Nutrition Bulletin最新文献

{"title":"The Views of Adult Weight Management Dietitians on Service Provision for People With Obesity and Severe Mental Illness and/or Learning Disability: A Qualitative Study.","authors":"Anita Attala, Amelia A Lake, Emma L Giles","doi":"10.1111/nbu.70013","DOIUrl":"10.1111/nbu.70013","url":null,"abstract":"<p><p>Specialist adult weight management (AWM) services (tier 3) provide multidisciplinary support for people with obesity to manage their weight. Many people with severe mental illness (SMI)/learning disability also have obesity. This study explored the opinions of specialist AWM dietitians in the North-East and North Cumbria (NENC) region regarding their skills, knowledge, and services for supporting people with obesity and SMI/learning disability. Dietitians (n = 9) were purposively selected and interviewed using Microsoft Teams in July 2023. The data was thematically analysed. Dietetic pre-registration training on SMI/learning disability was inconsistent. Dietitians' confidence in supporting people with SMI/learning disability was wide-ranging. Six themes were identified: training, resources, service provision, networking & external influences, assessment and compassion & self-efficacy. Specialist AWM dietitians in the NENC region are compassionate and want to provide a quality service for people with obesity and SMI/learning disability. However, they sometimes feel they fail these service users through a lack of training and resources. Training, accessible resources, and collaboration with mental health dietitians may improve AWM dietitians' confidence and skills when supporting people with SMI/learning disability and may reduce stigma. The British Dietetic Association (BDA) may wish to ensure training on SMI and learning disability is available for all dietitians, along with resource sharing. Additionally, limited staffing and waiting lists may impact the provision of reasonable adjustments required for people with additional needs. Alternative pathways for people with obesity and additional requirements may be of benefit. More comprehensively completed referrals and additional funding may facilitate this.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"459-471"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227291","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":"Achieving Weight Loss When Practicing Time-Restricted Eating: A Longitudinal Study of Experiences Among Individuals With Overweight.","authors":"Natasja Bjerre, Nana Folmann Hempler, Nanna Veje, Åsa Audulv, Kristine Færch, Jonas Salling Quist, Lotte Holm","doi":"10.1111/nbu.70018","DOIUrl":"10.1111/nbu.70018","url":null,"abstract":"<p><p>This study explored experiences with time-restricted eating (TRE) and weight loss in the RESET trial, including 3 months of intervention and 3 months of follow-up. Participants were living with overweight and at risk for type 2 diabetes (T2D). Data included semi-structured interviews and body weight measurements at baseline, post-intervention and follow-up. Participants were grouped based on relative weight loss: (1) High weight loss (median -5.1% (range: -2.4% to -7.1%)) (n = 6), (2) moderate weight loss (median -1.1% (-1.4% to -0.7%)) (n = 7) and (3) low/no weight loss (median +0.8% (range: -0.2% to +3.4%)) (n = 7). Second, interviews were analysed longitudinally, applying content analysis. The concept of career was used to analyse TRE preparation, initiation, continuation and maintenance. Participants who achieved high weight loss when practicing TRE had structured daily routines, consistent meal patterns and strong social support from partners. They adapted quickly to TRE and maintained/furthered their weight loss during follow-up. Although weight loss was an initial motivator for all, participants motivated by health benefits found TRE easier and achieved better weight loss results than those overly focused on losing weight. Participants who achieved moderate weight loss faced TRE challenges due to inconsistent routines and motivations, often switching to 'traditional dieting' during follow-up. Participants who achieved low or no weight loss struggled with irregular routines, low social support, guilt when exceeding the eating window and viewing weight loss as an all-or-nothing goal of TRE, making it unmaintainable. In conclusion, successful TRE practice for weight loss requires greater flexibility in the concept, tailored guidance to adapt daily routines and strengthening social support.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"472-485"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576714","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":"White Paper on Nutrition Sensing and Ageing.","authors":"Aygul Dagbasi, Adrian Holliday, Bernadette Carroll, Chiara de Lucia, Oliver M Shannon, John Mathers, John McLaughlin, Chloe French, Aylin Hanyaloglu, Sorrel Burden, Douglas Morrison, Viktor Korolchuk, Gary Frost","doi":"10.1111/nbu.70020","DOIUrl":"10.1111/nbu.70020","url":null,"abstract":"<p><p>Ageing, which is defined as the progressive deterioration of physiological functions, is an inevitable part of the lifecycle. Nevertheless, its progress is believed to be influenced by modifiable factors, one of the most important being dietary intake. Like many other systems within the human body, detection of nutrients (defined as nutrition sensing), their metabolism, and the body's response to nutrients may change with ageing. There is compelling evidence to suggest that nutrition sensing mechanisms can become dysregulated in certain ageing adults, which can lead to increased morbidity and mortality. However, there is still much to unravel in nutrition sensing and its impact on ageing on multiple levels from molecular signalling to the food environment. We hypothesise that nutrition sensing mechanisms play an important role in the ageing process. To this end, we formed the Ageing and Nutrition Sensing Network to bring together leading multi-disciplinary researchers and early career researchers with expertise across ageing, cell biology, nutrition, epidemiology, and policy. The network aims to address the priority area of health span and quality of life in older age. As a consortium, we defined nutrition sensing and identified five key challenges to be addressed to advance the field of nutrition sensing and ageing. This resulted in the development of four main projects, each one embracing multidisciplinary working and investigating nutrition sensing and ageing from different perspectives. Here we describe our network, our projects, and how we plan to incorporate our findings to promote healthy ageing from science and industry to policy.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"505-513"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601965","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":"Classic vs. High-Fat Intermittent Fasting: Impacts on Body Composition, Eating Behaviour, and Diet Satisfaction.","authors":"Beyza Izgi, Emre Batuhan Kenger","doi":"10.1111/nbu.70021","DOIUrl":"10.1111/nbu.70021","url":null,"abstract":"<p><p>This study aimed to examine the effects of two different intermittent fasting protocols, distinguished by macronutrient distribution (classical intermittent fasting versus high-fat, low-carbohydrate intermittent fasting), on body composition, eating behaviour, and diet satisfaction. The study was conducted at a single centre and included 44 adult women who consulted a dietitian. Participants were randomly assigned, in a single blind manner, to one of two groups. The diet interventions were applied for six weeks; all participants completed this period. Body composition, eating behaviour, and diet satisfaction were evaluated. Data were analysed using SPSS version 21.0. The dietary interventions resulted in significant improvements in body composition in both groups (p < 0.05); however, no significant differences were observed between the groups compared to baseline (p > 0.05). Participants' eating behaviour improved across all subscales in both groups (p < 0.05). Importantly, the classical diet group showed significantly greater improvements compared to baseline in cognitive restraint (adjusted post-intervention mean: 19.66 vs. 17.38; p = 0.006) and emotional eating (adjusted post-intervention mean: 9.66 vs. 12.97; p < 0.001) compared to the high-fat group. Satisfaction with the diet did not differ significantly between groups (classical: 41.0; high-fat: 34.0) (p = 0.063). This study demonstrated that classical and high-fat intermittent fasting models led to improvements in body composition and eating behaviour compared to baseline measurements. Further research with longer durations and diverse populations, including men, is needed to fully understand the impact of macronutrient distribution within intermittent fasting.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"486-496"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643862","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":"National Diet and Nutrition Survey 2019 to 2023.","authors":"Gillian Swan","doi":"10.1111/nbu.70023","DOIUrl":"10.1111/nbu.70023","url":null,"abstract":"","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"361-364"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745556","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":"Diet in Pregnancy: A Review of Current Challenges and Recommendations. A British Nutrition Foundation Briefing Paper.","authors":"Kathryn H Hart, Alyson J Hill, Javier T Gonzalez, Anne de la Hunty, Alison M Gallagher, Sara A Stanner","doi":"10.1111/nbu.70016","DOIUrl":"10.1111/nbu.70016","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Pregnancy is a crucial period during which maternal nutrition, weight and lifestyle behaviours have a direct impact on both maternal and fetal health. This briefing paper describes dietary and lifestyle recommendations for women during the preconceptional period and throughout pregnancy, identifying specific factors that can be modified to improve health outcomes for both mother and child. It considers key areas such as nutrient intakes, supplementation, food safety and weight management, and highlights how dietary choices can help reduce the risk of common pregnancy-related conditions. Despite widespread recognition of the importance of a healthy, balanced diet, many women in the UK fall short of recommended intakes for important nutrients, including iron, folate, iodine and vitamin D. These shortfalls are particularly evident among nutritionally vulnerable groups, such as teenagers, women from lower-income households and those experiencing food insecurity; such groups may face barriers to accessing healthy foods and adhering to supplementation guidance. An increasing interest in plant-based diets presents an opportunity to consider a range of dietary patterns that support both maternal health and environmental sustainability. However, such shifts must be carefully managed to ensure adequate intake of nutrients commonly found in animal products, such as vitamin B12, iron, iodine, calcium and long-chain fatty acids. Rates of overweight and obesity among women of childbearing age remain high, reflecting trends in the general population and contributing to growing concern about maternal obesity. Maintaining a healthy weight before and during pregnancy plays a key role in supporting maternal and fetal wellbeing. Both insufficient and excessive weight gain are associated with elevated risks of complications. Excessive weight gain during pregnancy is associated with an increased risk of developing gestational diabetes, hypertensive disorders such as pre-eclampsia, preterm birth and a greater likelihood of long-term obesity in both mother and child. Supporting women to achieve and maintain a healthy weight in the periconceptional period and throughout pregnancy is therefore a public health priority. The antenatal period presents a unique window of opportunity to promote healthier and more sustainable eating patterns, as women are often highly motivated to improve their health and are in more regular contact with healthcare professionals at this time. Yet, research indicates that many women are unaware of dietary recommendations or receive inconsistent advice. To fully harness this opportunity, healthcare providers must be equipped with culturally appropriate, accessible and evidence-based resources to support perinatal conversations around diet, supplementation, physical activity and body weight. Providing appropriate support during the periconceptional and early pregnancy period is essential to addressing health inequalities, improving long-term","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"365-410"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576716","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":"Molecular Insights Into Carotenoid-Based Interventions for Diabetic Retinopathy.","authors":"Chengzhi Liu, Xinyu Wang, Mingyue Liu, Xusheng Cao","doi":"10.1111/nbu.70015","DOIUrl":"10.1111/nbu.70015","url":null,"abstract":"<p><p>Diabetic retinopathy (DR) is one of the leading causes of blindness in adults, primarily driven by hyperglycaemia in the retinal tissue. The role of antioxidant phytochemicals, particularly carotenoids, has gained attention due to their potential in mitigating these damaging processes. Carotenoids exhibit strong antioxidant properties by neutralising reactive oxygen species and reducing inflammation. This review aims to provide a comprehensive analysis of the molecular mechanisms by which these carotenoids exert protective effects on the retina, focusing on their role in combating oxidative stress, preserving retinal integrity and preventing neovascularization associated with DR. By highlighting key findings from recent studies, we underscore the therapeutic potential of carotenoids as natural interventions in preventing or slowing the progression of DR. Further research into their bioavailability, dosage and long-term effects may pave the way for carotenoid-based treatments in the clinical management of DR.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"421-435"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592609","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":"Whole Fruits Versus 100% Fruit Juice: Revisiting the Evidence and Its Implications for US Healthy Dietary Recommendations.","authors":"Hemangi B Mavadiya, Dahyun Roh, Andrew Ly, Yunxia Lu","doi":"10.1111/nbu.70009","DOIUrl":"10.1111/nbu.70009","url":null,"abstract":"<p><p>Scientific literature remains inconsistent on whether and to what extent 100% fruit juice should be recommended in the diet. Specifically, the current Dietary Guidelines for Americans (DGA) do not specifically refer to free sugars in fruit juice, and further clarification to provide more explicit guidance may be needed in the 2025-2030 version. We compared evidence on whole fruit and 100% fruit juice regarding its nutrient composition, impact on hunger and satiety, and association with chronic health conditions while highlighting the potential public health perspectives and implications for healthy dietary recommendations. Processing and/or storing 100% fruit juice reduces its fibre, vitamins and other antioxidant contents and transforms intrinsic sugars in the whole fruit into free sugars. Fruit consumed in solid form provides greater satiety due to delayed gastric emptying and related physiological reactions. The synergistic effects of polyphenols and fibre in whole fruit benefit the gut microbiome by acting as prebiotics and producing short-chain fatty acids that reduce inflammation. Although the evidence surrounding 100% fruit juice on chronic conditions remains inconsistent, accumulating studies indicate a more consistently beneficial role of whole fruits. The research evidence reviewed highlights the need for the DGA to update the recommendations on fruit juice, including emphasising the health benefits of whole fruit over fruit juice, providing a clear guideline on the daily fruit juice allowance, defining \"free sugars\" in fruit juice, and clarifying the distinction between 100% fruit juice and fruit drinks.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":"411-420"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054856","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":"Community Food Insecurity Interventions for Adults Living in the United Kingdom: A Scoping Review.","authors":"Jo Smith, Philip Hodgson, Claire Williams, Amelia A Lake, Scott B Teasdale, Emma L Giles","doi":"10.1111/nbu.70026","DOIUrl":"https://doi.org/10.1111/nbu.70026","url":null,"abstract":"<p><p>Food insecurity is a growing concern worldwide, particularly in the United Kingdom. Despite this, community-based interventions to address food insecurity remain an under-researched area. Existing food insecurity reviews have focused on international evidence, limiting investigations to foodbank use and/or interventions targeted towards children. This scoping review aimed to understand the evidence on available community-based interventions for adults experiencing food insecurity in the United Kingdom and the suggested elements for a feasible, acceptable intervention. A comprehensive electronic search was completed up to January 2024. All study designs were considered. A descriptive analytical approach was used to summarise intervention data. Narrative synthesis explored the data further, using the Food Ladders model as a framework. This review identified a very limited scope and quantity of evidence on community food insecurity interventions for UK adults, with 21 included studies. Over half of interventions (52.4%, n = 11) relied on volunteers, and a high proportion used donated or surplus food. The nutritional quality of emergency food provision was poor, and it was unclear whether providers could adequately cater for special dietary requirements, cultural and/or religious needs. There were very few studies (19.0%, n = 4) assessing the feasibility or acceptability of interventions or their impact on food insecurity. Further research is required into the feasibility, acceptability and effectiveness of community food insecurity interventions for adults in the United Kingdom.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856800","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":"Estimating Inulin Intake and Its Contribution to Total Fibre Intake in UK School-Aged Children: A Pilot Feasibility Study.","authors":"Gabriela Morillo-Santander, Christine Ann Edwards, Ada Lizbeth Garcia","doi":"10.1111/nbu.70022","DOIUrl":"https://doi.org/10.1111/nbu.70022","url":null,"abstract":"<p><p>Inulin is a prebiotic fructan-type fibre found in vegetables, cereals, and fruits, while isolated inulin is used as a sugar replacement additive. Children in the UK do not meet dietary fibre recommendations, and inulin could contribute to increased fibre intake. However, inulin intake is not routinely assessed. We tested the feasibility of identifying dietary sources of inulin in school-aged children and estimated the impact of inulin on their fibre intake. In a pilot cross-sectional study in 154 healthy school-aged children (median age 7 years old, IQR: 5-12), diet was assessed using one 24-hour recall. A list of foods reporting inulin content was collated from the literature and food labels. Inulin consumed from homemade and takeaway food was calculated using the mean of three standard recipes. AOAC fibre was estimated using Nutritics software. The UK National Diet and Nutrition Survey (NDNS) was used for comparisons with the estimated fibre-plus-inulin intake. Median fibre-plus-inulin intake was 16.3 g/day, IQR: 0.9-46.5; AOAC: 985.29 fibre was 14 g/day, IQR: 0.8-45.4 and median inulin intake was 1.3 g/day, IQR: 0.1-7. Fibre-plus-inulin estimates were higher than total fibre reported by NDNS in children aged 4-10 years (13.8 g/day). Cereal and cereal products were the main inulin contributors to percentage of total intake of group (58.1%). Next were mixed composite dishes (7.4%), vegetable, potatoes, beans group (7.4%), and fruits (8.5%). In conclusion, it is feasible to include inulin in the estimation of total dietary fibre. If inulin intake is assessed, total fibre consumption in children could increase by 8%, suggesting it is important to include inulin and fructans in fibre estimates of representative populations.</p>","PeriodicalId":48536,"journal":{"name":"Nutrition Bulletin","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849413","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}