Search Results (23,634)

Background/Objectives: Understanding nutrient intake and diet quality in older adults is essential for promoting healthy ageing and quality of life. The aim of the study was to assess dietary intake and nutritional status in two age groups of older adults in Croatia (65–74 years and ≥75 years). Methods: A total of 786 participants aged 65 and older were included in this cross-sectional study. Data from the National food consumption survey (OC/EFSA/DATA/2017/01), based on the EU Menu methodology, were used. Data collection included a general questionnaire, the International Physical Activity Questionnaire, two 24-h recalls or food diaries, and anthropometric measurements. The effects of body mass index and physical activity level on dietary intake were analysed using a general linear model. Results: 21.5% of older adults in Croatia had a normal weight, while 78.5% of were classified as overweight or obese. Significant differences were recorded in energy and macronutrient intake between the two age groups. Body mass index was significantly associated with energy (kcal/day), fat intake (g/day), and intake of the meat, poultry, fish and eggs food group in the 65–74 year age group. In the ≥75 year age group, physical activity level showed an effect on energy, carbohydrates, and milk and dairy product intake. Intake of nutrient-dense foods and fluids was below recommendations in both observed groups. Conclusions: The study results, based on a representative sample, provide the first overview of the nutritional status of older adults in Croatia. These findings offer a foundation for public health initiatives and further research on the nutritional status of the older population in Croatia. Full article

Background/Objectives: Overweight and obesity are increasing globally. However, structured contemporary data on lifestyle behaviors and adiposity in Romanian young adults remain limited. Therefore, this study aimed to describe dietary and lifestyle habits, BMI, and overweight/obesity prevalence in Romanian adults aged 18–30 years and to examine associations between these variables. Methods: This cross-sectional online questionnaire study included 1202 young Romanian adults. BMI was calculated from self-reported height and weight and analyzed continuously, as well as for overweight/obesity (BMI ≥25 kg/m²). Pre-specified exposures were compulsive eating, soft-drink intake, breakfast frequency, physical activity, and sleep duration. Multivariable linear regression with heteroscedasticity-consistent standard errors was used for BMI, and modified Poisson regression with robust variance was used for overweight/obesity. Composite dietary score, sex-interaction, and sensitivity analyses were also performed. Results: Mean age was 23.2 ± 3.3 years, mean BMI was 23.8 ± 4.2 kg/m², and 32.4% of participants had overweight/obesity. Men had higher BMI and a higher prevalence of overweight/obesity than women. Compulsive eating and soft-drink intake showed dose-dependent associations with higher BMI and higher overweight/obesity prevalence. Short sleep duration (≤5 h/night) and daily breakfast consumption were associated with a higher and, respectively, lower prevalence of overweight/obesity. Physical activity showed no independent association after full adjustment, although this finding may be influenced by the use of a single self-reported item. Composite-score analyses supported the main findings. Conclusions: In Romanian young adults, compulsive eating and soft-drink intake were the most consistent behavioral correlates of adiposity, while breakfast regularity and short sleep showed threshold-type associations with overweight/obesity. These findings may inform the design of multicomponent prevention strategies, although longitudinal confirmation is needed. Full article

Hepatocellular carcinoma (HCC) incidence in Texas is 45% higher than the national average, with disproportionate burden among the Hispanic/Latino population. Despite significant health disparities, comprehensive evidence on HCC risk factors specific to this population remains limited. This scoping review of 20 primarily observational studies utilized PubMed, EbscoHost, and the PRISMA-ScR checklist to map risk factors in south Texas. Results show that metabolic dysfunction, specifically diabetes and obesity, increases advanced liver disease odds by 7- to 12-fold compared to non-Hispanic groups. Environmental exposures are also significant: aflatoxin was detected in 5.7 to 7.3% of Hispanic/Latino HCC tumors, and cases demonstrated 6-fold higher odds of aflatoxin biomarkers, while alcohol contributed to 3.0% of cancers. Furthermore, PNPLA3 genetic variants exerted synergistic effects with obesity and heavy alcohol consumption. Among four intervention studies, strategies included low-dose calcium montmorillonite clay for aflatoxin reduction, community-health-worker-integrated chronic care, and hospital-based hepatitis screening. However, critical research gaps remain regarding multirisk factor interactions, toxin dose–response characterization, dietary interventions, and longitudinal data. These findings underscore the urgent need for culturally tailored, community-engaged prevention programs and ethnicity-specific HCC guidelines for the Texas Hispanic/Latino population to effectively address these rising health disparities. Full article

Background/Objectives: High sodium intake is a leading dietary risk factor for stomach cancer, particularly in East Asia. In Japan, traditional dietary patterns contribute to elevated sodium consumption and a high burden of stomach cancer. This study aims to forecast disability-adjusted life years (DALYs) for stomach cancer attributable to high sodium intake in Japan from 2022 to 2050, and to assess the impact of multiple sodium reduction policy scenarios. Methods: We conducted a longitudinal forecasting study using autoregressive integrated moving average with exogenous variables (ARIMAX) models based on Global Burden of Disease 2021 data (1990–2021). The Japanese population was stratified by sex and age groups (15–49, 50–69, and ≥70). Five future exposure scenarios were modelled: (1) reference (current trends), (2) best-case (50% reduction in sodium exposure by 2050), (3) optimal (30% reduction by 2032), (4) moderate (30% reduction by 2050), and (5) worst-case (highest exposure levels from recent years maintained). These scenarios were aligned with national and international sodium reduction targets, including the revised “Health Japan 21” (third term; 7 g/day by 2032) and the World Health Organisation (WHO) 5 g/day/30% reduction goals. Results: Under the reference scenario, age-standardised DALY rates are projected to decline by 31.4% (to 15.4 per 100,000) by 2050. The best-case scenario projects a 54.7% decline (to 10.1 per 100,000). Substantial demographic disparities persist: males and those aged ≥70 consistently show higher burdens. Notably, the 50–69 age group shows the greatest variation in 2050 projections across scenarios (17.1 to 73.5 per 100,000), indicating high policy sensitivity. Meanwhile, in the ≥70 group, DALY rates remain high regardless of scenario, especially among males (199.4 vs. 57.8 per 100,000 for females), reflecting cumulative lifetime exposure. Conclusions: Under modelled assumptions, sustained achievement of national sodium reduction targets could meaningfully reduce future stomach cancer DALYs in Japan, with the largest absolute gains in older adults but the largest relative gains in younger and middle-aged groups. Because stomach cancer aetiology is multifactorial and the projections rest on modelled associations and a continuity-of-trend assumption, these findings support strengthened, demographically targeted sodium reduction interventions as one complementary component of a broader, multi-risk factor approach to stomach cancer prevention. Full article

Background/Objectives: Glutathione (GSH) is a fundamental tripeptide essential for maintaining cellular redox homeostasis, detoxification, and immune regulation. While GSH is synthesized endogenously, its levels typically decline with age, potentially increasing susceptibility to oxidative stress-related conditions. This review aims to discuss the benefits of GSH for the body and clarify the distinctions between dietary intake, endogenous synthesis, and supplementation as strategies for maintaining optimal GSH levels. Results: All studies show that GSH is a powerful antioxidant that plays a crucial role in maintaining various physiological processes in the body. It offers several benefits, primarily through its antioxidant properties and involvement in detoxification and immune regulation. This effect has potential implications for various health conditions associated with oxidative stress and inflammation, including neurodegenerative diseases, cardiovascular diseases, and metabolic disorders. Whether through diet or supplementation, ensuring adequate GSH levels can have profound benefits on longevity, immunity, and overall well-being. There are many foods known to contain GSH, and there are also many GSH supplements available on the market, but precursor-based supplements and compounds that activate GSH synthesis pathways show stronger and more consistent increases in human GSH. A diet rich in protein (for amino acids) and phytochemical-dense plants can support this, while targeted precursors (e.g., glycine, γ-glutamylcysteine) and Nrf2-activating foods or agents provide the most robust increases shown so far. Such supplementation can be beneficial, and it is most effective when combined with a diet rich in sulfur-containing foods and other nutrients that support GSH synthesis. Full article

The growing interest in functional bakery products has driven research toward the incorporation of non-conventional plant materials rich in dietary fiber. In this study, the effects of partial substitution of wheat flour with ground kudzu root (Pueraria lobata) at levels of 3%, 6%, 9%, and 12% on dough rheology and bread quality were investigated. Farinograph analysis showed that kudzu addition slightly increased water absorption and dough development time, while significantly improving dough stability and the farinograph quality number. At the same time, a higher degree of dough softening indicated partial weakening of the gluten network at higher substitution levels. The incorporation of kudzu root significantly increased bread yield due to enhanced water retention associated with its high dietary fiber content. However, a reduction in specific volume was observed at the highest substitution level (12%), indicating limitations in gas retention capacity. Crumb structure analysis revealed a shift toward a finer and more homogeneous pore distribution with increasing kudzu content, accompanied by a reduction in large pores. These structural changes were reflected in texture profile analysis, where increased hardness and chewiness were observed, particularly at higher substitution levels, while cohesiveness and springiness were only slightly affected. Partial substitution with kudzu root powder also resulted in a significant increase in total phenolic content, flavonoid content, and antioxidant potential of the breads, with the highest values observed in samples containing 12% kudzu root powder. In addition, breads enriched with kudzu root showed reduced digestible starch content compared with the control sample. Despite these modifications, breads enriched with up to 9% kudzu root maintained acceptable technological quality, balancing improved water retention with moderate changes in structure and texture. The results demonstrate that kudzu root can be used as a functional ingredient in wheat bread, contributing to increased dietary fiber content while maintaining satisfactory processing and quality characteristics. Full article

Pomegranate peel, an agro-industrial by-product, is a promising source of functional compounds. This study evaluated pomegranate peel powder (PP) as a multifunctional yogurt ingredient and assessed its effects on the phytochemical profile, antioxidant activity, physicochemical properties, color, texture, microstructure, mineral composition, storage stability, and sensory acceptability. Yogurts supplemented with 3% and 6% PP were compared with a control. PP contained 12.49 mg GAE/g dw total polyphenols, 9.16 mg CE/g dw flavonoids, 63.66 mg C3G/100 g dw anthocyanins, 17.48% dietary fiber, 341.88 mg/100 g calcium, and 140.99 mg/100 g magnesium. PP addition improved yogurt functionality in a concentration-dependent manner. The 6% formulation showed the highest total polyphenol content (9.71 mg GAE/g dw), antioxidant activity (63.67 µmol TE/g dw), dry matter (19.20 g/100 g), and dietary fiber (1.19 g/100 g). Syneresis decreased from 18.22% in the control to 12.17% and 9.22% in the 3% and 6% PP yogurts, respectively, while firmness increased from 3.85 N to 4.80 N. After 21 days of refrigerated storage, fortified yogurts retained high phytochemical and antioxidant levels. Although the 6% formulation provided greater enrichment, the 3% yogurt offered the best balance between functionality, technological performance, and sensory quality, supporting PP valorization in cleaner-label dairy products. Full article

Zn-CS chelate has shown beneficial effects on gut health and growth in piglets, but its impact on weaned foals remains largely unknown. This study evaluated the effects of dietary Zn-CS supplementation on growth performance, nutrient digestibility, physiological status, and fecal microbiota in weaned Ili foals. Thirty-two six-month-old foals were randomly assigned to four treatment groups receiving 0, 2, 4, or 6 mg Zn-CS/kg body weight per day for 90 days. Growth performance, nutrient digestibility, plasma biochemical parameters, liver function enzymes, serum hormones, antioxidant indices, fecal pH, volatile fatty acids, and fecal microbial composition were measured. Dietary Zn-CS supplementation significantly increased final body weight, total weight gain, and average daily gain (p < 0.05), while linearly improving body size indicators. Apparent digestibility of dry matter, digestible energy, metabolizable energy, and acid detergent fiber was markedly enhanced (p < 0.05). Zn-CS supplementation also effectively regulated plasma albumin and total cholesterol levels and hepatic enzyme activities, and strongly enhanced antioxidant function by increasing superoxide dismutase, glutathione peroxidase, catalase activities, and total antioxidant capacity, while reducing malondialdehyde content (p < 0.01). Additionally, Zn-CS upregulated plasma growth hormone, insulin, and triiodothyronine concentrations, decreased somatostatin secretion (p < 0.05), reduced fecal pH, and increased VFA contents. Notably, Zn-CS reshaped the fecal microbial structure by increasing beneficial bacteria and inhibiting potential pathogens. In conclusion, dietary Zn-CS supplementation effectively promotes growth and health in weaned Ili foals, with 6 mg/kg BW/day being the optimal supplemental dose under experimental conditions. Full article

Background: Parabens are frequently utilized as preservatives in processed foods; nevertheless, the primary dietary factors contributing to exposure in northern Thailand remain undetermined. Methods: A cross-sectional study was conducted among 130 adults in Northern Thailand. Dietary intake was assessed using self-reported food consumption data combined with previously measured paraben concentrations. Due to the skewed distribution of intake, participants were classified into lower and higher exposure groups. LASSO regression was applied for variable selection, followed by multivariable logistic regression to identify dietary predictors of exposure. Results: Several processed food items were significantly associated with higher paraben exposure, including soft drinks, potato chips, and canned fish. No demographic factors were significantly associated with exposure. The final model demonstrated good explanatory power and classification performance. Conclusions: These findings suggest that routine consumption of certain processed foods and beverages may play a larger role in exposure than individual characteristics, and they highlight practical targets, particularly soft drinks, potato chips, and canned fish, for community-based health-promotion strategies aimed at reducing unnecessary preservative intake. Full article

Quercetin (QE), a flavonol-type polyphenol, and oat β-glucan (OβG), a soluble dietary fiber, are natural active ingredients with the potential to reduce the risk of diabetes. OβG slows starch digestion by modifying chyme viscosity, while QE inhibits digestive enzyme activity. This study aimed to explore the formation mechanism and structural characteristics of QE-OβG complexes, as well as their functional properties in terms of viscosity and amylase inhibitory activities. It was found that QE and OβG formed stable non-covalent complexes via hydrogen bonding and hydrophobic interactions. At a mass ratio of 0.6, the binding capacity was relatively high with a moderate aggregation degree, representing a balanced interaction state. Changes in turbidity and particle size indicated that different environmental factors (pH, temperature, ionic strength) exert differential effects on the aggregation behavior of the complex. In addition, the complex exhibited a unique fibrous-block morphology, enhanced thermal stability, improved starch system viscoelasticity, and stronger mixed-type reversible α-amylase inhibition (IC₅₀ = 2.629 mg/mL). This study clarifies the interaction mechanism between QE and OβG, provides a reliable theoretical basis for the development of novel hypoglycemic foods, and offers new insights into multi-component regulation strategies for slow-digestion food design. Full article

Background: Health-related quality of life (HRQoL) is a central outcome measure in population health research, yet empirical investigations directly linking nutrition label utilization to HRQoL remain limited, particularly in East Asian contexts. This study examines the associations between nutrition label use, dietary control, and HRQoL among Korean adults while accounting for the pronounced ceiling effect inherent in EQ-5D utility scores. Methods: Data were drawn from the Korea National Health and Nutrition Examination Survey (KNHANES) 2024 (N = 5215 adults aged 19–80). HRQoL was measured using the EQ-5D-3L with Korean time trade-off weights. Nutrition label use was operationalized as a composite index (0–3). Given that 48.0% of the weighted sample reported perfect health, a two-part model was employed: Part 1 applied survey-weighted logistic regression predicting perfect health, while Part 2 applied survey-weighted OLS regression restricted to those with imperfect health (n = 2713). Results: In Part 1, nutrition label use was not significantly associated with perfect health (OR = 1.057, p = 0.124), whereas dietary control was negatively associated (OR = 0.819, p = 0.009), suggesting reverse causality. In Part 2, nutrition label use was positively associated with EQ-5D scores (β = 0.0047, p = 0.006). Education, income, and unmet medical need were dominant predictors. Results were robust to an alternative full-sample OLS specification. Conclusions: Nutrition label utilization was modestly and positively associated with HRQoL among Korean adults with imperfect health. Given the cross-sectional design, this association should be interpreted as exploratory and may reflect broader health-oriented characteristics, including health consciousness, self-regulatory behaviors, and health literacy, rather than the independent effect of nutrition label use alone. The findings also underscore the methodological importance of addressing ceiling effects in EQ-5D analyses. Full article

In this study, single-helical maize amylose (SHMAM) was successfully prepared via the sodium chloride-based eutectic solvent method. Incorporation of SHMAM into wheat flour for steamed buns significantly enhanced its hardness, with a 5% addition level yielding the maximum effect (hardness increased from 2318.7 ± 157.4 g to 3224.7 ± 98.1 g). Comprehensive structural characterization including FT-IR, XRD, DSC and ¹³C solid-state NMR revealed that during steaming hydrogen bonds formed between the C6 hydroxyl groups of SHMAM and sulfhydryl groups of Cys, α-amino groups of Lys, phenolic hydroxyl groups of Tyr, and ε-amino groups of Arg in glutenin. These interactions induced the conversion of β-sheets into α-helices and β-turns. As a result, a denser, more mechanically robust glutenin–starch network was formed, accompanied by a decreased water-holding capacity of glutenin and restricted interfacial water mobility between starch and glutenin phases. Collectively, these synergistic interactions enhanced dough compactness, stabilized the microstructural integrity of the dough matrix, and improved the hardness of the final steamed bun. This work establishes a novel, green, and scalable strategy for precisely modulating steamed bun texture, with broad implications for quality optimization in traditional wheat-based foods and potential benefits for dietary health. Full article

Background: Methods applied under explicit causal assumptions can provide estimates that support potential causal interpretations of the effects of dietary factors on health outcomes. However, the high dimensionality inherent in dietary data presents a challenge. Objectives: Using multivariate analysis methods under causal assumptions, we identified dietary patterns and estimated their associations with all-cause mortality, as well as the effects of a 100 g/day increase in individual components. Methods: Data from 12,635 individuals aged 20 years and above from the National Health and Nutrition Examination Survey (NHANES), United States, were analyzed. K-means clustering was first used to identify dietary patterns, and then their associations with mortality risk were estimated both with and without inverse probability weighting (IPW). Second, the multivariate generalized propensity score (mvGPS) method was employed to estimate the average effects of dietary components on all-cause mortality under causal assumptions. Third, mutually adjusted models (non-mvGPS) were utilized to determine the effects of each dietary component. Relative risks (RR) and 95% confidence intervals (CI) were computed using fully adjusted Poisson generalized linear models. Results: In a 15-year follow-up period, 400 (3.2%) deaths were recorded. ‘Healthy’, ‘unhealthy,’ and ‘mixed’ dietary patterns were identified. Variations in estimates of ‘healthy’ and ‘unhealthy’ patterns with mortality were observed in non-IPW (RR = 0.96; 95% CI: 0.67–1.13 and RR = 0.79; 0.56–1.11) and IPW models (RR = 0.75; 0.55–1.04 and RR = 0.92; 0.63–1.36, respectively) compared to the ‘mixed’ pattern. In the mvGPS model, added sugar (RR = 1.21; 1.06–1.36), processed meat (RR = 1.20; 0.96–1.48), and legumes (RR = 0.82; 0.73–0.90) showed the strongest effects. Only whole grains (RR = 0.68; 0.46–0.98) had an effect in the non-mvGPS model. Conclusions: Applying mvGPS to multidimensional dietary data may help improve covariate balance across measured confounders and support more interpretable analysis of correlated dietary components. However, findings from this observational study should be interpreted as estimates under explicit causal assumptions, rather than definitive causal effects. Future studies should apply and further evaluate these approaches in larger and more diverse populations. Full article

Data on arsenic (As) and other potentially toxic elements (PTEs) in Pakistani retail meats are limited, constraining evidence-based dietary risk assessment and management. This study aimed to determine the concentrations and profiles of As and seven other PTEs (Cr, Ni, Mn, Pb, Cd, Cu, Zn) in commonly consumed meats and to evaluate the associated non-carcinogenic health risks. Ninety-two paired liver and muscle samples from broiler chicken, goat (mutton), and beef cattle were collected from four cities across the Indus Plain and analyzed using inductively coupled plasma mass spectrometry (ICP-MS). Dietary exposure was evaluated using estimated daily intake (EDI), target hazard quotient (THQ), and hazardous index (HI) under typical and high-consumption scenarios. Overall, Zn and Cu exhibited the highest concentrations, followed by Mn and Cr, whereas As, Pb, Ni, and Cd occurred at comparatively lower but environmentally relevant levels. Beef liver exhibited the highest contamination levels, exceeding FAO/WHO permissible limits for Pb, Cu, and Cd in up to 40% of samples. In contrast, mutton and beef muscle contained the highest As and Zn concentrations, while chicken muscle showed elevated Cr levels. Multivariate statistical analysis revealed three dominant co-variation patterns, suggesting potential contamination pathways: (i) geogenic groundwater sources enriched with As, Cr, and Ni; (ii) atmospheric and industrial dust inputs linked with Pb, Cd, and Mn; (iii) mineral-enriched feed additives potentially contributing to elevated Zn and Cu, particularly in poultry. Under high-consumption scenarios, THQ values for As, Cr, Cu, and Zn exceeded the safety threshold (THQ > 1), highlighting beef products as the dominant source of chronic dietary risk. Overall, the findings highlight pronounced tissue- and species-specific accumulation trends, and emphasizes the urgent need for stricter feed and water quality control measures to minimize dietary exposure to PTEs. Full article

The objective of this study was to evaluate the effects of dietary Allium mongolicum Regel essential oil (AMO) supplementation on growth performance, carcass traits, meat quality, and muscle amino acid profile in finishing lambs. A total of twenty male Dorper × Han crossbred lambs (body weight = 32.5 ± 2.5 kg, 4–4.5 months old) were randomly allocated into two dietary treatments (n = 10 per group): a control group fed a basal diet (roughage to concentrate ratio of 45:55) or an AMO group supplemented with 56 mg/d of AMO per lamb. The trial consisted of a 15-day adaptation period followed by a 60-day experimental period. At the end of the trial, six lambs were randomly selected from each group for slaughter. Samples of the longissimus thoracis (LT) muscle were collected to determine meat quality traits, proximate composition, and amino acid profiles. Supplementation increased average daily gain by 6.6% and improved feed conversion ratio by 4.6% (p < 0.05), whereas feed intake and final body weight were not affected (p > 0.05). In LT, GR tissue depth and loin muscle area were increased (p < 0.05). Drip loss was reduced (p < 0.05), whereas proximate composition, cooking loss, and shear force remained unchanged (p > 0.05). The hydrolyzed amino acid composition and protein nutritional value of LT were not affected (p > 0.05). However, total free amino acid (FAA), total essential FAA, and the concentrations of free leucine, isoleucine, lysine, valine, phenylalanine, tyrosine, alanine, glutamic acid, glycine, and cysteine were increased by supplementation (p < 0.05). Moreover, flavor-related FAA, including umami-, sweet-, and bitter/sweet/sulfurous-related FAA were also increased by supplementation (p < 0.05). These results indicate that AMO improves growth efficiency and enhances LT meat quality, particularly by increasing flavor-related FAA, without altering protein nutritional characteristics. Full article