{"title":"Association between oral food processing ability and nutritional status of older adults based on factor analysis.","authors":"Jingru Gao, Xiaoqing Wu, Yong Chen, Xingxiang Yang, Qian Yu, Feng Zhong, Tianlin Gao","doi":"10.1186/s40795-026-01411-3","DOIUrl":"10.1186/s40795-026-01411-3","url":null,"abstract":"<p><strong>Objectives: </strong>The potential association between oral food processing ability and nutritional status in the older adults aged 75 years and above has been poorly investigated. Thus, this study is based on factor analysis to explore the relationship between the two aspects of older adults with different genders.</p><p><strong>Methods: </strong>The nutritional status was assessed by the Short-form Mini-Nutritional Assessment and body composition measurement. Oral food processing ability was evaluated by subjective questionnaires (10-item Eating Assessment Tool and Chewing Function Questionnaire) and specific objective experiments for the detection of bite force, tongue pressure, lip sealing pressure, swallowing function, taste, and salivation. The dimensionality of the collected data was reduced through factor analysis, and we performed both descriptive and differential analyses of the resulting factors. Correlation and regression analysis were carried out to uncover the potential connections between oral food processing ability and nutritional status in older adults.</p><p><strong>Results: </strong>Five factors extracted are salivary secretion, masticatory level, food guiding, taste function, and swallowing ability. The masticatory level and food guiding factor are significantly associated with malnutrition in an L-shaped dose-response relationship after adjustment for potential confounding factors. With the improvement of the masticatory level and food guiding, the risk of malnutrition decreases rapidly within the low-level range. Once the ability reaches a certain threshold, the risk of malnutrition tends to stabilize. Elevated taste thresholds and impaired swallowing function are positively correlated with the occurrence of malnutrition. Moreover, the masticatory level is the more important influencing factor in the elderly male group. In females, the impact of the other three factors (food guiding, taste function, and swallowing ability) on nutritional status is worth further exploring.</p><p><strong>Conclusions: </strong>The main related factors for nutritional status among older adults include chewing, food guiding, taste, and swallowing function, but there are significant differences between males and females. Formulating oral health care measures based on different genders has important implications for reducing the risk of malnutrition.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13551965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309800","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":"Microbiological quality and nutritional characterization of traditional fermented foods and beverages in Nekemte Town, East Wollega Zone, Ethiopia.","authors":"Tadele Amente, Desalegn Amenu, Desalegn Wirtu, Diriba Chewaka, Tesfaye Abera, Sidise Debelo, Haile Bikila, Tolesa Gemeda","doi":"10.1186/s40795-026-01409-x","DOIUrl":"10.1186/s40795-026-01409-x","url":null,"abstract":"<p><strong>Background: </strong>Traditional fermented foods and beverages are essential sources of nutrients in western Ethiopia.</p><p><strong>Objective: </strong>The objective of this study is to investigate the microbial safety, nutritional characterization (proximate and mineral content, and vitamin content) of selected traditional fermented food and beverages in East Wollega Zone, Nekemte Town.</p><p><strong>Methods: </strong>A total of 150 samples of five different fermented food and beverages, namely, Cabbage Shamita, Borde, Anchote, Chumbo, and Bukuri, each consisting of 30 samples, were collected and analyzed for their proximate and mineral content, vitamin content, and microbial quality, including total aerobic bacteria, lactic acid bacteria (LAB), yeasts and molds, total coliforms, and E. coli, using standard laboratory procedures.</p><p><strong>Results: </strong>Borde, a cereal-based food, had the highest counts of LAB (6.5 log CFU/g) and total aerobic bacteria (7.0 log CFU/g). The vegetable- and tuber-based foods, Cabbage Shamita and Anchote, were rich in vitamins A and C, calcium, potassium, and magnesium, while Cabbage Shamita was rich in iron, zinc, and B vitamins. Anchote had the highest protein content, while Borde had the highest content of calcium, and Borde and Cabbage Shamita were rich in protein and energy content.</p><p><strong>Conclusion: </strong>The traditional fermented foods and beverages in Nekemte Town are nutritionally diverse, microbiologically safe, and functionally important for the population, especially the vulnerable groups, including children and women of reproductive age, as they are rich in energy, protein, vitamins, minerals, and fiber, while the antinutrients were reduced during the fermentation process.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13651153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309730","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}
BMC NutritionPub Date : 2026-06-22DOI: 10.1186/s40795-026-01392-3
Omar Alhumaidan, Ali Almajwal, Mohammed Alsaif
{"title":"Developing new energy intake reference values for the Saudi population.","authors":"Omar Alhumaidan, Ali Almajwal, Mohammed Alsaif","doi":"10.1186/s40795-026-01392-3","DOIUrl":"10.1186/s40795-026-01392-3","url":null,"abstract":"<p><strong>Background: </strong>This study updates the average requirement for energy intake (AR-EI) for the Saudi population, thereby addressing outdated references. Previous estimates relied on generalized equations and non-specific data, which often led to overestimations. This study aimed to establish new AR-EI values for Saudi population.</p><p><strong>Methods: </strong>The study methodology combined two complementary approaches to estimate energy requirements. For adults, a factorial approach was used, incorporating physical activity levels observed in the Saudi population along with reference values for body weight and height, applied in published Saudi predictive equations for Basal Metabolic Rate (BMR). For infants, children, and adolescents (0-17 years), the study used Total Energy Expenditure (TEE) predictive equations derived from multi-country doubly labeled water (DLW) studies.</p><p><strong>Results: </strong>After calculating the requirements across different age groups and sexes, the value representing the average that meets the needs of 50% of the population was identified and adopted as the AR-EI. The AR-EI values ranged from 393 kcal/day during the first six months to 778 kcal/day by 12 months for male infants, while female infants required 364-748 kcal/day. Among children and adolescents, AR-EI values ranged from 912 to 3147 kcal/day. For adults, the AR-EI was estimated at 2207 kcal/day for men and 1708 kcal/day for women under current activity levels. With increased physical activity, these requirements rose to 3153 kcal/day for men and 2440 kcal/day for women.</p><p><strong>Conclusions: </strong>This study identified significant overestimations in previous references owing to the reliance on generalized equations and outdated data. By incorporating Saudi-specific data, these findings provide accurate and practical benchmarks for energy intake. These results serve as a foundation for evidence-based nutritional guidelines, promoting public health and reducing the incidence of diet-related diseases.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13296159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303364","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":"Rethinking protein choices: the association between the isocaloric substitution of dietary protein sources and dietary acid load in hemodialysis patients: a cross-sectional study.","authors":"Fatemeh Navab, Houri Heshamtipour, Shayesteh Keyhanpour, Maryam Najarian, Sahar Foshati, Mojgan Mortazavi, Mohammad Hossein Rouhani","doi":"10.1186/s40795-026-01405-1","DOIUrl":"10.1186/s40795-026-01405-1","url":null,"abstract":"<p><strong>Background: </strong>Hemodialysis (HD) patients experience high morbidity due to metabolic acidosis and malnutrition. Dietary acid load (DAL), largely determined by protein source, is a key modifiable factor in acid-base balance. However, the relationship between protein source substitutions and DAL, considering nutritional status, remains unclear. We investigated associations between exchanging dietary protein sources and DAL in HD patients.</p><p><strong>Methods: </strong>This multicenter cross-sectional study enrolled 307 maintenance HD patients. Dietary intake was assessed using a validated 168-item semi-quantitative food frequency questionnaire, and serum albumin was measured from blood samples. Isocaloric substitutions of 1 g/day protein from one source for another were evaluated using generalized linear models with simultaneous inclusion of both protein sources, adjusted for total energy intake and relevant confounders.</p><p><strong>Results: </strong>Isocaloric substitution of red/processed meat with dairy, legume, or nut protein was significantly associated with increased odds of higher DAL. Conversely, replacing dairy protein with red/processed or white meat, as well as exchanging legume or nut protein for red/processed or white meat, was associated with reduced odds of higher DAL. These associations were markedly modified by nutritional status assessed by serum albumin. In patients with lower albumin levels (< 3.83 g/dL), substitutions involving red/processed meat replacement with plant-based proteins showed stronger associations with Potential renal acid load (PRAL), an estimate of the renal acid excretory requirement imposed by diet, with the most pronounced protective association observed when nut protein was replaced with red/processed meat. In patients with higher albumin levels (≥ 3.84 g/dL), replacement of white protein with dairy, legume, or nut protein uniformly increased PRAL odds, while substituting legume or nut protein with red/processed or white meat consistently exerted a protective association against elevated dietary acid load.</p><p><strong>Conclusion: </strong>Protein source substitutions are independently associated with DAL in hemodialysis patients, with effect directions and magnitudes varying by specific food combinations and substantially modified by nutritional status. These findings support personalized dietary strategies integrating both protein source selection and individual patient characteristics for optimized acid-base management in this high-risk population.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13540206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296498","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":"Association between healthy eating index and sleep quality and duration in older adults: findings from the NeLSA cohort Study, Iran.","authors":"Haniyeh Khalafinejad, Fatemeh Sadat Hashemi Javaheri, Amin Sharifi, Seyed Mostafa Arabi, Mahnaz Amini, Reza Rezvani","doi":"10.1186/s40795-026-01270-y","DOIUrl":"10.1186/s40795-026-01270-y","url":null,"abstract":"<p><strong>Background: </strong>Poor sleep and malnutrition are prevalent issues among older adults, contributing to negative outcomes such as depression, sarcopenia, and reduced quality of life. A bidirectional relationship has been proposed between diet and sleep. This study aimed to examine the association between the Healthy Eating Index (HEI) and both sleep quality and duration in older adults.</p><p><strong>Methods: </strong>This cross-sectional analysis was conducted using baseline data from the Neyshabur Elderly Longitudinal Study (NeLSA, 2016-2022), including 2,026 adults aged ≥ 60. Dietary data were collected via a validated food frequency questionnaire, and HEI-2015 scores were calculated. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), with a score > 5 indicating poor sleep quality. Sleep duration was self-reported and categorized as adequate (≥ 7 h) or insufficient (< 7 h). Multivariable logistic regression was used to assess associations between HEI quartiles and sleep outcomes, adjusting for demographics, BMI, smoking, education, and chronic diseases.</p><p><strong>Results: </strong>Participants had a mean age of 69.1 ± 7.6 years; 55.5% were women. Women reported poorer sleep quality and shorter sleep duration than men (P < 0.001). There was no statistically significant association between HEI and sleep quality or duration in the overall population or by gender (P > 0.05). However, a borderline non-significant inverse association was observed between HEI and insufficient sleep duration in older women. (Q4 vs. Q1, OR: 0.709; 95% CI: 0.502-1.003; P = 0.052).</p><p><strong>Conclusion: </strong>Higher HEI scores were not independently associated with sleep quality or duration among older adults. Although higher diet quality showed a non-significant inverse association between better sleep in women, the relationship may be influenced by other health-related factors. Further longitudinal and interventional studies are recommended.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284343","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}
BMC NutritionPub Date : 2026-06-20DOI: 10.1186/s40795-026-01365-6
Omar Alhumaidan, Rehab Alawad, Sarah Alkhunein, Mohammed Alsaif, Faisal Albuhayjan, Maram Binwatyan, Nawaf Sharahili, Rabaa AlYumni, Abdulaziz Alsuwaylihi, Mohammed Baghdadi
{"title":"Evaluation of dietary iron exposure across iron compounds and fortification levels in Saudi Arabia: simulation modeling study.","authors":"Omar Alhumaidan, Rehab Alawad, Sarah Alkhunein, Mohammed Alsaif, Faisal Albuhayjan, Maram Binwatyan, Nawaf Sharahili, Rabaa AlYumni, Abdulaziz Alsuwaylihi, Mohammed Baghdadi","doi":"10.1186/s40795-026-01365-6","DOIUrl":"10.1186/s40795-026-01365-6","url":null,"abstract":"<p><strong>Background: </strong>Iron fortification is a key public health policy in Saudi Arabia, intended to improve iron intake and reduce the prevalence of inadequate iron intake. An effective policy design should support improved intake among at-risk groups while avoiding excessive intakes in other groups. This study evaluated the anticipated impact of the current fortification policy by examining its ability to balance nutritional adequacy and safety in the Saudi population.</p><p><strong>Methods: </strong>This simulation modelling study followed the guidelines of the Food and Agriculture Organization of the United Nations and the World Health Organization to simulate and model the impact of iron fortification. The modeled usual iron intake was determined, and the population segments with the highest and lowest intakes relative to this average were identified for benefit-risk assessment. All fortification scenarios in SFDA.FD 2539:2022 were evaluated to assess iron adequacy in low-intake groups, reduction in inadequacy prevalence, and risk of exceeding UL in high-intake groups.</p><p><strong>Results: </strong>At baseline, the modeled mean usual iron intake was 13.0 mg/day for males and 12.0 mg/day for females. Across the simulated fortification scenarios, intake increased, reaching up to 24.3 mg/day in males and 23.6 mg/day in females at the 60-ppm level of fortification. The prevalence of inadequate intake decreased across all scenarios. It declined from 5.99% to 0.2% in males and from 10.56% to 0.3% in females, respectively. Intake above the upper limit (UL) was negligible. It was observed only at 60 ppm, affecting 0.7% of males and 0.4% females. Based on these findings, a fortification level of 30 ppm may achieve population-level adequacy while maintaining a minimal risk of exceeding UL.</p><p><strong>Conclusions: </strong>The simulation of fortification effects at levels prescribed by current legislation suggests that these levels may reduce inadequate intake. The risk of excess remains minimal, particularly at 30 ppm. This study provides an initial overview of these anticipated impacts.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296546","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}
BMC NutritionPub Date : 2026-06-20DOI: 10.1186/s40795-026-01404-2
Yasamin Zahedi, Mehran Rahimlou, Noor Al-Huda Ali A H Saeed, Maryam Ranjbar, Mitra Abbasifard, Reza Tabrizi
{"title":"Dietary inflammatory index is associated with female infertility: a cross-sectional analysis of the Fasa adults cohort study.","authors":"Yasamin Zahedi, Mehran Rahimlou, Noor Al-Huda Ali A H Saeed, Maryam Ranjbar, Mitra Abbasifard, Reza Tabrizi","doi":"10.1186/s40795-026-01404-2","DOIUrl":"10.1186/s40795-026-01404-2","url":null,"abstract":"<p><strong>Background: </strong>Infertility is a major public health concern with substantial biological, psychological, and social consequences for women. Accumulating evidence suggests that chronic low-grade inflammation may contribute to female reproductive dysfunction. Diet is an important modifiable determinant of systemic inflammation, and the Dietary Inflammatory Index (DII) has been developed to quantify the inflammatory potential of habitual dietary intake. However, evidence regarding the association between DII and female infertility remains limited, particularly in Middle Eastern populations. This study aimed to examine the association between DII and self-reported female infertility among women participating in the Fasa Adults Cohort Study, Iran.</p><p><strong>Methods: </strong>This cross-sectional analysis included 2,036 women aged 35-45 years. Dietary intake was assessed using a validated 118-item food frequency questionnaire, and DII scores were calculated from 31 available dietary components. Infertility was defined as self-reported inability to conceive after at least 12 months of regular unprotected sexual intercourse. Logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for infertility according to DII, after adjustment for demographic, anthropometric, and lifestyle covariates.</p><p><strong>Results: </strong>Among the study participants, 595 women (29.2%) reported a history of infertility. Mean DII score was significantly higher among women with infertility than among fertile women. In the crude model, DII was not significantly associated with infertility. However, after multivariable adjustment, each one-unit increase in DII was associated with higher odds of infertility (adjusted OR = 1.29; 95% CI: 1.13-1.63). This association remained after adjustment for BMI, smoking status, age, educational level, waist circumference, and total energy intake.</p><p><strong>Conclusion: </strong>Higher DII scores were independently associated with greater odds of self-reported infertility in this Iranian cohort. These findings suggest that the inflammatory potential of diet may be related to female reproductive health. However, because of the cross-sectional design, causality and temporality cannot be inferred, and further prospective and mechanistic studies are warranted.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296495","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":"Consumption patterns and quantification of folate in commonly consumed green leafy vegetables in Accra, Ghana: a cross-sectional study.","authors":"Obed Akwaa Harrison, Wu Tianyie, Emma Efua Adimado, Winfred-Peck Dorleku, Firibu Kwesi Saalia, Matilda Steiner-Asiedu, Janet Antwi, Idolo Ifie","doi":"10.1186/s40795-026-01400-6","DOIUrl":"10.1186/s40795-026-01400-6","url":null,"abstract":"<p><strong>Background: </strong>The B vitamin family of nutrients includes folates; a crucial group of nutrients obtained from food. Folate deficiency is a major concern in Ghana, and the resultant neural tube defects in newborns are rampant, but no surveillance is in place. Dietary approaches have proven more sustainable; therefore, this study aimed to conduct a community survey among women to assess the intake of dark green leafy vegetables (DGLV) and to quantify the folate content in a variety of DGLV frequently consumed in Accra, Ghana.</p><p><strong>Methods: </strong>A cross-sectional study of 388 pregnant and nursing mothers aged 15 to 49 years in Dodowa, an Accra district, was conducted to analyze their consumption of green leafy vegetables using structured questionnaires. The study also looked at the folate levels of various green leafy vegetables that are widely consumed in Ghana. The Kolmogorov-Smirnov test was used to assess the normality of continuous variables. A variance analysis with a post hoc test was used to see whether there were differences in the means of the readings between samples.</p><p><strong>Results: </strong>A general low intake of folate-rich vegetables in terms of both frequency per week and quantity consumed was recorded. Kontomire emerged as the most frequently consumed DGLV, with 36.1% of participants reporting weekly intake and 24.5% consuming it three times weekly. In contrast, vegetables such as Gboma, Bokobokor, and Alefu were rarely consumed. Over 87% of participants reported never eating Gboma, while 91.5% and 94.3% never consumed Bokobokor or Alefu, respectively. Folate content in vegetable samples ranged between (44.36 ± 17.37 to 220.39 ± 21.93) ug/100 g and (33.53 ± 9.27 to 122.06 ± 5.19) ug/100 g for fresh and steamed (3 min) samples, respectively. Although the green leafy vegetables studied were found to be rich in folates, steaming led to considerable losses ranging from 8.56 to 78.46%.</p><p><strong>Conclusions: </strong>The results suggest that raw vegetables may offer higher levels of folate, compared to cooked vegetables. The community survey reported limited consumption of vegetables rich in folate. These findings expand knowledge on neural tube defects, orofacial clefts, and folate content in Ghanaian foods, offering a foundation for future public health measures and policy.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279097","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}
BMC NutritionPub Date : 2026-06-19DOI: 10.1186/s40795-026-01377-2
Ahmed Farouk Alaarag, Mohamed Naseem, Haidy Khattab, Reham Younis, Ahmed Hamam, Hazem K Shalaby, Mahmoud Abd Elkhalek Abou-Omar
{"title":"The impact of calcium supplementation on hypertension management in postmenopausal women with hypocalcemia.","authors":"Ahmed Farouk Alaarag, Mohamed Naseem, Haidy Khattab, Reham Younis, Ahmed Hamam, Hazem K Shalaby, Mahmoud Abd Elkhalek Abou-Omar","doi":"10.1186/s40795-026-01377-2","DOIUrl":"10.1186/s40795-026-01377-2","url":null,"abstract":"<p><strong>Background: </strong>Hypertension poses a significant health risk for postmenopausal women, with incidence rates notably higher than for men of the same age group. The decline in estrogen levels leads to several physiological changes, such as hypocalcemia, which may contribute to the development of hypertension. This study investigates the effects of calcium supplementation on blood pressure control in postmenopausal women with hypocalcemia.</p><p><strong>Methods: </strong>We prospectively included 300 postmenopausal women diagnosed with both hypocalcemia and hypertension. The participants received calcium carbonate (1,000 mg/day) in two daily doses, in addition to their standard antihypertensive treatment. Blood pressure measurements and serum calcium levels were recorded at baseline and after 3 months. Patients were divided into two groups according to serum calcium level at 3 months: those with normalized calcium levels and those who continued hypocalcemia.</p><p><strong>Results: </strong>Women with persistent hypocalcemia at follow-up were younger at the age of menopause (mean age 48.65 years) compared to those who achieved normocalcemia (mean age 49.44 years), P = 0.017. Those who had normocalcemia had a significant SBP, DBP, and more patients achieved target blood pressure ( 0.017, 0.029 & 0.012), respectively.</p><p><strong>Conclusions: </strong>Use of calcium supplements to correct hypocalcemia in postmenopausal hypertensive women may help reduce blood pressure and achieve the target blood pressure.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13282864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284303","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}
BMC NutritionPub Date : 2026-06-19DOI: 10.1186/s40795-026-01402-4
Lídia Bezerra Barbosa, Nancy Borges Rodrigues Vasconcelos, Ewerton Amorim Dos Santos, Tamara Rodrigues Dos Santos, Thays Ataide-Silva, Haroldo da Silva Ferreira
{"title":"Association between dietary patterns and metabolic syndrome and its components in quilombola women: A population-based cross-sectional study in Alagoas, Northeast Brazil.","authors":"Lídia Bezerra Barbosa, Nancy Borges Rodrigues Vasconcelos, Ewerton Amorim Dos Santos, Tamara Rodrigues Dos Santos, Thays Ataide-Silva, Haroldo da Silva Ferreira","doi":"10.1186/s40795-026-01402-4","DOIUrl":"10.1186/s40795-026-01402-4","url":null,"abstract":"<p><strong>Background: </strong>Investigation of dietary patterns provides an integrative model for examining the role of diet in chronic diseases. In this context, this study evaluated dietary patterns and their association with metabolic syndrome (MetS) and its components among quilombola women.</p><p><strong>Methods: </strong>A population-based cross-sectional study was conducted with women aged 19 to 59 years living in quilombola communities in Alagoas, Brazil. Socioeconomic, demographic, anthropometric, clinical, and dietary intake data were collected using a 24-hour dietary recall. Metabolic syndrome was defined according to the Joint Interim Statement criteria (abdominal obesity, hypertriglyceridemia, low HDL cholesterol, hypertension, and hyperglycemia assessed by HbA1c instead of fasting plasma glucose). Dietary patterns were identified by factor analysis and classified into quartiles. Associations were estimated using prevalence ratios obtained by Poisson regression with robust variance.</p><p><strong>Results: </strong>The sample included 895 women (mean age: 38.9 ± 11.0 years), of whom 48.3% had MetS. Seven dietary patterns were identified, none of which were associated with MetS. Moderate adherence to the \"meat and beans\" pattern was associated with a lower prevalence of hypertriglyceridemia (PR = 0.76; 95% CI: 0.58-0.99). The \"dairy and soups\" pattern was associated with a lower prevalence of hyperglycemia (PR = 0.68; 95% CI: 0.49-0.93) and low HDL cholesterol (PR = 0.89; 95% CI: 0.80-0.99). Higher adherence to the \"cereals/roots, oils, and infusions\" pattern (PR = 1.10; 95% CI: 1.01-1.19) and higher adherence to the \"fruits\" pattern in the second quartile (Q2) (PR = 1.10; 95% CI: 1.02-1.20) were associated with abdominal obesity.</p><p><strong>Conclusion: </strong>No dietary pattern was directly associated with metabolic syndrome; however, relevant associations were observed with specific metabolic components - particularly hypertriglyceridemia, hyperglycemia, low HDL cholesterol, and abdominal obesity -, highlighting the importance of dietary profiles in the metabolic health of quilombola women.</p>","PeriodicalId":36422,"journal":{"name":"BMC Nutrition","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284349","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}