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Estimating the Number of People Eating Biofortified Foods On-Farm and from Markets: a Detailed Methodology and Tool 估计在农场和市场上食用生物强化食品的人数:详细的方法和工具
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2026-03-01 Epub Date: 2026-02-05 DOI: 10.1016/j.cdnut.2026.107653
Richard Alioma , Rita Wegmüller , Bho Mudyahoto , James P Wirth , Wolfgang Pfeiffer , Munawar Hussain , Erick Boy

Background

Biofortification is a cost-effective and scalable approach to reducing micronutrient deficiencies. Currently, there are scant data detailing the number (reach) and proportion (coverage) of individuals consuming biofortified foods, which is a key limitation for policymakers.

Objectives

This study aimed to develop a method to estimate the reach and coverage of biofortified foods using primary and secondary data sources.

Methods

We used data from 2023 to estimate the reach and coverage of zinc biofortified rice in Bangladesh and wheat in Pakistan, and vitamin A maize and cassava in Nigeria. Our calculation is divided into 5 phases: 1) seed availability, 2) agricultural production, 3) on-farm consumption, 4) off-farm consumption, and 5) overall national level reach and coverage. Phase 4 includes 2 consumption scenarios: full replacement and half replacement, where biofortified foods, respectively, account for 100% or 50% of the food crop per capita consumption.

Results

In 2023, ∼13–16 million people (8%–9% of the population) consumed biofortified rice in Bangladesh. In Pakistan, between 97 and 173 million people consumed biofortified wheat (39%–70% of the population). In Nigeria, biofortified maize was consumed by 42–66 million people (18%–29% of the population) and biofortified cassava by 25–38 million people (11%–17% of the population).

Conclusions

Our method estimates on-farm and off-farm reach and the reach/coverage of biofortified foods with visible and invisible traits. Because there is insufficient primary or secondary data describing the intake of biofortified foods, we estimated a range for off-farm reach. We estimate that in 2023, between 177 and 293 million people consumed the 4 biofortified crops explored in this analysis. This approach can be used to estimate the reach and coverage of other biofortified crops in other countries. More information about the consumption of these foods is usually needed to improve the accuracy of national reach and coverage estimates.
生物强化是减少微量营养素缺乏的一种具有成本效益和可扩展的方法。目前,很少有详细说明个人食用生物强化食品的数量(范围)和比例(覆盖范围)的数据,这是政策制定者的一个关键限制。目的本研究旨在建立一种利用第一手和二手数据来源评估生物强化食品的覆盖范围和覆盖范围的方法。方法利用2023年的数据估计锌生物强化水稻在孟加拉国、小麦在巴基斯坦、维生素A玉米和木薯在尼日利亚的覆盖范围和覆盖率。我们的计算分为5个阶段:1)种子可用性,2)农业生产,3)农场消费,4)农场消费,5)全国总体覆盖范围。第4阶段包括2种消费情景:完全替代和一半替代,其中生物强化食品分别占粮食作物人均消费量的100%或50%。结果2023年,孟加拉国约有1300万至1600万人(占人口的8%-9%)食用生物强化大米。在巴基斯坦,9700万至1.73亿人食用生物强化小麦(占人口的39%-70%)。在尼日利亚,食用生物强化玉米的人数为4200万至6600万人(占人口的18%-29%),食用生物强化木薯的人数为2500万至3800万人(占人口的11%-17%)。结论sour方法对具有可见性状和不可见性状的生物强化食品进行了农场及农场外及覆盖范围的评估。由于描述生物强化食品摄入量的主要或次要数据不足,我们估计了一个非农场范围。我们估计,到2023年,将有1.77亿至2.93亿人食用本分析中探讨的4种生物强化作物。这种方法可用于估计其他国家其他生物强化作物的覆盖范围和覆盖率。通常需要更多关于这些食品消费的信息,以提高国家范围和覆盖率估计的准确性。
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引用次数: 0
Effects of Drying Duration on the Bioactive Profile of Black Garlic and Its Utilization in Functional Herbal Tea 干燥时间对黑蒜生物活性的影响及其在功能性凉茶中的应用
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2026-03-01 Epub Date: 2026-02-21 DOI: 10.1016/j.cdnut.2026.107659
Efri Mardawati, Keisha Effia Putri, Jihan Ardhanariswari, Cahyani Rizki Sendi, Selly Harnesa Putri, Totok Pujianto, Aisyah Hanifah, Awaly Ilham Dewantoro

Background

The increasing demand for functional foods has stimulated interest in black garlic (BG), a thermally processed garlic product known for its antioxidant potential.

Objectives

This study aimed to evaluate the effect of drying duration on the physicochemical properties and bioactive stability of BG powder and its application in herbal tea formulations.

Methods

Single- and multi-clove BG samples were dried at 80°C for durations between 5 and 20 h and analyzed for moisture, ash, total phenolic content, total flavonoid content, and antioxidant activity using the 2,2-diphenyl-1-picrylhydrazyl assay.

Results

Drying duration significantly affected all parameters, with single-clove BG dried for 5 h showing optimal quality and the strongest antioxidant activity. This powder was further applied to herbal tea formulations containing roselle and ginger. The formulation ratio of 2:3:2 produced the highest antioxidant activity.

Conclusions

These results emphasize the importance of controlled drying to preserve BG bioactivity and support its use in antioxidant-rich herbal beverages.
对功能性食品日益增长的需求激发了人们对黑蒜(BG)的兴趣,这是一种以其抗氧化潜力而闻名的热加工大蒜产品。目的研究干燥时间对BG粉理化性质和生物活性稳定性的影响及其在凉茶制剂中的应用。方法单瓣和多瓣BG样品在80℃下干燥5 ~ 20 h,用2,2-二苯基-1-苦味酰肼测定水分、灰分、总酚含量、总黄酮含量和抗氧化活性。结果干燥时间对各参数均有显著影响,单丁香BG干燥5 h品质最佳,抗氧化活性最强。这种粉末被进一步应用于含有玫瑰和姜的凉茶配方。配方比例为2:3:2时抗氧化活性最高。结论这些结果强调了控制干燥对保持BG生物活性的重要性,并支持其在富含抗氧化剂的草药饮料中的应用。
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引用次数: 0
Healthcare Providers' Perceptions and Experiences of Prenatal Iron and Folic Acid Supplementation-A Qualitative Study in Botswana. 卫生保健提供者的观念和经验产前铁和叶酸补充-在博茨瓦纳定性研究。
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-25 eCollection Date: 2026-03-01 DOI: 10.1016/j.cdnut.2026.107660
Letumile Moeng, Poloko Kebaabetswe, Modiegi Diseko, Rebecca Zash, Gloria Mayondi, Judith Mabuta, Mompati Mmalane, Joseph Makhema, Shahin Lockman, Elizabeth Lowenthal, Roger Shapiro, Ellen C Caniglia

Background: The World Health Organization recommends daily iron and folic acid (IFA) supplementation during pregnancy to prevent maternal anemia and adverse birth outcomes such as preterm birth. However, uptake of IFA has varied substantially in low- and middle-income countries due to issues regarding supply, knowledge, access to health services, and acceptability. In Botswana, nearly one-third of pregnant women do not receive IFA. Objectives: To assess knowledge of IFA supplementation, supplement availability, and barriers and facilitators to preconception and antenatal supplementation in Botswana.

Methods: We conducted qualitative interviews with 2 key stakeholder groups at 2 different levels: the individual level (pregnant women) and the service delivery level (healthcare providers). In this study, we present results from 16 interviews with healthcare providers at 2 representative antenatal clinic sites in Botswana in 2022-8 nurse/midwives, 4 pharmacists, 2 dieticians, and 2 Ministry of Health sexual and reproductive health officials.

Results: Healthcare providers were knowledgeable about the benefits of IFA supplementation and prescribed supplements when available. Several key barriers were identified: lack of availability of supplements due to frequent and long-lasting stockouts, late antenatal care registration, nonadherence and side effects, costs, and cultural and traditional beliefs. Healthcare providers indicated that foods rich in IFA were available and that fortification of staple foods with IFA would be feasible and acceptable.

Conclusions: Our study identified an urgent need to increase the availability of IFA supplementation at antenatal clinics, with the ultimate goal of improving maternal and infant outcomes. In addition, addressing patient concerns around side effects and providing foods fortified with IFA to pregnant women could improve maternal and infant health.

背景:世界卫生组织建议在怀孕期间每天补充铁和叶酸(IFA),以预防孕产妇贫血和不良出生结局,如早产。然而,由于供应、知识、获得保健服务的机会和可接受性等问题,低收入和中等收入国家对IFA的接受程度存在很大差异。在博茨瓦纳,近三分之一的孕妇没有接受IFA治疗。目的:评估博茨瓦纳对IFA补充剂的了解,补充剂的可用性,以及孕前和产前补充的障碍和促进因素。方法:我们对两个不同层次的关键利益相关者群体进行了定性访谈:个人层面(孕妇)和服务提供层面(医疗保健提供者)。在这项研究中,我们展示了2022年对博茨瓦纳2个代表性产前诊所的16位医疗保健提供者的访谈结果-8名护士/助产士,4名药剂师,2名营养师和2名卫生部性健康和生殖健康官员。结果:医疗保健提供者了解IFA补充剂和处方补充剂的益处。确定了几个主要障碍:由于频繁和长期缺货而缺乏补充剂,产前保健登记较晚,不依从和副作用,成本以及文化和传统信仰。医疗保健提供者指出,富含IFA的食物是可用的,用IFA强化主食是可行和可接受的。结论:我们的研究确定了迫切需要在产前诊所增加IFA补充的可用性,最终目标是改善母婴结局。此外,解决患者对副作用的担忧,并向孕妇提供富含IFA的食品,可以改善母婴健康。
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引用次数: 0
Validity of the Diet Quality Questionnaire Compared with Observed Intake for Estimating Population-Level Diet Quality in Rwandan Adults 饮食质量问卷与观察摄入量在估计卢旺达成年人人口水平饮食质量方面的有效性比较
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-01 Epub Date: 2025-12-26 DOI: 10.1016/j.cdnut.2025.107628
Betül TM Uyar , Inge D Brouwer , Anna W Herforth , Rhys Manners , Maria Giovanna Delfine , Rosil Hesen , Karin J Borgonjen-van den Berg , Edith JM Feskens , Elise F Talsma

Background

The diet quality questionnaire (DQQ) is a standardized low-burden tool for collecting data on minimum dietary diversity for women (MDD-W) and other population-level diet quality indicators related to risk of noncommunicable disease (NCD). Although 24-h recalls (24hRs) are often used for evaluating validity of DQQ, they may underestimate consumption of specific food groups. Therefore, comparison with observed weighed food records (OWFR), can provide a more accurate assessment of DQQ criterion validity.

Objective

The aim of this study is to evaluate criterion validity of DQQ for estimating population-level diet quality using OWFR and 24hR as reference methods.

Methods

Cross-sectional data were collected among 281 Rwandan adults (Musanze district), using OWFR, DQQ, and 24hR on the same day. Diet quality indicators derived from each method were compared using parametric and nonparametric methods and the method of triads, which calculates pairwise validity coefficients to evaluate accuracy (low: <0.30; moderate: 0.30–0.70; high >0.70).

Results

Mean percent agreement in food group consumption data was high: 93% (DQQ-OWFR; DQQ-24hR). Compared with OWFR, DQQ overestimated MDD-W-prevalence [DQQ: 46.0% compared with OWFR: 40.4%; +6 percentage points (pp), P > 0.05], whereas using 24hR, the MDD-W-prevalence was 29.8% (16.2 pp < DQQ, P < 0.05, and 10.6 pp < OWFR, P < 0.05). Compared with OWFR, mean scores of food group diversity score (FGDS) and NCD-Protect were 0.2 (ns) and 0.2 (P = 0.01) points higher by DQQ, respectively, and 0.4 (P < 0.001) points higher by DQQ compared with 24hR. NCD-Risk median scores were 0 across methods. For DQQ, validity coefficients were 0.70 (FGDS), 0.67 (NCD-Protect), and 0.66 (NCD-Risk), compared with 0.93, 0.89, and 0.59 for OWFR, respectively, and 0.84, 0.83, and 0.98 for 24hR, respectively.

Conclusions

The DQQ showed high agreement with OWFR and 24hR for collecting population-level food group consumption data, and slight overestimations of diet quality indicator scores compared with observed intakes. DQQ is a valid and practical method for collecting population-level food group consumption data and estimating diet quality.
饮食质量问卷(DQQ)是一种标准化的低负担工具,用于收集有关妇女最低饮食多样性(MDD-W)和其他与非传染性疾病(NCD)风险相关的人群水平饮食质量指标的数据。虽然24小时召回(24hRs)通常用于评估DQQ的有效性,但它们可能低估了特定食物组的消费量。因此,与观察到的食品称重记录(OWFR)进行比较,可以更准确地评估DQQ标准的效度。目的以体重指数(OWFR)和24小时进食时间(24hR)为参考,评价DQQ评价人群饮食质量的效度。方法采用OWFR、DQQ和24hR对卢旺达(Musanze区)281名成人进行横断面数据采集。采用参数法、非参数法和三联法对各方法得出的饮食质量指标进行比较,三联法计算两两效度系数来评价准确性(低效度:<;0.30;中效度:0.30 - 0.70;高效度>;0.70)。结果食品组消费数据的平均符合率为93% (DQQ-OWFR; DQQ-24hR)。与OWFR相比,DQQ高估了mdd - w患病率[DQQ: 46.0%, OWFR: 40.4%;+6个百分点(pp), P > 0.05],而使用24小时,mdd - w患病率为29.8% (16.2 pp <; DQQ, P < 0.05, 10.6 pp <; OWFR, P < 0.05)。与OWFR相比,DQQ的食物组多样性评分(FGDS)和NCD-Protect平均评分分别提高0.2 (ns)和0.2 (P = 0.01)个点,与24hR相比,DQQ的评分分别提高0.4 (P < 0.001)个点。不同方法的非传染性疾病风险中位数得分均为0。DQQ的效度系数分别为0.70 (FGDS)、0.67 (NCD-Protect)和0.66 (NCD-Risk),而OWFR的效度系数分别为0.93、0.89和0.59,24hR的效度系数分别为0.84、0.83和0.98。结论DQQ在收集人群水平食物组消费数据方面与OWFR和24hR具有较高的一致性,与观察到的摄入量相比,饮食质量指标得分有轻微的高估。DQQ是一种有效而实用的收集人口水平食物群体消费数据和评价膳食质量的方法。
{"title":"Validity of the Diet Quality Questionnaire Compared with Observed Intake for Estimating Population-Level Diet Quality in Rwandan Adults","authors":"Betül TM Uyar ,&nbsp;Inge D Brouwer ,&nbsp;Anna W Herforth ,&nbsp;Rhys Manners ,&nbsp;Maria Giovanna Delfine ,&nbsp;Rosil Hesen ,&nbsp;Karin J Borgonjen-van den Berg ,&nbsp;Edith JM Feskens ,&nbsp;Elise F Talsma","doi":"10.1016/j.cdnut.2025.107628","DOIUrl":"10.1016/j.cdnut.2025.107628","url":null,"abstract":"<div><h3>Background</h3><div>The diet quality questionnaire (DQQ) is a standardized low-burden tool for collecting data on minimum dietary diversity for women (MDD-W) and other population-level diet quality indicators related to risk of noncommunicable disease (NCD). Although 24-h recalls (24hRs) are often used for evaluating validity of DQQ, they may underestimate consumption of specific food groups. Therefore, comparison with observed weighed food records (OWFR), can provide a more accurate assessment of DQQ criterion validity.</div></div><div><h3>Objective</h3><div>The aim of this study is to evaluate criterion validity of DQQ for estimating population-level diet quality using OWFR and 24hR as reference methods.</div></div><div><h3>Methods</h3><div>Cross-sectional data were collected among 281 Rwandan adults (Musanze district), using OWFR, DQQ, and 24hR on the same day. Diet quality indicators derived from each method were compared using parametric and nonparametric methods and the method of triads, which calculates pairwise validity coefficients to evaluate accuracy (low: &lt;0.30; moderate: 0.30–0.70; high &gt;0.70).</div></div><div><h3>Results</h3><div>Mean percent agreement in food group consumption data was high: 93% (DQQ-OWFR; DQQ-24hR). Compared with OWFR, DQQ overestimated MDD-W-prevalence [DQQ: 46.0% compared with OWFR: 40.4%; +6 percentage points (pp), <em>P</em> &gt; 0.05], whereas using 24hR, the MDD-W-prevalence was 29.8% (16.2 pp &lt; DQQ, <em>P</em> &lt; 0.05, and 10.6 pp &lt; OWFR, <em>P</em> &lt; 0.05). Compared with OWFR, mean scores of food group diversity score (FGDS) and NCD-Protect were 0.2 (ns) and 0.2 (<em>P</em> = 0.01) points higher by DQQ, respectively, and 0.4 (<em>P</em> &lt; 0.001) points higher by DQQ compared with 24hR. NCD-Risk median scores were 0 across methods. For DQQ, validity coefficients were 0.70 (FGDS), 0.67 (NCD-Protect), and 0.66 (NCD-Risk), compared with 0.93, 0.89, and 0.59 for OWFR, respectively, and 0.84, 0.83, and 0.98 for 24hR, respectively.</div></div><div><h3>Conclusions</h3><div>The DQQ showed high agreement with OWFR and 24hR for collecting population-level food group consumption data, and slight overestimations of diet quality indicator scores compared with observed intakes. DQQ is a valid and practical method for collecting population-level food group consumption data and estimating diet quality.</div></div>","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"10 2","pages":"Article 107628"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146075383","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
Vitamin D Supplementation for Steatotic Liver Disease: an Updated Systematic Review and Dose-Response Meta-analysis of Randomized and Nonrandomized Interventional Studies 补充维生素D治疗脂肪变性肝病:随机和非随机介入研究的最新系统评价和剂量-反应荟萃分析
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-01 Epub Date: 2026-01-07 DOI: 10.1016/j.cdnut.2025.107631
Ehsaneh Taheri , Shirin Esmaeili , Fatemeh Jodeiri , Nastaran Babajani , Erfan Shahir-Roudi , Armita Mahdavi-Gorabi , Zahra Nouri Ghonbalani , Kiavash Semnani , Mostafa Qorbani
Metabolic dysfunction-associated steatotic liver disease (MASLD) is among the leading causes of chronic liver disease, with few approved treatment options. Vitamin D supplementation has been proposed as a safe and efficacious supplement intervention for MASLD. The current study aimed to systematically evaluate the effect of vitamin D supplementation in any preparation on hepatic (histological, radiological, and biomarker) and metabolic parameters (glucose regulation, lipid profile, and indices of obesity) in patients diagnosed with steatotic liver disease. These effects were compared with patient baseline and/or placebo response, where available. MEDLINE, Scopus, Web of Science, the Cochrane Library, clinicaltrials.gov, and International Clinical Trials Registry Platform were systematically searched for relevant randomized or nonrandomized studies of intervention. Screening and data extraction were completed by independent pairs of reviewers. Effects were pooled using random-effects meta-analyses. One-stage dose–response analysis was performed for alanine aminotransferase (ALT) and γ-glutamyl transferase. The effect of baseline vitamin D, ALT, body mass index, and vitamin D response on treatment response was explored via metaregression. Treatment efficacy was evaluated in subgroup analyses according to patient and intervention characteristics. A total of 28 studies (21 randomized controlled trials) were analyzed. Statistically significant improvements were noted in FibroScan parameters, liver enzymes, insulin resistance, serum triglyceride, and high-density lipoprotein. However, the magnitude of effect regarding these improvements was smaller than thresholds for clinical benefit, and analyses demonstrated inconsistencies. Subgroup analyses failed to identify a specific subset of patients with MASLD benefiting from supplementation. Vitamin D supplementation was safe and well-tolerated, but no meaningful clinical benefit was identified for hepatic or metabolic parameters of interest in MASLD.
This trial was registered at PROSPERO as CRD420251125809.
代谢功能障碍相关的脂肪变性肝病(MASLD)是慢性肝病的主要原因之一,很少有批准的治疗方案。维生素D补充已被认为是一种安全有效的MASLD补充干预措施。本研究旨在系统评估任何制剂中维生素D补充剂对诊断为脂肪变性肝病患者肝脏(组织学、放射学和生物标志物)和代谢参数(葡萄糖调节、脂质谱和肥胖指标)的影响。将这些效果与患者基线和/或安慰剂反应(如有)进行比较。我们系统地检索了MEDLINE、Scopus、Web of Science、Cochrane Library、clinicaltrials.gov和国际临床试验注册平台等相关的随机或非随机干预研究。筛选和数据提取由独立的审稿人对完成。使用随机效应荟萃分析汇总效果。对丙氨酸转氨酶(ALT)和γ-谷氨酰转移酶(γ-谷氨酰转移酶)进行一期剂量反应分析。通过meta回归探讨基线维生素D、ALT、体重指数和维生素D反应对治疗反应的影响。根据患者及干预措施特点,采用亚组分析评价治疗效果。共分析28项研究(21项随机对照试验)。在纤维扫描参数、肝酶、胰岛素抵抗、血清甘油三酯和高密度脂蛋白方面有统计学意义的改善。然而,这些改善的影响幅度小于临床获益的阈值,分析表明不一致。亚组分析未能确定从补充剂中获益的MASLD患者的特定亚群。补充维生素D是安全且耐受性良好的,但没有发现对MASLD患者的肝脏或代谢参数有意义的临床益处。该试验在普洛斯彼罗注册为CRD420251125809。
{"title":"Vitamin D Supplementation for Steatotic Liver Disease: an Updated Systematic Review and Dose-Response Meta-analysis of Randomized and Nonrandomized Interventional Studies","authors":"Ehsaneh Taheri ,&nbsp;Shirin Esmaeili ,&nbsp;Fatemeh Jodeiri ,&nbsp;Nastaran Babajani ,&nbsp;Erfan Shahir-Roudi ,&nbsp;Armita Mahdavi-Gorabi ,&nbsp;Zahra Nouri Ghonbalani ,&nbsp;Kiavash Semnani ,&nbsp;Mostafa Qorbani","doi":"10.1016/j.cdnut.2025.107631","DOIUrl":"10.1016/j.cdnut.2025.107631","url":null,"abstract":"<div><div>Metabolic dysfunction-associated steatotic liver disease (MASLD) is among the leading causes of chronic liver disease, with few approved treatment options. Vitamin D supplementation has been proposed as a safe and efficacious supplement intervention for MASLD. The current study aimed to systematically evaluate the effect of vitamin D supplementation in any preparation on hepatic (histological, radiological, and biomarker) and metabolic parameters (glucose regulation, lipid profile, and indices of obesity) in patients diagnosed with steatotic liver disease. These effects were compared with patient baseline and/or placebo response, where available. MEDLINE, Scopus, Web of Science, the Cochrane Library, <span><span>clinicaltrials.gov</span><svg><path></path></svg></span>, and International Clinical Trials Registry Platform were systematically searched for relevant randomized or nonrandomized studies of intervention. Screening and data extraction were completed by independent pairs of reviewers. Effects were pooled using random-effects meta-analyses. One-stage dose–response analysis was performed for alanine aminotransferase (ALT) and γ-glutamyl transferase. The effect of baseline vitamin D, ALT, body mass index, and vitamin D response on treatment response was explored via metaregression. Treatment efficacy was evaluated in subgroup analyses according to patient and intervention characteristics. A total of 28 studies (21 randomized controlled trials) were analyzed. Statistically significant improvements were noted in FibroScan parameters, liver enzymes, insulin resistance, serum triglyceride, and high-density lipoprotein. However, the magnitude of effect regarding these improvements was smaller than thresholds for clinical benefit, and analyses demonstrated inconsistencies. Subgroup analyses failed to identify a specific subset of patients with MASLD benefiting from supplementation. Vitamin D supplementation was safe and well-tolerated, but no meaningful clinical benefit was identified for hepatic or metabolic parameters of interest in MASLD.</div><div>This trial was registered at PROSPERO as CRD420251125809.</div></div>","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"10 2","pages":"Article 107631"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146075384","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
Maternal Prenatal Psychosocial Stress in Relation to Maternal and Neonatal Anemia 产妇产前社会心理压力与产妇和新生儿贫血的关系
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-01 Epub Date: 2026-01-16 DOI: 10.1016/j.cdnut.2026.107639
Rebecca Kramer Campbell , Konstantina Tsintsifas , Jessica Britt , Andrew Franklin , Gregory E Miller , Lauren Keenan-Devlin , Ann Borders , Amy Crockett

Background

Maternal prenatal psychosocial stress and iron deficiency are both common, and each may affect fetal iron stores and subsequent offspring neurodevelopment. The extent to which psychosocial stress affects maternal iron status and maternal-fetal iron regulation is not known.

Objectives

To assess 1) associations of prenatal stress and mental health with maternal anemia and neonatal hemoglobin (Hb), and 2) the extent to which prenatal stressors modify maternal anemia–neonatal Hb associations.

Methods

Observational data from participants enrolled in a randomized prenatal care trial were used. Prenatal distress, perceived stress, life stressors, and depression symptoms were assessed with validated questionnaires in the second (T2) and third trimesters (T3). T2 and T3 anemia (Hb <10.5 and 11 g/dL, respectively) and neonatal Hb were abstracted from participants’ electronic health records. Adjusted log Poisson and linear regression models were fit. Effect measure modification was examined with stratified regression models and product terms.

Results

Hb was available for 1263 participants in T2, 1707 in T3, and 427 neonates <7 d old. Anemia prevalence was 27% in T2 and 51% in T3. Prenatal stressors were associated with higher rates of T3 but not T2 anemia: in models adjusted for the other stress exposures and covariates, T3 anemia was associated with perceived stress [prevalence ratio (PR): 1.02; 95% confidence interval (CI): 1.00,1.04] and 1–2 and ≥3 life stressors compared with none (PR:1.12; 95% CI 1.02, 1.26 and PR:1.2; 95% CI 1.02,1.41). Infants of mothers with T2 anemia had lower neonatal Hb (median: 16.6 g/dL, IQR: 15.3–18.5 compared with 17.2, 15.8–18.8; P = 0.077). Prenatal stressors were not associated with neonatal Hb, nor did they modify the relationship between maternal anemia and neonatal Hb.

Conclusions

In this sample, maternal T3 anemia was sensitive to maternal stressors, whereas T2 anemia and neonatal Hb were not. Highly stress-exposed pregnancies may require additional monitoring and intervention for anemia to protect maternal and infant health.
背景:母亲产前心理社会压力和缺铁都很常见,都可能影响胎儿的铁储备和后代的神经发育。社会心理压力在多大程度上影响母体铁状态和母胎铁调节尚不清楚。目的评估1)产前应激和心理健康与孕产妇贫血和新生儿血红蛋白(Hb)的相关性,以及2)产前应激源对孕产妇贫血-新生儿血红蛋白相关性的影响程度。方法采用随机产前护理试验参与者的观察性数据。在妊娠中期(T2)和妊娠晚期(T3)用有效问卷评估产前窘迫、感知压力、生活压力源和抑郁症状。从参与者的电子健康记录中提取T2和T3贫血(Hb和lt分别为10.5和11 g/dL)和新生儿Hb。校正对数泊松和线性回归模型拟合。用分层回归模型和产品项检验效果测量修正。结果T2期1263例,T3期1707例,新生儿7d期427例。T2和T3的贫血患病率分别为27%和51%。产前应激源与较高的T3发生率相关,但与T2贫血无关:在调整了其他应激暴露和协变量的模型中,T3贫血与感知应激相关[患病率比(PR): 1.02;95%可信区间(CI): 1.00,1.04]和1-2和≥3个生活压力源与无生活压力源相比(PR:1.12; 95% CI 1.02, 1.26和PR:1.2; 95% CI 1.02,1.41)。T2型贫血母亲的婴儿新生儿Hb较低(中位数:16.6 g/dL, IQR: 15.3-18.5比17.2,15.8-18.8;P = 0.077)。产前应激源与新生儿Hb无关,也没有改变母亲贫血和新生儿Hb之间的关系。结论本组产妇T3贫血对应激源敏感,而T2贫血和新生儿Hb对应激源不敏感。高度应激暴露的妊娠可能需要额外的贫血监测和干预,以保护母婴健康。
{"title":"Maternal Prenatal Psychosocial Stress in Relation to Maternal and Neonatal Anemia","authors":"Rebecca Kramer Campbell ,&nbsp;Konstantina Tsintsifas ,&nbsp;Jessica Britt ,&nbsp;Andrew Franklin ,&nbsp;Gregory E Miller ,&nbsp;Lauren Keenan-Devlin ,&nbsp;Ann Borders ,&nbsp;Amy Crockett","doi":"10.1016/j.cdnut.2026.107639","DOIUrl":"10.1016/j.cdnut.2026.107639","url":null,"abstract":"<div><h3>Background</h3><div>Maternal prenatal psychosocial stress and iron deficiency are both common, and each may affect fetal iron stores and subsequent offspring neurodevelopment. The extent to which psychosocial stress affects maternal iron status and maternal-fetal iron regulation is not known.</div></div><div><h3>Objectives</h3><div>To assess <em>1</em>) associations of prenatal stress and mental health with maternal anemia and neonatal hemoglobin (Hb), and <em>2</em>) the extent to which prenatal stressors modify maternal anemia–neonatal Hb associations.</div></div><div><h3>Methods</h3><div>Observational data from participants enrolled in a randomized prenatal care trial were used. Prenatal distress, perceived stress, life stressors, and depression symptoms were assessed with validated questionnaires in the second (T2) and third trimesters (T3). T2 and T3 anemia (Hb &lt;10.5 and 11 g/dL, respectively) and neonatal Hb were abstracted from participants’ electronic health records. Adjusted log Poisson and linear regression models were fit. Effect measure modification was examined with stratified regression models and product terms.</div></div><div><h3>Results</h3><div>Hb was available for 1263 participants in T2, 1707 in T3, and 427 neonates &lt;7 d old. Anemia prevalence was 27% in T2 and 51% in T3. Prenatal stressors were associated with higher rates of T3 but not T2 anemia: in models adjusted for the other stress exposures and covariates, T3 anemia was associated with perceived stress [prevalence ratio (PR): 1.02; 95% confidence interval (CI): 1.00,1.04] and 1–2 and ≥3 life stressors compared with none (PR:1.12; 95% CI 1.02, 1.26 and PR:1.2; 95% CI 1.02,1.41). Infants of mothers with T2 anemia had lower neonatal Hb (median: 16.6 g/dL, IQR: 15.3–18.5 compared with 17.2, 15.8–18.8; <em>P</em> = 0.077). Prenatal stressors were not associated with neonatal Hb, nor did they modify the relationship between maternal anemia and neonatal Hb.</div></div><div><h3>Conclusions</h3><div>In this sample, maternal T3 anemia was sensitive to maternal stressors, whereas T2 anemia and neonatal Hb were not. Highly stress-exposed pregnancies may require additional monitoring and intervention for anemia to protect maternal and infant health.</div></div>","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"10 2","pages":"Article 107639"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146184923","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
With Appreciation 与欣赏
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-01 Epub Date: 2026-01-02 DOI: 10.1016/j.cdnut.2025.107620
{"title":"With Appreciation","authors":"","doi":"10.1016/j.cdnut.2025.107620","DOIUrl":"10.1016/j.cdnut.2025.107620","url":null,"abstract":"","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"10 2","pages":"Article 107620"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147398915","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
Foods Fortified with Soybean or Palm Oil Show No Effect on Inflammation or Oxidized Low-Density Lipoprotein in Adults with Overweight or Obesity: a Secondary Analysis of a Randomized Placebo-Controlled Crossover Trial 添加大豆油或棕榈油的食品对超重或肥胖成人的炎症或氧化低密度脂蛋白没有影响:一项随机安慰剂对照交叉试验的二次分析
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-01 Epub Date: 2026-01-07 DOI: 10.1016/j.cdnut.2025.107635
Cheng-Tse Yang , Rachel M Cole , Eric Colombo , Austin Angelotti , Andy Ni , Martha A Belury

Background

Popular and social media outlets have recent posts claiming that vegetable and seed oils high in linoleic acid (LA) cause inflammation and oxidative stress. However, substantial evidence in the scientific literature shows LA biomarkers are associated with lower risks for type 2 diabetes, cardiovascular disease, and systemic inflammation.

Objectives

The primary aim of this study is to evaluate the impact of dietary fortification with soybean oil (high in LA) compared with palm oil on markers of systemic inflammation and oxidized low-density lipoprotein (oxLDL) in healthy overweight adult participants.

Methods

This double-masked crossover clinical trial consisted of 2 diet periods where adults with overweight or obesity were randomly assigned to receive 3 study foods delivering 30 g oil/d of either soybean or palm oil for 4-wk periods. During a 2-wk wash-out period, participants refrained from consuming study foods. Erythrocyte and plasma fatty acid composition, blood biomarkers of systemic inflammation and oxLDL, desaturase indices, and body weights were measured at each study visit.

Results

After 4 wk of consuming 30 g/d of soybean or palm oil snacks, most inflammatory markers and oxLDL remained unchanged. However, interleukin-6 showed a trend toward reduction in the soybean oil group (P = 0.09). Fatty acid analysis revealed that C20:4n–6 (arachidonic acid) significantly decreased in erythrocytes after soybean oil intake (P = 0.0234), suggesting altered n6 fatty acid metabolism through δ-6 and δ-5 desaturases. There were no lingering treatment effects during the 2-week washout period between diet periods 1 and 2.

Conclusions

Incorporating study foods containing 30 g oil/d of soybean or palm oil had no significant impact on inflammatory markers, suggesting that higher LA intake is not proinflammatory as is stated in popular media outlets. In addition, a two week washout period may be sufficient for dietary oil interventions in crossover study designs.
This trial was registered at clinicaltrials.gov as NCT04975763.
大众媒体和社交媒体最近发布了一些帖子,声称富含亚油酸(LA)的蔬菜和种子油会引起炎症和氧化应激。然而,科学文献中的大量证据表明,LA生物标志物与2型糖尿病、心血管疾病和全身性炎症的风险降低有关。本研究的主要目的是评估与棕榈油相比,豆油(高LA)膳食强化对健康超重成人全身炎症和氧化低密度脂蛋白(oxLDL)标志物的影响。方法:这项双盲交叉临床试验包括两个饮食期,超重或肥胖的成年人被随机分配接受3种研究食品,每天提供30克豆油或棕榈油,为期4周。在两周的洗脱期,参与者避免食用研究食物。在每次研究访问时测量红细胞和血浆脂肪酸组成、全身炎症和oxLDL的血液生物标志物、去饱和酶指数和体重。结果食用30 g/d豆油或棕榈油零食4周后,大多数炎症标志物和oxLDL保持不变。而大豆油组白细胞介素-6有降低的趋势(P = 0.09)。脂肪酸分析显示,大豆油摄入后红细胞中花生四烯酸(C20:4n-6)含量显著降低(P = 0.0234),表明n-6脂肪酸通过δ-6和δ-5去饱和酶代谢发生改变。在第1期和第2期之间的2周洗脱期,没有持续的治疗效果。结论联合研究中,含有30克豆油或棕榈油的食物对炎症标志物没有显著影响,这表明高LA摄入量并不像流行媒体报道的那样具有促炎作用。此外,在交叉研究设计中,两周的洗脱期可能足以用于饮食油干预。该试验在clinicaltrials.gov注册为NCT04975763。
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引用次数: 0
Bioactive Metabolites from Lactobacillus acidophilus-Fermented Products Mitigate Carbon Tetrachloride–Induced Liver Injury: Biochemical and In Silico Insights 嗜酸乳杆菌发酵产物的生物活性代谢物减轻四氯化碳诱导的肝损伤:生化和硅的见解
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-01 Epub Date: 2026-01-24 DOI: 10.1016/j.cdnut.2026.107648
Md Shariful Islam , Md Monirul Islam , Abu Amer Hisham , SM Tanjil Shah , Md Arafat Al Mamun , Mohammad Salim Hossain

Background

Fermented products derived from Lactobacillus have demonstrated therapeutic potential in the management of metabolic disorders, particularly liver diseases.

Objectives

This study aimed to evaluate the hepatoprotective effects of Lactobacillus-fermented products in a carbon tetrachloride (CCl4)-induced murine model of liver damage, with a focus on analyzing the influence of bioactive compounds on key liver function biomarkers.

Methods

Two Lactobacillus strains (Lactobacillus acidophilus LB-CARS1 and L. acidophilus ST-CARS2) were isolated from commercial yogurts, and milk was fermented using each strain. A total of 40 male Swiss Albino mice were allocated into 5 experimental groups: control, CCl4-only, CCl4 + silymarin, and 2 treatment groups receiving CCl4 plus 1 of the 2 lactic acid bacteria (LAB)-fermented products. After 6 wk, serum concentrations of aspartate aminotransferase (AST), alanine transaminase (ALT), alkaline phosphatase (ALP), bilirubin, and creatinine were measured. A protein-protein network was constructed using the proteins responsible for hepatoprotection. The cellular pathways of these proteins were also visualized by the Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway. Molecular docking was performed to assess interactions between identified bioactive compounds and target proteins (superoxide dismutase, catalase, transforming growth factor-β 1, peroxisome proliferator-activated receptor γ, IL-6, and tumor necrosis factor-α).

Results

Treatment with LAB-fermented products significantly reduced (P < 0.05) serum AST, ALT, ALP, bilirubin, and creatinine concentrations in the CCl4-treated mice. The 2 products reduced the liver enzymes, though their intensity was different. The interactive pathways of the protein network revealed the most common genes responsible for hepatoprotective activity. Molecular docking revealed strong binding affinities between bioactive compounds and proteins related to inflammation and oxidation. Furthermore, absorption, distribution, metabolism, excretion, and toxicity analysis suggested the potential drug candidates among the docked compounds.

Conclusions

The results indicate that LAB-fermented products contain bioactive compounds capable of attenuating liver injury, likely through anti-inflammatory and antioxidant mechanisms, highlighting their potential as functional food interventions in hepatoprotection.
乳酸菌发酵产物在代谢紊乱,特别是肝脏疾病的治疗中具有潜在的治疗潜力。目的探讨乳酸杆菌发酵产物对四氯化碳(CCl4)诱导的小鼠肝损伤模型的保护作用,并分析其生物活性成分对肝功能关键生物标志物的影响。方法从商品酸奶中分离到嗜酸乳杆菌LB-CARS1和嗜酸乳杆菌ST-CARS2两株乳杆菌,分别进行乳发酵。选取40只雄性瑞士白化病小鼠,分为对照组、CCl4组、CCl4 +水飞蓟素组和CCl4 + 2种乳酸菌(LAB)发酵产物中的1种的治疗组。6周后,测定血清天冬氨酸转氨酶(AST)、丙氨酸转氨酶(ALT)、碱性磷酸酶(ALP)、胆红素和肌酐浓度。利用肝保护蛋白构建了蛋白-蛋白网络。这些蛋白的细胞通路也通过京都基因与基因组百科全书(KEGG)途径可视化。通过分子对接来评估鉴定的生物活性化合物与靶蛋白(超氧化物歧化酶、过氧化氢酶、转化生长因子-β 1、过氧化物酶体增殖物激活受体γ、IL-6和肿瘤坏死因子-α)之间的相互作用。结果实验室发酵产物显著降低了ccl4处理小鼠血清中AST、ALT、ALP、胆红素和肌酐浓度(P < 0.05)。两种产品均能降低肝酶,但降低程度不同。蛋白质网络的相互作用途径揭示了负责肝保护活性的最常见基因。分子对接揭示了生物活性化合物与炎症和氧化相关蛋白之间的强结合亲和力。此外,对对接化合物的吸收、分布、代谢、排泄和毒性分析提示了潜在的候选药物。结论实验室发酵产品含有能够减轻肝损伤的生物活性化合物,可能通过抗炎和抗氧化机制,突出了其作为肝脏保护功能食品干预的潜力。
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引用次数: 0
Experience and Acceptability of a Reduced-Energy Whole-Diet Intervention in Women with Gestational Diabetes: a Qualitative Study of the Dietary Intervention in Gestational Diabetes Trial 妊娠期糖尿病妇女低能量全饮食干预的经验和可接受性:妊娠期糖尿病试验中饮食干预的定性研究
IF 3.2 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-01 Epub Date: 2026-01-05 DOI: 10.1016/j.cdnut.2025.107633
Laura C Kusinski , Sarah Dib , Suzanne Smith , Danielle L Jones , Amy L Ahern , Claire L Meek

Background

Gestational diabetes mellitus (GDM) is rising in prevalence in many countries worldwide. Although dietary modifications are the first-line treatment for GDM, it is unclear which specific dietary approaches are most effective to improve maternal and offspring outcomes while reducing further maternal weight gain. We recently demonstrated benefits of an energy-restricted diet with modest weight loss in women with GDM.

Objectives

We aimed to investigate the acceptability of an energy-restricted whole-diet intervention in women with GDM with a BMI ≥25 kg/m2, in a free-living environment, and to examine potential barriers and enablers of implementation of such a diet into standard clinical care.

Methods

This qualitative research study used semistructured interviews with 20 participants in the Dietary Intervention in Gestational Diabetes trial, in which women with GDM were randomized to a whole-diet intervention containing 1200 or 2000 kcal/d. We used reflexive thematic analysis to explore participants’ experiences of the study diet and GDM.

Results

We identified 6 key themes in participants’ experience: emotional and cognitive burden of managing GDM, convenience of meal delivery, support and reassurance, hunger and appetite differences, health impacts for intervention engagement, and research participation for awareness and impact. Facilitators of study participation included support, motivation, convenience, and not wanting to be medicated. Barriers to participation were the social aspects of eating food, inconvenience, and uncertainty about the validity of dietary interventions. It was identified that participants frequently overlooked their physical health and weight management during pregnancy, despite how crucial these factors are for both maternal and infant well-being.

Conclusions

Pregnant women with GDM found an energy-restricted diet to be acceptable and beneficial to emotional and physical health, especially when support is provided by healthcare professionals. The convenience of meal delivery and the motivations to avoid medication use in pregnancy facilitated engagement with the intervention.
This trial was registered at ISRCTN registry as ISRCTN 65152174 (https://www.isrctn.com/ISRCTN65152174).
背景:妊娠期糖尿病(GDM)在世界许多国家的患病率呈上升趋势。虽然饮食改变是GDM的一线治疗方法,但尚不清楚哪种特定的饮食方法最有效地改善母体和后代的结局,同时减少母体体重的进一步增加。我们最近证明了能量限制饮食对GDM女性适度减肥的好处。目的:研究BMI≥25 kg/m2的GDM女性在自由生活环境中,能量限制全饮食干预的可接受性,并研究将这种饮食纳入标准临床护理的潜在障碍和推动因素。方法:本定性研究采用半结构化访谈法,对20名妊娠期糖尿病饮食干预试验的参与者进行访谈,在该试验中,患有GDM的女性被随机分为1200或2000千卡/天的全饮食干预组。我们使用反身性主题分析来探讨参与者对研究饮食和GDM的体验。结果我们确定了参与者体验的6个关键主题:管理GDM的情绪和认知负担,送餐的便利性,支持和安慰,饥饿和食欲差异,干预参与的健康影响,以及研究参与的意识和影响。参与研究的促进因素包括支持、动机、方便和不愿服用药物。参与的障碍是饮食的社会方面、不便和饮食干预有效性的不确定性。研究发现,参与者在怀孕期间经常忽视自己的身体健康和体重管理,尽管这些因素对孕产妇和婴儿的健康都至关重要。结论GDM孕妇发现能量限制饮食是可接受的,有利于身心健康,特别是在医疗保健专业人员的支持下。方便的送餐和避免在怀孕期间使用药物的动机促进了干预的参与。该试验在ISRCTN注册中心注册为ISRCTN65152174 (https://www.isrctn.com/ISRCTN65152174)。
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引用次数: 0
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Current Developments in Nutrition
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