Human Nutrition and Metabolism最新文献

{"title":"Sex-specific association of blood triglyceride and uric acid with body shapes in Chinese adults","authors":"Xixiang Wang ,&nbsp;Jingjing Xu ,&nbsp;Yiyao Gu ,&nbsp;Jie Mu ,&nbsp;Shaobo Zhou ,&nbsp;Xiaojun Ma ,&nbsp;Lu Liu ,&nbsp;Yu Liu ,&nbsp;Zhi Duan ,&nbsp;Linhong Yuan ,&nbsp;Ying Wang","doi":"10.1016/j.hnm.2024.200297","DOIUrl":"10.1016/j.hnm.2024.200297","url":null,"abstract":"<div><h3>Background</h3><div>Abnormal metabolic syndrome, adipose distribution and different body shapes caused by obesity are associated with the levels of blood biochemical indexes. However, the sex-specific relationship between body shapes and blood biochemical indexes is poorly investigated.</div></div><div><h3>Research design and methods</h3><div>A cross-sectional study was conducted on 1828 subjects matched by age and sex. The scatter plot and restricted cubic spline were used to analyze the correlation between variables. Logistic regression was used to explore the relationship between body shapes and the risk of abnormal blood biochemical indexes level.</div></div><div><h3>Results</h3><div>Compared with the non-obesity group, the compound obesity group had a higher risk of abnormal Glu and TG levels independent of sex. Besides, the sex-specific association showed that the risk of abnormal TG levels was higher in males with peripheral obesity but in females with central obesity. Meanwhile, female subjects with peripheral obesity had a higher risk of abnormal UA levels.</div></div><div><h3>Conclusions</h3><div>This study showed that obese subjects had a higher risk of abnormal UA and TG compared to non-obese subjects, and there were sex differences in this relationship, suggesting that future studies exploring the relationship between body shapes and blood biochemical indexes also need to consider the potential role of sex.</div></div>","PeriodicalId":36125,"journal":{"name":"Human Nutrition and Metabolism","volume":"39 ","pages":"Article 200297"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143096327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving gut microbiome through diet rich in dietary fibre and polyphenols: The case for orange peels","authors":"Ayokunle Olubode Ademosun ,&nbsp;Olufunke Florence Ajeigbe ,&nbsp;Mary Tosin Ademosun ,&nbsp;Omodesola Oluwafisayo Ogunruku ,&nbsp;Ganiyu Oboh","doi":"10.1016/j.hnm.2024.200295","DOIUrl":"10.1016/j.hnm.2024.200295","url":null,"abstract":"<div><div>The search for cost-effective and innovative dietary fiber sources that promote probiotic growth and support healthy gut microbiota development has become increasingly important in food product innovation. The gut microbiota is crucial for various physiological functions, such as nutrient absorption, immune system enhancement, gut structural integrity, and detoxifying harmful substances. One effective way to foster a beneficial relationship with gut microbiota is through dietary choices, which significantly affect the microbiota's structure, composition, metabolism, and overall function. Notably, orange peels not only promote the growth of probiotic bacteria but also enable these beneficial microbes to convert the polyphenols in the peels into even more healthful forms. The combination of probiotics and orange peels can lead to the creation of synbiotics, which are functional foods aimed at improving human health. In contrast, the typical Western diet, high in refined sugars, trans fats, and sodium, negatively impacts gut health and the growth of beneficial gut microorganisms. To enhance gut microbiota health, there should be a focus on food products low in processed sugars, sodium, and unhealthy fats, while being high in dietary fiber and polyphenols. Orange peels are particularly notable for their high levels of dietary fiber and polyphenolic compounds, both of which can positively affect the growth of beneficial gut microorganisms.</div></div>","PeriodicalId":36125,"journal":{"name":"Human Nutrition and Metabolism","volume":"39 ","pages":"Article 200295"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143096328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gut health-promoting foods intake in Argentine adults: The impact of knowledge, socio-demographic factors, and clinical-nutritional health","authors":"Georgina Noel Marchiori ,&nbsp;Mayra Ainelén Loyola ,&nbsp;Clara Marián Levy Sánchez ,&nbsp;María Daniela Defagó ,&nbsp;María Georgina Oberto","doi":"10.1016/j.hnm.2024.200294","DOIUrl":"10.1016/j.hnm.2024.200294","url":null,"abstract":"<div><h3>Background</h3><div>The increasing acceptance of gut health-promoting foods emphasizes the need of understanding which factors influence their consumption. This study aimed to investigate the population's knowledge about probiotics, prebiotics, and fermented foods, and how this impacts their intake, considering socio-demographic factors and clinical-nutritional health.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted on 2128 Argentine adults aged 18-82 years-old. An online questionnaire was used to collect socio-demographic, clinical-nutrition and dietary data, as well as information about population's knowledge. Logistic regression models were used for analysis.</div></div><div><h3>Results</h3><div>Fermented foods and probiotic-rich yogurts were consumed occasionally, while prebiotic food intake was more frequent. Yogurt with L<em>.casei and bifidobacterium</em>, onions and olives were the most popular foods, while kefir was the most discontinued food. More than sixty percent participants answered &gt;50 % of knowledge-based questions correctly. However, a significant proportion of people were not aware of prebiotics’ definition and their dietary source. A suitable knowledge was associated with increased chances of consuming probiotic nutraceuticals and fermented foods. Female gender, age, being in a couple, recent antibiotic use, a history of medical conditions associated with higher probiotic nutraceuticals intake, and overweight were associated with a lower intake likelihood. A mixed diet showed opposite results on probiotic yogurts and fermented foods consumption.</div></div><div><h3>Conclusion</h3><div>Findings reveal a low frequency of gut health-promoting foods consumption, particularly sources rich in probiotics. Interventions aimed at increasing public awareness, as well as promoting a healthier diet and nutritional status, could be effective in boosting consumption of fermented foods and probiotics.</div></div>","PeriodicalId":36125,"journal":{"name":"Human Nutrition and Metabolism","volume":"39 ","pages":"Article 200294"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143096329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metabolite profiling in assessing ulcerative colitis activity: A systematic review","authors":"Danyang Cui ,&nbsp;Xu Han ,&nbsp;Jiazhu Jin ,&nbsp;Yanhong Wang ,&nbsp;Zijia Chen ,&nbsp;Yang Gong ,&nbsp;Miao Jiang","doi":"10.1016/j.hnm.2025.200298","DOIUrl":"10.1016/j.hnm.2025.200298","url":null,"abstract":"<div><h3>Background</h3><div>Ulcerative colitis (UC) is an immune-mediated chronic inflammatory condition of the colon, characterized by defects in the intestinal epithelial barrier, dysbiosis of the microbiota, and immune dysregulation. Metabolite profile has been widely and successfully used to characterize patient features in UC, as the development of metabolomics technology. Specific combinations of small metabolites can accurately depict the real-time pathological state of the body. Previous systematic reviews have focused on metabolite analysis between UC patients and healthy individuals, but have not systematically evaluated metabolite changes in different disease stages. This study focused on distinguish between patients in active and inactive phases, and even have the potential to predict changes in disease activity.</div></div><div><h3>Aim</h3><div>To summarize the distinct metabolites between the active and remission phases in serum and colonic mucosa in patients with UC.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted in PubMed, Embase, the Cochrane Library, Web of Science, WanFang Data, and China National Knowledge Infrastructure from 1995 to 2022. Studies were selected which included metabolomics detection on serum or mucosal samples from patients with active or remission phase UC. The disease activity was assessed by using the Mayo score, Ulcerative colitis activity index score, or Geboes score. The risk of bias was assessed using the Newcastle-Ottawa Scale.</div></div><div><h3>Results</h3><div>Eleven articles (10 in English and 1 in Chinese) and 357 patients were included. Qualitative analysis was performed according to the classification of gas chromatography/mass spectrometry, liquid chromatography/mass spectrometry, or nuclear magnetic resonance. In the active period of UC, metabolites such as lipids, Amino acids showed a certain trend of change. Arachidonic acid showed specific upregulation in both serum and mucosal samples during the active stage in patients with UC.</div></div><div><h3>Conclusion</h3><div>There exists an association between metabolite profile and disease activity in patients with UC. Especially in patients with active UC, the lipid metabolite (arachidonic acid) is highly expressed simultaneously in the serum and mucosa. This finding will identify small molecule biomarkers that may potentially replace colonoscopy in the assessment and prediction of UC disease activity in the future, which indicates a significant potential for biomarker development.</div></div>","PeriodicalId":36125,"journal":{"name":"Human Nutrition and Metabolism","volume":"39 ","pages":"Article 200298"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143095713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Almond snacking modestly improves diet quality and waist circumference but not psychosocial assessments and other cardiometabolic markers in overweight, middle-aged adults: A randomized, crossover trial","authors":"Vernon Uganiza Rayo ,&nbsp;Lauren Okamoto ,&nbsp;Maricarmen Cervantes ,&nbsp;Mee Young Hong ,&nbsp;Nathaniel Jason ,&nbsp;Mark Kern ,&nbsp;Changqi Liu ,&nbsp;Elise North ,&nbsp;Svitlana Storm ,&nbsp;Oliver C. Witard ,&nbsp;Shirin Hooshmand","doi":"10.1016/j.hnm.2024.200291","DOIUrl":"10.1016/j.hnm.2024.200291","url":null,"abstract":"<div><div>Almonds are a plant-based source of lipids, proteins, fibers, micronutrients, and phytochemicals associated with cardiometabolic health benefits. We examined blood glucose homeostasis, lipid profile, anthropometrics, blood pressure, food cravings, and mood both pre- and post-feeding, using a randomized, crossover design with 26 healthy adults (37±6 y) consuming either ALMOND (57 g/d) or an isocaloric amount of pretzels (CONTROL) for 8 weeks. Almond supplementation was expected to improve all primary outcomes when compared to CONTROL. ALMOND improved diet quality through increased intakes of monounsaturated fat (Δ+58 %), polyunsaturated fat (Δ+24 %), α-tocopherol (Δ+133 %), β-tocopherol (Δ+33 %), and magnesium (Δ+30 %) relative to CONTROL (Interaction: all p &lt; 0.05). Copper intake increased (Δ+27 %) and sodium decreased (Δ-20 %) during ALMOND (Time: all p &lt; 0.05). A reduction in waist circumference (Δ-1.1 cm) and decrease in carbohydrate intake (Δ-20 %) was observed during ALMOND <em>vs.</em> CONTROL (Trial: all p &lt; 0.05). Insulin sensitivity decreased during CONTROL (Time: p &lt; 0.05) but remained constant during ALMOND. Frequency of food cravings over the last 7 days of experimentation increased during ALMOND <em>vs</em>. CONTROL (Interaction: all p &lt; 0.05). No differences in blood lipid profile, physical activity, and assessments of mood were observed between trials (all p &gt; 0.05). This study demonstrates that a 57 g/d serving of almonds modestly improves diet quality and waist circumference. However, almond supplementation elicited no clinically significant benefits on lipid profile, blood pressure, physical activity, and assessments of cravings and mood. Future mechanistic studies are warranted to understand the effect of almond supplementation on cardiometabolic health in various populations. <em>ClinicalTrials.gov Identifier</em>: NCT04787718.</div></div>","PeriodicalId":36125,"journal":{"name":"Human Nutrition and Metabolism","volume":"39 ","pages":"Article 200291"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proteins from insects: A sustainable alternative for oral health within the one health concept and the planetary health diet","authors":"Marta Mazur ,&nbsp;Maciej Jedliński ,&nbsp;Irena Duś-Ilnicka ,&nbsp;Artnora Ndokaj ,&nbsp;Florence Carrouel ,&nbsp;Livia Ottolenghi ,&nbsp;Denis Bourgeois","doi":"10.1016/j.hnm.2025.200299","DOIUrl":"10.1016/j.hnm.2025.200299","url":null,"abstract":"<div><div>The growing use of insect-derived proteins as a food source, driven by their nutritional benefits and low environmental impact, raises questions about their impact on human health, particularly oral health. This position paper analyzes the potential implications of integrating insect proteins into the diet, with a special focus on dental, periodontal, and oral microbiome health. By offering complete amino acid profiles, omega-3 fatty acids, and antimicrobial peptides, insect proteins may help address nutritional gaps and positively influence oral tissue regeneration and microbiome balance. Their low-carbohydrate content also reduces substrate availability for cariogenic bacteria, making them a valuable alternative to starch- or sugar-rich diets. We justify this dietary transition in light of present nutritional deficiencies and demonstrate how insect proteins can register within a holistic approach to global health (<em>One Health</em>) and the <em>Planetary Health Diet</em>, supporting sustainability and improving overall health. However, further studies are needed to evaluate their safety as potential sources of allergens and contaminants. Both in-vitro and in-vivo studies are needed to assess correlations with the oral microbiota and its most frequent dysbiosis-related manifestations.</div></div>","PeriodicalId":36125,"journal":{"name":"Human Nutrition and Metabolism","volume":"39 ","pages":"Article 200299"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143096331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of hypertension and its associated risk factors during COVID-19 pandemic in the capital of Bangladesh","authors":"Urmila Roy ,&nbsp;Arafat Hassan Razon ,&nbsp;Tanvir Ahmad ,&nbsp;Tabassum Sultana Barsha","doi":"10.1016/j.hnm.2024.200289","DOIUrl":"10.1016/j.hnm.2024.200289","url":null,"abstract":"<div><h3>Background</h3><p>Hypertension (HTN) has emerged as a significant public health challenge and a leading cause of mortality and morbidity in developing countries like Bangladesh.</p></div><div><h3>Objective</h3><p>This study aimed to assess the prevalence of hypertension and its associated risk factors among residents of Dhaka, the capital of Bangladesh, during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted using a multistage random sampling technique to select 305 individuals from Khilkhet Thana in Dhaka North City Corporation. Data were collected through direct surveys using a modified version of the WHO STEPS questionnaire and analyzed using SPSS version 22 software.</p></div><div><h3>Findings</h3><p>The study identified a 34.4 % prevalence of HTN among the participants, with 46.2 % of hypertensive individuals being under 40 years of age. Of the 105 hypertensive individuals, 65 % were newly diagnosed during the study, and 11 previously diagnosed individuals were not on any medication. A significant association (P &lt; 0.001) was observed between the prevalence of HTN and inadequate intake of fruits (OR = 3.129, 95 % CI = 1.912–5.122, χ2 = 21.328), insufficient vegetables consumption (OR = 2.199, 95 % CI = 1.356–3.565, χ2 = 10.373), high intake of fatty foods (OR = 2.387, 95 % CI = 1.465–3.890, χ2 = 12.454), and excessive salt consumption (OR = 2.771, 95 % CI = 1.677–4.579, χ2 = 16.310). Additionally, the prevalence of HTN was notably higher among overweight (46.70 %) and at-risk (22.90 %) individuals, based on Body Mass Index (BMI) and waist-to-hip ratio (WHR), respectively. The study also found significant correlations (P &lt; 0.001) between HTN and factors such as smoking (OR = 2.824, 95 % CI = 1.601–4.980, χ2 = 13.432), kidney disease (OR = 7.534, 95 % CI = 2.694–21.070, χ2 = 19.282), general stress (OR = 3.692, 95 % CI = 2.179–6.255, χ2 = 24.896), COVID-19 related stress (OR = 3.511, 95 % CI = 2.116–5.826, χ2 = 24.712) and sleeping pattern (OR = 5.798, 95 % CI = 3.404–9.875, χ2 = 45.724).</p></div><div><h3>Conclusions</h3><p>The high prevalence of HTN, particularly among younger individuals during the COVID-19 pandemic, highlights the urgent need for nationwide surveys, surveillance, and clinical research to accurately depict the true burden of HTN in Bangladesh.</p></div>","PeriodicalId":36125,"journal":{"name":"Human Nutrition and Metabolism","volume":"38 ","pages":"Article 200289"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666149724000513/pdfft?md5=d100b1d1a23aeda61474807f51e45c21&pid=1-s2.0-S2666149724000513-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contribution of body adiposity index and conicity index in prediction of metabolic syndrome risk and components","authors":"Sorayya Kheirouri,&nbsp;Mohammad Alizadeh","doi":"10.1016/j.hnm.2024.200290","DOIUrl":"10.1016/j.hnm.2024.200290","url":null,"abstract":"<div><h3>Background and aims</h3><div>Body adiposity index (BAI) and conicity index have been known as useful measures in predicting cardio-metabolic diseases. This study aimed to evaluate the predictive potential of BAI and conicity index for the risk of metabolic syndrome (MetS) in comparison with body mass index (BMI), waist circumference (WC), hip circumference (HC), and waist-hip ratio (WHR).</div></div><div><h3>Methods</h3><div>In this cross-sectional study, 174 adults (87 with MetS and 87 healthy individuals) were recruited from a medical weight loss center. Anthropometric parameters, systolic and diastolic blood pressures (SDP and DBP), lipid profile, and fasting blood sugar (FBS) were measured.</div></div><div><h3>Results</h3><div>All anthropometric parameters were significantly higher in subjects with MetS than in healthy subjects. Both in MetS and healthy subjects, females had significantly higher BAI and BMI than males. In the fully adjusted model, the odds of MetS increased for each unit increase in BAI by 27 % (p = 0.001), in BMI by 33 % (p = 0.001), in WC by 13 % (p &lt; 0.001), and in HC by 9 % (p = 0.005). ROC curve analysis showed that all the anthropometric parameters displayed clinical importance in predicting MetS, but WHR had the largest area under the curve (AUC) in total, male, and female patients. In participants with MetS, the conicity index was negatively correlated with FBS; BAI was positively associated with HDL level.</div></div><div><h3>Conclusion</h3><div>All studied anthropometric parameters had acceptable accuracy for predicting MetS. Traditional parameters, particularly the WHR, exhibited a higher predictive power concerning MetS. The results underscore the reliability of conventional anthropometric measures in clinical and epidemiological settings.</div></div>","PeriodicalId":36125,"journal":{"name":"Human Nutrition and Metabolism","volume":"38 ","pages":"Article 200290"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Description of clinical profile, acute complications and glycemic control after Ramadan fasting in a Tunisian population of patients with diabetes","authors":"Chaima Jemai ,&nbsp;Mariem Nouira ,&nbsp;Yosra Htira ,&nbsp;Zohra Hadj Ali ,&nbsp;Faika Ben Mami","doi":"10.1016/j.hnm.2024.200285","DOIUrl":"10.1016/j.hnm.2024.200285","url":null,"abstract":"<div><h3>Aims</h3><p>To assess clinical and metabolic parameters in patients with diabetes during Ramadan fasting.</p></div><div><h3>Patients and method</h3><p>It was a prospective evaluative study based in the National Institute of Nutrition of Tunis (Departement C) in a population of patients with diabetes prepared for fasting by education and therapeutic adjustment.</p></div><div><h3>Results</h3><p>140 diabetics, mainly at high and very high risk (70.7 %), were analyzed. The frequencies of hypo and hyperglycemia were 12.1 and 11.4 % respectively. The mean weight and the mean systolic and diastolic blood pressure remained stable. Fasting blood glucose and HbA1C decreased significantly (−0.7 ± 3.1 mmol/L (p = 0.009), −0.18 ± 1.1 % (p = 0.047). The mean creatinine clearance had remained stable.</p></div><div><h3>Conclusion</h3><p>Ramadan fasting can be well-tolerated, even for patients at high and very high risk, with an improvement in glycemic control, provided prior education and adequate therapeutic adjustment.</p></div>","PeriodicalId":36125,"journal":{"name":"Human Nutrition and Metabolism","volume":"38 ","pages":"Article 200285"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666149724000471/pdfft?md5=7181051fa2e23faa734058a3c42fb0fa&pid=1-s2.0-S2666149724000471-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietary practices of type 2 diabetes mellitus patients concerning Pender's health Promotion Model in Lalitpur district, Nepal","authors":"Anish Sharma Upreti ,&nbsp;Bhagwan Aryal ,&nbsp;Jyoti Kuikel ,&nbsp;Mohan Kumar Sharma","doi":"10.1016/j.hnm.2024.200288","DOIUrl":"10.1016/j.hnm.2024.200288","url":null,"abstract":"<div><h3>Background</h3><p>Type 2 Diabetes Mellitus (T2DM) is one of the most prevalent Non Communicable Diseases (NCD) in Nepal. Nutrition plays a significant role in creating barriers to the development of NCDs like diabetes. The main objective of this study is to identify the factors that influence the dietary behaviors and practices among T2DM patients.</p></div><div><h3>Methods</h3><p>The study used quantitative method and a cross-sectional research design. The study was carried out in two centers: one in diabetes and another in thyroid care centers at the Lalitpur district, Nepal. A survey questionnaire based on Pender Health Promotion Model (PHPM) was developed, piloted, and administrated directly to 450 T2DM patients aged 40–65. Validity and reliability of the tools was ensured through reviewing panel of experts and using the coefficient and Cronbach's alpha test, respectively. Three sorts of statistical analysis; univariate, bivariate, and multivariate analysis were done using SPSS version 25.</p></div><div><h3>Results</h3><p>Respondents belonged to a joint family, no alcohol consumption, positive attitude towards a healthy diet (<em>P &lt; 0.05),</em> no smoking habit, reminders for healthy food, and engaging in physical activity (<em>P &lt; 0.001)</em> were significantly associated with good dietary practice. Higher odds of sufficient dietary practice were found in respondents who were from joint families (adjusted Odds Ratio (aOR = 2.332; 95 % Confidence Level (CI): 1.958–2.989, p &lt; 0.01), literate (aOR = 1.783; 95 % CI: 1.256–2.531, p &lt; 0.01), no smoking history (aOR = 0.935; 95 % CI: 0.609–1.434, p &lt; 0.05), alcohol consumption history (aOR = 0.615, 95 % CI: 0.412–2.346, p &lt; 0.05), had family support (aOR = 1.824, 95 % CI: 1.265–2.630, p &lt; 0.01), availability of healthy foods (aOR = 2.26; 95 % CI: 1.453–3.517, p &lt; 0.001), and those who preferred daily physical activities (aOR = 1.982, 95 % CI: 1.369–2.364, p &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>Nuclear family, illiteracy, lower income, smoking and consumption of alcohol, poor family support, poor access in healthy food, and low engagement in physical activities influenced dietary behavior among T2DM patients. Thus, PHPM based educational intervention needs essential to the T2DM patients and family members to ensure better life.</p></div>","PeriodicalId":36125,"journal":{"name":"Human Nutrition and Metabolism","volume":"38 ","pages":"Article 200288"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666149724000501/pdfft?md5=bbdd1c5e890a5aba7280863934d92e02&pid=1-s2.0-S2666149724000501-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}