medRxiv - Nutrition最新文献

{"title":"Mozambican Food Pyramid","authors":"Ernesto Francisco Maborre Fotinho","doi":"10.1101/2024.08.24.24311155","DOIUrl":"https://doi.org/10.1101/2024.08.24.24311155","url":null,"abstract":"Introduction: In order to support nutritionists and other food and nutrition education actors in Mozambique in improving the approaches of intervention messages to fight for chronic malnutrition and other nutritional related diseases that plague the country, this work brings the adaptation of the American food pyramid published in 1993 to the local reality. Methods: The pyramid was built with the foods distributed in eight groups (Basic Foods, fruits, vegetables, legumes, milk, meats, fats and sugars) and in 5 levels. Each level was presented in minimum and medium portions to be consumed according to the established standard diets. The portions and the food equivalents tables were defined according to the caloric contribution of each food group using an automated spreadsheet of Microsoft Excel, version 19, and based on the principle of linear programming. The pyramid was based on two standard diets (1693 kcal and 2300 kcal) with four meals for both. Results: The percentage distribution of macronutrients in both diets is within the recommended range: Carbohydrates (45 to 65%), lipids (20 to 35%) and proteins (10 to 35%). Special attention was given to the milk group by calculating the bioavailable calcium values. Discussion: Factors such as food availability, dietary reference intake, and eating habits of the local population were elements of adaptation to the local context. Conclusion: Further studies are needed to validate and implement the instrument so that it becomes an effective and practical tool.","PeriodicalId":501073,"journal":{"name":"medRxiv - Nutrition","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142200647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent attitudes and behaviors associated with household food security among rural lower income families","authors":"Amy M Moore, Jennifer S Savage, Melissa Poulsen, Jennifer Franceschelli Hosterman, Carolyn F McCabe, Lisa Bailey-Davis","doi":"10.1101/2024.08.22.24312452","DOIUrl":"https://doi.org/10.1101/2024.08.22.24312452","url":null,"abstract":"Objective: To examine associations between Theory of Planned Behavior constructs related to parent engagement in health-promoting behaviors and food resource management with household food security status. Methods: A cross-sectional secondary analysis of baseline data from 1622 parents enrolled in the ENCIRCLE study, a pragmatic cluster-randomized controlled trial to prevent obesity among preschool-aged children from rural lower-income families. Logistic regression models examined associations between parent engagement in health-promoting behaviors (attitude, subjective norm, perceived behavioral control) and food resource management (self-confidence, behaviors) with household food security status.\u0000Results: Parents with greater perceived behavioral control (OR=1.44, CI:1.14-1.82) and food resource management self-confidence (OR=2.08, CI:1.80-2.41) had significantly higher odds of experiencing household food security in adjusted models. Conclusions and Implications: Findings suggest that perceived behavioral control and food resource management self-confidence may help safeguard lower-income families. Health promotion efforts should target these factors to help parents engage in health-promoting behaviors during times of economic hardship.","PeriodicalId":501073,"journal":{"name":"medRxiv - Nutrition","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142200648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A single night in hypoxia either with or without ketone ester ingestion reduces sleep quality without impacting next day exercise performance","authors":"Myrthe Stalmans, Domen Tominec, Ruben Robberechts, Wout Lauriks, Monique Ramaekers, Tadej Debevec, Chiel Poffe","doi":"10.1101/2024.08.20.24311732","DOIUrl":"https://doi.org/10.1101/2024.08.20.24311732","url":null,"abstract":"Background: Sleeping at (simulated) altitude is highly common in athletes as an integral part of altitude training camps or sport competitions. However, it is also often feared due to proclaimed negative effects on sleep quality, thereby potentially hampering exercise recovery and next-day exercise performance. We recently showed that ketone ester (KE) ingestion beneficially impacted sleep following strenuous, late evening exercise in normoxia, and alleviated hypoxemia. Therefore, we hypothesized that KE ingestion may be an effective strategy to attenuate hypox(em)ia-induced sleep dysregulations. Methods: Eleven healthy, male participants completed three experimental sessions including normoxic training and subsequent sleep in normoxia or at a simulated altitude of 3,000m while receiving either KE or placebo post-exercise and pre-sleep. Sleep was evaluated using polysomnography, while next-day exercise performance was assessed through a 30-min all-out time trial (TT30). Physiological measurements included oxygen status, heart rate variability, ventilatory parameters, blood acid-base balance and capillary blood gases. Results: Hypoxia caused a ~3% drop in sleep efficiency, established through a doubled wakefulness after sleep onset and a ~22% reduction in slow wave sleep. KE ingestion alleviated the gradual drop in SpO2 throughout the first part of the night, but did not alter hypoxia-induced sleep dysregulations. Neither KE, nor nocturnal hypoxia affected TT30 performance, but nocturnal hypoxia hampered heart rate recovery following TT30. Conclusion: We observed that sleeping at 3,000m altitude already impairs sleep efficiency. Although this hypoxia-induced sleep disruption was too subtle to limit exercise performance, we for the first time indicate that sleeping at altitude impairs next-day exercise recovery. KE alleviated nocturnal hypoxemia whenever SpO2 values dropped below ~85%, but this did not translate into improved sleep or next-day exercise performance.","PeriodicalId":501073,"journal":{"name":"medRxiv - Nutrition","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142200862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the complex dynamics influencing acute malnutrition in Turkana and Samburu counties: study protocol","authors":"Calistus Wilunda, Estelle Sidze, Faith Thuita, Dickson Amugsi, Amanuel Abajobir, Martin Mutua, Bonventure Mwangi, Samuel Iddi, Chessa Lutter, Valerie Flax, Albert Webale, Esther Anono, Hazel Odhiambo, Caroline Wangui Wainaina, Elizabeth Kimani-Murage, Stephen Ekiru, Gillian Chepkwony, John Ebei, Duncan Lesiamito, Brad Sagara","doi":"10.1101/2024.08.18.24312202","DOIUrl":"https://doi.org/10.1101/2024.08.18.24312202","url":null,"abstract":"Acute malnutrition in children under 5 years is persistent in arid and semi-arid lands in Eastern Africa. This study aimed to identify the drivers of acute malnutrition in Turkana and Samburu counties, Kenya. This was a population-based longitudinal mixed-methods observational study. Qualitative and quantitative data were collected at Wave 1 but only quantitative data were collected during follow-up. Participants were a representative sample of children and their primary caregivers from households with children under 3 years at Wave 1. Anthropometric measurements of all children under 5 years in the sampled households were taken at Wave 1 (May to July 2021), and one child under 3 years was randomly selected for follow-up about every 4 months over 2 years for six data collection waves. The study also collected data on socio-demographics; child feeding practices and morbidity, household water and food insecurity; shocks; coping strategies, social safety nets and economic safeguards; water, sanitation, and hygiene; decision making of women; and food consumption. Qualitative data were collected through community dialogues, focus group discussions, in-depth interviews, photovoice and key informant interviews with mothers and fathers with children under 5 years, community leaders, county officials and staff of nongovernmental organizations. The data were coded and analyzed thematically. Data collection is complete, and analysis is ongoing. The analysis includes thematic analysis of qualitative data and descriptive and multivariable regression analysis of quantitative data.","PeriodicalId":501073,"journal":{"name":"medRxiv - Nutrition","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142200861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Content quality versus sharing practices on social media: A cross-sectional analysis of nutrition information on Twitter","authors":"Cassandra H Ellis, Peter Ho, J Bernadette Moore, Charlotte EL Evans","doi":"10.1101/2024.08.15.24312059","DOIUrl":"https://doi.org/10.1101/2024.08.15.24312059","url":null,"abstract":"Objective: To use the validated Online Quality Assessment Tool (OQAT) to assess; the quality of online nutrition information, the difference between re-tweeted articles, and the impact of original information source.\u0000Setting: Twitter (X) as little known about the quality of nutrition information shared on the platform. Design: Tweet Archiver collected tweets including the word nutrition on seven randomly selected days in 2021. Tweets were screened for URL inclusion and grouped based on retweet status. URLs were assessed using the OQAT. Rasch measures defined quality levels (low, satisfactory, and high-quality), while mean differences of retweeted and non-retweeted data were assessed by the Mann-Whitney U test. The Cochran-Mantel-Haenszel test was used to compare information quality by source. Results: In total, 10,573 URLs were collected from 18,230 tweets. After screening for relevance, 1,005 articles were assessed (9,568 were out of scope) sourced from: professional-blogs (n=354), news-outlets (n=213), companies (n=166), personal-blogs (n=120), NGOs (n=60), magazines (n=55), universities (n=19), government (n=18). Rasch measures indicated the quality levels; 0-3.48, poor, 3.49-6.3, satisfactory and, 6.4-10, high quality. Personal and company-authored blogs were more likely to rank as poor quality. There was a significant difference in quality of retweeted (n=267, sum of rank, 461.6) and non-retweeted articles (n=738, sum of rank, 518.0), U = 87475, p=0.006, but no significant effect of information source on quality. Conclusions: Lower-quality nutrition articles were more likely to be retweeted. Caution is required when using or sharing articles, particularly from companies and personal blogs, which tended to be lower-quality sources of nutritional information.","PeriodicalId":501073,"journal":{"name":"medRxiv - Nutrition","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142200864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of indicators for assessing wasting among children younger than 5 years: a longitudinal study in northern Kenya","authors":"Calistus Wilunda, Faith Thuita, Bonventure Mwangi, Valerie L Flax, Chessa K Lutter, Linda Adair, Dickson Amugsi, Hazel Odhiambo, Esther Anono, Albert Webale, Gillian Chepkwony, Stephen Ekiru, Elizabeth Kimani-Murage, Estelle Sidze","doi":"10.1101/2024.08.14.24311972","DOIUrl":"https://doi.org/10.1101/2024.08.14.24311972","url":null,"abstract":"Mid-upper arm circumference (MUAC) or weight-for-height/length Z-score (WHZ) are recommended in wasting diagnosis, but there are discrepancies between these indicators in identifying children as wasted. We compared the extent to which WHZ, MUAC, MUAC-for-age Z-score (MAZ) identify the same children as wasted and assessed the predictors of discordance and concordance in wasting diagnosis by these indicators using data from a longitudinal study of children younger than 3 years at recruitment in Turkana and Samburu counties. Wasting prevalence was consistently lower based on MUAC than WHZ and MAZ. Compared to WHZ, MAZ had higher sensitivity than MUAC, with the sensitivity of MAZ increasing and MUAC decreasing with age. Both indicators had high specificity. WHZ had a better agreement with MAZ than MUAC in wasting diagnosis. Older children were less likely to be classified as wasted by MUAC alone or by both MUAC and WHZ but were more likely to be classified as wasted by WHZ alone, MAZ alone or by both MAZ and WHZ. Compared to girls, boys were less likely to be classified as wasted by MUAC alone but more likely to be classified as wasted by WHZ alone. Stunted children were more likely to be classified as wasted by MUAC alone, MAZ alone, both MUAC and WHZ, and both MAZ and WHZ but not by WHZ alone. Classifications of wasting based on WHZ, MAZ, and MUAC are age, sex, and stunting status dependent. Compared to WHZ, MAZ is a more reliable and valid indicator than MUAC in these settings.","PeriodicalId":501073,"journal":{"name":"medRxiv - Nutrition","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142200863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Availability, Price and Nutritional Assessment of Plant-Based Meat Alternatives in Hypermarkets and Supermarkets in Petaling, the Most Populated District in Malaysia","authors":"Katty Jia Qi Lou, Nadia Nantheni Rajaram, Yee-How Say","doi":"10.1101/2024.08.15.24312042","DOIUrl":"https://doi.org/10.1101/2024.08.15.24312042","url":null,"abstract":"This study investigated the availability, price, nutritional composition, and quality of PBMAs in supermarkets and hypermarkets in Petaling, the most populated district in Malaysia. The survey covered 85 stores through on-site visits, identifying 251 unique PBMA products from 42 brands. The PBMAs were categorized into nine groups: Burgers/Patties, Coated Meat, Luncheon Meat, Minced Meat, Pastries, Pieces/Chunks/Fillets/Strips, Prepacked Cooked Meals, Sausages, and Seafood Balls/Cakes/Meatballs. The survey indicated widespread availability of PBMAs in Petaling, with premium supermarkets offering the most extensive selection. The median prices of PBMAs across categories were below MYR 7 (~USD 1.6) per 100 grams, with Pieces/Chunks/Fillets/Strips being the most affordable. Nutritionally, PBMAs exhibited lower energy, total fat, saturated fat, sodium, and protein levels than meat equivalents, while showing higher carbohydrate content. Nutri-Score profiling revealed generally favourable scores (Grade A to C), indicating moderate to good nutritional quality. These findings suggest that PBMAs offer a viable alternative for consumers in Malaysia seeking healthier and more sustainable food options, particularly for those aiming to reduce their intake of fat and sodium. However, PBMAs may not be recommended for individuals seeking a higher protein and lower carbohydrate diet. Further research is recommended to explore micronutrient profiles to enhance dietary decision-making.","PeriodicalId":501073,"journal":{"name":"medRxiv - Nutrition","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142200865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fasting, ketogenic and anti-inflammatory diets stabilized active relapsing-remitting multiple sclerosis over 18 months, a randomized, controlled study","authors":"Lina Samira Bahr, Judith Bellmann-Strobl, Daniela A. Koppold, Rebekka Rust, Tanja Schmitz-Huebsch, Maja Olszewska, Jean Stadlbauer, Markus Bock, Michael Scheel, Claudia Chien, Jan Multmeier, Alexander Krannich, Andreas Michalsen, Friedemann Paul, Anja Maehler","doi":"10.1101/2024.08.13.24311863","DOIUrl":"https://doi.org/10.1101/2024.08.13.24311863","url":null,"abstract":"Background: Multiple sclerosis (MS) is the most common inflammatory disease of the central nervous system in young adulthood leading to disability and early retirement. Ketone-based diets improve the disease course in MS animal models and health outcomes in different pilot studies of neurodegenerative diseases.\u0000Methods: We enrolled 105 individuals with relapsing-remitting MS (RRMS) in an 18-month, randomized, controlled study, and randomized them into 1) standard healthy diet (SD) as recommended by the German Nutrition Society, 2) fasting diet (FD) with 7-day fasts every 6 months with intermittent fasting at 6 of 7 days a week or 3) ketogenic diet (KD) with 20-40 g carbohydrates per day. Primary outcome was the number of new MRI lesions after 18 months in the KD and FD compared to SD and compared to baseline. Secondary outcomes included further MRI outcomes, disease biomarkers as well as metabolic, and clinical MS outcomes.\u0000Results: Eighty-one participants completed the study. The primary endpoint number of new T2 lesions after 18 months did not change in any of the groups (SD 0 (0-(-1)), FD 0 (2-0), KD 0 (2-0)). Compared to baseline, in the FD group, Neurofilament light chain (NfL) -concentrations were lower at 9 months (-1.94 pg/mL, p = 0.042) and depressive symptoms improved slightly at 18 months (p = 0.079). In the KD group, cognition improved at 18 months (symbol digit modalities test +3.7, p = 0.020). Cardiometabolic risk markers (body mass index, abdominal fat, blood lipids, adipokines, blood pressure) improved in all three groups at 9 months differently and were partially associated with clinical outcomes in the FD and KD group.","PeriodicalId":501073,"journal":{"name":"medRxiv - Nutrition","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142200867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators and barriers for healthcare workers' adherence to the national nutritional guidelines for people living with HIV in Dar-es-Salaam: A mixed-method study","authors":"Felistar Mwakasungura, Rebecca Mkumbwa, Bruno Sunguya","doi":"10.1101/2024.08.13.24311936","DOIUrl":"https://doi.org/10.1101/2024.08.13.24311936","url":null,"abstract":"The dual burden of HIV and malnutrition is a significant public health issue in Sub-Saharan Africa. In Tanzania, with an HIV prevalence of 4.9% among adults, malnutrition among People Living with HIV (PLHIV) remains high. This study evaluated adherence to nutritional guidelines for PLHIV in Care and Treatment Centers (CTCs) in Dar es Salaam and identified influencing factors. A mixed-method design was used among PLHIV, health facility administrators, and healthcare providers. Data were collected through observational checklists, structured questionnaires, and in-depth interviews. Statistical and qualitative analyses were performed to assess adherence and determinants. Among 478 participants who received care, only 19.46% were managed with fully adherence to the nutritional guidelines. Universally, anthropometric assessments were observed, however, micronutrient supplementation was minimal (1%). Higher education (AOR=5.08, p=0.019) and attendance at referral hospitals (AOR=8.23, p=0.032) positively influenced adherence. Conversely, nurse attendance (AOR=0.34, p=0.038), adequate staffing (AOR=0.31, p=0.010), and urban residence (AOR=0.47, p=0.009) negatively influenced adherence. Key facilitators included consistent training and supportive leadership, while barriers involved financial constraints and high staff turnover. The study reveals a significant gap in adherence to nutritional guidelines among PLHIV in Dar es Salaam, highlight the need for improved resource distribution, staff training, and patient education. Findings from this study aim to bridge the knowledge gap in adherence to nutritional guidelines for PLHIV, support evidence-based decision-making, and ultimately improve health outcomes.","PeriodicalId":501073,"journal":{"name":"medRxiv - Nutrition","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142200866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Study on the Situation of Growth and Development of Kindergarten Children and the Relationship between Vitamin D and Body Composition, Chengdu, Sichuan Province, China","authors":"Yanli Wang, Ying Ren, Fenglin Xing, Dan Liu, Mengjuan Hu, Tongyong LUO","doi":"10.1101/2024.07.31.24311266","DOIUrl":"https://doi.org/10.1101/2024.07.31.24311266","url":null,"abstract":"Vitamin D plays a critical role in bone health, mineral metabolism, and overall well-being, including immune function and muscle strength. Its potential impact on body composition in children, particularly in relation to obesity and undernutrition, is an area of growing interest. However, existing literature presents inconsistent findings regarding the correlation between Vitamin D levels and body composition parameters in pediatric populations. The aim of this study was to explore the relationship between Vitamin D levels and body composition among kindergarten-aged children in Chengdu, Sichuan Province, China, providing insights that could contribute to health promotion strategies for this demographic.A cross-sectional study was conducted among children aged 3 to 6 years across 47 kindergartens in Chengdu. Participants were selected via stratified random sampling to ensure representativeness. Data collection took place during April to June to minimize seasonal effects on Vitamin D levels. Body composition was assessed using bio-electrical impedance analysis (BIA). Vitamin D status was determined through blood tests, and the distribution of Vitamin D levels by sex and age groups was analyzed. The study included 1239 children, with 75.54% having insufficient Vitamin D levels and 24.46% having sufficient levels. There was no statistically significant difference in Vitamin D status between sexes (χ²=0.676, p=0.411) or age groups (χ²=4.700, p=0.095). Correlation analysis revealed that BMI had a weak negative correlation with Vitamin D (-0.028, p=0.320) but no significant correlation with Vitamin A (-0.007, p=0.799). Similar results were observed for other body composition components. This study suggests that a majority of kindergarten children in Chengdu have insufficient Vitamin D levels, regardless of sex or age. While some correlations between Vitamin D levels and body composition were observed, they were weak and not clinically significant. Further research is needed to elucidate the complex interplay between Vitamin D, body composition, and other influencing factors in this age group. Our findings contribute to the ongoing debate about the role of Vitamin D in pediatric health and may guide future interventions aimed at improving Vitamin D status and overall body composition in children.","PeriodicalId":501073,"journal":{"name":"medRxiv - Nutrition","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141868742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}