Search Results (1,667)

Background: Polyamines, including putrescine (PU), spermidine (SPD), and spermine (SPM), are ubiquitous bioactive compounds essential for cell proliferation, genomic stability, autophagy, and the regulation of oxidative and inflammatory responses. Growing evidence, particularly for SPD, suggests that polyamine-rich diets may protect against age-related conditions such as cardiovascular disease, metabolic syndrome, and neurodegenerative disorders. As endogenous polyamine synthesis declines with age, dietary intake becomes increasingly important, especially in older adults. Methods: This study estimated each polyamine (PU, SPD and SPM) and total polyamine intake in the Spanish population using food consumption data from the Spanish Ministry of Agriculture, Fisheries and Food. Intakes were evaluated across four age groups, and major dietary sources were identified. Results: Total polyamine intake increased with age, reaching 393 µmol/day in adults over 65 years. PU accounted for 49% of total intake, followed by SPD (29%) and SPM (22%). Plant-based foods were the primary contributors to SPD intake, particularly vegetables (36%), fruits (26%), and cereals (18%). PU intake was also predominantly plant-derived, mainly from fruits (58%) and vegetables (23%), whereas SPM intake was largely associated with meat products (59%). A theoretical Mediterranean diet model yielded a slightly higher total polyamine intake of 406.6 µmol/day and a substantially greater SPD intake than that observed in older adults (193.99 µmol/day versus 121.62 µmol/day). Conclusions: Overall, estimated polyamine intake in the Spanish population fell below the optimal level of 540 µmol/day proposed in the literature. These findings highlight the need for public health strategies promoting consumption of polyamine-rich foods, particularly vegetables, legumes, whole grains, and fruits, to support healthy aging and reduce the risk of age-related diseases. Full article

Background: Previous research on diet and age-related macular degeneration (AMD) has emphasized primarily particular nutrients or foods, and the influence of comprehensive dietary patterns that represent actual eating behaviors is largely unknown. Objective: The aim of this study was to assess the association between dietary patterns and the odds of AMD. Methods: A case–control study involving 246 participants with AMD and 246 controls are individually matched by age and gender. Dietary patterns were identified through principal component analysis using a validated food frequency questionnaire. Multivariable conditional logistic regression models were applied to examine the association between the extracted dietary patterns and the likelihood of AMD. Results: Three major dietary patterns were found, accounting for 50.59% of the total variance explained. The prudent dietary pattern represented a high intake of vegetables, fruits, soybeans and its products, edible fungi and algae, and nuts were associated with reduced odds ratios (ORs) of the highest tertile compared to the lowest tertile (OR, 0.29, 95% confidence interval [CI], 0.14−0.59, p for trend = 0.001). The estimated likelihood for AMD in the highest tertile of egg and milk dietary pattern intake, which is characterized by a high intake of eggs, milk and dairy products, and refined grains, was 0.40 (95% CI, 0.23−0.67, p for trend < 0.001) compared with those in the lowest tertile. No association with AMD was identified for the animal dietary pattern (p > 0.05). Conclusions: Adherence to dietary patterns rich in fruits, vegetables, nuts, refined grains, eggs, milk and dairy products is associated with reduced odds of AMD, emphasizing the potential relevance of dietary habits to visual health among middle-aged and elderly adults. Full article

Background/Objectives: Kazakhstan currently lacks representative data on the actual consumption of calories, macronutrients, and micronutrients among students, despite the rising interest in the subject of children’s nutrition. The objective of the study was to assess the actual nutritional status of urban schoolchildren and identify differences depending on demographic and socioeconomic factors. Methods: A 24 h dietary survey was used. The final analytical dataset included 865 children aged 7 to 17 years, representing only the two specified ethnocultural groups. We divided these participants into three groups according to standard age classification: 7 to 10 years, 11 to 14 years, and 15 to 17 years. We calculated the nutrient profile using national and international food composition databases. Results: We found an age-related trend toward increased consumption of fluids, proteins, fats, and several micronutrients. Adolescents (15–17 years) had a higher intake of simple sugars and a lower intake of starch compared to other age groups. Age, gender, ethnicity, and socioeconomic factors (family income and food expenditure) were statistically significantly associated with BMI and diet composition, with caloric intake and essential nutrient intake increasing with age. Conclusions: The results emphasize the need for comprehensive interventions that go beyond school meals, such as controlling the food environment, lowering the availability of ultra-processed foods, boosting the availability of dairy products, fruits, and vegetables, and creating mechanisms for tracking and assessing the efficacy of Kazakhstan’s revised school meal standards. Full article

Obesity is a multifactorial disease associated with a chronic imbalance between energy intake and energy consumption, as well as the ingestion of high-fat foods. It is widely reported that the Mediterranean Diet (MD), a dietary regimen rich in vegetables, fruits, fiber and complex polyunsaturated lipids, can positively act on obesity onset. These aliments contain bioactive molecules that exert beneficial effects on two traits often associated with obesity: lipid accumulation and imbalance in oxidative homeostasis. Additionally, they can act on metabolic pathways linked to obesity through the cross-kingdom activity of plant miRNAs. In this review, we provide an overview of the studies describing the anti-obesogenic effect of plant-based foods typical of the Mediterranean Diet. We describe the results of recent studies that link the effect of lipid reduction with the ingestion of bioactive molecules or plant miRNAs typical of MD foods. We also report how advances in bioinformatic analyses have elucidated the role of plant-derived miRNAs in metabolic homeostasis, revealing how the cross-kingdom interaction results in the anti-obesogenic action of the MD. These findings shed light on the molecular mechanisms through which the MD dietary pattern exerts its metabolic effects, suggesting new perspectives on MD nutrition-based strategies as novel therapeutic approaches for obesity. Full article

Background/Objectives: Lifestyle factors (diet, physical activity, body weight) play a key role in colorectal cancer (CRC) prevention. This study assessed awareness, beliefs, and self-reported practices related to diet and physical activity for CRC prevention among adults living in Saudi Arabia, and examined demographic correlates. Methods: An analytic cross-sectional online survey was conducted among 544 adults (≥18 years). Measures included sociodemographics, self-reported height/weight (BMI), dietary and lifestyle practices, and beliefs about the role of a healthy diet and physical activity in cancer prevention. Associations were assessed using χ² tests with effect size (Cramér’s V) and crude odds ratios (ORs) with 95% confidence intervals (CI); p-values < 0.001 are reported as <0.001. Results: Most participants reported consuming <3 daily servings of fruit (80.1%) and vegetables (69.9%). Overall, 41.9% of participants reported that their current fruit/vegetable intake did not meet minimum recommendations for cancer prevention, and 36.8% reported the same for physical activity. Overall, 80.1% believed that a healthy diet can help prevent cancer, and 79.4% believed that regular physical activity can help prevent cancer. Compared with females, males had higher odds of endorsing diet (OR 1.86, 95% CI 1.16–2.98) and physical activity (OR 1.98, 95% CI 1.24–3.17) as cancer-preventive. Participants with a monthly income of ≥5000 SAR had higher odds of endorsing diet (OR 2.71, 95% CI 1.75–4.19) and physical activity (OR 1.68, 95% CI 1.10–2.55) compared with those earning < 5000 SAR. Conclusions: Despite high belief in the preventive role of diet and physical activity, many participants reported suboptimal fruit/vegetable intake and insufficient activity. While these cross-sectional findings preclude causal inference, they suggest that health-promotion efforts may benefit from prioritizing lower-income groups and women, with an emphasis on practical approaches to meeting CRC-prevention lifestyle recommendations. Full article

Dietary antioxidants and phytochemicals are believed to support cognitive health, but evidence on composite dietary indices remains limited. This cross-sectional study of 1845 community-dwelling older adults in China investigated the associations of the composite dietary antioxidant index (CDAI) and dietary phytochemical index (DPI) with cognitive function and mild cognitive impairment (MCI). Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA; Beijing version). MCI was diagnosed through a two-stage procedure: MoCA-based preliminary screening (with education-stratified cutoffs: 13/14 for illiterate, 19/20 for 1–6 years, 24/25 for ≥7 years) followed by neurologist confirmation. CDAI was calculated as the sum of the standardized intakes of six antioxidants (selenium, zinc, carotenoids, vitamin A, vitamin C, vitamin E); DPI was defined as the percentage of the total energy intake from phytochemical-rich foods (fruits, vegetables excluding potatoes, legumes including soy products, nuts, seeds, and whole grains). Multivariable linear regression, logistic regression, and receiver operating characteristic (ROC) curve analyses were performed. The basal metabolic rate (BMR) and systemic immune-inflammation index (SII; platelets × neutrophils/lymphocytes) were tested as potential statistical mediators. Each one-unit increase in CDAI was associated with a 0.068-point higher MoCA score (95% CI: 0.012–0.123), and each one-unit increase in DPI was associated with a 0.029-point higher MoCA score (95% CI: 0.008–0.050). BMR and SII partially mediated the association between CDAI and MoCA score, but temporal ordering remains unclear due to the cross-sectional design. When both CDAI and DPI were in the highest quartile, participants had a 46.3% lower risk of MCI compared with those with both indices in the lowest quartile (OR = 0.537, 95% CI: 0.308–0.935). A predictive model incorporating CDAI, inflammatory markers, and red blood cell parameters showed moderate discriminatory ability in this study sample (apparent AUC = 0.731, bootstrap-corrected AUC = 0.728). These findings suggest that a higher combined dietary antioxidant and phytochemical intake may be jointly associated with better cognitive function, although the cross-sectional design precludes causal inference. Full article

Heavy metal contamination in agricultural production is a significant public health issue in Mexico, as it directly impacts food safety and population exposure through dietary intake. Available scientific evidence indicates that vegetables and other plant-derived foods can serve as significant exposure pathways for toxic elements such as arsenic, cadmium, lead, chromium, and mercury. The consumption of contaminated foods may contribute to cumulative adverse health effects, including neurological, renal, and reproductive alterations, as well as an increased risk of chronic diseases. In Mexico, risk assessment is further constrained by methodological heterogeneity across studies and by difficulties in translating scientific evidence into concrete regulatory actions. Critically, the national regulatory framework lacks specific standards establishing maximum permissible limits for heavy metals in fresh fruits, vegetables, and grains, despite their central role in the population’s diet. Regulations focus primarily on drinking water quality and selected processed foods, creating a regulatory gap in the direct control of contaminants in crops. The findings underscore the urgent need to strengthen public policies by establishing crop-specific regulatory standards, implementing systematic monitoring programs, and integrating food safety considerations more effectively into environmental, agricultural, and public health policies in Mexico. Full article

Background/Objectives: Early diagnosis of hypertension (HTN) is critical, but most screening models do not simultaneously distinguish phenotypes based on systolic or diastolic patterns. We developed and temporally validated a multinomial model to predict normotension and three phenotypes of undiagnosed hypertension in Peru. Methods: We used ENDES 2017–2019 for development (final analytic n = 62,091) and ENDES 2021–2024 for temporal validation (final analytic n = 77,372), excluding 2020 due to COVID-19 disruptions. We included adults aged ≥18 years without self-reported HTN. The outcome was classified as normotension, isolated diastolic hypertension (IDH), isolated systolic hypertension (ISH), or systolic–diastolic hypertension (SDH). Eight nonlaboratory predictors were used: age, BMI, sex, residential altitude, smoking, alcohol consumption, vegetable intake, and fruit intake. Results: The model achieved an AUC of 0.789 (95% CI: 0.783–0.795) in training and 0.776 (95% CI: 0.770–0.781) in temporal validation. The prevalence of undiagnosed hypertension was 11.6% in the training set and 12.6% in the validation set. At a prespecified cutoff of 0.1004, sensitivity and specificity were 79.0% and 63.2% in training and 78.7% and 60.9% in validation, respectively (NPV 95.8% and 95.2%). Decision curve and clinical impact analyses suggested a positive net benefit and plausible referral volumes across a range of thresholds. Conclusions: This model could help prioritize confirmatory blood pressure measurements in resource-limited settings. Full article

Background/Objectives: This study examines cross-sectional associations between dietary patterns, weight loss, and handgrip strength (HGS) among adults with a history of bariatric surgery. Methods: We analyzed data of 1888 adults (62.3% women; mean age 38.8 years) who attended the Qatar Biobank study. Dietary patterns were identified using factor analysis of data from a food frequency questionnaire. HGS was measured using dynamometry, and relative HGS (RHGS) was calculated as HGS/BMI. Results: The mean weight loss after bariatric surgery was 27.6 kg (23.4%), and the mean HGS was 30.1 (SD 11.2) kg. The mean duration after bariatric surgery was 3.6 years. Greater weight loss was associated with lower HGS (Q4 vs. Q1: −1.29 (95%CI −2.26 to −0.33)) but higher RHGS (Q4 vs. Q1: 0.10 (0.06 to 0.13)). Higher adherence to a “prudent diet” with high intake of fruits and vegetables was associated with stronger HGS (Q4 vs Q1: 1.07 (0.18 to 1.96)). In contrast, a “traditional diet” (high intake of mixed dishes, e.g., biryani, croissants, zaatar fatayer, lasagna, white rice, and Arabic bread) was inversely associated with HGS (Q4 vs. Q1: −1.27 (−2.19 to −0.35)). Conclusions: In conclusion, greater weight loss was associated with improved relative muscle strength, while adherence to a traditional diet was linked to weaker HGS. These findings highlight the importance of diet quality in maintaining muscle function after bariatric surgery. Full article

Background/Objectives: Gastric cancer (GC) remains a major health challenge in high-incidence regions like Fujian Province, China. This study aimed to identify modifiable dietary and behavioral risk factors for GC and to evaluate their combined effect using a Healthy Lifestyle Index (HLI) in a high-incidence region of China. Methods: A case–control study was conducted at a tertiary hospital from June 2023 to December 2024, including 336 newly diagnosed GC cases and 336 healthy controls from Fujian Province. A Healthy Lifestyle Index (HLI, scored 0–10) was constructed from ten dietary and behavioral factors, with participants categorized into tertiles as healthy, moderate, or unhealthy. Results: The proportions of males and females were 56.5% and 43.5%, respectively. The mean age of the case group was 56.76 ± 10.83 years, significantly higher than that of the control group (53.86 ± 11.13 years, p < 0.001). The HLI incorporated ten behavioral/dietary components: sedentary behavior, smoking, alcohol consumption, tea drinking, physical activity, pickled and processed food intake, regular eating habits, fruit intake, vegetable intake, and red meat intake. Cases showed a higher proportion of unhealthy lifestyle patterns (34.8% vs. 26.8%), whereas controls showed a higher proportion of healthy lifestyle behaviors (41.7% vs. 37.5%); however, the overall between-group distribution of HLI categories was not statistically significant (p = 0.078). The multivariate logistic regression showed that the healthy group was associated with a lower risk of developing GC compared to the unhealthy group (aOR = 0.34, 95% CI: 0.20–0.57, p < 0.001). Conclusions: A healthier combined dietary and behavioral profile may be associated with lower odds of GC in this population. However, the observed associations should be interpreted cautiously because of the case–control design, the lack of H. pylori data, and the absence of formal validation of the HLI in the Fujian population. Prospective studies with objective dietary assessment and more detailed clinical characterization are warranted. Full article

Background: Migration from low- and middle-income to high-income settings is often accompanied by dietary and lifestyle changes that may increase long-term risk of non-communicable diseases. African migrants represent a growing but under-studied population in Australia, with limited evidence on post-migration nutrition transitions and associated chronic disease risk. This study examined changes in diet and lifestyle among Nigerian-born adults before and after migration to Australia and explored any association with chronic diseases. Methods: A pilot cross-sectional study was conducted among adults who migrated from Nigeria to New South Wales, Australia, between 1992 and 2019. Data were collected via a culturally adapted, self-administered online questionnaire assessing socio-demographic characteristics, dietary intake, lifestyle behaviours, and self-reported chronic conditions in the 12 months immediately before and after migration. Descriptive statistics (frequencies and proportions) and inferential analyses (Chi-square tests, McNemar test, and the Bowker test) were used to compare pre- and post-migration behaviours and examine associations with chronic disease outcomes. Results: Ninety-three participants completed the survey (mean age 37.0 ± 7.2 years; 50.5% male). Post-migration, regular breakfast consumption declined (−24.3%), while irregular eating (low and moderate) patterns increased (+7.6% and +16.7%). Regular vegetable intake improved (+5.4%), whereas fruit intake remained low (13.0%). Regular consumption of Nigerian local foods decreased markedly (−53.7%), while regular intake of meat (+18.5%), dairy foods, fats (+14.3%), and non-alcoholic beverages increased (+22.8%). Salt use shifted away from the highest-risk category (−22.2%), and smoking and alcohol consumption remained low and stable. Self-reported chronic conditions were uncommon; hypertension (6.5%) and obesity (5.4%) were the most frequently reported. Conclusions: Nigerian migrants in Australia experience substantial post-migration dietary and lifestyle transitions that may elevate long-term chronic disease risk despite a currently low reported disease burden. Early, culturally responsive nutrition and lifestyle interventions are needed to support healthy adaptation and prevent the progression of cardiometabolic conditions in this growing migrant population. Full article

Background/Objectives: Fruit and vegetable (FV) availability/accessibility are associated with increased intake of FVs and are important determinants of intake. The aim of this analysis was to evaluate the pre-post changes in an FV accessibility intervention and examine cross-sectional associations between accessibility domains and diet quality categories at pre- and post-intervention. Methods: Thirty parent–child dyads (mean age = 41.2 ± 4.7; 9.2 ± 1.9) completed an 8-week pre-post intervention. Assessments included perceptions of accessibility, the Home Food Inventory with added accessibility domains, and three-day diet records used to calculate HEI-2020 scores. Stuart–Maxwell tests were used to evaluate changes in categorical responses, paired t-tests assessed pre-post changes, and independent t-tests compared accessibility by HEI category. Results: Parents reported a perceived increase in frequency of having the form of FVs prepared/ready for use (p = 0.034). No significant pre–post changes were observed in objective FV availability/accessibility domains, FV intake, or HEI scores for children and parents. Exploratory analyses showed that children and parents with HEI-total scores above national averages had higher mean FV location and visibility, with post-intervention visibility being significantly associated with higher HEI among children (p = 0.048) and location being significantly associated with higher HEI among parents at pre- (p = 0.033) and post-intervention (p = 0.046). Conclusions: The FV accessibility intervention did not significantly improve objective HFE accessibility or diet quality in this small sample. Exploratory findings suggest that FV accessibility domains may be associated with diet quality; however, these observations are preliminary. Larger and longer-term studies are needed to determine whether modifying FV accessibility can meaningfully improve children’s dietary intake. Full article

Background/Objectives: Dietary sweetener use is common among individuals with diabetes, yet little is known about the socioeconomic and dietary factors that influence the choice between caloric and artificial sweeteners in Central and Eastern Europe. This study examined the determinants of caloric and artificial sweetener use among adults with diabetes mellitus (DM) in Hungary. Methods: We conducted a cross-sectional analysis using frequency-based self-reported dietary measures of 542 adults with self-reported DM from the 2019 European Health Interview Survey (EHIS). Weighted descriptive statistics and multivariable logistic regression models were used to evaluate associations between sweetener use and sociodemographic, lifestyle, and dietary characteristics. Results: Overall, 28.0% of participants reported daily use of caloric sweeteners, and 45.2% reported daily use of artificial sweeteners. Higher educational attainment and healthier dietary patterns, including greater fruit and vegetable consumption, were associated with lower odds of caloric sweetener use. Individuals with lower fruit and vegetable intake, less frequent fruit juice consumption, and poor adherence to diabetic diet recommendations were more likely to use caloric sweeteners. In contrast, artificial sweetener use was strongly associated with daily fruit consumption, lower intake of fruit juice, and adherence to a diabetic diet. Vegetable intake showed a positive association with artificial sweetener use, which may reflect compensatory patterns in dietary self-management. Conclusions: Caloric and artificial sweetener use were associated with distinct socioeconomic and dietary profiles. Caloric sweetener use was linked to less healthy dietary behaviors, whereas artificial sweetener use appeared to be consistent with sugar-reduction strategies. These findings highlight the need for tailored dietary counseling that addresses both sweetener use and broader dietary patterns among individuals with diabetes in Hungary. Full article

Background: Male college students are at risk for weight gain due to unhealthy dietary habits. This study assessed the dietary habits of undergraduate college males. Methods: Online cross-sectional survey (n = 235) of randomly sampled male undergraduate college students. Results: The mean age was 21.15 ± 3.21. Most were enrolled full-time (91.5%), lived off-campus (77.4%), upper class (59.6%), had a campus meal plan (52.8%), and white (51.9%). Mean body mass index (BMI) was 25.02 ± 4.86. Males gained an average of 10.81 ± 13.01 lbs while in college. Most ate one to two servings of fruits (67.1%) and vegetables (65.1%). Significant differences in weight gained during college and fruit consumed was significant [p = 0.02 *]. Male students reported on 20 different foods and drinks they consumed at least “a few times per week.” Most ate fresh fruits (76.1%), prepared a hot meal at home (72.7%), ate fresh vegetables (68.1%). Males also ate at fast-food restaurants (47.7%) and drank coffee (44.4%). Males that reported they drank alcohol (p = 0.03*), diet soda (p = 0.03 *), coffee (p = 0.01 *), and ate at fast-food restaurants (p = 0.02 *) “a few times per week” were found to have significantly gained more weight. Conclusions: Increased intake and consumption of alcohol, diet soda, and fast-food was associated with increased weight gain among college males. Full article

Background/Objectives: Korean traditional fermented foods may confer metabolic and anti-inflammatory benefits; however, their high sodium content raises concerns, particularly given age-related differences in sodium sensitivity. This study examined age-specific associations between fermented food intake and high-sensitivity C-reactive protein (hs-CRP), a marker of low-grade systemic inflammation, and assessed whether sodium intake modifies these associations. Methods: Data from KNHANES 2015–2018 were used to analyze 17,984 adults. Fermented foods were categorized into 10 groups (grains, jang, vinegars, vegetables, fish, fruits, dairy, alcoholic beverages, sauces, and tea/beverages). Intake (% of total energy) was classified into quartiles. Elevated hs-CRP was defined as ≥1 mg/L. Complex-sample multivariable logistic regression was used to assess age-stratified associations and interactions with total sodium and fermented food-derived sodium (SPSS 29.0; p < 0.05). Results: Fermented food intake decreased with age (p < 0.001). In adults aged 20–39, higher intake was associated with lower odds of elevated hs-CRP (Q4 vs. Q1: OR = 0.699, 95% CI 0.542–0.901; p for trend = 0.002). A similar inverse association was observed in those aged 40–64 (Q4: OR = 0.817, 95% CI 0.691–0.967; p for trend = 0.006), which remained significant after adjustment for fermented food-derived sodium. Among adults ≥65, significant interactions were observed for both fermented food-derived sodium (p = 0.040) and total sodium (p = 0.042), indicating variation across sodium intake levels. Conclusions: The association between fermented food intake and systemic inflammation differs by age. In older adults, this relationship appears to be modified by dietary sodium context, highlighting the importance of age-specific dietary considerations. Full article