Xin Hui Chua, Clare Whitton, Stefanie Vandevijvere, Bridget Kelly, Rob M van Dam, Salome A Rebello
{"title":"Characterising the extent and nature of digital food and beverage marketing in Singapore: a descriptive study.","authors":"Xin Hui Chua, Clare Whitton, Stefanie Vandevijvere, Bridget Kelly, Rob M van Dam, Salome A Rebello","doi":"10.1017/S1368980024002428","DOIUrl":"10.1017/S1368980024002428","url":null,"abstract":"<p><strong>Objective: </strong>\u0000 <i>To characterise the nature of digital food and beverage advertising in Singapore.</i>\u0000 </p><p><strong>Setting: </strong>Food and beverage advertisements within twenty clicks on the top twelve non-food websites and all posts on the Facebook and Instagram pages of fifteen major food companies in Singapore were sampled from 1 January to 30 June 2018.</p><p><strong>Design: </strong>Advertised foods were classified as being core (healthier), non-core or mixed dishes (e.g. burger) using the WHO nutrient profile model and national guidelines. Marketing techniques were assessed using published coding frameworks.</p><p><strong>Participants: </strong>NA.</p><p><strong>Results: </strong>Advertisements (<i>n</i> 117) on the twelve non-food websites were largely presented as editorial content. Food companies posted twice weekly on average on social media sites (<i>n</i> 1261), with eatery chains posting most frequently and generating the largest amount of likes and shares. Key marketing techniques emphasised non-health attributes, for example, hedonic or convenience attributes (85 % of advertisements). Only a minority of foods and beverages advertised were core foods (non-food website: 16·2 %; social media: 13·5 %).</p><p><strong>Conclusions: </strong>Top food and beverage companies in Singapore actively use social media as a platform for promotion with a complex array of marketing techniques. A vast majority of these posts were unhealthy highlighting an urgent need to consider regulating digital food and beverage advertising in Singapore.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e14"},"PeriodicalIF":3.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814105","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}
Helen Ernyey, Chhavi Tiwari, Heather Stark, Emma Hunniford, Aissata Wereme N'Diaye, Yacouba Zare, Anteneh Omer, Sarah Lindley McKune
{"title":"Effect of egg consumption on early childhood development: Evidence from <i>Un Oeuf</i> study.","authors":"Helen Ernyey, Chhavi Tiwari, Heather Stark, Emma Hunniford, Aissata Wereme N'Diaye, Yacouba Zare, Anteneh Omer, Sarah Lindley McKune","doi":"10.1017/S1368980024002490","DOIUrl":"10.1017/S1368980024002490","url":null,"abstract":"<p><strong>Objective: </strong>Recent studies have shown that inclusion of eggs in young children's diet can help meet nutritional requirements associated with cognitive development. This study aims to investigate the effect of egg consumption on Early Childhood Development (ECD) using Ages and Stages Questionnaire-3(ASQ-3) in Burkina Faso.</p><p><strong>Design: </strong>The study presented here uses data collected during a follow-up of the <i>Un Oeuf</i>-a 3 arm clustered randomized controlled trial (RCT), conducted roughly four months after the end of the RCT.</p><p><strong>Setting: </strong>This research was conducted in 18 rural villages within the Kaya Department of the Sanmatenga Province in Burkina Faso.</p><p><strong>Participants: </strong>Participants of this study include a total of 244 children aged between 18-33 months, with 78 children in the full intervention group, 83 in the partial group, and 83 in the control group.</p><p><strong>Results: </strong>Results show that children with consistent egg consumption (in all months) had a lower odd of falling below the cut-off scores in gross motor (<i>OR</i> = 0.13, <i>p</i> = 0.02) and personal social skills (<i>OR</i> = 0.34, <i>p</i> = 0.05). And a dose response was established; for each additional egg/week, a 1.9% increase in scores for problem-solving skills was observed.</p><p><strong>Conclusions: </strong>Findings from this study contribute to a growing body of evidence that increasing egg consumption among children in LMICs can improve growth and development. The study highlights the need for additional research in LMICs to better understand the multifactorial relationship between diet and childhood development.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-31"},"PeriodicalIF":3.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dietary fat quality indices and risk of pre-diabetes and type 2 diabetes mellitus: Tehran Lipid and Glucose Study.","authors":"Zahra Gaeini, Sevda Alvirdizadeh, Somayeh Hosseinpour-Niazi, Parvin Mirmiran, Fereidoun Azizi","doi":"10.1017/S1368980024001216","DOIUrl":"10.1017/S1368980024001216","url":null,"abstract":"<p><strong>Objective: </strong>To assess associations between dietary fat quality indices and risk of pre-diabetes and type 2 diabetes mellitus (T2DM) among Iranian adults.</p><p><strong>Design: </strong>Daily intakes of fatty acids were estimated using a validated FFQ with 168 food items. Adjusted hazard ratios (HR) and 95 % CI for pre-diabetes and T2DM were calculated across tertile categories of dietary fat quality indices including the atherogenic index, thrombogenic index, health-promoting index, ratio of PUFA to SFA (PUFA:SFA) and ratio of hypo- and hypercholesterolaemia (h:H).</p><p><strong>Setting: </strong>Tehran Lipid and Glucose Study.</p><p><strong>Participants: </strong>Iranian men and women.</p><p><strong>Results: </strong>The mean (sd) age of the 2042 pre-diabetes-free participants in pre-diabetes analysis was 38·84 (12·97), and 55·2 % were women. In T2DM analysis, the mean (sd) age of the 2295 T2DM-free participants was 40·06 (13·42), and 54·6 % of them were women. In the crude model, the PUFA:SFA ratio was positively associated with T2DM incidence (HR = 1·43; 95 % CI 1·04, 1·98). However, after adjustment for confounding variables, there were no significant associations between dietary fat quality indices and risk of pre-diabetes and T2DM.</p><p><strong>Conclusions: </strong>We found no significant association between fat quality indices and risk of pre-diabetes and T2DM. Further prospective and clinical trial studies are needed to clarify the issue.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e8"},"PeriodicalIF":3.0,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142795084","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}
Audrey Elford, Alison C Spence, Karen J Campbell, Margaret Rozman, Penelope Love
{"title":"The co-design of support strategies for sustainable, healthy and affordable food provision in Early Childhood Education settings.","authors":"Audrey Elford, Alison C Spence, Karen J Campbell, Margaret Rozman, Penelope Love","doi":"10.1017/S1368980024002477","DOIUrl":"10.1017/S1368980024002477","url":null,"abstract":"<p><strong>Objective: </strong>To co-design support strategies to enable sustainable, healthy, affordable food provision, including waste mitigation practices, in Australian Early Childhood Education and Care (ECEC) settings.</p><p><strong>Design: </strong>Based on the co-design IDEAS framework (Ideate, DEsign, Assess & Share), this co-design process involved iterative interviews and focus groups with ECEC centre staff and workshops with Nutrition Australia. Interview and workshop themes were coded to the Theoretical Domains Framework (TDF) to develop initial prototypes for support strategies that were further developed and refined in focus groups.</p><p><strong>Setting: </strong>ECEC with onsite food provision, in Victoria, Australia.</p><p><strong>Participants: </strong>ECEC staff and a Victorian Government-funded programme delivered through Nutrition Australia that provides nutrition support to ECEC services.</p><p><strong>Results: </strong>ECEC staff interviews (<i>n</i> 17) suggested a lack of knowledge on the topic of sustainable healthy food provision and a need for resources and support for all staff and children. Workshops with Nutrition Australia built on interviews and suggested a focus on lower intensity strategies and a suggestion to embed knowledge-related activities into the children's curriculum. Focus groups (<i>n</i> 8) further informed co-design of strategies, producing a visual representation of sustainable healthy food provision with supporting tips and a whole-of-centre approach that includes children through a classroom activity.</p><p><strong>Conclusions: </strong>The co-designed resources could provide feasible strategies for the adoption of sustainable, healthy and affordable provision practices in the ECEC setting. Involvement of a local government-funded health promotion service provides valuable research-to-practice contribution as well opportunity for scalable dissemination of resources through existing infrastructure.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e12"},"PeriodicalIF":3.0,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786805","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":"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}
Erica Reeve, Penny Farrell, Anne Marie Thow, Senoveva Mauli, Dori Patay
{"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/m<sup>2</sup>; 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}