Public Health Nutrition最新文献

{"title":"Development of NutVal version 5: a spreadsheet application for planning and monitoring humanitarian food assistance.","authors":"Andrew J Seal","doi":"10.1017/S136898002610305X","DOIUrl":"10.1017/S136898002610305X","url":null,"abstract":"<p><strong>Objective: </strong>To develop a software application for planning and monitoring the nutritional content and cost of humanitarian food assistance, provided by food or cash transfers.</p><p><strong>Design: </strong>Development of software.</p><p><strong>Setting: </strong>Humanitarian emergencies.</p><p><strong>Subjects: </strong>Food rations or cash transfers provided to beneficiaries.</p><p><strong>Results: </strong>NutVal v5 is an Excel application for the calculation of the macro- and micronutrient content of food assistance and comparison with the requirements of fourteen different population groups, including the population-averaged requirements, child and adult sub-groups, and people in detention. The criteria for nutrient inclusion and the calculation of population group requirements are presented. Market costs can be entered for the calculation of a cash-transfer equivalent value, and different food rations can be saved and compared over time.</p><p><strong>Conclusions: </strong>The NutVal application has been widely used by humanitarian organisations to plan and monitor food transfers. The enhancements in version 5 should allow for its continued use in food assistance programmes where cash and voucher transfers are increasingly common.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e166"},"PeriodicalIF":3.0,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13468943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148412666","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 impact of one-to-one peer support on mothers' personal breastfeeding goals and emotional well-being: a scoping review.","authors":"Khayla Timothy, Elizabeth J O'Sullivan, Áine O'Connor","doi":"10.1017/S1368980026102985","DOIUrl":"10.1017/S1368980026102985","url":null,"abstract":"<p><strong>Objective: </strong>To examine the impact of one-to-one peer support on mothers' personal breastfeeding goals.</p><p><strong>Design: </strong>Scoping review guided by Arksey and O'Malley's five-stage framework and reported in accordance with PRISMA Extension for Scoping Reviews guidelines. Qualitative data were analysed using descriptive content analysis. Quantitative data were analysed by identifying numerical trends and recurring patterns, and a concise overview of key descriptive findings was provided using frequency counts and proportions.</p><p><strong>Setting: </strong>Studies conducted across ten countries globally, identified through systematic searches of seven electronic databases and screening of reference lists.</p><p><strong>Participants: </strong>Thirty-eight studies were included: twenty quantitative, seven qualitative, six mixed methods and three secondary analyses (drawing on two relevant primary sources). Participants were mothers who received one-to-one breastfeeding peer support, predominantly in community or home-based settings.</p><p><strong>Results: </strong>One primary outcome was assessed: The impact of one-to-one peer support on mothers' personal breastfeeding goals. Two secondary outcomes were identified. The first examined the effect of one-to-one peer support on breastfeeding outcomes based on traditional measures of breastfeeding success. Of the included studies, 50 % reported positive effects of one-to-one peer support on traditional measures of breastfeeding success, while 21 % found no statistically significant differences. An additional secondary outcome reported in 34 % of the included studies examined the impact of mother-centred breastfeeding peer support on maternal emotional well-being.</p><p><strong>Conclusions: </strong>One-to-one peer support enhances the mothers' ability to achieve their personal breastfeeding goals and positively influences emotional well-being. These findings underscore the need to integrate structured one-to-one peer support into maternal health services in Ireland and globally.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e165"},"PeriodicalIF":3.0,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13440267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148397293","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":"Healthy or misleading? A study of food outlets categorised as 'healthy' on an Australian delivery platform.","authors":"Rebecca Bennett, Christina Zorbas, Adyya Gupta, Laura Veronica Alston, Sachin Wasnik, Cindy Needham","doi":"10.1017/S1368980026102997","DOIUrl":"10.1017/S1368980026102997","url":null,"abstract":"<p><strong>Objective: </strong>Online food delivery (OFD) platforms increasingly shape food environments and dietary choices, yet it remains unclear whether platform-defined 'healthy' outlet categories align with evidence-informed assessments. This study assessed the healthiness of food outlets labelled as 'healthy' on a leading OFD platform in Victoria, Australia, using food environment classification tools.</p><p><strong>Design: </strong>Cross-sectional study using web-scraped outlet-level data. Outlets labelled 'healthy' were assigned to one of thirty-six predefined outlet types and classified using the DIGIASSESS index, an expert-informed food environment scoring tool. A supplementary menu-based sensitivity analysis was conducted in a stratified random 10 % subsample of outlets.</p><p><strong>Setting: </strong>A leading OFD platform in Victoria, Australia.</p><p><strong>Participants: </strong>We identified 12 938 unique food outlets, of which 1408 (9·2 %) were labelled 'healthy' by the platform and included in the primary analysis. A stratified random subsample of 166 outlets underwent menu-level review.</p><p><strong>Results: </strong>'Healthy'-labelled outlets were most commonly Independent-Takeaway (11·8 %), Independent-Cereal-Based Café Meals (9·7 %) and Service Station Convenience Stores (7·4 %). Using DIGIASSESS, most 'healthy'-labelled outlets were reclassified as 'less healthy' (<i>n</i> 1123; 79·7 %) or 'unhealthy' (<i>n</i> 180; 12·8 %), with 106 (7·5 %) classified as 'healthy.' The supplementary menu-based analysis showed similar classifications to DIGIASSESS (> 98 % agreement).</p><p><strong>Conclusions: </strong>On this leading Australian OFD platform, the 'healthy' outlet category did not align with expert-informed assessments of outlet-type healthiness. Such misalignment risks misleading consumers and highlights the need for transparent, standardised criteria governing health-related outlet categories in digital food environments.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e150"},"PeriodicalIF":3.0,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391505","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":"Tracking of dietary patterns from early childhood to school age in the Brazilian Food and Nutritional Surveillance System, 2008-2019.","authors":"Giesy Ribeiro Souza, Andreia Oliveira, Milton Severo, Priscila Ribas de Faria Costa, Dayana Rodrigues Farias, Bárbara H Lourenco, Lais Silva Sacramento, Leila Denise Alves Ferreira Amorim, Rita de Cássia Ribeiro-Silva, Maurício Lima Barreto","doi":"10.1017/S1368980026102663","DOIUrl":"10.1017/S1368980026102663","url":null,"abstract":"<p><strong>Objective: </strong>(i) Define children's dietary patterns at three developmental stages - early childhood (1 to < 3 years), preschool age (3 to < 6 years) and school age (6 to < 11 years) - and assess transitions over time and (ii) verify the association between exposure to exclusive breast-feeding and the trajectory of patterns.</p><p><strong>Design: </strong>Cohort study using 2008-2019 data from the Brazilian Food and Nutritional Surveillance System.</p><p><strong>Setting: </strong>Standardised markers of previous-day food intake identified dietary patterns. Latent transition analysis assessed shifts over time and estimated the effect of exclusive breast-feeding for 3-6 months on dietary pattern transitions.</p><p><strong>Participants: </strong>135 340 children.</p><p><strong>Results: </strong>Two dietary patterns emerged: higher ultra-processed food intake and lower ultra-processed food intake. Patterns showed notable stability over time. Exclusively breastfed children following a lower ultra-processed food pattern in early childhood had 11 % higher odds (OR = 1·11, 95 % CI = 1·06, 1·16) of maintaining this pattern at preschool age. Exclusively breastfed children in the lower ultra-processed food pattern had a 10 % lower likelihood (OR = 0·90, 95 % CI = 0·86, 0·95) of transitioning to a higher ultra-processed food pattern at preschool age.</p><p><strong>Conclusion: </strong>Dietary patterns in Brazilian children showed significant stability from early childhood to school age. Exclusive breast-feeding may protect against transitioning to high ultra-processed food patterns.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e162"},"PeriodicalIF":3.0,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13440020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391607","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":"Response to a Letter to the Editor.","authors":"Julie Maree Wood, Alison Booth, Rebecca Lindberg, Claire Margerison","doi":"10.1017/S1368980026102961","DOIUrl":"10.1017/S1368980026102961","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-3"},"PeriodicalIF":3.0,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391429","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":"Educational and programmatic components of effective school-based food and nutrition education: an umbrella review.","authors":"Natalie H Greaves-Peters, Pamela Ann Koch, Randi Wolf, Jennifer W Cadenhead","doi":"10.1017/S1368980026103024","DOIUrl":"10.1017/S1368980026103024","url":null,"abstract":"<p><strong>Objective: </strong>To identify and synthesise the educational and programmatic components most consistently associated with effective school-based food and nutrition education (SBFNE) for children and adolescents.</p><p><strong>Design: </strong>An umbrella review was conducted in accordance with PRISMA 2020 guidelines. We systematically searched CLEO, EDUCAT+, PubMed and Google Scholar through December 2022 for eligible literature reviews and meta-analyses. Included reviews were assessed for methodological quality and synthesised at the component level using qualitative and quantitative approaches.</p><p><strong>Setting: </strong>Reviews examined SBFNE interventions delivered primarily during regular school hours in primary and secondary education settings worldwide.</p><p><strong>Results: </strong>Forty-four literature reviews synthesising evidence from 1651 primary studies (1115 unique) were included. Across reviews, twenty distinct educational and programmatic components were identified and standardised. Components most frequently reported and consistently associated with positive dietary behaviour change included <i>Family Engagement</i>, <i>Focused on Behaviour Change</i>, <i>Multicomponent Approaches</i> and <i>Integration into the School Curriculum</i>. Other components - such as <i>Cultural Inclusivity</i> and <i>Environmental Sustainability</i> - were examined less frequently but were associated with positive dietary outcomes in the reviews that assessed them. Several components, including <i>Peer Support</i>, <i>Technology-Based Engagement</i> and <i>Community Engagement</i>, demonstrated mixed or context-dependent effects, reflecting variability in implementation and study design. No component was consistently associated with adverse dietary outcomes.</p><p><strong>Conclusions: </strong>By shifting the analytic focus from individual interventions to cross-cutting components, this umbrella review clarifies which elements most consistently underpin effective SBFNE. The resulting component framework provides a practical, transferable foundation to inform program design, evaluation and policy decision-making and to strengthen the equity, coherence and effectiveness of SBFNE initiatives.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e160"},"PeriodicalIF":3.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148376841","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":"Adults' health-related values and preferences related to reducing or modifying dietary fat intake: a mixed methods systematic review.","authors":"Joanna Zajac, Malgorzata M Bala, Anna Prokop-Dorner, Pablo Alonso-Coello, Gordon H Guyatt, Małgorzata Maraj, Krzysztof Więckowski, Karolina Zawadzka, Sylwia Warzecha, Zuzanna Sawiec, Dawid Storman, Claudia Valli, Mateusz Świerz, Ahmad Kamal Abadi, Jeremy P Steen, Boris Castro, Montserrat Rabassa, Luciane Cruz Lopes, Ewa Płaczkiewicz-Jankowska, Bradley C Johnston","doi":"10.1017/S1368980026102882","DOIUrl":"10.1017/S1368980026102882","url":null,"abstract":"<p><strong>Objective: </strong>To systematically summarise people's health-related values and preferences related to fat intake.</p><p><strong>Design: </strong>We searched five databases for studies reporting people's perspectives on fats. Screening, data extraction and risk of bias assessment were performed by two independent reviewers. Data was analysed using a convergent integrated approach and the certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluation methodology.</p><p><strong>Setting: </strong>Qualitative and quantitative studies from any country or language.</p><p><strong>Participants: </strong>Primary studies of adults, with or without cardiometabolic conditions.</p><p><strong>Results: </strong>From 52 166 records, we included eleven quantitative and two qualitative studies; studies were primarily conducted in high-income countries. Five main themes were identified: (i) negative perception of fat in food, (ii) positive perception of vegetable oil as being beneficial to health, (iii) willingness to lower fat consumption, (iv) willingness to pay for healthier fat content and (v) barriers towards unsaturated fat consumption. The most frequently reported themes were negative perception of fat and willingness to consume low-fat products, while prioritising vegetable oil as a healthy fat. The evidence certainty for these themes was very low to moderate, rated down for risk of bias and indirectness issues.</p><p><strong>Conclusions: </strong>People's perception of fats and oils in diets is complex and often contradictory; most viewed high-fat products as unhealthy and associated with weight gain, while vegetable oils were generally perceived as beneficial. However, views varied significantly depending on sex, age and dietary patterns. Overall, the evidence supporting these perceptions is of moderate to very low certainty and to inform guideline recommendations more research is needed.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e159"},"PeriodicalIF":3.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148369798","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":"Dietary protein intake, animal-to-plant protein ratio and risk of sarcopenia in community-dwelling adults: a 9-year follow-up study.","authors":"Tomoyo Komata, Keiko Kabasawa, Kaori Kitamura, Yumi Watanabe, Yumi Ito, Akemi Takahashi, Toshiko Saito, Junta Tanaka, Kei Watanabe, Ribeka Takachi, Shoichiro Tsugane, Suguru Yamamoto, Kazutoshi Nakamura","doi":"10.1017/S1368980026102973","DOIUrl":"10.1017/S1368980026102973","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the association between protein intake and risk of sarcopenia, with a specific focus on protein sources, in middle-aged and older adults.</p><p><strong>Design: </strong>This was a 9-year follow-up study. Dietary protein intake was assessed by a validated FFQ with energy adjustment using the residual method. Sarcopenia was defined by using height-adjusted appendicular lean mass and grip strength. Adjusted OR for sarcopenia were calculated by multivariable logistic regression analysis.</p><p><strong>Setting: </strong>Baseline surveys (2011-2014) for the Murakami and Uonuma cohorts assessed body size, lifestyle and medical history. Sarcopenia-related measurements were conducted in 2021-2022 in Murakami, Sekikawa, Uonuma and Minamiuonuma, Japan.</p><p><strong>Participants: </strong>6232 individuals aged 40-74 years (mean age, 62·4 years; females, 54·8 %).</p><p><strong>Results: </strong>An inverse association between plant protein intake and sarcopenia was observed in males (<i>P</i>_{for trend} = 0·018), although total and animal protein intakes were not. Animal-to-plant protein ratio was U-shaped in its association with sarcopenia; adjusted OR for the lowest and highest quintiles of the ratio compared to the middle quintile were 1·71 (95 % CI: 0·96, 3·07) and 1·97 (95 % CI: 1·10, 3·53), respectively, for males (<i>P</i>_{for quadratic term} = 0·017), and 1·93 (95 % CI: 1·06, 3·51) and 1·65 (95 % CI: 0·90, 3·05), respectively, for females (<i>P</i>_{for quadratic term} = 0·010).</p><p><strong>Conclusions: </strong>An imbalanced intake of plant and animal proteins may increase the risk of sarcopenia, highlighting the importance of balanced protein intake.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e153"},"PeriodicalIF":3.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148369854","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":"Policy options to increase the provision of free school meals in England: a qualitative exploration of the challenges of policy implementation through stakeholder interviews.","authors":"Catrin Pedder Jones, Bisola Osifowora, Viktorija Kesaite, Irina Pokhilenko, Steven Cummins, Rachel Loopstra, Alexia Sawyer, Amy Yau, Martin White, Emma Frew","doi":"10.1017/S1368980026102432","DOIUrl":"10.1017/S1368980026102432","url":null,"abstract":"<p><strong>Objective: </strong>Rising levels of household food insecurity in England, and associated health and well-being impacts for children, have led to calls to expand access to free school meals (FSM). Policymakers have been hesitant to extend provision of FSM due to concerns surrounding acceptability, affordability and implementation challenges. The most effective strategies for expanding FSM are not yet fully understood. This work aims to fill this gap by examining school meal policy from the perspective of multiple stakeholders, to provide actionable recommendations for policies that could expand school meal provision.</p><p><strong>Design: </strong>A qualitative interview study design was used. The data were analysed using the Framework Method, underpinned by the Context and Implementation of Complex Interventions (CICI) framework. Themes were categorised into context-related and implementation-related factors. Detailed recommendations were discussed at the macro, meso and micro levels of the school food system.</p><p><strong>Setting: </strong>The study was conducted in England, UK.</p><p><strong>Participants: </strong>Seventeen stakeholders represented the views of local, regional and national government, policy, academia and schools.</p><p><strong>Results: </strong>Stakeholders indicated that policies should prioritise stigma reduction and integrate expansion of school meals with existing school policies where possible, including the monitoring of school food standards and ensuring maintenance of school food quality. Stakeholders also suggested improvement to the administrative process and communication with families and recommended a joined-up approach linking interventions with common goals across the whole food system.</p><p><strong>Conclusions: </strong>Crucially, sufficient financial support is essential for successful implementation.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"29 1","pages":"e129"},"PeriodicalIF":3.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148318654","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":"Moving beyond information provision: strengthening structural and outcome-oriented approaches to food security among refugee populations.","authors":"Kervin Blanco Untalan, Genessa Jesy Teroy Pagote, Kyle Renz Gomez Tejero","doi":"10.1017/S136898002610295X","DOIUrl":"10.1017/S136898002610295X","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e142"},"PeriodicalIF":3.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309309","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}