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Nutritional status, body indices, and somatotype in Aymara and Quechua children from high Andean areas of Peru. 秘鲁安第斯山区艾马拉和盖丘亚儿童的营养状况、身体指数和体型
IF 2 Q3 NUTRITION & DIETETICS Pub Date : 2025-08-01 eCollection Date: 2025-01-01 DOI: 10.1017/jns.2025.10026
Lidia Sofia Caballero Gutiérrez, Rodolfo Adrian Núñez Postigo, Juber Chávez Dominguez, Vilma Lucrecia Tapia Aguirre, José Oscar Alberto Begazo Miranda

Infants born at high altitudes, such as in the Puno region, typically exhibit higher birthweights than those born at low altitudes; however, the influence of ethnicity on childhood anthropometric patterns in high-altitude settings remains poorly understood. This study aimed to characterise the nutritional status, body composition and indices, and somatotype of Quechua and Aymara children aged 6-10 years. A cross-sectional, descriptive, and comparative design was employed, with a simple random sampling of children from six provinces representative of the Puno region, including 1,289 children of both sexes. Twenty-nine anthropometric measurements were taken, and fat, muscle, and bone components were assessed using bioelectrical impedance analysis. Standardised equations were applied to determine body indices. Among the findings, most children presented normal nutritional status according to BMI-for-age and height-for-age Z-scores. However, high rates of overweight and obesity were observed in Aymara (39%) and Quechua (28.4%) children, with differences in fat content between ethnic groups at the 5th, 10th, 50th, and 75th percentiles. Both groups were characterised by brachytypy and brachybrachial proportions; Quechua children were mesoskelic and Aymara brachyskelic, with macrocormic proportions, rectangular trunks, and broad backs. The predominant somatotype was mesomorphic, with a stronger endomorphic tendency among Aymara. It is concluded that both groups exhibit normal nutritional status; however, Aymara children show a greater tendency towards fat accumulation and notable morphological differences. Differences were also observed in limb proportions, particularly a relatively shorter lower limb.

在高海拔地区出生的婴儿,如普诺地区,通常比在低海拔地区出生的婴儿表现出更高的出生体重;然而,种族对高海拔地区儿童人体测量模式的影响仍然知之甚少。本研究旨在了解6-10岁克丘亚和艾马拉儿童的营养状况、身体成分和指数以及体型特征。采用横断面、描述性和比较性设计,对普诺地区六个省的儿童进行简单随机抽样,包括男女儿童1,289名。进行了29项人体测量,并使用生物电阻抗分析评估了脂肪、肌肉和骨骼成分。采用标准化方程确定体指数。在调查结果中,根据年龄bmi和年龄身高z分数,大多数儿童的营养状况正常。然而,在艾马拉(39%)和克丘亚(28.4%)儿童中观察到超重和肥胖的高发率,不同种族之间的脂肪含量在第5、第10、第50和第75百分位数存在差异。两组均以近臂型和近臂比例为特征;盖丘亚儿童是中骨骼型的,艾马拉儿童是短骨骼型的,具有宏观的比例,长方形的躯干和宽阔的背部。艾马拉人以中胚型为主,自胚倾向较强。结论:两组仔猪营养状况正常;然而,艾马拉儿童表现出更大的脂肪堆积趋势和显著的形态差异。肢体比例也存在差异,尤其是下肢相对较短。
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引用次数: 0
Validity and reproducibility of a web-based dietary assessment tool: a cross-sectional study in an adult Danish population - ADDENDUM. 基于网络的膳食评估工具的有效性和可重复性:丹麦成年人的横断面研究-附录。
IF 2 Q3 NUTRITION & DIETETICS Pub Date : 2025-07-24 eCollection Date: 2025-01-01 DOI: 10.1017/jns.2025.10027
Sadime Basak Kisi, Caroline Filskov Petersen, Rikke Sand Andersen, Sidse Ida Ingemann Rasmussen, Alexandr Parlesak, Sine Højlund Christensen, Hanne Lysdal Petersen, Nina Rica Wium Geiker, Mette Friberg Hitz, Inge Tetens
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引用次数: 0
Changes in the sodium content of New Zealand packaged breads: 2013 to 2023. 新西兰包装面包钠含量的变化:2013年至2023年
IF 2 Q3 NUTRITION & DIETETICS Pub Date : 2025-07-23 eCollection Date: 2025-01-01 DOI: 10.1017/jns.2025.10020
Maria Norburg Tell, Leanne Young, Kathryn Bradbury, Ella Risbrook, Helen Eyles

We aimed to compare the mean sodium content of New Zealand (NZ) packaged breads in 2013 and 2023 and assess compliance with the NZ Heart Foundation (HF) and World Health Organization (WHO) sodium reduction benchmarks. Sodium data were obtained from a supermarket food composition database. Mean differences between years were assessed using independent samples t-tests and chi-square tests. There was a significant reduction in the sodium content of all bread from 2013 (n=345) to 2023 (n=309) of 46 mg/100g (p<0.001). In 2013, 20% (n=70/345) of breads met the HF benchmarks, and 10% (33/345) met the WHO benchmarks; corresponding values for 2023 were 45% (n=138/309) and 18% (n=57/309) (p<0.001 for both). If continued, the modest reduction in sodium content and increase in the percentage of NZ breads meeting relevant sodium reduction benchmarks could positively affect public health, particularly if extended across the packaged food supply.

我们旨在比较2013年和2023年新西兰(NZ)包装面包的平均钠含量,并评估是否符合新西兰心脏基金会(HF)和世界卫生组织(WHO)的钠减少基准。钠的数据来自超市食品成分数据库。使用独立样本t检验和卡方检验评估年间的平均差异。从2013年(n=345)到2023年(n=309),所有面包的钠含量都显著减少了46毫克/100克(p
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引用次数: 0
The association between coffee intake and femoral neck bone mineral density based on the NHANES and Mendelian randomisation study. 咖啡摄入量与股骨颈骨密度之间的关系基于NHANES和孟德尔随机化研究。
IF 2 Q3 NUTRITION & DIETETICS Pub Date : 2025-07-18 eCollection Date: 2025-01-01 DOI: 10.1017/jns.2024.38
Ke Wang, Guoxin Huang, Ying Liu, Beibei Zhang, Da Qian, Bin Pei

Femoral neck bone mineral density (FNBMD) is a high risk factor for femoral head fractures, and coffee intake affects bone mineral density, but the effect on FNBMD remains to be explored. First, we conducted an observational study in the National Health and Nutrition Examination Survey and collected data on coffee intake, FNBMD, and sixteen covariates. Weight linear regression was used to explore the association of coffee intake with FNBMD. Then, Mendelian randomisation (MR) was used to explore the causal relationship between coffee intake and FNBMD, the exposure factor was coffee intake, and the outcome factor was FNBMD. The inverse variance weighting (IVW) method was used for the analysis, while heterogeneity tests, sensitivity, and pleiotropy analysis were performed. A total of 5 915 people were included in the cross-sectional study, including 3 178 men and 2 737 women. In the completely adjusted model, no coffee was used as a reference. The ORs for the overall population at '< 1', '1-<2', '2-<4', and '4+' (95% CI) were 0.02 (-0.01, 0.04), 0.00 (-0.01, 0.02), -0.01 (-0.02, 0.00), and 0.00 (-0.01, 0.02), respectively. The male and female population showed no statistically significant differences in both univariate and multivariate linear regressions. In the MR study, the IVW results showed an OR (95% CI) of 1.06 (0.88-1.27), a P-value of 0.55, and an overall F-value of 80.31. The heterogeneity, sensitivity analyses, and pleiotropy had no statistical significance. Our study used cross-sectional studies and MR to demonstrate that there is no correlation or causal relationship between coffee intake and FNBMD.

股骨颈骨密度(FNBMD)是股骨头骨折的高危因素,咖啡摄入会影响股骨颈骨密度,但对FNBMD的影响尚待探讨。首先,我们在国家健康和营养检查调查中进行了一项观察性研究,收集了咖啡摄入量、FNBMD和16个协变量的数据。采用权重线性回归探讨咖啡摄入量与FNBMD的关系。然后,采用孟德尔随机化(MR)方法探讨咖啡摄入量与FNBMD之间的因果关系,暴露因素为咖啡摄入量,结果因素为FNBMD。采用方差反加权法(IVW)进行分析,并进行异质性检验、敏感性分析和多效性分析。这项横断面研究共纳入5915人,其中男性3178人,女性2737人。在完全调整后的模型中,没有使用咖啡作为参考。总体or < 1, 1- p值为0.55,总体f值为80.31。异质性、敏感性分析和多效性分析均无统计学意义。我们的研究使用了横断面研究和MR来证明咖啡摄入量和FNBMD之间没有相关性或因果关系。
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引用次数: 0
Understanding Australian adults' preferences for setting goals to reduce unhealthy food and beverage intake: a cross-sectional study. 了解澳大利亚成年人设定目标以减少不健康食品和饮料摄入的偏好:一项横断面研究。
IF 2.4 Q3 NUTRITION & DIETETICS Pub Date : 2025-07-16 eCollection Date: 2025-01-01 DOI: 10.1017/jns.2025.10022
Chelsea E Mauch, Ashlee Fuchs, Caitlin A Howlett, Gilly A Hendrie

Overconsumption of unhealthy, discretionary, foods and beverages are associated with an increased risk of weight gain and non-communicable diseases, including diabetes, heart disease, and cancer. This cross-sectional study explored preferences for setting goals to reduce discretionary food and beverage consumption. The online survey included items about discretionary food and beverage intake, goal setting preferences to reduce intake, habit strength, personality traits, and demographic characteristics. A total of 2664 Australian adults completed the survey. The sample was mostly female (65.9%), half (52.8%) were aged between 30-49 years, and the median intake of discretionary food and beverages was 4.9 (IQR: 3.6 to 7.2) serves per day. Multinomial logistic regression and ordinal logistic regression models were used to explore demographic and psychological predictors of the helpfulness of long-term and short-term goals, elimination and gradual goals, specific food goals, specific eating occasion and food goals, self-set goals, collaboratively set goals, and assigned goals. The results showed participants with higher habit strength had greater odds of finding short-term (OR 1.40, 95% CI 1.06-1.86), gradual (OR 1.14, 95% CI 1.01-1.29), specific (OR 1.35, 95% CI 0.84-1.76), assigned (OR 1.38, 95% CI 1.14-1.66) and collaborative goals (OR 1.24, 95% CI 1.01-1.53) helpful. The results also indicated that age and gender were important predictors of goal setting preferences, particularly for long-term goals, elimination goals, broad goals, and collaborative goals. Interventions to reduce discretionary food and beverage intake are needed and consideration of goal setting preferences could be a novel way to developing more tailored and effective dietary interventions.

过度消费不健康的任意食品和饮料与体重增加和非传染性疾病(包括糖尿病、心脏病和癌症)的风险增加有关。这项横断面研究探讨了设定目标以减少可自由支配的食品和饮料消费的偏好。这项在线调查的项目包括可自由选择的食物和饮料摄入量、减少摄入量的目标设定偏好、习惯强度、个性特征和人口特征。共有2664名澳大利亚成年人完成了这项调查。样本主要是女性(65.9%),一半(52.8%)的年龄在30-49岁之间,可自由支配的食物和饮料的中位数摄入量为每天4.9份(IQR: 3.6至7.2)。采用多项逻辑回归和有序逻辑回归模型探讨长期目标和短期目标、消除目标和渐进目标、特定食物目标、特定进食场合和食物目标、自我设定目标、协同设定目标和指定目标的帮助性的人口学和心理预测因素。结果显示,习惯强度越高的参与者发现短期目标(OR 1.40, 95% CI 1.06-1.86)、渐进目标(OR 1.14, 95% CI 1.01-1.29)、特定目标(OR 1.35, 95% CI 0.84-1.76)、分配目标(OR 1.38, 95% CI 1.14-1.66)和协作目标(OR 1.24, 95% CI 1.01-1.53)有帮助的几率越大。结果还表明,年龄和性别是目标设定偏好的重要预测因素,特别是对于长期目标、消除目标、广泛目标和合作目标。减少随意食物和饮料摄入的干预措施是必要的,考虑目标设定偏好可能是一种开发更有针对性和更有效的饮食干预措施的新方法。
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引用次数: 0
Analysis of heavy metal content in protein powders available on the Hungarian market: a reassuring snapshot, but not a reassuring quality guarantee. 对匈牙利市场上可用的蛋白粉中重金属含量的分析:一个令人放心的快照,但不是一个令人放心的质量保证。
IF 2.4 Q3 NUTRITION & DIETETICS Pub Date : 2025-07-16 eCollection Date: 2025-01-01 DOI: 10.1017/jns.2025.10024
István László Horváth, Gyula Kajner, Gábor Galbács, Dezső Csupor

Amateur and professional athletes often consume protein supplements to accelerate muscle gain; however, it has been suggested that these products not only are associated with risks when consumed excessively. Several recent reports have indicated that certain products are contaminated with heavy metals. Therefore, in this study, we aimed to investigate protein powders in Hungary for heavy metal contamination. A total of 22 commercially available protein powders (including whey, vegan, and beef based) were purchased on the internet for testing. We analysed the samples using laser-induced breakdown spectroscopy (LIBS) and inductively coupled plasma mass spectrometry (ICP-MS) to assess heavy metal contamination. The products were analysed for the presence of 16 elements (Be, Al, Cr, Mn, Co, Ni, Cu, As, Se, Rb, Cd, Sb, Cs, Ba, Hg, and Pb). The LIBS spectral analysis revealed the characteristics of the protein elements (C, C2, H, N, and O) and alkaline metals (Ca, Na, K, and Mg), which were consistent with the previous results. Neither LIBS nor ICP-MS measurements detected significant heavy metal content in the investigated samples above the limit specified in the regulations. Heavy metal contamination of protein supplements can be a serious health threat. Based on the varied results of the previous studies, it is prudent to include testing for heavy metals as part of the routine and mandatory quality control of these products.

业余和专业运动员经常服用蛋白质补充剂来加速肌肉增长;然而,有人认为,这些产品不仅与过量食用的风险有关。最近的几份报告表明,某些产品被重金属污染。因此,在本研究中,我们旨在调查匈牙利蛋白粉的重金属污染。总共有22种市售蛋白粉(包括乳清、纯素和牛肉)在网上购买进行测试。我们使用激光诱导击穿光谱(LIBS)和电感耦合等离子体质谱(ICP-MS)对样品进行分析,以评估重金属污染。分析了16种元素(Be、Al、Cr、Mn、Co、Ni、Cu、As、Se、Rb、Cd、Sb、Cs、Ba、Hg和Pb)的存在。LIBS光谱分析显示了蛋白质元素(C、C2、H、N和O)和碱金属(Ca、Na、K和Mg)的特征,与之前的结果一致。LIBS和ICP-MS测量均未检测到在所调查样品中的重金属含量显著高于法规规定的限值。蛋白质补充剂中的重金属污染会对健康造成严重威胁。基于先前研究的不同结果,将重金属检测作为这些产品的常规和强制性质量控制的一部分是谨慎的。
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引用次数: 0
The NutriLight framework: a novel approach to evaluating sustainable and healthy diets. 营养之光框架:评估可持续健康饮食的新方法。
IF 2 Q3 NUTRITION & DIETETICS Pub Date : 2025-07-14 eCollection Date: 2025-01-01 DOI: 10.1017/jns.2025.10015
Tingyu Lu, Weiyu Chen, Xiaochun Huang, Manyi Zhai, Chunqiao Fu, Lin Xu

The NutriLight system presents a novel dietary approach designed to enhance health communication, promote sustainable eating habits, and address limitations in existing dietary patterns. Using a traffic light scoring system, it simplifies dietary recommendations, making them more accessible and adaptable across diverse populations. Unlike rigid diets, NutriLight categorises foods into green, yellow, and red groups, encouraging balance rather than restriction. This flexibility allows for cultural adaptations, ensuring relevance in different dietary contexts while supporting planetary health. Additionally, NutriLight mitigates the risk of nutrient deficiencies by emphasising whole, minimally processed foods and reducing overconsumption of unhealthy options. While promising, its effectiveness depends on proper implementation, localised adaptation, and long-term evaluation to confirm its health benefits. By bridging the gap between nutritional science and practical application, NutriLight has the potential to serve as an effective tool in public health nutrition, fostering healthier and more sustainable dietary choices worldwide.

NutriLight系统提出了一种新的饮食方法,旨在加强健康交流,促进可持续的饮食习惯,并解决现有饮食模式的局限性。它使用红绿灯评分系统,简化了饮食建议,使它们更容易获得,并适用于不同的人群。与严格的饮食不同,NutriLight将食物分为绿色、黄色和红色三类,鼓励平衡而不是限制。这种灵活性允许文化适应,确保在不同饮食背景下的相关性,同时支持地球健康。此外,NutriLight通过强调完整的、最低限度加工的食品和减少过度消费不健康的选择,减轻了营养缺乏的风险。虽然有希望,但其有效性取决于适当的实施、局部适应和确认其健康益处的长期评估。通过弥合营养科学与实际应用之间的差距,NutriLight有潜力成为公共卫生营养领域的有效工具,在全球范围内促进更健康、更可持续的饮食选择。
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引用次数: 0
Dietary supplementation with glutamate improves the flesh quality of gibel carp (Carassius gibelio) by altering muscle texture characteristics and increasing the deposition of flavour substances. 饲料中添加谷氨酸可以改变异育银鲫肌肉的质地特征,增加风味物质的沉积,从而改善异育银鲫的肉质。
IF 2.4 Q3 NUTRITION & DIETETICS Pub Date : 2025-07-14 eCollection Date: 2025-01-01 DOI: 10.1017/jns.2025.10009
Wanjie Cai, Xing Wang, Haokun Liu, Luohai Hua, Dong Han, Xiaoming Zhu, Junyan Jin, Zhimin Zhang, Yunxia Yang, Shouqi Xie

Nutrition intervention is an effective way to improve flesh qualities of fish. The effect of feed supplementation with glutamate (Glu) on flesh quality of gibel carp (Carassius gibelio) was investigated. In trial 1, the fish (initial weight: 37.49 ± 0.08 g) were fed two practical diets with 0 and 2% Glu supplementation. In trial 2, the fish (37.26 ± 0.04 g) were fed two purified diets with 0 and 3% Glu supplementation. The results after feeding trials showed that dietary Glu supplementation increased the hardness and springiness of muscle, whether using practical or purified diets. Glu-supplemented diets increased the thickness and density of myofibres and collagen content between myofibres. Furthermore, Glu promoted muscle protein deposition by regulating the IGF-1-AKT-mTOR signalling pathway, and enhanced the myofibre hypertrophy by upregulating genes related to myofibre growth and development (mef2a, mef2d, myod, myf5, mlc, tpi and pax7α). The protein deposition and myofibre hypertrophy in turn improved the flesh texture. In addition, IMP content in flesh increased when supplementing Glu whether to practical or to purified diet. Metabolomics confirmed that Glu promoted the deposition of muscle-flavoured substances and purine metabolic pathway most functioned, echoed by the upregulation of key genes (ampd, ppat and adsl) in purine metabolism. The sensory test also clarified that dietary Glu improved the flesh quality by enhancing the muscle texture and flavour. Conclusively, dietary Glu supplementation can improve the flesh quality in this fish, which can further support evidence from other studies more generally that improve flesh quality of cultured fish.

营养干预是改善鱼类肉质的有效途径。研究了饲料中添加谷氨酸(Glu)对异育银鲫肉品质的影响。试验1:初始体重为37.49±0.08 g,分别饲喂添加0%和2%谷氨酸的实用饲料。试验2分别饲喂添加0%和3%谷氨酸的纯化饲料(37.26±0.04 g)。饲养试验结果表明,无论是实用饲粮还是纯化饲粮,饲粮中添加谷氨酸均能提高肌肉的硬度和弹性。饲粮中添加葡萄糖增加了肌纤维的厚度和密度以及肌纤维间胶原蛋白的含量。此外,Glu通过调节IGF-1-AKT-mTOR信号通路促进肌肉蛋白沉积,并通过上调肌纤维生长发育相关基因(mef2a、mef2d、myod、myf5、mlc、tpi和pax7α)增强肌纤维肥大。蛋白质沉积和肌纤维肥厚反过来改善了肉质。此外,无论是在实用日粮中还是在纯化日粮中添加谷氨酸,肉质中IMP的含量都有所增加。代谢组学证实,Glu促进了肌肉风味物质的沉积,嘌呤代谢途径发挥了最重要的作用,与嘌呤代谢关键基因(ampd、ppat和adsl)的上调相一致。感官试验还表明,饲粮中添加谷氨酸可以通过增强肌肉的质地和风味来改善肉质。综上所述,饲粮中添加谷氨酸可以改善该鱼的肉品质,这进一步支持了其他研究中关于提高养殖鱼肉品质的证据。
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引用次数: 0
Randomised controlled trial: nutritional supplements to relieve irritable bowel syndrome symptoms by targeting the gut microbiota. 随机对照试验:营养补充剂通过靶向肠道微生物群来缓解肠易激综合征症状。
IF 2 Q3 NUTRITION & DIETETICS Pub Date : 2025-07-11 eCollection Date: 2025-01-01 DOI: 10.1017/jns.2025.10021
Maartje van den Belt, Zhuang Liu, Lonneke Janssen Duijghuijsen, Erwin G Zoetendal, Ben Witteman, Nicole M de Roos, Paul Vos, Hauke Smidt, Nicole J W de Wit

In individuals with irritable bowel syndrome (IBS), eliminating dietary triggers can alleviate symptoms but may lead to nutrient deficiencies and overall health decline. Although various nutritional supplements show promising results in relieving IBS symptoms due to their potential to alter the microbiome, conclusive scientific evidence remains lacking. This exploratory study aims to assess the bifidogenic properties of four nutritional supplement interventions and their impact on IBS-symptoms, faecal microbiota composition, faecal short-chain fatty acid (SCFA) concentrations, stool pattern, and quality of life (QoL), compared to a placebo control. Seventy subjects with IBS, meeting the ROME IV criteria, participated in this randomised, double-blind, placebo-controlled parallel intervention study. Subjects were assigned to one of the four treatment groups, receiving either resistant starch, pea fibre, chondroitin sulfate, protein hydrolysate, or placebo daily for four weeks. Daily reports on stool pattern and gastrointestinal complaints were collected. Stool samples and questionnaires on dietary intake, symptom severity, QoL, and anxiety and depression were collected at baseline and after the 4-week intervention. The results show no significant increase in Bifidobacterium abundance or faecal SCFA levels after the 4-week intervention with any of the four nutritional supplement interventions. While some improvements in symptom severity and QoL were observed within-groups, these were not significantly different from changes observed with placebo. In conclusion, the tested nutritional supplements did not increase Bifidobacterium abundance in subjects with IBS within four weeks. Furthermore, we conclude that future studies should consider a run-in period and a larger sample size to study improvements in IBS symptoms.

对于肠易激综合征(IBS)患者,消除饮食诱因可以缓解症状,但可能导致营养缺乏和整体健康状况下降。尽管各种营养补充剂由于其改变微生物群的潜力而在缓解肠易激综合征症状方面显示出有希望的结果,但仍缺乏确凿的科学证据。本探索性研究旨在评估四种营养补充剂干预措施对ibs症状、粪便微生物群组成、粪便短链脂肪酸(SCFA)浓度、粪便形态和生活质量(QoL)的影响,并与安慰剂对照进行比较。70名符合ROME IV标准的IBS患者参加了这项随机、双盲、安慰剂对照的平行干预研究。受试者被分配到四个治疗组中的一个,连续四周每天接受抗性淀粉、豌豆纤维、硫酸软骨素、水解蛋白或安慰剂。收集粪便形态和胃肠道疾病的日常报告。在基线和干预4周后收集粪便样本和饮食摄入、症状严重程度、生活质量、焦虑和抑郁问卷。结果显示,在四种营养补充剂干预4周后,双歧杆菌丰度或粪便SCFA水平均未显着增加。虽然在组内观察到症状严重程度和生活质量的一些改善,但这些与安慰剂组观察到的变化没有显著差异。总之,在4周内,接受测试的营养补充剂并没有增加肠易激综合征患者体内双歧杆菌的丰度。此外,我们得出结论,未来的研究应考虑磨合期和更大的样本量来研究IBS症状的改善。
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引用次数: 0
A reverse J-shaped association between adherence to planetary health diet and all-cause and cause-specific mortality in Japan: a cross-sectional prefecture-level ecological study. 坚持地球健康饮食与日本全因和特定原因死亡率之间的反j型关联:一项横断面县一级生态学研究。
IF 2.4 Q3 NUTRITION & DIETETICS Pub Date : 2025-07-02 eCollection Date: 2025-01-01 DOI: 10.1017/jns.2025.10018
Daiki Watanabe, Yumiko Inoue

Epidemiological studies have reported an association between the planetary health diet (PHD), diet-related greenhouse gas emissions (GHGEs), and mortality. However, data from individuals from non-Western countries was limited. Therefore, we aimed to examine this association among Japanese individuals using a cross-sectional ecological study of all 47 prefectures in Japan. Prefecture-level data were obtained from government surveys. The dietary amount was estimated based on the weight of food purchased (211 items) from the 2021-2023 Family Income and Expenditure Survey. Adherence to PHD was scored using the EAT-Lancet index (range, 0 [worst] to 42 [best]) and categorised into four groups: ≤ 24 (n = 14, low), 25 (n = 17, medium-low), 26 (n = 10, medium-high), and 27 points (n = 6, high). Diet-related GHGEs were estimated using previously developed GHGE tables for each food item. Mortality data were obtained using the 2022 Vital Statistics. Mortality rate ratio (RR) was calculated using a multivariate Poisson regression model. After adjusting for confounders, compared to the prefecture in the medium-low group of adherence score, those in the low and high groups were associated with a higher mortality RR for all-cause (low group: RR = 1.03 [95% CI (confidence interval) = 1.01-1.05]; high group: RR = 1.03 [95% CI = 1.00-1.07]) and pneumonia. Moreover, although a higher adherence score was inversely associated with GHGE, it was linked to an increased mortality risk from heart disease and stroke. Our findings indicate a reverse J-shaped association between adherence to PHD and mortality.

流行病学研究报告了行星健康饮食(PHD)、饮食相关温室气体排放(GHGEs)和死亡率之间的关联。然而,来自非西方国家的个人数据有限。因此,我们的目的是通过对日本所有47个县的横断面生态研究来检验日本个体之间的这种关联。地级市的数据来自政府调查。膳食量是根据2021-2023年家庭收入和支出调查中购买的食物(211项)的重量估算的。使用EAT-Lancet指数(范围,0[最差]至42[最好])对博士依从性进行评分,并分为四组:≤24 (n = 14,低),25 (n = 17,中低),26 (n = 10,中高)和27 (n = 6,高)。与饮食有关的温室气体排放量是使用先前开发的每种食物的温室气体排放量表来估算的。死亡率数据使用2022年生命统计数据获得。死亡率(RR)采用多元泊松回归模型计算。调整混杂因素后,与各县中低依从性评分组相比,低依从性评分组和高依从性评分组的全因死亡率RR更高(低依从性评分组:RR = 1.03 [95% CI(置信区间)= 1.01-1.05];高组:RR = 1.03 [95% CI = 1.00-1.07])和肺炎。此外,尽管较高的依从性评分与GHGE呈负相关,但它与心脏病和中风死亡风险增加有关。我们的研究结果表明,坚持博士学位与死亡率之间存在反向j型关联。
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Journal of Nutritional Science
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