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Infrequent breakfast consumption and lower weekly meal frequency are associated with poor muscle health in Korean older adults. 韩国老年人不经常吃早餐和每周进餐频率较低与肌肉健康状况不佳有关。
IF 3.1 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-24 DOI: 10.1016/j.nutres.2026.02.007
Kayoung Lee

Maintaining muscle health is a growing concern in aging populations, yet the role of eating frequency remains understudied. This study hypothesized that lower eating frequency, particularly infrequent breakfast consumption, is associated with poorer muscle health in older adults. This study examined the association between eating frequency and muscle outcomes among 3292 adults aged ≥50 years from the 2022-2023 Korea National Health and Nutrition Examination Survey. Meal frequency was categorized by weekly breakfast (0, 1-2, 3-4, 5-7/week), lunch and dinner (≤2, 3-4, 5-7/week), and grouped as ≤12, 13-14, or 15-21 meals/week. Muscle outcomes included the skeletal muscle index (SMI) and handgrip strength (HGS). Sex-stratified multivariable logistic regression models were adjusted for sociodemographic, health behaviors, and clinical and dietary intake. In men, skipping breakfast was associated with higher odds of combined low SMI/HGS (odds ratio [OR]: 2.02; 95% confidence interval [CI], 1.01-4.04). In women, it was associated with low SMI (OR: 1.90; 95% CI, 1.08-3.34). Men consuming 13 to 14 or ≤12 meals/week had higher odds of low SMI (OR: 4.74; 95% CI, 2.39-9.42 and OR: 1.96; 95% CI, 1.22-3.14, respectively) and combined low SMI/HGS (OR: 2.38; 95% CI, 1.11-5.13 and OR: 1.79; 95% CI, 1.07-3.01, respectively). Among women, consuming ≤12 meals/week was associated with low SMI (OR: 1.69; 95% CI, 1.18-2.42). These associations remained consistent in participants aged ≥65 years. No significant associations were found for lunch or dinner frequency. In conclusion, regular meal consumption, especially consistent breakfast intake, may help preserve muscle mass and strength in older adults.

保持肌肉健康是老年人日益关注的问题,但饮食频率的作用仍未得到充分研究。这项研究假设,较低的饮食频率,特别是不经常吃早餐,与老年人较差的肌肉健康有关。这项研究调查了来自2022-2023年韩国国家健康与营养调查的3292名年龄≥50岁的成年人的饮食频率和肌肉结果之间的关系。用餐频率按每周早餐(0、1-2、3-4、5-7次/周)、午餐和晚餐(≤2、3-4、5-7次/周)分类,并按≤12、13-14、15-21次/周分组。肌肉指标包括骨骼肌指数(SMI)和握力(HGS)。性别分层的多变量logistic回归模型根据社会人口统计学、健康行为、临床和饮食摄入进行了调整。在男性中,不吃早餐与合并低SMI/HGS的几率较高相关(优势比[OR]: 2.02; 95%可信区间[CI], 1.01-4.04)。在女性中,它与低SMI相关(OR: 1.90; 95% CI, 1.08-3.34)。每周进食13至14餐或≤12餐的男性低SMI (or: 4.74; 95% CI, 2.39-9.42和or: 1.96; 95% CI, 1.22-3.14)和综合低SMI/HGS (or: 2.38; 95% CI, 1.11-5.13和or: 1.79; 95% CI, 1.07-3.01)的几率更高。在女性中,每周进食≤12餐与低SMI相关(OR: 1.69; 95% CI, 1.18-2.42)。这些关联在年龄≥65岁的参与者中保持一致。午餐或晚餐的频率没有发现显著的关联。综上所述,有规律的饮食,尤其是持续的早餐摄入,可能有助于保持老年人的肌肉质量和力量。
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引用次数: 0
Higher dietary omega-3 polyunsaturated fatty acid intake is associated with reduced all-cause mortality in cancer survivors: A prospective cohort study. 高饮食摄入omega-3多不饱和脂肪酸与降低癌症幸存者的全因死亡率相关:一项前瞻性队列研究。
IF 3.1 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-24 DOI: 10.1016/j.nutres.2026.02.005
Wentao Zang, Lanlan Li, Xuelian Zhao, Sibao Li

Despite advances in cancer treatment, survivors continue to face elevated all-cause mortality, and the relationship between omega-3 polyunsaturated fatty acids (PUFAs) and mortality in this population remains uncertain. We hypothesized that higher dietary omega-3 PUFA intake is associated with reduced all-cause mortality in cancer survivors. Using data from 4836 adults with self-reported cancer in NHANES (1999-2018), we evaluated dietary intake of omega-3 PUFAs based on 24-hour recalls and categorized it into quartiles. During a median follow-up of 81 months, 1776 deaths occurred. After adjusting for confounders, multivariable Cox proportional hazards regression revealed that each additional gram per day of omega-3 PUFA intake was associated with a 6% reduction in mortality risk (HR: 0.94, 95% CI: 0.89-0.99). When omega-3 PUFA intake was analyzed as a categorical variable, participants in the highest quartile (Q4) had a 24% lower mortality risk compared with those in the lowest quartile (Q1) (HR: 0.76, 95% CI: 0.65-0.90; P for trend < .01).Restricted cubic spline analysis indicated a linear dose-response relationship (P for nonlinearity = .255). In subgroup analyses, body mass index modified this association (interaction P = .031), with significant inverse associations observed among overweight and obese individuals (HR: 0.91, 95% CI: 0.86-0.98) but not among those with normal weight. These findings were robust in sensitivity analyses. In conclusion, higher dietary omega-3 PUFA intake was associated with reduced all-cause mortality in cancer survivors, with stronger associations observed among overweight and obese individuals.

尽管癌症治疗取得了进步,但幸存者仍然面临着全因死亡率的上升,并且在这一人群中,omega-3多不饱和脂肪酸(PUFAs)与死亡率之间的关系仍然不确定。我们假设较高的饮食摄入omega-3 PUFA与降低癌症幸存者的全因死亡率有关。使用NHANES中4836名自我报告癌症的成年人(1999-2018)的数据,我们基于24小时回忆评估了omega-3 PUFAs的饮食摄入量,并将其分为四分位数。在平均81个月的随访期间,发生了1776例死亡。在调整混杂因素后,多变量Cox比例风险回归显示,每天额外摄入1克omega-3 PUFA与死亡风险降低6%相关(HR: 0.94, 95% CI: 0.89-0.99)。当omega-3 PUFA摄入量作为一个分类变量进行分析时,最高四分位数(Q4)的参与者的死亡风险比最低四分位数(Q1)的参与者低24% (HR: 0.76, 95% CI: 0.65-0.90; P < 0.01)。限制三次样条分析显示剂量-反应呈线性关系(非线性P = 0.255)。在亚组分析中,体重指数改变了这种关联(相互作用P = 0.031),超重和肥胖个体之间观察到显著的负相关(HR: 0.91, 95% CI: 0.86-0.98),但在体重正常的个体中没有。这些发现在敏感性分析中是稳健的。总之,饮食中摄入更多的omega-3 PUFA与降低癌症幸存者的全因死亡率有关,在超重和肥胖人群中观察到更强的相关性。
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引用次数: 0
Higher serum concentrations of myristoleic acid, gadoleic acid, erucic acid, and nervonic acid, along with a lower concentration of palmitoleic acid, are associated with an increased risk of colorectal cancer. 肉豆蔻酸、甘油酸、芥酸和神经酸的血清浓度较高,以及棕榈油酸浓度较低,与结直肠癌的风险增加有关。
IF 3.1 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-24 DOI: 10.1016/j.nutres.2026.02.006
Jia-Hui Li, Yu-Jing Fang, Qing-Jian Ou, Cai-Xia Zhang

The association between serum concentrations of total monounsaturated fatty acids (MUFAs) and colorectal cancer (CRC) risk remains controversial, with limited evidence regarding individual MUFAs. This study aimed to comprehensively explore the associations of serum MUFA concentrations with CRC risk in a Chinese population. We hypothesize that serum myristoleic acid (C14:1), oleic acid (C18:1), gadoleic acid (C20:1), erucic acid (C22:1), nervonic acid (C24:1) and total MUFAs are positively associated, while palmitoleic acid (C16:1) is inversely associated with CRC risk. Serum MUFA concentrations were measured by gas chromatography in 680 cases and 680 frequency-matched controls aged 30 to 75 years. Multivariable logistic regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs). We observed no significant linear associations for serum total MUFAs (adjusted OR [aOR] for quartile 4 vs. quartile 1, 1.37; 95% CI, 0.83-2.28), or serum C18:1 (aOR, 0.81; 95% CI, 0.50-1.32) with CRC risk; instead, both exhibited inverted-U trends peaking at 16.66% and 13.23%, respectively. However, serum concentrations of C14:1 (aOR, 2.23; 95% CI, 1.56-3.18), C20:1 (aOR, 1.98; 95% CI, 1.40-2.80), C22:1 (aOR, 1.83; 95% CI, 1.28-2.62), and C24:1 (aOR, 6.33; 95% CI, 4.25-9.42) were positively associated with CRC risk, whereas serum C16:1 (aOR, 0.48; 95% CI, 0.33-0.71) was inversely associated with CRC risk. These findings suggest that different serum MUFA subtypes exhibit differing associations with CRC risk. Higher serum concentrations of C14:1, C20:1, C22:1, C24:1 and lower concentration of C16:1 are associated with an increased CRC risk in Chinese population. It may be beneficial for CRC prevention to appropriately increase the dietary intake of C16:1-rich foods such as Macadamia nut or palm oil.

血清总单不饱和脂肪酸(MUFAs)浓度与结直肠癌(CRC)风险之间的关系仍然存在争议,关于单个MUFAs的证据有限。本研究旨在全面探讨中国人群血清MUFA浓度与结直肠癌风险的关系。我们假设血清肉豆醇酸(C14:1)、油酸(C18:1)、甘油酸(C20:1)、芥酸(C22:1)、神经酸(C24:1)和总MUFAs与结直肠癌风险呈正相关,而棕榈油酸(C16:1)与结直肠癌风险呈负相关。用气相色谱法测定了680例30 ~ 75岁患者和680例频率匹配对照者的血清MUFA浓度。多变量logistic回归模型用于估计优势比(ORs)和95%置信区间(ci)。我们观察到血清总MUFAs(四分位数4对四分位数1的校正OR [aOR]为1.37;95% CI为0.83-2.28)或血清C18:1 (aOR为0.81;95% CI为0.50-1.32)与结直肠癌风险无显著的线性关联;相反,两者均呈现倒u型趋势,峰值分别为16.66%和13.23%。然而,血清浓度C14:1 (aOR, 2.23; 95% CI, 1.56-3.18)、C20:1 (aOR, 1.98; 95% CI, 1.40-2.80)、C22:1 (aOR, 1.83; 95% CI, 1.28-2.62)和C24:1 (aOR, 6.33; 95% CI, 4.25-9.42)与CRC风险呈正相关,而血清浓度C16:1 (aOR, 0.48; 95% CI, 0.33-0.71)与CRC风险呈负相关。这些发现表明,不同的血清MUFA亚型与结直肠癌风险表现出不同的相关性。在中国人群中,较高的血清C14:1、C20:1、C22:1、C24:1浓度和较低的血清C16:1浓度与CRC风险增加相关。适当增加饮食中富含c16:1的食物,如澳洲坚果或棕榈油,可能有利于预防结直肠癌。
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引用次数: 0
Dietary Inflammatory Index is positively associated with hs-CRP and inversely associated with IL-8 in Brazilian adults: a cross-sectional study. 巴西成年人饮食炎症指数与hs-CRP正相关,与IL-8负相关:一项横断面研究
IF 3.1 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-19 DOI: 10.1016/j.nutres.2026.02.004
Karine A A Simiano, Giana Z Longo, Maurício S Nunes, Leandro L de Oliveira, Danielle C G da Silva, James R Hébert, Sherry Price, R Kendal Moss, Erasmo B S M Trindade

Evidence suggests that diet is associated with low-grade inflammation. The Dietary Inflammatory Index (DII) assesses the inflammatory potential of a diet; however, few studies have examined its association with hs-CRP and cytokines (IL-1β, IL-6, IL-8, IL-10, IL-12p70, and TNF-α) in Brazilian adults. This cross-sectional study, using data from 958 adults from the Viçosa Health and Nutrition Study (2012-2014), who were selected by two-stage probabilistic sampling. Dietary intake was assessed using a validated Food Frequency Questionnaire. DII scores were calculated, as were the energy-adjusted (E-DII) and residual-adjusted (E-DIIr) forms based on 25 dietary components. Inflammatory biomarkers were measured using high-sensitivity immunoturbidimetry and bead-based flow cytometry for cytokines. Linear and logistic regression models, adjusted for complex sampling design and covariates defined by a Directed Acyclic Graph (DAG), were tested in three hierarchical blocks (Stata 14.2; p < 0.05). Diets with higher inflammatory potential (E-DII, E-DIIr) were positively associated with log-transformed hs-CRP concentrations in adjusted models. In quartile analyses, individuals in the most pro-inflammatory quartile (DII, E-DII, E-DIIr) had higher hs-CRP concentrations. Logistic models showed no association between continuous scores and odds of hs-CRP ≥ 3 mg/L. However, significant associations emerged in the upper quartiles of the DII and E-DIIr. For IL-8, inverse associations appeared in both linear (DII, E-DIIr) and ordinal logistic regression (DII, E-DIIr). Findings support the association between pro-inflammatory diets and hs-CRP concentrations, with no consistent results for other cytokines. The DII may capture subclinical inflammation, but its utility could depend on methodology and timing, underscoring the need for standardized longitudinal studies.

有证据表明,饮食与低度炎症有关。膳食炎症指数(DII)评估饮食的炎症潜力;然而,在巴西成年人中,很少有研究检测其与hs-CRP和细胞因子(IL-1β、IL-6、IL-8、IL-10、IL-12p70和TNF-α)的关系。本横断面研究采用两阶段概率抽样方法,使用了来自viosa健康与营养研究(2012-2014)的958名成年人的数据。使用有效的食物频率问卷评估饮食摄入量。计算DII分数,以及基于25种膳食成分的能量调整(E-DII)和剩余调整(E-DIIr)形式。使用高灵敏度免疫比浊法和基于珠状细胞术的细胞因子检测炎症生物标志物。线性和逻辑回归模型,调整复杂抽样设计和有向无环图(DAG)定义的协变量,在三个分层块中进行检验(Stata 14.2; p < 0.05)。在调整后的模型中,炎症潜力较高的饮食(E-DII, E-DIIr)与对数转化hs-CRP浓度呈正相关。在四分位数分析中,最促炎四分位数(DII, E-DII, E-DIIr)的个体具有较高的hs-CRP浓度。Logistic模型显示hs-CRP≥3mg /L与连续评分无相关性。然而,显著的关联出现在DII和E-DIIr的上四分位数。对于IL-8,线性回归(DII, E-DIIr)和有序逻辑回归(DII, E-DIIr)均出现负相关。研究结果支持促炎饮食和hs-CRP浓度之间的联系,但对其他细胞因子没有一致的结果。DII可以捕获亚临床炎症,但其效用可能取决于方法和时间,强调需要标准化的纵向研究。
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引用次数: 0
Combined high-intensity interval training and spirulina supplementation synergistically improve inflammatory and lipid-associated biomarkers in men with obesity. 联合高强度间歇训练和补充螺旋藻可协同改善肥胖男性的炎症和脂质相关生物标志物。
IF 3.1 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-17 DOI: 10.1016/j.nutres.2026.02.003
Maryam Delfan, Hashem Abadi Negin Zeidi, Fatemeh Ragerdi Kashani, Farzaneh Zeynali, Raheleh A Juybari, Mazaher Rahimpour, Mark E T Willems, Ayoub Saeidi, Hassane Zouhal

The present research assessed the efficacy of 12-week high-intensity interval training (HIIT) and blue-green algae (Spirulina) consumption on pro-inflammatory and anti-inflammatory factors (Dectin-1, IL-1β, and IL-10), along with lipid-associated signaling elements (ApoM and S1P) in obesity. We hypothesized that 12-week intervention combining HIIT and Spirulina consumption will demonstrate superior efficacy than HIIT or Spirulina alone on plasma concentrations of pro- and anti-inflammatory factors and lipid-associated signaling molecules in men with obesity. Sixty-four men with obesity (BMI ≥ 30 kg/m², 20-35 years) were randomly allocated to four treatment groups: control placebo (CP), blue-algae (BA), HIIT + placebo (HIIT+P), or HIIT + blue-algae (HIIT+BA). The treatment consisted of three weekly sessions of HIIT protocols, daily intake of 6 grams of capsulated Spirulina, or simultaneous implementation of both interventions. Plasma biomarkers (Dectin-1, IL-1β, IL-10, ApoM, and S1P), anthropometric measurements, cardiorespiratory assessments, and lipid profiles were examined at baseline and after the 12-week intervention. Statistical analyses demonstrated an elevation in plasma concentrations of IL-10 and ApoM, along with a reduction in concentrations of IL-1β in the BA, HIIT+P, and HIIT+BA groups (P< .05), with the most pronounced changes observed in the HIIT+BA. Also, an increase in S1P concentrations was observed in the HIIT+P and HIIT+BA groups (P = .03, P = .003, respectively). A decrease in Dectin-1 concentrations post-intervention was found only in the HIIT+BA group (P = .03). In conclusion, while HIIT and/or Spirulina have shown potential for targeting lipid- and inflammation-associated markers in obesity, combining these interventions demonstrates superior efficacy for certain parameters.

本研究评估了12周高强度间歇训练(HIIT)和蓝绿藻(螺旋藻)消耗对肥胖的促炎和抗炎因子(Dectin-1, IL-1β和IL-10)以及脂质相关信号因子(ApoM和S1P)的功效。我们假设,在肥胖男性中,联合HIIT和螺旋藻摄入12周的干预将比单独HIIT或螺旋藻对促炎因子、抗炎因子和脂质相关信号分子的血浆浓度有更好的疗效。64名肥胖男性(BMI≥30 kg/m²,20-35岁)被随机分配到4个治疗组:对照安慰剂(CP)、蓝藻(BA)、HIIT+安慰剂(HIIT+P)或HIIT+蓝藻(HIIT+BA)。治疗包括每周三次的HIIT方案,每天摄入6克荚膜螺旋藻,或同时实施两种干预措施。在基线和干预12周后检查血浆生物标志物(Dectin-1、IL-1β、IL-10、ApoM和S1P)、人体测量、心肺评估和脂质谱。统计分析表明,BA组、HIIT+P组和HIIT+BA组血浆IL-10和ApoM浓度升高,IL-1β浓度降低(P
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引用次数: 0
AI slop in today’s nutritional epidemiology – a worrisome trend with need for countermeasures 人工智能在当今营养流行病学中的影响——这是一个令人担忧的趋势,需要采取对策
IF 3.1 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-01 Epub Date: 2026-01-01 DOI: 10.1016/j.nutres.2025.12.011
Stefan Kabisch
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引用次数: 0
Editorial office and Board Members 编辑部和董事会成员
IF 3.1 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-01 Epub Date: 2026-02-11 DOI: 10.1016/S0271-5317(26)00013-8
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引用次数: 0
Effects of chronic nitrate supplementation on blood pressure in adults: a systematic review and meta-analysis of randomized clinical trials 长期补充硝酸盐对成人血压的影响:随机临床试验的系统回顾和荟萃分析
IF 3.1 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-01 Epub Date: 2025-08-06 DOI: 10.1016/j.nutres.2025.08.002
Daniel Forster , Gustavo Waclawovsky , Giuseppe Potrick Stefani
This systematic review and meta-analysis investigated the chronic effects of sodium nitrate (NO₃⁻) supplementation on systolic blood pressure (SBP), diastolic blood pressure (DBP), and resting heart rate (RHR) in adults. Placebo-controlled randomized clinical trials (RCTs) involving participants aged ≥18 years and lasting at least one week were included. Studies with beetroot juice as an intervention and studies with animals were excluded. Searches in PubMed, Cochrane, LILACS, Web of Science, SCOPUS, and grey literature were conducted in June 2025. Effect estimates were pooled as mean differences (MD) with 95% CIs using a random-effects model with Hartung-Knapp adjustment and the inverse variance method. All analyses were performed using RStudio with the meta package. Risk of bias assessment was conducted using the PEDro scale. Six studies (n = 181 participants; 59% male; > 50 years of age) were eligible for analysis. Compared to the placebo condition, NO₃⁻ supplementation did not result in significant reductions in DBP (MD: –2.00 mm Hg; 95% CI: –4.37 to 0.38 mm Hg); SBP (MD: –3.81 mm Hg; 95% CI: –10.05 to 2.43 mm Hg); and RHR (MD: 0.34 bpm; 95% CI: –5.68 to 6.36 bpm). The average PEDro score indicated a low risk of bias (8.16 points). In conclusion, the current evidence does not support reductions in blood pressure levels in older adults following NO₃⁻ supplementation. Nevertheless, due to the limited number of available randomized controlled trials, further research is necessary to confirm these findings and to better understand the long-term effects of this compound on blood pressure.
这项系统回顾和荟萃分析调查了硝酸钠(NO₃⁻)补充剂对成年人收缩压(SBP)、舒张压(DBP)和静息心率(RHR)的慢性影响。纳入年龄≥18岁且持续至少一周的安慰剂对照随机临床试验(RCTs)。以甜菜根汁作为干预的研究和动物研究被排除在外。检索PubMed, Cochrane, LILACS, Web of Science, SCOPUS和灰色文献于2025年6月进行。使用Hartung-Knapp校正的随机效应模型和逆方差法,将效应估计合并为95% ci的平均差异(MD)。所有的分析都是使用带有meta包的RStudio进行的。偏倚风险评估采用PEDro量表。6项研究(n = 181名参与者,59%为男性,50岁)符合分析条件。与安慰剂相比,NO₃⁻补充没有导致DBP的显著降低(MD: -2.00 mm Hg; 95% CI: -4.37至0.38 mm Hg);收缩压(MD: -3.81 mm Hg; 95% CI: -10.05 ~ 2.43 mm Hg);RHR (MD: 0.34 bpm; 95% CI: -5.68 ~ 6.36 bpm)。平均PEDro评分显示偏倚风险较低(8.16分)。总之,目前的证据并不支持在NO₃⁻补充后老年人的血压水平会降低。然而,由于可用的随机对照试验数量有限,需要进一步的研究来证实这些发现,并更好地了解这种化合物对血压的长期影响。
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引用次数: 0
Potential ergogenic aid of capsaicinoid or capsinoids in healthy adults: a systematic review with meta-analysis 辣椒素或辣椒素对健康成人潜在的促角作用:一项荟萃分析的系统综述
IF 3.1 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-01 Epub Date: 2025-12-14 DOI: 10.1016/j.nutres.2025.12.004
Giovanni Henrique Quizzini , Jessenia Marise Sales Campos , Flavio Antonio de Sousa Nunes , Priscila Almeida Queiroz Rossi , Emilia Zawieja , Nelo Eidy Zanchi , Lucas Melo Neves , Fabricio Eduardo Rossi
Capsaicinoids and capsinoids (CAP) have been proposed as ergogenic aids, with mechanisms suggesting benefits for resistance or aerobic exercise performance. The objective of this systematic review with meta-analysis was to verify the effects of CAP on resistance or aerobic exercise performance in healthy adults, and to explore potential variables influencing these outcomes. We hypothesize that CAP supplementation may acutely and chronically improve aerobic and resistance performance in adults. This review followed PRISMA guidelines and was registered in PROSPERO (CRD42023460579). Searches were conducted in PubMed, Web of Science, Embase, and SPORTDiscus. Eligible studies included healthy adults (18-59 years) receiving acute or chronic CAP supplementation with resistance or aerobic exercise, reporting outcomes on aerobic exercise performance (time trial or time to exhaustion), resistance exercise performance (total volume load or repetitions to failure), and rating of perceived exertion (RPE). Meta-analysis showed improvements in acute resistance exercise performance (standardized mean difference [SMD] = 0.198; 95% confidence interval (CI) = 0.083-0.313; P = .001), and acute aerobic exercise performance, where CAP improved time-to-exhaustion (SMD = 0.487; 95% CI = 0.089-0.885; P = .016) but without overall effect (SMD = 0.055; 95% CI = −0.128 to 0.238; P = .554). For RPE, there was a significant reduction for overall effect (SMD = −0.183; 95% CI = −0.318 to −0.047; P = .008). Three chronic resistance training studies were identified, with one showing increased strength. Two chronic aerobic studies were included, but neither improved. In conclusion, acute CAP supplementation may enhance resistance exercise performance and time-to-exhaustion during acute aerobic exercise, while lowering RPE, but chronic effects are limited.
辣椒素和辣椒素(Capsaicinoids and capsinoids, CAP)被认为是一种促氧助剂,其机制表明其对抵抗或有氧运动表现有好处。本系统综述的meta分析目的是验证CAP对健康成人阻力或有氧运动表现的影响,并探讨影响这些结果的潜在变量。我们假设补充CAP可能会急性和慢性地改善成人的有氧和阻力表现。该综述遵循PRISMA指南,并在PROSPERO注册(CRD42023460579)。在PubMed, Web of Science, Embase和SPORTDiscus中进行了搜索。符合条件的研究包括健康成人(18-59岁),接受急性或慢性CAP补充阻力或有氧运动,报告有氧运动表现(计时或疲劳时间)、阻力运动表现(总容量负荷或重复次数至失败)和感知运动评分(RPE)的结果。meta分析显示急性阻力运动表现改善(标准化平均差[SMD] = 0.198; 95%可信区间(CI) = 0.083-0.313;P = .001)和急性有氧运动表现,CAP改善了疲劳时间(SMD = 0.487; 95% CI = 0.089-0.885; P = 0.016),但没有整体效果(SMD = 0.055; 95% CI = - 0.128 - 0.238; P = .554)。对于RPE,总体效果显著降低(SMD = - 0.183; 95% CI = - 0.318至- 0.047;P = 0.008)。三项慢性阻力训练研究被确认,其中一项显示力量增加。包括两项慢性有氧研究,但都没有改善。综上所述,急性补充CAP可以提高急性有氧运动中的阻力运动表现和疲劳时间,同时降低RPE,但慢性效应有限。
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Feasibility of a randomized clinical trial comparing 5-methyltetrahydrofolate and folic acid prenatal multivitamins in couples with recurrent pregnancy loss 一项比较5-甲基四氢叶酸和叶酸产前复合维生素在复发性流产夫妇中的可行性的随机临床试验
IF 3.1 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2026-02-01 Epub Date: 2025-12-19 DOI: 10.1016/j.nutres.2025.12.008
Carolyn Ledowsky , Vanessa Scarf , Kris Rogers , Amie Steel
To assess the feasibility of a randomized controlled trial (RCT) comparing 5-methyltetrahydrofolate (5-MTHF) and folic acid (FA) in couples with recurrent pregnancy loss. Pregnancy loss affects up to 15% of pregnancies, with over half of cases remaining unexplained. Emerging evidence suggests that folate metabolism, particularly in individuals carrying methylenetetrahydrofolate reductase polymorphisms such as C677T and A1298C variants, may influence reproductive outcomes. A double-blind, RCT feasibility trial was conducted in Australia with 22 reproductive dyads randomized to receive either 5-MTHF or FA prenatal multivitamins. Participants adhered to dietary restrictions, abstained from conception for two cycles, and completed regular assessments. Primary outcomes included feasibility, adherence, acceptability, and preliminary efficacy based on biochemical markers and pregnancy outcomes. The trial demonstrated high acceptability (86% in arm A [MTHF-A] and 94% in arm B [FA-B]) and adherence rates for supplement use over 78% in each arm. Unmetabolized FA concentration decreased in the 5-MTHF group but rose significantly in the FA group. A critical finding was the degradation of 5-MTHF in retained samples, highlighting formulation instability as a confounder. A fully online RCT comparing 5-MTHF and FA is feasible. Future trials should address formulation stability and expand sample size to evaluate clinical efficacy and personalized folate strategies.
评估一项比较5-甲基四氢叶酸(5-MTHF)和叶酸(FA)在复发性流产夫妇中的可行性的随机对照试验(RCT)。妊娠丢失影响到多达15%的妊娠,超过一半的病例仍然无法解释。新出现的证据表明,叶酸代谢,特别是携带亚甲基四氢叶酸还原酶多态性(如C677T和A1298C变体)的个体,可能影响生殖结果。在澳大利亚进行了一项双盲,随机对照试验可行性试验,22对生殖双体随机接受5-MTHF或FA产前复合维生素。参与者坚持饮食限制,避免怀孕两个周期,并完成定期评估。主要结局包括可行性、依从性、可接受性和基于生化指标和妊娠结局的初步疗效。该试验显示出较高的可接受性(A组86% [MTHF-A], B组94% [FA-B]),两组补充剂使用的依从率均超过78%。5-MTHF组未代谢FA浓度降低,FA组显著升高。一个关键的发现是保留样品中5-MTHF的降解,突出了配方不稳定性作为一个混杂因素。比较5-MTHF和FA的完全在线RCT是可行的。未来的试验应解决配方稳定性和扩大样本量,以评估临床疗效和个性化叶酸策略。
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Nutrition Research
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