Search Results (397)

Background and Objectives: Physical inactivity is a major modifiable lifestyle factor associated with type 2 diabetes mellitus (T2DM). However, real-world primary care datasets often rely on pragmatic clinical estimates of physical activity (PA) and may lack HbA1c, fasting glucose, dietary data, diabetes duration, and detailed medication information. Therefore, PA–T2DM associations in routine care must be interpreted within the limitations of cross-sectional observational data. Materials and Methods: This cross-sectional observational study analyzed 863 adult patients from a real-world primary care cohort. Participants were categorized into low, moderate, and high PA groups according to self-reported habitual weekly activity levels estimated during routine physician interviews. PA categories were based on clinically meaningful weekly activity thresholds consistent with public health recommendations. The primary outcome was documented T2DM. Secondary variables included lipid profile, blood pressure, body mass index, waist circumference, smoking status, and statin therapy. Multivariable logistic regression models were used to assess associations between PA category and T2DM, with high PA as the reference group. Results: T2DM prevalence showed a graded inverse cross-sectional association across PA categories, being highest in the low PA group (29.7%), intermediate in the moderate PA group (16.7%), and lowest in the high PA group (8.9%) (p < 0.001). In the fully adjusted model, low PA was strongly associated with higher odds of T2DM compared with high PA (odds ratio [OR] 4.32, 95% confidence interval [CI] 2.61–7.15, p < 0.001). Moderate PA was also associated with higher odds of T2DM compared with high PA (OR 2.07, 95% CI 1.23–3.48, p = 0.006). LDL-C differed significantly across PA groups, with the lowest values observed in the high PA group, whereas most other cardiometabolic parameters were comparable. Conclusions: Lower self-reported PA was strongly associated with higher T2DM prevalence after multivariable adjustment in this real-world primary care cohort. These findings support routine PA assessment as part of lifestyle-based cardiometabolic risk stratification. Because dietary intake, HbA1c, diabetes duration, glucose-lowering medication details, and regulatory biomarkers were not available, causal and mechanistic conclusions cannot be drawn. Future studies should integrate PA, nutritional assessment, glycemic markers, medication data, and physiological regulatory measures to better characterize lifestyle-related diabetes risk. Full article

Vitamin C (L-ascorbic acid) is an essential micronutrient involved in collagen biosynthesis, redox regulation, immune function, endothelial biology, carnitine synthesis, neurotransmitter metabolism, and non-heme iron absorption. Dietary reference values are designed primarily to prevent deficiency in general populations, but vulnerability to low-vitamin C status may increase during trauma, surgery, chronic inflammation, malignancy, metabolic disease, smoking, poor intake, environmental exposure, and tissue repair. This narrative review synthesizes mechanistic, pharmacokinetic, clinical, and safety evidence on vitamin C as a stress-responsive micronutrient. Evidence is reviewed across tissue repair and wound healing, orthopedic recovery and selected complex regional pain syndrome risk contexts, fatigue, neuropsychiatric vulnerability, cancer-supportive care, vascular homeostasis, dermatologic biology, and preliminary microbiota–gut–brain axis hypotheses. The strength of evidence differs substantially across domains: biochemical functions and deficiency correction are well established, whereas benefits of supraphysiologic oral supplementation in vitamin C-replete patients remain uncertain. Oral nutritional supplementation is distinguished from intravenous pharmacologic ascorbate, with attention to route, formulation, dose division, gastrointestinal tolerance-limited adjustment, and safety monitoring. Because evidence for high-dose oral supplementation remains limited and condition-specific, such use should be individualized, time-limited, and clinician-monitored rather than presented as a population-level recommendation or evidence-defined therapeutic target. Taken together, the clinical value of vitamin C depends on baseline status, patient vulnerability, route, formulation, dosing interval, clinical endpoint, and safety review. Full article

Fermented vegetable beverages are increasingly considered functional foods, yet the effect of fermentation and plant-based fortification on their mineral profile remains insufficiently described. This study aimed to evaluate the mineral composition of beetroot ferments enriched with parsley leaves, considering the technological form of the additive and fermentation time. Beetroot ferments were prepared without parsley addition (control) and with chopped or blended parsley leaves, and analyzed after 24, 48, 72, and 96 h of fermentation. The concentrations of Ca, K, Mg, Na, Fe, Mn, Zn, and Cu were determined using microwave plasma atomic emission spectrometry (MP-AES) after microwave-assisted digestion, and their contribution to dietary reference values was calculated. The results showed that potassium was the dominant macroelement, with the highest content observed in the sample with chopped parsley after 72 h. Parsley addition increased the levels of selected minerals, particularly Ca, Mg, and Mn, while Fe showed variable changes depending on fermentation time and parsley leaf form. Zinc showed the greatest variability during fermentation, while copper remained at relatively low levels. The findings indicate that parsley leaves can improve the mineral profile of beetroot ferments, and that fermentation time and additive fragmentation are important factors shaping their nutritional value. Full article

Background/Objectives: Commercial meal delivery diets are increasingly used as a convenient alternative to home-prepared meals. However, limited data are available regarding their mineral composition and potential exposure to toxic elements. This study aimed to evaluate the content of selected essential minerals (Ca, Cu, Fe, Mg, Se and Zn) and toxic elements (Cd and Pb) in daily food rations (DFRs) offered by selected commercial catering services in Poland. Methods: DFRs representing three dietary models (Hashimoto, DASH, and low-carb diets) were collected from commercial catering providers. Concentrations of essential minerals were determined using atomic absorption spectrometry (AAS), whereas toxic elements were determined using inductively coupled plasma mass spectrometry (ICP-MS). Mineral adequacy was assessed using Estimated Average Requirement (EAR) and Tolerable Upper Intake Level (UL) reference values. Exposure to toxic elements was evaluated using Estimated Daily Intake (EDI), estimated weekly Intake (EWI), Target Hazard Quotient (THQ), and Carcinogenic Risk (CR) indices. Results: Ca was the nutrient most frequently supplied in insufficient amounts, with 80–98% of analyzed meal plans failing to meet the EAR. In contrast, the remaining minerals were generally supplied in adequate amounts. Nevertheless, excessive intake of selected minerals was observed in some dietary models, with up to 37% of DASH diets exceeding the UL for Zn and approximately 32% of Hashimoto diets exceeding the UL for Cu. Although Cd and Pb were detected in all analyzed DFRs, THQ and CR values indicated negligible health risk. Conclusions: The analyzed meal delivery diets generally provided adequate amounts of most investigated minerals and did not pose a significant health risk related to Cd or Pb exposure. However, these findings apply only to the analyzed meal plans and should not be generalized to all commercial catering services or seasonal menu cycles in Poland. The widespread inadequacy of Ca intake and the occurrence of excessive Zn and Cu intake in selected dietary models highlight the need for improved nutritional quality control of commercially prepared diets. Full article

Background/Objectives: Accurate estimation of meal composition from food images can support safer and more reliable insulin bolus decision-making for individuals with Type 1 diabetes. Existing food recognition and nutrition estimation systems are often designed for general dietary logging and do not directly integrate food analysis with personalized insulin therapy parameters. Methods: This study presents an image-based nutrition estimation and insulin decision-support module developed within the AI-assisted Diabetes Care (AIDCARE) platform. The proposed system uses a convolutional neural network (CNN) to classify food items from a single meal image, and retrieves reference nutritional values from a food composition database. A separate multimodal large language model (MLLM)-based estimation component is then used to estimate portion size, allowing carbohydrate and nutrient values to be scaled according to the observed serving. Results: A curated food image dataset containing 40 food categories was used to evaluate three CNN architectures: ResNet50, Inception V3, and EfficientNet-B0. EfficientNet-B0 achieved the best classification performance, with 94.91% validation accuracy, 95.55% precision, 94.87% recall, and 94.90% F1-score. The portion-estimation component achieved an MAE of 12.27 g and an RMSE of 15.11 g. The estimated carbohydrate value is combined with user-specific clinical parameters, including the insulin-to-carbohydrate ratio and insulin sensitivity factor, to generate advisory bolus guidance. To support safety, the system requires user confirmation or correction of the recognized food category and estimated portion before insulin guidance is displayed. Conclusions: The proposed system is intended for advisory decision support only and is not designed to replace clinical judgment or autonomous insulin delivery systems. Full article

Background: Ketogenic diets are used as a non-pharmacological treatment for drug-resistant epilepsy in childhood and adolescence. However, the potential micronutrient deficiencies associated with ketogenic diets have not been adequately investigated in vulnerable groups, such as children and adolescents, and detailed dietary analyses are lacking. Methodology: Optimized ketogenic daily meal plans were created for adolescents aged 10–18 years with different ketogenic ratios of 3:1, 2:1, and 1:1. Micronutrient supply was calculated using PRODI^® nutrition software (version 7.3, Nutri-Science GmbH, Freiburg, Germany), based on the German Nutrient Database and compared with DGE/ÖGE reference values. Nutrients below 95% of the reference values were classified as potentially critical. Results: The results showed that micronutrient density decreased with increasing dietary restriction. Vitamin D and fiber were below reference values for all ratios and age groups. The 3:1 ratio exhibited deficiencies in potassium, zinc, fluoride, and several B vitamins. Overall, the 1:1 ratio provided the most favorable nutrient coverage, though vitamin B₁ and fluoride remained insufficient. The results indicate that potentially critical micronutrients are highly sensitive to ketogenic ratios in adolescents. Conclusions: This analysis enables the identification of relevant nutrients to be more targeted, suggesting that a one-size-fits-all approach of supplementation should be replaced by options differentiated by age and dietary restrictions. Full article

Background: Exogenous nucleotides are bioactive compounds involved in nucleic acid synthesis, cellular metabolism, intestinal function, immune regulation, and related physiological processes. Owing to their potential roles in supporting growth, gut health, immune function, metabolic regulation, and physiological resilience, they have attracted increasing attention as functional dietary supplements and feed additives. However, the global research landscape of exogenous nucleotides has not been systematically characterized. This study aimed to map the development of this field and identify its major contributors, knowledge structures, application domains, and emerging research hotspots. Methods: Global literature on exogenous nucleotides published between 2000 and 2025 was retrieved from the Web of Science Core Collection. After screening and data standardization, 710 records were analyzed using VOSviewer, CiteSpace, and R-based visualization tools. The bibliometric analysis included publication output, country and institutional collaboration, keyword co-occurrence, co-cited references and journals, and citation burst detection. Results: A total of 710 publications were included. Annual publication output showed an overall upward trend, with marked growth after 2017. China and the United States were the leading contributors, while the Chinese Academy of Sciences and Peking University were among the most productive institutions. Keyword and co-citation analyses identified three major research themes: basic molecular mechanisms, physiological and health-related effects, and practical applications. Aquaculture and animal nutrition represented the most prominent application areas, with studies mainly focusing on growth performance, feed utilization, intestinal morphology, immune responses, oxidative stress resistance, and disease resistance. In human nutrition, research was mainly related to infant nutrition, intestinal and immune health, nutritional recovery, metabolic regulation, and healthy aging. Burst detection indicated a shift in research attention from early topics such as human milk and receptors to intestinal morphology and, more recently, nicotinamide mononucleotide and molecular activation. Conclusions: Research on exogenous nucleotides has expanded rapidly and is moving toward more mechanism-oriented and more diverse applications. Current evidence suggests that exogenous nucleotides have potential value as functional dietary supplements and feed additives, particularly in aquaculture, animal nutrition, infant nutrition, gut and immune health, metabolic regulation, and healthy aging. Future studies should further clarify compound-specific mechanisms, effective dose ranges, bioavailability, long-term safety, and population- or species-specific benefits to support their evidence-based application in functional foods, dietary supplements, infant formula, clinical nutrition, and functional feed products. Full article

The purpose of the study was to develop an innovative meat–plant product in the form of a paste with increased nutritional value. Increased nutritional value was assessed based on the results of a nutritional analysis of a reference meat product and a reference plant product. The quality assessment took into account both physical and sensory characteristics. The results showed that the innovative meat–plant product was characterised by a reduced fat content (51.91%), saturated (82.17%) and monounsaturated fatty acids (68.87%), cholesterol (54.07%) and a reduction in calorie content (by 30.06%) compared to the reference meat product, while simultaneously increasing the proportion of polyunsaturated fatty acids (106.80%) and dietary fibre (129.05%). Compared to the reference plant product, the innovative meat–plant product was characterised by a higher protein content (104.05%) with a favourable amino acid profile and a reduction in calorie content (20.18%). Sensory evaluation confirmed the high desirability of the aroma and taste and the overall acceptability of the meat–plant product compared to reference products. The reformulation enabled the development of an innovative product with balanced nutritional and sensory properties, providing a valuable alternative to traditional meat products and classic plant paste. Full article

This study investigates the development of a functional hummus enriched with black cumin seed oil (Nigella sativa) and evaluates its physicochemical properties and oxidative stability during 21 days of refrigerated storage. Additionally, the applicability of near-infrared (NIR) spectroscopy as a rapid and non-destructive analytical tool for hummus quality assessment was examined. Hummus samples were prepared by partially replacing olive oil with black cumin seed oil at levels of 4, 6, 8, and 12% (v/v). Chemical composition, peroxide value, and water activity were monitored over time, while multivariate statistical methods (Principal Component Analysis and Partial Least Squares Regression) were used to correlate NIR spectral data with reference measurements. The results showed that the incorporation of black cumin seed oil did not significantly affect the overall macronutrient composition but altered the fatty acid profile by increasing the content of polyunsaturated fatty acids. Oxidative changes were observed during storage, with peroxide values increasing after day 7, while samples with higher levels of black cumin seed oil exhibited improved oxidative stability in later stages. Water activity remained constant across all formulations. NIR spectroscopy demonstrated high predictive accuracy for fat, protein, carbohydrate, and dietary fiber content (R² > 0.99), while lower performance was observed for water activity and dry matter. The findings confirm the potential of NIR spectroscopy for rapid quality monitoring of functional plant-based spreads. This study highlights the feasibility of developing a functional hummus enriched with black cumin seed oil and supports the application of NIR spectroscopy as an efficient tool for monitoring compositional and oxidative changes during storage. Full article

Background/Objectives: In Croatia, national data on adolescents’ dietary habits are limited, resulting in a lack of evidence-based food-based dietary guidelines and public health interventions. This study aims to conduct an in-depth evaluation of dietary habits in a national sample of Croatian adolescents stratified by region, sex and age, from the National food consumption survey on adolescents and adults (NIPNOD 2018–2023). Methods: This cross-sectional study included 258 adolescents (50.4% boys; aged 10 to < 18) from the NIPNOD 2018–2023 survey (OC/EFSA/DATA/2017/01), conducted according to the EU Menu methodology. For analysis, the sample was divided into two age groups (10–13 and 14–17 years). To assess dietary intake, two 24 h recalls were analyzed using NutriCro^® v. 3.0 software. Dietary intake was compared with European Food Safety Authority dietary reference values (DRV). The contribution of 14 food groups to daily energy intake was analyzed. Diet quality was assessed using the Diet Quality Index for Adolescents (DQI-A). Results: The mean daily energy intake was 1820 ± 529 kcal, consisting of 45.5 ± 7.0% carbohydrates, 37.8 ± 6.3% fats, and 15.1 ± 3.1% protein. The observed two-day mean intake suggested that 51.6% of adolescents had carbohydrate intake within the EFSA DRV range, while 5.4% and 32.2% had protein and fat intake within the EFSA DRVs, respectively. The main contributors to daily energy intake were grains and grain products (31.5%), meat, poultry, fish, and eggs (18.1%), and cakes, confectionery, sweets, and sugar (14.9%). Frequent breakfast skipping and snack consumption were common, particularly among older adolescents. Adolescents had moderate overall diet quality (57.4 ± 11.6% DQI-A), with no differences between age groups. Conclusions: Analysis of the dietary habits of adolescents in Croatia indicates that most have inadequate macronutrient intake, irregular meal frequency, and moderate overall diet quality. These results highlight the need to develop public health strategies and interventions to improve dietary habits among adolescents in Croatia. Full article

Bidens pilosa L. (Asteraceae), a globally invasive weed native to the Americas, is widely distributed across tropical and subtropical regions and is listed as invasive alien species in many countries. Despite its ecological hazards, it possesses a long history of traditional use and substantial resource potential that remains incompletely synthesized. This review systematically compiles ethnobotanical records from 15 countries, documenting 60 traditional medicinal indications across 14 disease categories spanning Latin America, Africa, Asia, and Oceania. A structured cross-referencing analysis reveals that 26 (43.33%) of these traditional applications are supported by 17 verified pharmacological mechanisms, mediated by 19 classes of bioactive compounds, principally flavonoids, polyacetylenes, and phenolic acids. Among these, anti-inflammatory, antidiabetic, antitumor, and antimicrobial activities are the most consistently validated. Moreover, this review synthesizes four non-medicinal utilization pathways: dietary use, animal feed, environmental remediation, and industrial raw materials. The resource value of B. pilosa has been independently recognized in the native and introduced ranges alike. Building on this evidence, we propose a “control-through-utilization” framework. To mitigate potential risks in practical exploitation, three targeted strategies are put forward, including timely harvesting, on-site processing and heavy metal safety inspection. This review supports the sustainable management of B. pilosa and offers methodological references for resource exploitation and control of other invasive plants. Full article

Emotional eating under negative affect refers to eating responses that occur in brief unpleasant emotional states and are not explained by hunger alone. This narrative review synthesizes representative evidence from experimental, ecological, and neurocognitive studies on emotional eating under negative affect, with emphasis on two interrelated pathways. (1) Emotion regulation: emotional eating may function as a rapid and accessible regulatory strategy through which food, especially highly palatable food, is used to attenuate negative affect. The immediate soothing effects of eating may reinforce later motivation and habitual responses to regulate emotions through food, whereas more adaptive strategies, such as cognitive reappraisal, may reduce the likelihood and intensity of emotion-related eating. (2) Reward processing and biased decision making: negative affect and affective stress contexts may diminish cognitive control and bias food choice toward immediate rewards. This pathway is reflected in increased attentional bias to food cues, stronger weighting of taste and palatability during value weighing, heightened responsivity to highly rewarding foods, and reduced regulatory influence of health and nutrition attributes. These processes may shift food choice toward energy-dense, nutrient-poor, and ultra-processed foods. The nutritional manifestations of emotional eating are not limited to total intake. Changes in intake quantity are heterogeneous, whereas changes in food choice, diet quality, degree of processing, and eating patterns appear more consistent. Repeated emotional eating may therefore contribute to less stable eating patterns and potential nutritional implications, although links with long-term physiological outcomes remain indirect. Future longitudinal and ecological momentary assessment studies are needed to clarify when emotional eating becomes a stable dietary pattern and which individual or contextual factors increase vulnerability. Full article

Selenium (Se) is an essential trace element for humans, primarily obtained from dietary sources, particularly protein-rich foods. Owing to its narrow margin between nutritional requirement and toxicity, as well as the strong dependence of its bioavailability on chemical speciation rather than total concentration, accurate determination of Se in processed agricultural products is critically important. Organic Se species generally exhibit higher bioavailability, greater nutritional value, and lower toxicity compared to inorganic forms, highlighting the necessity of both total Se quantification and speciation analysis. This review critically evaluates recent advances in analytical methods for total Se determination and speciation, with emphasis on sample preparation, species stability, and factors affecting accuracy. While significant progress has been made in total Se analysis, speciation remains challenging due to low analyte levels, complex food matrices, species transformation during extraction, and the lack of standardized methods and certified reference materials. Consequently, combining total and speciation data is necessary for meaningful nutritional evaluation. Future work should focus on improving extraction protocols, enhancing the sensitivity of techniques such as HPLC-ICP-MS, and developing standardized methods for routine application in the food industry. Full article

Background/Objective: Rapid, validated dietary screening tools are lacking for individuals with spinal cord injury (SCI), where routine clinical check-ups do not allow sufficient time for extensive dietary assessments typically required to evaluate adherence to dietary recommendations. We developed a 15-item dietary screener (SCI NutriTool) and evaluated its accuracy in classifying non-adherence to a healthy food pyramid compared with a validated food frequency questionnaire (FFQ). Methods: The SCI NutriTool was developed through literature review and expert consensus. In a validation study, 51 adults with SCI (mean age 57.0 years; 76.5% men; 68.8% traumatic injury) completed the SCI NutriTool twice and a validated 97-item FFQ, which served as the reference method. Results: The SCI NutriTool demonstrated substantial variability in performance across food groups, reflecting its domain-specific screening properties. Sensitivity was high for fruits and vegetables (91.7%), protein-rich foods (90.5%), and sweetened/alcoholic beverages and snacks (82.4%), with relatively high positive predictive values (PPV: 73.7–90.5%), supporting the tool’s ability to identify individuals who are likely non-adherent and may benefit from further nutritional assessment or counselling. In contrast, for starchy foods and nuts, oils, and fatty spreads/sauces, sensitivity was low (20.0% and 50.0%), while specificity was modest. This indicates that the tool performs better in correctly identifying adherent individuals in these domains, which is reflected in higher negative predictive values (NPV: up to 94.1%). However, the low sensitivity suggests that individuals with non-adherence may be missed, limiting the tool’s usefulness as an early screening trigger for these food groups. Conclusions: The SCI NutriTool’s performance varies across food groups, demonstrating a stronger ability to identify non-adherence in protein-rich foods, fruit and vegetables, sweetened and alcoholic beverages, and snacks, but limited discriminatory capacity for others. In particular, it is not suitable for screening non-adherence to starchy foods and fats. Accordingly, it is best used as a triage tool to guide further dietary assessment and targeted nutritional interventions rather than as a standalone diagnostic instrument. Full article

Background/Objectives: The POLA index is a comprehensive tool for evaluating the nutrient-dense, immune-supportive, and anti-inflammatory properties of the diet, but its multi-component structure may limit routine use. We aimed to identify simple dietary markers associated with a lower follow-up incidence of COVID-19 or influenza, as well as the anti-inflammatory properties of the diet, and to compare a simplified screening tool with the full POLA index. Methods: This prospective observational study included 146 healthy adults aged 25–45 years from two Polish cohorts examined in 2020 and 2022 (cohort/year adjusted). Habitual diet was assessed using at least 5-day food records, and nutrient adequacy was expressed relative to Polish dietary reference values. Classification and regression tree analyses were used to identify the most informative dietary predictors of the reduction in risk of infection, and logistic regression models were used to evaluate associations after adjustment for sex, diet type, physical activity, marital status, year of cohort and waist-to-height ratio. Results: During follow-up, 39/146 participants (26.7%) reported COVID-19 or influenza. Interactive tree analysis identified dietary fiber in g per kg/m² of BMI ≥ 1, and magnesium adequacy as the key discriminators. In StrongPOLA, participants not meeting the cut-offs of ≥1 g fiber per kg/m² of BMI and ≥130% of the magnesium reference value had a higher incidence of COVID-19 or influenza than those meeting both of those cut-offs (34.9% vs. 2.7%); however, this estimate was large and imprecise, with a wide confidence interval (the adjusted OR = 14.9 (95% CI: 1.89–118.06)), and should, therefore, be interpreted cautiously. In RapidPOLA, the participants not meeting the cut-offs of ≥1 g fiber per kg/m² of BMI and ≥110% of the magnesium reference value (i.e., 352 mg/day for women and 462 mg/day for men) had a higher observed incidence of COVID-19 or influenza than those meeting both of those cut-offs (36.4% vs. 12.1%); the adjusted OR was 3.4 (95% CI: 1.18–8.75). RapidPOLA showed good agreement with the favorable result of the POLA classification (κ = 0.65). Conclusions: Dietary fiber in g per kg/m² of BMI and magnesium adequacy appear to be practical markers of a broader nutrient-dense, immune-supporting, and anti-inflammatory dietary pattern associated with a lower follow-up incidence of COVID-19 or influenza in young adults without comorbidities. RapidPOLA may be useful as a simple screening tool for a nutrient-dense, immune-supportive, and anti-inflammatory (NUTRIDIMAF) diet in young people without obesity and comorbidities, whereas StrongPOLA may serve as a stricter reference profile. The proposed cut-offs require external validation in independent and more diverse cohorts. Full article