Search Results (15,683)

Survival rates in pediatric cancer have increased substantially over recent decades. However, children and survivors frequently experience treatment-related alterations in physical function, body composition, bone health, and metabolic regulation. Chemotherapy, glucocorticoid exposure, physical inactivity, nutritional imbalance, and inflammatory and neuroendocrine disturbances may contribute to reduced lean mass, decreased bone mineral density, sarcopenic obesity, and long-term cardiometabolic risk. This narrative review critically summarizes current evidence on multimodal exercise and nutritional interventions in pediatric oncology, with particular attention to their effects on physical function, body composition, nutritional status, and metabolic health. Literature searches were conducted in PubMed, Scopus, and Web of Science up to April 2026, combining contextual evidence with studies evaluating combined exercise and nutritional strategies. Current evidence suggests that structured and supervised exercise, particularly resistance and combined aerobic–resistance training, is feasible and safe, and may improve cardiorespiratory fitness, muscle strength, functional capacity, and body composition. Nutritional care should be individualized, prioritizing adequate protein intake, micronutrient status, periodic reassessment of energy requirements, and body composition rather than relying on BMI alone. Nevertheless, available findings remain limited by small sample sizes, heterogeneous protocols, variable supervision, inconsistent outcome assessment, and limited long-term follow-up. Integrating exercise, nutrition, and regular monitoring into pediatric oncology care may help mitigate treatment-related functional and metabolic complications. Future studies should prioritize adequately powered randomized trials, standardized intervention protocols, objective monitoring of exercise intensity, harmonized body composition and functional outcomes, and longer follow-up to define clinically applicable multimodal care models. Full article

Objectives: We aimed to develop a practical dietary quality score reflecting the Cantonese dietary pattern and evaluate its validity against established indices. Methods: The Cantonese Dietary Index (CDI) was constructed based on Cantonese dietary principles. Reliability was assessed using intraclass correlation coefficients (ICC) over 5–6 years in the GNHS. Validity was evaluated using Spearman correlations with dietary indices (aMed, DASH, and DBI) and by comparing associations with metabolic syndrome (MetS) across dietary indices using regression models. The CDI was developed from the Guangzhou Nutrition and Health Study cohort (GNHS) and validated in the Tianjin Chronic Low-grade Systemic Inflammation and Health (TCLSIH) cohort and the National Health and Nutrition Examination Survey (NHANES). Results: A total of 4025 (GNHS), 29,165 (TCLSIH), and 28,890 (NHANES) participants were included. Median CDI scores were 58.5, 51.0, and 49.0, respectively. The 5–6-year ICC was 0.33 (p < 0.001). The CDI was moderately correlated with dietary indices across the three studies (GNHS: from −0.55 [DBI-LBS] to 0.61 [DASH], TCLSIH: from −0.61 [DBI-DQD] to 0.71 [DASH], NHANES: from −0.33 [DBI-DQD] to 0.68 [DASH]). The odds ratios (95% CIs) of MetS for CDI, aMed, and DASH scores were 0.80 (0.74, 0.86), 0.91 (0.84,0.99), and 0.83 (0.77, 0.90) in GNHS, 0.95 (0.92, 0.98), 0.99 (0.96, 1.02), and 0.92 (0.89, 0.95) in TCLSIH, and 0.80 (0.77, 0.84), 0.80 (0.76, 0.84), and 0.72 (0.69, 0.76) in NHANES. Conclusions: The CDI demonstrated moderate validity and reliability in Chinese populations and was inversely associated with MetS. Full article

Background: Celiac disease (CeD) requires lifelong adherence to a gluten-free diet (GFD). However, there is evidence that a GFD may lead to an unhealthy cardiometabolic risk profile and potentially increase the risk of cardiovascular disease in some patients. Incorporating plant-based foods (primarily derived from plants) into a GFD may offer a solution to improve cardiometabolic health. Thus, this study aimed to identify the attitudes toward and barriers to adopting a more plant-dominant diet among Danish patients with CeD. Methods: A cross-sectional survey was distributed to 2861 members of the Danish Celiac Society. Data from 959 patients with confirmed CeD were included. Results: Most participants (58.5%) reported adapting their diet after diagnosis by combining gluten-free products with plant-based foods, while 31.2% relied solely on gluten-free replacements. Dietary adaptation was primarily shaped by the limited availability of gluten-free plant-based foods (64%), taste/texture (55%), and cost (51%). More than half of the patients (56.8%) considered ‘eating more plant-based foods’, with ‘health’ being the primary motivator (70%), followed by ‘climate’ (50%) and ‘taste’ (36%). However, several barriers to a more plant-dominant diet were identified. Most notably, ‘taste and texture’ (71%), ‘limited availability of gluten-free plant-based foods’ (68%), ‘nutritional concerns’ (56%), and ‘cost’ (54%) were reported as barriers. Conclusions: Most Danish patients with CeD were generally positive about increasing their intake of plant-based foods; however, barriers to such dietary changes remain. Ongoing follow-up, practical guidance from dietitians, and accessible evidence-based resources may help patients maintain a nutritionally balanced, plant-dominant GFD that supports long-term health. Full article

We evaluated the effects of a 12-week multidisciplinary program on health-related physical fitness and depressive symptoms in overweight and obese women (aged 45–64 years) diagnosed with noncommunicable diseases (NCDs). Methods: A longitudinal, pre-experimental, proof-of-concept study was conducted. Thirty-one women completed multidisciplinary interventions [nutritional education or psychoeducation (each once a week), and resistance training (twice a week)]. Body composition (bioelectrical impedance), physical fitness (maximal isometric strength, lower limb strength–endurance, flexibility, and aerobic fitness), and depressive symptoms (PHQ-9) were measured at baseline and post-intervention. Results: Significant improvements in body composition were observed in terms of lean mass (Δ% = 3.7; p < 0.001), fat-free mass (Δ% = 3.6; p < 0.001), skeletal muscle mass (Δ% = 5.2; p < 0.001), fat mass (Δ% = −3.5; p < 0.001), body fat percentage (Δ% = −4.7; p < 0.001), and visceral fat level (Δ% = −2.9; p = 0.012). Physical fitness exhibited a large effect size in the chair stand test (d = 0.91) and the 6 min walk test (d = 1.22). Depressive symptom scores substantially decreased (p < 0.001). Conclusion: The program demonstrated potential efficacy in mitigating sarcopenic obesity, enhancing functional capacity, and reducing depressive symptoms, indicating potential clinical viability for the integrated management of multimorbidity. Full article

Essential amino acids and unsaturated fatty acids are key nutritional indicators. The human body preferentially absorbs these compounds, which have beneficial effects on health. In aquatic ecosystems, plankton communities serve as the primary food source for aquatic organisms, playing a crucial role in shaping their nutritional composition. In this study, we collected populations of Macrobrachium nipponense and corresponding water samples from ten distinct geographical locations across China. These sites included five freshwater resources and five saline–alkaline water resources. This study measured the ionic composition and plankton community structure of water samples, and analyzed the nutritional components of M. nipponense, aiming to identify indicator taxa linked to the nutritional value in this species. The results show significant differences in both nutritional components and plankton community structures between freshwater and saline–alkaline environments. This suggests a correlation between specific plankton taxa and the nutritional value of M. nipponense. Using relative sequence abundance data from metabarcoding, linear discriminant analysis effect size (LEfSe) analysis identified six plankton indicator taxa at the genus level. Their abundance differed significantly between the two habitat types. The saline–alkaline region had three associated taxa: Cyclotella, Brachionus, and Chaetoceros. In contrast, Arctodiaptomus, Cryptomonas, and Limnoithona were identified as indicator taxa for freshwater regions. Redundancy analysis (RDA) and Pearson correlation analysis revealed that, with the exception of the SY site, the abundance of Chaetoceros and Brachionus in saline–alkaline waters tracked with levels of K⁺, Ca²⁺, and HCO₃⁻. Meanwhile, at the SZ site, plankton community richness rose with CO₃²⁻. Furthermore, the potential correlations between plankton indicator taxa and the formation of specific nutritional components in M. nipponense were explored. These findings highlight the complex interactions among ionic composition, plankton indicator taxa, and nutritional value in M. nipponense. Ultimately, this study can support the development of artificial techniques to regulate the nutritional components of this commercially important species. Full article

Research on cattle feeding and nutrition has increasingly integrated animal welfare considerations in response to evolving scientific, societal, and production challenges. This study aimed to characterise the global scientific landscape on this topic through a comprehensive bibliometric analysis. A structured methodological framework was applied using the Web of Science database, covering the period from 2009 to 2025, limited to literature published in English, Spanish, and Portuguese. The analysis followed five stages: research design, data collection, analysis, visualisation, and interpretation, using a broad search strategy combining terms related to cattle production, nutrition, feeding, health, stress, and welfare. Bibliometric indicators and science mapping techniques were implemented using the Bibliometrix package in R (Biblioshiny), including collaboration network analysis, keyword co-occurrence, thematic evolution, and Bradford’s Law to identify core journals. In total, 424 documents were analysed. The results showed sustained growth in scientific production, particularly from 2016 onwards, indicating consolidation of the field. Output was concentrated in a limited number of countries, institutions, and journals, supported by increasingly interconnected collaboration networks. Thematic trends revealed a shift towards integrative approaches linking nutrition with stress, health, and productivity, positioning nutrition as a key tool to enhance welfare and efficiency, although behavioural and socio-economic aspects remain underrepresented. Full article

Background and Objectives: C-reactive protein (CRP), a marker of systemic inflammation, is frequently elevated in individuals with excessive adiposity. However, the relationship between specific body fat parameters and CRP levels across sexes and age groups remains unclear. This study aimed to investigate the association between CRP levels and body fat parameters using data from the 2022 Korea National Health and Nutrition Examination Survey. Methods: A total of 3369 participants (representing 32,635,626 Korean adults) were included. Demographic, lifestyle, and clinical data were collected, and body composition parameters were measured using bioelectrical impedance analysis. The primary exposure variables included fat mass index (FMI; total body fat mass/height²) and trunk fat mass. The primary outcome was log-transformed high-sensitivity CRP (ln[hsCRP]). Pearson correlation and sex-stratified multivariate linear regression analyses were performed. Results: The mean age of participants was 49.6 years, and 53.3% were male. ln[hsCRP] was positively associated with body mass index, waist circumference, total body fat mass, FMI, appendicular fat mass, and trunk fat mass in both sexes (all p < 0.001). FMI showed a stronger association with ln[hsCRP] in females (r = 0.373) than in males (r = 0.232). In multivariable analyses, FMI remained independently associated with ln[hsCRP] in both males (β = 0.10) and females (β = 0.14), with a stronger effect observed in females. Trunk fat mass was also independently associated with ln[hsCRP] (β = 0.06 in males; β = 0.10 in females). Age-stratified analyses demonstrated that these associations were more pronounced in younger adults (19–40 years old) than in those aged 41–70 years. Conclusions: In Korean adults, total and truncal fat masses were independently associated with systemic inflammation, and this association was stronger among females and younger adults. Full article

Background/Objectives: Healthy longevity depends on not only lifespan but also the maintenance of physiological, metabolic, physical, and cognitive functions throughout aging. Identifying early determinants of health is crucial for preventing age-related decline. This narrative review aims to synthesize current evidence on how diet and specific nutrients relate to these early risk factors and indicators of healthy longevity. Methods: A review was performed to identify the links between dietary factors, energy balance, and gut microbiota composition and normal body weight; blood cholesterol, pressure, and glucose; healthy sleep; an active lifestyle; and normal physical function and cognitive performance. Particular attention was given to Mediterranean and other plant-based dietary models as sources of key nutrients. Evidence from observational studies, randomized controlled trials, and meta-analyses was considered. Results: Across all markers, dietary quality and nutrient adequacy emerged as consistent determinants of health outcomes. Key nutrients were associated with favorable cardiometabolic, cognitive, and musculoskeletal functions, such as omega-3 fatty acids, fiber, vitamins D and B, minerals like magnesium and potassium, and polyphenols. Common nutrition gaps included insufficient intake of fiber, unsaturated fats, and micronutrients, which was often linked to a shift toward less plant-based diets. Gut microbiota diversity may mediate several of these associations, influencing metabolism, inflammation, sleep quality, and cognitive performance, although inter-individual variability and causal pathways remain incompletely understood. Conclusions: An integrated dietary approach emphasizing the consumption of whole and plant-rich foods, with moderate amounts of animal foods, supports multiple early markers, risk factors, and indicators of healthy longevity. The modulation of the gut microbiota through plant-based diets and fermented foods represents a promising strategy for maintaining health across aging trajectories. Full article

Background/Objectives: Cardiovascular diseases (CVD) remain leading cause of human morbidity and mortality worldwide. With increasing attention to vitamin K intake’s effect on health, comprehensive knowledge of vitamin K dietary sources is important. This study aims to determine the nutritional value of selected fermented food products (cheese, sauerkraut and natto) as a dietary vitamin K sources and to evaluate their lipid quality in the context of cardiovascular health. Methods: Two kinds of cow’s milk cheeses were selected. Regarding sauerkraut and natto, both commercial products and laboratory-produced samples were taken for comparison. Contents of phylloquinone (PK) and menaquinones (MKn) and fatty acids profiles were analyzed. Moreover, the following lipid quality indices were evaluated: Peroxidisability Index (PI); Atherogenicity Index (AI); Thrombogenicity Index (TI); and Hypocholesterolaemic/Hypercholesterolaemic (HH) ratio. Results: Sauerkraut demonstrated the highest phylloquinone content, while the highest content of MK-7 was found in natto. The fatty acid profile of natto was characterized by the highest proportions of linoleic acid (C18:2) and alpha-linolenic acid (C18:3). Natto’s lipid quality indices were the most favorable compared to cheese and sauerkraut. Conclusions: Based on its MK-7 content and lipid quality profile, natto demonstrates the greatest nutritional potential among the analyzed fermented products. These findings are based on compositional analysis and require confirmation through clinical studies investigating the cardiovascular effects of regular consumption of these specific products. Full article

Background: The contribution of oral inflammatory conditions to systemic disease burden remains underexplored within multimorbidity frameworks. Emerging evidence suggests that periodontal inflammation may play a role in the clustering of chronic diseases, yet few studies have evaluated this at a population level using robust datasets. The aims of this study were to investigate whether periodontal diseases are associated with Multiple long-term conditions (MLTCs) burden and severity in two population-based cohorts and to examine whether systemic inflammatory biomarkers mediate these associations. Materials and Methods: We analyzed two population-based cohorts: the UK Biobank (UKB; n = 500,612) and the US National Health and Nutrition Examination Survey (NHANES; n = 10,714). MLTCs were defined as the coexistence of ≥2 chronic diseases. Associations between periodontal diseases and MLTCs were assessed using multivariable logistic and multinomial logistic regression. Causal mediation analyses examined the contribution of systemic inflammatory markers. Results: Approximately half of all participants had MLTCs. The prevalence of periodontal diseases was 17.8% in UKB (self-reported symptoms), and 42.3% in NHANES (clinically assessed). Periodontal diseases were independently associated with greater odds of MLTCs in both UKB (OR 1.12; 95% CI 1.10–1.14) and NHANES (OR 1.22; 95% CI 1.09–1.37). Associations were stronger among adults aged ≤ 60 years. A consistent dose-response relationship was observed between periodontal status and the number and severity of chronic conditions, as well as inflammatory-related MLTCs. Mediation analyses suggested partial effects through white blood cell count, neutrophils, and C-reactive protein. Conclusions: Periodontal inflammation is independently associated with greater multimorbidity burden, particularly in younger adults. Systemic inflammation may offer a plausible biological link, and these findings position oral health as an underrecognized and modifiable target in multimorbidity prevention and management frameworks, warranting prospective investigation. Full article

In recent times, the importance given to versatile functional nutrition has increased, escalating interest in fermented foods and their potential health benefits. Fermentation is an ancient method frequently used to develop functional and bioactive products. Fermented microalgae and their biomass are important sustainable biotechnological resources for increasing the nutritional value, healthiness, and functionality of foods and for producing high-value-added bioactive compounds. The fermentation of microalgae encompasses the conversion of carbohydrates into sugar or organic substances by a range of microorganisms, particularly lactic acid bacteria (LAB). The fermentation process can activate numerous beneficial mechanisms by enhancing the bioavailability of bioactive compounds in microalgae. Lactic acid bacteria are widely used in food fermentation due to their safety and metabolic versatility. Their ability to produce organic acids, enzymes, and bioactive metabolites makes them suitable for modifying microalgal biomass. This review aims to provide a detailed and critical evaluation of fermented microalgae, including health effects, functional enhancements, bioactivities, and industrial applications. Full article

Background/Objective: Transitioning towards plant-based dietary patterns is essential to improve health and reduce environmental impact. Hospitals represent a key setting to implement such dietary shifts, yet data on the availability of plant-based meals in healthcare institutions remain scarce. Methods: A cross-sectional survey was conducted across Dutch-speaking hospitals in Belgium to assess the meal plans and whether vegetarian or fully plant-based meal options were available for patients. Besides availability, the frequency and perceived barriers were assessed. Furthermore, the meal plans were analyzed to get an overview of the vegetarian and plant-based food options that were offered in different types of Belgian hospitals. Results: The availability of plant-based meal options was limited across hospitals. No meaningful differences were observed between general hospitals and other hospital types, including psychiatric, rehabilitation, and specialized hospitals. While plant-based fats and oils were widely available, key protein-rich plant foods such as legumes and minimally processed meat alternatives were rarely offered in all types of hospitals. Knowledge gaps among food service staff were observed, and structural barriers—including the need to accommodate diverse dietary requirements—were reported. Conclusions: Belgian hospitals currently underutilize the potential of vegetarian and plant-based nutrition to support patient health and sustainability goals. Strengthening institutional food environments by increasing the availability of nutritionally adequate plant-based meals represents a feasible and impactful strategy to align hospital practice with dietary guidelines and preventive healthcare priorities. Full article

Background: Stunting remains a major public health problem among ethnic minority children in mountainous areas of Vietnam. Picky eating has been suggested as a potential behavioral risk factor for poor child growth, but evidence from vulnerable rural populations remains limited. This study examined the association between picky eating and stunting among ethnic minority children aged 12–35 months in Vietnam. Methods: This cross-sectional study was conducted from October to November 2025 in two communes of Phu Tho province, formerly part of Lac Son District, Hoa Binh Province, Vietnam. A total of 341 children aged 12–35 months and their caregivers were included. Data were collected using structured interviewer-administered questionnaires on feeding practices and child characteristics. Picky eating was assessed based on caregiver-reported behaviors. Anthropometric measurements were performed according to standard procedures, and height-for-age Z-scores were calculated using the WHO Child Growth Standards. Zinc status was assessed in a subsample of children. Bivariate and multivariable logistic regression analyses were conducted to identify factors associated with stunting. Adjusted odds ratios (AORs) with 95% confidence intervals (95% CIs) were reported. Results: The prevalence of picky eating was 39.6%, while 24.9% of children were stunted. Zinc deficiency was identified in 41.9% of children with available blood samples. In multivariable analysis, picky eating was significantly associated with increased odds of stunting (AOR = 3.63; 95% CI: 1.71–7.70). Snacking before main meals was also independently associated with stunting (AOR = 1.81; 95% CI: 1.01–3.24). In contrast, zinc deficiency was associated with stunting in crude analysis but was not statistically significant after adjustment. Other factors, including child age, sex, caregiver identity, and timing of complementary feeding, were not independently associated with stunting. Conclusions: Picky eating was common and was independently associated with stunting among ethnic minority children in this mountainous setting. These findings suggest that behavioral feeding practices, particularly picky eating and pre-meal snacking, warrant attention in nutritional programs targeting this population; however, longitudinal studies are needed to confirm the direction of this relationship. Full article

This review analyzes the economic, social, and environmental dimensions of water buffalo (Bubalus bubalis) production and its contribution to the Sustainable Development Goals (SDGs). A scoping review following PRISMA-ScR guidelines was conducted using the Web of Science (2020–2026), resulting in 225 included studies. Buffalo production is a multipurpose system that generates value through milk, meat, hides, manure, draft power, and animal-assisted services, with greater longevity than most livestock species. Economically, it supports income diversification, resource efficiency, and functions as a financial asset that can be sold to cover unexpected expenses. Socially, it enhances food security by providing nutrient-dense products, particularly milk with bioactive compounds associated with potential health benefits, and promotes women’s participation in livestock management and household economies. Environmentally, buffalo systems efficiently utilize low-quality forages, are adapted to marginal conditions, contribute to wetland conservation, and provide ecosystem services. These contributions align with several SDGs (1, 2, 5, 8, 12, 13, and 15). However, sector expansion is constrained by limitations in nutrition, management, veterinary services, and reproductive efficiency, as well as environmental challenges related to methane emissions and life cycle impacts. While global methane emissions from buffalo are lower due to their smaller population, emission intensity remains system-dependent and represents a critical challenge. In conclusion, water buffalo production represents a multifunctional and context-dependent system with significant potential to support sustainable development, although targeted innovations are required to improve productivity and address environmental challenges. Future research should integrate One Health and One Welfare approaches, develop long-term studies, and expand research under diverse experimental and field conditions to better characterize the potential health implications of buffalo-derived products. In addition, strengthening circular economy strategies, including region-specific diets to reduce emissions, remains a priority. Full article

Non-nutritive sweeteners (NNSs) are consumed to reduce intake by providing a sweet taste with little to no energy. Despite regulatory approval and extensive use, uncertainty remains about their long-term role in weight management and health, and about whether exposure to sweet taste itself, independent of energy, influences these outcomes. This narrative review synthesizes evidence from three recent European consortia: SWEET, SWITCH and Sweet Tooth, which together provide complementary data from acute, short- and long-term randomized controlled trials. The studies examined the effects of NNSs and dietary sweet taste exposure on body weight, health-related biomarkers, sweet taste preference, and eating behavior. Across studies, replacing sugars with NNSs appeared to support weight loss maintenance, while NNS consumption and dietary sweet taste exposure showed no adverse changes in body weight, glucoregulatory and endocrine biomarkers, cardiometabolic risk factors, gut microbiota, or liver enzymes. Likewise, neither NNS use nor different dietary sweet taste exposure altered sweet taste liking, appetite sensation, energy intake, or food choice. However, interpretation should consider the characteristics of the included studies, including selected populations, intervention context, outcome heterogeneity, and the fact that several behavioral and biomarker outcomes were secondary or exploratory. Overall, the reviewed evidence suggests that replacing sugar intake with NNSs may support weight management strategies, while differences in habitual dietary sweet taste exposure per se appear largely neutral with respect to health-related biomarkers and sweet taste preferences. Full article