Ruyu Liu, Daniel Harwood, Ora Kemp, Alyson Rosenthal, Roger Figueroa
{"title":"Preliminary effectiveness of a food pantry-led community-supported agriculture program in the USA: a quasi-experimental pilot study.","authors":"Ruyu Liu, Daniel Harwood, Ora Kemp, Alyson Rosenthal, Roger Figueroa","doi":"10.1017/S136898002610264X","DOIUrl":"10.1017/S136898002610264X","url":null,"abstract":"<p><strong>Objective: </strong>To assess the preliminary effectiveness of a food pantry-led, subsidised community-supported agriculture (CSA) program.</p><p><strong>Design: </strong>A quasi-experimental observational pilot study with 3-month follow-up. 'Farm Share' the subsidised CSA provided biweekly bags of approximately 25 pounds of fresh produce priced at $5 per bag. Control participants were recruited from a comparable food pantry without CSA. Outcomes included skin carotenoids, fruit and vegetable (FV) intake, diet quality and food security. Changes between groups were analysed using generalised estimating equations and mixed-effect regression models.</p><p><strong>Setting: </strong>New York City, NY, United States.</p><p><strong>Participants: </strong>Participants (Farm Share <i>n</i> 54, control <i>n</i> 69) were predominantly Hispanic/Latino, Black or African American, foreign-born, female and had a high school education or lower.</p><p><strong>Results: </strong>Retention rate was 65·0 % at follow-up (Farm Share <i>n</i> 33, control <i>n</i> 47). Compared with control, skin carotenoids increased (+12 points) in the Farm Share group, adjusted for smoking status, age, sex and birthplace (<i>P</i> = 0·005). Total healthy eating index (HEI) (-6·3 points) and saturated fats HEI (-1·1 point) declined in the Farm Share group (<i>P</i> = 0·031 and <i>P</i> = 0·027, respectively). Non-significant trends were observed for improvements in FV intake (<i>P</i> = 0·25) and food security (<i>P</i> = 0·16).</p><p><strong>Conclusions: </strong>Findings from this pilot study suggested Farm Share's preliminary effectiveness and study feasibility in urban food pantry settings, supporting integrating subsidised CSA within food pantries to enhance fresh produce access among communities experiencing food insecurity. However, fully powered trials are needed to confirm these findings.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e130"},"PeriodicalIF":3.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148144061","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}
Gayathri Abeywickrama, Sabu S Padmadas, Andrew Hinde
{"title":"The double burden of malnutrition: coexistence of stunted children and overweight and obese mothers in Sri Lanka.","authors":"Gayathri Abeywickrama, Sabu S Padmadas, Andrew Hinde","doi":"10.1017/S1368980026102742","DOIUrl":"10.1017/S1368980026102742","url":null,"abstract":"<p><strong>Objective: </strong>Sri Lanka faces a double burden of malnutrition (DBM), characterised by the persistence of child undernutrition alongside rising rates of obesity and non-communicable diseases among women. This study aimed to quantify the prevalence of DBM and identify specific household, maternal and child-level risk factors associated with stunted child-overweight/obese mother pairs in Sri Lanka.</p><p><strong>Design: </strong>Data from the 2016 Sri Lanka Demographic and Health Survey were used to assess the risk of double-burden pairs through multinomial logistic regression, adjusting for individual, socio-economic and geographic factors. The primary outcome measures were child stunting, classified according to height-for-age <i>Z</i>-scores, and maternal BMI. Households with a stunted child and an overweight or obese mother were classified as having a DBM.</p><p><strong>Setting: </strong>A nationally representative sample covering all geographic regions of Sri Lanka.</p><p><strong>Participants: </strong>5975 mother-child pairs, comprising children aged 6-59 months and mothers aged 15-49 years with complete anthropometric data.</p><p><strong>Results: </strong>Overall, 8·3 % of households had a stunted child with an overweight mother, while 2·8 % had a stunted child and an obese mother. Child's age, low birth weight, maternal age, household size, mode of delivery, wealth status and province of residence were significantly associated with the double burden among child-mother pairs (<i>P</i> < 0·001).Ethnicity was also significant, with Muslim mothers more likely to reside in households experiencing DBM (<i>P</i> < 0·001).</p><p><strong>Conclusion: </strong>DBM poses a critical nutritional challenge in Sri Lanka, necessitating comprehensive, integrated interventions targeting both child stunting and maternal overweight to improve health outcomes and reduce long-term disease risk at the household and population levels.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e121"},"PeriodicalIF":3.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138836","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}
Ann Marie Cheney, Jacqueline Moreira, Yameng Ge, Andrea Gonzalez, Michael Guzman Hernandez, Ashley Moran, Shaokui Ge
{"title":"The feasibility of a dietary and lifestyle behaviour change intervention among low-income Latinas and Indigenous Mexicans in rural desert communities: a pilot randomised controlled trial.","authors":"Ann Marie Cheney, Jacqueline Moreira, Yameng Ge, Andrea Gonzalez, Michael Guzman Hernandez, Ashley Moran, Shaokui Ge","doi":"10.1017/S1368980026102729","DOIUrl":"10.1017/S1368980026102729","url":null,"abstract":"<p><strong>Objective: </strong>This article reports on the feasibility, acceptability of a trial design and results of ¡Coma, Muévase y Viva!, an adapted version of the Eat, Move, Live! Curriculum, a 10-week diet and lifestyle change intervention for low-income Latina and Indigenous Mexican women in rural Inland Southern California.</p><p><strong>Design: </strong>A pilot randomised intervention and wait-list controlled parallel trial.</p><p><strong>Settings: </strong>Latina and Indigenous Mexican women participated in ¡Coma, Muévase y Viva!, the adapted version of the curriculum customised for Spanish speakers with a focus on health literacy, cultural norms and values, and delivered by community health workers/promotoras.</p><p><strong>Participants: </strong>Participants were randomised into the intervention (<i>n</i> 19) or wait-list control (<i>n</i> 16). Most were Latino (88 %), mothers (75 %) and foreign-born (87 %).</p><p><strong>Results: </strong>The adapted intervention was feasible and acceptable with 87·5 % of participants retained at three months. The intervention was delivered with high fidelity. Intervention compared to control participants reported success with predetermined prioritised goals (OR = 0·25, 95 % CI: 0·06, 0·99, <i>P</i> = 0·03) and showed a greater likelihood of cooking healthier food (OR = 4·87, 95 % CI: 1·04, 22·90, <i>P</i> = 0·05), enjoyment of cooking healthy meals (OR = 3·94, 95 % CI: 0·87, 17·92, <i>P</i> = 0·08) and doing physical activities (OR = 5·30, 95 % CI: 1·16, 24·24, <i>P</i> = 0·03). Healthy eating and physical activity as primary outcomes indicated the intervention group was more likely to eat healthy and be active (OR = 2·08, 95 % CI: 1·12, 3·89, <i>P</i> = 0·02).</p><p><strong>Conclusion: </strong>The adapted intervention was feasible and acceptable and indicated an effect on dietary and lifestyle behaviour change with significant changes in meeting desired goals and engaging in healthy eating and physical activity.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e148"},"PeriodicalIF":3.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138906","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":"Need for longitudinal evidence on child and adolescent nutrition in the Amazon.","authors":"Gelner Archenti, Haydée Cárdenas-Quintana","doi":"10.1017/S1368980026102754","DOIUrl":"10.1017/S1368980026102754","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-4"},"PeriodicalIF":3.0,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148043465","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":"Obesity and the experienced cultural, economic, and climate variations among immigrants to high-income countries: An umbrella review of the literature.","authors":"Mary Abed Al Ahad, Maya Fenyk","doi":"10.1017/S1368980026102687","DOIUrl":"10.1017/S1368980026102687","url":null,"abstract":"<p><strong>Objective: </strong>Obesity is a growing global public-health concern, particularly among immigrants to high-income countries. This umbrella literature review synthesizes evidence from systematic reviews to explore the multifactorial cultural, socioeconomic and environmental determinants of obesity and weight gain among immigrants to high-income countries.</p><p><strong>Design: </strong>A systematic search of PubMed, Web of Science, and Scopus was conducted from January 2015 to November 2025 to identify systematic reviews and meta-analyses examining the impact of cultural, socioeconomic, and environmental factors on obesity among adult immigrants (i.e., economic, students, and refugees) to high-income countries.</p><p><strong>Setting: </strong>33 reviews were included and thematically synthesized under four domains: physical climate and physiological changes, socioeconomic stressors and psychological mediators, cultural factors, and methodological quality - rated using the AMSTAR tool.</p><p><strong>Results: </strong>The review found consistent evidence linking longer duration of residence and higher levels of acculturation with increased obesity risk. Socioeconomic disadvantage, food insecurity, and psychological stress-particularly acculturation stress-were key mediators of weight gain. Less sunny colder climates impacted on weight gain indirectly through limiting physical activity and accessibility to traditional-healthy diet outlets. Cultural dietary transitions and intergenerational differences further influenced obesity trajectories. Methodological quality varied, with only six reviews providing meta-analysis pooled estimates of obesity and being rated as high to moderate quality.</p><p><strong>Conclusions: </strong>Obesity among immigrants is shaped by intersecting cultural, socioeconomic, environmental and physiological factors. Public-health strategies must adopt culturally sensitive approaches that address structural barriers and support healthy transitions post-migration. Future research should emphasise longitudinal, intersectional, and climate-tailored studies to inform targeted interventions.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-59"},"PeriodicalIF":3.0,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148043476","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}
Justine Berlivet, Bernard Srour, Benjamin Allès, Philippe Pointereau, Brigitte Langevin, Cedric Agaësse, Denis Lairon, Mathilde Touvier, Jeroen Berden, Bernadette Chimera, Giles T Hanley-Cook, Carl Lachat, Inge Huybrechts, Julia Baudry, Emmanuelle Kesse-Guyot
{"title":"Sustainability dimensions of diets with varying levels of food biodiversity in the NutriNet-Santé study.","authors":"Justine Berlivet, Bernard Srour, Benjamin Allès, Philippe Pointereau, Brigitte Langevin, Cedric Agaësse, Denis Lairon, Mathilde Touvier, Jeroen Berden, Bernadette Chimera, Giles T Hanley-Cook, Carl Lachat, Inge Huybrechts, Julia Baudry, Emmanuelle Kesse-Guyot","doi":"10.1017/S1368980026102791","DOIUrl":"10.1017/S1368980026102791","url":null,"abstract":"<p><strong>Objective: </strong>Dietary diversity is associated with health benefits. However, food biodiversity has been understudied. Therefore, we aim to evaluate the associations between dietary species richness (DSR), i.e. the number of species consumed by individuals, and dietary sustainability dimensions, including environmental pressures, diet quality and monetary cost.</p><p><strong>Setting: </strong>The study was carried out among the NutriNet-Santé cohort.</p><p><strong>Participants: </strong>29 173 volunteers were included.</p><p><strong>Design: </strong>Participants completed a 264-item FFQ. Food items were linked to the corresponding species. ANCOVA models were fitted to evaluate the associations between total, plant, animal DSR and dietary sustainability dimensions. The dietary share of organic food was computed.</p><p><strong>Results: </strong>Higher DSR was associated with lower overall environment impact, captured by the pRecipe, an indicator including greenhouse gases emissions, land occupation and cumulative energy demand (pRecipe, Q5 <i>v</i>. Q1, -8·5 %), better diet quality, reflected by the level of adherence to the French dietary guidelines (sPNNS-GS2, Q5 <i>v</i>. Q1: +44·8 %) and stable dietary cost. Higher plant DSR was related to lower environmental impacts, better diet quality and higher monetary cost. Higher animal DSR was associated with higher environmental pressures, lower diet quality and monetary cost. The amount of organic food consumed was positively associated with plant DSR and negatively associated with animal DSR.</p><p><strong>Conclusions: </strong>Overall, more biodiverse diets were related to better diet quality and lower environmental pressures. The associations seemed to be driven by plant biodiversity. Further studies are warranted to better understand the relationship between food biodiversity and sustainability dimensions across settings.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e135"},"PeriodicalIF":3.0,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148043478","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}
Rafael Martins da Costa, Edson Dos Santos Farias, Marta Carolina Terto de Morais, Giovanna Eduarda da Silva, Geovane Biet de Sousa, Luis Gonzaga de Oliveira Gonçalves, Silvia Teixeira de Pinho
{"title":"Response to: Need for longitudinal evidence on child and adolescent nutrition in the Amazon.","authors":"Rafael Martins da Costa, Edson Dos Santos Farias, Marta Carolina Terto de Morais, Giovanna Eduarda da Silva, Geovane Biet de Sousa, Luis Gonzaga de Oliveira Gonçalves, Silvia Teixeira de Pinho","doi":"10.1017/S1368980026102766","DOIUrl":"10.1017/S1368980026102766","url":null,"abstract":"<p><p>We welcome the Letter to the Editor and their thoughtful commentary on our recently published study examining temporal trends in overweight and obesity among schoolchildren in Porto Velho, Rondônia, Brazil, from 2006 to 2024. We fully concur with their central argument: the evidence base on child and adolescent nutrition in the Amazon region remains heavily reliant on cross-sectional and repeated cross-sectional designs, with longitudinal cohort studies representing a critical and largely unmet need. Our own findings underscore the urgency of building the longitudinal infrastructure necessary to identify causal determinants of these trends. The Amazon basin, home to approximately 40 million people across nine countries and over 300 indigenous ethnic groups, presents a uniquely complex socio-ecological context marked by rapid urbanization, nutrition transition, environmental exposures, and profound structural inequities that cross-sectional evidence alone cannot adequately characterize. We endorse the authors' call for the prioritization of long-term longitudinal studies and, in particular, their vision of multi-center, transnational Amazonian cohorts supported by multi-country funding. We further propose that our established school-based surveillance infrastructure in Western Amazonia could serve as a meaningful foundation for future binational or multi-site collaborative research. We invite the authors to explore this possibility and look forward to contributing to a broader, coordinated research agenda aimed at improving child and adolescent health across the Amazon basin.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-6"},"PeriodicalIF":3.0,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148034452","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}
Asad Yusoff, Alexandra Jones, Bella Sträuli, Paula O'Brien, Jacqueline Bowden, Simone Pettigrew
{"title":"'It's a healthy choice': a qualitative study of Australian consumers' awareness and interpretation of nutrition-related claims on alcohol products.","authors":"Asad Yusoff, Alexandra Jones, Bella Sträuli, Paula O'Brien, Jacqueline Bowden, Simone Pettigrew","doi":"10.1017/S136898002610278X","DOIUrl":"10.1017/S136898002610278X","url":null,"abstract":"<p><strong>Objectives: </strong>Alcohol companies are increasingly marketing products with nutrition-related claims to appeal to consumers. There are concerns around the potential of such claims to mislead; however, there is limited research on consumers' attitudes to claims, why they use them and how they influence product selection. The aim of this study was to explore these issues among Australian consumers.</p><p><strong>Design: </strong>Nine online focus groups were conducted with approximately nine individuals per group (<i>n</i> 83). Groups were stratified by age, sex and drinking status. Participants were asked about their alcohol purchasing behaviours and presented with a selection of alcohol products that displayed nutrition-related claims (e.g. zero sugar).</p><p><strong>Setting: </strong>Australia.</p><p><strong>Participants: </strong>Australian adults who consumed alcohol at least twice per month.</p><p><strong>Results: </strong>Three major themes emerged from the data. First, most participants appeared to trust on-pack claims, viewing them as tools for making healthier choices. Claims were cited as being particularly useful when placed on the front of packaging to assist the rapid identification of products perceived as 'healthier' options. Second, participants appeared to use claims primarily to identify nutrients or ingredients they wanted to avoid, especially sugar, calories and preservatives. Finally, most participants supported the use of claims, with few raising concerns about them being potentially misleading.</p><p><strong>Conclusion: </strong>The results of this study add to growing evidence indicating that nutrition-related claims can mislead consumers about the healthiness of alcoholic beverages. Policymakers should seek to restrict the use of claims while also working to increase awareness of the health risks associated with alcohol consumption.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e131"},"PeriodicalIF":3.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148016921","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}
Cathrine Baungaard, Magaly Aceves-Martins, Graham Horgan, David Little, Jonathan Hillier, Baukje de Roos
{"title":"Application of acceptability in dietary optimisation models: a systematic review.","authors":"Cathrine Baungaard, Magaly Aceves-Martins, Graham Horgan, David Little, Jonathan Hillier, Baukje de Roos","doi":"10.1017/S1368980026102717","DOIUrl":"10.1017/S1368980026102717","url":null,"abstract":"<p><strong>Objective: </strong>Diet optimisation models have been developed to deal with the complexities of designing a sustainable diet. Diet acceptability is one aspect of a sustainable diet that has had limited integration into these models. This systematic review summarises and critically assesses the available literature regarding diet acceptability in optimisation studies.</p><p><strong>Design: </strong>A systematic search on Medline and EMBASE was implemented, followed by a snowballing search until no new articles were found. Inclusion criteria were as follows: (1) diet optimisation studies; (2) acceptability included in model; (3) outcome diet referred to as 'acceptable'; (4) published between 2013-2025.</p><p><strong>Setting: </strong>Diets.</p><p><strong>Participants: </strong>Adult population.</p><p><strong>Results: </strong>A total of forty-nine studies were included in this review. Definitions of acceptability varied considerably. Analysis of the studies found six overarching themes were used to define acceptability in diets, with minimisation of deviation from observed diet and setting of lower and upper bounds on intake being most commonly used. Only 25 % of studies assessed the impact of acceptability models, objective functions and/or constraints, on the dietary output to some degree. Assessing three pathways (deduction, translation and induction) for defining and operationalising acceptability presents new opportunities to include citizens in the development of acceptable dietary models.</p><p><strong>Conclusions: </strong>Including acceptability into diet optimisation models is imperative as they can influence dietary structure, nutritional content, price and environmental impact, although they present certain trade-offs compared to other optimisation goals. Further work on real-world testing and contextualisation of these often-theoretical diets is needed, alongside testing and justification of the models' parameters for acceptability.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e147"},"PeriodicalIF":3.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147988798","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":"Are ultra-processed foods really cheap? Reassessing health, equity and environmental costs across the life course in low- and middle-income countries.","authors":"Sandeep Kaur, Akashdeep Singh Chauhan","doi":"10.1017/S1368980026102778","DOIUrl":"10.1017/S1368980026102778","url":null,"abstract":"<p><p>Ultra-processed foods, as classified by NOVA, provide a substantial and rising share of dietary energy worldwide. Manufactured from cheap refined ingredients and cosmetic additives, they are engineered for hyper-palatability, long shelf life and profit and are widely perceived as convenient, low-cost options. This commentary argues that such perceptions of 'cheapness' are misleading once health, equity and environmental impacts are considered.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e112"},"PeriodicalIF":3.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147988828","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}