British Journal of Nutrition最新文献

The threshold values of visceral fat area (VFA) proposed by existing studies for predicting metabolic syndrome (MetS) are contentious, necessitating further empirical evidence. We conducted a cross-sectional study to assess VFA using bioelectrical impedance analysis technology among middle-aged and elderly individuals in the Sichuan area of China. First, we compared the predictive ability of VFA, waist circumference (WC) and body mass index (BMI) among participants with MetS (excluding WC). In males, the area under the receiver operating characteristic curve (AUC) was 0·680 for VFA, 0·670 for WC and 0·665 for BMI, with corresponding optimal cut-off values of 77·45 cm², 83·50 cm and 24·19 kg/m². In females, the AUC values and optimal cut-offs were 0·628 (103·55 cm²) for VFA, 0·671 (77·50 cm) for WC and 0·643 (24·32 kg/m²) for BMI. Additionally, for MetS defined with WC included, the AUC of VFA for prediction was higher in males (0·785) than in females (0·717), with optimal cut-offs of 85·15 cm² (males) and 109·55 cm² (females). Further age-stratified analysis revealed sex-specific VFA cut-offs: in males, 80·95 cm² (45–59 years), 85·15 cm² (60–74 years) and 77·50 cm² (≥ 75 years); in females, 109·65 cm² (45–59 years), 112·15 cm² (60–74 years) and 103·05 cm² (≥ 75 years). In conclusion, VFA is an effective predictor of MetS, with its optimal cut-off value varying by age and being higher in females than in males.

Evidence regarding the association between dietary choline intake and mortality in individuals with diabetes remains limited. This study aimed to evaluate the relationship between dietary choline intake and all-cause, CVD and cancer-related mortality among adults with diabetes. A total of 4712 participants with diabetes were included from the National Health and Nutrition Examination Survey 2007-2018 cycles. Dietary choline intake was estimated using two 24-h dietary recalls, and mortality outcomes were ascertained via linkage to National Death Index records through 31 December 2019. Cox proportional hazards models and Kaplan-Meier analyses were employed to assess the associations between choline intake and mortality. Restricted cubic spline models were used to examine potential non-linear relationships, and threshold analyses were conducted to identify inflection points. Over a median follow-up of 6·42 years, 805 deaths were documented, including 267 from CVD and 126 from cancer. A U-shaped association was observed between dietary choline intake and all-cause mortality (P_{for non-linearity} < 0·0001). Compared with the lowest quartile, multivariable-adjusted hazard ratios for all-cause mortality were 0·64 (95 % CI 0·47, 0·88) for the second quartile, 0·59 (0·43, 0·82) for the third and 0·69 (0·43, 1·09) for the highest quartile. No significant associations were found between choline intake and either CVD or cancer mortality. These findings indicate a U-shaped relationship between dietary choline intake and all-cause mortality in individuals with diabetes, with intakes between 286·77 and 538·86 mg/d associated with the lowest risk - providing potential implications for dietary guidance in diabetes management.

The limbic system is a brain structure involved in emotional regulation. Since nutritional interventions in very low birth weight (VLBW) infants may be associated with measurable differences in brain structure and function, we designed this prospective study to evaluate the impact of early nutritional support in VLBW infants on the volume of the regions that comprise the limbic system, as well as on the emotional and neuropsychological development of these infants. This is a prospective observational study of a historical cohort of children with a history of prematurity. Seventy-four preterm infants, with a mean age of 11·1 (sd 2·9) years, underwent neuropsychological assessment using the Wechsler Intelligence Scale for Children and functional MRI (fMRI). We recorded the nutritional intake during the first week of the neonatal period, as well as data related to neonatal morbidity. The association between the results of the brain structural analysis, psychometrics variables and nutritional intake was determined using simple and multivariate linear regression adjusted for child age and BMI in the structural analysis of fMRI. Lipids intake was also associated with the volume of the left thalamus (b = 50·7; P = 0·014), the right thalamus (b = 47·4; P = 0·018) and the left nucleus accumbens (b = 5·02; P = 0·031). We conclude that lipids intake in the first week of life in VLBW newborns is associated with the volume of various structures of the limbic system, namely the thalamus and the nucleus accumbens.

Cancer-related fatigue is a common problem among colorectal cancer (CRC) survivors even after completion of treatment. In a randomised trial, we assessed the effect of a person-centred lifestyle programme on cancer-related fatigue among CRC survivors who completed treatment. Survivors who completed treatment at least 6 months but no longer than 5 years ago and who were experiencing cancer-related fatigue were randomised to intervention or control group. The intervention group worked with a lifestyle coach for 6 months during twelve sessions to stepwise increase adherence to the World Cancer Research Fund/American Institute of Cancer Research cancer prevention guidelines on healthy diet and physical activity. The control group did not receive lifestyle coaching. Changes in cancer-related fatigue from baseline to 6 months were assessed with the FACIT (Functional Assessment of Chronic Illness Therapy) - Fatigue Scale. As a secondary outcome, we assessed changes in health-related quality of life (HRQoL). Higher scores indicate less fatigue and better HRQoL. Eighty participants were randomised to the intervention group; eighty-one to the control group. Baseline characteristics were similar: mean age 64·1 (sd 10·9) years; 55·3 % were women; and 72 % had colon cancer. There were favourable changes in dietary behaviours and physical activity in the intervention group; the control group did not show changes to the same extent. The programme did not result in statistically significant differential changes over time between intervention and control group in cancer-related fatigue (0·8; 95 % CI -1·6, 3·2) or HRQoL (1·3; 95 % CI -2·2, 4·8). A person-centred lifestyle programme improved the lifestyle of CRC survivors, but the programme was not effective in reducing cancer-related fatigue or in improving HRQoL.

We aimed to investigate the association of chrono-nutrition components with anthropometric measures and body composition in adults living in Tehran. This cross-sectional study was conducted on 450 healthy adults. The exposures of the study were meal frequency, meal timing, meal irregularity, breakfast skipping, night fasting duration, time of the first and last eating occasion and the time interval from the last meal to bed. The outcomes were BMI, waist circumference, neck circumference (NC), waist:hip ratio, waist:height ratio (WHtR), body adiposity index (BAI), body roundness index (BRI), a body shape index, percentage of body fat (PBF), fat mass (FM), fat-free mass and muscle mass. Bonferroni correction was applied, and the significance level was less than 0·004. Using ANCOVA, after adjusting for confounders, late lunch eating was associated with a lower PBF. There was a positive trend across the tertiles of dinner time with greater WHtR (mean difference = 0·019; P_trend = 0·025) and BRI (mean difference = 0·24; P_trend = 0·022). Moreover, increased irregularity at dinner time was associated with higher levels of PBF (P_trend = 0·026) and FM (P_trend = 0·025). Also, longer overnight fasting was associated with lower NC (P_trend = 0·049) and a greater BRI (P_trend = 0·050). We found differences across the time interval from the last meal to bed with greater means of BAI (P_trend = 0·026), PBF (P_trend = 0·014) and FM (P_trend = 0·020). However, after applying the Bonferroni correction, we found no significant association between chrono-nutrition components and anthropometric measures and body composition in adults living in Tehran. Further studies are necessary to confirm the results.

Progression towards elevated blood pressure (BP) may begin as early as adolescence. In low- and middle-income countries (LMICs), consumption of ultra-processed foods (UPFs), which are linked to poor cardiometabolic health, is often highest in adolescence. We examined sex- and age-specific associations of systolic and diastolic BP (SBP and DBP) with concurrent and lagged UPF intake from age 15 to 25 in a Filipino cohort. We used data from the 1998-2009 waves of the Cebu Longitudinal Health and Nutrition Survey (n 2124, 52 % male); participants were 15, 18, 21 and 25 years old. UPFs (% daily kilocalories) were classified using NOVA. Linear mixed-effects models estimated differences in SBP and DBP associated with a 5-percentage point difference in concurrent and lagged UPF intake (3-4 years earlier). Mean UPF intake was 10-11 % of total energy intake among males and 14-17 % among females over the study period. At age 21, intake of ultra-processed meats and fish was positively associated with DBP (β = 0·48 (95 % CI: 0·02, 0·94)) among males and intake of ultra-processed sugary beverages was positively associated with SBP (0·80 (0·13, 1·48)) and DBP (0·93 (0·34, 1·51)) among females. Among females only, SBP at age 18 was positively associated with total UPF intake at age 15 (0·25 (0·00, 0·50)). In this cohort, there were modest, positive associations between BP and UPF intake, which varied by sex and age. UPF intake during the transition to adulthood may be linked to higher BP, supporting efforts to limit adolescents' intake in LMICs.

This study investigated the association between dietary flavonoid intake and hearing impairment in older adults aged ≥ 70 years, using cross-sectional data from the National Health and Nutrition Examination Survey 2009-2010 and 2017-2018. Flavonoid intake was estimated from two 24-h dietary recalls and categorised as low or high based on the median intake (85·4 mg/d). Hearing impairment was defined using a pure-tone average > 25 dB in one or both ears. Among the 1492 participants, 55·7 % had bilateral hearing impairment, 15·6 % had unilateral hearing impairment and 28·7 % had normal hearing. These categories were mutually exclusive, based on the presence of hearing impairment in one or both ears. After adjusting for sociodemographic, behavioural and dietary covariates, low flavonoid intake was associated with a 45 % greater odds of bilateral hearing impairment (adjusted OR = 1·45; 95 % CI 1·03, 2·04; P = 0·034), but not associated with unilateral impairment. Marginal associations were also observed for specific flavonoid subclasses, including flavan-3-ols and catechins. A significant interaction with age was observed, whereas no significant interactions were detected with race or sex. These findings suggest that low flavonoid intake may be a modifiable dietary factor associated with age-related bilateral hearing loss. Increasing dietary flavonoid consumption may be associated with benefits for sensory health and could play a modest role in reducing the risk of hearing impairment in older adults, though further research is needed to confirm these findings.

Chronic stress can lead to serious health problems, including elevated blood glucose, intestinal dysbiosis, villous shortening, decreased enzyme activity and hepatic steatosis. Here, we investigate the protective effects of the magnesium-L-theanine (Mg-T) combination on chronic variable stress (CVS)-induced liver and intestinal damage. Fifty-six rats were divided into two groups: normal and stressed, and supplemented with different doses of Mg-T (0, 100, 200 and 400 mg/kg). The results showed that CVS-treated rats had reduced body weight, serum insulin levels, magnesium levels, intestinal barrier proteins and nutrient transporters. However, Mg-T supplementation improved these parameters in a dose-dependent manner. Mg-T treatment reduced CVS-induced glucose, corticosterone and triglyceride levels while alleviating liver and intestinal damage. Histological analysis revealed that Mg-T alleviated CVS-induced intestinal damage, characterised by villus shortening, reduced crypt depth and inflammation. CVS-induced increases in hepatic triglycerides and lipogenic markers (SREBF1, FASN) were attenuated by Mg-T supplementation, while metabolic regulators such as PPARγ and SIRT-1 were upregulated. Moreover, Mg-T restored the expression of intestinal barrier proteins (Claudin-1, Occludin, ZO-1) and mucosal protein (MUC-2). CVS treatment reduced the expression of nutrient transporters (SGLT1, GLUT2) and amino acid carriers; however, Mg-T supplementation increased the protein levels of these markers. Our data demonstrate that Mg-T has significant protective effects against CVS-induced metabolic, hepatic and intestinal disturbances, highlighting its potential as a therapeutic intervention for managing chronic stress-related health problems.

This study examined factors associated with stunting in children aged < 2 years in eastern Indonesia. Data were derived from three national cross-sectional surveys of Indonesia. The outcome variable was stunting (low length-for-age) in children aged < 2 years. Nineteen potential predictors from community- to individual-level characteristics were identified. Multilevel analyses were performed, adjusting for cluster sampling with random effects for cluster and strata. We used data from the 2010, 2013 and 2018 Indonesian Basic Health Research. Information from 6076 children aged < 2 years from Nusa Tenggara Barat, Nusa Tenggara Timur, Sulawesi, Maluku and Papua regions were used. We found that the proportion of stunted children aged < 2 years in eastern Indonesia decreased between 2010 and 2018. Significant predictors of stunting included living in West Nusa Tenggara (adjusted OR (aOR) = 1·09; 95 % CI 1·02, 1·16) and East Nusa Tenggara region (aOR = 1·36; 95 % CI 1·28, 1·45), belonging to a household with three or more children aged under 5 years (aOR = 1·32; 95 % CI 1·11, 1·56), being from a poor household (aOR = 1·17; 95 % CI 1·06, 1·30) and born to less educated mother (aOR = 1·26; 95 % CI 1·02, 1·56). Furthermore, stunting were more likely among males (aOR = 1·29, 95 % CI 1·19, 1·40), those aged 12-23 months (aOR = 2·01; 95 % CI 1·65, 2·45), with low birth weight (aOR = 1·91; 95 % CI 1·40, 2·60) and with gestational age < 37 weeks at birth (aOR = 1·14; 95 % CI 1·05, 1·24). Multiple factors contribute to stunting in eastern Indonesia, highlighting the need for comprehensive and targeted initiatives. Poverty reduction, healthcare system improvement, family planning and continued health promotion strategies are necessary to reduce stunting prevalence.

Dehydration, assessed by urine and blood evaluation, is a risk factor for chronic kidney disease (CKD). The association between water deficit, as determined by a dietary assessment, and CKD prevalence is unclear. Therefore, this study aimed to clarify this association among adults in the USA. This cross-sectional study included the data of 9332 participants aged 18 years or older from the 2009-2012 National Health and Nutrition Examination Survey. Water turnover was calculated using an equation developed by the International Doubly Labelled Water Database Group. Total water intake was assessed by 24-h dietary recall on ≥ 1 d. Water deficit was defined as the ratio of water intake to water turnover. CKD was defined as an estimated glomerular filtration rate < 60 ml/min/1·73 m², calculated by the 2021 CKD Epidemiology formula. OR for CKD prevalence were calculated using multivariate logistic regression and restricted cubic spline models. The mean daily water intake, turnover and deficit were 2799 ml, 3290 ml and -15 %, respectively. CKD prevalence was 6·3 %. After adjusting for lifestyle and urine and serum osmolality, the fourth water deficit quartile was inversely associated with CKD prevalence when compared with the first quartile (OR, 0·71; 95 % CI, 0·51, 0·98). In the spline analysis, the water deficit at which the OR for CKD prevalence plateaued was approximately -30 % to 0 %. Water deficit had an L-shaped association with CKD prevalence independent of urine and serum osmolality, highlighting the importance of assessing water intake relative to dietary needs. These findings may assist the development of water requirements.