Public Health Nutrition最新文献

{"title":"Acute malnutrition associated with mid-upper arm circumference among under-five children in tribal areas, India: a cross-sectional study.","authors":"Shraboni Patra, Shashikant Sambharkar, Sheetal Harode, Kalpana Barde, Amita Pillewan","doi":"10.1017/S1368980024002465","DOIUrl":"10.1017/S1368980024002465","url":null,"abstract":"<p><strong>Objective: </strong>For the past three decades, India has implemented several nutrition programmes to address malnutrition in the under-fives. To understand the programme's impact, this study assesses the prevalence of acute malnutrition, moderate acute malnutrition (MAM) and severe acute malnutrition (SAM), using mid-upper arm circumference (MUAC) among tribal children.</p><p><strong>Design: </strong>The survey was conducted in two tribal blocks (Desaiganj and Bhamragad) of the Gadchiroli district in Maharashtra to identify children registered in the 'Anganwadi' program.</p><p><strong>Setting: </strong>A community-based cross-sectional survey was carried out.</p><p><strong>Participants: </strong>The total sample size was 1055 children (aged 0-59 months).</p><p><strong>Results: </strong>The overall prevalence of SAM and MAM was 1·4 % (<i>n</i> 15) and 9·8 % (<i>n</i> 103). A higher prevalence of MAM was found in males (38·5 %, <i>n</i> 40) and females (27·1 %, <i>n</i> 28) in below 6 months. Additionally, a higher prevalence of MAM was observed in females (10·7 %, <i>n</i> 113) compared with males (9·0 %, <i>n</i> 95). The prevalence of SAM was significantly (<i>P</i> < 0·001) higher in females (1·7 %, <i>n</i> 18) than in males (1·0 %, <i>n</i> 11). Children aged between 12 and 17 months were sixteen times more likely (OR = 16·9, <i>P</i> < 0·001, CI = 4·8, 59·6) to have MAM (MUAC < 12·5 cm) than children aged between 6 and 11 months. Children from the Desaiganj block were significantly less likely (OR = 0·4, <i>P</i> < 0·001, CI = 0·2, 0·7) to have MAM compared with children from Bhamragad. Approximately 4 % (<i>n</i> 42) of children were classified as critically malnourished.</p><p><strong>Conclusion: </strong>There is an urgent need for block-level monitoring of MAM and SAM, as well as evaluation of existing nutrition programmes, to address the disparity in the sex-specific prevalence of MAM and SAM in tribal areas.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e13"},"PeriodicalIF":3.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780445","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":"Using the Behaviour Change Wheel and Theoretical Domains Framework to identify factors related to increasing fruit and vegetable consumption in children to guide future intervention development.","authors":"Louise George, Jenny Davison","doi":"10.1017/S1368980024002362","DOIUrl":"10.1017/S1368980024002362","url":null,"abstract":"<p><strong>Objective: </strong>This study used the Behaviour Change Wheel (BCW) and Theoretical Domains Framework (TDF) to identify parental factors that are associated with increasing their child's fruit and vegetable consumption. The information gathered enabled a behavioural diagnosis and the identification of intervention functions to increase fruit and vegetable consumption in children.</p><p><strong>Design: </strong>A qualitative design using open-ended online survey methodology was utilised.</p><p><strong>Setting: </strong>United Kingdom.</p><p><strong>Participants: </strong>Twenty-eight parents of primary school-aged children (4-11 years) aged 29-51 years participated.</p><p><strong>Results: </strong>Thematic and summative analysis identified skills in preparation and cooking, awareness of and desire to increase fruit and vegetable intake, knowledge of the recommendations and better health for their child as the main facilitators. The main barriers were time and financial constraints, their child's food preferences and refusal to eat fruit and vegetables, negative role modelling from parents and grandparents and beliefs that fruit and vegetable intake will increase with age. For behaviour change to occur, 'knowledge', 'social influences', 'environmental context and resources', 'beliefs about consequences' and 'beliefs about capabilities' need to be altered.</p><p><strong>Conclusions: </strong>Novel findings suggest that future intervention development should focus on parental beliefs and skills around how to increase fruit and vegetable consumption as their child ages and expanding parental knowledge on the benefits of fruit and vegetable consumption such as mental and future health. The use of the TDF and BCW identified appropriate intervention functions that will guide future behaviour change techniques, modes of delivery and policy categories that best target increasing children's fruit and vegetable consumption.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e253"},"PeriodicalIF":3.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780466","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":"Why health systems cannot fix problems caused by food systems: a call to integrate accountability for obesity into food systems policy - CORRIGENDUM.","authors":"Erica Reeve, Penny Farrell, Anne Marie Thow, Senoveva Mauli, Dori Patay","doi":"10.1017/S1368980024002441","DOIUrl":"10.1017/S1368980024002441","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"27 1","pages":"e247"},"PeriodicalIF":3.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786768","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":"Selecting a dietary assessment method for a national nutrition survey: a review and evaluation of online 24-h dietary recall tools.","authors":"Berit Follong, Sally Mackay, Cliona Ni Mhurchu","doi":"10.1017/S1368980024002507","DOIUrl":"10.1017/S1368980024002507","url":null,"abstract":"<p><strong>Objective: </strong>Online 24-h dietary recall tools are commonly used in nationwide nutrition surveys to assess population diets. With a steep rise in the development of new and more advanced 24-h dietary recall tools, the decision of which tool to use for a national nutrition survey becomes increasingly challenging. Therefore, this short communication outlines the process of selecting a 24-h dietary recall tool for a national nutrition survey in New Zealand.</p><p><strong>Design: </strong>To identify suitable 24-h dietary recall tools, a review of peer-reviewed and grey literature was conducted (2019-2022). Data on functionalities, validation, usability and adaptability were extracted for eighteen pre-specified tools, which were used in the subsequent evaluation process.</p><p><strong>Results: </strong>Six of the eighteen tools had new relevant publications since 2019. The fourteen new publications described six validation studies and eight usability studies. Based on pre-selection criteria (e.g. availability, adaptability, previous use in national surveys), three tools were shortlisted: ASA24, Intake24 and MyFood24. These tools were further evaluated, and expert advice was sought to determine the most suitable tool for use in the New Zealand context.</p><p><strong>Conclusions: </strong>A comprehensive yet time- and cost-efficient approach was undertaken to identify the potential use of online 24-h dietary recall tools for a national nutrition survey. The selection process included key evaluation criteria to determine the tools' suitability for adaptation within the New Zealand context and ultimately to select a preferred tool. A similar approach may be useful for other countries when having to select 24-h dietary recall tools for use in national nutrition surveys.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e264"},"PeriodicalIF":3.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780463","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":"Longitudinal analysis of lifestyle risk factors, nutrition status and drivers of food choice among urban migrants in Ulaanbaatar, Mongolia, and Almaty, Kazakhstan: a formative study.","authors":"Sabri Bromage, Shamil Tazhibayev, Xin Zhou, Chang Liu, Enkhtsetseg Tserenkhuu, Oksana Dolmatova, Munkhbat Khishignemekh, Leyla Musurepova, Wusigale, Soninkhishig Tsolmon, Enkhjargal Tsendjav, Davaasambuu Enkhmaa, Rajesh Kumar Rai, Bayarmaa Enkhbat, Bilige Menghe, Davaasambuu Ganmaa","doi":"10.1017/S136898002400243X","DOIUrl":"10.1017/S136898002400243X","url":null,"abstract":"<p><strong>Objective: </strong>To quantify and compare concurrent within-person trends in lifestyle risks, nutrition status and drivers of food choice among urban migrants in Central Asia.</p><p><strong>Design: </strong>We collected panel data on household structure, drivers of food choice, nutrition knowledge and diverse measures of nutrition status and lifestyle risk from urban migrants at 0, 3, 6 and 9 months using harmonised methodology in two cities. Trends were analysed using mixed-effects models and qualitatively compared within and between cities.</p><p><strong>Setting: </strong>Ulaanbaatar, Mongolia, and Almaty, Kazakhstan.</p><p><strong>Participants: </strong>200 adults (22-55 years) who migrated to these cities within the past 2 years.</p><p><strong>Results: </strong>Adjusting for age and sex, each month since migration was positively associated with fasting TAG in Almaty (0·55 mg/dl; 95 % CI: 0·13, 0·94) and BMI (0·04 kg/m²; 95 % CI: 0·01, 0·07), body fat (0·14 %; 95 % CI: 0·01, 0·26) and fasting glucose (0·04 mmol/l; 95 % CI: 0·02, 0·05) and lipids in Ulaanbaatar (<i>P</i> < 0·05). In Almaty, nutrition knowledge (measured using an objective 20-point scale) declined despite improvements in diet quality (measured by Prime Diet Quality Score). The influence of food availability, price and taste on food choice increased in Almaty (<i>P</i> < 0·05). Upon multivariable adjustment, nutrition knowledge was positively associated with diet quality in Almaty and adherence to 'acculturated' diet patterns in both cities (<i>P</i> < 0·05). Different trends in smoking, sleep quality and generalised anxiety were observed between cities.</p><p><strong>Conclusions: </strong>Findings indicate heterogeneous shifts in nutrition, lifestyles and drivers of food choice among urban migrants in Central Asia and provide an evidence base for focused research and advocacy to promote healthy diets and enable nutrition-sensitive food environments.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e33"},"PeriodicalIF":3.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771908","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":"Nutrition management programme for older adults in Ningxia nursing homes, China: evidence-based practice and the Delphi method.","authors":"Haiyan Liu, Li Chen, Yanhua Ning, Yahong Guo, Weijuan Kong, Xiongxiong Lv, Meiman Li, Ting Jiang","doi":"10.1017/S1368980024002453","DOIUrl":"10.1017/S1368980024002453","url":null,"abstract":"<p><strong>Objectives: </strong>To construct an evidence-based practice programme for the nutrition management of older adults in nursing homes. The programme will provide a basis for improving or solving the nutrition management problems of older adults in nursing homes.</p><p><strong>Design: </strong>The study is based on guideline evidence and Delphi method. The evidence was comprehensively searched, assessed and summarized, and the best evidence and a preliminary programme for nutrition management of older adults in nursing homes were aggregated. Then, the Delphi method was used to assess the applicability of the preliminary programme and the obstacle factors to modify, supplement and improve the nutrition management programme.</p><p><strong>Setting: </strong>Baseline survey data were collected from three nursing homes in Ningxia, China, and guideline evidence was obtained through systematic searches of the Cochrane Library, PubMed and other scientific databases, as well as relevant official websites.</p><p><strong>Participants: </strong>A total of 350 older adults residing nursing homes and 160 nurses participated in the baseline survey. To ensure the programme's applicability and identify potential implementation obstacles, fifteen experts from local grade A hospitals, nursing homes and community health centres were consulted for review.</p><p><strong>Results: </strong>A fourteen-item, fifty-six-best-evidence nutrition management programme for older adults in nursing homes was developed based on five guideline evidences and baseline survey findings.</p><p><strong>Conclusions: </strong>This is a systematic and comprehensive nutritional management programme for older adults in nursing homes based on guideline evidence, which can provide a standardised basis for the implementation of scientific nutritional management in nursing homes in Ningxia. Managers should promote the translation of evidence into practice in accordance with the specific circumstances of individual nursing homes.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e262"},"PeriodicalIF":3.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771909","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":"Status of prevention of neural tube defects post-folic acid fortification of cereal grains in South Africa.","authors":"Vijaya Kancherla, Phillip Randall, Arnold L Christianson, Helen Louise Malherbe","doi":"10.1017/S1368980024002271","DOIUrl":"10.1017/S1368980024002271","url":null,"abstract":"<p><strong>Objective: </strong>Neural tube defects (NTD) are serious, life-threatening birth defects. Staple food fortification with folic acid (vitamin B₉) is a proven, effective intervention to reduce NTD birth prevalence. Mandatory food fortification with folic acid was implemented in South Africa (SA) in 2003. This article provides an overview of NTD birth prevalence in SA, pre- and post-fortification, and evaluates current folic acid fortification regulations.</p><p><strong>Design: </strong>Fortification effectiveness data in SA were reviewed using published studies and national reports on NTD birth prevalence pre- and post-folic acid fortification. Current folic acid fortification regulations in SA were evaluated by experts.</p><p><strong>Setting: </strong>Regulations were assessed using national health guidelines, legislation and regulations. NTD birth prevalence data were sourced from the published literature.</p><p><strong>Participants: </strong>None.</p><p><strong>Results: </strong>Significant reductions in the birth prevalence of spina bifida and anencephaly and improved maternal folate levels have been achieved following the introduction of folic acid fortification in SA. However, there is poor overall regulatory compliance in some instances and a gap in current regulations that excludes the fortification of cake flour in SA.</p><p><strong>Conclusions: </strong>While the SA NTD birth prevalence has decreased by 30% post-fortification, the regulatory exclusion of cake flour fortification is a significant and growing issue. Proposed 2016 regulatory amendments to address this gap urgently require finalisation and enactment by government to prevent negating benefits achieved to date and to ensure continued improvement. Fortification monitoring requires strengthening to ensure widespread compliance with policies, particularly in underserved areas.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e258"},"PeriodicalIF":3.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751510","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":"Strengthening the governance of food systems for nutrition in Africa: a political economy analysis of food policy in South Africa and Ghana.","authors":"Anne Marie Thow, David Neves, Robert Aidoo, Linda Nana Esi Aduku, Busiso Moyo, Charles Apprey, Florian Kroll, Reginald Annan","doi":"10.1017/S1368980024001356","DOIUrl":"10.1017/S1368980024001356","url":null,"abstract":"<p><strong>Objective: </strong>To examine underlying political economy factors that enable or impede the integration of nutrition considerations into food system governance.</p><p><strong>Design: </strong>Comparative political economy analysis of data collected through (1) value chain analyses of selected healthy and unhealthy commodities and (2) food system policy analyses, using a theoretical framework focused on power, politics, interests and ideas.</p><p><strong>Setting: </strong>Ghana and South Africa.</p><p><strong>Participants: </strong>Value chain actors relevant to healthy and unhealthy foods (Ghana <i>n</i> 121; South Africa <i>n</i> 72) and policy stakeholders from government (Health, Agriculture, Trade and Industry, Finance), academia, civil society, development partners, Civil Society Organization (CSO) and private sector (Ghana <i>n</i> 28; South Africa <i>n</i> 48).</p><p><strong>Results: </strong>Nutrition was a stated policy priority in both countries; however, policy responsibility was located within the health sector, with limited integration of nutrition into food system sectors (including Agriculture, Trade and Industry). Contributing factors included a conceptions of policy responsibilities for nutrition and food systems, dominant ideas and narratives regarding the economic role of the food industry and the purpose of food system policy, the influence of large food industry actors, and limited institutional structures for cross-sectoral engagement and coordination.</p><p><strong>Conclusions: </strong>Integrating nutrition into multi-sectoral food policy to achieve multiple food system policy goals will require strategic action across jurisdictions and regional levels. Opportunities included increasing investment in healthy traditional foods, strengthening urban/rural linkages and informal food systems, and strengthening institutional structures for policy coherence and coordination related to nutrition.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"27 1","pages":"e243"},"PeriodicalIF":3.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740368","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":"Trends in food and nutrition behaviours, knowledge and attitudes among youth in six countries: findings from the 2019-2021 International Food Policy Study Youth Surveys.","authors":"Rachel B Acton, Christine M White, Karen Hock, Lana Vanderlee, David Hammond","doi":"10.1017/S1368980024002416","DOIUrl":"10.1017/S1368980024002416","url":null,"abstract":"<p><strong>Objective: </strong>This commentary highlights the release of findings now available in the report <i>International Food Policy Study Youth Surveys: Summary of Findings 2019-2021.</i></p><p><strong>Design: </strong>The survey data described in this commentary consist of repeated cross-sectional surveys conducted annually beginning in 2019.</p><p><strong>Setting: </strong>Online surveys were conducted in 2019 to 2021 among respondents living in Australia, Canada, Chile, Mexico, the United Kingdom and the USA.</p><p><strong>Participants: </strong>Survey respondents were youth aged 10-17 years in 2019 (<i>n</i> 12 031), 2020 (<i>n</i> 11 108) and 2021 (<i>n</i> 10 459).</p><p><strong>Results: </strong>The report described in this commentary summarises findings on food and nutrition behaviours, attitudes and knowledge among youth, including their diet sources and patterns, school nutrition environments, food security, diet intentions, weight perceptions and weight loss behaviours, sugary drink perceptions, awareness of public education and mass media campaigns, perceptions of food labels and exposure to food and beverage marketing.</p><p><strong>Conclusion: </strong>Results from the IFPS Youth surveys provide important insights into key policies of global interest, including front-of-package nutrition labelling, levies on sugary beverages and restrictions on marketing unhealthy food and beverages to children. As policymakers continue to seek effective strategies to improve adolescent health outcomes, ongoing cross-country monitoring of food and nutrition-related indicators, such as the data from the International Food Policy Study, will be critical in assessing dietary trends and evaluating upcoming policies.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e256"},"PeriodicalIF":3.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731877","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":"Adult dietary patterns and their association with iodine nutrition levels and thyroid function: a cross-sectional study.","authors":"Gulinaizeer Abuduwaili, Jia Huang, Yan Ma, Hongguang Sun","doi":"10.1017/S1368980024002404","DOIUrl":"10.1017/S1368980024002404","url":null,"abstract":"<p><strong>Objective: </strong>To understand the dietary patterns of adults and explore their association with iodine nutritional levels and thyroid function in adults.</p><p><strong>Design: </strong>We randomly collected 5 ml of adult urine samples and measured urinary iodine concentration (UIC) by cerium arsenate-catalysed spectrophotometry. A serum sample of 5 ml was collected for the determination of free triiodothyronine, free thyroxine and thyrotropin, and diet-related information was collected through a FFQ. Dietary patterns were extracted by principal component analysis, and the relationship between dietary patterns and iodine nutrition levels and thyroid function was explored.</p><p><strong>Settings: </strong>A cross-sectional study involving adults in Xinjiang, China, was conducted.</p><p><strong>Participants: </strong>A total of 435 adults were enrolled in the study.</p><p><strong>Results: </strong>The overall median urinary iodine of the 435 respondents was 219·73 μg/l. The dietary patterns were PCA1 (staple food pattern), PCA2 (fruit, vegetable and meat pattern), PCA3 (fish, shrimp and legume pattern) and PCA4 (dairy-based protein pattern). The correlation analyses showed that PCA1 and PCA3 were positively correlated with the UIC. The results of the multivariable analysis showed that PCA1, Q1, Q2 and Q3 were associated with an increased risk of iodine deficiency compared with Q4 ((OR): 260·41 (95 % CI: 20·16, 663·70)), 59·89 (5·64, 335·81), and 2·01 (0·15, 26·16), respectively). In PCA2, Q3 was associated with an increased risk of iodine deficiency compared with Q4 (OR: 0·16 (0·05, 0·53)). In PCA3, Q3 was associated with an increased risk of iodine deficiency compared with Q4 (OR: 0·23 (0·06, 0·90)). In PCA4, Q1 was associated with an increased risk of iodine deficiency compared with Q4 (OR: 31·30 (4·88, 200·64)).</p><p><strong>Conclusion: </strong>This study demonstrated that of the four dietary patterns, the least dependent staple food pattern (Q1) had a higher risk of iodine deficiency compared with the most dependent staple food pattern (Q4). However, the current evidence on the effect of dietary patterns on thyroid function needs to be validated by further longitudinal studies that include long-term follow-up, larger sample sizes and repeated measures.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e4"},"PeriodicalIF":3.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731965","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}