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Health Claims, Product Features and Instructions for Use on the Labels of Potassium-enriched Salt Products: A Content Analysis 富钾盐产品标签上的健康声明、产品特点和使用说明:内容分析
IF 3.8 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-09 DOI: 10.1016/j.cdnut.2024.104473
James Bullen , Xuejun Yin , Katrina Kissock , Laura Fisher , Bruce Neal , Kathy Trieu

Background

Potassium-enriched salt is a proven dietary intervention for reducing risk of stroke, cardiovascular disease, and premature mortality when used instead of regular table salt. Potassium-enriched salt products are available globally, but the on-pack health claims, product features, and instructions for use are diverse.

Objectives

The objective of this study was to summarize the label features of potassium-enriched salt products available worldwide.

Methods

A content analysis was conducted on the labels of potassium-enriched salt products available for sale in May 2023. Potassium-enriched salt products were identified through a systematic search of literature, major online shopping websites, and Google using similar keywords such as “salt substitute” or “low sodium salt.” Information on product labels was coded relating to health claims, product features, and instructions for use, and were quantitatively summarized.

Results

A total of 117 potential potassium-enriched salt products were identified, with 83 included in the final analysis after excluding products containing no sodium (n = 15), no potassium (n = 5), or that were duplicates (n = 14). There were 23 (28%) products with on-pack claims for health benefits and 36 (43%) with health warnings. Twenty-five (30%) of product labels included descriptions of other product features such as taste and potassium content, and 36 (43%) had instructions for use.

Conclusions

There was large variability in the label features of potassium-enriched salt products identified in this study. Most product labels made no health-related statements, but among those that did, warnings occurred more frequently than statements of health benefits. The diversity in labeling may cause confusion among consumers, and standardized, evidence-based labeling should be developed.
背景经证实,用富钾盐代替普通食盐可降低中风、心血管疾病和过早死亡的风险。本研究的目的是总结全球现有富钾食盐产品的标签特点。方法对 2023 年 5 月上市的富钾食盐产品的标签进行内容分析。通过使用 "盐替代品 "或 "低钠盐 "等类似关键词对文献、主要在线购物网站和谷歌进行系统搜索,确定了富钾食盐产品。对产品标签上有关健康声明、产品特点和使用说明的信息进行了编码,并进行了定量总结。结果共发现了 117 种潜在的富钾食盐产品,在排除了不含钠(15 种)、不含钾(5 种)或重复(14 种)的产品后,83 种产品被纳入最终分析。有 23 种(28%)产品在包装上标明了健康益处,36 种(43%)产品标明了健康警告。有 25 种(30%)产品的标签包含了对其他产品特性的描述,如口味和钾含量,有 36 种(43%)产品的标签包含了使用说明。大多数产品标签都没有与健康相关的说明,但在有说明的产品标签中,警告的出现频率高于健康益处的说明。标签的多样性可能会给消费者造成困惑,因此应开发标准化的、以证据为基础的标签。
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引用次数: 0
Using Less Processed Food to Mimic a Standard American Diet Does Not Improve Nutrient Value and May Result in a Shorter Shelf Life at a Higher Financial Cost 使用较少加工的食品来模仿美国标准饮食并不能提高营养价值,反而可能导致食品保质期缩短,经济成本增加
IF 3.8 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-02 DOI: 10.1016/j.cdnut.2024.104471
Julie M Hess , Madeline E Comeau , Angela J Scheett , Anne Bodensteiner , Allen S Levine

Background

The “clean eating” trend suggests that consuming fewer processed foods is important for healthy diets. Yet, a diet of mostly ultra-processed foods (UPFs) can meet recommendations from the Dietary Guidelines for Americans. Whether a diet comprised mostly of simple ingredient foods can provide a low-quality diet remains unexplored.

Objectives

The objective of this study was to compare the diet quality, shelf stability, and cost of 2 similar nutrient-poor menus, one containing primarily UPFs and the other containing less-processed foods (LPW), as defined by the Nova classification system.

Methods

A “Western” menu using LPW was developed to match the meals and recipes of a menu that contained more-processed foods (MPW). Processing level was determined using the Nova classification system. Final menus were assessed for nutrient quality and Healthy Eating Index (HEI) score. Shelf stability of foods/ingredients on both menus was determined from food storage guidance manuals. The condition of each food item when purchased (room temperature, frozen, refrigerated) was used to estimate the number of days until expiration. Food costs were determined from prices at grocery chains in Fall 2023.

Results

The LPW had similar nutrient density and diet quality scores to the MPW (HEI scores of 44 and 43, respectively). The LPW included 20% energy (kcal) from UPFs, whereas the MPW included 67% energy from UPFs. Relative percentages of shelf-stable, frozen, and refrigerated foods were similar. Using the Kaplan-Meier survival analysis method, median time to expiration of the LPW menu items was 35 d compared with 120 d for the MPW items. The “per person” cost reflecting only the amount of the food used in the menu was $15.91/d for the LPW and $9.85/d for the MPW.

Conclusions

Less-processed menus can have comparable diet quality with more-processed menus although being more costly and less shelf stable.
背景 "清淡饮食 "趋势表明,少吃加工食品对健康饮食很重要。然而,以超加工食品(UPF)为主的膳食可以满足《美国人膳食指南》的建议。本研究的目的是比较两种类似的营养不良菜单的膳食质量、货架稳定性和成本,其中一种菜单主要包含超加工食品,另一种菜单则包含诺瓦分类系统定义的少加工食品(LPW)。加工程度根据诺瓦分类系统确定。对最终菜单的营养素质量和健康饮食指数(HEI)进行评估。两份菜单中食品/配料的保质期是根据食品储存指导手册确定的。根据每种食品购买时的状态(室温、冷冻、冷藏)来估算离过期的天数。食品成本根据 2023 年秋季连锁杂货店的价格确定。结果低标准餐的营养密度和膳食质量得分与中标准餐相似(HEI 分别为 44 分和 43 分)。低标准食品中20%的能量(千卡)来自UPF,而中标准食品中67%的能量来自UPF。货架稳定食品、冷冻食品和冷藏食品的相对比例相似。采用卡普兰-梅耶生存分析法,LPW菜单项目的中位过期时间为35天,而MPW项目的中位过期时间为120天。仅反映菜单中所用食品数量的 "人均 "成本,LPW 为 15.91 美元/天,MPW 为 9.85 美元/天。
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引用次数: 0
The Effect of Daily Avocado Intake on Food and Nutrient Displacement in a Free-Living Population with Abdominal Obesity 自由生活的腹部肥胖人群每天摄入牛油果对食物和营养素替代的影响
IF 3.8 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-01 DOI: 10.1016/j.cdnut.2024.104451
Abigail E Clarke , Kristie S LeBeau , Keiji Oda , Gina Segovia-Siapco , Michael Paalani , David M Reboussin , Alice H Lichtenstein , Sujatha Rajaram , Joan Sabaté

Background

Avocado intake has been associated with improvements in diet quality. Whether this response is because of avocado intake, per se, or combined with a food and/or nutrient displacement (D) has yet to be determined.

Objectives

This secondary analysis, conducted using dietary data from the Habitual Diet and Avocado Trial, sought to assess the effect of consuming a large avocado (168 g, 281 kcal) daily in the avocado-supplemented diet (AD) group compared with the habitual diet (HD) group on food and nutrient D.

Methods

Using data from 3 unannounced telephone 24-h dietary recalls conducted during the 6-mo intervention period, food intake data were evaluated for 898 participants, aged 25–87 y, and a BMI range of 20.5–60.3 kg/m2. The food group distribution, energy, and nutrient intake of the AD group (n = 436) were calculated and compared with those of the HD group (n = 462).

Results

The AD group had a higher daily intake of energy (159 ± 575 kcal) (P < 0.001), potassium (3193 ± 817 mg compared with 2419 ± 843 mg) (P < 0.005), fiber (30 ± 8 g compared with 19 ± 9 g) (P < 0.05), and a lower daily intake of animal protein (49 ± 33 g compared with 55 ± 24 g) (P = 0.02) compared with the HD group. Partial D with an avocado was observed for energy (43%), total fat (23%), and carbohydrate (87%), indicating a lower intake of these nutrients from non-avocado sources in the AD group. Food group analysis revealed a lower consumption of animal-derived protein from red meat, processed meats, poultry, and fish in the AD group, with no significant differences observed in dairy and egg intake between groups.

Conclusions

Incorporating 1 avocado daily led to favorable modifications in the dietary composition of participants, including an increase in potassium and fiber intake, which can improve diet quality.
This trial was registered at https://clinicaltrials.gov as NCT03528031.
背景牛油果的摄入与膳食质量的改善有关。本二次分析利用习惯饮食和牛油果试验的饮食数据进行,旨在评估牛油果补充饮食(AD)组与习惯饮食(HD)组相比,每天摄入一个大牛油果(168 克,281 千卡)对食物和营养素 D 的影响。方法利用在 6 个月干预期间进行的 3 次突击电话 24 小时膳食回收数据,评估了 898 名参与者的食物摄入数据,这些参与者的年龄在 25-87 岁之间,体重指数范围为 20.5-60.3 kg/m2。结果AD组每日摄入的能量(159 ± 575 kcal)(P < 0.001)、钾(3193 ± 817 毫克,2419 ± 843 毫克)(P < 0.005)、纤维(30 ± 8 克,19 ± 9 克)(P < 0.05),与 HD 组相比,动物蛋白的每日摄入量较低(49 ± 33 克,55 ± 24 克)(P = 0.02)。在能量(43%)、总脂肪(23%)和碳水化合物(87%)方面,观察到牛油果的部分 D,表明急性营养不良组从非牛油果来源摄入的这些营养素较少。食物组分析表明,AD 组从红肉、加工肉类、家禽和鱼类中摄入的动物源性蛋白质较少,而乳制品和鸡蛋的摄入量在各组之间没有观察到显著差异。结论每天摄入 1 个牛油果会使参与者的膳食结构发生有利的改变,包括增加钾和纤维的摄入量,从而改善膳食质量。本试验已在 https://clinicaltrials.gov 注册,编号为 NCT03528031。
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引用次数: 0
Sodium Content and Sodium Intake Contributions of Store-Bought and Restaurant-Prepared Foods in Their As-Eaten Form: National Health and Nutrition Examination Survey, 2009–2018 商店购买和餐馆烹制的即食食品的钠含量和钠摄入量:2009-2018 年全国健康与营养调查
IF 3.8 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-01 DOI: 10.1016/j.cdnut.2024.104455
Debra R Keast , Patricia M Guenther

Background

Guidance from the United States Food and Drug Administration (FDA) includes targets for the food industry to voluntarily reduce the sodium content (mg/100 g) of packaged, processed, and prepared foods sold by stores and restaurants. Assessments of sodium intake by the United States population are needed to inform sodium-reduction efforts.

Objectives

The objectives of this study were to assess the sodium content and sodium intake contributions of categories and subgroups of foods obtained from stores and restaurants and determine sodium intake reductions that would be achieved by meeting FDA targets.

Methods

Analyses used dietary data from the National Health and Nutrition Examination Survey, What We Eat in America (WWEIA), 2009–2018, to assess sodium in foods consumed by the United States population aged 2 y or older. Data describing where foods were obtained were used to identify store-bought and restaurant-prepared foods. Combination codes were used to group foods, such as separate salad ingredients, which were eaten together. Foods in their as-eaten form were then classified into WWEIA food categories and subgroups corresponding to FDA targets. Sample-weighted estimates generated by SUDAAN analyses were used to calculate projected sodium intake reductions.

Results

Store-bought, restaurant-prepared, and other foods contributed 62%, 26%, and 12%, respectively, of sodium in United States diets. Top-ranked food category contributors of sodium included sandwiches, tortilla products, pizza, poultry, soups, and breads. Subgroups of these categories contributing the most sodium included store-bought lunchmeat sandwiches and hotdogs, restaurant-prepared burgers, store-bought and restaurant-prepared tacos/burritos, restaurant-prepared pizza with meat, and store-bought white/wheat bread. Meeting the FDA targets for these subgroups achieved the highest projected sodium intake reductions.

Conclusions

Reductions of sodium in widely consumed foods, such as luncheon-meat sandwiches and restaurant-prepared pizza, have the greatest impact on reducing sodium intake by the United States population. These findings could be used by restauranteurs, food manufacturers, policymakers and regulators, and clinical practitioners to inform sodium-reduction efforts.
背景美国食品和药物管理局 (FDA) 的指导包括食品行业自愿降低商店和餐馆出售的包装食品、加工食品和预制食品中钠含量(毫克/100 克)的目标。本研究的目的是评估从商店和餐馆获得的食品类别和亚组的钠含量和钠摄入量贡献,并确定达到 FDA 目标可实现的钠摄入量减少量。方法分析使用 2009-2018 年全国健康与营养调查 "我们在美国吃什么"(WWEIA)中的膳食数据,评估 2 岁或以上美国人口所消费食品中的钠含量。描述食品获取地点的数据用于识别商店购买的食品和餐馆烹制的食品。组合代码用于对食品进行分组,如一起食用的不同沙拉配料。然后,根据食品及药物管理局的目标,将食用过的食品分为 WWEIA 食品类别和子类。通过 SUDAAN 分析得出的样本加权估计值用于计算预计钠摄入量的减少量。结果在美国人的膳食中,商店购买、餐馆准备和其他食品分别占钠摄入量的 62%、26% 和 12%。钠含量最高的食品类别包括三明治、玉米饼制品、比萨饼、家禽、汤和面包。这些类别中钠含量最高的子类别包括商店购买的午餐肉三明治和热狗、餐馆准备的汉堡、商店购买和餐馆准备的玉米饼/卷饼、餐馆准备的肉比萨饼以及商店购买的白面包/小麦面包。结论减少午餐肉三明治和餐馆自制比萨等广泛消费食品中的钠含量,对减少美国人口钠摄入量的影响最大。餐厅经营者、食品制造商、政策制定者和监管者以及临床从业人员可利用这些发现为减少钠摄入量的工作提供参考。
{"title":"Sodium Content and Sodium Intake Contributions of Store-Bought and Restaurant-Prepared Foods in Their As-Eaten Form: National Health and Nutrition Examination Survey, 2009–2018","authors":"Debra R Keast ,&nbsp;Patricia M Guenther","doi":"10.1016/j.cdnut.2024.104455","DOIUrl":"10.1016/j.cdnut.2024.104455","url":null,"abstract":"<div><h3>Background</h3><div>Guidance from the United States Food and Drug Administration (FDA) includes targets for the food industry to voluntarily reduce the sodium content (mg/100 g) of packaged, processed, and prepared foods sold by stores and restaurants. Assessments of sodium intake by the United States population are needed to inform sodium-reduction efforts.</div></div><div><h3>Objectives</h3><div>The objectives of this study were to assess the sodium content and sodium intake contributions of categories and subgroups of foods obtained from stores and restaurants and determine sodium intake reductions that would be achieved by meeting FDA targets.</div></div><div><h3>Methods</h3><div>Analyses used dietary data from the National Health and Nutrition Examination Survey, What We Eat in America (WWEIA), 2009–2018, to assess sodium in foods consumed by the United States population aged 2 y or older. Data describing where foods were obtained were used to identify store-bought and restaurant-prepared foods. Combination codes were used to group foods, such as separate salad ingredients, which were eaten together. Foods in their as-eaten form were then classified into WWEIA food categories and subgroups corresponding to FDA targets. Sample-weighted estimates generated by SUDAAN analyses were used to calculate projected sodium intake reductions.</div></div><div><h3>Results</h3><div>Store-bought, restaurant-prepared, and other foods contributed 62%, 26%, and 12%, respectively, of sodium in United States diets. Top-ranked food category contributors of sodium included sandwiches, tortilla products, pizza, poultry, soups, and breads. Subgroups of these categories contributing the most sodium included store-bought lunchmeat sandwiches and hotdogs, restaurant-prepared burgers, store-bought and restaurant-prepared tacos/burritos, restaurant-prepared pizza with meat, and store-bought white/wheat bread. Meeting the FDA targets for these subgroups achieved the highest projected sodium intake reductions.</div></div><div><h3>Conclusions</h3><div>Reductions of sodium in widely consumed foods, such as luncheon-meat sandwiches and restaurant-prepared pizza, have the greatest impact on reducing sodium intake by the United States population. These findings could be used by restauranteurs, food manufacturers, policymakers and regulators, and clinical practitioners to inform sodium-reduction efforts.</div></div>","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"8 10","pages":"Article 104455"},"PeriodicalIF":3.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142427169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Monitoring the Cost and Affordability of a Healthy Diet within Countries: Building Systems in Ethiopia, Ghana, Malawi, Nigeria, Pakistan, Tanzania, and Viet Nam 监测各国健康饮食的成本和可负担性:在埃塞俄比亚、加纳、马拉维、尼日利亚、巴基斯坦、坦桑尼亚和越南建立系统
IF 3.8 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-01 DOI: 10.1016/j.cdnut.2024.104441
Anna W Herforth , Rachel Gilbert , Kristina Sokourenko , Tehreem Fatima , Olutayo Adeyemi , Dawit Alemayehu , Eunice Arhin , Fantu Bachewe , Yan Bai , Imran Chiosa , Tirsit Genye , Hagos Haile , Raja Jahangeer , Joyce Kinabo , Fulgence Mishili , Chioma D Nnabugwu , John Nortey , Bernice Ofosu-Baadu , Adeyinka Onabolu , Daniel Bruce Sarpong , William A Masters

Background

Governments around the world collect food price data on a frequent basis, often monthly, for the purpose of monitoring inflation. These routine economic data can be used with a nutrition-sensitive lens for understanding economic access to a healthy diet. The Food and Agriculture Organization of the United Nations has adopted the cost and affordability of a healthy diet (CoAHD) for annual tracking alongside other food security indicators. This indicator is relevant in many countries for informed decision-making and accountability toward Food Systems Summit pathways. National governments may wish to include this indicator in their own monitoring systems, using existing subnational price and income data.

Objectives

We describe emerging systems in several countries for monitoring CoAHD and analytical tools that facilitate the calculation of CoAHD. We discuss reasons why the indicator may differ when calculated using subnational data compared with the global monitoring system and how to interpret differences.

Methods

Between June 2016 and February 2024, 19 workshops were held in 7 countries (Ethiopia, Ghana, Malawi, Nigeria, Pakistan, Tanzania, and Viet Nam), where stakeholder discussions covered sources of food price data, institutions involved, policy uses, and direct training in calculation of CoAHD. Food price data collected by national organizations were used to calculate CoAHD in partnership with government agencies.

Results

Calculating CoAHD using subnational data uses the same methods across settings, but the mechanisms for monitoring and dissemination are different in each country, illustrating heterogeneity in how the metric can most effectively be incorporated within existing structures. Results from national and global monitoring systems have expected differences based on data sources, healthy diet standards, and affordability standards.

Conclusions

CoAHD can be calculated with existing data and resources, facilitated by new software tools and user tutorials. In the future, it can be further streamlined, leveraging technical assistance from global institutions and aligning national and global monitoring systems.
背景世界各国政府经常收集食品价格数据,通常是每月一次,目的是监测通货膨胀。这些常规经济数据可用于从营养敏感的角度来了解健康饮食的经济可得性。联合国粮食及农业组织采用了健康饮食的成本和可负担性(CoAHD),与其他粮食安全指标一起进行年度跟踪。这一指标与许多国家的知情决策和实现粮食系统首脑会议途径的问责制相关。各国政府可能希望利用现有的国家以下各级价格和收入数据,将这一指标纳入本国的监测系统。我们讨论了使用国家以下各级数据计算的指标与全球监测系统相比可能存在差异的原因,以及如何解释差异。方法在 2016 年 6 月至 2024 年 2 月期间,在 7 个国家(埃塞俄比亚、加纳、马拉维、尼日利亚、巴基斯坦、坦桑尼亚和越南)举办了 19 次研讨会,利益相关者讨论的内容包括食品价格数据的来源、相关机构、政策用途以及计算联合反饥饿和营养不良的直接培训。结果利用国家以下各级数据计算联合反饥饿活动的方法在不同情况下使用相同的方法,但监测和传播机制在每个国家都不同,这说明在如何将该指标最有效地纳入现有结构方面存在差异。基于数据来源、健康饮食标准和可负担性标准,国家和全球监测系统的结果存在预期差异。今后,可利用全球机构的技术援助,进一步简化计算,并使国家和全球监测系统保持一致。
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引用次数: 0
Nutritional Optimization for Brain Health in Contact Sports: A Systematic Review and Meta-Analysis on Long-Chain ω-3 Fatty Acids and Neurofilament Light 接触性运动中促进大脑健康的营养优化:关于长链ω-3脂肪酸和神经丝光的系统回顾和荟萃分析
IF 3.8 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-01 DOI: 10.1016/j.cdnut.2024.104454
Jeffery L Heileson , Michael J Macartney , Nora L Watson , Tina E Sergi , Andrew R Jagim , Ryan Anthony , Gregory E Peoples

Background

Accumulating evidence has highlighted the acute and chronic impact of repetitive subconcussive head impacts (rSHIs) in contact sports. Neurofilament-light (Nf-L), a brain-derived biomarker of neuroaxonal injury, elevates in concert with rSHI. Recently, long-chain ω-3 polyunsaturated fatty acids (LC ω-3 PUFAs) supplementation has been suggested to mitigate brain injury from rSHI as reflected by attenuation of Nf-L concentrations within contact sport athletes.

Objective

Using a systematic review with a meta-analysis, we aimed to determine the effect of LC ω-3 PUFA supplementation on Nf-L concentrations in athletes routinely exposed to rSHI.

Methods

Electronic databases (PubMed and CINAHL) were searched from inception through January 2024. One-stage meta-analysis of individual participant-level data was used to detect changes in Nf-L concentrations between LC ω-3 PUFA and control/placebo (PL) groups from baseline to midseason (MS) and postseason (PS). Least square means (±SE) for Nf-L change from baseline were compared by treatment group for MS/PS using contrast t tests. Significance was set a priori at adjusted P ≤ 0.05.

Results

Of 460 records identified, 3 studies in collegiate American football players (n = 179; LC ω-3 PUFA = 105, PL = 71) were included in the meta-analysis. Compared with PL, the change in Nf-L concentrations was statistically similar at MS [mean difference (MD) = –1.66 ± 0.82 pg·mL–1, adjusted P = 0.09] and significantly lower at PS (MD = –2.23 ± 0.83 pg·mL–1, adjusted P = 0.02) in athletes following LC ω-3 PUFA supplementation.

Conclusions

Our findings demonstrate preliminary support for the prophylactic administration of LC ω-3 PUFA in contact sport athletes exposed to rSHI; however, further research is required to determine the effective dosage required.
This trial was registered at OSF (DOI: https://doi.org/10.17605/OSF.IO/EY5QW).
背景有越来越多的证据表明,在接触性运动中,重复性头部亚撞击(rSHIs)会造成急性和慢性影响。神经丝光(Nf-L)是神经轴突损伤的脑源性生物标志物,它的升高与重复性头部撞击(rSHIs)有关。最近,有人建议补充长链ω-3 多不饱和脂肪酸(LC ω-3 PUFAs)以减轻 rSHI 对大脑的损伤,这体现在接触性运动运动员体内 Nf-L 浓度的降低上。方法检索了从开始到 2024 年 1 月的电子数据库(PubMed 和 CINAHL)。对个体参与者水平的数据进行单阶段荟萃分析,以检测 LC ω-3 PUFA 组和对照组/安慰剂组 (PL) 从基线到季中 (MS) 和季后 (PS) Nf-L 浓度的变化。使用对比 t 检验比较了 MS/PS 治疗组 Nf-L 与基线相比变化的最小平方均值(±SE)。结果 在确定的 460 条记录中,有 3 项针对美式橄榄球大学生球员的研究(n = 179;LC ω-3 PUFA = 105,PL = 71)被纳入荟萃分析。与 PL 相比,补充 LC ω-3 PUFA 后的运动员在 MS 阶段 Nf-L 浓度的变化在统计学上相似[平均差(MD)=-1.66 ± 0.82 pg-mL-1,调整后 P = 0.09],而在 PS 阶段则显著降低(MD = -2.23 ± 0.83 pg-mL-1,调整后 P = 0.02)。结论我们的研究结果表明,初步支持对暴露于 rSHI 的接触性运动运动员预防性服用 LC ω-3 PUFA;但是,还需要进一步研究以确定所需的有效剂量。本试验已在 OSF 注册(DOI: https://doi.org/10.17605/OSF.IO/EY5QW)。
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引用次数: 0
Relative Validity and Reproducibility of a Dietary Screening Tool in Nigerian Health Care 尼日利亚医疗保健中饮食筛查工具的相对有效性和可重复性
IF 3.8 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-01 DOI: 10.1016/j.cdnut.2024.104459
Nimisoere P Batubo , Carolyn I Auma , J Bernadette Moore , Michael A Zulyniak

Background

Hypertension and cardiovascular disease burden are rising rapidly in Nigeria. This trend is partly attributed to a transition from healthy to unhealthy dietary patterns. However, health care professionals lack a dietary screening tool to assess patient dietary intake and offer personalized dietary advice.

Objectives

We aimed to develop and validate a food frequency questionnaire (FFQ) that can quickly and accurately assess regional dietary intake for use by health care professionals in a hospital setting in Port Harcourt, Nigeria.

Methods

We recruited 58 patients from a single hospital in Nigeria. The FFQ was administered at baseline and again after 3 wk. To evaluate the validity of the FFQ, we used 3 repeated and nonconsecutive 24-h dietary recalls (24DR) as a reference method. Spearman rank correlations, Wilcoxon signed-rank tests, cross-classification, intraclass correlation coefficients (ICCs), and Bland–Altman analysis were performed in R software version 4.3.1 to assess the relative validity and reproducibility.

Results

The mean correlation coefficient (rs) between the FFQ and 24DR was 0.60 (P < 0.05), and ranged from 0.20 to 0.78. The Wilcoxon signed-rank tests indicated no significant differences in the 19 food groups queried (P > 0.05), except for fats and oils (P < 0.05). The exact agreement for classifying individuals into quartiles ranged from 17% for salt to 88% for processed meats and alcoholic drinks, with 90% of individuals classified into the same or neighboring quartile. Additionally, the Bland–Altman analysis demonstrated acceptable agreement, with >96% of observations within the acceptable limits of agreement for all food groups. For reproducibility, the ICC ranged from 0.31 for stew to 0.98 for fruit, with an mean ICC of 0.77 between the FFQs delivered 2 wk apart.

Conclusions

Our results support the use of the FFQ as a valid and reliable tool for ranking intakes of certain food groups among patients in a hospital setting in Nigeria.
The trial was registered at clinicaltrials.gov as NCT05973760.
背景在尼日利亚,高血压和心血管疾病的发病率正在迅速上升。造成这一趋势的部分原因是从健康饮食模式向不健康饮食模式转变。然而,医护人员缺乏一种饮食筛查工具来评估患者的饮食摄入量并提供个性化的饮食建议。目的我们旨在开发并验证一种食物频率问卷(FFQ),该问卷可快速准确地评估地区饮食摄入量,供尼日利亚哈科特港一家医院的医护人员使用。我们从尼日利亚的一家医院招募了 58 名患者,分别在基线和 3 周后进行了 FFQ 问卷调查。为了评估 FFQ 的有效性,我们使用了 3 次重复且不连续的 24 小时饮食回顾(24DR)作为参考方法。结果 FFQ和24DR之间的平均相关系数(rs)为0.60(P <0.05),范围在0.20到0.78之间。Wilcoxon 符号秩检验表明,除了脂肪和油类(P <0.05)外,所询问的 19 个食物类别没有明显差异(P >0.05)。将个体划分为四分位数的准确一致率从食盐的 17% 到加工肉类和酒精饮料的 88%,90% 的个体被划分为相同或相邻的四分位数。此外,布兰-阿尔特曼分析表明了可接受的一致性,96%的观察结果在所有食物组可接受的一致性范围内。结论我们的研究结果支持使用 FFQ 作为一种有效、可靠的工具,对尼日利亚医院环境中患者的某些食物类别摄入量进行排序。
{"title":"Relative Validity and Reproducibility of a Dietary Screening Tool in Nigerian Health Care","authors":"Nimisoere P Batubo ,&nbsp;Carolyn I Auma ,&nbsp;J Bernadette Moore ,&nbsp;Michael A Zulyniak","doi":"10.1016/j.cdnut.2024.104459","DOIUrl":"10.1016/j.cdnut.2024.104459","url":null,"abstract":"<div><h3>Background</h3><div>Hypertension and cardiovascular disease burden are rising rapidly in Nigeria. This trend is partly attributed to a transition from healthy to unhealthy dietary patterns. However, health care professionals lack a dietary screening tool to assess patient dietary intake and offer personalized dietary advice.</div></div><div><h3>Objectives</h3><div>We aimed to develop and validate a food frequency questionnaire (FFQ) that can quickly and accurately assess regional dietary intake for use by health care professionals in a hospital setting in Port Harcourt, Nigeria.</div></div><div><h3>Methods</h3><div>We recruited 58 patients from a single hospital in Nigeria. The FFQ was administered at baseline and again after 3 wk. To evaluate the validity of the FFQ, we used 3 repeated and nonconsecutive 24-h dietary recalls (24DR) as a reference method. Spearman rank correlations, Wilcoxon signed-rank tests, cross-classification, intraclass correlation coefficients (ICCs), and Bland–Altman analysis were performed in R software version 4.3.1 to assess the relative validity and reproducibility.</div></div><div><h3>Results</h3><div>The mean correlation coefficient (<em>r</em><sub>s</sub>) between the FFQ and 24DR was 0.60 (<em>P</em> &lt; 0.05), and ranged from 0.20 to 0.78. The Wilcoxon signed-rank tests indicated no significant differences in the 19 food groups queried (<em>P</em> &gt; 0.05), except for fats and oils (<em>P</em> &lt; 0.05). The exact agreement for classifying individuals into quartiles ranged from 17% for salt to 88% for processed meats and alcoholic drinks, with 90% of individuals classified into the same or neighboring quartile. Additionally, the Bland–Altman analysis demonstrated acceptable agreement, with &gt;96% of observations within the acceptable limits of agreement for all food groups. For reproducibility, the ICC ranged from 0.31 for stew to 0.98 for fruit, with an mean ICC of 0.77 between the FFQs delivered 2 wk apart.</div></div><div><h3>Conclusions</h3><div>Our results support the use of the FFQ as a valid and reliable tool for ranking intakes of certain food groups among patients in a hospital setting in Nigeria.</div><div>The trial was registered at <span><span>clinicaltrials.gov</span><svg><path></path></svg></span> as NCT05973760.</div></div>","PeriodicalId":10756,"journal":{"name":"Current Developments in Nutrition","volume":"8 10","pages":"Article 104459"},"PeriodicalIF":3.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142427170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shifting Trend of Protein Consumption in Southeast Asia: Toward Health, Innovation, and Sustainability 东南亚蛋白质消费的变化趋势:走向健康、创新和可持续性
IF 3.8 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-01 DOI: 10.1016/j.cdnut.2024.104443
Alvin Surya Tjahyo , Jia Yee Wu , Geoffry Smith , Cecilia Acuin , Andrea B Maier , Shaun Yong Jie Sim , Reshma Taneja , Sumanto Haldar , Christiani Jeyakumar Henry
Complementing discourse following a February 2023 event on dietary protein needs in Southeast Asia (SEA), this symposium report summarizes the region’s protein intake, while simultaneously examining the impact of dietary shift toward complementary and alternative proteins and their health implications. It highlights the importance of protein quality in dietary evaluations, optimal intake, and sustainability, advocating for environmentally conscious protein production and innovation in future foods. Discussion points, expert opinions, national nutrition data, and relevant literature, addressing protein intake and quality, their impact on human health, and various technologies for future foods production, have been included. Despite increased protein supply in SEA, protein requirements, particularly during crucial life stages, are often unmet owing to insufficient focus on protein quality. Factoring in amino acids content and bioaccessibility are crucial for assessing nutritional requirement and sustainability evaluations, rather than solely relying on protein quantity alone. Different food sources of protein also have different key conutrients for health relevance such as vitamin B-12 and ω-3 fatty acids. Innovations in food structure, processing, and technology are key to developing nutritious, sustainable, and appealing future foods, including from complementary and alternative protein sources, while considering safety aspects, especially allergenicity. Addressing protein needs in SEA requires a dual focus on protein quantity and quality, underlining the role of public health policies and guidelines that consider key nutritional differences of animal-source and plant-based proteins. To address regional demands, future food innovations should aim at creating unique yet needful food categories or supplementing current existing sources, rather than mimicking current products.
作为对 2023 年 2 月东南亚(SEA)膳食蛋白质需求会议讨论的补充,本研讨会报告总结了该地区的蛋白质摄入量,同时探讨了膳食向补充蛋白质和替代蛋白质转变的影响及其对健康的影响。报告强调了蛋白质质量在膳食评估、最佳摄入量和可持续性方面的重要性,倡导未来食品中具有环保意识的蛋白质生产和创新。讨论要点、专家意见、国家营养数据和相关文献都涉及蛋白质的摄入量和质量、它们对人类健康的影响以及未来食品生产的各种技术。尽管东南亚地区的蛋白质供应量有所增加,但由于对蛋白质质量的关注不够,蛋白质需求量,尤其是关键生命阶段的蛋白质需求量往往得不到满足。考虑氨基酸含量和生物可利用性对于评估营养需求和可持续性评价至关重要,而不能仅仅依赖蛋白质数量。不同食物来源的蛋白质也具有不同的健康关键营养素,如维生素 B-12 和 ω-3 脂肪酸。食品结构、加工和技术方面的创新是开发营养丰富、可持续和有吸引力的未来食品的关键,包括来自补充和替代蛋白质来源的食品,同时要考虑到安全问题,特别是过敏性。要满足东南亚地区对蛋白质的需求,就必须同时关注蛋白质的数量和质量,强调公共卫生政策和指导方针的作用,考虑动物源蛋白质和植物源蛋白质在营养方面的主要差异。为满足地区需求,未来的食品创新应着眼于创造独特但有需求的食品类别或补充现有来源,而不是模仿现有产品。
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引用次数: 0
Racial and Ethnic Disparities in Dietary Intake and Quality Among United States Veterans 美国退伍军人膳食摄入量和质量的种族和民族差异
IF 3.8 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-01 DOI: 10.1016/j.cdnut.2024.104461
Xuan-Mai T Nguyen , Yanping Li , Stacey B Whitbourne , Luc Djousse , Dong D Wang , Kerry Ivey , Walter C Willett , John Michael Gaziano , Kelly Cho , Frank B Hu , VA Million Veteran Program

Background

Dietary quality plays an important role in disease development and prognosis, and diet is also a key contributor to disparities in many chronic diseases and health conditions.

Objectives

This study aimed to assess racial and ethnic disparities experienced by veterans; we examined food intake and dietary quality across different racial and ethnic groups of United States veterans.

Methods

The study included 420,730 males and females aged 19–107 y (91.2% males) enrolled in the Veterans Affairs Million Veteran Program with plausible dietary intake measured by food frequency questionnaire. Dietary quality was evaluated with dietary approaches to stop hypertension (DASH) score. Dietary intakes of various race and ethnicity groups were standardized to the age distribution of non-Hispanic White participants, separately for males and females. Differences across race and ethnicity groups were compared using general linear regression models after adjustment for socioeconomic and lifestyle factors as well as military service.

Results

Compared to non-Hispanic White males, non-Hispanic Black males had a relatively lower DASH score, higher red and processed meats, higher sugar-sweetened beverages (SSBs), and lower low-fat dairy intakes. Non-Hispanic Asian males had a relatively higher DASH score as compared to non-Hispanic White males with relatively higher intakes of fruits and vegetables and relatively lower intakes of sodium, red meat and SSBs. Age-standardized DASH scores of Hispanic males and “Other” race/ethnicity groups were not statistically different from non-Hispanic White males. Similar race and ethnicity dietary patterns were found in females, although not all reached a statistically significant level.

Conclusions

A modest difference in overall dietary quality (i.e., DASH score) was observed, but unique differences in food preferences across the different racial/ethnic groups were identified. Findings from our study may provide insight for the potential development of specific interventions to help address nutritional disparities experienced among veterans.
背景膳食质量在疾病的发生和预后中起着重要作用,膳食也是造成许多慢性疾病和健康状况差异的一个关键因素。目标本研究旨在评估退伍军人所经历的种族和民族差异;我们检查了美国退伍军人中不同种族和民族群体的食物摄入量和膳食质量。方法该研究纳入了 420,730 名年龄在 19-107 岁之间的男性和女性(91.2% 为男性),他们都参加了退伍军人事务百万退伍军人计划,并通过食物频率问卷调查测量了合理的饮食摄入量。膳食质量通过膳食高血压防治方法(DASH)评分进行评估。根据非西班牙裔白人参与者的年龄分布,对不同种族和民族群体的膳食摄入量进行了标准化处理,男性和女性分别进行了标准化处理。结果与非西班牙裔白人男性相比,非西班牙裔黑人男性的 DASH 评分相对较低,红肉和加工肉类的摄入量较高,含糖饮料 (SSB) 的摄入量较高,低脂乳制品的摄入量较低。与非西班牙裔白人男性相比,非西班牙裔亚裔男性的 DASH 得分相对较高,水果和蔬菜的摄入量相对较高,钠、红肉和含糖饮料的摄入量相对较低。西班牙裔男性和 "其他 "种族/族裔群体的年龄标准化 DASH 得分与非西班牙裔白人男性没有统计学差异。结论 在总体饮食质量(即 DASH 分数)方面观察到的差异不大,但不同种族/族裔群体在食物偏好方面存在独特的差异。我们的研究结果可为潜在的特定干预措施的开发提供启示,以帮助解决退伍军人中存在的营养差异问题。
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引用次数: 0
National Policies to Limit Nutrients, Ingredients, or Categories of Concern in School Meals: A Global Scoping Review 限制学校膳食中营养素、成分或关注类别的国家政策:全球范围审查
IF 3.8 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-01 DOI: 10.1016/j.cdnut.2024.104456
Emily A Busey , Grace Chamberlin , Kayla Mardin , Michelle Perry , Lindsey Smith Taillie , Francesca R Dillman Carpentier , Barry M Popkin
The school food environment is a key intervention point for influencing children’s and adolescents’ diets. As more countries establish school meal programs to provide critical nourishment to students, establishing standards for the foods served can increase the consumption of key nutrients and limit the consumption of foods that do not build health. This global scoping review explores the prevalence and basic characteristics of national policies that regulate food served through school meals across 193 countries, particularly by restricting the provision of categories, nutrients, or ingredients of nutritional concern. We gathered evidence from policy databases, grey literature, peer-reviewed literature, and primary policy documents. We included nationally mandated policies that included restrictions on categories, nutrients, or ingredients of concern served in school meals. Policies that were sub-national, voluntary, and/or did not include restrictive language were excluded from this review. Data was collected in research electronic data capture then extracted into Microsoft Excel and analyzed for policy frequency, prevalence by world region or country income group, and prevalence of certain policy characteristics. Globally, only 15% of countries were found to have a national-level policy restricting foods served through school meals in some capacity, including either nutritional or categorical restrictions. The majority of these policies were found in high-income countries, and no low-income countries had a policy meeting inclusion criteria. Policies in Latin-American and Caribbean countries limited the content of more nutrients of concern than in other regions. Although many policies included explicit guidelines to monitor implementation, few outlined mechanisms for policy enforcement. Future research should evaluate the impact of various school meal regulatory approaches, including implementation of similar policies at sub-national levels, and other elements that affect the impact of school meal programs, such as procurement, infrastructure, costs to school and to students and their families, and acceptability and consumption of foods provided.
学校食品环境是影响儿童和青少年饮食的关键干预点。随着越来越多的国家制定学校供餐计划,为学生提供重要的营养,制定供餐食品标准可以增加关键营养素的摄入量,限制不利于健康的食品的摄入量。这篇全球范围的综述探讨了 193 个国家规范学校供餐食品的国家政策的普遍性和基本特征,特别是限制提供营养问题类别、营养素或配料的政策。我们从政策数据库、灰色文献、同行评审文献和主要政策文件中收集证据。我们纳入了国家强制政策,其中包括对学校膳食中提供的有关类别、营养素或成分的限制。次国家级、自愿性和/或不包含限制性语言的政策不在本次审查范围内。通过研究电子数据采集收集数据,然后提取到 Microsoft Excel 中,并对政策频率、按世界地区或国家收入组别划分的普遍性以及某些政策特征的普遍性进行分析。研究发现,在全球范围内,只有 15%的国家制定了国家级政策,对学校供餐中的食品进行某种限制,包括营养限制或分类限制。这些政策大多出现在高收入国家,没有一个低收入国家的政策符合纳入标准。与其他地区相比,拉丁美洲和加勒比地区国家的政策限制了更多营养素的含量。尽管许多政策都包含明确的监督实施准则,但很少有政策概述了政策执行机制。未来的研究应评估各种学校膳食监管方法的影响,包括在国家以下各级实施类似政策的情况,以及影响学校膳食计划影响的其他因素,如采购、基础设施、学校和学生及其家庭的成本,以及所提供食品的可接受性和消费量。
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引用次数: 0
期刊
Current Developments in Nutrition
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