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Relationship between water-soluble primary metabolites in feces, gut microbiota, and dietary history in healthy female university students using gas chromatography-mass spectrometry: A cross-sectional study. 用气相色谱-质谱法研究健康女大学生粪便中水溶性初级代谢物、肠道微生物群和饮食史之间的关系
IF 1.4 Q3 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-04-04 DOI: 10.1177/02601060251329628
Genya Okada, Yukina Tahata, Shiori Ueno, Nazuna Kariyada, Shota Tanimoto, Ryota Mabuchi

Background & Aims: The ingested food substances and the substances produced by the action of organisms and gut bacteria on the ingested food can impact health and increase chronic disease risk. Metabolomics is used to elucidate metabolic profiles altered by diet; however, there is no clear consensus regarding the samples and the analytical and dietary survey methods used. This study aimed to assess the effect on metabolic profiling of feces with or without cell disruption and to evaluate the correlation between the annotated metabolites and the gut microbiota and dietary habits. Methods: This study included 50 healthy female university students. Metabolomic analysis using gas chromatography-mass spectrometry was performed under two conditions: with and without cell disruption. The annotated metabolites were designated as X1 and X2, respectively, and underwent principal component analysis (PCA). Orthogonal partial least squares regression (OPLS) analysis was performed between each metabolite and data on dietary habits and gut microbiota. Results: PCA using X1 and X2 metabolites showed generally consistent profiles of metabolites detected under the two extraction conditions. The OPLS analysis showed that the X1 metabolites were significantly associated with terms of α-diversity indices of the gut microbiota and with some food groups, whereas the X2 metabolites were significantly associated with only the α-diversity indices of the gut microbiota. Furthermore, using variable importance of projection values, several characteristic metabolites were detected in each significant OPLS model. Conclusion: For extraction of primary metabolites in feces, extraction methods without cell disruption may be strongly associated with food intake.

背景与目的:人体摄入的食物物质以及机体和肠道细菌对摄入的食物产生的物质会影响人体健康,增加慢性疾病的风险。代谢组学用于阐明饮食改变的代谢谱;然而,对于样本以及所使用的分析和饮食调查方法,并没有明确的共识。本研究旨在评估有或没有细胞破坏对粪便代谢谱的影响,并评估注释代谢物与肠道微生物群和饮食习惯之间的相关性。方法:以50名健康女大学生为研究对象。使用气相色谱-质谱法进行代谢组学分析,在两种条件下进行:有和没有细胞破坏。标记的代谢物分别命名为X1和X2,并进行主成分分析(PCA)。将各代谢物与饮食习惯和肠道菌群数据进行正交偏最小二乘回归分析。结果:X1和X2代谢物PCA在两种提取条件下检测到的代谢物图谱基本一致。OPLS分析表明,X1代谢物与肠道菌群α-多样性指数及部分食物组呈显著相关,而X2代谢物仅与肠道菌群α-多样性指数呈显著相关。此外,利用投影值的可变重要性,在每个显著的ops模型中检测到几种特征代谢物。结论:对于粪便中初级代谢物的提取,不破坏细胞的提取方法可能与食物摄入量密切相关。
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引用次数: 0
Antidepressant food consumption and its association with depression risk in adolescents: Findings from an urban area of Indonesia. 抗抑郁食品的消费及其与青少年抑郁风险的关系:印度尼西亚城市地区的调查结果。
IF 1.4 Q3 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-04-03 DOI: 10.1177/02601060251327714
Dian Puteri Andani, Digna Niken Purwaningrum, Y Prabandari

Background: The World Health Organization forecasts that depression will become the world's second most common illness by 2030 and affect people of all ages. Meanwhile, in Indonesia, approximately 1 in 100 people experience depression, with the highest prevalence found in the age group of 15-24 years, at 2%. Adjusting one's diet, as suggested by the Antidepressant Food Score (AFS) list, presents a promising method for managing and addressing depression. Aim: To find out the association between the AFS and depression levels. Methods: This cross-sectional study in Surabaya, Indonesia, included 374 participants aged 15-17 years. Antidepressant food intake was assessed using the Semi-Quantitative Food Frequency Questionnaire, while depression levels were measured with the Center for Epidemiologic Studies Depression Scale. Additionally, social and psychological factors were considered. The data were analyzed using STATA. Results: A significant difference in daily fruit and vegetable consumption was found between adolescents with mild and moderate depression. Those with mild depression had an average AFS of 86.03%, while those with moderate depression had 66.28%. Although the AFS was associated with depression (p = 0.031), it did not have a statistically significant impact on depression levels after adjusting for factors such as age, sex, social support, stress and problem-solving ability (odds ratio = 1.54, 95% confidence interval = 0.94, 2.50). Conclusion: This study identified a statistically significant association between AFS and depression levels. However, after adjusting for other predictors, this association did not remain statistically significant. Future research should focus on developing a more comprehensive database of antidepressant food lists in Indonesia.

背景:世界卫生组织预测,到2030年,抑郁症将成为世界上第二大常见疾病,影响所有年龄段的人。与此同时,在印度尼西亚,大约每100人中就有1人患有抑郁症,其中15-24岁年龄组的患病率最高,为2%。根据抗抑郁食物评分(AFS)列表,调整饮食是治疗和解决抑郁症的一种很有前途的方法。目的:探讨AFS与抑郁水平的关系。方法:这项横断面研究在印度尼西亚泗水,包括374名年龄在15-17岁的参与者。研究人员使用半定量食物频率问卷来评估抗抑郁食物的摄入量,同时使用流行病学研究中心抑郁量表来测量抑郁水平。此外,还考虑了社会和心理因素。数据采用STATA进行分析。结果:轻度和中度抑郁青少年在日常水果和蔬菜消费方面存在显著差异。轻度抑郁症患者平均AFS为86.03%,中度抑郁症患者平均AFS为66.28%。虽然AFS与抑郁相关(p = 0.031),但在调整了年龄、性别、社会支持、压力和解决问题能力等因素后,其对抑郁水平的影响没有统计学意义(优势比= 1.54,95%可信区间= 0.94,2.50)。结论:本研究确定了AFS与抑郁水平之间具有统计学意义的关联。然而,在调整了其他预测因素后,这种关联在统计上并不显著。未来的研究应侧重于在印度尼西亚建立一个更全面的抗抑郁食品清单数据库。
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引用次数: 0
Bi-directional relations of self-efficacy and self-regulation changes: Longitudinal obesity treatment-targeted improvements in weight-loss behaviors. 自我效能感与自我调节变化的双向关系:纵向肥胖治疗对减肥行为的改善
IF 1.4 Q3 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-06-12 DOI: 10.1177/02601060251350428
James J Annesi

Background: Behavioral obesity treatments remain primarily based on nutrition and exercise education, with their minimal effects persisting over many decades. Research suggests benefits of an alternate focus on psychosocial factors. Aim: To evaluate treatment aspects that foster accumulated impacts on weight-loss behaviors via interactions between supported changes in self-efficacy and self-regulation. Methods: Women with obesity participating in a theory-based behavioral weight-loss treatment targeting self-regulation and self-efficacy to foster increases in fruit/vegetable consumption and physical activity (N = 95) were assessed at intervals from baseline through 12 months. Results: The treatment was associated with significant improvements in the tested psychosocial and behavioral variables. Hypothesized paths from baseline self-efficacy → 3-month increases in self-regulation → 6-month increases in self-efficacy → 12-month increases in self-regulation → 12-month behavioral changes were significant in predicting both fruit/vegetable intake and physical activity increases. Most of the variance in weight loss was explained through physical activity change. Conclusion: Targeting self-regulation, self-efficacy, and their over-time interactions enhances behavioral weight-loss treatment outcomes.

背景:行为性肥胖治疗仍然主要基于营养和运动教育,其效果持续了几十年。研究表明,另一种关注心理社会因素的方法是有益的。目的:通过自我效能感和自我调节之间的相互作用,评估促进减肥行为累积影响的治疗方面。方法:参与以自我调节和自我效能为目标的基于理论的行为减肥治疗的肥胖女性(N = 95)从基线到12个月的间隔时间进行评估。结果:治疗与测试的社会心理和行为变量的显著改善有关。从基线自我效能→3个月自我调节增加→6个月自我效能增加→12个月自我调节增加→12个月行为改变的假设路径在预测水果/蔬菜摄入量和身体活动增加方面具有重要意义。体重减轻的大部分差异可以通过身体活动的改变来解释。结论:以自我调节、自我效能及其长期相互作用为目标,可提高行为减肥治疗的效果。
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引用次数: 0
The differential impact of gaze direction on food evaluation. 注视方向对食物评价的差异影响。
IF 1.4 Q3 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-07-24 DOI: 10.1177/02601060251362331
Kenichi Shibuya, Mana Miyamoto

Background: The influence of others' gaze on human behavior remains incompletely understood. However, it remains unclear whether direct gaze actively enhances evaluation. Aim: The primary aim of this study was to investigate whether direct gaze increases the evaluation of food items. Methods: To address this gap, we conducted an experiment in which 29 Japanese participants (aged 19-22; 6 males) evaluated food images paired with facial images displaying either direct or averted gaze. Using a 9-point Likert scale, participants rated the attractiveness of 12 food items under each gaze condition. Results: Statistical analysis via linear mixed models revealed that food was rated significantly higher when accompanied by direct gaze compared to averted gaze (Estimate = 0.303, p = 0.008; 95% CI: 0.078-0.528). These findings support the hypothesis that direct gaze enhances positive evaluation, possibly through mechanisms such as reputation management, increased arousal, and social facilitation. Conclusion: Our results contribute to a growing body of literature on social influences in perception and suggest that subtle social cues can modulate sensory evaluations. Future research should incorporate dynamic or immersive stimuli, assess physiological responses, and explore cross-cultural differences to clarify the underlying mechanisms. These efforts will deepen our understanding of how gaze direction shapes food perception and may inform applications in marketing, health communication, and user experience design.

背景:人们对他人目光对人类行为的影响还没有完全了解。然而,目前尚不清楚直接凝视是否会积极提高评估。目的:本研究的主要目的是探讨直接凝视是否会增加对食物的评价。方法:为了解决这一差距,我们进行了一项实验,其中29名日本参与者(19-22岁;(6名男性)评估了食物图像与显示直接或回避凝视的面部图像配对。使用9分李克特量表,参与者在每种凝视条件下对12种食物的吸引力进行打分。结果:通过线性混合模型进行的统计分析显示,直视食物的评分明显高于回避凝视(估计= 0.303,p = 0.008;95% ci: 0.078-0.528)。这些发现支持了一种假设,即直接凝视可能通过声誉管理、提高唤醒和社会促进等机制增强积极评价。结论:我们的研究结果为越来越多的关于感知中的社会影响的文献做出了贡献,并表明微妙的社会线索可以调节感官评估。未来的研究应纳入动态或沉浸式刺激,评估生理反应,并探索跨文化差异,以阐明潜在的机制。这些努力将加深我们对凝视方向如何影响食物感知的理解,并可能为市场营销、健康传播和用户体验设计提供应用信息。
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引用次数: 0
Examination of three ketogenic diet plans: Congruency with the Healthy Eating Index (HEI) and consistency of the day-to-day HEI scores for a period of 1 week. 三种生酮饮食计划的检查:与健康饮食指数(HEI)的一致性以及1周内日常HEI评分的一致性。
IF 1.4 Q3 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-07-30 DOI: 10.1177/02601060251314573
Alan M Preston

Background: The consistency of the day-to-day scores of the Healthy Eating Index (HEI) for commercial ketogenic meal plans and if these scores are compliant with the Dietary Guidelines for Healthy Americans (DGA) have not yet been evaluated. Aim: To make this determination. Methods: We have selected three commercial ketogenic meal plans: MP1, MP2 and MP3. Using scores calculated for the HEI during the period of 1 week each, we are able to determine day-to-day compliance of HEI scores to the DGA as well as consistency of HEI values throughout the week. Results: The 7-day mean score of HEI for MP1 was 54.1 ± 2.6 and classified as "Some changes needed"; however, MP1 had a relatively consistent pattern of HEI scores. MP2 had a score of 44.3 ± 7.8 and classified as "Big changes needed" as well as an inconsistent pattern of HEI values. MP3 had a score of 53.3 ± 10.3, also classified as "Some changes needed" and an inconsistent pattern of HEI values. Conclusions: Commercial meal plans based on ketogenic metabolism will have HEI scores from a minimum in the 30s to a maximum, not exceeding 70. Depending upon the adherence of the manufacturer's recipes to the DGA, the day-to-day HEI scores will vary accordingly. These results suggest that if some or major changes are not taken, continuation would not be advisable for long-term use.

背景:商业生酮饮食计划的健康饮食指数(HEI)每日评分的一致性以及这些评分是否符合健康美国人饮食指南(DGA)尚未得到评估。目的:作此测定。方法:选择MP1、MP2和MP3三种商业生酮膳食计划。使用每个一周内计算的HEI分数,我们能够确定HEI分数对DGA的日常遵守情况,以及整个星期HEI值的一致性。结果:MP1的7天HEI平均评分为54.1±2.6分,分为“需要改变”;然而,MP1具有相对一致的HEI评分模式。MP2评分为44.3±7.8分,属于“需要大的改变”,HEI值模式不一致。MP3评分为53.3±10.3分,也被归为“需要一些改变”和HEI值模式不一致。结论:基于生酮代谢的商业膳食计划的HEI评分将从最低30分到最高不超过70分。根据制造商的配方对DGA的遵守程度,日常的HEI分数也会相应变化。这些结果表明,如果不采取一些或主要的改变,继续长期使用是不可取的。
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引用次数: 0
Association between the number of glucose-lowering drugs in use, diet quality, and nutrient intake among adults with type 2 diabetes mellitus. 成人2型糖尿病患者降糖药物用量、饮食质量和营养摄入之间的关系
IF 1.4 Q3 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2024-12-11 DOI: 10.1177/02601060241303629
Renata Maksoud Bussuan, Ângela Cristine Bersch-Ferreira, Aline Marcadenti

BackgroundThe use of several glucose-lowering drugs (GLDs) in individuals with type 2 diabetes mellitus is common, but their effects on dietary intake have been little explored.AimOur study aimed to examine the association between the number of GLDs used by adults with type 2 diabetes mellitus and their diet quality and nutrient intake.MethodsThis is a cross-sectional analysis of baseline data from a Brazilian national multicenter randomized clinical trial involving participants with type 2 diabetes mellitus aged >30 years. We collected sociodemographic, clinical, biochemical, and anthropometric information and food intake data (24-h dietary recall). Diet quality was assessed by the modified Alternative Healthy Eating Index. Multiple linear regression models were used to examine the association of dietary intake with the number of GLDs in use.ResultsOur analysis included data from a total of 363 participants, mean age of 60.8 ± 9.5 years, and mean glycated hemoglobin of 8.7 ± 1.5%. Of these, 28.1% were taking one GLD; 48.8% were taking two GLDs; and 23.1% were taking ≥3 GLDs. We found no difference in diet quality, but the intake of total polyunsaturated fatty acids and omega-3 and omega-6 fatty acids was different between the three groups (p ≤ 0.03). However, this association was no longer seen after adjusting for age, sex, duration of diabetes, prior diagnosis of dyslipidemia, physical activity and mean monthly family income.ConclusionsWe did not find an association between the number of GLDs in use and either diet quality or nutrient intake in individuals with type 2 diabetes mellitus.

背景:在2型糖尿病患者中使用几种降糖药物(GLDs)是很常见的,但它们对饮食摄入的影响却很少被探讨。目的:本研究旨在探讨成人2型糖尿病患者使用的GLDs数量与其饮食质量和营养摄入之间的关系。方法:这是一项来自巴西国家多中心随机临床试验的基线数据的横断面分析,该试验涉及年龄在50至30岁之间的2型糖尿病患者。我们收集了社会人口学、临床、生化和人体测量信息以及食物摄入数据(24小时饮食回忆)。采用改良的替代健康饮食指数评估饮食质量。使用多元线性回归模型来检验膳食摄入量与使用GLDs数量的关系。结果:我们的分析包括363名参与者的数据,平均年龄为60.8±9.5岁,平均糖化血红蛋白为8.7±1.5%。其中,28.1%的人服用一种GLD;48.8%的人选择了两次gld;服药≥3次的占23.1%。我们没有发现饮食质量的差异,但三组之间总多不饱和脂肪酸和ω -3和ω -6脂肪酸的摄入量存在差异(p≤0.03)。然而,在调整了年龄、性别、糖尿病病程、先前的血脂异常诊断、身体活动和家庭月平均收入后,这种关联不再存在。结论:在2型糖尿病患者中,我们没有发现使用GLDs的数量与饮食质量或营养摄入之间的关联。
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引用次数: 0
4-Week intervention combining kiwifruit consumption and small-sided soccer games improves sleep quality in children with overweight/obesity and pre-existing sleep problems. 结合猕猴桃食用和小型足球比赛的4周干预可以改善超重/肥胖和已有睡眠问题儿童的睡眠质量。
IF 1.4 Q3 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-01-13 DOI: 10.1177/02601060241311385
Manel Kerkeni, Mohamed Kerkeni, Achraf Ammar, Abdul Rashid Aziz, Anwar Jallouli, Aseel AlSaleh, Waqar Husain, Hadeel A Ghazzawi, Wassim Moalla, Hamdi Chtourou, Haitham Jahrami, Khaled Trabelsi

Background: Childhood obesity is a global public health concern associated with various health risks, including disrupted sleep patterns. Aim: This study investigated the effects of kiwifruit consumption and small-sided soccer games (SSSG) over 4 weeks on sleep patterns in overweight/obese children with sleep problems. Methods: Thirty-six participants, aged 8 to 12 years with a body mass index above the 85th percentile, were randomly assigned to one of three groups: SSSG only (n = 12), SSSG-kiwifruit (SSSG-K, n = 12), or control (CG, n = 12). Sleep patterns were monitor 1 week before, and during the first and last 2 weeks of the intervention. The CG group maintained their usual routines without structured physical activity. The SSSG and SSSG-K groups, both engaged in SSSG type of training two to three times per week, with the SSSG-K group also consuming on a daily basis two kiwifruits 1 hour before bedtime. Results: In the final 2 weeks, the SSSG group demonstrated significant improvements in sleep efficiency (p = 0.03), sleep latency (p < 0.001), and bedtime timing (p < 0.001) compared to baseline. The SSSG-K group also showed significant improvements in sleep efficiency, sleep latency, and total sleep time compared to baseline, and relative to CG, and SSSG groups during the 4 weeks (all p < 0.05). Additionally, SSSG-K participants had earlier bedtimes and increased time in bed compared to their baseline (p < 0.05). Conclusion: Combining kiwifruit consumption with SSSG exercise effectively enhances sleep patterns in overweight/obese children.

背景:儿童肥胖是一个全球性的公共卫生问题,与各种健康风险相关,包括睡眠模式紊乱。目的:本研究调查了超过4周的猕猴桃食用和小型足球比赛(SSSG)对有睡眠问题的超重/肥胖儿童睡眠模式的影响。方法:36名年龄在8至12岁之间,体重指数高于第85百分位的参与者被随机分为三组:SSSG-猕猴桃(SSSG- k, n = 12), SSSG-猕猴桃(SSSG- k, n = 12)或对照组(CG, n = 12)。在干预前1周、干预前1周和干预后2周监测睡眠模式。CG组保持他们的日常生活,没有有组织的身体活动。SSSG组和SSSG- k组,每周都进行两到三次SSSG类型的训练,SSSG- k组每天睡前一小时吃两个猕猴桃。结果:在最后2周,SSSG组在睡眠效率(p = 0.03)和睡眠潜伏期(p p p p p)方面表现出显著改善。结论:将猕猴桃食用与SSSG运动相结合,可以有效改善超重/肥胖儿童的睡眠模式。
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引用次数: 0
"First Bite": An intervention to increase children's vegetable consumption in Early Childhood Education and Care (ECEC) services in areas of high socioeconomic disadvantage - a cluster randomized controlled trial protocol. “第一口”:在高社会经济劣势地区的早期儿童教育和护理(ECEC)服务中增加儿童蔬菜消费的干预措施-一项集群随机对照试验方案。
IF 1.4 Q3 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-07-23 DOI: 10.1177/02601060251360303
Sharon Duncan, Megan Hammersley, Jennifer Norman, Sarah T Ryan, Emma Davies, Rebecca Junor Cook, Monica Nour, Laura Attallah, Bridget Kelly

BackgroundOnly 2% of 4-8-year-old Australian children consume the daily recommended vegetable serves, with implications on the development of lifelong dietary behaviors. Evidence suggests that enhancing children's access, exposure and familiarity with vegetables can help increase their vegetable intake. Most children attend Early Childhood Education and Care (ECEC) services, which are well placed to increase vegetable consumption through curriculum change, play-based learning and parental education.AimWe aim to determine the efficacy of the 'First Bite-Get it Right' (First Bite) intervention to improve the vegetable intake of 3-5-year-old children in ECEC services compared to a control group.MethodThis 8-week cluster-randomized controlled trial involves ECEC services (n = 30) and children (n∼300) from socioeconomically disadvantaged areas in two local health districts in New South Wales, Australia and includes an intervention and wait-list control group. The First Bite program comprises: 1) Educator professional development; 2) Child daily "Veggie Break"; 3) Child experiential learning activities; and 4) Parent resources. Baseline and post-intervention measures include skin carotenoid scanning, vegetable serves plate waste, lunch box audits, child-reported vegetable preferences, and child parent-reported vegetable intake. Group-by-time interactions will be analyzed by linear mixed model regression, accounting for ECEC clustering.SummaryThis study will evaluate whether a comprehensive ECEC-based intervention can improve children's vegetable consumption in socioeconomically disadvantaged areas. The findings will inform recommendations for ECEC policies, educator training programs, and parent engagement strategies to promote healthy eating in early childhood.Trial registrationAustralian New Zealand Clinical Trials Registry: ACTRN: 12624000249550 (Date: 14/03/2024). https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=387095.

在4-8岁的澳大利亚儿童中,只有2%的人食用每日推荐的蔬菜量,这对终生饮食行为的发展有影响。有证据表明,增加儿童接触、接触和熟悉蔬菜的机会有助于增加他们的蔬菜摄入量。大多数儿童参加幼儿教育和护理(ECEC)服务,这些服务通过课程改变、以游戏为基础的学习和父母教育,很好地增加了蔬菜消费。目的:与对照组相比,我们旨在确定“第一口-正确”(第一口)干预对改善ECEC服务中3-5岁儿童蔬菜摄入量的效果。方法这项为期8周的群随机对照试验包括来自澳大利亚新南威尔士州两个地方卫生区的ECEC服务人员(n = 30)和社会经济条件较差地区的儿童(n ~ 300),并包括干预和等候名单对照组。First Bite项目包括:1)教育工作者专业发展;2)儿童每日“蔬菜休息时间”;3)儿童体验式学习活动;4)父资源。基线和干预后的措施包括皮肤类胡萝卜素扫描、蔬菜盘子浪费、午餐盒审计、儿童报告的蔬菜偏好和儿童父母报告的蔬菜摄入量。根据ECEC聚类,将使用线性混合模型回归分析群-时间交互作用。本研究将评估基于ecec的综合干预是否可以改善社会经济弱势地区儿童的蔬菜消费。研究结果将为ECEC政策、教育工作者培训计划和家长参与策略提供建议,以促进儿童早期健康饮食。澳大利亚新西兰临床试验注册:ACTRN: 12624000249550(日期:14/03/2024)。https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=387095。
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引用次数: 0
Protocol of a community-based produce prescription intervention; produce for health in Hampshire county's food desert communities. 基于社区的农产品处方干预方案;在汉普郡的食物沙漠社区生产健康食品。
IF 1.4 Q3 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-04-21 DOI: 10.1177/02601060251335071
Memnun Seven, Emefa Awo Adawudu, Raeann LeBlanc, Kim Savery, Joanna Martin, Kristen Whitmore

Background: There is growing evidence on the need for a strategic focus on food insecurity and its effect on the burden of chronic health conditions. Aim: The study aimed to determine the effects of a produce prescription program on diet, self-efficacy for developing a healthy diet, food security status, and use of healthcare services and to explore experiences with using a Nutrition Incentive program (i.e. produce prescription) among people with or at risk for chronic health conditions. Methods: This community participatory research employed a single-arm pre-posttest study design, including 210 participants with or at risk of chronic health conditions using the Community Health Centers in Western Massachusetts. This produce prescription intervention gives participants access to a debit card preloaded with $40/month to spend on fresh produce at participating retail stores and educational activities focusing on growing, shopping for, and cooking with fresh fruits and vegetables for two years. Process (e.g. recruitment, adherence, and satisfaction) and effect outcomes (e.g. dietary intake, food security, self-efficacy, and healthcare utilization) are collected. Repeated measures ANOVA and multivariate regression analyses will be used for primary and secondary outcomes, using sociodemographic variables as covariates. Summary: this pilot study's findings will contribute to increasing evidence on the effects of prescription programs for self-management of chronic health conditions and to future research to inform implementation strategies, policy changes for sustainable food systems.

背景:越来越多的证据表明,需要将战略重点放在粮食不安全及其对慢性健康状况负担的影响上。目的:本研究旨在确定农产品处方计划对饮食、发展健康饮食的自我效能、食品安全状况和医疗保健服务的使用的影响,并探讨在患有或有慢性健康状况风险的人群中使用营养激励计划(即农产品处方)的经验。方法:本社区参与性研究采用单臂前-后测试研究设计,包括210名在马萨诸塞州西部社区卫生中心患有或有慢性健康状况风险的参与者。这项农产品处方干预让参与者获得一张预存40美元/月的借记卡,用于在参与的零售商店和教育活动中购买新鲜农产品,重点是种植、购买和烹饪新鲜水果和蔬菜,为期两年。收集过程(如招募、依从性和满意度)和效果结果(如饮食摄入、食品安全、自我效能和医疗保健利用)。重复测量方差分析和多变量回归分析将用于主要和次要结果,使用社会人口变量作为协变量。总结:这项试点研究的结果将有助于增加慢性健康状况自我管理处方计划影响的证据,并为未来的研究提供信息,为可持续粮食系统的实施战略和政策变化提供信息。
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引用次数: 0
Exploring the association of dietary inflammatory index, disease progression and cellular integrity in chronic kidney disease: A cross-sectional study. 探究慢性肾脏病患者膳食炎症指数、疾病进展和细胞完整性之间的关联:一项横断面研究。
IF 1.4 Q3 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2024-11-21 DOI: 10.1177/02601060241299572
Prathiksha R Bhat, Asna Urooj, Srinivas Nalloor

BackgroundWhile the anti-inflammatory effects of specific nutrients are well established, there is limited research on the relationship between overall dietary patterns and chronic kidney disease (CKD). Therefore, we aimed to assess the association between dietary inflammatory index (DII) scores and biochemical and body composition parameters in pre-dialysis CKD patients.MethodsThe DII scores of 143 pre-dialysis CKD subjects were calculated using 24-h recalls. Body composition was measured using bioelectric impedance-based InBody 770. Oxidative stress and total antioxidant capacity were measured using thiobarbituric acid reactive substances (TBARS), ferric-reducing antioxidant power (FRAP), and uric acid-independent FRAP (FRAP_UA) assays respectively. C-reactive protein (CRP) was selected as an inflammatory marker while other biochemical parameters were analysed using diagnostic kits.ResultsSubjects were categorized into early-stage CKD (ES; eGFR: 30 to 59 ml/min/1.73 m2) and late-stage CKD (LS; eGFR: < 30 ml/min/1.73 m2). The ES group had a lower extracellular to total body water ratio (p < 0.01) and higher levels of whole-body phase angle (p < 0.01) compared to the LS group. However, FRAP_UA was higher in the LS group (p < 0.05). For each increase in DII score by 1, eGFR decreased by 2.31 ml/min/1.73 m2 (p < 0.01) and phase angle by 0.11 degrees (p < 0.05). Consuming cereals and millets, other vegetables, roots and tubers, spices, poultry, oils and fats significantly contributed to the anti-inflammatory potential of the diet (p < 0.01).ConclusionA pro-inflammatory diet was associated with disease progression and decreased cell integrity, underscoring the importance of its consideration in CKD management.

背景:虽然特定营养素的抗炎作用已得到公认,但有关整体饮食模式与慢性肾脏病(CKD)之间关系的研究却很有限。因此,我们旨在评估透析前慢性肾脏病患者的膳食炎症指数(DII)评分与生化指标和身体成分参数之间的关系:方法:采用 24 小时回顾法计算 143 名透析前 CKD 受试者的 DII 分数。使用基于生物电阻抗的 InBody 770 测量身体成分。氧化应激和总抗氧化能力分别采用硫代巴比妥酸活性物质(TBARS)、铁还原抗氧化能力(FRAP)和尿酸依赖性 FRAP(FRAP_UA)测定法进行测量。C反应蛋白(CRP)被选为炎症标志物,其他生化指标则使用诊断试剂盒进行分析:受试者被分为早期 CKD(ES;eGFR:30 至 59 毫升/分钟/1.73 平方米)和晚期 CKD(LS;eGFR:2)。ES 组的细胞外水与体内总水的比率较低(p 2):促炎性饮食与疾病进展和细胞完整性下降有关,强调了在 CKD 管理中考虑促炎性饮食的重要性。
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Nutrition and health
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