Nutrition Bulletin最新文献

{"title":"An Updated Review of the Opportunities and Challenges in Insects as Food and Feed.","authors":"Kieran David Robertson, Whitney Vale-Hagan, Alexandros Ch Stratakos, Olena Doran, Eleanor Drinkwater, Xian Wu, M Elizabeth Miller, Luke Davies, Klaus W Lange, Yukiko Nakamura, Femi Ezhuthupallickal Benny, Seirian Sumner, Anastasios Koidis, Sokratis Stergiadis, Katerina Theodoridou","doi":"10.1111/nbu.70073","DOIUrl":"https://doi.org/10.1111/nbu.70073","url":null,"abstract":"<p><p>The global demand for sustainable protein sources is increasing in response to population growth, climate change and food insecurity. Edible insects are a promising alternative, offering nutritional, environmental and socio-economic advantages. Currently consumed by approximately two billion people worldwide, insects are rich in protein, essential amino acids, unsaturated fatty acids, vitamins and minerals, usually making them nutritionally comparable to or potentially superior to conventional protein sources. Their farming systems require minimal land, water and feed inputs while generating substantially lower greenhouse gas emissions. Despite these advantages, several challenges hinder mainstream adoption. Consumer acceptance in Western markets remains low due to cultural neophobia, while regulatory frameworks, safety standards and welfare guidelines remain underdeveloped. Technical barriers, including variable nutritional composition, contamination risks and the great influence of rearing substrates, also limit scalability, while ethical debates on insect sentience and welfare further complicate industry development. This review provides an updated, stand-alone review to that of Doberman et al. This review highlights the current opportunities and challenges in insects as food and feed by evaluating key factors which support and hinder its wider integration.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Precarity, Vulnerability and Food Insecurity: A Proposed Framework for Understanding the Experiences of Pensioner Age Households in Coastal and Rural Communities.","authors":"Angela Dickinson, Claire Thompson, Amander Wellings, Amelia A Lake, Helen J Moore, Beth Armstrong","doi":"10.1111/nbu.70068","DOIUrl":"https://doi.org/10.1111/nbu.70068","url":null,"abstract":"","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Alignment With the My Meal Plate Guidelines and Cardiometabolic Diseases in Taiwan.","authors":"Li-Na Liao, Yi-Chen Huang, Tsai-Yu Lin, Yu-Zhi Su, Wen-Harn Pan","doi":"10.1111/nbu.70071","DOIUrl":"https://doi.org/10.1111/nbu.70071","url":null,"abstract":"<p><p>My Meal Plate, implemented in Taiwan since 2018, uses simple visual representations to promote healthy dietary practices. In recent years, the prevalence of nutrition-related cardiometabolic diseases has increased globally and in Taiwan, posing substantial public health and healthcare burdens. However, research examining the association between My Meal Plate alignment and cardiometabolic diseases remains limited. This study used data from the Nutrition and Health Survey in Taiwan to assess the relationship between My Meal Plate alignment and cardiometabolic diseases, providing evidence to inform future health policy planning. In the overall population, each 5-point increase in the My Meal Plate score was associated with a 5% reduction in the risk of metabolic syndrome (odds ratio [OR] = 0.95; 95% confidence interval [CI]: 0.91-0.99) and diabetes (OR = 0.95; 95% CI: 0.90-1.00). These associations were more pronounced in adults aged ≥ 65 years, with those in Q4 showing a further reduced risk of metabolic syndrome (OR = 0.68; 95% CI: 0.48-0.98) and diabetes (OR = 0.63; 95% CI: 0.44-0.89) and a stronger association between each 5-point score increase and a reduced risk of both metabolic syndrome and diabetes (each OR = 0.92; 95% CI: 0.86-0.98). Overall, the findings suggest that greater alignment with My Meal Plate principles was associated with a lower risk of diabetes and metabolic syndrome, particularly among older adults.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unpacking Nutrition Integration in Irish Healthcare: A Qualitative Exploration Across Five Clinical Disciplines.","authors":"Sarah O'Donovan, Aoife Gillane, Sarah Scully, Gemma McMonagle, Laura Keaver, Rónán Doherty, Lisa Ryan","doi":"10.1111/nbu.70058","DOIUrl":"10.1111/nbu.70058","url":null,"abstract":"<p><p>Nutrition care is fundamental to effective healthcare; nevertheless, its everyday implementation by Irish healthcare professionals (HCPs) is poorly understood. This study aimed to explore the knowledge, practice, and perceived barriers to delivering nutrition care among HCPs and students in medicine, nursing, pharmacy, physiotherapy and occupational therapy in Ireland. A qualitative design using semi-structured interviews was conducted with 37 purposively selected HCPs and students from diverse clinical and primary care settings. Data were analysed using reflexive thematic analysis to identify key patterns and insights. Three central themes were identified: (1) Professional Boundaries, Confidence & Perceived Competence in Nutrition Knowledge, (2) Structural & Logistical Barriers to Nutrition Integration and (3) Variability in Nutrition Integration & Its Impact on Healthcare Practice. Participants universally acknowledged the importance of nutrition; however, unclear role boundaries, limited formal education, inconsistent referral processes and resource constraints hindered its implementation. Confidence in providing nutrition advice was largely driven by personal initiative rather than structured education, leading to inconsistent care. Uncertainty surrounding referral pathways, and concerns about burdening colleagues compounded barriers to effective nutrition support. Despite valuing interdisciplinary collaboration, siloed working practices resulted in missed opportunities for timely, coordinated nutrition interventions-especially for patients with complex needs. A disconnect exists between the acknowledged value of nutrition care and its practical integration into Irish healthcare. Addressing this gap requires enhanced undergraduate and postgraduate training, clearer referral frameworks, stronger interprofessional collaboration and improved access to dietetic support. These measures are essential to strengthen nutrition care delivery and improve patient outcomes across healthcare settings.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"337-352"},"PeriodicalIF":3.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diurnal Variation and Impairment of Postprandial Glucose-Insulin Responses and Lipid Rhythms in Simulated Shift Work.","authors":"Ameena M Khan Sullivan, Cheryl M Isherwood, Hana Hassanin, Debra J Skene, Daan R van der Veen","doi":"10.1111/nbu.70060","DOIUrl":"10.1111/nbu.70060","url":null,"abstract":"<p><p>Shift work is associated with insulin resistance, dyslipidaemia and metabolic syndrome, but how consecutive meals at the same clock times differentially shape postprandial metabolism in day- and night-shifts remains unclear. This study used a unique simulated shift work intervention with four consecutive meals and high-resolution sampling to examine interactions of endogenous rhythms and behavioural timing on postprandial metabolism. Nine healthy non-shift-worker participants (age 21-33 years, 3 females) completed a strictly-controlled laboratory protocol with a day-shift followed by two night-shifts of 10-h delayed sleep and mealtimes. Participants consumed four identical, isoenergetic, mixed-composition meals per shift. Three of four mealtimes (08:00, 18:00, 22:00) were fixed across conditions; the first and last meals were 1 h after waking and before bedtime. Plasma glucose, insulin, triglycerides, HDL-cholesterol and total cholesterol were measured hourly, with continuous interstitial glucose monitoring. Subjective hunger and appetite were assessed throughout. Plasma lipid rhythms shifted with the 10-h delay in sleep-wake times: acrophases delayed ~10-13 h and amplitudes lowered 46%-54% (all p < 0.01). Night-shifts elevated postprandial glucose (+165 mmol/L·min, 95% CI 1.05-34.31, p = 0.05) and insulin (+7678.7 mmol/L·min, 95% CI 3671.02-11686.38, p < 0.01). Time-of-day effects persisted irrespective of shift, with 18:00 meals producing the highest glycaemic responses (+261 mmol/L·min, 95% CI 124.37-398.01, p < 0.01). Insulin dynamics did not fully compensate for elevated glycaemia in night-shifts, indicating lower glucose tolerance and insulin sensitivity. Mistimed meals suggest a mechanism by which circadian disruption may increase metabolic disease risk.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"353-365"},"PeriodicalIF":3.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health and Dietary Disparities in the North of England: A Report From Nutrition North on Key Challenges in the North of England.","authors":"Iain Brownlee, Julie Abayomi, Ruth Boocock, Emma Boyland, Heather Brown, Nicola Calder, Amy Finlay, Mark Green, Scott Lloyd, Amelia A Lake, Sarah Hill, Bernard M Corfe","doi":"10.1111/nbu.70063","DOIUrl":"10.1111/nbu.70063","url":null,"abstract":"","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"407-413"},"PeriodicalIF":3.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Link Between Plant-Based Diets and Resting Metabolic Rate in Women With Overweight and Obesity: Implications for Weight Management and Metabolic Health.","authors":"Ahmadreza Kolahi, Mir Saeid Yekaninejad, Zufa Iqbal, Khadijeh Mirzaei","doi":"10.1111/nbu.70050","DOIUrl":"10.1111/nbu.70050","url":null,"abstract":"<p><p>Obesity is a global health issue linked to increased risks of type 2 diabetes and cardiovascular diseases. A reduced resting metabolic rate contributes to obesity. Plant-based diets are often recommended for weight control, but their effect on resting metabolic rate is underexplored. This study assesses the association between plant-based dietary patterns and resting metabolic rate in women with overweight and obesity. In this cross-sectional study, 285 women with overweight and obesity were selected from health centers in Tehran. Body composition was measured using bioelectrical impedance analysis, dietary intake was assessed using a semi-quantitative food frequency questionnaire. Adherence to plant-based diets was evaluated through three indices: the overall plant-based diet index, the healthful plant-based diet index and the unhealthful plant-based diet index. Resting metabolic rate was measured via indirect calorimetry. Higher plant-based diet index and healthful plant-based diet index scores were significantly associated with increased resting metabolic rate per kilogram of body weight, even after adjusting for confounders. Conversely, higher unhealthful plant-based diet index scores were linked to lower resting metabolic rate per kilogram. Participants with higher adherence to plant-based diet index reported greater intakes of energy, most macronutrients and several micronutrients, while those with higher adherence to the unhealthful plant-based diet index reported lower intakes of energy and selected nutrients. Greater adherence to healthful plant-based diets is associated with a higher resting metabolic rate in women with overweight and obesity, suggesting potential benefits for weight management and metabolic health.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"379-388"},"PeriodicalIF":3.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feeding Behaviours in Families With Children or Young People With Autism: A Systematic Review.","authors":"Emma Tuschick, Jo Smith, Benjamin Harrison, Matthew Youngman, Lee Copping, Emma L Giles","doi":"10.1111/nbu.70066","DOIUrl":"10.1111/nbu.70066","url":null,"abstract":"<p><p>Children and young people with autism often experience feeding difficulties and are at increased risk of food insecurity. However, the interplay between these challenges remains underexplored. This systematic review aimed to synthesise existing evidence on the prevalence and characteristics of feeding behaviours in families with children with autism, alongside associated factors such as sensory sensitivity and mealtime dynamics. Nine databases identified 399 records. Following screening, 88 original empirical research studies (including quantitative, qualitative and mixed-methods designs) were included. Studies were included if they investigated children and young people with autism under 25 years and focused on feeding behaviours. Reviews, meta-analyses, editorials, protocols and grey literature were excluded. Included studies were critically appraised and findings were synthesised using narrative analysis. The analysis highlighted widespread food selectivity, sensory sensitivities and restrictive eating patterns, contributing to nutritional deficiencies and parental stress. Children with autism commonly preferred starchy foods and snack foods, alongside reduced consumption of protein-rich foods, with mealtime challenges including refusal and social disruption. Sensory processing difficulties and autism severity were strongly linked to feeding behaviours. Feeding difficulties are prevalent among children with autism and are shaped by sensory sensitivities and family dynamics. Tailored interventions, standardised assessment tools and further research into the social and nutritional implications of feeding challenges are needed to better support children with autism and their families.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"285-321"},"PeriodicalIF":3.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultra-Processed Food Policies and Global Nutrition Equity: The Case for a Feasibility-Grounded, Differentiated Governance Supplement to Nova.","authors":"Jimmy Chun Yu Louie","doi":"10.1111/nbu.70061","DOIUrl":"10.1111/nbu.70061","url":null,"abstract":"<p><p>The Nova food classification system has substantially advanced nutritional epidemiology by identifying industrial food processing as a meaningful determinant of dietary quality and health outcomes, independent of nutrient composition. Yet governance proposals derived from Nova face a structural tension inadequately resolved in the nutrition policy literature: for hundreds of millions of people across low- and middle-income countries (LMICs), humanitarian settings, and food-insecure urban environments, processed foods perform caloric, micronutrient, and therapeutic functions that are not substitutable within realistic policy timeframes. This analysis examines Nova Group 4's classification heterogeneity, the policy operability gaps it creates, and the food security realities that blanket ultra-processed food (UPF) reduction recommendations systematically ignore. The argument is not against Nova's epidemiological insights but for supplementing Nova-based guidance with a product-differentiated, feasibility-grounded governance framework-one that deploys mandatory reformulation, evidence-based fiscal and marketing instruments, protected fortification infrastructure, and food system investment as the instruments through which public health ambition becomes practically achievable.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"414-424"},"PeriodicalIF":3.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Future for Personalised Nutrition.","authors":"John C Mathers","doi":"10.1111/nbu.70024","DOIUrl":"10.1111/nbu.70024","url":null,"abstract":"","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"281-284"},"PeriodicalIF":3.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13522868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}