Journal of the Academy of Nutrition and Dietetics最新文献

{"title":"Awareness, Use and Perceptions of Potassium-Enriched Low-Sodium Salt Substitutes in Canada: A Cross-Sectional Study.","authors":"Leemah Ramadan, Bridve Sivakumar, Rola Al Ghali, Dareen Hassan, JoAnne Arcand","doi":"10.1016/j.jand.2026.156927","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156927","url":null,"abstract":"<p><strong>Background: </strong>Excess dietary sodium is a major contributor to cardiovascular disease and stroke, and most Canadians exceed recommended intake levels. Efforts to reduce population sodium intake have had minimal impact in Canada to date. Recently, the World Health Organization conditionally recommended potassium-enriched low-sodium salt substitutes (LSSS) as a strategy to reduce population sodium intake; however, public awareness, perceptions, and use of LSSS are unknown.</p><p><strong>Objective: </strong>The objective of this study was to assess Canadians' awareness, perceptions, and use of LSSS, and to examine how these vary by age, gender, and hypertension status in order to generate evidence to inform sodium reduction policy in Canada.</p><p><strong>Design: </strong>This cross-sectional study used data from the Canadian Nutrition and Health Survey (CNHS), administered between November 2024 and February 2025 using a stratified random sample of Canadian adults considering age, gender, province and educational level.</p><p><strong>Participants/settings: </strong>Participants were eligible if they were aged ≥18 years, were literate in English or French, used a computing device with internet access, and lived in Canada.</p><p><strong>Main outcome measures: </strong>The main outcome measures were awareness, use, attitudes toward government LSSS policy, and perceptions of LSSS.</p><p><strong>Statistical analyses performed: </strong>Quantitative data were stratified by age, gender, and hypertension status. Chi-square tests were used to compare categorical variables, and logistic regression models were used to describe subgroup differences. Open survey responses were thematically analyzed.</p><p><strong>Results: </strong>Participants (n=3,283; mean age 49.9 ± 17.7 [SD] years, 50.8% women) reported low awareness (39.6%) and current use (11.1%) of LSSS, although many had tried LSSS in the past (69.3%). Awareness and current use were significantly higher among those with hypertension compared to those without hypertension (awareness: 48.1% vs. 36.2%, p<0.001; current use: 13.7% vs. 9.8%, p=0.001). Awareness was lowest among adults aged 35-44 years (29.6%), while current use was lowest among adults aged 18-24 years (8.8%). The distribution of overall use of LSSS differed by gender (p<0.001), with a higher proportion of women reporting that they had tried LSSS but did not currently use them (72.4% vs. 66.0%). Overall, 55.4% supported government LSSS policy (24.4% were neutral), with greater support among individuals with hypertension than those without hypertension (59.2% vs. 54.2%, p=0.042). Common barriers to adoption included taste concerns, cost, perceived health risks, and accessibility.</p><p><strong>Conclusions: </strong>Canadians have low awareness and use of LSSS with differences by age, gender, and hypertension status. Key barriers such as taste and cost limit broader LSSS adoption despite reasonable support for government LSSS po","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156927"},"PeriodicalIF":5.2,"publicationDate":"2026-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149340225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Revision to Practice: Key Changes in the Revised 2026 Scope and Standards of Practice for Registered Dietitian Nutritionists in Mental Health and Substance Use Disorders.","authors":"Theresa Carmichael, Kathryn E Coakley, Karen Hui, Dana Buelsing Sowards","doi":"10.1016/j.jand.2026.156832","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156832","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156832"},"PeriodicalIF":5.2,"publicationDate":"2026-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149293689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How does reverse recess relate to lunch diet quality, energy intake, and plate waste among elementary students in Virginia? A cross-sectional plate waste investigation.","authors":"Katlyn Garr, Laura M Thornton, Hollie A Raynor, Melanie K Bean","doi":"10.1016/j.jand.2026.156922","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156922","url":null,"abstract":"<p><strong>Background: </strong>Modifications to the school environment, such as holding recess before lunch (\"reverse recess\") instead of after lunch, may be a cost-effective method to improve student nutrition and reduce food waste. Yet, investigations using objective assessments within large, diverse samples are needed.</p><p><strong>Objective: </strong>The current study examined differences in lunch diet quality, energy intake, and plate waste between students who had reverse recess and recess after lunch among a large, sociodemographically diverse sample.</p><p><strong>Design: </strong>The current study is a secondary analysis of cross-sectional data from a school-based lunch plate waste investigation. Data were collected during the 2019-2020 school year.</p><p><strong>Participants: </strong>/setting: Ten Virginia elementary schools (M enrollment=678; 60% Title I; 54% National School Lunch participation rate) participated in a one-day lunch plate waste assessment. A total of 2,524 trays were evaluated (1,656 reverse recess).</p><p><strong>Main outcome measures: </strong>Validated digital imagery methods were applied to calculate lunch diet quality (Healthy Eating Index [HEI-2015]), lunch energy intake (kilocalories [kcals]), and lunch plate waste (% grams wasted) for each meal component.</p><p><strong>Statistical analyses performed: </strong>Hierarchal mixed models evaluated group differences in outcomes. Group-by-grade interactions were evaluated within grade levels. Variables are reported as mean values + standard deviations.</p><p><strong>Results: </strong>Reverse recess was not associated with overall lunch diet quality or lunch total energy intake. Compared with students who had recess after lunch, students with reverse recess had small but significant differences in HEI Total Fruits (2.7±2.2 vs. 2.2±2.1; p< .0001) and Whole Fruits scores (3.0±2.3 vs. 2.7±2.4; p=.0001) at lunch. Students with reverse recess also consumed more energy from fruit (31±32 kcal vs. 22±26 kcal; p<.0001) at lunch. Fruit waste was lower among students with reverse recess (36% vs. 38% of grams wasted; p=.0001). A significant group by grade interaction was found for Total Protein Foods (p<.0001) and Total Vegetables (p=.0009) at lunch.</p><p><strong>Conclusions: </strong>Reverse recess was not associated with overall lunch diet quality or energy intake. Students with reverse recess had greater fruit intake and less fruit waste than students with recess after lunch, with small but significant differences. Prospective research designs, with repeated, full-day plate waste assessments, are necessary to confirm our findings and inform school nutrition policy.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156922"},"PeriodicalIF":5.2,"publicationDate":"2026-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149284681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longer Lunch Periods, More Student Movement Opportunities, and Recess Before Lunch Associated with Greater School Meal Consumption in Anchorage, Alaska.","authors":"Juliana F W Cohen, Deborah A Olarte, Kennith K H Chui, Tara Cortez, Christina D Economos, Ashley Kesack, Alvin L Morton, Brittany Rodvik, Rebecca K Van Wyck, Katie Cueva","doi":"10.1016/j.jand.2026.156918","DOIUrl":"10.1016/j.jand.2026.156918","url":null,"abstract":"<p><strong>Background: </strong>School nutrition and physical activity policies related to lunch period lengths, recess timing and duration, and movement breaks have the potential to improve children's diets and overall health, but more research is needed to understand their impact on diverse student populations.</p><p><strong>Objective: </strong>The aims were to examine the associations between a multi-component initiative related to lunch period lengths, recess timing and duration, and more movement breaks with school meal consumption.</p><p><strong>Design: </strong>This was a cross-sectional post-test only study.</p><p><strong>Participants: </strong>/Setting: Elementary schools with differing recess timing (before vs. after lunch) and implementation of a Wellness Initiative (longer lunch periods [30 vs 20 minutes], longer recess [30 vs 20 minutes], and movement breaks) in Anchorage, Alaska were examined during the 2022-23 school year. A total of 2,963 school lunch trays were analyzed.</p><p><strong>Main outcome measures: </strong>Consumption was measured using plate waste.</p><p><strong>Statistical analyses: </strong>Mixed-model analysis of variance, accounting for school as a random effect and student demographics were used to examine differences in school meal consumption by Wellness Initiative implementation and recess timing.</p><p><strong>Results: </strong>The Wellness Initiative was associated with greater consumption of entrées (12.1 percentage points [% pts], standard error [SE] 4.9; p=0.03), milk (13.3% pts [SE=4.7]; p=0.005), and fruit (16.2% pts [SE=5.6]; p=0.004). Additionally, recess before lunch was associated with greater consumption of entrées (5.5% pts [SE=2.3]; p=0.02), milk (11.5% pts [SE=2.3]; p<0.0001), fruits (6.9% pts [SE=3.1]; p=0.02), and vegetables (4.4% pts [SE=2.0]; p=0.03).</p><p><strong>Conclusions: </strong>Policies that support sufficient time to eat, physical activity, and recess before lunch have potential to improve students' meal consumption.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156918"},"PeriodicalIF":5.2,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149284848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Decade of Change: Retrospective Evaluation of the 2012-2025 Change Drivers for the Dietetics Workforce.","authors":"Rebecca A Brody, Kate Sobbry Gerweck, Michele B Kaszyski, Jennifer Peyton, Gina Stella, Samantha Love, Michelle Strang, Sierra Fawn Xie, Sharon M McCauley","doi":"10.1016/j.jand.2026.156833","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156833","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156833"},"PeriodicalIF":5.2,"publicationDate":"2026-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149236444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthy default beverage policies: A comprehensive inventory and comparative analysis of enacted and proposed policies across U.S. state and local jurisdictions.","authors":"Jennie N Davis, Samantha M Sundermeir, Megan R Winkler, Alexandra Mack, Alberto M Ortega Hinojosa, Melissa Fuster, Jennifer Falbe","doi":"10.1016/j.jand.2026.156919","DOIUrl":"10.1016/j.jand.2026.156919","url":null,"abstract":"<p><strong>Background: </strong>Previous evaluations of healthy default beverage (HDB) policies showed inconsistent implementation and enforcement. No study has described and compared implementation and enforcement provisions in enacted and proposed policies to identify gaps impacting policy success.</p><p><strong>Objective: </strong>To identify and examine trends in enacted and proposed U.S. local and state HDB policies; compare implementation, enforcement, and equity provisions across policy status and jurisdictional levels; evaluate alignment with Healthy Drinks Healthy Kids (HDHK) recommendations; and illustrate how enacted policies changed during committee review.</p><p><strong>Design: </strong>This study identified enacted and proposed local and state policies through systematic searches of policy databases (American Legal Publishing Code Library, Municode, NexisUni, Westlaw), websites, and literature in September 2024. Policies were reviewed for inclusion, and a jurisdiction's final policy version coded for key characteristics. Enacted policy's legislative websites were separately searched for accompanying documents (e.g., committee reports).</p><p><strong>Main outcome measures: </strong>The outcomes were number of enacted and proposed policies; frequency of implementation, enforcement, and equity provisions; HDHK recommendations alignment; and committee-required changes to enacted policies.</p><p><strong>Statistical analyses performed: </strong>Intercoder agreement was calculated with Cohen's kappa, and descriptive statistics summarized policy contents. As a case-study, accompanying documents from state-level enacted Hawaii and Illinois policies were qualitatively reviewed.</p><p><strong>Results: </strong>This inventory included 86 policies (28 local, 58 state) from 2015-2024. After excluding duplicate state-level bicameral policies and counting each re-introduction of a policy across legislative sessions as an additional policy, there were 65 unique policies. Policies were enacted in 28 local jurisdictions and 4 states, and proposed (not enacted) in 14 states. Implementation, evaluation, and enforcement provisions were uncommon across jurisdictions and statuses. Equity provisions appeared only in local policies. No policies completely met HDHK recommendations. Accompanying documents illustrated how the legislative process strengthened or weakened policy provisions in Hawaii and Illinois.</p><p><strong>Conclusions: </strong>HDB policies are increasingly enacted across U.S. jurisdictions. Strengthening implementation, enforcement, and equity provisions may enhance policy effectiveness in reducing children's restaurant sweetened beverage intake.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156919"},"PeriodicalIF":5.2,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149242360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infant Feeding Practices Are Associated with Cardiovascular Profiles in Early Childhood: Findings from a Prospective Australian Cohort Study.","authors":"Saeed Ghobadi, Kylie D Hesketh, Gavin Abbott, Berit Heitmann, Peter Vuillermin, David Burgner, Toby Mansell, Martin O'Hely, Richard Saffery, Mimi L K Tang, Miaobing Zheng","doi":"10.1016/j.jand.2026.156920","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156920","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding is associated with reduced risk of childhood obesity, but associations with cardiovascular risks in childhood are less well understood.</p><p><strong>Objectives: </strong>This study investigated associations between infant feeding practices and cardiovascular profiles in early childhood and the potential mediating role of infant rapid weight gain (RWG).</p><p><strong>Design: </strong>This secondary data analysis was conducted using data from the Barwon Infant Study, an ongoing prospective pre-birth cohort in Australia commenced between 2010 and 2017, recruited through an unselected antenatal sampling frame.</p><p><strong>Participants/setting: </strong>Children aged 4 years (n=606) who participated in the 4-year cardiovascular risk assessment follow-up.</p><p><strong>Main outcomes: </strong>Infant feeding variables, including breastfeeding duration, exclusive breastfeeding at 3 months, and predominant breastfeeding at 6 months, were collected via caregiver questionnaires at 1, 3, 6, 9, and 12 months, and 2 years post-birth. Latent profile analysis, including 4-7 cardiovascular risk markers measured at age 4 years, was used to derive cardiovascular profiles.</p><p><strong>Statistical analyses: </strong>Multivariable logistic regression with adjustment for gestational age, maternal education, and pre-pregnancy maternal body mass index (BMI), examined the association between infant feeding practices and cardiovascular profiles, and whether these associations were mediated by RWG in infancy.</p><p><strong>Results: </strong>Three cardiovascular profiles of 'Low' (44.1% of children), 'Medium' (46.4%), and 'High' (9.5%) were identified at age 4 years. Infants who were exclusively breastfed at age 3 months and predominantly breastfed at age 6 months were less likely to belong to the 'Medium' versus 'Low' cardiovascular profile (RRR 0.51, 95% CI 0.27 to 0.95, p= 0.034; and RRR 0.43, 95% CI 0.18 to 0.99, p= 0.048, respectively) than those who were not. No significant association was observed for the 'High' versus 'Low' cardiovascular profile or between breastfeeding duration and cardiovascular profiles. Mediation analyses suggested indirect associations between infant feeding practices and cardiovascular profiles involving infant RWG.</p><p><strong>Conclusions: </strong>Exclusive breastfeeding to age 3 months and predominant breastfeeding to age 6 months were linked with a more favorable cardiovascular profile at age 4 years. Mediation analyses suggested that infant RWG may partly account for these associations. Further studies are needed to investigate the mechanisms that may underlie the observed associations between breastfeeding practices and cardiovascular profiles.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156920"},"PeriodicalIF":5.2,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149242416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'We don't learn so much about compassion': A qualitative study of graduate nutrition students' ways of understanding and learning about compassion.","authors":"Joy Phillip, Goswami Suhnandany, Norris Deborah, Mann Linda","doi":"10.1016/j.jand.2026.156921","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156921","url":null,"abstract":"<p><strong>Background: </strong>Compassion is important in nutrition education and practice, particularly as students prepare for relational, ethical, and emotionally complex work, yet it remains underemphasized in graduate nutrition education. Existing curricula often prioritize technical competence, leaving gaps in the development of relational and ethical aspects of practice.</p><p><strong>Objective: </strong>To examine how graduate nutrition students understand and learn compassion and to identify opportunities to integrate structured compassion and self-compassion education into academic programmes.</p><p><strong>Design: </strong>Qualitative study using semi-structured interviews analysed with reflexive thematic analysis under a poststructural lens. Course outlines were reviewed for compassion related concepts, and participants were invited to review key findings.</p><p><strong>Participants/setting: </strong>Seventeen current or recently graduated master's-level students from a Canadian university participated in the study between 2022 and 2023. Most were international students enrolled in applied human nutrition programs.</p><p><strong>Key findings: </strong>Participants understood compassion as relational work expressed through action. Compassion learning was often produced through informal experiences, including peer support, lived experience narratives, group work, and reflection, while structured curriculum more often supported compassion indirectly through related concepts such as social justice, empathy, and reflective practice. Four themes organised the results: 1) compassion as action in relations, 2) indirect learning through graduate experiences, 3) groundwork through curriculum and practice, and 4) self-compassion in context. Participants recommended role play, small group discussion, communication practice, storytelling, reflection, and peer debriefing to support compassionate action, self-compassion, and boundary setting.</p><p><strong>Conclusions: </strong>In the context of these graduate nutrition programs, compassion was valued but often remained implicit. The findings can inform the curriculum across other levels of nutrition and dietetics training contexts. Making compassion and self-compassion more explicit through experiential learning, reflective dialogue, and structured feedback may better prepare students for the interpersonal, relational, and emotional dimensions of future nutrition related work.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156921"},"PeriodicalIF":5.2,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149242393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in the Consumption of Coffee and Coffee Additions Among U.S. Adults Aged 20+ Years, The National Health and Nutrition Examination Survey 2003-2018.","authors":"Yongyi Pan, Bingjie Zhou, Fang Fang Zhang","doi":"10.1016/j.jand.2026.156908","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156908","url":null,"abstract":"<p><strong>Background: </strong>Moderate coffee consumption has been associated with various health benefits. However, coffee consumption is often accompanied by the addition of milk, non-dairy creamer, sugar, or sugar substitutes, which can contribute to an increased consumption of energy from added sugar and saturated fat.</p><p><strong>Objective: </strong>The objective of this study is to characterize trends in the consumption of coffee and coffee additions among adults in the United States (U.S.) from 2003 to 2018.</p><p><strong>Design: </strong>This study is a serial cross-sectional analysis.</p><p><strong>Participants/setting: </strong>This study analyzed a sample of U.S. adults aged 20+ years (n = 30,459) from eight-cycle of the nationally representative National Health and Nutrition Examination Survey (NHANES) from 2003-2004 to 2017-2018.</p><p><strong>Main outcomes and measures: </strong>The main outcomes of this study are the daily consumption of coffee and coffee additions in both grams and calories assessing using 24-hour diet recalls.</p><p><strong>Statistical analyses performed: </strong>Survey-weighted linear regression and analysis of variance are applied in this study.</p><p><strong>Results: </strong>From 2003-2018, the consumption of total coffee among U.S. adults was stable by weight (from 373 to 378 g/day; difference: 4.49 g/d; p=0.791 for trend), but the energy consumed from total coffee increased from 43 to 60 kcal/day (difference: 17 kcal/day; p <0.001 for trend). In 2017-2018, the mean (± SE) total coffee consumption was 378 ± 16.7 g/day (equivalent to 1.67 eight-oz cups/day), among which 40.9 g/day was consumed as coffee additions. Although the most common coffee additions by weight were dairy milk (21.4 g/day), followed by non-dairy creamer (8.1 g/day) and sugar (4.4 g/day), non-dairy creamer contributed the largest amount of energy (19 kcal/day), followed by sugar (16 kcal/day) and dairy milk (11 kcal/day). Higher total coffee consumption was observed among men, non-Hispanic White adults, and individuals with higher income compared with their counterparts.</p><p><strong>Conclusions: </strong>From 2003 to 2018, the estimated energy consumed from coffee has increased among U.S. adults aged 20+ years, primarily due to an increased consumption of non-dairy creamer.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156908"},"PeriodicalIF":5.2,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149223091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emulsifier Intake in Healthy Controls and Patients with Inflammatory Bowel Disease: A Cross-Sectional Comparative Study with Longitudinal Follow-Up of Long-Term Outcomes.","authors":"Judith Wellens, Mathia Debrauwere, Sien Hoekx, Matthias Lenfant, Julie Vanderstappen, Eline De Maegd, Martijn Luppens, Eva Vissers, Bram Verstockt, Marc Ferrante, Séverine Vermeire, João Sabino","doi":"10.1016/j.jand.2026.156907","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156907","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Ultra-processed foods (UPFs) and dietary emulsifiers have been linked to inflammatory bowel disease (IBD) pathophysiology, but intake in IBD patients compared to healthy controls (HCs) and their association with clinical outcomes remains incompletely understood.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;We hypothesized that IBD patients consume higher amounts of UPFs and emulsifiers than HCs and this associates with long-term IBD-relevant outcomes including hospitalization, surgery and emergency department (ED) visits in patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;The study has a cross-sectional design comparing dietary intakes between HCs and IBD patients with a longitudinal extension for the IBD cohort only.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Participants/setting: &lt;/strong&gt;186 subjects (65 HC, 59 Crohn's disease (CD) and 62 ulcerative colitis (UC) patients) were recruited and analyzed. For the cross-sectional study, dietary intake was calculated from Food Frequency Questionnaires in all subjects, complemented by two 24-hour dietary recalls in IBD patients and two prospective food records in HC recruited for an interventional study in Leuven, Belgium (November 2022-April 2023). Patients were recruited at the infusion unit of Leuven University Hospital (September 2023-April 2024) and followed up for one year for the longitudinal assessment. Eligible patients were aged 18-65 years, excluding those who had undergone terminal ileostomy or ileo-anal pouch anastomosis, as well as pregnant or breastfeeding women.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Main outcome measure: &lt;/strong&gt;We cross-sectionally compared the intake of emulsifiers and UPFs between HCs and IBD patients and longitudinally assessed associations of intake of emulsifiers and UPFs with IBD-related outcomes for IBD patients only.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Statistical analyses: &lt;/strong&gt;Kruskal Wallis with post-hoc Dunn test and Fisher exact test were used to compare UPF and emulsifier intake. Kaplan-Meier survival analysis and log-rank tests were used to assess the association between nutritional intake and IBD-related outcomes. Adjusted analyses for confounding variables including age, sex, disease activity, energy and fiber intake were performed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;While UPF intake (mean ± SD servings) was not different among groups, significantly higher total emulsifier intake was observed in IBD patients, with the lowest consumption in HC (5.64±4.94) followed by UC (8.50±6.13, p=0.003) and highest in CD (9.02±5.28, p=0.0004). After adjustment for confounding emulsifier intake in UC patients (adjusted p=0.002) and CD patients (adjusted p=0.00009) remained higher compared to controls. When stratified by exposure level, Kaplan-Meier estimator curves demonstrated a separation between high- and low-tier consumers, for combined IBD-related adverse related events (p=0.02, HR 2.93 CI 95% 2.34-24.26 for UPFs, and p=0.04, HR 4.85, 95% CI 1.05-22.47 for emulsifiers). In univariate continuous Cox proportional hazards ","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156907"},"PeriodicalIF":5.2,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149214879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}