We estimated the intraclass correlation coefficients (ICC) for both analyses and assessed the agreement of classification into quintiles using the prevalence-and-bias-adjusted kappa coefficients for criterion validity analysis.</p><p><strong>Setting: </strong>Nationwide Brazilian study, the NutriNet-Brasil cohort.</p><p><strong>Participants: </strong>There were 243 participants in the reproducibility analysis and 376 in the criterion validity analysis.</p><p><strong>Results: </strong>Strong reproducibility was observed, with an ICC of 0·91 for all the Nova groups. Criterion validity showed a moderate ICC, ranging from 0·61 for processed and ultra-processed foods (UPF) to 0·65 for unprocessed and minimally processed foods. Substantial agreement in ranking individuals across quintiles was found, as indicated by the prevalence-and-bias-adjusted kappa (PABAK = 0·74, 0·72, 0·70 and 0·73 for unprocessed and minimally processed foods, culinary ingredients and processed and ultra-processed foods, respectively).</p><p><strong>Conclusions: </strong>The NovaFFQ is a valid instrument for assessing food consumption by processing level, especially for discriminating individuals according to the magnitude of consumption in all Nova groups.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e83"},"PeriodicalIF":3.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721251","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":"Disproportionately higher asthma risk and incidence with high fructose corn syrup, but not sucrose intake, among Black young adults: the CARDIA Study.","authors":"Luanne Robalo DeChristopher, Katherine L Tucker","doi":"10.1017/S1368980025000370","DOIUrl":"10.1017/S1368980025000370","url":null,"abstract":"<p><strong>Objective: </strong>There have been <i>unsafe levels of unpaired fructose</i> in the high fructose corn syrup (HFCS) in US beverages, and research/case study evidence shows that their intake is associated with greater asthma prevalence/risk/incidence, a debilitating disease, likely due to fructose malabsorption, gut fructosylation and gut dysbiosis mechanisms. The 'unexplained' asthma epidemic has disproportionately affected children and Black individuals, groups with higher fructose malabsorption prevalence than others, and research to assess disproportionately higher asthma risk/incidence among Black individuals in association with HFCS-sweetened beverage intake is lacking.</p><p><strong>Design: </strong>Demographic, lifestyle and dietary data collected at enrollment (1985-86), and incident asthma through exam 5 (1995-96), were used in Cox proportional hazards models to assess HFCS intake associations (hazard ratios) with asthma risk/incidence.</p><p><strong>Setting: </strong>CARDIA study participants from Birmingham, AL, Chicago, IL, Minneapolis, MN and Oakland, CA.</p><p><strong>Participants: </strong>1998 Black and 2104 White young adults.</p><p><strong>Results: </strong>HFCS-sweetened beverage intake > once/week <i>was</i> significantly associated with higher asthma risk relative to ≤ once/week (<i>P</i>-trend = 0·04), among Black participants only; risk was 2·8 times higher among 2-4 times/week consumers (HR = 2·8, 95 % CI 1·1, 7·3, <i>P</i> = 0·04) and 3·5 times higher when consumed multiple times/d, independent of <i>sucrose</i> intake/obesity/dietary quality/smoking/in-home smoke-exposure (HR = 3·5, 95 % CI 1·3, 9·9, <i>P</i> = 0·02). Intake of <i>orange juice</i>, with nominal unpaired fructose, was <i>not</i> associated with asthma in either group, <i>nor was intake of sucrose</i>, a disaccharide (paired) of fructose/glucose.</p><p><strong>Conclusions: </strong>Ubiquitous HFCS in the US food supply, with HFCS that contains high/unsafe unpaired fructose, also known as excess-free-fructose, and the fructose/gut/lung/axis are overlooked risk factors in the 'unexplained' US asthma epidemic that disproportionately affects Black individuals.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e92"},"PeriodicalIF":3.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711021","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":"Auto-enrolment of free school meals: a 'No Brainer'?","authors":"Maria Bryant, Rob Oxley, Myles Bremner, Cressida Pidgeon, Sundus Mahdi, Shona Goudie, Bob Doherty","doi":"10.1017/S1368980025000382","DOIUrl":"10.1017/S1368980025000382","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e70"},"PeriodicalIF":3.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7617560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711015","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":"Simulating price subsidies on healthy foods in Mexico.","authors":"Jesús E Morales-Ríos, Mishel Unar-Munguía, Carolina Batis, Josué A Quiroz-Reyes, Néstor A Sánchez-Ortiz, M Arantxa Colchero","doi":"10.1017/S1368980024002702","DOIUrl":"10.1017/S1368980024002702","url":null,"abstract":"<p><strong>Objective: </strong>To simulate the impact of a price subsidy (price reduction) on purchases of healthy foods with suboptimal consumption.</p><p><strong>Design: </strong>We used data from the 2018 Mexican National Household Income and Expenditure Survey, a cross-sectional study. We estimated own- and cross-price elasticities of the demand for food groups using a Linear Approximation of an Almost Ideal Demand System. Using the estimated elasticities, we derived changes in purchases associated with a 10, 20 and 30 % price reduction in healthy food groups with suboptimal consumption. We also estimated price reductions for these food groups that would meet the recommendations of the Healthy Reference Diet (EAT-HRD) proposed by the EAT-Lancet commission.</p><p><strong>Setting: </strong>Mexico (country).</p><p><strong>Participants: </strong>A nationally representative sample of mexican households.</p><p><strong>Results: </strong>Price reductions were associated with increases in the quantity purchased, ranging from 9·4 to 28·3 % for vegetables, 7·9 to 23·8 % for fruits, 0·8 to 2·5 % for legumes and 6·0 to 18·0 % for fish. Higher reductions in prices would be needed to achieve the EAT-Lancet Commission's recommendations for food groups with suboptimal consumption in Mexico: a 39·7 % reduction in prices for fruits, 20·0 % for vegetables and 118·7 % for legumes.</p><p><strong>Conclusions: </strong>Our study shows that reductions in prices can lead to increases in purchases of healthier food options. More research is needed to assess the most cost-effective strategy to deliver subsidies using either conditional cash transfers, vouchers or food baskets provided to families or direct subsidies to producers.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e74"},"PeriodicalIF":3.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692908","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 provision and healthy eating environments in before school care: an observational study.","authors":"Andrew J Woods, Yasmine C Probst, Jennifer Norman, Karen Wardle, Sarah T Ryan, Ruth K Crowe, Linda Patel, Megan Hammersley, Kurt Morton, Rebecca M Stanley, Lauren Taylor, Anthony D Okely","doi":"10.1017/S1368980025000333","DOIUrl":"10.1017/S1368980025000333","url":null,"abstract":"<p><strong>Objective: </strong>Australian children fall short of national dietary guidelines with only 63 % consuming adequate fruit and 10 % enough vegetables. Before school care operates as part of Out of School Hours Care (OSHC) services and provides opportunities to address poor dietary habits in children. The aim of this study was to describe the food and beverages provided in before school care and to explore how service-level factors influence food provision.</p><p><strong>Design: </strong>A cross-sectional study was conducted in OSHC services. Services had their before school care visited twice between March and June 2021. Direct observation was used to capture food and beverage provision and child and staff behaviour during breakfast. Interviews with staff collected information on service characteristics. Foods were categorised using the Australian Dietary Guidelines, and frequencies were calculated. Fisher's exact test was used to compare food provision with service characteristics.</p><p><strong>Setting: </strong>The before school care of OSHC services in New South Wales, Australia.</p><p><strong>Participants: </strong>Twenty-five OSHC services.</p><p><strong>Results: </strong>Fruit was provided on 22 % (<i>n</i> 11) of days and vegetables on 12 % (<i>n</i> 6). Services with nutrition policies containing specific language on food provision (i.e. measurable) were more likely to provide fruit compared with those with policies using non-specific language (<i>P</i>= 0·027). Services that reported receiving training in healthy eating provided more vegetables than those who had not received training (<i>P</i>= 0·037).</p><p><strong>Conclusions: </strong>Before school care can be supported to improve food provision through staff professional development and advocating to regulatory bodies for increased specificity requirements in the nutrition policies of service providers.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e75"},"PeriodicalIF":3.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670916","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":"Weight misperception among Chinese children and adolescents: evidence from the repeated China Health and Nutrition Survey.","authors":"Liang Ma, Philip J Schluter","doi":"10.1017/S1368980025000321","DOIUrl":"10.1017/S1368980025000321","url":null,"abstract":"<p><strong>Objective: </strong>Weight misperception has been reported as a common problem in high-income countries, but there is a paucity of high-quality empirical evidence in low- and middle-income countries, especially among children and adolescents. This study estimates the prevalence of weight misperception and investigates changes over time among children and adolescents in China, as well as identifies factors that may affect this weight misperception.</p><p><strong>Design: </strong>The China Health and Nutrition Survey, which is a repeated, representative cross-sectional study employing multistage random cluster processes.</p><p><strong>Setting: </strong>A Chinese national survey across fifteen provinces and municipal cities.</p><p><strong>Participants: </strong>Data from children and adolescents aged 6-16 years from six consecutive waves between 2000 and 2015 were included.</p><p><strong>Results: </strong>The final sample totalled 7110 children and adolescents. The overall prevalence of weight misperception was largely stable between 2000 and 2015 (range: 34·1-37·3 %). Sex and age groups were associated with weight misperception, with boys and younger participants more likely to misperceive their weight status. In addition, dieting and being physically active or inactive were associated with increased rates of weight misperception.</p><p><strong>Conclusions: </strong>Weight misperception is common among youth in China and is unequally shared with several subpopulations at increased risk. Researchers and health promoters are called to recognise weight misperception when addressing overweight and obesity countermeasures, and more tailored public health initiatives are warranted to more effectively reach those with weight misperceptions.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e62"},"PeriodicalIF":3.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670918","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":"Mediating effects of waist circumference and BMI on the association between meal frequency and mortality.","authors":"Li-Juan Tan, Sangah Shin","doi":"10.1017/S1368980025000357","DOIUrl":"10.1017/S1368980025000357","url":null,"abstract":"<p><strong>Objective: </strong>To examine the potential indirect effect of meal frequency on mortality via obesity indices.</p><p><strong>Design: </strong>Prospective cohort study.</p><p><strong>Setting: </strong>Korean Genome and Epidemiology Study.</p><p><strong>Participants: </strong>This cohort study involved 148 438 South Korean adults aged 40 years and older.</p><p><strong>Results: </strong>Meal frequency at the baseline survey was assessed using a validated FFQ. Outcomes included all-cause mortality, cancer mortality and CVD mortality. Cox proportional hazards regression models were employed to examine the relationship between meal frequency and the risk of mortality. Mediation analyses were performed with changes in obesity indices (BMI and weight circumference (WC)) as mediators. In comparison to the three-time group, the once-per-day and four-times-per-day groups had a higher risk for all-cause mortality. The irregular frequency group had a higher risk for CVD mortality. Both once-per-day and four-times-per-day groups exhibited higher risks for cancer mortality. The effect of meal frequency on all-cause mortality was partially mediated by WC. For specific-cause mortality, similar mediation effects were found.</p><p><strong>Conclusions: </strong>The data suggests that three meals per day have a lower mortality and longer life expectancy compared with other meal frequencies. Increased waist circumference partially mediates this effect. These findings support the implementation of a strategy that addresses meal frequency and weight reduction together.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e64"},"PeriodicalIF":3.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670917","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":"Healthcare staff perceptions of the hospital food environment: a narrative systematic review.","authors":"Lorraine McSweeney, Marta Buczkowska, Laura Denning, Millie Elcock, Suzanne Spence","doi":"10.1017/S136898002500031X","DOIUrl":"10.1017/S136898002500031X","url":null,"abstract":"<p><strong>Objective: </strong>To understand healthcare staff perspectives of their hospital food environment and the impact of these perceptions on their food choice, health and well-being.</p><p><strong>Design: </strong>A narrative systematic review.</p><p><strong>Setting: </strong>Publications were eligible for inclusion if participants were hospital-based staff, and all job roles were eligible, including both clinical and non-clinical staff. Both public and private hospitals in the UK, the USA or Australia were included.</p><p><strong>Participants: </strong>Clinical and non-clinical staff employed in hospitals.</p><p><strong>Results: </strong>A systematic search was carried out across four databases: OVID Medline, CINAHL, PsycInfo and Scopus. Grey literature screening was completed via Google and Google Scholar. Eleven studies were included and were predominantly from the UK. Setting sizes varied or were unknown, and participant numbers varied (<i>n</i> 16 to <i>n</i> 1158) or were unknown. Most participants were nurses. Methods included reports, surveys, focus groups and interviews. The main themes identified were accessibility to food, diversity of food choices, free foods used to boost staff morale and job role influencing engagement with the food environment. Staff reported issues around canteen opening hours, limited healthy food options and free food on wards, causing extra calories to be consumed. Irregular breaks and staffing shortages affected hospital staff's ability to engage with the wider food environment, resulting in reliance on convenience foods and snacks.</p><p><strong>Conclusions: </strong>The current hospital food environment does not facilitate healthy dietary practices and is perceived by staff as a barrier to healthy eating. The hospital food environment requires adaptation to reflect a 24-hour workplace.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e66"},"PeriodicalIF":3.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664479","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}