Josine Pereboom, Deidre Meulenbroeks, Sanne M P L Gerards, Simone J P M Eussen, Hubertina C J Scheepers, Daisy M A E Jonkers, Jessica S Gubbels
{"title":"Mothers adhering to a vegan diet: feeding practices of their young children and underlying determinants - a qualitative exploration.","authors":"Josine Pereboom, Deidre Meulenbroeks, Sanne M P L Gerards, Simone J P M Eussen, Hubertina C J Scheepers, Daisy M A E Jonkers, Jessica S Gubbels","doi":"10.1017/jns.2025.14","DOIUrl":"10.1017/jns.2025.14","url":null,"abstract":"<p><p>There are few studies on what diet mothers following a vegan diet (VD; or strict plant-based diet) choose for their children and how the child's diet is implemented in everyday life. The present study aimed to explore choices that mothers following a VD make regarding their child's diet and feeding practices, and what determines these choices. Mothers on a VD whose youngest child was <4 years old were recruited via social media or newsletters about a VD. Participants (N=28) were between 27 and 45 years old and had been adhering to a VD between 0.5 and 23 years. Online semi-structured interviews based on the Theory of Planned Behaviour were audio-recorded and transcribed verbatim. A hybrid thematic analysis approach was used to identify themes that emerged from the data. Mainly driven by ethical considerations of eating animal products, 21 (75%) women chose a VD for their child(ren). When the participant's partner followed a vegetarian diet (VEGD) or omnivorous diet (OMD), most women chose a VEGD (N=4) or OMD (N=3) for their child as well. Overall, women indicated to make well-considered choices regarding children's diet and related feeding practices. Determinants for the dietary choice for their children involved various motivations, attitudes, norms, facilitating/hindering factors and knowledge. In conclusion, driven mainly by ethical motivations, most women on a VD chose this diet for their children as well. Despite experiencing several hindering factors and acknowledging the potential negative effects of a VD, mothers seemed to make well-considered choices concerning their child's diet.</p>","PeriodicalId":47536,"journal":{"name":"Journal of Nutritional Science","volume":"14 ","pages":"e26"},"PeriodicalIF":2.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754938","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":"Effects of green tea supplementation on antioxidant status and inflammatory markers in adults: a grade-assessed systematic review and dose-response meta-analysis of randomised controlled trials.","authors":"Mohammad Jafar Dehzad, Hamid Ghalandari, Mehran Nouri, Maede Makhtoomi, Moein Askarpour","doi":"10.1017/jns.2025.13","DOIUrl":"10.1017/jns.2025.13","url":null,"abstract":"<p><p>Green tea, a plant rich in bioactive compounds, has been highlighted for its beneficial effects. In the present systematic review and meta-analysis of randomised controlled trials (RCTs), the impact of green tea on inflammatory and oxidative markers is investigated. Using pre-defined keywords, online databases (PubMed, Scopus, Web of Science Core Collection, and Google Scholar) were searched for relevant articles, published from inception up to February 2024. The outcomes included C-reactive protein (CRP), tumour necrosis factor-α (TNF-α), interleukin-6 (IL-6), interleukin-1 beta (IL-1β), total antioxidant capacity (TAC), malondialdehyde (MDA), superoxide dismutase (SOD), and glutathione peroxidase (GPX). Analyses of subgroups, linear, and non-linear associations were also carried out. Out of 1264 records initially retrieved, 38 RCTs were included. Supplementation with green tea improved the following indicators: IL-1β (weighted mean difference (WMD): -0.10 pg/mL; 95% CI: -0.15, -0.06), MDA (WMD: -0.40 mcmol/L; 95 % CI: -0.63, -0.18), TAC (WMD: 0.09 mmol/L; 95% CI: 0.05, 0.13), SOD (WMD: 17.21 u/L; 95% CI: 3.24, 31.19), and GPX (WMD: 3.90 u/L; 95% CI: 1.85, 5.95); but failed to improve others, including CRP (WMD: 0.01 mg/L; 95% CI: -0.14, 0.15), IL-6 (WMD: -0.34 pg/mL; 95% CI:-0.94, 0.26), and TNF-α (WMD: -0.07 pg/mL; 95% CI: -0.42, 0.28). Supplementation with green tea can improve the body's oxidative status. However, the results showed no significant effect of green tea on inflammatory markers, except for IL-1β. Further studies are needed to determine the effectiveness of green tea, particularly on inflammatory status.</p>","PeriodicalId":47536,"journal":{"name":"Journal of Nutritional Science","volume":"14 ","pages":"e25"},"PeriodicalIF":2.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755032","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}
Sharon Mutare, Maysm Mohamad, Jack Feehan, Leila Cheikh Ismail, Habiba I Ali, Lily Stojanovska, Howaida Khair, Abdullah Shehab, Raghib Ali, Nahla Hwalla, Samer Kharroubi, Andrew Hills, Michelle Fernandes, Salama Al Neyadi, Ayesha S Al Dhaheri
{"title":"First-trimester nutrition insights from the United Arab Emirate Birth Cohort Study (UAE-BCS): assessment of dietary intake, micronutrient profiles, and folic acid supplementation in Emirati Women.","authors":"Sharon Mutare, Maysm Mohamad, Jack Feehan, Leila Cheikh Ismail, Habiba I Ali, Lily Stojanovska, Howaida Khair, Abdullah Shehab, Raghib Ali, Nahla Hwalla, Samer Kharroubi, Andrew Hills, Michelle Fernandes, Salama Al Neyadi, Ayesha S Al Dhaheri","doi":"10.1017/jns.2025.11","DOIUrl":"10.1017/jns.2025.11","url":null,"abstract":"<p><p>Maternal health and nutrition in early pregnancy play a vital role in the growth and development of the foetus. During this time, macro and micronutrients contribute to nutritional programming, which helps form the foundations of the foetus's life course health outcomes. This study aimed to investigate dietary habits, macro and micronutrient intake, micronutrient status, and folic acid supplement adherence among Emirati pregnant women in their first trimester. Data were collected according to the UAE-BCS study protocol, which was set up to investigate maternal nutrition, health, child growth, and developmental outcomes within the first 1000 days. Pregnant Emirati women with singleton pregnancies within their first trimester of pregnancy (between 8 and 12 weeks of gestation) were enrolled. The 24-hour food recall method was administered to collect dietary intake. The maternal mean average age was 29 years. Participants had high adherence to supplementation during pregnancy compared to preconception. The mean energy intake was 1345kcal, and 56% of participants consumed saturated fats above the acceptable macronutrient distribution ranges (AMDR), while 94% consumed below AMDR for total fibre. The consumption of micronutrients was below the recommended dietary allowance (RDA). Biochemical results show a high prevalence of low haemoglobin (74%) and deficiencies in vitamin D (39%) and vitamin E (96%). There is a need for research into dietary patterns and influences in pregnant women in the UAE. Furthermore, investigations of knowledge practices and attitudes towards supplementation and the factors contributing to folic acid supplement use are needed to inform government strategies and interventions.</p>","PeriodicalId":47536,"journal":{"name":"Journal of Nutritional Science","volume":"14 ","pages":"e24"},"PeriodicalIF":2.4,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755010","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}
Jane Dancey, Belinda Reeve, Alexandra Jones, Julie Brimblecombe
{"title":"Perspectives on the sustainment of a healthy vending initiative in a university setting: a reflexive thematic analysis.","authors":"Jane Dancey, Belinda Reeve, Alexandra Jones, Julie Brimblecombe","doi":"10.1017/jns.2025.12","DOIUrl":"10.1017/jns.2025.12","url":null,"abstract":"<p><p>The World Health Organization recommends countries adopt policies that encourage the creation of healthier food retail. In Australia, some organisations have created enforceable regulation for healthier food retail in settings under their contractual control. While progressive for public health, little evidence exists on the characteristics of individuals and organisations influencing sustainment of such initiatives. We explored the perspectives of those involved in a sustained (six year) real-world healthy vending initiative in a university setting in Melbourne, Australia. Qualitative interviews were undertaken with seven of the eight individuals involved in the initiative and informed by the Consolidated Framework for Implementation Research and the regulatory concept of social licence. Reflexive thematic analysis was used to generate themes on individual and organisational factors associated with sustainment. Two individual-level themes included participants enjoyment and skills for 'getting the job done' and working on innovative projects. Individual self-efficacy and enjoyment from working on innovative projects, combined with interviewees' perception that their organisation had a role in leading social change, contributed to the initiative's sustainment. Two organisation-level themes included the University leading innovation and having a responsibility to serve the needs of its community within the constraints of the need for 'financial viability' and the provision of 'consumer choice'. This study brings to the fore evidence on the individual and organisational characteristics that contribute to the sustainment of a healthy food vending initiative from the perspective of those involved in implementation. Exploration of the importance of these characteristics to other food retail settings is required.</p>","PeriodicalId":47536,"journal":{"name":"Journal of Nutritional Science","volume":"14 ","pages":"e23"},"PeriodicalIF":2.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606119","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}
Bridget Murphy Hussain, Andrea L Deierlein, Alka M Kanaya, Sameera A Talegawkar, Joyce A O'Connor, Meghana D Gadgil, Belinda L Needham, Yong Lin, Niyati Parekh
{"title":"Association between behavioural risk factors for hypertension and concordance with the Dietary Approaches to Stop Hypertension dietary pattern among South Asians in the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study.","authors":"Bridget Murphy Hussain, Andrea L Deierlein, Alka M Kanaya, Sameera A Talegawkar, Joyce A O'Connor, Meghana D Gadgil, Belinda L Needham, Yong Lin, Niyati Parekh","doi":"10.1017/jns.2025.8","DOIUrl":"10.1017/jns.2025.8","url":null,"abstract":"<p><p>South Asians are among the fastest-growing immigrant population group in the United States (U.S.) with a unique disease risk profile. Due in part to immigration and acculturation factors, South Asians engage differently with behavioural risk factors (e.g. smoking, alcohol intake, physical activity, sedentary behaviour, and diet) for hypertension, which may be modified for the primary prevention of cardiovascular disease. Using data from the Mediators of Atherosclerosis in South Asians Living in America cohort, we conducted a cross-sectional analysis to evaluate the association between behavioural risk factors for cardiovascular disease and diet. We created a behavioural risk factor score based on smoking status, alcohol consumption, physical activity, and TV watching. We also calculated a Dietary Approaches to Stop Hypertension (DASH) dietary score based on inclusion of relevant dietary components. We used both scores to examine the association between engaging with risk factors for hypertension and the DASH diet among a cohort of South Asian adults. We found that participants with 3-4 behavioural risk factors had a DASH diet score that was 3 units lower than those with no behavioural risk factors (aβ: -3.25; 95% CI: -4.28, -2.21) and were 86% less likely to have a DASH diet score in the highest category compared to the lowest DASH diet score category (aOR: 0.14; 95% CI: 0.05, 0.37) in the fully adjusted models. These findings highlight the relationship between behavioural risk factors for hypertension among South Asians in the U.S.</p>","PeriodicalId":47536,"journal":{"name":"Journal of Nutritional Science","volume":"14 ","pages":"e22"},"PeriodicalIF":2.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605991","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 beverage index and healthy beverage score with metabolic syndrome: a cross-sectional study.","authors":"Kimia Leilami, Zahra Mahmoudi, Zahra Ghazimpradi, Mehran Nouri, Atefeh Torabi Ardekani, Fariba Moradi Ardekani, Morteza Zare, Seyed Jalil Masoumi","doi":"10.1017/jns.2024.65","DOIUrl":"10.1017/jns.2024.65","url":null,"abstract":"<p><p>Metabolic syndrome (MetS) is a widespread and complex health disorder. Dietary habits and consumption of simple sugars have been shown to play an important role in the prevention and treatment of MetS. This cross-sectional study was conducted in a population of 3380 adults from the Shiraz University of Medical Sciences (SUMS) employees' health cohort. The healthy beverage index (HBI) and healthy beverage score (HBS) were calculated. Risk for MetS and its components, including blood pressure, fasting blood glucose, waist circumference, triglyceride levels, and high-density lipoprotein cholesterol, were measured using standardised protocols. Results showed a significant inverse association between higher adherence to HBI (OR = 0.60, 95% CI: 0.48-0.74, <i>P</i> < 0.001) and HBS (OR = 0.80, 95% CI: 0.65-0.97, <i>P</i> = 0.030) with lower risk of MetS. Also, we observed a significant association between higher level of HBI and HBS with decreased risk of hypertension, as a critical component of MetS. These findings support the notion that healthier beverage consumption, as indicated by higher HBI and HBS levels, may play a critical role in reducing the risk of MetS.</p>","PeriodicalId":47536,"journal":{"name":"Journal of Nutritional Science","volume":"14 ","pages":"e19"},"PeriodicalIF":2.4,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544016","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}
Saima Hasnin, Dipti A Dev, Carly Hillburn, Susan B Sisson, Alison Tovar
{"title":"Family child care home providers' perceived difficulty in serving vegetables to children: findings from a multi-method study.","authors":"Saima Hasnin, Dipti A Dev, Carly Hillburn, Susan B Sisson, Alison Tovar","doi":"10.1017/jns.2025.9","DOIUrl":"10.1017/jns.2025.9","url":null,"abstract":"<p><p>The study aims to identify family child care home (FCCH) setting- and environment-level predictors related to providers' perceived difficulty in implementing the Child and Adult Care Food Program (CACFP) recommendations for serving vegetables to children. This was a cross-sectional study, which used a validated paper-based survey with a multi-method data analysis approach. Participants were licenced FCCH providers (N = 943) in Nebraska, who were predominantly White (94%), non-Hispanic (97%), CACFP-participants (89%), and in urban areas (64%). Reflective latent variable modelling was conducted in <i>Mplus</i> to explore associations between dependent variable and predictors. Dependent variable was providers' perceived difficulty to implement CACFP recommendations for serving vegetables. Predictors were providers' mealtime practices, perceived barriers to serve healthy foods, CACFP participation, geographic location, food access, food insecurity, and child poverty. Qualitative comments (n=122) from the survey were analysed using direct content analysis approach. Providers' perceived lack of time to prepare foods and perceived children's taste preferences increased their perceived difficulty; and CACFP-participation decreased their perceived difficulty to implement CACFP recommendations for serving vegetables. Qualitative comments highlighted that providers felt discouraged to serve vegetables knowing that vegetables would likely be wasted because of children's preferences. More tailored professional development is required to address FCCH providers' perceived difficulty and build providers' skills on preparing time saving, CACFP-reimbursable and appealing vegetable recipes, and on strategies to promote vegetable consumption in children.</p>","PeriodicalId":47536,"journal":{"name":"Journal of Nutritional Science","volume":"14 ","pages":"e21"},"PeriodicalIF":2.4,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544017","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":"Trends and associated factors of animal source foods consumption among children aged 6-23 months in Bangladesh: evidence from four consecutive national surveys.","authors":"Rafid Hassan, Md Jarif Mahbub, Masum Ali, Teresia Mbogori, Md Ruhul Amin","doi":"10.1017/jns.2025.7","DOIUrl":"10.1017/jns.2025.7","url":null,"abstract":"<p><p>Animal source foods (ASF) are nutrient-dense and essential for the growth and development of children. The Bangladesh Demographic and Health Survey (BDHS) 2022 reported that approximately two-thirds of children aged 6-23 months consumed eggs/flesh foods. However, overall consumption patterns, trends, and factors influencing ASF intake among children in Bangladesh were not well-documented. Therefore, the study aimed to assess the trends and associated factors of ASF consumption among children aged 6-23 months in Bangladesh. A total of 9401 children were extracted from four consecutive BDHS (2011, 2014, 2017/18, and 2022). The Cochran-Armitage test was conducted to assess the trends in ASF consumption, while a two-stage multilevel mixed-effects logistic regression was performed to identify the associated factors. The consumption of ASF significantly increased to 79.1% in 2017/18 from 67% in 2011 but decreased to 73.3% in 2022. ASF consumption was found to be higher among children whose mothers were educated (AOR = 1.60, 95% CI = 1.30-1.98), employed in either agricultural (AOR = 1.27, 95% CI = 1.04-1.54) or non-agricultural (AOR = 1.36, 95% CI = 1.07-1.72) activities, pregnant (AOR = 2.54, 95% CI = 1.66-3.87), had received ANC 1-3 times (AOR = 1.43, 95% CI = 1.20-1.72) or ≥4 times (AOR = 1.59, 95% CI = 1.29-1.95), and was exposed to media (AOR = 1.21, 95% CI = 1.04-1.39). Furthermore, consumption increased with increasing the age of children, and the wealth of their families. However, children who experienced illness were less likely to consume ASF (AOR = 0.76, 95% CI = 0.68-0.86). The recent declines in ASF consumption emphasize the need for targeted interventions to increase ASF consumption among children in Bangladesh.</p>","PeriodicalId":47536,"journal":{"name":"Journal of Nutritional Science","volume":"14 ","pages":"e20"},"PeriodicalIF":2.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544020","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":"Participant perspectives about decentralised trial procedures in a remote delivery nutrition intervention trial.","authors":"Naomi Davies, Rebecca F Slykerman","doi":"10.1017/jns.2025.10","DOIUrl":"10.1017/jns.2025.10","url":null,"abstract":"<p><p>Participant recruitment and retention are consistently recognised as significant, costly challenges in nutrition intervention trials. Decentralised study procedures address some of the recruitment and retention limitations in traditional trial methodology. Understanding participant perceptions and experiences of decentralised methods in nutrition studies is key to improving trial design and conduct. The aim of this study was to explore participant opinions about remote delivery of a dietary supplement intervention trial. Adults enrolled in a clinical trial of a milk fat globule membrane nutritional supplement for improvement of psychological wellbeing were invited to take part in a post-intervention interview. Interviews were conducted over video conferencing and transcribed. Using a semi-structured interview format six aspects of trial design were discussed: general processes, written instructions, contact throughout the study, self-collection of saliva samples, wearable device use, and cognitive assessment. Thematic analysis derived themes from the data for each of the aspects of trial conduct discussed. Seventy-three participants completed the interview. Interviewees reported a positive overall experience of the remote delivery procedures used. Accessible communication between researchers and participants and clear written instructions were identified as key to participant experience. Recall of instructions and adherence to the nutritional intervention was difficult for some respondents with suggestions made for facilitating this in future remote delivery nutrition studies. Use of wearables, in-home saliva sampling, and self-administered cognitive assessments were feasible and acceptable to most participants. The remote delivery of a nutritional intervention trial, including self-collected biological samples, is feasible and positively viewed by participants.</p>","PeriodicalId":47536,"journal":{"name":"Journal of Nutritional Science","volume":"14 ","pages":"e13"},"PeriodicalIF":2.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606019","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}
Rajesh Kumar Rai, Sabri Bromage, Jan-Walter De Neve, Anamitra Barik
{"title":"Lifestyle risk factors for overweight and obesity among rural Indian adults: a community-based prospective cohort study.","authors":"Rajesh Kumar Rai, Sabri Bromage, Jan-Walter De Neve, Anamitra Barik","doi":"10.1017/jns.2025.4","DOIUrl":"10.1017/jns.2025.4","url":null,"abstract":"<p><p>India's nutrition transition has led to an increased burden of overweight/obesity (body mass index of ≥23 kg/m<sup>2</sup>), driven by lifestyle factors like poor diet, inactivity, and substance use, prompting public health interventions. However, these interventions lack supporting evidence, especially in rural areas, hindering effective strategies for this population. To address this evidence gap, this study used cohort data (baseline: 2018-19, follow-up: 2022-23) from the Birbhum Population Project (West Bengal, India) to analyse lifestyle risk factors and their association with incidence and remission of overweight/obesity among adults aged ≥18 years (sample: 8,974). Modified Poisson regression model was employed to attain the study objective. From 2017-2018 to 2022-2023, the prevalence of overweight/obesity increased from 15.2% (95% CI: 14.1%-16.4%) to 21.0% (95% CI: 19.7%-22.3%) among men and from 24.1% (95% CI: 22.9%-25.2%) to 33.8% (95% CI: 32.5%-35.1%) among women. Overall, 23.0% (95% CI: 21.8%-24.3%) of adults experienced incidence of overweight/obesity, while 13.9% (95% CI: 12.4%-15.6%) experienced remission. Use of motor vehicles among unemployed participants was associated with incident overweight/obesity (relative risk or RR: 1.058; 95% CI: 1.023-1.095; P: 0.001). Vigorous activity at home (including gardening, yard work, and household chores) was linked to higher odds of recovering from overweight/obesity (RR: 1.065; 95% CI: 1.008-1.125; P: 0.025). Frequent tobacco use (often/daily vs. none) was inversely associated with remission of overweight-obesity (RR: 0.689; 95% CI: 0.484-0.980; P: 0.038), as was each 1 ml in alcohol consumption (RR: 0.995; 95% CI: 0.991-0.999; P: 0.022). Discouraging habitual motor vehicle use may help prevent overweight/obesity, while promoting home-based activities may aid remission, particularly for women who are at higher risk for overweight/obesity.</p>","PeriodicalId":47536,"journal":{"name":"Journal of Nutritional Science","volume":"14 ","pages":"e18"},"PeriodicalIF":2.4,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544018","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}