BMJ Nutrition, Prevention and Health最新文献

{"title":"Evaluating nutritional and food cost assessments: cash-register receipts may be an alternative for FFQs - accuracy and feasibility in a dietary study.","authors":"Idan Hollander, Kerem Avital, Uri Goldbourt, Assaf Buch","doi":"10.1136/bmjnph-2024-001145","DOIUrl":"10.1136/bmjnph-2024-001145","url":null,"abstract":"<p><strong>Objective: </strong>Comparing two dietary cost measurements at the individual level: 'Food Frequency Questionnaire (FFQ) and supermarkets prices' with 'cash-register-receipts-items'.</p><p><strong>Design: </strong>Method comparison study. <i>Reference method:</i> participants collected receipts of food purchases for 28 days; <i>conventional method:</i> participants completed a diet-specific online FFQ.</p><p><strong>Setting: </strong>A Vegan Israeli Study substudy.</p><p><strong>Participants: </strong>30 participants were recruited using advertisements on social media.</p><p><strong>Main outcome measure: </strong>Average diet cost, energy and nutrients consumption, generated by: (1) items on receipts; (2) online FFQ with supermarkets prices.</p><p><strong>Analysis: </strong>Examining correlations between methods and generating Bland-Altman graphs.</p><p><strong>Results: </strong>Agreement between measurement tools increased when 'eating-away-from-home' dietary costs were omitted from the analysis, from differences of 1453 New Israeli Shekel (NIS)/28 days (414 US$/28 days) higher to 1010 NIS/28-days (288 US$/28days) lower compared with differences of 756 NIS/28 days (215 US$/28 days) higher to 1159 NIS/28 days (330 US$/28 days) lower. Moreover, the Pearson correlation between methods, which was r=0.29 (p=0.13), increased to r=0.52 (p<0.0042). Finally, Pearson correlations between questionnaire-based and receipt-based nutrients were: energy=0.58 (p=0.001); protein=0.46 (p=0.012); fat=0.50 (p=0.005); carbohydrates=0.76 (p<0.001); calcium=0.46 (p=0.012); and iron=0.37 (p=0.049).</p><p><strong>Conclusions and implications: </strong>The dietary cost of the 'FFQ-and-supermarket-prices' method is more strongly correlated and agreeable with the 'cash-register-receipts-items' method when 'eating-away-from-home' items are omitted, indicating that 'eating-away-from-home' costs are poorly estimated when using the standard 'FFQ-and-supermarket-prices' method. Finally, estimating energy, carbohydrates, protein, fat, calcium and iron using 'cash-register-receipts-items' is feasible.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"8 1","pages":"e001145"},"PeriodicalIF":2.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795768","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":"Adherence to a dietary approach to stop hypertension (DASH) and associated factors among hypertensive patients on follow-up at public hospitals in Southwest Ethiopia: a non-pharmacological approach.","authors":"Abdi Geda Gedefa, Ebbisa Negera Gemechu, Yared Nigusu, Teshome Bekana, Fikru Mosisa, Mahider Ayalew, Geremew Tolesa","doi":"10.1136/bmjnph-2024-000935","DOIUrl":"10.1136/bmjnph-2024-000935","url":null,"abstract":"<p><strong>Objective: </strong>To assess adherence to a dietary approach to stop hypertension (DASH) and associated factors among hypertensive patients on follow-up at public hospitals in Iluu Abbaa Boor Zone, Southwest Ethiopia, 2021.</p><p><strong>Methods: </strong>An institution-based cross-sectional study was conducted among 410 study participants in public health hospitals in the Iluu Abbaa Boor Zone. A systematic random sampling technique was used to select participants.Data were collected through face-to-face interviews using a structured questionnaire. Table, graphs and charts were used to present descriptive statistics. Bivariable and multivariable logistic regression analyses were run. Variables with p<0.25 in bivariable logistic regression were considered candidates for multivariable logistic regression.Finally, variables with p<0.05 at 95% CI were considered to be statistically significant.</p><p><strong>Result: </strong>The overall adherence to DASH was 37%. Male sex (adjusted OR (AOR)=5.8, 95% CI (2.9, 11.6), p<0.01), age >40 years (AOR=3.6, 95% CI (1.7, 7.5), p<0.01), marital status (married) (AOR=4.0, 95% CI (1.7, 9.5), p<0.001), employed individuals (AOR=4.0, 95% CI (1.3, 12.5), p<0.015) and rural residents (AOR=3.0, 95% CI (1.7, 8.2), p<0.001) were more likely to adhere to DASH than their counterparts.</p><p><strong>Conclusion: </strong>Adherence to the DASH was very low among the study participants in the study area.Health professionals must give due attention to promoting adherence to the DASH. Special attention should be given to young adults, females and urban residents, unmarried and unemployed individuals.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"8 1","pages":"e000935"},"PeriodicalIF":2.5,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795727","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":"Ending nuclear weapons, before they end us.","authors":"Chris Zielinski","doi":"10.1136/bmjnph-2025-001293","DOIUrl":"10.1136/bmjnph-2025-001293","url":null,"abstract":"","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"8 1","pages":"e001293"},"PeriodicalIF":2.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795766","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":"Understanding nutrition research for better patient care.","authors":"Kathy Martyn","doi":"10.1136/bmjnph-2025-001241","DOIUrl":"10.1136/bmjnph-2025-001241","url":null,"abstract":"","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"8 1","pages":"e001241"},"PeriodicalIF":2.5,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795780","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":"Ethical imperative of plant-based diets: physician responsibilities in addressing chronic disease and global food sustainability.","authors":"Shirley Kalwaney, Elizabeth Cerceo","doi":"10.1136/bmjnph-2025-001200","DOIUrl":"10.1136/bmjnph-2025-001200","url":null,"abstract":"","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"8 1","pages":"e001200"},"PeriodicalIF":2.5,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795767","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":"Unpacking the retail food environment: strengths, gaps and policy implications in obesity research.","authors":"Suraiya Parvin","doi":"10.1136/bmjnph-2025-001244","DOIUrl":"10.1136/bmjnph-2025-001244","url":null,"abstract":"","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"8 1","pages":"e001244"},"PeriodicalIF":2.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795781","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":"Unrecognised rural-urban disparities in epidemiology of metabolic-associated fatty liver disease in the representative area of China.","authors":"Tingfeng Wu, Junzhao Ye, Suilin Mo, Miaosheng Ye, Xiaoyi Li, Qing Li, Wengeng Wang, Qiaocong Zheng, Ke Luo, Yi Zhang, Shouwei Tu, Daituan Che, Rulong Gong, Xing Chen, Rong Miu, Congxiang Shao, Yanhong Sun, Bihui Zhong","doi":"10.1136/bmjnph-2024-001087","DOIUrl":"10.1136/bmjnph-2024-001087","url":null,"abstract":"<p><strong>Background: </strong>The unexpectedly increased burden of metabolic-associated fatty liver disease (MAFLD) continues in China, and the differences between rural and urban areas remain unclear. We aimed to clarify the prevalence and risk factors in rural areas of China.</p><p><strong>Methods: </strong>This cross-sectional study used the most densely populated area with highly unbalanced development differences in China (Guangdong Province) as a representative sample, and multistage stratified random sampling was performed. The participants' demographic, socioeconomic and lifestyle data were collected. Fatty liver and liver stiffness were screened by FibroScan.</p><p><strong>Results: </strong>A total of 7287 individuals were enrolled (rural: 2684; urban: 4603). The overall MAFLD prevalence was 35.7%, and MAFLD was higher among rural individuals (38.0% vs 34.4%, p<0.001) than urban individuals. Rural individuals had more severe hepatic fibrosis (fibrosis stage 3-4) overall (3.0% vs 1.3%) and among different sexes (male: 4.2% vs 2.0%; female: 1.5% vs 0.5%) (all p<0.05) than urban individuals. For both rural and urban individuals, lifestyle and dietary habits, including midnight snacks, dining out, and overeating salt, red meat and sugar, were associated with an increased risk of MAFLD, and drinking tea and consuming dietary fibres were associated with a decreased risk of MAFLD. However, midnight snacks and overeating red meat were associated with a higher risk of hepatic fibrosis only in urban individuals.</p><p><strong>Conclusion: </strong>There is a surprisingly high burden of MAFLD in rural Guangdong, China, which implicates a lack of awareness among rural individuals and a warrant the need for disease counteraction strategies.</p><p><strong>Trial registration number: </strong>ChiCTR2000033376.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"8 1","pages":"e001087"},"PeriodicalIF":2.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795782","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 habits and complex food relations in Northwest China: a population-based network analysis.","authors":"Jing Hui, Samuel Chacha, Huang Yan, Zongkai Li, Jiaxin Cai, Baibing Mi, Jianghong Dai, Yuhong Zhang, Xinhua Wang, Fuchang Ma, Yijun Kang, Duolao Wang, Hong Yan, Shaonong Dang","doi":"10.1136/bmjnph-2024-001153","DOIUrl":"10.1136/bmjnph-2024-001153","url":null,"abstract":"<p><strong>Introduction: </strong>This study examines dietary network in Northwest China, focusing on food group consumption and regional trends using network analysis.</p><p><strong>Methods: </strong>Data from 106 424 participants in the Regional Ethnic Cohort Study were calculated using a semiquantitative food frequency questionnaire. We compared intake with the 2022 Chinese Dietary Guidelines and employed the EBICglasso method to construct dietary and staple food-related network, assessing its stability and accuracy.</p><p><strong>Results: </strong>Northwest China's staple food intake was 37.5% of total consumption, dominated by wheat. Compared with the Chinese dietary guidelines, participants' intake of staple foods, soybeans and nuts was within the acceptable range, with insufficient intake of whole grains and beans, animal source of foods, eggs, fruits and vegetables but excessive intake of salt. Intake varied by province, sex and age. In overall participants, the strongest correlations were found between the two food groups, namely fruits and vegetables (0.33), and animal source of foods and dairy products (0.24) in dietary network. Soybeans and nuts appeared to connect to more other foods and also higher correlation with other foods and were followed by animal source of food. The staple food-related food network indicated that the intake of rice, whole grains and beans, and potatoes was positively correlated with the intake of most other foods, while intake of wheat was negatively correlated with foods of animal source of food, milk and dairy products.</p><p><strong>Conclusions: </strong>Northwest China's diet exhibits irrational patterns, highlighting the importance of assessing overall dietary patterns in nutritional evaluation.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"8 1","pages":"e001153"},"PeriodicalIF":2.5,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795763","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":"MyKid'sNutrition mobile application: effect on mothers' nutritional knowledge and nutritional status of preschool-aged children with undernutrition - a randomised controlled trial.","authors":"Ali Hojati, Mahdieh Abbasalizad Farhangi","doi":"10.1136/bmjnph-2024-001007","DOIUrl":"10.1136/bmjnph-2024-001007","url":null,"abstract":"<p><strong>Background: </strong>Undernutrition during childhood can negatively impact a child's health, growth, cognitive abilities, and future educational and economic attainment in adulthood. Also, childhood undernutrition can lead to a higher risk of developing non-communicable diseases. Alongside several socioeconomic and environmental factors contributing to children's undernutrition, maternal nutrition literacy is of noticeable importance. The ubiquity of mobile devices and their use in daily life create new paths for health promotion interventions.</p><p><strong>Objectives: </strong>The aim of our study was to evaluate the efficacy of the <i>MyKid'sNutrition</i> application in promoting maternal nutritional knowledge, attitude and practice, as well as children's nutritional status.</p><p><strong>Methods: </strong>We conducted a two-arm parallel randomised controlled trial (1:1 ratio) involving 116 mothers of children aged 2-6 years with undernutrition. Participants were allocated to the intervention (<i>MyKid'sNutrition</i> application+standard care) or the control group (standard care alone). All outcomes were measured at baseline and after a 3-month intervention period.</p><p><strong>Results: </strong>There were no significant differences between baseline characteristics of mothers and children. We found that the interaction effect of time and group was significant for weight and body mass index (BMI) for age, but not significant for height for age. We also observed that the effect of time and group interaction was significant for maternal nutritional knowledge, feeding attitudes and nutrition practices.</p><p><strong>Conclusions: </strong>The maternal nutritional knowledge, attitudes and practices in the intervention group were higher than the control group. Also, children's weight and BMI for age z-scores changed more compared with the control group.</p><p><strong>Trial registration number: </strong>IRCT20140907019082N11.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"8 1","pages":"e001007"},"PeriodicalIF":2.5,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795769","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 and associated risk factors of stunting too early: analysis of the 2020 Rwanda demographic and health survey.","authors":"Raphael Ndahimana, Melissa Uwase, Roger Muragire, Alliance Uwase, Edith Uwamahoro, Bwiza Flavia, Elysee Niyonganyira, Ayinkamiye Esperance, Divine Umutesi Rusa, Marie Josée Mwiseneza, Absolomon Gashaija, Godfrey Ngabonziza, Japhet Ishimwe, Binayisa Gad, Claude Kalisa, Joseph Imanishimwe, Muhire Jean, Jeanine Condo, Michael Habtu","doi":"10.1136/bmjnph-2024-000991","DOIUrl":"10.1136/bmjnph-2024-000991","url":null,"abstract":"<p><strong>Abstract: </strong></p><p><strong>Background: </strong>Stunting in young children continues to be a public health concern in Rwanda. The effect of stunting in the first 1000 days of life has long-term consequences, including decreased brain development and a higher risk of developing diseases later in life. To design proper interventions, identifying the risk factors of stunting too early is paramount. The study thus aimed to identify the prevalence of stunting too early (6-23 months) and its associated risk factors.</p><p><strong>Methods: </strong>The research study analysed secondary data from the nationally conducted demographic health survey of 2019-2020, which was analysed by using bivariate analysis and multivariable logistic regression models to determine the factors associated with stunting that occurred too early. P value of <0.05, regression coefficients and their 95% CI were used to assess the level of significance as well as insights related to the strength and direction of the relationship between being stunted too early and other covariates.</p><p><strong>Results: </strong>A total of 1180 children aged 6-23 months were included in the analysis. The overall prevalence of stunting too early was 30% with a 95% CI of 27.4%-32.6%. Moreover, the prevalence of stunting was 29.0%, 20.0%, 23.0% and 35% among the 6 months, 7-8 months, 9-12 months and 13-23 months age groups, respectively. After adjusting for potential confounding variables, the following factors were independently associated with stunting too early: being male (aOR:2.3; 95% CI:1.68 to 3.00), not currently being breastfed (aOR:1.97, 95% CI:1.21 to 3.19), mothers aged 25-34 and more than 34 years (aOR:1.64; 95% CI:1.11 to 2.43) and (aOR:1.63; 95% CI:1.07 to 2.47), respectively, households with poor wealth index (aOR:2.61; 95%CI: 1.72 to 3.09), child age group of 13-23 months (aOR:2.00; 95% CI:1.14 to 5.51) and small child size at birth (aOR:2.36; 95% CI:1.42 to 3.92).</p><p><strong>Conclusions: </strong>The prevalence of stunting too early was high, and the factors significantly associated with it were the sex and age of the child, the mother's age, low socio-economic status and small child size at birth. There is a need to address those factors through campaigns of health education, emphasis on girls' education for their empowerment and strengthening of nutritional programme implementation.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"8 1","pages":"e000991"},"PeriodicalIF":2.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795774","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}