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Food insecurity in people living with obesity: Improving sustainable and healthier food choices in the retail food environment-the FIO Food project. 肥胖者的粮食不安全:改善零售食品环境中可持续和更健康的食品选择FIO食品项目。
IF 3.3 4区 医学 Q2 Medicine Pub Date : 2023-09-01 Epub Date: 2023-07-17 DOI: 10.1111/nbu.12626
Marta Lonnie, Emma Hunter, Rebecca A Stone, Mariana Dineva, Modupe Aggreh, Hannah Greatwood, Alexandra M Johnstone

At both UK and global level, dietary consumption patterns need to change to address environmental, health and inequality challenges. Despite considerable policy interventions, the prevalence of overweight and obesity in the United Kingdom has continued to rise with obesity now a leading cause of mortality and morbidity. Obesity prevalence is greater among those on lower incomes and the current UK food system, including government policy, does not effectively address this. Current behavioural approaches, without the support of structural changes in the system, may even widen the inequalities gap. Hence, using behavioural insights from those living with obesity and food insecurity, the project will explore potential avenues that can be applied in the food system to promote healthier choices in the food retail environment. The National Food Strategy report recommends that the UK food system should ensure "safe, healthy, affordable food; regardless of where people live or how much they earn". However, the association between food insecurity and the development of obesity is not well understood in relation to purchasing behaviours in the UK retail food environment, nor is the potential effectiveness of interventions that seek to prevent and reduce the impact of diet-induced health harms. The FIO Food (Food insecurity in people living with obesity - improving sustainable and healthier food choices in the retail food environment) project provides a novel and multi-disciplinary collaborative approach with co-development at the heart to address these challenges. Using four interlinked work packages, the FIO Food project will combine our knowledge of large-scale population data with an understanding of lived experiences of food shopping for people living with obesity and food insecurity, to develop solutions to support more sustainable and healthier food choices in the UK retail food environment.

在英国和全球层面,饮食消费模式都需要改变,以应对环境、健康和不平等的挑战。尽管采取了大量的政策干预措施,但英国超重和肥胖的流行率仍在继续上升,肥胖现在是导致死亡和发病的主要原因。低收入人群的肥胖率更高,而目前的英国食品系统,包括政府政策,并没有有效解决这一问题。目前的行为方法,如果没有体制结构变革的支持,甚至可能扩大不平等差距。因此,该项目将利用肥胖和粮食不安全患者的行为见解,探索可应用于食品系统的潜在途径,以促进食品零售环境中更健康的选择。国家食品战略报告建议,英国食品系统应确保“安全、健康、负担得起的食品;无论人们住在哪里或挣多少钱”。然而,在英国零售食品环境中,人们对食品不安全与肥胖发展之间的联系以及旨在预防和减少饮食引起的健康危害的干预措施的潜在有效性都不太了解。FIO Food(肥胖者的粮食不安全——改善零售食品环境中可持续和更健康的食品选择)项目提供了一种新颖的多学科合作方法,以共同开发为核心来应对这些挑战。FIO Food项目将利用四个相互关联的工作包,将我们对大规模人口数据的了解与对肥胖和粮食不安全人群食品购物生活体验的理解相结合,以制定解决方案,支持英国零售食品环境中更可持续、更健康的食品选择。
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引用次数: 1
Perceptions and knowledge of protein in dairy and plant-based alternatives among stakeholders in the US marketplace. 美国市场利益相关者对乳制品和植物替代品中蛋白质的看法和知识。
IF 3.3 4区 医学 Q2 Medicine Pub Date : 2023-09-01 Epub Date: 2023-07-20 DOI: 10.1111/nbu.12628
Katherine I Schlepphorst, Bridget E Clark, Lizzy Pope, Reilly Donahue, Emily H Belarmino

This study explores beliefs about protein in dairy and plant-based (PB) alternatives among stakeholders in the US marketplace and whether beliefs are associated with product preferences. Eight thousand and fifty-two unique comments submitted to the US Food and Drug Administration (FDA) in response to a request for public input on the labelling of PB dairy alternatives (FDA-2018-N-3522) were coded. Of these, 383 (4.8%) discussed protein and were analysed for protein-specific themes. Themes were examined in relation to the submitter's product preference. Most comments that discussed protein focused on protein content and/or health outcomes believed to be associated with intake. Only one commenter who preferred dairy demonstrated an inaccurate understanding of protein content in dairy and PB alternatives, although nearly all failed to identify fortified soy beverage as an appropriate protein replacement; meanwhile, 14.2% who preferred PB alternatives demonstrated an inaccurate understanding regarding protein content in dairy and PB products. The results suggest knowledge gaps exist regarding protein in PB dairy alternatives, especially among those who prefer non-dairy options.

这项研究探讨了美国市场利益相关者对乳制品和植物替代品中蛋白质的看法,以及这种看法是否与产品偏好有关。根据公众对PB乳制品替代品标签(FDA-2018-N-3522)的意见请求,向美国食品药品监督管理局(FDA)提交了八千五十二条独特意见,并对其进行了编码。其中383人(4.8%)讨论了蛋白质,并对蛋白质特异性主题进行了分析。主题是根据提交者的产品偏好进行审查的。大多数讨论蛋白质的评论都集中在蛋白质含量和/或被认为与摄入有关的健康结果上。只有一位喜欢乳制品的评论者对乳制品和PB替代品中的蛋白质含量理解不准确,尽管几乎所有评论者都未能将强化大豆饮料确定为合适的蛋白质替代品;同时,14.2%的首选PB替代品的人对乳制品和PB产品中的蛋白质含量有不准确的理解。研究结果表明,在PB乳制品替代品中的蛋白质方面存在知识差距,尤其是在那些喜欢非乳制品的人中。
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引用次数: 0
Rethinking reformulation. 重新考虑再形成。
IF 3.3 4区 医学 Q2 Medicine Pub Date : 2023-09-01 DOI: 10.1111/nbu.12634
Judith Batchelar
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引用次数: 1
Conference Diary. 会议的日记。
IF 3.3 4区 医学 Q2 Medicine Pub Date : 2023-09-01 DOI: 10.1111/nbu.12636
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引用次数: 0
Dietary sodium intake and its relation to sleep duration, sleep quality and nocturnal urination in working-aged Korean adults. 工作年龄韩国成年人的膳食钠摄入量及其与睡眠时间、睡眠质量和夜间排尿的关系。
IF 3.3 4区 医学 Q2 Medicine Pub Date : 2023-09-01 Epub Date: 2023-07-17 DOI: 10.1111/nbu.12629
Ju Young Jung, Chang-Mo Oh, Eugene Kim, Sung Keun Park

Both sodium intake and sleep have an important effect on cardiovascular health. However, few studies have looked at the association between sodium intake and sleep. Therefore, we analysed the association of sodium intake with sleep quality, sleep duration and nocturnal urination. The data for the present study were obtained from the Kangbuk Samsung Health Study. Study participants were 156 696 working-aged Korean adults (average age 38.0 years ±8.0 in men and 36.0 years ±8.1 in women). They were categorised into five groups by quintile of sodium intake, measured by food frequency questionnaire. Poor sleep quality and short sleep duration were determined by Pittsburgh Sleep Quality Index >5, and sleep duration <7 h, respectively. Nocturnal urination was defined as awakening to urinate more than three times a week. Multivariable adjusted logistic regression analysis was used in calculating the odds ratio (OR) and 95% confidence interval (CI) for poor sleep quality, short sleep duration and nocturnal urination (adjusted OR [95% CI]) across five study groups. In all study participants, increased sodium intake was significantly associated with poor sleep quality (quintile 1: reference, quintile 2: 1.07 [1.04-1.11], quintile 3: 1.12 [1.08-1.16], quintile 4: 1.15 [1.11-1.19] and quintile 5: 1.13 [1.09-1.18]). This pattern of relationship was similarly observed in association of sodium intake with short sleep duration (p for trend <0.001) and nocturnal urination (p for trend <0.001). In gender subgroup analysis, increased sodium intake had a significant association with poor sleep quality and short sleep duration in men and with poor sleep quality and nocturnal urination in women. In conclusion, high sodium intake is associated with an increased likelihood of poor sleep quality, short sleep duration and nocturnal urination.

钠的摄入和睡眠对心血管健康都有重要影响。然而,很少有研究关注钠摄入与睡眠之间的关系。因此,我们分析了钠摄入量与睡眠质量、睡眠时间和夜间排尿的关系。本研究的数据来自康布克三星健康研究。研究参与者有156人 696名工作年龄的韩国成年人(平均年龄38.0岁 男性为±8.0岁,男性为36.0岁 女性为±8.1岁)。根据食物频率问卷,按钠摄入量的五分之一将他们分为五组。匹兹堡睡眠质量指数>5确定睡眠质量差和睡眠时间短,睡眠时间
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引用次数: 0
Healthy Eating Week 2024 健康饮食周2024
IF 3.3 4区 医学 Q2 Medicine Pub Date : 2023-08-18 DOI: 10.1111/nbu.12635
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引用次数: 0
Effects of antioxidant supplementation on bone mineral density, bone mineral content and bone structure in healthy men during 60 days of 6° head-down tilt bed rest: Results from a randomised controlled trial. 抗氧化剂补充对健康男性6°上下倾斜卧床60天期间骨密度、骨矿物质含量和骨结构的影响:一项随机对照试验的结果
IF 3.3 4区 医学 Q2 Medicine Pub Date : 2023-06-01 DOI: 10.1111/nbu.12619
Katharina Austermann, Natalie Baecker, Sara R Zwart, Rolf Fimmers, Peter Stehle, Scott M Smith, Martina Heer

Dietary countermeasures to mitigate detrimental spaceflight-induced effects on bone health would alleviate the requirements and the consequences imposed by other types of countermeasures for this risk. We hypothesised that antioxidant supplementation during 60 days of 6° head-down tilt bed rest (HDBR), an analogue of spaceflight, would have a protective effect on bone mineral density (BMD), content (BMC) and bone structure parameters. An exploratory, randomised, controlled, single-blind intervention trial was conducted in a parallel design with 20 healthy male volunteers (age 34 ± 8 y, weight 74 ± 6 kg). The study included 14 days of baseline data collection (BDC) before bed rest, followed by 60 days of HDBR and a 14-day recovery period. Ten subjects in the antioxidant group received a supplement (741 mg/d polyphenols, 2.1 g/d omega-3 fatty acids, 168 mg/d vitamin E and 80 μg/d selenium) daily. Ten subjects in the control group received no supplement. The diet was consistent with dietary reference intakes, individually tailored based on the subject's bodyweight and strictly controlled. We measured whole-body, lumbar spine and femur BMD and BMC, as well as BMD of the cortical and trabecular compartments of the distal radius and tibia, and cortical and trabecular thickness during BDC, HDBR and recovery. Data were analysed using linear mixed models. The supplementation of an antioxidant cocktail did not mitigate the deteriorating effects of HDBR on BMD, BMC and bone structure parameters. Our findings do not support a recommendation for antioxidant supplementation for astronauts.

为减轻航天飞行对骨骼健康造成的有害影响而采取的饮食对策将减轻针对这一风险采取的其他类型对策的要求和后果。我们假设,在类似于太空飞行的6°俯卧床休息(HDBR)的60天内补充抗氧化剂,将对骨矿物质密度(BMD)、含量(BMC)和骨结构参数产生保护作用。本研究采用平行设计,对20名健康男性志愿者(年龄34±8岁,体重74±6 kg)进行探索性、随机、对照、单盲干预试验。该研究包括卧床休息前14天的基线数据收集(BDC),随后60天的HDBR和14天的恢复期。抗氧化剂组的10名受试者每天补充741毫克/天的多酚、2.1克/天的omega-3脂肪酸、168毫克/天的维生素E和80微克/天的硒。对照组10名受试者未接受任何补充。饮食与饮食参考摄入量一致,根据受试者的体重量身定制,并严格控制。我们测量了全身、腰椎和股骨的骨密度和BMC,以及桡骨远端和胫骨的皮质和小梁间室的骨密度,以及在BDC、HDBR和恢复期间的皮质和小梁厚度。数据采用线性混合模型进行分析。抗氧化混合物的补充并没有减轻HDBR对骨密度、BMC和骨结构参数的恶化作用。我们的发现不支持给宇航员补充抗氧化剂的建议。
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引用次数: 0
Impact of a daily legume-based meal on dietary and nutritional intake in a group of omnivorous adults. 一组杂食性成年人每日豆类餐对饮食和营养摄入的影响。
IF 3.3 4区 医学 Q2 Medicine Pub Date : 2023-06-01 DOI: 10.1111/nbu.12613
Helena Ferreira, Marta Vasconcelos, Ana M Gil, Beatriz Oliveira, Elisete Varandas, Eugénia Vilela, Kimhuong Say, Joana Silveira, Elisabete Pinto

Adopting eco-friendly diets will demand the consumption of more plant-based protein food sources such as legumes. However, assessing the impact of such a dietary shift on the dietary and nutritional intake of traditionally omnivorous populations is needed. The objective of this study was to assess the impact of substituting a traditional omnivorous-based lunch for a vegetarian, legume-based meal on the daily dietary and nutritional intake in a group of omnivorous adults in the city of Porto, Portugal. Nineteen, non-vegetarian, healthy young adults consumed a vegetarian, legume-based meal from Monday to Friday, for 8 consecutive weeks. Socio-demographic data, health status, lifestyle-related information and anthropometric parameters were recorded. Three-day food records were used to collect food intake at baseline and week 8. European Food Safety Authority and World Health Organization reference values were used to assess nutritional inadequacies. Variables were described as medians (P25 and P75 ). Wilcoxon signed-rank and Mann-Whitney tests were used for statistical comparisons. A p-value of <0.05 was considered statistically significant. Participants consumed 38.0 (P25  = 35.0; P75  = 40.0) meals, resulting in an intake of 84.5 g (P25  = 74.9; P75  = 98.4) of cooked legumes per meal, meaning 11 subjects (57.9%) met the Portuguese guidelines for legume consumption (≥80 g/day of legumes). The current dietary intervention did not seem to aggravate the prevalence of nutritional inadequacies for the macro- and micronutrients tested, except for the case of vitamin B12 (52.6% [95% CI: 28.9-75.6] vs. 78.9% [95% CI: 54.4-94.0]). This could be linked to the reduction of dietary sources of this vitamin which is an expected consequence of vegetarian meals. Dietary changes towards grain legume-based diets are desirable yet need to be carefully implemented to prevent exacerbating potential nutrient inadequacies, especially of vitamin B12 .

采用环保饮食将需要消费更多的植物性蛋白质食物来源,如豆类。然而,评估这种饮食转变对传统杂食性人群的饮食和营养摄入的影响是必要的。本研究的目的是评估在葡萄牙波尔图市的一群杂食性成年人中,用素食、豆类为主的午餐代替传统的杂食性午餐对日常饮食和营养摄入的影响。19名非素食、健康的年轻人从周一到周五连续8周吃素食、豆类为主的食物。记录社会人口统计数据、健康状况、生活方式相关信息和人体测量参数。三天的饮食记录用于收集基线和第8周的食物摄入量。欧洲食品安全局和世界卫生组织的参考值被用来评估营养不足。变量描述为中位数(P25和P75)。采用Wilcoxon sign -rank检验和Mann-Whitney检验进行统计比较。p值为25 = 35.0;P75 = 40.0)的膳食,因此摄入量为84.5 g (P25 = 74.9;P75 = 98.4),这意味着11名受试者(57.9%)符合葡萄牙豆类消费指南(≥80 g/天豆类)。除了维生素B12 (52.6% [95% CI: 28.9-75.6] vs. 78.9% [95% CI: 54.4-94.0])外,目前的饮食干预似乎并未加剧所测试的宏量和微量营养素营养不足的患病率。这可能与减少这种维生素的饮食来源有关,这是素食的预期结果。以谷物豆类为基础的饮食改变是可取的,但需要仔细实施,以防止加剧潜在的营养不足,特别是维生素B12的不足。
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引用次数: 0
Anaemia in adolescent women: A priority for the nutrition agenda in Mexico. A comparison of data from the ENSANUT 2012 and 2018-2019 surveys. 青少年妇女贫血:墨西哥营养议程的优先事项。ENSANUT 2012年和2018-2019年调查数据的比较。
IF 3.3 4区 医学 Q2 Medicine Pub Date : 2023-06-01 DOI: 10.1111/nbu.12614
Fabiola Mejía-Rodríguez, Edith Y Kim-Herrera, Amado D Quezada-Sánchez, Mónica Venosa López, Selene Pacheco-Miranda, Teresa Shamah-Levy, Anabelle Bonvecchio Arenas, Armando García Guerra, Vanessa De la Cruz-Góngora

The risk of anaemia in adolescence increases due to accelerated growth. This study aims to: (1) estimate the prevalence of anaemia in 2012 and 2018-2019 (Encuesta Nacional de Salud y Nutricion - ENSANUT [n = 5841 in 2012 and n = 2380 in 2018-2019]) in non-pregnant, Mexican adolescent women aged 12-19 years, and the changes in prevalence over this period according to sociodemographic, health and nutrition characteristics; (2) estimate the associations between anaemia and sociodemographic, health and nutrition characteristics in each year and overall, in non-pregnant Mexican adolescent women. Anaemia was defined as capillary haemoglobin <12 g/dL. The distribution of characteristics and their changes between 2012 and 2018-2019 were described. The covariate-adjusted prevalence of anaemia in 2012 and 2018-2019 and the changes over that period were estimated from a multiple log-binomial regression model and the factors associated with anaemia were assessed in each survey year and in both years combined. The prevalence of anaemia was 7.7% in 2012 and 13.1% in 2018-2019 (69% increase, Prevalence Ratio: PR = 1.69; 95%CI: 1.35, 2.13). The covariate-adjusted prevalence of anaemia increased from 6.9% to 10.5% in the overall population (PR = 1.53, 95%CI: 1.19, 1.96), and increased considerably in the age group 12-14 years (PR = 1.94, 95%CI: 1.36, 2.75), and in the northern region (PR = 3.68, 95%CI: 2.55, 5.32). Those receiving iron supplements or school breakfasts did not register a significant increase. A higher household wellbeing status and older age were associated with a lower prevalence of anaemia. Anaemia in non-pregnant adolescent women continues to be a public health problem. To improve the development and health of adolescent women in Mexico and to pave the way to a healthy pregnancy for the next generation, the causes of anaemia should be identified.

青春期贫血的风险由于生长加速而增加。本研究旨在:(1)估计2012年和2018-2019年(Encuesta Nacional de Salud y Nutricion - ENSANUT [n = 5841 2012年和n = 2380 2018-2019年])12-19岁墨西哥非怀孕少女的贫血患病率,并根据社会人口统计学、健康和营养特征估算此期间患病率的变化;(2)估计每年和总体上未怀孕的墨西哥少女贫血与社会人口、健康和营养特征之间的关系。贫血定义为毛细血管血红蛋白
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引用次数: 0
Dietitians' and nutritionists' knowledge and views on aspects of health claims regulation in the UK: Do we inadvertently shoot the messenger? 营养师和营养学家对英国健康声明监管方面的知识和观点:我们是否无意中击中了信使?
IF 3.3 4区 医学 Q2 Medicine Pub Date : 2023-06-01 DOI: 10.1111/nbu.12616
Carrie Ruxton, Margaret Ashwell

Article 12(c) of the Nutrition and Health Claims Regulation (NHCR) prohibits authorised health claims in consumer-facing commercial communications which make reference to the recommendations of individual doctors or health professionals. However, this has been controversial amongst dietitians and nutritionists who work in commercial settings. Given the lack of empirical data, a survey was conducted amongst UK-based nutrition professionals to assess their knowledge of, and attitudes to, Article 12(c). The findings revealed confusion about the scope of the regulation and how it applies to working practices, with a considerable proportion of respondents being unable to recognise examples of commercial communications or health claims, indicating a need for additional training. There was also a broad interpretation of what nutrition professionals could, and could not, say about a hypothetical food product. This paper explores current guidance in Great Britain and debates the proportionality and fairness of Article 12(c), which, at present, does not regulate authorised health claims made by influencers or celebrities in commercial communications to consumers. It could be argued that consumers are better protected by the articulation of health claims by nutrition professionals who are guided by codes of practice rather than by unqualified, unregulated individuals. Hence, it is essential to level the regulatory playing field either by revising the NHCR to amend Article 12(c) or by updating the guidance to apply an interpretation of the Article's intention which enables a broader role for nutrition professionals in commercial communications. Such action would also be consistent with the UK's better regulation agenda to ensure evidence-based, proportionate regulation for industry.

《营养和健康声明条例》(NHCR)第12(c)条禁止在面向消费者的商业通信中引用个别医生或卫生专业人员的建议进行授权的健康声明。然而,这在在商业环境中工作的营养师和营养学家中一直存在争议。鉴于缺乏经验数据,在英国的营养专业人员中进行了一项调查,以评估他们对第12(c)条的知识和态度。调查结果显示,人们对条例的范围及其如何适用于工作做法感到困惑,相当比例的答复者无法识别商业通信或健康声明的例子,这表明需要进行额外培训。对于一种假设的食品,营养专家能说什么,不能说什么,也有一个宽泛的解释。本文探讨了英国目前的指导方针,并讨论了第12(c)条的比例性和公平性,该条款目前并未规范有影响力的人或名人在与消费者的商业沟通中所作的授权健康声明。可以说,由受行为准则指导的营养专业人员而不是由不合格、不受管制的个人来阐明健康声明,能更好地保护消费者。因此,必须通过修订NHCR来修改第12(c)条,或通过更新指南来适用对该条意图的解释,从而使营养专业人员在商业传播中发挥更广泛的作用,从而使监管竞争环境变得公平。此类行动也将与英国更好的监管议程相一致,以确保对行业进行循证、相称的监管。
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引用次数: 0
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Nutrition Bulletin
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