Public Health Nutrition最新文献

{"title":"Serum Iodine Concentration as a Biomarker for Individual Iodine Nutrition and Thyroid Function in Pregnant Women: A Cross-Sectional Study in Hubei Province.","authors":"Mingjuan Xu, Xin Dai, Zhen Wang, Chong Guo, Biyun Zhang, Huailan Guo","doi":"10.1017/S1368980026102869","DOIUrl":"https://doi.org/10.1017/S1368980026102869","url":null,"abstract":"<p><strong>Objective: </strong>The physiological demands of pregnancy substantially alter iodine metabolism and thyroid function. This critical period heightens the requirement for iodine, making deficiency a significant risk factor for both maternal and fetal thyroid dysfunction. This study aimed to evaluate the iodine nutritional status of pregnant women in Hubei Province, explore the relationship between serum iodine concentration (SIC) and thyroid function, and determine the prevalence of thyroid disorders.</p><p><strong>Design: </strong>The eligible participants underwent a face-to-face interview and completed questionnaire surveys to collect baseline information and dietary intake data. Serum thyroid hormones, thyroid antibodies, SIC, and urine iodine concentration (UIC) were measured. The 95% reference intervals of SIC were established and ROC analysis was applied to compare the predictive ability of SIC and UIC for thyroid dysfunction.</p><p><strong>Setting: </strong>Hubei Province, China.</p><p><strong>Participants: </strong>1197 eligible pregnant women were included in this study.</p><p><strong>Results: </strong>This study revealed a thyroid dysfunction prevalence of 28.40%, with hypothyroxinemia being the most prevalent thyroid function abnormality, accounting for 79.7% of all thyroid dysfunction cases. Significant differences in hypothyroxinemia prevalence were noted across pregnancy trimesters (<i>P</i> < 0.001), with the highest prevalence in the first trimester and the lowest in the third. In the first trimester, SIC was negatively correlated with TSH (<i>r</i> = -0.195, <i>P</i> < 0.001) and positively correlated with FT3 (<i>r</i> = 0.294, <i>P</i> < 0.001). Additionally, SIC demonstrated a positive correlation with FT4 in each trimester (all <i>P</i> < 0.001). Finally, the SIC reference intervals for pregnant women in the first, second, and third trimesters were 50.08∼118.61 µg/L, 59.16∼127.44 µg/L, and 53.61∼118.67 µg/L, respectively.</p><p><strong>Conclusions: </strong>SIC can serve as a reliable indicator for evaluating individual iodine nutritional status and predicting thyroid dysfunction.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-32"},"PeriodicalIF":3.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietary equity for Indian migrant women in Auckland: why culturally grounded evidence is urgently needed.","authors":"Laltlankimi Khiangte","doi":"10.1017/S1368980026103000","DOIUrl":"10.1017/S1368980026103000","url":null,"abstract":"<p><p>Most Indian communities form a significant and growing component of the Auckland population, including Indian migrant women, who often play central roles in food procurement and household dietary practices. While New Zealand and international evidence indicates post-migration dietary changes and barriers to healthy eating among South Asian populations, there is limited Auckland-specific information on the dietary behaviour of Indian migrant women. This commentary integrates existing evidence and outlines high-level research, policy and practice priorities. Strengthening culturally grounded dietary assessment, while addressing multilevel factors such as affordability, food environments and access to culturally appropriate information, is essential for promoting nutrition equity among the largest Asian ethnic female populations living in Aotearoa New Zealand.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e172"},"PeriodicalIF":3.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13469219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309257","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":"Online nutritional disclosure of alcoholic beverages in South Africa is predominantly limited to alcohol by volume, with key nutrients omitted.","authors":"Fezeka Nqobile Cokile, Molatela Keneilwe Mamabolo, Khumo Molokomme, Noxolo Sibuyi, Wantonda Mukhovha, Siphiwe Ndumiso Dlamini","doi":"10.1017/S1368980026103012","DOIUrl":"10.1017/S1368980026103012","url":null,"abstract":"<p><strong>Objective: </strong>In South Africa, as in many other countries, alcoholic beverages are not required to disclose nutritional information beyond alcohol by volume (ABV), limiting consumer awareness of energy and sugar intake. This study evaluated the extent of online nutritional information disclosure for alcoholic beverages in South Africa.</p><p><strong>Design: </strong>A cross-sectional analysis was conducted using data collected between April and September 2025. Alcoholic beverages were identified from the top five retailers by market share. A total of 3534 unique products were classified into six categories: beers, ready-to-drink beverages (RTD), red wines, white wines, sparkling wines and rosés, and spirits. Nutritional information was extracted from official brand websites, and a disclosure score was assigned based on nutrients reported. Data were analysed using chi-square and Kruskal-Wallis tests.</p><p><strong>Setting: </strong>South Africa, April-to-September 2025.</p><p><strong>Participants: </strong>N/A (product-level analysis).</p><p><strong>Results: </strong>ABV was disclosed for 83·3 % of beverages, while sugar was reported for only 33·0 % and < 3 % disclosed other nutrients or ingredient lists. Disclosure varied significantly by category (<i>P</i> < 0·0001): beers showed the widest variability (median score = 1, IQR = 1-6), white wines scored slightly higher (median = 2) and spirits the lowest (median = 0). In contrast, RTD showed consistently low disclosure, with a narrow distribution of scores (median = 1, interquartile range = 1-1).</p><p><strong>Conclusions: </strong>Most alcoholic beverages sold in South Africa predominately disclose ABV and often omit disclosure of other key nutrients. These findings underscore the need for mandatory nutritional information disclosure for alcoholic beverages to support informed consumer choices, reduce overall alcohol consumption and address alcohol-related health risks.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e144"},"PeriodicalIF":3.0,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309260","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 insecurity among university students: a comparative analysis across nine European countries in the FINESCOP project.","authors":"Maike Kötzsche, Ramona Teuber, Liv Elin Torheim, Gréta Jakobsdóttir, Arja T Lyytinen, Piotr Romaniuk, Juliana Almeida-de-Souza, María Luisa Di Pietro, Filiz Malkoc Kinikli, Naiara Martinez-Perez, Laura García-Iruretagoyena, Marianne Molin, Ida Kristoffersen, Kari Almendingen, Brittany M Repella, Tiina Rissanen, Irmgard Jordan, Eleonore A Heil, Klaudia Alcer, Vera Ferro-Lebres, Anna Carolina Cortez-Ribeiro, Drieda Zaçe, Gökçe Koç, Marta Arroyo-Izaga","doi":"10.1017/S1368980026102894","DOIUrl":"10.1017/S1368980026102894","url":null,"abstract":"<p><strong>Objective: </strong>The 'Food Insecurity among European University Students during the COVID-19 Pandemic' (FINESCOP) study investigates food insecurity (FI) and factors associated with FI among university students in nine European countries.</p><p><strong>Design: </strong>A cross-sectional, web-based survey design was employed. The Food Insecurity Experience Scale (FIES) was used for standardised assessment of FI across the study sites.</p><p><strong>Setting: </strong>The study was conducted at nine universities in different European countries.</p><p><strong>Participants: </strong>A total of 3250 cases were included in the joint analysis, with FI assessed using the standardised FAO-developed FIES.</p><p><strong>Results: </strong>The findings reveal considerable regional disparities in FI, with moderate or severe FI (FI_{mod + sev}) prevalence rates ranging from 3·1 % at an Italian university to 32·1 % at Ege University in Türkiye. Seven out of nine universities had FI_{mod + sev} prevalence rates above 10 %, exceeding the European 3-year average (2021-2023) of 7·8 %, with rates in most universities surpassing their respective national populations. Logistic regression analysis controlling for country-level fixed effects highlighted factors associated with higher odds of FI, including being born outside Europe, lower parental education, reliance on student loans and receiving food assistance.</p><p><strong>Conclusions: </strong>While the FIES provides standardised assessments across diverse contexts, the survey's timing during the COVID-19 pandemic may limit the findings' generalisability to non-pandemic periods. Future research should adopt longitudinal designs and refine the FIES to enhance its applicability in diverse settings. This study emphasises that university students in Europe have unique vulnerabilities to FI, which must be recognised to create effective interventions and further research into its structural causes.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e154"},"PeriodicalIF":3.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302800","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 literacy interventions to improve sustainability in multicultural diets: a scoping review.","authors":"Sophia Lin, Ebony T Lewis, Tamanna Jannat Promi, Fiona Ann Christianus, Minh Cuong Duong, Rimante Ronto, Jaimee Hughes, Yuchen Xie, Amanda Duffy, Milena Katz","doi":"10.1017/S1368980026102924","DOIUrl":"10.1017/S1368980026102924","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review aimed to identify and map interventions and gaps in evidence that sought to enhance food literacy to support sustainable dietary behaviours among adults from ethnic-minority backgrounds.</p><p><strong>Design: </strong>A scoping review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were included if they targeted food literacy in ethnic-minority adult populations. Nine databases were searched from inception to October 2024.</p><p><strong>Settings: </strong>Developed economy countries.</p><p><strong>Participants: </strong>Community-dwelling adult ethnic-minority populations.</p><p><strong>Results: </strong>Of 3128 records screened, two studies met the inclusion criteria. Both studies involved a retrospective evaluation of outcomes following participation in a community garden programme. Although some sustainability-related outcomes were recorded, none directly integrated food system sustainability education as a primary objective.</p><p><strong>Conclusions: </strong>This review found very few food literacy interventions that integrate sustainability and are tailored for ethnic-minority communities, highlighting a critical evidence gap. Future health promotion efforts should identify strategies to effectively change food preferences towards nutritious and sustainable choices and how to tailor them for culturally diverse groups to address both health and environmental challenges.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e140"},"PeriodicalIF":3.0,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296083","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":"Individual responsibility and the limits of U.S. dietary guidelines: addressing ultra-processed food consumption through structural policy.","authors":"Malika Al Kattan, Lynne Alexandra Kennedy","doi":"10.1017/S1368980026102948","DOIUrl":"10.1017/S1368980026102948","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e138"},"PeriodicalIF":3.0,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148272717","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":"Development and validation of the Brazilian Dietary Guidelines Adherence Score (BraScore): a novel index to assess the adherence to the Dietary Guidelines for the Brazilian Population.","authors":"Thays Nascimento Souza, Kamila Tiemann Gabe, Leandro Teixeira Cacau, Letícia Barroso Vertulli Carneiro, Camille Lassale, Renata Bertazzi Levy, Inês Rugani Ribeiro de Castro, Maria Laura da Costa Louzada","doi":"10.1017/S1368980026102936","DOIUrl":"10.1017/S1368980026102936","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to describe the development and evaluation of the Brazilian Dietary Guidelines Adherence Score (BraScore).</p><p><strong>Design: </strong>The process comprised multiple steps: defining guiding principles, identifying food components, setting scoring cut-off points and assessing validity and reliability.</p><p><strong>Setting: </strong>Nationally representative sample of the Brazilian population.</p><p><strong>Participants: </strong>46 164 Brazilians aged ≥ 10 years.</p><p><strong>Results: </strong>The BraScore has ten components: <i>to be consumed</i> (legumes; fruits; vegetables and diversity)<i>, to be limited</i> (red meat; other animal-based foods; processed foods; table sugar and cooking salt) and <i>to be avoided</i> (ultra-processed foods). Scores range from 0 to 100, with higher values indicating greater adherence to the Dietary Guidelines. Analyses showed a weak correlation with energy intake (coefficient: -0·12) and substantial variability among individuals (1st percentile: 20·5; 99th: 77·7). Scree plot analysis revealed multidimensionality, indicating four distinct patterns. The scores differentiated population groups (older adults and rural residents had higher scores) and were high for diets developed by nutritionists (84·6-97·6 points). The reliability analysis yielded a coefficient of 0·6, suggesting acceptable internal consistency.</p><p><strong>Conclusions: </strong>The BraScore is a valid and reliable tool to assess adherence to the Dietary Guidelines for the Brazilian Population.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e141"},"PeriodicalIF":3.0,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148272727","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 Effect of E-Healthy Diet Literacy on Sustainable Nutrition Behaviors in Pregnant Women.","authors":"Şeyma Demir, Yasemin Erkal Aksoy","doi":"10.1017/S1368980026102870","DOIUrl":"10.1017/S1368980026102870","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to examine the relationship between e-healthy diet literacy and sustainable nutrition behaviors in pregnant women.</p><p><strong>Design: </strong>This study was a descriptive correlational study.</p><p><strong>Setting: </strong>Data were collected via self-report using a Personal Information Form, the e-Healthy Diet Literacy Questionnaire (e-HDLQ) and the Sustainable Nutrition Behavior Scale (SNBS).</p><p><strong>Participants: </strong>The study population consisted of all pregnant women living in Konya/Türkiye, and the sample included 290 pregnant women over the age of 18 who voluntarily agreed to participate and were able to read and understand Turkish, the language of the questionnaire.</p><p><strong>Results: </strong>The total e-HDLQ score of the participants was 29.37±6.91 (min=13, max=46), and the total SNBS score was 109.18±17.07 (min=37, max=145). Weak but statistically significant associations were observed between the total e-HDLQ score and the SNBS sub-dimensions of food preference (r=0.119) and food purchase (r=0.117) (p<0.05). Additionally, weak but statistically significant associations were identified between the e-HDLQ appraising sub-dimension and the total SNBS score (r=0.125), its food preference sub-dimension (r=0.134), and food waste reduction sub-dimension (r=0.119) (p<0.05). Multiple linear regression analyses showed that age, education level, history of having a low-birth-weight baby, and food preference and food purchase sub-dimensions positively predicted e-HDLQ, whereas knowledge of nutrition and seasonal and local food consumption sub-dimension were negatively associated. For SNBS, the appraising sub-dimension positively predicted behavior, while higher education level was negatively associated.</p><p><strong>Conclusions: </strong>he study shows that pregnant women's e-healthy diet literacy is weakly but significantly associated with various aspects of sustainable nutrition behaviors.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-25"},"PeriodicalIF":3.0,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148259319","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":"Higher infant dietary diversity is associated with a reduced risk of stunting in the second year among a longitudinal cohort of HIV-unexposed and HIV-exposed but uninfected Kenyan children.","authors":"Saralyn Foster, Shalean Collins, Daniel Powers, Rachel Rickman, Joshua Miller, Maricianah Onono, Pauline Wekesa, Marcela Abrego, Anahi Ramos-Gonzalez, Kayleen Whitley, Madilyn Bradley, Sera L Young, Elizabeth M Widen","doi":"10.1017/S1368980026102912","DOIUrl":"10.1017/S1368980026102912","url":null,"abstract":"<p><strong>Objective: </strong>Few studies have examined whether infant dietary diversity is prospectively associated with malnutrition risk in young children. We sought to assess whether dietary diversity and animal-source food (ASF) consumption were associated with malnutrition and body composition among children younger than 2 years at high risk of malnutrition.</p><p><strong>Design: </strong>Longitudinal cohort of HIV-exposed uninfected (HEU) or HIV-unexposed children with repeated measures of weight, length, circumferences and skinfold thicknesses from age 9 to 23 months from which WHO z-scores were calculated. FFQ assessed infants' dietary diversity, flesh foods and egg intake. Cox proportional hazards were used to examine whether minimum dietary diversity (MDD, dietary diversity scores ≥ 5) and consumption of ASF were associated with malnutrition, defined as z-score < -2.</p><p><strong>Setting: </strong>Western Kenya.</p><p><strong>Participants: </strong>Infants (<i>n</i> 232; 48 % female; 49 % HEU; growth z-scores above -2 at 9 months).</p><p><strong>Results: </strong>At 9 months, 42 % of infants met MDD, and mean z-scores were above -1 sd. Meeting MDD at 9 months was associated with a lower risk of stunting from 9 to 23 months (HR 0·51; 95 % CI: 0·33, 0·80) but not wasting or underweight. MDD at 9 months was associated with 86 % (95 % CI 0·11, 0·51) lower risk of low subscapular skinfolds; similar trends were observed for flesh foods.</p><p><strong>Conclusions: </strong>In a cohort of Kenyan infants, MDD at 9 months was associated with reduced risk of stunting through the second year of life. Flesh food intake was associated with lower risk of low trunk adiposity. Improving dietary diversity during infancy may protect against early-life stunting.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e143"},"PeriodicalIF":3.0,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164195","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":"Enhancing Practical Utility and Policy Integration of Ultra-Processed Food Screeners.","authors":"Kervin B Untalan, Genessa Jesy T Pagote, Kyle Renz G Tejero","doi":"10.1017/S1368980026102900","DOIUrl":"10.1017/S1368980026102900","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-4"},"PeriodicalIF":3.0,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164141","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}