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Participant Redemption and Engagement in Produce Prescription Programs: A Qualitative Analysis of Implementer Perspectives 生产处方计划的参与者赎回与参与:执行者视角的定性分析
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2025-09-01 DOI: 10.1016/j.cdnut.2025.107530
Eric E Calloway , Bailey Houghtaling , Elise J Mitchell , Gabrielle E Talavera , Victoria A Zigmont , Hilary K Seligman , Amy L Yaroch , Erin Summerlee , Christopher R Long

Background

Produce prescription programs are a type of Food is Medicine (FIM) strategy to address food and nutrition insecurity and promote health among patients. Although produce prescription programs can be effective at improving health (e.g., reduce hemoglobin A1c), program designs tend to be highly heterogeneous, and the degree to which participants engage with the programs and redeem prescriptions varies widely.

Objectives

The purpose of this qualitative study was to explore produce prescription programs design and implementation practices for promoting fruit and vegetable prescription redemption and participant engagement using an implementation science framework.

Methods

Interview guide development followed the Exploration, Preparation, Implementation, Sustainment (EPIS) Framework. We conducted 60-min semistructured interviews with Gus Schumacher Nutrition Incentive Program produce prescription program leads (n = 15) from across the United States to understand factors they felt impacted participant redemption and engagement. We used an inductive thematic analysis using a rapid qualitative approach and mapped emergent themes to EPIS constructs to identify themes.

Results

We identified 16 relevant themes. These themes centered around ensuring programmatic fit to the participants and the setting, especially addressing access barriers, partnerships and staffing, added services provided, and systems for program monitoring and for participant navigation and communication.

Conclusions

This study helps elucidate further about produce prescription program characteristics that may influence prescription redemption and engagement. These qualitative findings can help provide evidence to current program implementers and future researchers of the best practices for produce prescription programs and FIM interventions overall.
农产品处方项目是食品即药物(FIM)战略的一种,旨在解决食品和营养不安全问题,促进患者的健康。虽然农产品处方项目可以有效地改善健康(例如,降低血红蛋白A1c),但项目设计往往是高度异质的,参与者参与项目和兑换处方的程度差异很大。本定性研究的目的是利用实施科学框架探索农产品处方计划的设计和实施实践,以促进水果和蔬菜处方的赎回和参与者的参与。方法访谈引导开发遵循探索、准备、实施、维持(EPIS)框架。我们对来自美国各地的格斯·舒马赫营养激励计划处方项目负责人(n = 15)进行了60分钟的半结构化访谈,以了解他们认为影响参与者救赎和参与的因素。我们使用快速定性方法进行归纳主题分析,并将新兴主题映射到EPIS结构中以识别主题。结果我们确定了16个相关主题。这些主题围绕着确保项目与参与者和环境的契合,特别是解决准入障碍、伙伴关系和人员配备、提供的额外服务以及项目监测和参与者导航和沟通系统等问题。结论本研究有助于进一步阐明影响处方赎回和参与的农产品处方项目特征。这些定性研究结果可以为当前项目的实施者和未来的研究人员提供证据,帮助他们了解生产处方项目和FIM干预措施的最佳实践。
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引用次数: 0
Ideal Protein-Based Estimation of Essential Amino Acid Requirements and The Role of Lysine Supplementation in Low-Protein Feed Formulations of Abalone 以理想蛋白质为基础的必需氨基酸需要量估算及赖氨酸在鲍鱼低蛋白质饲料配方中的作用
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2025-09-01 DOI: 10.1016/j.cdnut.2025.107528
Yao-Bin Ma , Wei-Guang Zou , Chun-Xiang Ai , Sheng-Tai Liu , Xuan Luo , Wei-Wei You , Cai-Huan Ke

Background

High dietary protein levels in aquafeeds lead to increased nitrogenous waste, which requires the development of sustainable feeding strategies that balance growth performance with environmental responsibility.

Objectives

This study calculated the ratio of essential amino acids to lysine and investigated whether dietary protein could be reduced in feeds for Lvpan abalone (Haliotis discus hannai♀ × Haliotis fulgens♂) by lysine supplementation.

Methods

Five diets were formulated to be isoenergetic: a control diet (CP27, 27% crude protein), 2 low-protein diets (CP23 and CP19, 23% and 19% CP, respectively), and their lysine supplementation counterparts (CP23 + AA and CP19 + AA). After an 84-d feeding trial (initial abalone weight, 19.49 ± 0.52 g), the growth, digestibility, nitrogen excretion, hepatic transaminases, muscle composition, water-holding capacity, texture, and volatile profile were measured.

Results

The CP23 + AA diet maintained growth performance, improved apparent protein digestibility, and decreased nitrogen excretion compared with the control (P < 0.05). In contrast, the CP19 + AA diet reduced growth (P < 0.05). Lysine supplementation in the CP23 + AA group resulted in an increase in transaminase activity compared with the CP23 group, but it was not statistically significant (P > 0.05). Transaminase activity was greater in the CP19 + AA group than in the unsupplemented CP19 group (P < 0.05).

Conclusions

A 4% reduction in dietary protein, when supplemented with lysine, demonstrates potential for sustainable abalone aquaculture through sustained growth and product quality coupled with reduced nitrogenous waste production.
水产饲料中较高的日粮蛋白质水平会导致氮废物增加,这就需要制定可持续的饲养策略,以平衡生长性能和环境责任。目的通过计算必需氨基酸与赖氨酸的比值,探讨添加赖氨酸是否能降低lvan鲍鱼(halotis discus hannai♀× Haliotis fulgens♂)饲料中的蛋白质含量。方法配制5种等能饲粮:1种对照饲粮(CP27,粗蛋白质含量为27%),2种低蛋白质饲粮(CP23和CP19,粗蛋白质含量分别为23%和19%),以及相应赖氨酸补充饲粮(CP23 + AA和CP19 + AA)。84 d饲喂试验(初始鲍鱼体重19.49±0.52 g)后,测定鲍鱼的生长、消化率、氮排泄、肝脏转氨酶、肌肉组成、持水能力、质地和挥发性特征。结果与对照组相比,CP23 + AA饲粮维持了生长性能,提高了蛋白质表观消化率,降低了氮排泄量(P < 0.05)。相比之下,CP19 + AA日粮降低了生长(P < 0.05)。与CP23组相比,添加赖氨酸可使转氨酶活性升高,但差异无统计学意义(P > 0.05)。CP19 + AA组转氨酶活性显著高于未添加CP19组(P < 0.05)。结论在添加赖氨酸的情况下,饲粮蛋白质降低4%,表明鲍鱼养殖具有持续生长和提高产品质量的潜力,同时减少了含氮废物的产生。
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引用次数: 0
Association between Early Pregnancy Maternal Folate and Glycemic Indices at Oral Glucose Tolerance Test: A Systematic Review and Meta-analysis 妊娠早期母体叶酸与口服糖耐量试验中血糖指标的关系:系统回顾和荟萃分析
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2025-09-01 DOI: 10.1016/j.cdnut.2025.107531
Nishanthi Periyathambi , Swetha Sampathkumar , Nithya Sukumar , Yonas Ghebremichael-Weldeselassie , Ponnusamy Saravanan

Background

Folate plays a crucial role in fetal development, but its relationship with maternal glucose metabolism remains inconclusive. Recent meta-analyses have suggested a correlation between high folate and risk of gestational diabetes mellitus in pregnancy; however, its association with different glycemic parameters has not yet been explored.

Objectives

This study aims to comprehensively synthesize evidence and test the association between early pregnancy circulating folate (<16 wk of gestation) and glycemic indices measured during oral glucose tolerance testing (OGTT) at 24–28 wk.

Methods

We conducted a systematic search of databases up to 25 June, 2025, examining the relationship between early pregnancy folate and maternal glycemic indices. Study quality was assessed by Newcastle-Ottawa Scale. Standardized effect sizes (std. β coefficients) for serum/plasma folate were pooled using a random-effects model. Subgroup and sensitivity analyses were performed to account for between-study heterogeneity.

Results

Ten studies were included in this meta-analysis. Early pregnancy maternal folate levels were positively associated with glycemic indices measured at the time of OGTT. One standard deviation (nmol/L) increase in early pregnancy serum folate was associated with 0.01 [95% confidence interval (CI): −0.001, 0.01] mmol/L higher fasting, 0.17 (95% CI: 0.15, 0.18) mmol/L higher 1-h glucose, and 0.10 (95% CI: 0.05, 0.15) mmol/L higher 2-h glucose levels during OGTT Subgroup analyses revealed similar positive association between mid-pregnancy circulating folate and glucose levels measured at the time of OGTT despite substantial between-study heterogeneity (I2>70%).

Conclusions

Our analysis suggests a possible association between higher early pregnancy folate levels and higher glucose levels at the time of OGTT. However, these findings should be interpreted cautiously, given the methodological limitations and the limited number of studies included in this review.
This trial was registered at PROSPERO as CRD42021255022.
叶酸在胎儿发育中起着至关重要的作用,但其与母体葡萄糖代谢的关系尚不明确。最近的荟萃分析表明,高叶酸与妊娠期糖尿病风险之间存在相关性;然而,其与不同血糖参数的关系尚未探讨。目的综合证据,探讨妊娠早期循环叶酸(妊娠16周)与24 ~ 28周口服糖耐量试验(OGTT)血糖指标的关系。方法系统检索截至2025年6月25日的数据库,研究妊娠早期叶酸与孕妇血糖指数的关系。采用纽卡斯尔-渥太华量表评估研究质量。采用随机效应模型汇总血清/血浆叶酸的标准化效应量(std. β系数)。进行亚组和敏感性分析以解释研究间的异质性。结果本meta分析纳入了10项研究。妊娠早期母体叶酸水平与OGTT时测量的血糖指数呈正相关。妊娠早期血清叶酸增加1个标准差(nmol/L)与空腹升高0.01[95%可信区间(CI):−0.001,0.01]mmol/L、1小时血糖升高0.17 (95% CI: 0.15, 0.18) mmol/L和2小时血糖升高0.10 (95% CI: 0.05, 0.15) mmol/L相关。在OGTT亚组分析中,妊娠中期循环叶酸与OGTT时测量的血糖水平之间存在类似的正相关,尽管存在研究间异质性(I2>70%)。结论sour分析提示妊娠早期较高的叶酸水平与OGTT时较高的血糖水平可能存在关联。然而,考虑到方法学的局限性和本综述中纳入的研究数量有限,这些发现应谨慎解释。该试验在普洛斯彼罗注册为CRD42021255022。
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引用次数: 0
Psychosocial Influences on Breastfeeding Duration: Maternal, Paternal, and Infant Contributors 对母乳喂养持续时间的社会心理影响:母亲、父亲和婴儿
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2025-09-01 DOI: 10.1016/j.cdnut.2025.107537
Yuting Fan , Sharon M Donovan , Kelly F Bost
Breastfeeding provides significant health benefits for infants and mothers, yet many families face challenges leading to early cessation. The role of maternal psychosocial factors, paternal psychosocial support, and parental perceptions of infant characteristics on breastfeeding duration remains underexplored. This narrative review aimed to synthesize recent literature on the psychosocial influences of maternal, paternal, and infant-related factors on breastfeeding duration. A literature search was conducted in the PubMed database to extract peer-reviewed studies between 2014 and 2024. The search terms include those relate to parents (e.g., “mother,” “father,” “maternal,” “paternal,”), infants (e.g., “infant,” “baby”), psychosocial factors (e.g., “mental health,” “self-efficacy,” “depression,” “anxiety”), and breastfeeding duration outcomes (e.g., “breastfeeding duration,” “continuation”) to identify relevant studies. A total of 447 articles were identified through the initial search, and 31 articles were included in the final qualitative analysis based on relevance to the inclusion criteria. The literature suggests that maternal mental well-being and lower self-efficacy are the most prominent predictors of breastfeeding duration and cessation. Additionally, fathers’ active participation, such as providing emotional support, can have a positive impact on breastfeeding duration. Variations in infant temperament were found to be associated with maternal breastfeeding and caregiving styles, which in turn influence breastfeeding duration. In summary, maternal, paternal, and infant psychosocial factors all contribute to variations in breastfeeding duration; however, paternal psychological factors and infant temperament are underrepresented in research on breastfeeding. A more holistic perspective is needed to guide future research and interventions aimed at supporting breastfeeding persistence.
母乳喂养对婴儿和母亲的健康大有裨益,但许多家庭面临着导致过早停止母乳喂养的挑战。母亲的社会心理因素、父亲的社会心理支持和父母对婴儿特征的看法对母乳喂养持续时间的作用仍未得到充分探讨。这篇叙述性综述旨在综合最近关于母亲、父亲和婴儿相关因素对母乳喂养持续时间的社会心理影响的文献。在PubMed数据库中进行了文献检索,以提取2014年至2024年间的同行评议研究。搜索词包括与父母(例如,“母亲”,“父亲”,“母亲”,“父亲”),婴儿(例如,“婴儿”,“婴儿”),社会心理因素(例如,“心理健康”,“自我效能”,“抑郁”,“焦虑”)和母乳喂养持续时间结果(例如,“母乳喂养持续时间”,“继续”)有关的内容,以确定相关研究。通过初步检索共识别出447篇文章,根据与纳入标准的相关性,最终定性分析纳入31篇文章。文献表明,母亲的心理健康和较低的自我效能感是母乳喂养持续时间和停止的最突出的预测因素。此外,父亲的积极参与,如提供情感支持,可对母乳喂养时间产生积极影响。婴儿气质的变化被发现与母亲的母乳喂养和照顾方式有关,这反过来又影响母乳喂养的持续时间。总之,母亲、父亲和婴儿心理社会因素都会影响母乳喂养持续时间的变化;然而,父亲心理因素和婴儿气质在母乳喂养研究中代表性不足。需要一个更全面的视角来指导未来的研究和干预措施,以支持母乳喂养的坚持。
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引用次数: 0
Protein Adequacy in Europe: Adjusting Crude Intakes Using the Protein Adequacy and Quality Score (PAQS) 欧洲的蛋白质充足性:使用蛋白质充足性和质量评分(PAQS)调整原油摄入量
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2025-08-29 DOI: 10.1016/j.cdnut.2025.107539
Samantha Nikita Heerschop , Sander Biesbroek , Merel Celine Daas , Anneleen Kuijsten , Mirjana Gurinović , Johanna Marianne Geleijnse , Pieter van ’t Veer

Background

Because of high overall protein intakes and the substantial proportion of animal-based protein in Europe, protein quality was not considered an issue. However, this may become important when moving toward more sustainable diets that include more plant protein.

Objectives

To facilitate the assessment of protein adequacy while considering protein quality, this study aimed to provide an overview of current protein intake and adequacy in European adults, based on crude and utilizable protein.

Methods

To assess the prevalence of inadequate protein intake in Europe, the Protein Adequacy and Quality Score (PAQS) was developed and applied to adults (18–64 y) of 25 national dietary surveys obtained from the Comprehensive European Food Consumption Database of the European Food Safety Authority. The PAQS assesses protein adequacy as the ratio of daily utilizable protein intake to requirement, with utilizable protein calculated on a meal basis by considering protein digestibility, indispensable amino acid requirements, and crude protein intake.

Results

When accounting for energy misreporting, within-subject variation, and nonnormality of the intake distribution, the prevalence of crude protein inadequacy was <1% in both sexes. Utilizable protein inadequacy ranged from 0% (Spain) to 7% (Austria) in females, except for Germany (17%), and from 0% (Montenegro) to 6% (Germany) in males.

Conclusions

These findings suggest no immediate concern for healthy adults regarding utilizable protein intake of current diets. However, diets of females in Germany may warrant closer attention.
由于欧洲的蛋白质总摄入量高,动物蛋白占很大比例,蛋白质质量不被认为是一个问题。然而,当转向包括更多植物蛋白的更可持续的饮食时,这可能变得很重要。为了在考虑蛋白质质量的同时促进蛋白质充足性的评估,本研究旨在提供基于粗蛋白质和可利用蛋白质的欧洲成年人当前蛋白质摄入量和充足性的概述。方法为了评估欧洲蛋白质摄入不足的普遍程度,开发了蛋白质充足性和质量评分(PAQS),并将其应用于欧洲食品安全局欧洲食品消费综合数据库中25个国家膳食调查的成年人(18-64岁)。PAQS以每日可利用蛋白质摄入量与需要量之比来评估蛋白质充足性,可利用蛋白质以一餐为单位,综合考虑蛋白质消化率、必需氨基酸需要量和粗蛋白质摄入量。结果考虑到能量误报、受试者内部差异和摄入分布的异常,男女粗蛋白质不足的发生率均为1%。除德国(17%)外,女性可利用蛋白质缺乏率从0%(西班牙)到7%(奥地利)不等;男性可利用蛋白质缺乏率从0%(黑山)到6%(德国)不等。结论:这些研究结果表明,健康成年人对当前饮食中的可利用蛋白质摄入量没有直接的担忧。然而,德国女性的饮食可能需要更密切的关注。
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引用次数: 0
Feeding Practices Among Children Aged 6–36 Months Living in Urban Abidjan, Cote D’Ivoire: The Victory Cross-Sectional Study 科特迪瓦阿比让城市6-36个月儿童的喂养习惯:胜利横断面研究
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2025-08-26 DOI: 10.1016/j.cdnut.2025.107536
Jeanne H Bottin , Amed Coulibaly , Stéphane Parfait Sablé , Julie Derrien , Peggy Drouillet-Pinard , Sassor Odile Purifine Aké-Tano

Background

Micronutrient deficiencies, often resulting from the consumption of diets with low nutritional value and diversity, remain a major public health concern for children in low-income countries. Understanding food consumption practices is crucial for providing an evidence-based foundation for designing and implementing effective intervention strategies to address micronutrient deficiencies in vulnerable geographies and populations.

Objectives

To assess infant feeding practices and dietary intakes of healthy children aged 6–36 mo living in Abidjan, Cote Ivoire.

Methods

Food and beverage intake was collected by their mother using an interview-based 24-h dietary intake questionnaire. Dietary intake was assessed after classification based on food groups and subgroups defined by the Food and Agriculture Organization/World Health Organization, adjusted to reflect Ivorian food specificities. Dietary quality was evaluated through dietary diversity scores.

Results

Four hundred seven children were included (6–11 mo old: n = 213; 12–23 mo old: n = 135; and 24–36 mo old: n = 59; 53% female). Exclusive and nonexclusive breastfeeding prevalence at 6 mo was 37% and 95%, respectively. Breastfeeding continuation rates were 85%, 38%, and 3% in the 6- to 11-, 12- to 23-, and 24- to 36-mo-old group, respectively. The most consumed food groups were dairy (92% of the sample), cereals (88%), roots, tubers, and starchy foods (38%), fish (49%), and vegetables (41%), whereas meat (11%), fruits (15%), eggs (15%), pulses (3%), and seeds and nuts (2%) were seldom consumed. Milk intake decreased with age, whereas cereal and starchy food consumption increased. Dietary diversity was low (dietary diversity score: 3.3 ± 1.4), increasing with age. The proportion of children not meeting the minimum dietary diversity was 74%.

Conclusions

The study provided information on the dietary intake of children aged 6–36 mo. The results showed that the children’s feeding practices and dietary intakes are suboptimal. This calls for interventions to improve child feeding practices in this age group.
背景微量营养素缺乏通常是由于食用营养价值低和营养多样性差的饮食造成的,这仍然是低收入国家儿童面临的一个主要公共卫生问题。了解食物消费习惯对于为设计和实施有效的干预战略以解决脆弱地区和人群的微量营养素缺乏问题提供循证基础至关重要。目的评估科特迪瓦阿比让6-36个月健康儿童的婴儿喂养方式和饮食摄入量。方法采用24小时膳食摄入量问卷,收集母亲的食物和饮料摄入量。膳食摄入量是根据粮食及农业组织/世界卫生组织确定的食物类别和亚类别进行分类后评估的,并根据科特迪瓦的食物特点进行了调整。通过膳食多样性评分评估膳食质量。结果共纳入447例患儿(6 ~ 11月龄213例,12 ~ 23月龄135例,24 ~ 36月龄59例,女性占53%)。6个月纯母乳喂养和非纯母乳喂养的患病率分别为37%和95%。在6至11岁、12至23岁和24至36岁年龄组中,母乳喂养继续率分别为85%、38%和3%。食用最多的食物是乳制品(占样本的92%)、谷物(88%)、根、块茎和淀粉类食物(38%)、鱼(49%)和蔬菜(41%),而肉类(11%)、水果(15%)、鸡蛋(15%)、豆类(3%)、种子和坚果(2%)则很少食用。牛奶的摄入量随着年龄的增长而减少,而谷物和淀粉类食物的摄入量则增加。膳食多样性较低(膳食多样性评分:3.3±1.4),随年龄增长而增加。未达到最低膳食多样性标准的儿童比例为74%。结论本研究提供了6-36月龄儿童膳食摄入量的信息,结果表明儿童的喂养方式和膳食摄入量不理想。这就要求采取干预措施,改善这一年龄组的儿童喂养做法。
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引用次数: 0
Corrigenda for ‘Abstracts from NUTRITION 2025’ [Current Developments in Nutrition 9S2 (2025)] “NUTRITION 2025摘要”更正[营养学最新发展9S2 (2025)]
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2025-08-14 DOI: 10.1016/j.cdnut.2025.107527
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引用次数: 0
The Comparative Effects of White Potato and White Rice Consumption on Measures of Cardiometabolic Health in Individuals with Type 2 Diabetes Mellitus and Features of Metabolic Syndrome 食用白薯和白米对2型糖尿病患者心脏代谢健康指标和代谢综合征特征的比较影响
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2025-08-06 DOI: 10.1016/j.cdnut.2025.107518
Neda S Akhavan , Holly E Clarke , Taylor A Behl , Saiful Singar , Amy P Mullins , Raedeh Basiri , Joshua Kidwell , Bahram H Arjmandi , Claire E Berryman , Robert C Hickner

Background

The objective of this study was to compare the effects of daily consumption of white potatoes compared with white rice on cardiometabolic health in individuals with type-2 diabetes (T2D).

Objective

To determine the effects of white potato consumption compared to white rice (a commonly consumed refined grain) on indices of glycemic control and cardiovascular health in individuals with overweight or obesity and T2D.

Methods

In this randomized crossover study, comparative control trial, 24 adults with T2D [45–80 y, body mass index (kg/m2) 25–40] consumed baked white potatoes (100 g) or calorie-matched white rice (75 g) daily for 12 wk, separated by a 2-wk washout, with assessments of glycemic control, lipids, inflammation, blood pressure, endothelial function, and body composition at baseline (only 1 baseline visit included as a covariate in statistical analyses), 6 wk, and 12 wk. A linear mixed model was used to assess treatment (potato or rice), time (6 wk or 12 wk), and the treatment-by-time interaction for all outcome variables.

Results

There were no significant (P ≤ 0.05) treatment-by-time interactions for any outcome. There was a main effect of treatment (i.e., independent of time) with the potato regimen resulting in lower waist circumference (P < 0.0001; 4.5 ± 1.0 cm), percent fat mass (P = 0.01; 1.7 ± 0.7%), waist-to-hip ratio (P = 0.002; 0.025 ± 0.013), heart rate (P = 0.01; 3.1 ± 1.2 bpm), as well as higher percent fat-free mass (P = 0.05; 1.4 ± 0.7%) and maximum brachial artery dilation (P = 0.05; 0.074 ± 0.037 mm) when compared to the rice regimen. There were significant timepoint effects (i.e., independent of treatment) for increased homeostatic model assessment of β-cell function (P = 0.02; 34.3 ± 14.5) and decreased high sensitivity C-reactive protein (P = 0.02; 0.08 ± 0.05 μg/mL) and flow-mediated dilation/shear (P = 0.03; 4.3 × 10–5 ± 3.79 × 10–5) during the study.

Conclusions

White potatoes did not negatively affect glycemic indices, vascular health, lipids, or blood pressure compared to white rice and modestly improved body composition and vascular measures. In both groups, over time, there were reductions in flow-mediated dilation/shear stress, β cell function, and high-sensitivity C-reactive protein. Our preliminary results support white potatoes as a substitute for white rice in T2D.
本研究的目的是比较每天食用白土豆和白米饭对2型糖尿病(T2D)患者心脏代谢健康的影响。目的比较白马铃薯与白米(一种常见的精制谷物)对超重或肥胖和T2D患者血糖控制指标和心血管健康的影响。方法在这项随机交叉研究中,比较对照试验中,24名患有T2D[45-80岁,体重指数(kg/m2) 25-40]的成年人每天食用烤白土豆(100克)或卡路里匹配的白米饭(75克),持续12周,通过2周的清洗来分开,评估血糖控制、血脂、炎症、血压、内皮功能和身体成分在基线(仅包括1次基线访问作为统计分析中的一个变量)、6周和12周。使用线性混合模型评估处理(马铃薯或水稻)、时间(6周或12周)以及所有结果变量的处理时间相互作用。结果两组治疗时间间无显著相互作用(P≤0.05)。有主要影响的治疗(例如,独立的时间)土豆方案导致低腰围(P & lt; 0.0001; 4.5±1.0厘米),脂肪量百分比(P = 0.01; 1.7±0.7%)、腰臀比(P = 0.002, 0.025±0.013)、心率(P = 0.01, 3.1±1.2 bpm),以及更高的无脂质量百分比(P = 0.05; 1.4±0.7%)和最大肱动脉扩张(P = 0.05, 0.074±0.037毫米)相比,水稻方案。在研究期间,β细胞功能的稳态模型评估增加(P = 0.02; 34.3±14.5),高敏感性c反应蛋白(P = 0.02; 0.08±0.05 μg/mL)和血流介导的扩张/剪切(P = 0.03; 4.3 × 10-5±3.79 × 10-5)存在显著的时间点效应(即与治疗无关)。结论:与白米相比,白土豆对血糖指数、血管健康、血脂或血压没有负面影响,并适度改善了身体成分和血管指标。在两组中,随着时间的推移,血流介导的扩张/剪切应力、β细胞功能和高敏c反应蛋白都有所降低。我们的初步结果支持白马铃薯在T2D中作为白米的替代品。
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引用次数: 0
Association of Veggie Meter–Assessed Skin Carotenoids and Dietary Intake Among Indigenous Families: The Indigenous Supported Agriculture “Go Healthy” Study 蔬菜计量评估皮肤类胡萝卜素与土著家庭膳食摄入量的关系:土著支持农业“走向健康”研究
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2025-08-05 DOI: 10.1016/j.cdnut.2025.107521
Susan B Sisson , Emma Kasahara , Shanon Casperson , Stephanie Jilcott Pitts , Jessica Reese , Ying Zhang , Tori Taniguchi , Kaylee R Clyma , Jann Hayman , Valarie Blue Bird Jernigan

Background

Indigenous communities have seldom been included in previous research on skin carotenoid scores (SCS) and diet. Further, little is known about familial SCS.

Objectives

This study aimed to examine associations between SCS and body mass index (BMI), dietary intake among adults and children in Osage Nation, and examine associations between SCS among family members.

Methods

This cross-sectional study examined SCS measured using a Veggie Meter. Adults completed a single 24-h diet recall to calculate the Healthy Eating Index (HEI)-2015. Linear mixed modeling was used to examine associations, while accounting for family correlation. Linear regression (adjusting for age, sex, BMI, tobacco use, and season) was used to examine associations between SCS and diet. Spearman correlation were used to examine associations between SCS between household members.

Results

Among the study population, 61% of adults (n = 445) was females and 93% overweight/obese; HEI was 42.7 ± 11.2; and SCS was 211.8 ± 57.9. Further, 55.6% of children (n = 135, 3–17 y) was females and 45.2% overweight/obese, with HEI of 207.8 ± 62.0. In adults, SCS were higher in males than that in females (226.0 ± 61.0 compared with 203.6 ± 55.1; P < 0.001). Children <10 y had higher SCS than those ≥10 y (221.4 ± 65.8 compared with 194.2 ± 55.5; P = 0.017). Children with obesity (178.4 ± 44.0) had significantly lower SCS than children in other weight classifications (P = 0.023). HEI was significantly associated with SCS (β: 0.50; 95% CI: 0.01, 0.99). Household adult SCS was significantly correlated (r = 0.26; P = 0.005). SCS among children <10 y were significantly associated with adult SCS (r = 0.34; P = 0.037). No correlations were observed in SCSs between children ≥10 y and adults.

Conclusions

Adult males, younger (<10 y) children, and nonobese children show higher SCS. A healthier overall diet, as measured by HEI, is associated with higher SCS in adults, while controlling for covariates. Within families, SCS between adults were correlated, indicating similar dietary intake of fruit and vegetables. Adult SCS within households is associated with young children’s (<10 y) SCS, but not with that of older children (≥10 y).
以往关于皮肤类胡萝卜素评分(SCS)和饮食的研究很少包括土著社区。此外,对家族性SCS知之甚少。本研究旨在研究奥塞奇族成人和儿童中SCS与体重指数(BMI)、饮食摄入之间的关系,以及家庭成员中SCS之间的关系。方法本横断面研究采用蔬菜计测量SCS。成年人完成了单一的24小时饮食回忆,以计算健康饮食指数(HEI)-2015。线性混合模型用于检验关联,同时考虑家族相关性。使用线性回归(调整年龄、性别、BMI、吸烟和季节)来检查SCS与饮食之间的关系。Spearman相关被用来检验家庭成员间SCS之间的关联。结果在研究人群中,61%的成年人(n = 445)为女性,93%超重/肥胖;HEI为42.7±11.2;SCS为211.8±57.9。55.6% (n = 135, 3 ~ 17岁)为女性,45.2%超重/肥胖,HEI为207.8±62.0。在成人中,男性的SCS高于女性(226.0±61.0比203.6±55.1;P < 0.001)。10岁以下儿童的SCS高于10岁以上儿童(221.4±65.8比194.2±55.5;P = 0.017)。肥胖儿童(178.4±44.0)的SCS明显低于其他体重类别儿童(P = 0.023)。HEI与SCS显著相关(β: 0.50; 95% CI: 0.01, 0.99)。家庭成人SCS显著相关(r = 0.26; P = 0.005)。儿童和成人的SCS显著相关(r = 0.34; P = 0.037)。≥10岁儿童与成人的SCSs无相关性。结论成年男性、年轻(10岁)儿童和非肥胖儿童的SCS较高。在控制协变量的情况下,HEI测量的更健康的总体饮食与成人较高的SCS相关。在家庭中,成年人之间的SCS是相关的,表明饮食中水果和蔬菜的摄入量相似。家庭内成人SCS与幼儿(<;10岁)SCS相关,但与较大儿童(≥10岁)SCS无关。
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引用次数: 0
“I Never Don’t Have Water Because I Collect Rainwater”: Domains of Water Insecurity and Their Sociocultural Correlates in an Indigenous Community of Northern Argentina “我从不没有水,因为我收集雨水”:阿根廷北部一个土著社区的水不安全领域及其社会文化相关性
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2025-08-05 DOI: 10.1016/j.cdnut.2025.107519
Sofia I Olmedo , Claudia R Valeggia , Cecilia Palavecino , Rafael Pérez-Escamilla
The lifestyles and worldviews of indigenous communities have long been deeply intertwined with natural resources, particularly water. These vital resources are now severely threatened by systemic social marginalization and the enduring impacts of colonization, further violating the human right to water access. Our primary objective was to assess the domains and correlates of water insecurity in a Pilagá community in Formosa, Argentina. This sequential exploratory mixed-methods cross-sectional study, conducted in 2023, involved data collection from Pilagá households representing 59 family clusters, covering all family units in the community. We used a prevalidated Household Water Insecurity Experience survey. Qualitative data were gathered through semistructured interviews and participant observation. The average age of participants was 36.8 ± 12.7 y, with most being women, who primarily handled the task of fetching water. Water insecurity was prevalent, affecting 62% of households, most of which depended on well pumps. The most serious concern associated with water was the lack of long-term stability. Through an ecologic model, we identified multiple interrelated contextual variables, revealing that shifts in one area (geographic, capitalistic market, water policies, and infrastructure policies) had ripple effects across others. Key correlates included water sources, cultural perceptions of water, resource distribution, and social dynamics around water. The Pilagá community confronts pervasive water insecurity within a challenging and evolving socioecologic landscape.
土著社区的生活方式和世界观长期以来一直与自然资源,特别是水资源紧密相连。这些重要的资源现在受到系统性的社会边缘化和殖民化的持久影响的严重威胁,进一步侵犯了获得水的人权。我们的主要目标是评估阿根廷福尔摩沙的一个pilag社区水不安全的领域和相关关系。这项顺序探索性混合方法横断面研究于2023年进行,涉及来自代表59个家庭集群的pilag家庭的数据收集,涵盖了社区的所有家庭单位。我们使用了预先验证的家庭用水不安全体验调查。通过半结构化访谈和参与式观察收集定性数据。参与者的平均年龄为36.8±12.7岁,其中大多数是女性,她们主要承担取水的任务。水不安全问题普遍存在,影响到62%的家庭,其中大多数依赖水井泵。与水有关的最严重的问题是缺乏长期的稳定性。通过生态模型,我们确定了多个相互关联的背景变量,揭示了一个领域(地理、资本市场、水政策和基础设施政策)的变化对其他领域产生了连锁反应。关键的相关因素包括水资源、对水的文化认知、资源分配和围绕水的社会动态。在具有挑战性和不断发展的社会生态景观中,pilag社区面临着普遍的水不安全问题。
{"title":"“I Never Don’t Have Water Because I Collect Rainwater”: Domains of Water Insecurity and Their Sociocultural Correlates in an Indigenous Community of Northern Argentina","authors":"Sofia I Olmedo ,&nbsp;Claudia R Valeggia ,&nbsp;Cecilia Palavecino ,&nbsp;Rafael Pérez-Escamilla","doi":"10.1016/j.cdnut.2025.107519","DOIUrl":"10.1016/j.cdnut.2025.107519","url":null,"abstract":"<div><div>The lifestyles and worldviews of indigenous communities have long been deeply intertwined with natural resources, particularly water. These vital resources are now severely threatened by systemic social marginalization and the enduring impacts of colonization, further violating the human right to water access. Our primary objective was to assess the domains and correlates of water insecurity in a Pilagá community in Formosa, Argentina. This sequential exploratory mixed-methods cross-sectional study, conducted in 2023, involved data collection from Pilagá households representing 59 family clusters, covering all family units in the community. We used a prevalidated Household Water Insecurity Experience survey. Qualitative data were gathered through semistructured interviews and participant observation. The average age of participants was 36.8 ± 12.7 y, with most being women, who primarily handled the task of fetching water. Water insecurity was prevalent, affecting 62% of households, most of which depended on well pumps. The most serious concern associated with water was the lack of long-term stability. Through an ecologic model, we identified multiple interrelated contextual variables, revealing that shifts in one area (geographic, capitalistic market, water policies, and infrastructure policies) had ripple effects across others. Key correlates included water sources, cultural perceptions of water, resource distribution, and social dynamics around water. The Pilagá community confronts pervasive water insecurity within a challenging and evolving socioecologic landscape.</div></div>","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"9 9","pages":"Article 107519"},"PeriodicalIF":3.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889499","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}
引用次数: 0
期刊
Current Developments in Nutrition
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