Journal of Human Nutrition and Dietetics最新文献_第3页

Development and Validation of a Food Frequency Questionnaire to Assess Fermented Food Consumption in Adults 一份评估成人发酵食品消费的食物频率问卷的开发和验证。

IF 2.5 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics

Pub Date : 2026-01-14 DOI: 10.1111/jhn.70183

Aimone Ferri, Elizabeth Schneider, Alice Lucey, Áine Hennessy, Paul D. Cotter, Ramya Balasubramanian, Gerard Clarke, John F. Cryan

Background

Fermented foods can confer benefits to human health and modulate the microbiota–gut–brain axis. Fermented foods are gaining popularity in Western cultures, with increasing calls for their inclusion in national dietary guidelines. As no specific validated measure to capture fermented food intake exists, this study aimed to develop and validate a fermented food intake questionnaire (FFIQ) to assess habitual intake in adults from the United States, Canada, the United Kingdom, Ireland, Australia and New Zealand, aged 18−60 years.

Methods

A 32-item self-administered FFIQ, informed by available international food consumption data for adults, was developed and subsequently validated in an online sample of 167 adults using six online 24-h automated dietary recalls (intake24.com) as the reference method. Correlation and Bland–Altman analyses were used to assess agreement and bias between the FFIQ and the 24-h dietary recalls.

Results

The most frequently consumed fermented foods were cheeses, yoghurt, kefir and kombucha. Median (Interquartile range) intake of total fermented food was 85.4 (42.3, 143.0) g/day for the FFIQ and 54.9 (20.8, 112.1) g/day for the average of the 24-h dietary recalls, respectively and showed good agreement for total fermented food consumption (r = 0.56, p < 0.001) and for most individual fermented foods and food categories. The FFIQ classified 93.4% of participants in the same or adjacent tertile of total fermented food intake. Bland–Altman plots for total intake of fermented food demonstrated good agreement between the FFIQ and the 24 h recalls. The FFIQ also showed good to excellent reliability upon re-administration for most fermented foods as indicated by the intraclass correlation coefficients.

Conclusions

The FFIQ provides a robust estimate of fermented food consumption among adults from English-first language countries. This will be a valuable resource with potential applications in clinical and epidemiological research aimed at exploring associations between fermented foods and health outcomes.

背景：发酵食品可以给人类健康带来好处，并调节微生物-肠-脑轴。发酵食品在西方文化中越来越受欢迎，越来越多的人呼吁将其纳入国家饮食指南。由于没有特定的有效措施来捕获发酵食物的摄入量，本研究旨在开发和验证发酵食物摄入问卷（FFIQ），以评估来自美国、加拿大、英国、爱尔兰、澳大利亚和新西兰的18-60岁成年人的习惯性摄入量。方法：根据现有的国际成年人食品消费数据，开发了一个32项自我管理的FFIQ，并随后在167名成年人的在线样本中进行验证，使用6个在线24小时自动膳食召回（intake24.com）作为参考方法。使用相关分析和Bland-Altman分析来评估FFIQ和24小时饮食回忆之间的一致性和偏倚性。结果：最常食用的发酵食品是奶酪、酸奶、开菲尔和康普茶。FFIQ的总发酵食品摄入量中位数（四分位数范围）为85.4 (42.3,143.0)g/天，24小时膳食回忆的平均摄入量为54.9 (20.8,112.1)g/天，两者之间表现出良好的一致性（r = 0.56, p）。结论：FFIQ为英语母语国家成年人的发酵食品消费量提供了可靠的估计。这将是一个有价值的资源，在临床和流行病学研究中具有潜在的应用，旨在探索发酵食品与健康结果之间的关联。

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引用次数: 0

Four Facet Mindful Eating and Eating Disorder Risk: Mediation By Depression and Body Mass Index 四方面正念饮食和饮食失调风险：抑郁和体重指数的中介作用。

IF 2.5 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics

Pub Date : 2026-01-08 DOI: 10.1111/jhn.70199

Oznur Aydin, Arzu Kabasakal Cetin

Background

A negative relationship between mindful eating and eating disorder risk has been suggested in previous research. However, the potential mediating roles of depression and body mass index (BMI) in the relationship between the four facets of mindful eating and eating disorders remain understudied. Therefore, this study aimed to examine the associations between the four facets of mindful eating and the risk of eating disorders in adults, and to explore possible mediators of this relationship.

Methods

This cross-sectional study was conducted online with 239 participants. Data were collected using the Four Facet Mindful Eating Scale (FFaMES), the Eating Disorder Examination-Questionnaire-13 (EDE-Q-13), and the Depression-Anxiety-Stress Scale-21 (DASS-21). To identify potential mediating factors, multiple mediation analyses were performed to examine the relationship between mindful eating and eating disorder risk.

Results

Higher levels of mindful eating were inversely correlated with eating disorder risk (r = −0.569, p < 0.001), depression (r = −0.321, p < 0.001), and BMI (r = −0.314, p < 0.001). Conversely, eating disorder risk was positively correlated with both depression (r = 0.268, p < 0.001) and BMI (r = 0.341, p < 0.001). Mediation analyses revealed that depression (β = –0.012, 95% CI [–0.025, –0.002]) and BMI (β = –0.018, 95% CI [–0.033, –0.007]) were potential mediators of the association between non-reactance and eating disorder risk. A similar pattern was observed for non-judgment, with depression (β = –0.016, 95% CI [–0.032, –0.004]) and BMI (β = –0.021, 95% CI [–0.041, –0.007]) identified as potential mediators. Eating with internal awareness was associated with higher eating disorder risk, with depression partially mediating this relationship (β = 0.030, 95% CI [0.008, 0.060]), whereas no mediation effect was found for eating with external awareness (β = 0.021, 95% CI [−0.016, 0.051]). Overall, higher depression (β = −0.012, 95% CI [−0.025, −0.002]) and higher BMI (β = −0.018, 95% CI [−0.064, −0.032]) were identified as potential mediators in the association between lower mindful eating and higher eating disorder risk.

Conclusion

This study indicated that mindful eating in adults is associated with lower eating disorder risk, and that BMI and depression scores are potential mediators of this relationship.

背景：先前的研究表明，正念饮食与饮食失调风险之间存在负相关关系。然而，抑郁和身体质量指数（BMI）在正念饮食与饮食失调四个方面的关系中的潜在中介作用仍未得到充分研究。因此，本研究旨在研究正念饮食的四个方面与成年人饮食失调风险之间的联系，并探索这种关系的可能中介。方法：本横断面研究在线进行239名参与者。数据采用四面正念饮食量表（FFaMES）、饮食失调检查问卷-13 （ed - q -13）和抑郁-焦虑-压力量表-21 （DASS-21）收集。为了确定潜在的中介因素，我们进行了多重中介分析来检验正念饮食与饮食失调风险之间的关系。结果：高水平的正念饮食与饮食失调风险呈负相关（r = -0.569, p）。结论：本研究表明，成年人正念饮食与较低的饮食失调风险相关，BMI和抑郁评分是这种关系的潜在中介。

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引用次数: 0

Information and Support Needs of Clinicians and Food-Insecure Adults With Type 2 Diabetes: A Systematic Review 临床医生和食物不安全成人2型糖尿病患者的信息和支持需求：系统综述。

IF 2.5 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics

Pub Date : 2026-01-07 DOI: 10.1111/jhn.70191

Niamh Creevy, Ruth Boocock

Food insecurity is a growing public health concern in the United Kingdom (UK), with significant implications for adults living with type 2 diabetes. This systematic review explores how clinicians can identify and support food-insecure adults in diabetes care settings. A clinician is defined as a healthcare professional who provides direct patient care. Four databases (MEDLINE, Embase, CINAHL, APA PsycINFO) and grey literature sources were searched. Eleven qualitative and mixed-methods studies from the United States (US), Canada, and the UK were included. Using thematic synthesis, three analytical themes were developed. The first theme highlights that identifying food insecurity requires organisational support and buy-in. Clinicians recognised the importance of routine screening, but systemic barriers such as time constraints, lack of referral pathways, and limited integration into existing workflows hindered implementation. The second theme emphasises the role of trust-based clinical relationships in enabling disclosure and patient engagement. Empathy and stigma-sensitive communication were found to be essential for patients to feel safe discussing food insecurity and engaging with care plans. However, unrealistic dietary advice and limited clinician awareness of social needs undermine these efforts. The third theme identifies the need for collaboration with community organisations. Clinicians reported limited knowledge of local food support services and emphasised the importance of system-led referral pathways and partnerships to address food insecurity effectively. Patients also highlighted challenges such as low food literacy and poor cooking skills, reinforcing the need for practical, community-based support. Addressing food insecurity in type 2 diabetes care requires more than individual clinician effort, it demands coordinated action across healthcare and community sectors to improve health outcomes and reduce inequalities. This review calls for a systems thinking approach to diabetes care that integrates structural reform, relational care, and community collaboration.

在英国，粮食不安全是一个日益严重的公共卫生问题，对患有2型糖尿病的成年人具有重大影响。本系统综述探讨了临床医生如何在糖尿病护理环境中识别和支持粮食不安全的成年人。临床医生被定义为提供直接病人护理的医疗保健专业人员。检索四个数据库（MEDLINE, Embase， CINAHL, APA PsycINFO）和灰色文献来源。纳入了来自美国、加拿大和英国的11项定性和混合方法研究。利用主题综合，开发了三个分析主题。第一个主题强调，确定粮食不安全需要组织的支持和参与。临床医生认识到常规筛查的重要性，但时间限制、缺乏转诊途径以及与现有工作流程的有限整合等系统性障碍阻碍了筛查的实施。第二个主题强调基于信任的临床关系在促进信息披露和患者参与方面的作用。研究发现，同理心和对耻辱感敏感的沟通对于患者在讨论食品不安全问题和参与护理计划时感到安全至关重要。然而，不切实际的饮食建议和有限的临床医生对社会需求的认识破坏了这些努力。第三个主题确定了与社区组织合作的必要性。临床医生报告了对当地粮食支持服务的有限了解，并强调了系统主导的转诊途径和伙伴关系对有效解决粮食不安全问题的重要性。患者还强调了诸如食品素养低和烹饪技能差等挑战，这加强了对实际的、基于社区的支持的需求。解决2型糖尿病护理中的粮食不安全问题不仅需要临床医生的个人努力，还需要医疗保健和社区部门采取协调一致的行动，以改善健康结果并减少不平等现象。这篇综述呼吁对糖尿病护理采取系统思考的方法，将结构改革、关系护理和社区合作结合起来。

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引用次数: 0

A Qualitative Exploration of Barriers and Facilitators Influencing Nutritional Recovery in Survivors of Critical Illness After Hospital Discharge 影响重症患者出院后营养恢复的障碍和促进因素的定性探讨。

IF 2.5 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics

Pub Date : 2026-01-07 DOI: 10.1111/jhn.70194

Josephine Dudzik, Sarah Linskens, Ethan Balk

Introduction

After hospital discharge, survivors of critical illness often struggle to meet their nutritional needs, which can impair long-term recovery and quality of life. However, the factors influencing nutritional recovery in the early post-discharge period remain poorly understood. This qualitative study aimed to identify and describe the barriers and facilitators influencing nutritional recovery among critical illness survivors after hospital discharge.

Methods

A qualitative health research approach was adopted using qualitative description. A convenience sample of 15 adult critical illness survivors were recruited from medical, surgical, and cardiac intensive care units (ICUs) in New York City from August 2024 to April 2025. Semi-structured interviews were conducted virtually 3 months after hospital discharge. Data were analyzed using directed content analysis.

Results

Reported barriers to nutritional recovery included individual-level factors (physiological, functional, and psychological) and systems-level challenges (gaps in nutrition care continuity and inadequate healthcare team communication and support). Facilitators included family support, accessible nutrition services, multidisciplinary healthcare team involvement, and improvements in recovery over time. Patients consistently expressed a desire for regular post-discharge nutrition follow-up and individualized nutrition education tailored to post-ICU recovery.

Conclusion

Collectively, these findings revealed that survivors of critical illness encounter numerous barriers to nutritional recovery after hospital discharge, but support from family, dietitians, and healthcare teams can help overcome these challenges. Continuity of dietitian-led care and tailored nutrition education may address unmet needs and improve the nutritional recovery experience of critical illness survivors.

出院后，危重疾病的幸存者往往难以满足他们的营养需求，这可能会损害长期恢复和生活质量。然而，影响出院后早期营养恢复的因素仍然知之甚少。本质性研究旨在找出并描述影响重症患者出院后营养恢复的障碍和促进因素。方法：采用定性描述的定性健康研究方法。从2024年8月至2025年4月，从纽约市的内科、外科和心脏重症监护病房（icu）招募了15名成年危重疾病幸存者作为方便样本。半结构化访谈在出院后近3个月进行。数据分析采用定向内容分析。结果：报告的营养恢复障碍包括个人层面的因素（生理、功能和心理）和系统层面的挑战（营养护理连续性的差距和医疗团队沟通和支持不足）。促进因素包括家庭支持、可获得的营养服务、多学科保健团队的参与，以及随着时间的推移在康复方面的改善。患者一致表示希望定期出院后营养随访和针对icu后康复的个性化营养教育。结论：总的来说，这些研究结果表明，危重疾病的幸存者在出院后会遇到许多营养恢复障碍，但来自家庭、营养师和医疗团队的支持可以帮助克服这些挑战。营养学家主导的护理和量身定制的营养教育的连续性可以解决未满足的需求，并改善危重疾病幸存者的营养恢复经验。

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引用次数: 0

Egg Consumption and Cognitive Function: A Systematic Review and Dose–Response Pooled Analysis Exploring Optimal Daily Intake 鸡蛋消费和认知功能：探索最佳每日摄入量的系统评价和剂量-反应池分析。

IF 2.5 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics

Pub Date : 2026-01-06 DOI: 10.1111/jhn.70198

Jieyu Liu, Qingqing Shen, Xinxin Wang

Background

Eggs provide a high amount of protein and micronutrients. However, the effects of egg intake on cognitive function remain inconclusive, and there has not yet been a pooled analysis on this topic.

Methods

Literature was searched from EMBASE, PubMed, MEDLINE, Web of Science, and Scopus database until 11 November 2025. Pooled risk ratios (RRs) were calculated utilising random-effects models. The heterogeneity among studies was evaluated using Q and I² statistics. Subgroup analysis and meta-regression were used to assess the impact of ages, follow-up years of longitudinal studies, diet assessment and risk of bias. Sensitivity analyses were conducted to evaluate the robustness, and publication bias was assessed through Egger's tests. Dose–response relationships were explored through a one-stage robust error meta-regression model. This systematic review and meta-analysis were registered at PROSPERO (No. CRD42024613229).

Results

We identified 13 longitudinal and 8 cross-sectional studies, comprising 99,453 individuals with 18,893 cases mainly from Asian countries and the United States. Egg consumption closest to 50 g/day was longitudinally linked to a lower risk of cognitive decline (pooled RR = 0.91; 95%CI = 0.83–0.99), and a ‘U-shaped’ dose–response relationship was also observed at the lowest risks occurring at 50–60 g/day of egg. Stratified by ages, follow-up years, study population and egg intake assessment, the similar ‘U-shaped’ relationships were also observed. No publication bias was detected.

Conclusion

One egg/day (50–60 g/day) is necessary to maintain healthy cognition function in elderly, which may be an effective food therapy to alleviate cognitive decline.

背景：鸡蛋提供大量的蛋白质和微量营养素。然而，鸡蛋摄入对认知功能的影响仍然没有定论，目前还没有关于这一主题的综合分析。方法：检索EMBASE、PubMed、MEDLINE、Web of Science、Scopus数据库至2025年11月11日的文献。综合风险比（rr）采用随机效应模型计算。采用Q和I2统计来评估研究间的异质性。采用亚组分析和meta回归来评估年龄、纵向研究随访年数、饮食评估和偏倚风险的影响。进行敏感性分析以评估稳健性，并通过Egger检验评估发表偏倚。通过一阶段稳健误差元回归模型探讨剂量-反应关系。本系统评价和荟萃分析已在普洛斯彼罗（PROSPERO）登记。CRD42024613229)。结果：我们确定了13项纵向研究和8项横断面研究，包括99,453人，18,893例，主要来自亚洲国家和美国。接近50克/天的鸡蛋摄入量与较低的认知能力下降风险纵向相关（合并RR = 0.91; 95%CI = 0.83-0.99），并且在50-60克/天的鸡蛋中也观察到最低风险的“u型”剂量-反应关系。按年龄、随访年限、研究人群和鸡蛋摄入量评估进行分层，也观察到类似的“u型”关系。未发现发表偏倚。结论：1个鸡蛋（50 ~ 60 g/d）可维持老年人健康的认知功能，可能是缓解认知功能下降的有效食疗。

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引用次数: 0

Exploring Experiences and Practices of Contemporary Vegans in Australia: A Qualitative Study 探索澳大利亚当代纯素食主义者的经验和实践：一项定性研究。

IF 2.5 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics

Pub Date : 2026-01-06 DOI: 10.1111/jhn.70196

Linda Smillie, Michelle Minehan, Catherine R. Knight-Agarwal

Aim

The aim of this study was to explore the motivations, experiences and strategies adopted by adult vegans, in order to identify ways to support others to adopt plant-based eating dietary patterns.

Methods

An interpretive approach was used to conduct semi-structured, qualitative interviews with 18 Australian vegan adults (11 female and 7 male). Participants were eligible if they had followed a vegan diet for 12 months or more. Interviews were interpreted using thematic analysis.

Results

Motivations for adopting a vegan diet are driven by a reinforcing interplay between ethical, environmental, health and personal concerns. Transitioning to a vegan diet presents practical challenges. However, these are perceived as being relatively easy to overcome. Long-term adherence to a vegan diet is challenged by interpersonal relationships, cultural and social pressures.

Conclusions

Nutrition interventions supporting individuals to adopt plant-based dietary patterns are more likely to be successful if compelling benefits are articulated and reinforced. Quality information about overcoming practical challenges is required. However, long-term adherence is more likely if psychosocial resilience is supported.

目的：本研究的目的是探讨成年纯素食者的动机、经验和策略，以确定支持其他人采用植物性饮食模式的方法。方法：采用解释性方法对18名澳大利亚成年素食者（11名女性和7名男性）进行半结构化定性访谈。如果参与者遵循纯素饮食12个月或更长时间，他们就有资格。访谈采用专题分析进行解释。结果：采用纯素饮食的动机是由道德、环境、健康和个人关注之间的相互作用所驱动的。向纯素饮食的过渡带来了实际的挑战。然而，这些被认为是相对容易克服的。长期坚持纯素饮食受到人际关系、文化和社会压力的挑战。结论：营养干预措施支持个人采用植物性饮食模式更有可能成功，如果引人注目的好处得到明确和加强。需要关于克服实际挑战的高质量信息。然而，如果社会心理恢复力得到支持，长期坚持治疗的可能性更大。

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引用次数: 0

Food Frequency Questionnaires Validated in Brazil: A Scoping Review 在巴西验证的食物频率问卷：范围审查。

IF 2.5 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics

Pub Date : 2026-01-05 DOI: 10.1111/jhn.70190

Acsa Nara A. Brito Barros, Maria Luisa N. Felipe, Maria Fernanda S. Bezerra, Lucia Leite-Lais, Lucia Fátima Campos Pedrosa

Objective

To map food frequency questionnaires (FFQs) validated for the Brazilian population.

Methods

This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping (PRISMA-ScR) guidelines and the Joanna Briggs Institute (JBI). Studies that validated FFQs specifically for the Brazilian population were included. These instruments assessed the intake of energy, nutrients, foods and food groups. Review articles and studies that did not focus on FFQ validation for Brazil or its populations were excluded. A search of articles published up to June 2025 was conducted in the PubMed/MEDLINE, LILACS, Embase, Web of Science (ISI), Scopus and Google Scholar databases.

Results

A total of 69 articles were identified, dating back to the late 1990s: Southeast (n = 35), South (n = 12), Northeast (n = 10), Central-West (n = 4), North (n = 1) and studies covering two or more regions or populations (n = 7). The FFQs were validated in populations of children and adolescents (n = 18), adults and older adults (n = 36) and women (n = 15). These studies differed in terms of food list size, portion size and the number of frequency categories.

Conclusion

Compiling and disseminating FFQs validated in Brazil will improve their use in clinical practice and provide a valuable resource for designing future research on food consumption.

目的：绘制巴西人群的食物频率问卷（FFQs）。方法：本综述按照系统评价和荟萃分析范围优选报告项目（PRISMA-ScR）指南和乔安娜布里格斯研究所（JBI）进行。纳入了专门针对巴西人群验证ffq的研究。这些工具评估了能量、营养素、食物和食物种类的摄入量。不关注巴西或其人群FFQ验证的综述文章和研究被排除在外。在PubMed/MEDLINE、LILACS、Embase、Web of Science （ISI）、Scopus和谷歌Scholar数据库中检索了截至2025年6月发表的文章。结果：共检索到69篇文献，时间可追溯至20世纪90年代末：东南（n = 35）、南部（n = 12）、东北部（n = 10）、中西部（n = 4）、北部（n = 1），以及涵盖两个或两个以上地区或人群的研究（n = 7）。在儿童和青少年（n = 18）、成人和老年人（n = 36）以及妇女（n = 15）的人群中验证了ffq。这些研究在食物清单大小，份量大小和频率类别的数量方面有所不同。结论：编制和传播巴西验证的FFQs将改善其在临床实践中的使用，并为设计未来的食品消费研究提供宝贵的资源。

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引用次数: 0

Resilience in Breastfeeding Planning Among Mothers in the Special Supplemental Nutrition Programme for Women, Infants and Children 妇女、婴儿和儿童特殊补充营养方案中母亲母乳喂养计划的复原力。

IF 2.5 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics

Pub Date : 2026-01-05 DOI: 10.1111/jhn.70197

Bidusha Neupane, Priyanka Patel, Futun Alkhalifah, Faezeh Mahdavi, Marilyn Bartholmae, Chuanyi Tang, Qi Zhang

Background

Mothers in the Special Supplemental Nutrition Programme for Women, Infants and Children (WIC) have lower breastfeeding rates than eligible non-participating mothers. The availability of free formula is suspected to make WIC mothers more likely to shift to formula feeding when facing challenges in breastfeeding. Resilience could be a potential factor that facilitates mothers in sticking with their original breastfeeding plan.

Methods

To understand the complex relationship between breastfeeding and resilience among WIC mothers, we conducted a qualitative study in Chesapeake, Virginia, USA, with 23 in-depth interviews and surveys in English and Spanish with WIC pregnant mothers. The interviews were transcribed, and the transcripts were analysed by independent researchers using NVivo 12. The descriptive statistics of the survey results were estimated.

Results

A conceptual framework was developed in which five dimensions of resilience were identified: optimism, emotion regulation, self-efficacy, adaptation and social support. Resilience was a key factor among WIC mothers, moderating whether they intended to sustain breastfeeding or to switch to infant formula in the face of challenges. Pumping breastmilk was ranked as the first alternative to breastfeeding for most mothers. The common concerns about breastfeeding included milk supply (61%), baby's health (57%) and convenience (26%).

Conclusions

This framework provides initial evidence to explain the lower breastfeeding rate among WIC mothers and can guide WIC policies and interventions to promote breastfeeding in the programme. Future research is needed to understand the role of resilience in breastfeeding behaviours and outcomes in the WIC programme.

背景：参加妇女、婴儿和儿童特殊补充营养计划（WIC）的母亲的母乳喂养率低于符合条件的未参加计划的母亲。人们怀疑，免费配方奶粉的提供，使产妇在面临母乳喂养挑战时更有可能转向配方奶粉喂养。韧性可能是一个潜在的因素，有助于母亲坚持原来的母乳喂养计划。方法：为了解WIC孕妇母乳喂养与心理韧性之间的复杂关系，我们在美国弗吉尼亚州切萨皮克市对WIC孕妇进行了23次深度访谈和西班牙语调查。访谈被转录，并由独立研究人员使用NVivo 12进行分析。对调查结果的描述性统计进行了估计。结果：建立了心理弹性的概念框架，确定了心理弹性的五个维度：乐观、情绪调节、自我效能、适应和社会支持。在WIC母亲中，适应力是一个关键因素，决定了她们在面临挑战时是否打算继续母乳喂养或改用婴儿配方奶粉。对大多数母亲来说，吸母乳被列为母乳喂养的第一选择。对母乳喂养的普遍担忧包括母乳供应（61%）、婴儿健康（57%）和方便（26%）。结论：该框架为解释WIC母亲母乳喂养率较低提供了初步证据，并可以指导WIC政策和干预措施，以促进该计划中的母乳喂养。未来的研究需要了解韧性在母乳喂养行为和WIC计划结果中的作用。

{"title":"Resilience in Breastfeeding Planning Among Mothers in the Special Supplemental Nutrition Programme for Women, Infants and Children","authors":"Bidusha Neupane, Priyanka Patel, Futun Alkhalifah, Faezeh Mahdavi, Marilyn Bartholmae, Chuanyi Tang, Qi Zhang","doi":"10.1111/jhn.70197","DOIUrl":"10.1111/jhn.70197","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mothers in the Special Supplemental Nutrition Programme for Women, Infants and Children (WIC) have lower breastfeeding rates than eligible non-participating mothers. The availability of free formula is suspected to make WIC mothers more likely to shift to formula feeding when facing challenges in breastfeeding. Resilience could be a potential factor that facilitates mothers in sticking with their original breastfeeding plan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>To understand the complex relationship between breastfeeding and resilience among WIC mothers, we conducted a qualitative study in Chesapeake, Virginia, USA, with 23 in-depth interviews and surveys in English and Spanish with WIC pregnant mothers. The interviews were transcribed, and the transcripts were analysed by independent researchers using NVivo 12. The descriptive statistics of the survey results were estimated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A conceptual framework was developed in which five dimensions of resilience were identified: optimism, emotion regulation, self-efficacy, adaptation and social support. Resilience was a key factor among WIC mothers, moderating whether they intended to sustain breastfeeding or to switch to infant formula in the face of challenges. Pumping breastmilk was ranked as the first alternative to breastfeeding for most mothers. The common concerns about breastfeeding included milk supply (61%), baby's health (57%) and convenience (26%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This framework provides initial evidence to explain the lower breastfeeding rate among WIC mothers and can guide WIC policies and interventions to promote breastfeeding in the programme. Future research is needed to understand the role of resilience in breastfeeding behaviours and outcomes in the WIC programme.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54803,"journal":{"name":"Journal of Human Nutrition and Dietetics","volume":"39 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

‘Taking Sustainable Food Systems Teaching Out of the Box’: Embedding Transformative, Systems-Engaged Pedagogy in Canadian Dietetic Education “将可持续粮食系统教学从盒子里拿出来”：在加拿大饮食教育中嵌入变革的、系统参与的教学法。

IF 2.5 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics

Pub Date : 2025-12-28 DOI: 10.1111/jhn.70187

Jessica Wegener, Liesel Carlsson, Tracy Everitt, Naomi Kereliuk, Jacqueline Stokes

Purpose

Canadian dietetic educators are incorporating sustainable food systems (SFS) education into teaching and training as a goal towards more systems-oriented practice. This research examines SFS education in accredited dietetics programs within a Canadian post-secondary institution. The purpose is to examine how SFS is covered and to identify barriers, resource needs, and required supports among dietetic educators.

Methods

A cross-sectional, mixed-methods survey design consisting of two phases was used. A convenience sample of dietetic educators who had taught an SFS-related course within the past 5 years completed a web-based questionnaire (Phase 1) and were invited to participate in an in-depth interview (Phase 2). Quantitative data were analyzed using descriptive statistics and qualitative responses were analyzed thematically.

Results

Sixteen dietetic educators, representing 11 eligible institutions, participated in the study. Five participants took part in an interview. Despite widespread support for SFS, SFS education is largely limited to one course per program. Several integrated challenges concerning limited SFS coverage were identified, including a lack of coordinated, scaffolded learning, a minimum curriculum that is instructor-dependent, and the need for pedagogy that supports effective learning. Despite a clearly recognized need for support from departments, institutions and professional associations, promising examples of SFS teaching were identified.

Conclusions

To equip future professionals with the knowledge and skills necessary to facilitate healthy and sustainable dietary patterns and food environments, coordinated action is needed. Program directors can signal the importance of SFS by incorporating it into the curriculum and intentionally scaffolding SFS across multiple program courses. Professional regulators can enhance the specificity of SFS within the competency standards. University administrators can lead within the institution, signalling the importance of SFS and creating opportunities for interdisciplinary teaching and learning. These findings can be used to better support programs and plan for more intentional, multi-year, transformative and systems-engaged SFS pedagogy.

目的：加拿大饮食教育工作者正在将可持续粮食系统（SFS）教育纳入教学和培训，以实现更多以系统为导向的实践目标。本研究考察了SFS教育在加拿大高等教育机构内认可的营养学课程。目的是检查如何覆盖SFS，并确定饮食教育工作者的障碍、资源需求和所需的支持。方法：采用横断面、混合方法的调查设计，分为两个阶段。在过去五年内教授过sfs相关课程的营养教育工作者的方便样本完成了一份基于网络的问卷调查（第一阶段），并被邀请参加深度访谈（第二阶段）。定量数据采用描述性统计分析，定性反应采用主题分析。结果：16名营养教育工作者，代表11个符合条件的机构参与了研究。五名参与者参加了一次访谈。尽管SFS得到了广泛的支持，但SFS教育在很大程度上仅限于每个项目的一门课程。确定了与有限的SFS覆盖范围有关的几个综合挑战，包括缺乏协调的框架式学习，依赖教师的最低课程，以及支持有效学习的教学法的需要。虽然各学系、院校和专业协会都清楚地认识到需要支持，但我们还是找到了一些有希望的自然科学资助教学实例。结论：为使未来的专业人员具备必要的知识和技能，以促进健康和可持续的饮食模式和食物环境，需要协调一致的行动。项目主管可以通过将其纳入课程并有意地跨多个项目课程构建SFS来表明SFS的重要性。专业监管人员可以在胜任力标准中增强SFS的特异性。大学管理人员可以在学校内部发挥领导作用，表明SFS的重要性，并为跨学科的教学创造机会。这些发现可用于更好地支持项目和计划，以制定更有针对性的、多年的、变革性的和系统参与的SFS教学方法。

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引用次数: 0

Vitamin D Deficiency Among Pregnant Women in Sub-Saharan Africa: A Systematic Review and Meta-Analysis 撒哈拉以南非洲孕妇维生素D缺乏症：系统回顾和荟萃分析。

IF 2.5 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics

Pub Date : 2025-12-26 DOI: 10.1111/jhn.70189

Mekuriaw Nibret Aweke, Meron Asmamaw Alemayehu, Nebiyu Mekonnen Derseh, Anas Ali Alhur, Tigist Kifle Tsegaw, Tilahun Yemanu Birhan, Banchlay Addis, Berhanie Addis Ayele, Emebet Birhanu Lealem, Eyob Akalewold Alemu, Fetlework Gubena Arage, Gebrie Getu Alemu, Getaneh Awoke Yismaw, Habtamu Abebe Getahun, Habtamu Wagnew Abuhay

Background

Vitamin D deficiency (VDD) during pregnancy is linked to adverse maternal and fetal outcomes. Deficiency may result from low cutaneous synthesis, poor dietary intake, or metabolic disruptions. In Sub-Saharan Africa (SSA), diverse climates, diets, and health systems may influence VDD prevalence, yet comprehensive data remains limited.

Objective

To estimate the pooled proportion of VDD among pregnant women in SSA.

Methods

A systematic review and meta-analysis were conducted on studies reporting VDD among pregnant women in SSA. Databases searched included PubMed, Scopus, Science Direct, HINARI, Google, and Google Scholar without restrictions on language or study period. Study quality was assessed with the Newcastle-Ottawa Scale. Heterogeneity was examined using Cochrane's Q and I² statistics. Publication bias was evaluated using Egger's test at a 5% significance level. A random-effects model was used to estimated the pooled proportion.

Results

Thirty observational studies with 6853 pregnant women were included. Reported proportion ranged from 99.2% in Sudan to 1.6% in Zimbabwe. The pooled proportion of VDD was 34.8% (95% CI: 20.75, 48.76) with significant heterogeneity (I² = 99.83%, p < 0.001). Subgroup analysis showed the highest proportion in East Africa at 45.65% (95% CI: 17.68–73.63) and the lowest in Southern Africa at 13.83% (95% CI: 2.99–24.67). Most studies were high-quality, facility-based, and predominantly single-center.

Conclusion

VDD is common among pregnant women in SSA, particularly in East Africa, and may worsen maternal and neonatal health outcomes. Public health strategies, such as nutrition education and supplementation programs alongside food fortification policies are needed to reduce vitamin D deficiency.

背景：怀孕期间维生素D缺乏（VDD）与母体和胎儿的不良结局有关。缺乏可能是由于皮肤合成低、饮食摄入不足或代谢紊乱。在撒哈拉以南非洲（SSA），不同的气候、饮食和卫生系统可能影响VDD的患病率，但综合数据仍然有限。目的：估计SSA孕妇中VDD的总比例。方法：对报告SSA孕妇VDD的研究进行系统回顾和荟萃分析。检索的数据库包括PubMed、Scopus、Science Direct、HINARI、谷歌和谷歌Scholar，没有语言和学习时间限制。采用纽卡斯尔-渥太华量表评估研究质量。采用Cochrane's Q和I²统计量检验异质性。发表偏倚采用Egger's检验，显著性水平为5%。采用随机效应模型估计合并比例。结果：纳入了30项观察性研究，共6853名孕妇。报告的比例从苏丹的99.2%到津巴布韦的1.6%不等。VDD的合并比例为34.8% (95% CI: 20.75, 48.76)，具有显著的异质性（I²= 99.83%,p）。结论：VDD在SSA孕妇中很常见，特别是在东非，并可能恶化孕产妇和新生儿的健康结局。需要采取公共卫生战略，如营养教育和补充计划以及食品强化政策，以减少维生素D缺乏症。

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引用次数: 0