BMC Nutrition最新文献

{"title":"Effectiveness of nutrition counseling in managing gestational weight gain and infant outcomes: a retrospective cohort study.","authors":"Marzieh Zare, Alireza Olyaeemanesh, Parisa Torabi, Sepideh Dolati, Hossein Fallah, Mitra Zabihi, Malihe Jafari, Elham Kavoosi, Farnaz Baghban, Zeinab Shahsavani, Maryam Maharat, Ahmad Esmaillzadeh, Hossein Farshidi, Razieh Tabaeifard, Leila Azadbakht","doi":"10.1186/s40795-025-01035-z","DOIUrl":"https://doi.org/10.1186/s40795-025-01035-z","url":null,"abstract":"<p><strong>Background: </strong>Gestational weight gain (GWG) plays a crucial role in maternal and fetal health outcomes during pregnancy. Excessive weight gain is associated with various complications, emphasizing the importance of effective management strategies. Nutrition counseling has been proposed as a promising intervention to optimize GWG and improve maternal and infant outcomes. The aim of this study was to evaluate the effectiveness of nutrition counseling for pregnant women experiencing unfavorable weight gain during pregnancy, who were referred to a registered dietitian at health centers in Iran.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted in Fars Province, Iran, involving pregnant women with unfavorable weight gain patterns referred to health centers between April 1, 2019, and November 20, 2023. Participants received either nutrition counseling or standard care. Data on maternal weight gain, infant anthropometric measurements, and counseling sessions were collected from the Integrated Health System.</p><p><strong>Results: </strong>Among 565 enrolled pregnant women, 279 received nutrition counseling. Among pregnant women who experienced unfavorable weight gain and received nutritional counseling, 52.3% successfully attained a desirable weight gain. However, there was no significant difference in the hazard ratio of abnormal weight gain during pregnancy between the two groups. Additionally, no significant association were found in infant birth weight, length, or head circumference between the counseling and non-counseling groups.</p><p><strong>Conclusions: </strong>Nutritional counseling improved weight gain trajectories in pregnant women, with more achieving desirable weight gain. However, no significant differences were found in neonatal outcomes. Further studies are needed to refine intervention strategies.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":"11 1","pages":"53"},"PeriodicalIF":1.9,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Noncommunicable diseases protect score and its predictors among adults with chronic diseases from public hospitals in Sidama National Regional State, Ethiopia: A multi-center cross-sectional study.","authors":"Alemneh Kabeta Daba, Frehiwot Atsbeha, Alemu Tamiso Debiso","doi":"10.1186/s40795-025-01014-4","DOIUrl":"10.1186/s40795-025-01014-4","url":null,"abstract":"<p><strong>Background: </strong>The burden of noncommunicable diseases (NCD) is increasing globally including in the African countries. Healthy nutrition plays a crucial role in the prevention and management of NCD. Therefore, this study aimed to assess NCD protect score as indicator of dietary quality of adults with NCD in Sidama National Regional State of Ethiopia. In addition, it identified predictors of good NCD protect score and highlighted salt usage practice.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among randomly selected 882 adults with diabetes and/or hypertension from February to April in 2023. Descriptive statistics was computed to satisfy univariate outcomes and logistics regression analysis was done to identify predictors of good NCD protect score.</p><p><strong>Results: </strong>Less than one-thirds (29.5%) of the participants achieved good NCD protect score. Among salt users (n = 224), nearly half (47%) consume more than five grams of salt in a day. No formal education [AOR = 0.5 (95%CI: 0.29, 0.85), p = 0.011], being from no radio [AOR = 0.56 (95%CI:0.39, 0.82), p < 0.003] and no refrigerator [AOR = 0.22 (95%CI: 0.12, 0.46), p < 0.001] owning household decreased probability to achieve good NCD protect score as compared to the counterparts. In contrary, being widowed/divorced [AOR = 2.22 (95%CI: 1.17, 4.22), p = 0.015] and common out of home eating practice [AOR = 1.57 (95%CI:1.05, 2.34), p = 0.027] increased probability to achieve good NCD protect score.</p><p><strong>Conclusions: </strong>Substantial proportion of adults with NCD did not achieve good NCD protect score. Moreover, both complete salt avoidance, and more than the recommended amount salt consumption practice among salt users are prevalent. Education, access to media and food preservation services predicted NCD protect score. Context specific nutrition interventions have to be designed and integrated with existing NCD medical care. Implementation researches would also benefit further understanding and intervention effect determination.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":"11 1","pages":"52"},"PeriodicalIF":1.9,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587303","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":"Does breakfast skipping alter the serum lipids of university students?","authors":"Shazia Parveen Solangi, Naseem Aslam Channa, Amna Yasin Awan, Muhammad Haneef Mugheri, Zeba Hussain Soomro, Lubna Noorani","doi":"10.1186/s40795-024-00970-7","DOIUrl":"10.1186/s40795-024-00970-7","url":null,"abstract":"<p><strong>Background: </strong>Breakfast is the first meal of the day which is very important in student's health. The present study was undertaken to explore the role of breakfast skipping in altering the serum lipids of university students. In this case-control study, university students from various disciplines at Shah Abdul Latif University, Khairpur, Pakistan were selected from January 2021 to August 2023 after obtaining written informed consent.</p><p><strong>Methods: </strong>Four hundred fifty university students (450) were selected, among them, 158 were Breakfast Skippers (BS) and 292 were breakfast non-skippers (BNS). Of the total, 256 were males and 194 were females with age range of 18-25 years. All participants were enquired about their soci-demographic characteristics and the intake of breakfast during last 3 months. Blood samples were also collected for the serum lipids analysis on auto analyzer ADVIA 1800 S. p-value < 0.05 was kept as level of significant at 95% confidence interval.</p><p><strong>Results: </strong>We found 292 (60.9%) BNS and 158 (39.1%) BS university students out of 450 university students. Of these, 49.3% were males and 50.7% were female students. Most of the BS (56.9%) had normal weight and 22-23 were the peak age group of breakfast skippers. We found significant variation among age groups for triglycerides (TG), high density lipoprotein cholesterol (HDL-C) and low density lipoprotein cholesterol (LDL-C) in BS. The total cholesterol (TC), TG, LDL-C, very low density lipoprotein cholesterol (VLDL-C), and total lipids (TL) were significantly increased in the BS in comparison to BNS. Increased levels of TG, VLDL-C and TL were detected in male BS compared to male BNS, whereas, reverse was true for HDL-C. the significant higher levels ofTC, HDL-C, LDL-C and TL were found in female BS in comparison to BNS.</p><p><strong>Conclusion: </strong>In conclusion, the significantly highest concentrations of TC, TG, LDL-C, VLDL-C, and TL are found in the BS compared to BNS. We are fully aware of the fact that the university student's age group is not involved in lipids related diseases, because the lipid related diseases are the signature diseases of elderly population. Hence, if university students don't have any other medical condition directly or indirectly involved in affecting serum lipids, then the breakfast skipping may be responsible for altering the serum lipids of university students.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":"11 1","pages":"51"},"PeriodicalIF":1.9,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587281","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":"Anemia status and associated factors among adolescent girls under weekly iron and folic acid supplementation (WIFAS) and non-WIFAS programs in public schools in Janamora district, Northwest Ethiopia 2023; a comparative cross-sectional study.","authors":"Thomas Kidanemariam Yewodiaw, Meron Asmamaw Alemayehu, Destaw Fetene Teshome","doi":"10.1186/s40795-025-01033-1","DOIUrl":"10.1186/s40795-025-01033-1","url":null,"abstract":"<p><strong>Background: </strong>Anemia is the most common nutritional problem in impoverished countries, particularly among adolescents. Adolescents have a unique opportunity to enhance their nutritional status. Weekly iron‒folic acid supplementation can halt the intergenerational cycle of anemia. Numerous studies have revealed a statistically significant link between taking iron folic acid supplements and preventing anemia. Therefore, this study aimed to compare the differences in the prevalence of anemia and associated factors among adolescent girls in public schools that implemented weekly iron folic acid supplementation (WIFAS) and those that did not in Janamora district, Northwest Ethiopia, in 2023.</p><p><strong>Methods: </strong>A school-based comparative cross-sectional study was conducted among (361) adolescent girls on (180) WIFAS and (181) non-WIFAS schools Programme. We selected the participants via simple random multistage sampling techniques. Data were collected using an interviewer-based questionnaire, anthropometric measurements, and a hemoglobin level test. Hemoglobin estimation was performed by using the HemoCue Hb 301 machine. Descriptive and multivariate logistic regression analyses was performed via STATA Version 17 to identify a significant association between anemia and its associated variables at a p-value < 0.05.</p><p><strong>Results: </strong>The overall prevalence of anemia was 50.43% (CI: 45%, 55%). However, its prevalence was 44.7% (CI: 37.4%, 52.3%) among the WIFAS schools and 56% (CI: 48.5%, 63.3%) among the non-WIFAS schools, with statistically significant differences at p < 0.05. The habit of drinking coffee/teas [AOR = 5.9] and secondary school girls [AOR = 2.5] among non-WIFAS school programs, whereas poor adherence to the IFAs [AOR = 3.6], poor anemia knowledge [AOR = 4.4], and non-vegetarian status [AOR = 2.8] among WIFAS school programs. Furthermore, parasite attack history [AOR = 6.9, and 7.6] for each program was a statistically significant factor among adolescent girls.</p><p><strong>Conclusion: </strong>Anemia was less prevalent in the WIFAS school Programme than in the non-WIFAS school Programme. This indicates that the WIFAS has an important function in improving anemic status. As a result, it is recommended that the WIFAS program be extended to more schools. The WIFAS program is more effective when health education is delivered concurrently with it.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":"11 1","pages":"50"},"PeriodicalIF":1.9,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586889","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":"Nutritional, functional, and microbial qualities of legume-based flour blends processed by SMEs in Zambia and Malawi compared to standard Corn-Soy Blend Plus (CSB +): a cross-sectional study.","authors":"Patrick Ndovie, Smith G Nkhata, Numeri Geresomo, Robert Fungo, Vincent Nyau, Richard Banda, Justice Munthali, Martha Chizule, Nellie Manda","doi":"10.1186/s40795-025-01034-0","DOIUrl":"10.1186/s40795-025-01034-0","url":null,"abstract":"<p><strong>Background: </strong>Legumes enhance food security in developing countries, necessitating an understanding of their properties. This study examined the nutritional, functional, and microbial qualities of legume-based flour blends from Small and Medium Enterprises (SMEs) in Malawi and Zambia. SMEs were chosen for their key role in local food production, distribution, and complementary food supply.</p><p><strong>Method: </strong>A total of 36 legume-based flour blend samples were collected using snowball sampling, consisting of 21 samples (7 sets of 3 similar samples) from SMEs in Zambia and 15 samples (5 sets of 3 similar samples) from SMEs in Malawi. Samples were analyzed for proximate composition, energy, iron, and zinc content. The nutritional contributions to the Recommended Dietary Allowances (RDA) for children aged 1-3 years were assessed. Additionally, functional properties such as water-holding and oil-holding capacities were measured. Microbial analysis was performed, and the data were statistically analyzed to determine significance (p ≤ 0.05).</p><p><strong>Results: </strong>Our findings revealed substantial variability in the nutritional content of these flour blends. Protein content ranged from 9.4% to 41.5%, carbohydrates from 8.1% to 71.3%, crude fat from 2.3% to 26.8%, and crude fiber from 6.2% to 35.2%. Iron and zinc levels also varied significantly, from 2.9 to 21.9 mg/100 g and 2.2 to 5.2 mg/100 g, respectively. These inconsistencies highlight a lack of standardization in nutrient content for blends intended for infant feeding. When prepared as 96 g porridge servings for children aged 1-3 years, the blends provided notable contributions to the Recommended Dietary Allowance (RDA). However, their nutrient levels were generally lower compared to the standard Corn-Soy Blend Plus (CSB +). The flour blends also showed variations in physico-functional properties, and some had microbial loads exceeding 250 cfu/g, reflecting inadequate hygiene practices during processing.</p><p><strong>Conclusion: </strong>To enhance their products, SMEs should ensure that their flour blends meet both nutritional and safety standards while striving to match or surpass the nutrient content of CSB + to remain competitive in the market.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":"11 1","pages":"49"},"PeriodicalIF":1.9,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11887150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574129","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":"Preoperative nutrition intervention program increases cleft surgery eligibility in the low- and middle-income country setting.","authors":"Devon O'Brien, Meenakshi Mitra, Mallika Jadly, Allyn Auslander, Abhishek Sengupta","doi":"10.1186/s40795-025-01031-3","DOIUrl":"10.1186/s40795-025-01031-3","url":null,"abstract":"<p><strong>Background: </strong>Children with cleft lip and/or palate (CL/P) are highly susceptible to malnutrition, which may restrict surgery eligibility and delay repair. Preoperative nutrition programs for children with unrepaired CL/P are an effective treatment to overcome malnutrition for safe surgical intervention in high-resource settings; however, the effectiveness of such programs has not been demonstrated in the setting of low- and middle-income countries (LMICs). We studied the impact of a preoperative nutrition program on improving nutritional status and achieving surgical eligibility for children with CL/P.</p><p><strong>Methods: </strong>A retrospective review of patients treated by the Operation Smile (OS) Durgapur Cleft Centre in India from March 2021 to December 2022 was conducted. Patient gender, weight, age, cleft type, parental demographics, and income were recorded. The patients' malnutrition status was categorized as \"mild\", \"moderate\", or \"severe\" based on the Indian Academy of Pediatrics (IAP). Patient IAP classifications were noted at multiple timepoints, where change in nutrition status overtime served as the primary outcome of this study. Whether the child became eligible for surgery was assessed as a secondary outcome. Descriptive statistics used t-tests for continuous variables and chi-squared tests for categorical variables. P-values < 0.05 were considered significant.</p><p><strong>Results: </strong>The study included 236 patients who presented for nutritional intervention after being deemed ineligible for surgery. Initial IAP malnutrition classifications were 36.9% (n = 87) mild, 42.8% (n = 101) moderate, and 20.3% (n = 48) severe malnutrition. After intervention, 179 (75.8%) patients improved in IAP nutrition status, 49 (20.7%) maintained baseline status, and only eight (3.4%) declined. Final improvement levels were significantly associated with younger age at intake (p < 0.001) and maternal education background (p = 0.011). At study end, a total of 183 (77.5%) patients were eligible for cleft repair while 53 (22.5%) patients were malnourished and remained enrolled in the program. A total of 162 (68.6%) patients underwent surgery.</p><p><strong>Conclusion: </strong>Malnutrition prevents children with CL/P from receiving surgical care in LMICs. This nutrition intervention enabled 228 (96.6%) patients to improve or maintain baseline nutrition and 183 (77.5%) to become surgically eligible who would not have been eligible otherwise. Preoperative nutrition programs offer a promising solution to addressing malnutrition as a barrier to timely, safe cleft repair in resource-constrained settings.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":"11 1","pages":"48"},"PeriodicalIF":1.9,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558247","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":"Relationship of tea consumption with hepatic steatosis and fibrosis: findings from a longitudinal RaNCD cohort.","authors":"Shaimaa A Qaisar, Jalal Moludi, Narges Shahnazi, Davood Soleimani, Yahya Pasdar","doi":"10.1186/s40795-025-01032-2","DOIUrl":"10.1186/s40795-025-01032-2","url":null,"abstract":"<p><strong>Background: </strong>Tea, known for its high content of antioxidants and anti-inflammatory compounds such as catechins, is believed to support liver health. This study aimed to explore the relationship between tea consumption and hepatic steatosis and fibrosis.</p><p><strong>Methods: </strong>This longitudinal study involved 2,537 participants from the Ravanser Non-Communicable Disease (RaNCD) cohort, conducted from 2015 to 2023. Dietary intake was evaluated using a 118-item food frequency questionnaire (FFQ). The Fibrosis-4 (FIB-4) index and the Hepatic Steatosis Index (HSI) were utilized as predictive indicators for hepatic fibrosis and steatosis, respectively.</p><p><strong>Results: </strong>After adjusting for potential confounding factors, our findings indicated that tea consumption was not significantly associated with an increased risk of worsening hepatic steatosis or fibrosis (P-value > 0.05). However, participants who consumed more than 2.88 cups of tea per day had a 27% lower likelihood of experiencing improvement in hepatic steatosis compared to those who consumed less than 1.92 cups per day (Relative Risk: 0.73; 95% CI: 0.53-0.99; P-value: 0.046).</p><p><strong>Conclusion: </strong>Our study suggests that higher tea consumption is not significantly linked to an elevated risk of worsening hepatic steatosis or fibrosis. However, it is noteworthy that individuals who consumed more tea were less likely to see improvements in hepatic steatosis. This finding highlights the need for further research to better understand the potential effects of tea on liver health.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":"11 1","pages":"47"},"PeriodicalIF":1.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543790","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":"Do pandemics influence food choice motives, diet, and health behaviors? Evidence from a cross-sectional survey in Pakistan during the COVID-19 pandemic.","authors":"Rida Khan, Afifa Tanweer, Sanaullah Iqbal","doi":"10.1186/s40795-024-00959-2","DOIUrl":"10.1186/s40795-024-00959-2","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 has significantly impacted the health and well-being of individuals by influencing their diet and lifestyle. Therefore, this study was designed to compare the dietary and health practices pre- and post-COVID-19 infection and to study the association of changes in dietary and health practices with the change in food choice motives.</p><p><strong>Methods: </strong>An online cross-sectional survey was conducted, and retrospective data was gathered from 259 recovered cases of COVID-19 aged 18-50 years in Pakistan. The survey questionnaire included socio-demographic information, adherence to Pakistan dietary guidelines, Breslow's health practices, and food choice motives. Shapiro-Wilk test was used to analyze the normality of data. McNemar's test and Wilcoxon sign ranked test were used to determine the change in the dietary practices, health practices, and food choice motives scores pre- and post-COVID-19 infection. Spearman correlation and multiple linear regression were used to study the relation between the changes in dietary practices, health practices, and food choice motives.</p><p><strong>Results: </strong>Dietary practices improved (mean ± SD: 0.17 ± 1.56), and health practices deteriorated (mean ± SD: -0.18 ± 1.36) after COVID-19 infection. The importance of convenience, health, mood, natural content, weight control, familiarity, and ethical concerns while choosing food increased after suffering from COVID-19. Improvement in dietary practices was correlated with health practices (r = 0.32), convenience (r = 0.15), health concern (r = 0.16), mood (r = 0.18), and natural content of food (r = 0.15). Changes in dietary practices were found to be negatively associated (p = 0.043, B=-0.145) with the price of food.</p><p><strong>Conclusion: </strong>We conclude that the food choice motives of the Pakistani population changed during COVID-19. This change in food choice motives was found to be related to dietary and health practices.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":"11 1","pages":"46"},"PeriodicalIF":1.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531980","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":"Application of Nordic Keyhole and Nutri-Score for assessment of nutritional quality of plant-based dairy analogues.","authors":"Hanieh Moshtaghian, Elinor Hallström, Marta Bianchi, Susanne Bryngelsson","doi":"10.1186/s40795-025-01023-3","DOIUrl":"10.1186/s40795-025-01023-3","url":null,"abstract":"<p><strong>Background: </strong>Public interest in plant-based dairy analogues is increasing; thus, their assessment by front-of-pack nutrition labelling schemes such as Keyhole and Nutri-Score can facilitate the identification of products with optimal nutritional quality. In this study, Keyhole and the latest version of Nutri-Score criteria were applied to plant-based dairy analogues (i.e., milk, yoghurt, cheese, cream, fat spread, and ice cream analogues) in the Swedish market to evaluate their nutritional quality.</p><p><strong>Methods: </strong>Nutritional data for 222 plant-based dairy analogues were collected from food manufacturers' websites, and the eligibility of these analogues for Keyhole and Nutri-Score (A to E) were assessed. Products eligible for Keyhole and Nutri-Score A or B were deemed to have optimal nutritional quality.</p><p><strong>Results: </strong>16% of plant-based milk analogues (from oat-, almond-, rice-, and potato-based products), 2% of plant-based yoghurt analogues and 37% of plant-based fat spread analogues were eligible for Keyhole. The plant-based cheese, cream and ice cream analogues were ineligible for Keyhole. None of the plant-based milk analogues qualified for Nutri-Score A, and 45% (mainly soy-, almond-, coconut-, pea- and mixed-based products) qualified for Nutri-Score B. 68% of plant-based yoghurt analogues (from oat-, soy-, almond- and mixed-based products) qualified for Nutri-Score A or B. The plant-based cheese, fat spread and ice cream analogues were ineligible for Nutri-Score A or B and 32% of plant-based cream analogues qualified for Nutri-Score B. A higher percentage of organic milk analogues and a lower percentage of organic yoghurt analogues were eligible for Keyhole and Nutri-Score A or B compared to their non-organic varieties. Keyhole and Nutri-Score had an agreement on classifying two plant-based dairy analogues as optimal nutritional quality products and 133 plant-based dairy analogues as suboptimal.</p><p><strong>Conclusions: </strong>There is variability in the eligibility of plant-based dairy analogues for Keyhole and Nutri-Score labelling. Eligibility for Keyhole was highest among plant-based fat spread analogues, while Nutri-Score A and B ratings were more common for plant-based yoghurt analogues. Plant-based cheese and ice cream analogues were ineligible for Keyhole and Nutri-Score A or B. Since the micronutrient content of organic and non-organic plant-based dairy analogues did not affect their evaluation by Keyhole and Nutri-Score, this limitation warrants further consideration.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":"11 1","pages":"45"},"PeriodicalIF":1.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531978","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":"Mediterranean diet and hypertension: relationship between adherence to a Mediterranean diet and arterial hypertension.","authors":"Mario Daidone, Tiziana Di Chiara, Alessandro Del Cuore, Alessandra Casuccio, Giovanni Salamone, Domenico Di Raimondo, Antonino Tuttolomondo","doi":"10.1186/s40795-025-01025-1","DOIUrl":"10.1186/s40795-025-01025-1","url":null,"abstract":"<p><strong>Background and aims: </strong>No study has examined the relationship between the presence of hypertension and the Mediterranean diet (MeDi) concerning other cardiometabolic risk factors. We conducted a retrospective study to evaluate the presence of lower adherence to the Mediterranean diet in hypertensive subjects and analyze the correlation between adherence to the Mediterranean Diet and other cardiovascular risk factors.</p><p><strong>Materials and methods: </strong>We analyzed the records and collected the data of the patients admitted to our Internal Medicine ward from 2010 to 2020 with a discharge diagnosis of metabolic syndrome according to the NCEP ATP-III criteria. We divided patients in two groups: hypertensive and no hypertensive. The Mediterranean Diet Score was used to evaluate the consumption and frequency of the foods characterizing a Mediterranean-type diet.</p><p><strong>Results: </strong>Hypertensive patients were older (73 ± 11.5 vs. 57.2 ± 5.7; p < 0.0005) and had a higher mean BMI (29.9 ± 5.2 vs. 25 ± 2.4, p < 0.0005) compared to control group. The degree of adherence to the Mediterranean diet, evaluated by the Mediterranean diet score (MDS), was significantly higher in the control group than in the hypertensive group (3.8 ± 1.6 vs 6.9 ± 1.5; p < 0.0005). Various comorbidities were more prevalent in hypertensives, such as type 2 diabetes mellitus, heart failure, ischemic heart disease, and chronic renal failure. Lower adherence to the Mediterranean diet was significantly associated with an increased prevalence of dyslipidemia, cardiovascular diseases, chronic renal insufficiency, and PAD/carotid atherosclerosis, and significantly worse lipid profiles.</p><p><strong>Conclusion: </strong>Our findings show that a lower adherence to a Mediterranean Diet Style is associated with a worse cardiovascular risk factor profile in hypertensive patients. Thus, Mediterranean diet adherence in hypertensive subjects is associated with a wider cardiometabolic scenario.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":"11 1","pages":"44"},"PeriodicalIF":1.9,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517001","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}