Public Health Nutrition最新文献

{"title":"Co-designing solutions to tackle food insecurity in higher education settings: a scoping review.","authors":"Taylah Scutts, Nadia Farnaz, Gantsetseg Ganbold, Alexandra J Bhatti, Shirley Phan, Miriam J Williams, Seema Mihrshahi","doi":"10.1017/S1368980025000485","DOIUrl":"10.1017/S1368980025000485","url":null,"abstract":"<p><strong>Objective: </strong>Food insecurity (FI) in the higher education setting is a pressing social justice and public health nutrition issue. Persistent FI rates among students suggest that the current programmes and institutional policies are inadequate. Engaging the community in co-design practices can enhance research and decision-making, leading to more targeted advocacy and solutions. This review describes and evaluates evidence of co-design approaches and identifies strategies for addressing FI in higher education settings.</p><p><strong>Design: </strong>A review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Literature was searched in three electronic databases (Scopus, Ovid MEDLINE and Web of Science) and two search engines (Google and Google Scholar).</p><p><strong>Setting: </strong>Only studies based in higher education settings were included.</p><p><strong>Participants: </strong>Higher education students.</p><p><strong>Results: </strong>The search identified 814 studies, of which twenty-eight met the inclusion criteria. Studies involving co-design and participatory research frameworks had higher participation, leading to increased student awareness of FI, student leadership and the development of campaigns and collaborative organisational structures. A content analysis approach identified seven categories for strategies targeting student FI: (1) policy and institutional support; (2) strategic partnerships (3) advocacy and awareness; (4) initiatives for student engagement; (5) student skills and knowledge development; (6) programme development and (7) campus food environment.</p><p><strong>Conclusions: </strong>Co-designed research methodologies are important for addressing student FI, enhancing advocacy and understanding stakeholder needs. Future studies should prioritise collaborative approaches when exploring solutions to FI and similar social justice issues affecting students.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e80"},"PeriodicalIF":3.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009728","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 measurement of dietary species richness reveals that a higher consumption of dietary fibre, fish, fruits and vegetables, is associated with greater food biodiversity in UK diets.","authors":"Magaly Aceves-Martins, Anneli Löfstedt, Carlos Francisco Moreno-García, Elizabeth H Zandstra, Anne J Wanders, Baukje de Roos","doi":"10.1017/S1368980025000473","DOIUrl":"10.1017/S1368980025000473","url":null,"abstract":"<p><strong>Objective: </strong>We determined whether dietary species richness (DSR) (i) can be robustly measured using 4-day food intake data, (ii) is dependent on socio-demographic characteristics and (iii) is associated with diet quality.</p><p><strong>Design: </strong>The National Diet and Nutrition Survey (NDNS) nutrient databank 2018-2019 was expanded to include FoodEx2 food classifications, ingredients, the number and identity of unique species, Nutrient Rich Food 8·3 (NRF 8·3) Index scores and greenhouse gas emissions. Four-day food intake data and socio-demographic variables were used to calculate diet quality and DSR on the food and diet level.</p><p><strong>Setting: </strong>The United Kingdom (UK).</p><p><strong>Participants: </strong>Participants from NDNS 9-11 (2016-2019).</p><p><strong>Results: </strong>Composite dishes had the highest DSR (median 8 (Q1 = 4, Q3 = 12)), followed by seasoning, sauces and condiments (median 7, (Q1 = 4, Q3 = 10)) and, grains and grain-based products (median 5, (Q1 = 2, Q3 = 7)). Median DSR over 4 days was 49 (Q1 = 43, Q3 = 56; range 14-92), with the first 2 days achieving 80 % of DSR measured over 4 days. DSR was significantly higher in those who were younger, those with a higher household income or those with a lower level of deprivation (all <i>P</i> < 0·001). Higher DSR was associated with a small but significant improvement in nutritional quality (<i>P</i> < 0·001). Also, adherence to dietary guidelines such as fibre, fruits and vegetables and fish was associated with significantly higher DSR (all <i>P</i> < 0·001).</p><p><strong>Conclusions: </strong>We successfully established DSR based on 4-day food intake data. We also identified opportunities to improve DSR by increasing the consumption of fruits, vegetables, fibre and fish.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e76"},"PeriodicalIF":3.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027482","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 quality versus sharing practices on social media: a cross-sectional analysis of nutrition information on Twitter.","authors":"Cassandra H Ellis, Peter Ho, J Bernadette Moore, Charlotte El Evans","doi":"10.1017/S1368980025000461","DOIUrl":"10.1017/S1368980025000461","url":null,"abstract":"<p><strong>Objective: </strong>To use the validated Online Quality Assessment Tool (OQAT) to assess the quality of online nutrition information.</p><p><strong>Setting: </strong>The social networking platform was formerly known as Twitter (now X).</p><p><strong>Design: </strong>Utilising the Twitter search application programming interface (API; v1·1), all tweets that included the word 'nutrition', along with associated metadata, were collected on seven randomly selected days in 2021. Tweets were screened, those without a URL were removed and the remainder were grouped on retweet status. Articles (shared via URL) were assessed using the OQAT, and quality levels were assigned (low, satisfactory, high). Mean differences between retweeted and non-retweeted data were assessed by the Mann-Whitney <i>U</i> test. The Cochran-Mantel-Haenszel test was used to compare information quality by source.</p><p><strong>Results: </strong>In total, 10 573 URL were collected from 18 230 tweets. After screening for relevance, 1005 articles were assessed (9568 were out of scope) sourced from professional blogs (<i>n</i> 354), news outlets (<i>n</i> 213), companies (<i>n</i> 166), personal blogs (<i>n</i> 120), NGO (<i>n</i> 60), magazines (<i>n</i> 55), universities (<i>n</i> 19) and government (<i>n</i> 18). Rasch measures indicated the quality levels: 0-3·48, poor, 3·49-6·3, satisfactory and 6·4-10, high quality. Personal and company-authored blogs were more likely to rank as poor quality. There was a significant difference in the quality of retweeted (<i>n</i> 267, sum of rank, 461·6) and non-retweeted articles (<i>n</i> 738, sum of rank, 518·0), U = 87 475, <i>P</i>= 0·006 but no significant effect of information source on quality.</p><p><strong>Conclusions: </strong>Lower-quality nutrition articles were more likely to be retweeted. Caution is required when using or sharing articles, particularly from companies and personal blogs, which tend to be lower-quality sources of nutritional information.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e77"},"PeriodicalIF":3.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041814","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 and drink advertising along school children's transport routes in Victoria, Australia and policy implications.","authors":"Sherly X Li, Claire Hardi, Rebecca Godwin, Rachael Jinnette, Belinda Morley, Helen Dixon, Jane Martin","doi":"10.1017/S1368980025000345","DOIUrl":"10.1017/S1368980025000345","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the extent and nature of food and non-alcoholic drink advertising displayed on public transport and infrastructure on school routes.</p><p><strong>Design: </strong>Audit of outdoor advertisements on government-controlled public transport and associated infrastructure (e.g. tram shelters, bus stops) on busy school routes in Victoria, Australia. Using a strict protocol, trained field workers collected data on the type and content of outdoor advertising during February 2023 (start of school year). Food/drink advertising was classified (unhealthy or healthy) according to the Council of Australian Governments Health Council National interim guide to reduce children's exposure to unhealthy food and drink promotion (2018).</p><p><strong>Setting: </strong>Government-controlled buses, trams and public transport infrastructure on routes from eleven of the busiest train stations in metropolitan Melbourne and regional Victoria, Australia to fifty public primary and secondary schools. Stations were chosen based on annual patronage, area-based socio-economic area (SEA) and regionality).</p><p><strong>Results: </strong>156 out of 888 advertisements were for food and non-alcoholic drinks. Of these, almost six in ten (58 %) were deemed unhealthy irrespective of SEA or regionality. Marketing appeals most featured were taste (31 %), convenience (28 %) and emotion (9 %). A significantly higher proportion of unhealthy advertisements were displayed within 500 m of schools <i>v</i>. outside this radius (91 % <i>v</i>. 57 %, <i>P</i> < 0·01).</p><p><strong>Conclusion: </strong>Given the detrimental impacts of exposure to unhealthy food/drink advertising on children's diets, the pervasive, powerful presence of such advertising across government public transport assets, particularly around schools, contradicts public health recommendations to protect children from exposure to and influence by this harmful marketing and warrants government action.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e97"},"PeriodicalIF":3.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028803","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":"Coexisting forms of malnutrition among under-5 children in Bangladesh: results from 2012 to 13 and 2019 Multiple Indicator Cluster Surveys.","authors":"Md Ridwan Islam, Md Fuad Al Fidah, Md Mushfiqur Rahman, Tahmeed Ahmed, Sharika Nuzhat","doi":"10.1017/S1368980025000448","DOIUrl":"10.1017/S1368980025000448","url":null,"abstract":"<p><strong>Objective: </strong>Underweight, wasting and stunting are crucial malnutrition indicators responsible for morbidities among children. Data regarding coexisting forms of malnutrition (CFM) are scarce. We aimed to investigate the prevalence and associated factors of CFM across two survey years among under-5 Bangladeshi children.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Data were acquired from two rounds of Multiple Indicator Cluster Survey (MICS), Bangladesh conducted in 2012-13 and 2019. <i>Subjects:</i> The analysis included 43 946 (2012-13: 20 885; 2019: 23 061) under-5 children.</p><p><strong>Results: </strong>Binomial proportion test, slope index of inequality and multinomial logistic regression models were used for analysis. The prevalence of CFM was 27·45 % and 18·56 % in 2012-13 and 2019, respectively. A significant decrease in the prevalence of CFM was seen across the surveys (<i>P</i>-value < 0·001). Children from urban residence ((2012-13:aOR = 0·70, 95 % CI: 0·64, 0·77); (2019:aOR = 0·71, 95 % CI: 0·65, 0·78), higher maternal education ((2012-13:aOR = 0·28, 95 % CI: 0·24, 0·32); (2019:aOR = 0·28, 95 % CI: 0·24, 0·32), larger size at birth ((2012-13:aOR = 0·62, 95 % CI: 0·52, 0·73); (2019:aOR: 0·60, 95 % CI: 0·50, 0·73) and richest wealth quintile ((2012-13:aOR = 0·25, 95 % CI: 0·22, 0·28); (2019:aOR: 0·30, 95 % CI: 0·27, 0·34)) had lower odds of suffering from CFM compared with their counterparts. Children from poorer quintiles were more influenced by CFM than richer quintiles (Coef.:-0·175, 95 % CI: -0·192, -0·157, <i>P</i>-value < 0·001). Higher percentage of CFM was observed among rich families in 2019 compared with 2012-13 (24·50 % and 20·15 %, respectively; <i>P</i>-value < 0·001).</p><p><strong>Conclusion: </strong>The findings of this study should help the researchers and policymakers to understand CFM more clearly and plan prospective studies to explore CFM outcomes. Targeted interventional approaches are needed among parents of rural communities to control the burden of CFM.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e84"},"PeriodicalIF":3.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796084","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":"Drivers and solutions to unhealthy food consumption by adolescents in urban slums in Kenya: A qualitative participatory study.","authors":"Milkah N Wanjohi, Elizabeth Wambui Kimani-Murage, Michelle Holdsworth, Rebecca Pradeilles, Calistus Wilunda, Gershim Asiki, Kerstin Klipstein-Grobusch","doi":"10.1017/S1368980025000400","DOIUrl":"https://doi.org/10.1017/S1368980025000400","url":null,"abstract":"<p><strong>Objective: </strong>To explore the perceptions, drivers, and potential solutions to consumption of unhealthy, ultra-processed foods (UPF) and foods high in fat, salt and sugar (HFSS), and their contribution to the double burden of malnutrition in adolescents living in urban slums, Kenya.</p><p><strong>Design: </strong>Qualitative participatory research, through Photovoice, group discussions and community dialogues. Inductive, thematic analysis was undertaken.</p><p><strong>Setting: </strong>Three major slums, Nairobi.</p><p><strong>Participants: </strong>Adolescents 10-19 years (n=102: 51 boys, 51 girls) and adults (n=62).</p><p><strong>Results: </strong>UPF/HFSS consumption emerged as a predominant theme on the causes of undernutrition and overweight/obesity and foods commonly consumed by adolescents. Adolescents described UPF/HFSS as junk, oily, sugary or foods with chemicals, and associated UPF/HFSS consumption with undernutrition, obesity, non-communicable diseases. They perceived UPF/HFSS as modern, urban, classy, appealing to young people, and minimally processed foods as boring, primitive, for older people, and those in rural areas. Individual-level drivers of UPF/HFSS consumption were organoleptic attributes (taste/aroma), body size/shape, illicit drug use, convenience, adolescents' autonomy. Social environment drivers were peer-pressure and social status/aspirations. Physical environment drivers were UPF/HFSS availability and accessibility in the slums. Education on healthy eating and adverse effects of consuming UPF/HFSS, through existing structures (youth groups, school, community health strategy) was proposed as potential solution to UPF/HFSS consumption.</p><p><strong>Conclusion: </strong>UPF/HFSS were perceived as associated with poor nutrition and health, yet were preferred over unprocessed/minimally processed foods. Interventions to promote healthy diets beyond raising awareness are important, while address the underlying perceptions and drivers of UPF/HFSS consumption at individual-level, and social and physical food environments.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-37"},"PeriodicalIF":3.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773149","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":"Food insecurity and food bank use: who is most at risk of severe food insecurity and who uses food banks? - CORRIGENDUM.","authors":"Elisabeth A Garratt, Beth Armstrong","doi":"10.1017/S136898002500028X","DOIUrl":"10.1017/S136898002500028X","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e56"},"PeriodicalIF":3.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764655","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":"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}