Advances in Nutrition最新文献

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Intersections of Climate Change with Food Systems, Nutrition, and Health: An Overview and Evidence Map 气候变化与粮食系统、营养和健康的相互关系:概述和证据图。
IF 8 1区 医学
Advances in Nutrition Pub Date : 2024-07-15 DOI: 10.1016/j.advnut.2024.100274
Thalia Morrow Sparling , Claudia Offner , Megan Deeney , Philippa Denton , Kristin Bash , Rachel Juel , Susan Moore , Suneetha Kadiyala
{"title":"Intersections of Climate Change with Food Systems, Nutrition, and Health: An Overview and Evidence Map","authors":"Thalia Morrow Sparling ,&nbsp;Claudia Offner ,&nbsp;Megan Deeney ,&nbsp;Philippa Denton ,&nbsp;Kristin Bash ,&nbsp;Rachel Juel ,&nbsp;Susan Moore ,&nbsp;Suneetha Kadiyala","doi":"10.1016/j.advnut.2024.100274","DOIUrl":"10.1016/j.advnut.2024.100274","url":null,"abstract":"<div><p>Scientific research linking climate change to food systems, nutrition, and nutrition-related health (FSNH) has proliferated, showing bidirectional and compounding dependencies that create cascading risks for human and planetary health. Within this proliferation, it is unclear which evidence to prioritize for action and which research gaps, if filled, would catalyze the most impact. We systematically searched for synthesis literature (i.e., reviews) related to FSNH published after 1 January, 2018. We screened and extracted characteristics of these reviews and mapped them in an interactive Evidence and Gap Map (EGM) supplemented by expert consultation. Eight hundred forty-four synthesis reports met inclusion criteria (from 2739 records) and were included in the EGM. The largest clusters of reports were those describing climate impacts on crop and animal-source food production and emissions from such (86%). Comparatively few reports assessed climate change impacts on nutrition-related health or food manufacture, processing, storage, and transportation. Reports focused on strategies of climate adaptation (40%), mitigation (29%), both (19%), or none (12%). Only 1 quarter of reports critically evaluated equity (25%), and fewer reports suggested that changes to equity and equitable practices would alter climate-FSNH dynamics (6%). The expert consultation mirrored the results of the EGM and contextualized findings further. This novel map describes a wide research landscape linking climate change to FSNH. We identified 4 key research gaps: <em>1</em>) research on whole food systems or postharvest elements; <em>2</em>) research evaluating relationships between climate change and nutrition-related health outcomes, especially among vulnerable populations; <em>3</em>) promising methods (and additional data required) that can i) identify inflection points or levers for intervention, ii) incorporate complex dynamics and characterize trade-offs, iii) be understood and applied in context-specific, localized ways for decision making; and <em>4</em>) research undertaken through interdisciplinary collaborations that enables producing and translating evidence to action, especially those that inherently consider coproduction and fairness.</p></div>","PeriodicalId":7349,"journal":{"name":"Advances in Nutrition","volume":"15 9","pages":"Article 100274"},"PeriodicalIF":8.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S216183132400108X/pdfft?md5=bf83b4b1e2494540feb5a31f34cc8f5b&pid=1-s2.0-S216183132400108X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ceramides as Emerging Players in Cardiovascular Disease: Focus on Their Pathogenetic Effects and Regulation by Diet 神经酰胺是心血管疾病中的新兴角色:关注它们的致病作用和饮食调节。
IF 8 1区 医学
Advances in Nutrition Pub Date : 2024-07-01 DOI: 10.1016/j.advnut.2024.100252
Riccardo Spaggiari , Sharon Angelini , Alessandra Di Vincenzo , Gerarda Scaglione , Sara Morrone , Veronica Finello , Sofia Fagioli , Fabiola Castaldo , Juana M Sanz , Domenico Sergi , Angelina Passaro
{"title":"Ceramides as Emerging Players in Cardiovascular Disease: Focus on Their Pathogenetic Effects and Regulation by Diet","authors":"Riccardo Spaggiari ,&nbsp;Sharon Angelini ,&nbsp;Alessandra Di Vincenzo ,&nbsp;Gerarda Scaglione ,&nbsp;Sara Morrone ,&nbsp;Veronica Finello ,&nbsp;Sofia Fagioli ,&nbsp;Fabiola Castaldo ,&nbsp;Juana M Sanz ,&nbsp;Domenico Sergi ,&nbsp;Angelina Passaro","doi":"10.1016/j.advnut.2024.100252","DOIUrl":"10.1016/j.advnut.2024.100252","url":null,"abstract":"<div><p>Impaired lipid metabolism is a pivotal driver of cardiovascular disease (CVD). In this regard, the accumulation of ceramides within the circulation as well as in metabolically active tissues and atherosclerotic plaques is a direct consequence of derailed lipid metabolism. Ceramides may be at the nexus between impaired lipid metabolism and CVD. Indeed, although on one hand ceramides have been implicated in the pathogenesis of CVD, on the other specific ceramide subspecies have also been proposed as predictors of major adverse cardiovascular events. This review will provide an updated overview of the role of ceramides in the pathogenesis of CVD, as well as their pathogenetic mechanisms of action. Furthermore, the manuscript will cover the importance of ceramides as biomarkers to predict cardiovascular events and the role of diet, both in terms of nutrients and dietary patterns, in modulating ceramide metabolism and homeostasis.</p></div>","PeriodicalId":7349,"journal":{"name":"Advances in Nutrition","volume":"15 7","pages":"Article 100252"},"PeriodicalIF":8.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2161831324000863/pdfft?md5=3e0da39096f174b43a940cdafe012579&pid=1-s2.0-S2161831324000863-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dietary Patterns and Cardiovascular Diseases in Asia: A Systematic Review and Meta-Analysis 亚洲的膳食模式与心血管疾病:系统回顾与元分析
IF 8 1区 医学
Advances in Nutrition Pub Date : 2024-07-01 DOI: 10.1016/j.advnut.2024.100249
Gladys Huiyun Lim , Nithya Neelakantan , Yu Qi Lee , Su Hyun Park , Zhi Heng Kor , Rob M van Dam , Mary Foong-Fong Chong , Airu Chia
{"title":"Dietary Patterns and Cardiovascular Diseases in Asia: A Systematic Review and Meta-Analysis","authors":"Gladys Huiyun Lim ,&nbsp;Nithya Neelakantan ,&nbsp;Yu Qi Lee ,&nbsp;Su Hyun Park ,&nbsp;Zhi Heng Kor ,&nbsp;Rob M van Dam ,&nbsp;Mary Foong-Fong Chong ,&nbsp;Airu Chia","doi":"10.1016/j.advnut.2024.100249","DOIUrl":"https://doi.org/10.1016/j.advnut.2024.100249","url":null,"abstract":"<div><p>With emerging Asian-derived diet quality indices and data-driven dietary patterns available, we aimed to synthesize the various dietary patterns and quantify its association with cardiovascular diseases (CVDs) among Asian populations. We systematically searched PubMed, Embase, Scopus, and Web of Science for observational studies in South, Southeast, and East Asia. Dietary patterns were grouped “high-quality,” which included high intakes of three or more of the following food groups: <em>1</em>) fruits and vegetables, <em>2</em>) whole grains, <em>3</em>) healthy protein sources (legumes and nuts, fish and seafood, low-fat dairy, and lean meat and poultry), and <em>4</em>) liquid plant oils. High-quality patterns were further subcategorized based on their derivation methods: non-Asian indices, Asian indices, data-driven patterns, and plant-based indices. Dietary patterns were grouped “low-quality,” which included high intakes of two or more of the following: <em>5</em>) ultraprocessed food, <em>6</em>) beverages and foods with added sugars, <em>7</em>) foods high in salt, and <em>8</em>) alcoholic beverages. Data-driven dietary patterns characterized by animal food sources were labeled “animal-based,” and studies using dietary diversity scores were labeled “diet diversity indices.” Dietary patterns that could not be meaningfully categorized were summarized narratively. Study-specific effect estimates were pooled using a random-effects model. Forty-one studies were included in this review. Higher adherence to high-quality dietary patterns in the top compared with bottom tertile defined by non-Asian indices (RR: 0.78; 95% CI: 0.69, 0.88; GRADE: moderate), Asian indices (RR: 0.84; 95% CI: 0.79, 0.90; GRADE: low), and data-driven patterns (RR: 0.81; 95% CI: 0.74, 0.89; GRADE: moderate) were associated with lower CVD risk. Plant-based, low-quality, animal-based, and diet diversity indices dietary patterns were not associated with CVD. Associations of Asian diet quality indices and CVD risk were weaker than those with non-Asian indices, highlighting the need for current Asian diet quality criteria to be updated to better capture the impact of diet on CVD.</p><p>The systematic review and meta-analysis was registered at PROSPERO as CRD42021244318.</p></div>","PeriodicalId":7349,"journal":{"name":"Advances in Nutrition","volume":"15 7","pages":"Article 100249"},"PeriodicalIF":8.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2161831324000838/pdfft?md5=9e0df56071922daca6536160d4e9ed5c&pid=1-s2.0-S2161831324000838-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141605021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dietary Patterns in Asia: Current Evidence and Future Directions 亚洲的膳食模式:当前证据与未来方向
IF 8 1区 医学
Advances in Nutrition Pub Date : 2024-07-01 DOI: 10.1016/j.advnut.2024.100250
Lukas Schwingshackl , Georg Hoffmann
{"title":"Dietary Patterns in Asia: Current Evidence and Future Directions","authors":"Lukas Schwingshackl ,&nbsp;Georg Hoffmann","doi":"10.1016/j.advnut.2024.100250","DOIUrl":"https://doi.org/10.1016/j.advnut.2024.100250","url":null,"abstract":"","PeriodicalId":7349,"journal":{"name":"Advances in Nutrition","volume":"15 7","pages":"Article 100250"},"PeriodicalIF":8.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S216183132400084X/pdfft?md5=4a2f1388592b9338f7d292051f143fcd&pid=1-s2.0-S216183132400084X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141605020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Systematic Review and Bayesian Network Meta-Analysis Comparing In-Person, Remote, and Blended Interventions in Physical Activity, Diet, Education, and Behavioral Modification on Gestational Weight Gain among Overweight or Obese Pregnant Individuals 系统性综述和贝叶斯网络元分析:比较面对面、远程和混合干预对超重或肥胖孕妇妊娠体重增加的影响。
IF 8 1区 医学
Advances in Nutrition Pub Date : 2024-07-01 DOI: 10.1016/j.advnut.2024.100253
Hongli Yu , Mingmao Li , Guoping Qian , Shuqi Yue , Zbigniew Ossowski , Anna Szumilewicz
{"title":"A Systematic Review and Bayesian Network Meta-Analysis Comparing In-Person, Remote, and Blended Interventions in Physical Activity, Diet, Education, and Behavioral Modification on Gestational Weight Gain among Overweight or Obese Pregnant Individuals","authors":"Hongli Yu ,&nbsp;Mingmao Li ,&nbsp;Guoping Qian ,&nbsp;Shuqi Yue ,&nbsp;Zbigniew Ossowski ,&nbsp;Anna Szumilewicz","doi":"10.1016/j.advnut.2024.100253","DOIUrl":"10.1016/j.advnut.2024.100253","url":null,"abstract":"<div><h3>Background</h3><p>Despite the well-documented adverse outcomes associated with obesity during pregnancy, this condition remains a promising modifiable risk factor.</p></div><div><h3>Objectives</h3><p>The aim of this study was to ascertain the most effective treatment modalities for gestational weight gain (GWG) in pregnant women classified as overweight or obese.</p></div><div><h3>Methods</h3><p>A systematic search was conducted across 4 electronic databases: Embase, EBSCOhost, PubMed, and Web of Science. To assess the quality of evidence, the Confidence In Network Meta-Analysis (CINeMA) approach, grounded in the Grading of Recommendations Assessment, Development, and Evaluation framework, was employed. A Bayesian network meta-analysis was conducted to synthesize the comparative effectiveness of treatment modalities based on GWG outcomes.</p></div><div><h3>Results</h3><p>The analysis incorporated 60 randomized controlled trials, encompassing 16,615 participants. Modes of intervention administration were classified as remote (R: eHealth [e] and mHealth [m]), in-person (I), and a combination of both (I+R). The interventions comprised 5 categories: education (E), physical activity (PA), dietary (D), behavior modification (B), and combinations thereof. The quality of the evidence, as evaluated by CINeMA, ranged from very low to high. Compared to the control group, the I-D intervention (mean difference [MD]: −1.27; 95% confidence interval [CI]: −2.23, −0.32), I-PADB (MD: −0.60, 95% CI: −1.19, −0.00), and I-B (MD: −0.34, 95% CI: −0.57, −0.10) interventions showed significant efficacy in reducing GWG.</p></div><div><h3>Conclusions</h3><p>Preliminary findings suggest that the I-D intervention is the most efficacious in managing GWG among pregnant women who are overweight or obese, followed by I-PADB and I-B+R-B(m) treatments. These conclusions are drawn from evidence of limited quality and directness, including insufficient data on PA components used in the interventions. Owing to the absence of robust, direct evidence delineating significant differences among various GWG management strategies, it is tentatively proposed that the I-D intervention is likely the most effective approach.</p><p>This study was registered with PROSPERO as CRD42023473627.</p></div>","PeriodicalId":7349,"journal":{"name":"Advances in Nutrition","volume":"15 7","pages":"Article 100253"},"PeriodicalIF":8.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2161831324000875/pdfft?md5=146403112b1711e12f2b47e68fccf068&pid=1-s2.0-S2161831324000875-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141328197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Galacto-Oligosaccharides and the Elderly Gut: Implications for Immune Restoration and Health 半乳糖寡糖(GOS)与老年人肠道:对免疫恢复和健康的影响。
IF 8 1区 医学
Advances in Nutrition Pub Date : 2024-06-17 DOI: 10.1016/j.advnut.2024.100263
Yunan Hu , Mashael R Aljumaah , Maria Andrea Azcarate-Peril
{"title":"Galacto-Oligosaccharides and the Elderly Gut: Implications for Immune Restoration and Health","authors":"Yunan Hu ,&nbsp;Mashael R Aljumaah ,&nbsp;Maria Andrea Azcarate-Peril","doi":"10.1016/j.advnut.2024.100263","DOIUrl":"10.1016/j.advnut.2024.100263","url":null,"abstract":"<div><p>The increasing prevalence of noncommunicable diseases in the aging population has been correlated with a decline in innate and adaptive immune responses; hence, it is imperative to identify approaches to improve immune function, prevent related disorders, and reduce or treat age-associated health complications. Prebiotic supplementation is a promising approach to modulate the gut microbiome and immune system, offering a potential strategy to maintain the integrity of immune function in older individuals. This review summarizes the current research on prebiotic galacto-oligosaccharide (GOS) immunomodulatory mechanisms mediated by bacterial-derived metabolites, including short-chain fatty acids and secondary bile acids, to maintain immune homeostasis. The potential applications of GOS as immunotherapy for age-related disease prevention in older individuals are also highlighted. This aligns with the global shift toward proactive healthcare and emphasizes the significance of early intervention in directing an individual’s health trajectory.</p></div>","PeriodicalId":7349,"journal":{"name":"Advances in Nutrition","volume":"15 8","pages":"Article 100263"},"PeriodicalIF":8.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2161831324000978/pdfft?md5=bb6899759e164ad77f63dac93715729c&pid=1-s2.0-S2161831324000978-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Time-Restricted Eating Combined with Exercise on Body Composition and Metabolic Health: A Systematic Review and Meta-Analysis 限时进食结合运动对身体成分和代谢健康的影响:系统综述和荟萃分析。
IF 8 1区 医学
Advances in Nutrition Pub Date : 2024-06-17 DOI: 10.1016/j.advnut.2024.100262
{"title":"The Effect of Time-Restricted Eating Combined with Exercise on Body Composition and Metabolic Health: A Systematic Review and Meta-Analysis","authors":"","doi":"10.1016/j.advnut.2024.100262","DOIUrl":"10.1016/j.advnut.2024.100262","url":null,"abstract":"<div><h3>Background</h3><p>Time-restricted eating (TRE) is increasingly popular, but its benefits in combination with exercise still need to be determined.</p></div><div><h3>Objectives</h3><p>This systematic review and meta-analysis aimed to evaluate the efficacy of TRE combined with exercise compared with control diet with exercise in improving the body composition and metabolic health of adults.</p></div><div><h3>Methods</h3><p>Five electronic databases were searched for relevant studies. Randomized controlled trials (RCTs) examining the effect of TRE combined with exercise on body composition and metabolic health in adults were included. All results in the meta-analysis are reported as mean difference (MD) with 95% confidence interval (CI). Study quality was assessed using the revised Cochrane Risk of Bias Tool and Grading of Recommendations Assessment, Development, and Evaluation assessment.</p></div><div><h3>Results</h3><p>In total, 19 RCTs comprising 568 participants were included in this systematic review and meta-analysis. TRE combined with exercise likely reduced the participants’ body mass (MD: −1.86 kg; 95% CI: −2.75, −0.97 kg) and fat mass (MD: −1.52 kg; 95% CI: −2.07, −0.97 kg) when compared with the control diet with exercise. In terms of metabolic health, the TRE combined with exercise group likely reduced triglycerides (MD: −13.38 mg/dL, 95% CI: −21.22, −5.54 mg/dL) and may result in a reduction in low-density lipoprotein (MD: −8.52 mg/dL; 95% CI: −11.72, −5.33 mg/dL) and a large reduction in leptin (MD: −0.67 ng/mL; 95% CI: −1.02, −0.33 ng/mL). However, TRE plus exercise exhibited no additional benefit on the glucose profile, including fasting glucose and insulin, and other lipid profiles, including total cholesterol and high-density lipoprotein concentrations, compared with the control group.</p></div><div><h3>Conclusions</h3><p>Combining TRE with exercise may be more effective in reducing body weight and fat mass and improving lipid profile than control diet with exercise. Implementing this approach may benefit individuals aiming to achieve weight loss and enhance their metabolic well-being.</p><p>This study was registered in PROSPERO as CRD42022353834.</p></div>","PeriodicalId":7349,"journal":{"name":"Advances in Nutrition","volume":"15 8","pages":"Article 100262"},"PeriodicalIF":8.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2161831324000966/pdfft?md5=95e497a9aa7de04092f4c3fdf9619089&pid=1-s2.0-S2161831324000966-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
National Policies to Limit Food Marketing and Competitive Food Sales in Schools: A Global Scoping Review 限制学校食品营销和竞争性食品销售的国家政策:全球范围审查。
IF 8 1区 医学
Advances in Nutrition Pub Date : 2024-06-12 DOI: 10.1016/j.advnut.2024.100254
Michelle Perry , Kayla Mardin , Grace Chamberlin , Emily A Busey , Lindsey Smith Taillie , Francesca R Dillman Carpentier , Barry M Popkin
{"title":"National Policies to Limit Food Marketing and Competitive Food Sales in Schools: A Global Scoping Review","authors":"Michelle Perry ,&nbsp;Kayla Mardin ,&nbsp;Grace Chamberlin ,&nbsp;Emily A Busey ,&nbsp;Lindsey Smith Taillie ,&nbsp;Francesca R Dillman Carpentier ,&nbsp;Barry M Popkin","doi":"10.1016/j.advnut.2024.100254","DOIUrl":"10.1016/j.advnut.2024.100254","url":null,"abstract":"<div><p>School food environments contribute to children’s nutritional intake and overall health. As such, the World Health Organization and other public health organizations encourage policies that restrict children’s access and exposure to foods and beverages that do not build health in and around schools. This global scoping review explores the presence and characteristics of policies that restrict competitive food sales and marketing for unhealthy foods across 193 countries using evidence from policy databases, gray literature, peer-reviewed literature, and primary policy documents. Policies were included if they were nationally mandated and regulated marketing and/or competitive foods in the school environments. Worldwide, only 28% of countries were found to have any national-level policy restricting food marketing or competitive food sales in schools: 16% of countries restrict marketing, 25% restrict competitive foods, and 12% restrict both. Over half of policies were found in high-income countries. No low-income countries had either policy type. Eight marketing policies (27%) and 14 competitive foods policies (29%) lacked explicit guidelines for either policy monitoring or enforcement. Future research is needed to assess the prevalence of policies aimed at improving other key aspects of the school food environment, such as dietary quality of school meals or food procurement, as well as assess the implementation and efficacy of existing policies.</p></div>","PeriodicalId":7349,"journal":{"name":"Advances in Nutrition","volume":"15 8","pages":"Article 100254"},"PeriodicalIF":8.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2161831324000887/pdfft?md5=bb28a07d3e146196ef84265bb9ece36f&pid=1-s2.0-S2161831324000887-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Extent, Range, and Nature of Quantitative Nutrition Research Engaging with Intersectional Inequalities: A Systematic Scoping Review 涉及交叉不平等的定量营养研究的程度、范围和性质:系统性范围审查。
IF 9.3 1区 医学
Advances in Nutrition Pub Date : 2024-06-01 DOI: 10.1016/j.advnut.2024.100237
Emily Fivian , Helen Harris-Fry , Claudia Offner , Michele Zaman , Bhavani Shankar , Elizabeth Allen , Suneetha Kadiyala
{"title":"The Extent, Range, and Nature of Quantitative Nutrition Research Engaging with Intersectional Inequalities: A Systematic Scoping Review","authors":"Emily Fivian ,&nbsp;Helen Harris-Fry ,&nbsp;Claudia Offner ,&nbsp;Michele Zaman ,&nbsp;Bhavani Shankar ,&nbsp;Elizabeth Allen ,&nbsp;Suneetha Kadiyala","doi":"10.1016/j.advnut.2024.100237","DOIUrl":"10.1016/j.advnut.2024.100237","url":null,"abstract":"<div><p>Addressing malnutrition for all requires understanding inequalities in nutrition outcomes and how they intersect. Intersectionality is increasingly used as a theoretical tool for understanding how social characteristics intersect to shape inequalities in health outcomes. However, little is known about the extent, range, and nature of quantitative nutrition research engaging with intersectional inequalities. This systematic scoping review aimed to address this gap. Between 15 May 2021 and 15 May 2022, we searched 8 databases. Studies eligible for inclusion used any quantitative research methodology and aimed to investigate how social characteristics intersect to influence nutrition outcomes. In total, 55 studies were included, with 85% published since 2015. Studies spanned populations in 14 countries but were concentrated in the United States (<em>n</em> = 35) and India (<em>n</em> = 7), with just 1 in a low-income country (Mozambique). Race or ethnicity and gender were most commonly intersected (<em>n</em> = 20), and body mass index and overweight and/or obesity were the most common outcomes. No studies investigated indicators of infant and young child feeding or micronutrient status. Study designs were mostly cross-sectional (80%); no mixed-method or interventional research was identified. Regression with interaction terms was the most prevalent method (<em>n</em> = 26); 2 of 15 studies using nonlinear models took extra steps to assess interaction on the additive scale, as recommended for understanding intersectionality and assessing public health impacts. Nine studies investigated mechanisms that may explain why intersectional inequalities in nutrition outcomes exist, but intervention-relevant interpretations were mostly limited. We conclude that quantitative nutrition research engaging with intersectionality is gaining traction but is mostly limited to the United States and India. Future research must consider the intersectionality of a wider spectrum of public health nutrition challenges across diverse settings and use more robust and mixed-method research to identify specific interventions for addressing intersectional inequalities in nutrition outcomes. Data systems in nutrition must improve to facilitate this.</p><p>This review was registered in PROSPERO as CRD42021253339.</p></div>","PeriodicalId":7349,"journal":{"name":"Advances in Nutrition","volume":"15 6","pages":"Article 100237"},"PeriodicalIF":9.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2161831324000711/pdfft?md5=8b4d860f5d7bb67e716a623cc3f50177&pid=1-s2.0-S2161831324000711-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prioritizing Nutrition in Medical Education—the Time Has Come 优先考虑医学教育中的营养问题--时机已到。
IF 8 1区 医学
Advances in Nutrition Pub Date : 2024-06-01 DOI: 10.1016/j.advnut.2024.100231
Andrew A Bremer
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