Qian Chen, Ting Yang, Yongfang Liu, Jie Chen, Qian Cheng, Tingyu Li
{"title":"Contemporary factors affecting serum 25-hydroxyvitamin D concentrations in Chinese children aged 2-6 years.","authors":"Qian Chen, Ting Yang, Yongfang Liu, Jie Chen, Qian Cheng, Tingyu Li","doi":"10.1017/S1368980024001320","DOIUrl":"10.1017/S1368980024001320","url":null,"abstract":"<p><strong>Objective: </strong>We investigated vitamin D (VitD) nutritional status in children aged 2-6 years to provide a basis for prevention and intervention strategies for VitD deficiency (VitDD) in Chinese children.</p><p><strong>Design: </strong>From November 2018 to September 2019, a total of 2192 healthy children aged 2-6 years were enrolled. The serum 25-hydroxyvitamin D (25(OH)D) concentrations were measured by liquid chromatography tandem MS.</p><p><strong>Setting: </strong>Twelve jurisdictions in eight provinces and cities across northern and southern China were selected through stratified cluster sampling.</p><p><strong>Participants: </strong>2192 children aged 2-6 years were enrolled.</p><p><strong>Results: </strong>(1) A serum 25(OH)D concentration of 23·87 (sd 8·24) ng/ml, a VitDS rate of 65·2 %, an insufficiency rate of 29·6 % and a deficiency rate of 5·2 % were noted. (2) Age (OR = 2·22, 95 % CI 1·86, 2·64) and spring (OR = 1·35, 95 % CI 0·91, 2·01) are risk factors for VitDD and VitDI. The male (OR = 0·68, 95 % CI 0·52, 0·90), the temperature (OR = 0·89, 95 % CI 0·86, 0·93), summer (OR = 0·25, 95 % CI 0·09, 0·68), autumn (OR = 0·26, 95 % CI 0·09, 0·74) the intake of VitD supplements (OR = 0·08, 95 % CI 0·03, 0·28), the intake frequency of dairy products (OR = 0·86, 95 % CI 0·78, 0·96) and egg products (OR = 0·83, 95 % CI 0·74, 0·93) are protective factors for VitDD and VitDI.</p><p><strong>Conclusion: </strong>VitDD in children aged 2-6 years is still prevalent in China, but the influencing factors of VitD nutrition have changed. Latitude is not the main factor in the 25(OH)D concentrations of children aged 2-6 years; temperature, intake of eggs and dairy products and sampling season have more obvious impacts.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e93"},"PeriodicalIF":3.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216736","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}
Wilma B Freire, Betzabé Tello, Philippe Belmont Guerrón
{"title":"Validation of NOVA 27 ultra-processed food screener: adaptation and performance in Ecuador.","authors":"Wilma B Freire, Betzabé Tello, Philippe Belmont Guerrón","doi":"10.1017/S1368980025100475","DOIUrl":"10.1017/S1368980025100475","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to adapt and validate the NOVA 27 ultra-processed food (UPF) Screener for use in Ecuador by identifying commonly consumed foods, classifying them using the NOVA system and testing the screener's validity in an urban sample and a national food survey.</p><p><strong>Design: </strong>A cross-sectional study was conducted in two phases: screener validation with a convenience sample of 327 adults in Quito through an online questionnaire (2021) and assessment of its applicability using data from the 2012 Ecuadorian National Health and Nutrition Survey (ENSANUT-Ecu). The method, adapted from a similar study in Brazil, compared NOVA UPF scores to the 24 h-Recall (24-HR) automated multiple-pass method, used as the gold standard.</p><p><strong>Setting: </strong>The study included Quito's urban population for validation and secondary data from ENSANUT-Ecu.</p><p><strong>Participants: </strong>Three hundred and twenty-seven adults aged 18-64 from Quito were included in the validation phase, and 3510 adults from the ENSANUT-Ecu dataset were analysed in the secondary analysis.</p><p><strong>Results: </strong>The screener adaptation identified twenty-seven subgroups of commonly consumed UPF, summarising 90 % of UPF energy intake. Validation results indicated significant agreement between the NOVA-UPF score and UPF intake, with PABAK indices above 0·8 for most socio-demographic groups. Higher NOVA-UPF scores corresponded to increased UPF dietary shares, mirroring patterns observed in the ENSANUT-Ecu dataset.</p><p><strong>Conclusions: </strong>The adapted NOVA 27 UPF Screener is a valid tool for assessing UPF intake in Ecuador, offering a practical resource for future dietary surveys to monitor and address UPF intake among Ecuadorian adults.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e105"},"PeriodicalIF":3.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216735","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":"Diet-related awareness and behaviours in cancer survivors compared with non-cancer individuals: a pooled analysis of the HINTS study.","authors":"Hemangi Mavadiya, Yunxia Lu","doi":"10.1017/S1368980025100505","DOIUrl":"10.1017/S1368980025100505","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate diet-related cancer risk awareness and behaviours among cancer survivors compared with non-cancer individuals.</p><p><strong>Design: </strong>It is a cross-sectional study initiated from the Health Information National Trends Survey (HINT).</p><p><strong>Setting: </strong>Relevant survey questions from different iterations of HINTS were harmonised. Chi-square test and logistic regression models were performed to identify differences in diet-related cancer risk awareness and behaviours between the two groups.</p><p><strong>Participants: </strong>Participants in the study were drawn from the HINT survey with various variables including age, gender, race/ethnicity, education, marital status and BMI.</p><p><strong>Results: </strong>The analysis revealed no significant differences in diet-related cancer risk awareness or behaviours between cancer survivors and non-cancer individuals. Those dietary factors included red and processed meat, alcohol, fibre, sugar-sweetened beverages, fruits and vegetables. Specifically, 82 % of both survivors and non-survivors failed to meet the American Cancer Society (ACS) recommendations for daily fruit consumption (OR = 0·91; 95 % CI = 0·77, 1·06), and approximately 75 % did not meet the daily vegetable intake guidelines (OR = 0·96; 95 % CI = 0·83, 1·11). The findings suggest that a cancer diagnosis does not inherently lead to improved dietary awareness or healthier eating behaviours.</p><p><strong>Conclusion: </strong>The lack of improvement in diet-related cancer risk awareness and behaviours among cancer survivors indicated missed education opportunities. The 'teachable moment' of cancer diagnosis was not effectively utilised, which highlighted a need for stronger guidance from healthcare providers. This gap may also reflect barriers, including limited training, time constraints and limited interprofessional collaboration among health professionals in delivering targeted dietary advice.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e102"},"PeriodicalIF":3.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209359","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}
Rebecca Evans, Paul Christiansen, Andrew Jones, James Finney, Emma Boyland
{"title":"The impact of food marketing via video game live streaming on snack intake in adolescents: a randomised controlled trial.","authors":"Rebecca Evans, Paul Christiansen, Andrew Jones, James Finney, Emma Boyland","doi":"10.1017/S1368980025100487","DOIUrl":"10.1017/S1368980025100487","url":null,"abstract":"<p><strong>Objective: </strong>The marketing of foods and non-alcoholic beverages (hereafter: food) high in fat, salt and/or sugar (HFSS) is implicated in the development of poor dietary habits, overweight and obesity. Digital media, including video game live streaming platforms (VGLSP), are an increasingly prominent source of food marketing exposure, particularly for young people. This study aimed to experimentally examine the impact of food marketing via VGLSP on eating behaviour in young people.</p><p><strong>Design: </strong>A between-subjects randomised controlled trial design was used to explore the impact of exposure to HFSS food marketing in a video game live stream (a static food banner advert present throughout the footage) on immediate consumption of the marketed snack and an 'alternative brand' of the same snack in a sample of adolescents (<i>n</i> 91, <i>M</i><sub>age</sub> = 17·8, 69 % female). Relationships with food-advertising-related attentional bias and inhibitory control in relation to branded food cues were also examined.</p><p><strong>Setting: </strong>University Psychology laboratory.</p><p><strong>Results: </strong>Exposure to HFSS food marketing, compared with non-food marketing, did not significantly impact immediate marketing or overall snack intake. Additionally, no significant effects for attentional bias or inhibitory control were found. However, although the overall model was non-significant, greater weekly use of VGLSP was significantly associated with greater marketed snack intake.</p><p><strong>Conclusions: </strong>Findings suggest that while acute exposure to food marketing in VGLSP did not impact snack intake, perhaps more sustained exposure is impactful. Further exploration of this effect is needed, as well as studies investigating the potential impacts of other food marketing formats within VGLSP.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e109"},"PeriodicalIF":3.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209363","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 nexus of child undernutrition and household environmental conditions in Bangladesh: implications for public health and societal productivity.","authors":"John Patrick C Toledo","doi":"10.1017/S1368980025100438","DOIUrl":"10.1017/S1368980025100438","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e100"},"PeriodicalIF":3.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209364","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}
Luiz Gonzaga Ribeiro Silva-Neto, Nassib Bezerra Bueno, Camila Aparecida Borges, Risia Cristina Egito de Menezes, André Eduardo da Silva Júnior, Thays Lane Ferreira Dos Santos, Telma Maria de Menezes Toledo Florêncio
{"title":"Food environment and consumption of ultra-processed foods influencing food addiction in socially vulnerable women in Brazil.","authors":"Luiz Gonzaga Ribeiro Silva-Neto, Nassib Bezerra Bueno, Camila Aparecida Borges, Risia Cristina Egito de Menezes, André Eduardo da Silva Júnior, Thays Lane Ferreira Dos Santos, Telma Maria de Menezes Toledo Florêncio","doi":"10.1017/S1368980025100426","DOIUrl":"10.1017/S1368980025100426","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the association between food addiction (FA), food environment and consumption of ultra-processed foods (UPF) in socially vulnerable women.</p><p><strong>Design: </strong>A population-based cross-sectional study was conducted in Favelas and Urban Communities of Maceió-Brazil. The availability of UPF in the food environment was evaluated through the audit of retailers with the support of the AUDITNOVA instrument. The women taking part in the study were interviewed, and a 24-hour food recall was used to assess the proportion of UPF in their diet. The modified Yale Food Addiction Scale 2.0 was also used to determine FA. Association analysis was performed using binary logistic regression and generalised estimation equations.</p><p><strong>Participants: </strong>1702 adult women of reproductive age (20-44 years) residents in Favelas and Urban Communities.</p><p><strong>Results: </strong>It was found that 14·6 % of the women had FA. The adjusted multivariate association analysis showed that the high availability of UPF in food retail increased the chance of women having FA by up to 47 % (<i>P</i>= 0·02 OR: 1·53; 95 % CI: (1·07, 2·18)). It was also possible to observe that the greater calorific contribution of UPF in the diet increased the chance of women presenting FA by up to 61 % (<i>P</i>< 0·01 OR: 1·39; 95 % CI: (1·48, 1·97)).</p><p><strong>Conclusions: </strong>The environment and what is available in it are associated with additive behaviour independent of individual factors, and UPF consumption increases the chance of FA. This demonstrates the need for changes in the food environment in Brazilian favelas, contributing to improving women's health.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e106"},"PeriodicalIF":3.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209360","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}
Patricia Ribeiro de Melo, Phillip Baker, Priscila Pereira Machado, Elly Howse, Tanita Northcott, Mark Lawrence
{"title":"The role of policy actors' belief systems and interests in framing public health nutrition problems: a case study of obesity in Australia.","authors":"Patricia Ribeiro de Melo, Phillip Baker, Priscila Pereira Machado, Elly Howse, Tanita Northcott, Mark Lawrence","doi":"10.1017/S1368980025100517","DOIUrl":"10.1017/S1368980025100517","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated how the belief systems and interests of policy actors shaped their framing of the causes and solutions to obesity and how this influenced policy recommendations.</p><p><strong>Design: </strong>Submissions to the Select Committee on Obesity Epidemic in Australia (SCOEA) were collected, and actors were classified according to their interests in commercial and non-commercial groups. A framework grounded in social constructionism was used to code frames and underlying belief systems. The SCOEA report was analysed to identify the representative distribution of belief systems in recommendations.</p><p><strong>Setting: </strong>Australia.</p><p><strong>Participants: </strong>None.</p><p><strong>Results: </strong>150 submissions were collected and analysed. 120 submitters were actors with non-commercial interests, including governments (<i>n</i> 13), non-government organisations (<i>n</i> 49), civil society groups and citizens (<i>n</i> 24) and academia (<i>n</i> 34). Thirty submitters were actors with commercial interests including food industry representatives (<i>n</i> 23) and health enterprises (<i>n</i> 7). Conflicting belief systems in the framing of obesity were identified among policy actors, particularly between commercial and non-commercial groups. Non-commercial actors framed obesity in biomedical, lifestyle and socio-ecological terms, whereas commercial actors exclusively framed obesity as an issue of individual choices and proposed behavioural change interventions. A broad range of belief systems expressed by the submitters was represented in the SCOEA final report.</p><p><strong>Conclusion: </strong>These findings illustrate how policy actors' beliefs and interests shaped their frames and influenced the development of a key policy report. Policymakers seeking to advance obesity prevention policy must critically evaluate strategic framing by various actors and ensure that policy decisions are evidence-based and aligned with health, equity and ecological perspectives.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e103"},"PeriodicalIF":3.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209365","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}
Md Mostaured Ali Khan, Md Arif Billah, Kaniz Fatima, M Mofizul Islam, Bidhan Krishna Sarker, Shimlin Jahan Khanam, Aduragbemi Banke-Thomas, Md Nuruzzaman Khan
{"title":"In response to letter to the editor: the nexus of child undernutrition and household environmental conditions in Bangladesh: implications for public health and societal productivity.","authors":"Md Mostaured Ali Khan, Md Arif Billah, Kaniz Fatima, M Mofizul Islam, Bidhan Krishna Sarker, Shimlin Jahan Khanam, Aduragbemi Banke-Thomas, Md Nuruzzaman Khan","doi":"10.1017/S136898002510044X","DOIUrl":"10.1017/S136898002510044X","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e99"},"PeriodicalIF":3.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209361","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}
Ana Teijeiro, Nerea Mourino, Guadalupe García, Cristina Candal-Pedreira, Julia Rey-Brandariz, Carla Guerra-Tort, Marta Mascareñas-García, Agustín Montes-Martínez, Leonor Varela-Lema, Mónica Pérez-Ríos
{"title":"Prevalence and characterisation of energy drink consumption in Europe: a systematic review.","authors":"Ana Teijeiro, Nerea Mourino, Guadalupe García, Cristina Candal-Pedreira, Julia Rey-Brandariz, Carla Guerra-Tort, Marta Mascareñas-García, Agustín Montes-Martínez, Leonor Varela-Lema, Mónica Pérez-Ríos","doi":"10.1017/S1368980025100463","DOIUrl":"10.1017/S1368980025100463","url":null,"abstract":"<p><strong>Objective: </strong>Energy drinks (ED) can cause cardiovascular, gastrointestinal and other health disorders. These effects are particularly pronounced in youth. The aim of this study was to systematically review the literature on the consumption of ED in European countries.</p><p><strong>Design: </strong>A systematic bibliographic search was performed in November 2024 in EMBASE, MEDLINE (Ovid), Scopus and Cochrane databases with no restrictions on country, study period, study design and language.</p><p><strong>Setting: </strong>ED are beverages high in caffeine, sugar and other stimulants.</p><p><strong>Participants: </strong>A total of 2008 studies were identified and reviewed by four researchers. Ninety-four met the inclusion criteria and were extracted in a table designed ad hoc.</p><p><strong>Results: </strong>The included studies showed differences regarding their design, definition of consumption and time frame under study. The most studied frequency of ED consumption was weekly consumption, and the most studied population was school students. An increase in the prevalence of consumption was observed when tracking ED consumption over time. Variables most related to consumption were low socio-economic status, alcohol and tobacco consumption, physical activity, age and sex.</p><p><strong>Conclusions: </strong>It is difficult to have a clear picture of the extent of ED consumption in Europe, mainly due to differences in the design of the studies and the lack of periodicity of the estimates in different countries. However, given the health problems that have been associated with ED consumption, regulation of these beverages is essential, especially in youth.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e119"},"PeriodicalIF":3.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209362","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}
Tri Nisa Widyastuti, Robin Turner, Helen Harcombe, Rachael McLean
{"title":"BMI-z score trajectories of Indonesian children and adolescents between 1993 and 2014 and associated risk factors.","authors":"Tri Nisa Widyastuti, Robin Turner, Helen Harcombe, Rachael McLean","doi":"10.1017/S1368980025100499","DOIUrl":"10.1017/S1368980025100499","url":null,"abstract":"<p><strong>Objectives: </strong>To identify trajectories of Indonesian children and adolescent's BMI-z scores between 1993 and 2014, examine whether the pattern differs by sex and assess associations with host, agent and environmental factors.</p><p><strong>Design: </strong>Longitudinal data were from the Indonesian Family Life Survey with up to five measurements of height and weight. Group-based trajectory models investigated changes in BMI-z score across time; differences by sex were investigated using random effect (mixed) models. The association between the trajectories and host, agent and environmental factors were examined using multinomial logistic regression.</p><p><strong>Setting: </strong>Thirteen provinces in Indonesia.</p><p><strong>Participants: </strong>Indonesian children and adolescents aged 6-18 years (<i>n</i> 27 394 for BMI-z trajectories; <i>n</i> 8805 for risk factor analyses).</p><p><strong>Results: </strong>Mean BMI-z score increased from -0·743 sd in 1993 to -0·414 sd in 2014. Four distinct trajectory groups were estimated with mean BMI-z increasing more rapidly in the most recent time periods. One group (11·7 % of participants) had a mean BMI-z entirely within the moderately underweight range; two had trajectories in the normal range and one (5·6 %) had a mean BMI-z starting in the overweight range but within the obesity range by 2014. There were differences in trajectory groups by sex (<i>P</i>< 0·001). Those born in 2000s, frequent consumption of meat, fast foods, soft drinks and fried snacks, and living in urban areas were associated with rapid gain weight.</p><p><strong>Conclusions: </strong>These trajectories highlight the double burden of malnutrition and suggest that the prevalence of overweight and obesity is likely to increase substantially unless public health interventions are implemented.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e101"},"PeriodicalIF":3.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209358","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}