Journal of the Academy of Nutrition and Dietetics最新文献

{"title":"Facilitators and barriers to participation in the United States Department of Agriculture's SUN Meals program among parents of elementary school-aged children post-COVID-19 pandemic: A secondary analysis of cross-sectional survey data.","authors":"Jiwoo Lee, Winnie Yip, Ziou Jiang, Lisa J Harnack, Jayne A Fulkerson","doi":"10.1016/j.jand.2026.156369","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156369","url":null,"abstract":"<p><strong>Background: </strong>Food insecurity in children increases during the summer, yet participation in the United States Department of Agriculture's SUN (Summer and Nutrition) Meals program, which provides free meals/snacks, remains low. Examining reasons for children's participation or nonparticipation is needed to identify strategies to increase the program's reach.</p><p><strong>Objective: </strong>This study aims to examine facilitators and barriers to the SUN Meals program participation perceived by parents of elementary school-aged children post-COVID-19 pandemic.</p><p><strong>Design: </strong>This study employed a secondary analysis of cross-sectional survey data.</p><p><strong>Participants/setting: </strong>Data were from two cohorts of parents of elementary children in Minnesota who were eligible for free or reduced-price lunch based on income. Participants (n=111) completed surveys at their homes or public libraries from May to August in 2023 and from March to July in 2024.</p><p><strong>Main outcome measures: </strong>Based on children's previous participation status (yes/no) in the SUN Meals program, parents self-reported either facilitators or barriers using the items developed by the research team and one additional open-ended question.</p><p><strong>Statistical analyses performed: </strong>Descriptive statistics, including means, standard deviations, and percentages, were calculated, and bivariate analyses were conducted using chi-square and Fisher's exact tests.</p><p><strong>Results: </strong>Parents of participating children (68%) frequently reported facilitators such as a) saving money (81%), b) convenient location (47%), c) relieving worry about children's hunger (45%), d) exposure to healthful or new foods (44%), and e) no required sign-up (43%). Non-participating children's parents (32%) identified barriers of a) limited awareness of the program (39%), b) lack of transportation to meal sites (25%), c) distance to meal sites (25%), and d) inconvenient mealtimes (22%).</p><p><strong>Conclusions: </strong>Program participants highlighted financial, psychosocial, and nutritional benefits, whereas program non-participants indicated limited awareness and logistical barriers. Continued efforts are needed to communicate the program's benefits while addressing limited awareness and logistical barriers to expand the program's reach.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156369"},"PeriodicalIF":4.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855648","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":"Mind the Plateau: A Mathematical Modeling Analysis of Long-Term GLP-1 Receptor Agonist Treatment.","authors":"Patrice A Hubert, Christopher Coleman, Gregory J Grosicki, Jessica Kiel, Madelyn Shepherd, Holly F Lofton, Steven B Heymsfield, J Graham Thomas, Nikhil V Dhurandhar, Satya S Jonnalagadda","doi":"10.1016/j.jand.2026.156366","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156366","url":null,"abstract":"<p><strong>Background: </strong>Glucagon-like peptide-1(GLP-1) receptor agonists have transformed obesity treatment by inducing clinically significant weight loss. However, long-term use can lead to a plateau that may trigger discontinuation and weight regain.</p><p><strong>Objective: </strong>Use mathematical modeling to test the hypothesis that the weight-loss plateau observed during long-term GLP-1 receptor agonist use reflects predictable changes in energy dynamics.</p><p><strong>Design: </strong>Secondary mathematical modeling applying Hall's human metabolism model to estimate changes in energy intake and expenditure over 176 weeks of treatment and 17 weeks following discontinuation.</p><p><strong>Participants: </strong>Modeling was anchored to a single representative phenotype using average baseline demographics and weight dispersions from a clinical trial.</p><p><strong>Main outcome measures: </strong>Percent change in body weight, body mass index, energy intake, energy expenditure.</p><p><strong>Statistical analysis: </strong>Monte Carlo methods captured variability. Modeled trajectories of energy intake expenditure illustrated energy balance dynamics.</p><p><strong>Results: </strong>Modeled weight loss peaked at 24.0% (95% CI: 22.6-25.4) by week 96, reducing weight from 108 kg (BMI 40.0 kg/m²) to 82.9 kg (BMI 33.0 kg/m²). A plateau persisted for ∼78 weeks despite continued treatment. Energy intake decreased 32.1% during the first 4 weeks, then rose to match energy expenditure by week 98 (2500 kcal, vs. 2508 kcal, respectively). After discontinuation (week 176), energy intake exceeded baseline, contributing to a 5.3% weight loss reversal. Energy expenditure declined 9.2% from baseline by week 98 and stabilized.</p><p><strong>Conclusion: </strong>Although GLP-1 receptor agonists achieve unprecedented weight loss, many individuals plateau but remain with overweight/obesity. This plateau reflects narrowing of the energy intake and expenditure gap during long-term treatment. To attenuate this, systematic integration of nutrition and behavioral therapy could be tested as adjuncts, particularly approaches that support nutrient adequacy and prevent excess energy intake. Whether such strategies can sustain or extend GLP-1 receptor agonist-induced weight loss warrants future study.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156366"},"PeriodicalIF":4.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759007","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":"Effects of plant- versus animal-based proteins on muscle protein synthesis: a systematic review with meta-analysis.","authors":"Brícia Rodrigues Mendes, Joana Margarida Marques Correia, Inês Chaparro Roque Dos Santos, Brad Jon Schoenfeld, Paul Andrew Swinton, Gonçalo Laima Vilhena de Mendonça","doi":"10.1016/j.jand.2026.156365","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156365","url":null,"abstract":"<p><strong>Background: </strong>Plant-based proteins have gained increasing attention due to ethical, health, economic, and environmental considerations. As interest in plant-based diets grows, it is important to determine whether plant-based proteins stimulate muscle protein synthesis (MPS) as effectively as animal-based proteins, and whether these effects differ by age or post-ingestion timing.</p><p><strong>Objective: </strong>- This systematic review with meta-analysis aimed to (1) compare the MPS response between plant- and animal-based proteins; (2) determine the differential effects of these protein sources on MPS stratified by age groups (18-54 years, 55-64 years, and 65-85 years) and post-ingestion time points (2, 4, 6, and 24 hours); and (3) explore whether resistance exercise modulates differences in MPS stimulation between protein types.</p><p><strong>Methods: </strong>Major electronic databases (PubMed, Scopus, Cochrane, Sport Discus and Web of Science) were searched for studies comparing plant- and animal-based protein effects on MPS in healthy adults (18-85 years) up to October 2024. Risk of bias was assessed using GRADE. Meta-analyses employed Bayesian three-level hierarchical random effects models, with subgroup analyses by age, post-ingestion time, and resistance exercise.</p><p><strong>Results: </strong>Twelve studies met inclusion criteria. Overall, results slightly favored animal-based proteins (ES_Plant:Animal = 0.004 [95%CrI: -0.002 to 0.011]), although differences were small and within typical fasted-state MPS rates, with substantial uncertainty. Most animal protein data were derived from milk-based sources, while plant proteins were heterogeneous; therefore, generalization to all protein sources should be made with caution. Adults aged ≥65 years showed a modest advantage for animal proteins (ES = 0.013 [95% CrI: 0.000 to 0.027]), whereas younger adults exhibited similar MPS responses between protein sources. No substantial differences were observed across post-ingestion time points or resistance exercise conditions, although data were limited.</p><p><strong>Conclusions: </strong>Although point estimates tended to favor animal-based proteins, particularly in older adults, the relatively small number of studies and imprecision of the pooled estimates limit the strength of conclusions. Further high-quality trials are needed to determine if plant-based proteins can match the anabolic potential of animal-based proteins.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156365"},"PeriodicalIF":4.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759049","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":"Application of the Total Nutrient Index as a Precision Nutrition Tool to Address Dietary Recommendations Across the Life Course.","authors":"Alexandra E Cowan-Pyle, Janet A Tooze, Lindsay M Reynolds, Jaime J Gahche, Johanna T Dwyer, Diane C Mitchell, Raymond J Carroll, Bani K Mallick, Regan L Bailey","doi":"10.1016/j.jand.2026.156368","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156368","url":null,"abstract":"<p><strong>Background: </strong>Indexes are a standardized tool for assessing dietary exposures from foods/beverages (F&B) and have recently been extended to include dietary supplements (DS). The Total Nutrient Index (TNI; F&B+DS) and the Food Nutrient Index (FNI; F&B only) were developed to assess micronutrient intakes relative to Dietary Reference Intakes (DRI) for micronutrients and were previously examined for relative validity among U.S. adults.</p><p><strong>Objective: </strong>This study examined the micronutrient quality (i.e., TNI and FNI) of the diet across all age groups and compared TNI and FNI total and component scores to Healthy Eating Index (HEI)-2020 scores among the U.S.</p><p><strong>Population: </strong>This analysis also sought to demonstrate the flexibility of the TNI/FNI framework across the life course.</p><p><strong>Design: </strong>A nationally representative, cross-sectional analysis of the 2015-2020 National Health and Nutrition Examination Survey (NHANES) demographic, dietary and dietary supplement data (i.e., 24-hr dietary recall and DS inventory) was conducted among the U.S.</p><p><strong>Population: </strong></p><p><strong>Participants: </strong>/setting: This study included U.S. adults and children (≥1y; n=19,903) who participated in the 2015-2020 NHANES.</p><p><strong>Main outcomes: </strong>The main outcome measures were TNI and FNI total and component scores (range: 0-100) overall and by age-group, with higher scores indicating greater adherence to the DRIs.</p><p><strong>Statistical analyses: </strong>TNI/FNI scores were calculated via the simple algorithm method, for 11 age-group dependent micronutrients (calcium, choline, magnesium, phosphorus, potassium, and vitamins A, B12, C, D, E, K), and compared to HEI-2020 scores.</p><p><strong>Results: </strong>Americans scored a 72 out of 100 on TNI, but scores varied by age and were higher for the TNI than FNI (∼3-11 pts.). Younger children (1-3y, TNI=87; 4-8y, TNI=82) and older adults (≥71y, TNI=77) exhibited higher TNI scores than other ages, due to higher calcium, magnesium, vitamins A, C, and B12 intake. HEI-2020 total scores were low (HEI=52) overall and followed similar scoring trajectories by age-group as the TNI/FNI.</p><p><strong>Conclusions: </strong>Evaluating total dietary exposures is important, considering the differential intake patterns from F&B, versus those with DS. Given low DRI adherence for some nutrients across the lifespan, these findings warrant improved diet quality and micronutrient density for many, to optimize nutrition and reduce diet-related chronic disease risk among Americans.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156368"},"PeriodicalIF":4.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147758959","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":"Incorporating CT-Derived Body Composition analysis into the Global Leadership Initiative on Malnutrition criteria is associated with overall survival: findings from an international cancer cohort.","authors":"Clodagh Scannell, Erin Stella Sullivan, Ross D Dolan, Josh McGovern, Marie Fallon, Barry J Laird, Derek G Power, Aoife M Ryan","doi":"10.1016/j.jand.2026.156367","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156367","url":null,"abstract":"<p><strong>Background: </strong>Cancer-associated malnutrition is highly prevalent and linked to adverse outcomes. However, studies evaluating malnutrition using the Global Leadership Initiative on Malnutrition (GLIM) criteria with inclusion of computed tomography (CT)-derived muscle mass is limited, particularly in Caucasian oncology populations. Moreover, the prevalence of GLIM-defined malnutrition and its association with overall survival across different treatment intents remain insufficiently characterized.</p><p><strong>Objective: </strong>This study investigates whether incorporating CT-derived body composition assessment into the GLIM criteria improves the detection of malnutrition in oncology patients, and to evaluate its association with overall survival across different treatment intent groups.</p><p><strong>Design: </strong>Secondary analysis of data from two observational, prospective studies in Ireland and the United Kingdom that both examined nutritional and inflammatory status and survival in patients. GLIM phenotypic and etiologic criteria were retrospectively applied using data available from these studies. Reduced muscle mass was derived from CT.</p><p><strong>Participants: </strong>/Setting: Data were available for 1,405 patients enrolled between 2011-2016; 1,118 had evaluable CT scans. Treatment intent included curative (n=428), palliative active treatment (n=873), and supportive care (n=104).</p><p><strong>Main outcome: </strong>Prevalence of GLIM-diagnosed malnutrition incorporating CT muscle assessment and its association with overall survival (months) by treatment intent. Survival analysis was carried out using Kaplan-Meier curves and Cox-Regression.</p><p><strong>Statistical analysis: </strong>Descriptive statistics characterized clinical characteristics and nutritional status. Analyses were conducted in SPSS and statistical significance was considered at p<0.05.</p><p><strong>Results: </strong>GLIM-malnutrition was identified in 40.4% (22.6% moderate; 17.8% severe). Among those with CT scans, 42.2% had low muscle mass, while only 24.8% had experienced >5% weight loss. CT analysis identified GLIM malnutrition in 22.8% of patients missed by weight/BMI criteria. Median follow-up was 102.4 months. Median survival was 30.4 months for well-nourished patients versus 13.5 months (moderate) and 6.4 months (severe) for malnourished patients (p<0.001). Adjusted hazard ratios for death were 1.379 (moderate malnutrition) and 1.799 (severe malnutrition) (p<0.001).</p><p><strong>Conclusion: </strong>GLIM-diagnosed malnutrition, particularly when incorporating CT-derived muscle mass, is common and strongly predicts poor survival across treatment intents. CT-based assessment identifies patients with muscle wasting who may be missed by conventional criteria, supporting its integration into GLIM phenotyping.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156367"},"PeriodicalIF":4.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759040","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":"\"When you feel more at home, you want to take better care of that home\": Key Informant Perspectives on Nutrition Priorities, Behaviors, and Health Promotion for Transgender and Gender-Diverse Youth - An Interpretive Descriptive Qualitative Research Study.","authors":"Heather E Schier, Krithika Chetty, Shivakriti Induri, Carolyn Gunther","doi":"10.1016/j.jand.2026.156354","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156354","url":null,"abstract":"<p><strong>Background: </strong>Transgender and gender-diverse (TGD) youth and young adults (YYA) face unique nutrition challenges related to gender affirming hormone therapy, mental health concerns, and gender-based stigma. Limited research exists on their nutrition-related health priorities, behaviors, and pathways for health promotion.</p><p><strong>Objective: </strong>Explore the perceived nutrition-related health priorities and behaviors of TGD YYA and identify health promotion strategies from the key informant perspective.</p><p><strong>Design: </strong>A qualitative study using interpretive description methodology through in-depth, semi-structured interviews.</p><p><strong>Participants/setting: </strong>Ten key informants, including healthcare providers, youth-serving professionals, and caregivers from two Midwestern U.S. cities, were purposively selected for their expertise with TGD YYA. Interviews were conducted between October 2022 and March 2023.</p><p><strong>Main outcome measures: </strong>Identification of nutrition-related priorities, behaviors, and health promotion strategies for TGD YYA as perceived by key informants.</p><p><strong>Data analysis: </strong>Data were analyzed using reflexive thematic analysis in NVivo 12.</p><p><strong>Results: </strong>Four themes were identified: 1) Social and Psychological Barriers to Food and Nutrition Security for TGD YYA; 2) Social and Psychological Impacts on Nutrition Attitudes and Behaviors; 3) Gender-Affirming Nutrition Attitudes and Behaviors; 4) \"No, this is wrong and like, we need to fix it\": Health Promotion Strategies for TGD YYA.</p><p><strong>Conclusion: </strong>TGD YYA face persistent food insecurity and navigate eating behaviors shaped by gender norms, healthcare bias, and the pursuit of gender-congruent appearance. While some eating behaviors (e.g., restrictive eating) reflect disordered eating, others, like macro loading and supplement use, are adaptive strategies to support gender affirmation and optimize GAHT outcomes. These findings underscore the need for gender-affirming, weight-inclusive nutrition care that addresses both structural barriers and the diverse motivations behind TGD YYA's eating behaviors.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156354"},"PeriodicalIF":4.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661982","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 Highlights from the 2026 Scope and Standards of Practice for Registered Dietitian Nutritionists in Food and Culinary.","authors":"Jennifer Watson, Alexandra Kazaks, Dana Buelsing Sowards, Karen Hui","doi":"10.1016/j.jand.2026.156329","DOIUrl":"10.1016/j.jand.2026.156329","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156329"},"PeriodicalIF":4.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147643669","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":"Artificial Intelligence and Machine Learning Resource Guide: The Academy of Nutrition and Dietetics and the American Society for Nutrition Joint Taskforce for Artificial Intelligence.","authors":"Keiy Murofushi, Diana Thomas, Samitinjaya Dhakal, Heyjun Park, Samantha Kleinberg, Meg Salvia, Mahsa Jessri, Hannah Kittrell, Anna Cataldo","doi":"10.1016/j.jand.2026.156320","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156320","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156320"},"PeriodicalIF":4.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589186","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":"Application and Adaptation of a Tool for Measuring Skin Carotenoids in Community-Based Settings: A Mixed Methods Study","authors":"Carmen Byker Shanks PhD, RDN ,&nbsp;Betty Izumi PhD, RDN ,&nbsp;Jenna Eastman MDP, RDN ,&nbsp;Margo Hartenfeld MPH ,&nbsp;Stephanie Jilcott Pitts PhD","doi":"10.1016/j.jand.2025.156273","DOIUrl":"10.1016/j.jand.2025.156273","url":null,"abstract":"<div><h3>Background</h3><div>Evaluation of public health nutrition interventions designed to increase fruit and vegetable intake is critical to understanding and improving these projects. Challenges with self-reported dietary intake data and the feasibility of biochemical assessments in community-based settings have led to the use of skin carotenoid measurements as an alternative measure of fruit and vegetable intake.</div></div><div><h3>Objective</h3><div>Understand how the Veggie Meter (Longevity Link), a tool for measuring skin carotenoids, is applied and adapted for use in community-based settings to measure fruit and vegetable intake.</div></div><div><h3>Design</h3><div>This mixed-methods study applied a convergent parallel design. Quantitative data were collected via an online survey. Qualitative semistructured interviews were conducted with individuals who had experience collecting Veggie Meter data in community-based settings.</div></div><div><h3>Participants/setting</h3><div>Fourteen individuals with experience collecting data with the Veggie Meter in a community-based setting enrolled. Fourteen surveys were collected via Qualtrics, and 10 audiorecorded interviews were conducted via Zoom from March through July 2023.</div></div><div><h3>Analysis</h3><div>Descriptive statistics were calculated for survey results. A constructivist approach was applied to the qualitative interview data.</div></div><div><h3>Results</h3><div>Fourteen individuals completed the survey, and of those individuals, 10 also completed an interview. Three main themes were identified to describe application and adaptation of the Veggie Meter in community-based settings: balancing protocol adherence with contextual adaptation in Veggie Meter use, implementation and operation of the Veggie Meter in community-based settings, and strategies for maximizing participant engagement with the Veggie Meter.</div></div><div><h3>Conclusions</h3><div>Use of the Veggie Meter for data collection in community-based settings necessitated adaptation of standard protocols to meet the varied needs of the environments, communities, and participants where evaluation of public health nutrition interventions occurred.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"126 4","pages":"Article 156273"},"PeriodicalIF":4.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800350","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":"Dietary patterns associated with weight loss among patients with colorectal cancer during the first six months post-diagnosis: A cross-sectional analysis from the ColoCare Study.","authors":"Rachel Hoobler, Fred K Tabung, Tengda Lin, Biljana Gigic, Kristen S Smith, Kary Woodruff, Sylvia L Crowder, Sheetal Hardikar, Doratha A Byrd, Adriana M Coletta, Alejandro Sanchez, Amandine Chaix, K Leigh Greathouse, Mmadili N Ilozumba, Jennifer Ose, Victoria Damerell, Ildiko Strehli, Megan McLaws, Vaia Florou, Lyen C Huang, David Shibata, Jane C Figueiredo, Adetunji T Toriola, Christopher I Li, Cornelia M Ulrich, Mary C Playdon","doi":"10.1016/j.jand.2026.156351","DOIUrl":"https://doi.org/10.1016/j.jand.2026.156351","url":null,"abstract":"<p><strong>Background: </strong>Unintentional weight loss following a cancer diagnosis is associated with increased risk of adverse clinical outcomes. Nutritional guidance for the prevention of weight loss post-cancer diagnosis is limited, particularly regarding optimal dietary patterns.</p><p><strong>Objective: </strong>To identify common dietary patterns among a cohort of patients with colorectal cancer (CRC) and evaluate their associations with weight loss in the six-months following CRC diagnosis.</p><p><strong>Design: </strong>A cross-sectional analysis of data from CRC patients enrolled in the ColoCare Study between 2010 to 2021.</p><p><strong>Participants: </strong>/setting: 405 patients newly diagnosed with CRC from four study sites located in Washington, Utah, Missouri, and Los Angeles. Included participants completed a six-month Food Frequency Questionnaire and had self-reported weight data from study enrollment to six months.</p><p><strong>Main outcome measures: </strong>The primary outcome was weight loss ≥5% from study enrollment to six-month follow-up visit.</p><p><strong>Statistical analyses performed: </strong>Principal Component Analysis was leveraged to identify common dietary patterns and Healthy Eating Index (HEI)-2020 scores were calculated as a reference dietary pattern. Associations between adherence to dietary patterns (scaled to compare the 90th versus 10th percentile) and six-month weight loss were evaluated using multivariable logistic regression. All tests were two-sided.</p><p><strong>Results: </strong>Four dietary patterns were identified: \"Western,\" \"Prudent,\" \"Refined Grain, Sugar, and Dairy,\" and \"High-Fat, High-Protein Foods.\" High compared to low adherence to the \"Refined Grain, Sugar, and Dairy\" dietary pattern was associated with greater odds of weight loss in the first six-months following CRC diagnosis (OR = 2.04, 95% CI 1.10-3.81, p = 0.02). There was evidence for effect modification by cancer type and history of unintentional weight loss at study enrollment.</p><p><strong>Conclusion: </strong>These results highlight the potential for dietary patterns to influence weight loss in the first six months following a cancer diagnosis. Further research is needed to refine dietary guidance for CRC patients to improve clinical outcomes.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":"156351"},"PeriodicalIF":4.0,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589114","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}