Search Results (6,528)

Background/Objectives: Active surveillance (AS) has become the gold standard for managing men diagnosed with low-risk or favorable intermediate-risk prostate cancer. However, both patients and healthcare providers often face a lack of clear, evidence-based guidance regarding lifestyle choices during this period. This systematic review was designed to determine whether specific lifestyle modifications—including dietary changes, physical activity, weight control, and use of supplements—can tangibly impact oncologic outcomes or improve patient-reported quality of life during surveillance. Methods: The research followed PRISMA protocols, searching PubMed, Cochrane, and Scopus for studies published between 2000 and 2025. The team included diverse methodologies, from randomized controlled trials to qualitative interviews, specifically focusing on men on AS. To ensure high standards, two independent reviewers performed data extraction and quality assessments using CASP tools, and the review was formally registered with PROSPERO. Results: The review synthesized data from over 30 heterogeneous studies. The findings suggest that lifestyle interventions are safe and highly feasible. Physical exercise emerged as the most effective intervention, consistently improving cardiorespiratory fitness and reducing psychological burdens such as fatigue and “PSA anxiety.” While dietary changes and weight loss successfully improved metabolic health markers, they did not show a consistent ability to prevent biopsy upgrading or MRI progression. Similarly, supplements showed only minor, short-term effects on PSA kinetics without providing reproducible oncologic protection. Conclusions: For men undergoing active surveillance, lifestyle interventions may be considered as supportive measures, as they appear feasible and may improve physical fitness, metabolic health, and selected patient-reported outcomes. However, current evidence remains insufficient to demonstrate a consistent effect on biopsy upgrading, MRI progression, or long-term deferral of definitive treatment. Full article

Background: Evening meal-timing chronotypes often exhibit lower calcium intake; however, whether this relationship remains significant after accounting for overall diet quality remains unclear. This study examined the association between meal-timing chronotypes and calcium intake and evaluated whether this association is maintained after adjusting for overall diet quality. Methods: This cross-sectional study analyzed 3465 adults aged 30–49 years from the 2016–2018 Korea National Health and Nutrition Examination Survey. Meal-timing chronotypes were identified using dynamic time warping-based K-means clustering of 24-h energy intake distributions. Survey-weighted linear regression assessed the association between meal-timing chronotype and calcium intake and tested their interaction with the Korean Healthy Eating Index (KHEI; excluding dairy) to evaluate the moderating effect of diet quality. Multinomial logistic regression was conducted to estimate odds ratios (ORs) for low calcium intake according to meal-timing chronotypes. Models were adjusted for age, sex, education, occupation, household income, and physical activity. Results: After adjusting for sociodemographic and lifestyle factors, the evening meal-timing chronotype was significantly associated with higher odds of low calcium intake (OR = 2.2, p < 0.001). A significant interaction between chronotype and KHEI tertiles on calcium intake was observed (p < 0.001). Specifically, while calcium intake generally decreased as diet quality declined, individuals with an evening preference consistently showed significantly lower calcium intake across all KHEI tertiles compared to the morning preference group (β = −7.9, p < 0.001). Conclusions: The evening meal-timing chronotype showed a significant association with lower calcium intake, which remained significant even after accounting for overall diet quality. These findings suggest that circadian-related eating patterns, rather than just overall diet quality, play a structural role in determining calcium intake. Full article

Diet quality, nutrition knowledge, and psychosomatic literacy—defined as the understanding of the interactions between diet, gut microbiota, and mental well-being—may shape weight-related behaviours in youth. This study used a cross-sectional design to integrate these domains with digital information pathways in Central–Eastern Europe. This study assessed diet quality, nutrition, and psychosomatic knowledge, supplement use, and health-information sources among Polish adolescents and young adults, with emphasis on age-related differences and the role of social media. A cross-sectional, anonymous online survey (October 2025–January 2026) was conducted in Poland (final analytical sample: n = 478; adolescents 15–19 years vs. young adults 20–30 years). Of 591 individuals who accessed the survey, 478 were included in the final analytical sample. Diet quality was estimated from FFQ data using KomPAN-derived indices (pHDI-10, nHDI-14, DQI). Nutrition knowledge (0–25 points), psychosomatic/gut–brain indicators, supplementation, and information sources were analysed using χ²/Fisher tests and Mann–Whitney U tests with effect sizes. The primary outcomes measured were dietary supplement use and excess body weight (BMI ≥ 25 kg/m²). Multivariable logistic regression examined predictors of supplement use and BMI ≥ 25 kg/m². Overall diet quality was low to moderate, with limited intake of whole grains, legumes, and fish, and common nutrition misconceptions. Social media was the most frequently indicated source of diet/supplement information and was independently associated with more frequent supplement use (OR = 2.29; 95% CI: 1.43–3.64). Adolescents reported lower whole-grain intake and more misconceptions than young adults. Predictors of BMI ≥ 25 kg/m² included male sex (OR = 2.46; 95% CI: 1.46–4.15), lower education, and lower nutrition knowledge, while age showed a non-linear positive association with excess body weight. Polish adolescents and young adults show gaps between declared pro-health attitudes and actual diet quality/competencies. Social media reliance appears particularly linked to product-oriented behaviours (supplementation). Prevention should strengthen nutrition and food safety education, digital health literacy, and professional guidance on supplementation, especially in adolescents. Our findings suggest that social media is a primary driver for dietary supplementation among Polish youth, more so than objective nutrition knowledge. While diet quality is linked to weight status, the relationship is complex. These results may inform future public health interventions targeting digital health literacy to promote balanced nutrition and safe supplementation practices. Full article

Objectives: The objectives of this review are to explore the effects of various nutrition and exercise lifestyle interventions on pregnancy outcomes in individuals with, or at risk of, gestational diabetes mellitus (GDM), as well as to examine whether interventions that are culturally and/or religiously sensitive influence clinical and behavioural outcomes. Methods: This study was conducted as a narrative review. PRISMA was used solely as a reporting guide to enhance transparency in the search and study selection process. PubMed/MEDLINE, CINAHL, and Scopus were searched for studies published up to November 2025. Intervention-based studies evaluating nutrition, physical activity, or combined lifestyle interventions targeting either GDM incidence, insulin use, or glycemic outcomes were included. Forty-three studies met eligibility criteria. Study designs consisted primarily of randomized controlled trials (RCTs) with one case–control and one quasi-experimental design trial. Results: Combined lifestyle interventions generally showed the most consistent improvements in glycemic control; however, findings were not uniform across all studies, and reporting on insulin outcomes was limited. The Mediterranean, low-glycemic index (LGI) and DASH diets, along with supervised, prenatal exercise programs with low–moderate intensity, delivered at least three times per week, were effective in managing GDM. Regarding culturally or religiously sensitive interventions, only one study was identified. Conclusions: Lifestyle interventions may improve glycemic outcomes in GDM; however, further high-quality research is needed, particularly studies incorporating culturally and religiously sensitive approaches and improved reporting of insulin-related outcomes. Full article

Milk production in tropical smallholder systems is constrained by limited high-quality roughage during the hot–dry season. Sweet sorghum silage is drought-tolerant and may replace corn stover silage. Twelve Holstein–Friesian crossbred cows were assigned to the same commercial concentrate plus either corn stover silage or sweet sorghum silage as the primary roughage source (n = 6 per diet). Intake, apparent digestibility, milk yield and composition, and feed-use efficiency were evaluated on day 15 and 30 and analyzed using linear mixed-effects models with cow as a random effect. Compared with corn stover silage, sweet sorghum silage increased dry matter intake (p < 0.05) and improved the digestibility of fibre fractions, including crude fibre, NDF and ADF (p ≤ 0.003), while crude protein- and nitrogen-free extract digestibility were not different (p > 0.05). Milk yield, 4% fat-corrected milk, energy-corrected milk, and feed-use efficiency indices were unaffected by silage source (p > 0.05). Milk protein concentration was higher with sweet sorghum silage (treatment effect p < 0.05), whereas milk fat and lactose were unchanged. Sweet sorghum silage can therefore replace corn stover silage in tropical dairy diets, improving intake and fibre utilization without compromising milk output. Full article

Background/Objectives: Nutritional vulnerability (NV) describes the interaction of diet quality, access to food, health status and socioeconomic factors and may differ between neighborhoods. Nevertheless, there is still a limited amount of evidence regarding local NV variations in contrasting resource landscapes. The purpose of this study was to operationalize NV in Windham, Connecticut and conduct an analysis of its spatial distribution and the differences between neighborhoods for NV and specifically diet quality. Methods: NV was measured with four indicators, including two diet quality measures (liking-based DQI and short food frequency-based sHEI), food security, obesity, and SNAP participation. Areas of vulnerable concentration were determined through spatial mapping. Indicators related to each other were measured by Spearman correlation. To compare the contrasting neighborhoods (resource-dense vs. resource-limited), contextual differences were studied and differences in NV indicators, sociodemographic and movement factors were compared with the help of chi-square tests. Diet quality measures were jointly examined for concordance (both measures low or high) and discordance. Results: Area-level comparisons showed significant differences in mobility-related and sociodemographic characteristics, including vehicle access and education level (p < 0.05). High diet quality (measure concordance) was reported by individuals living in high-resourced regions; low diet quality (measure concordance) by individuals in low-resourced regions. Conclusions: The NV Map illustrated focal patterns of vulnerability determined by the interplay of sociodemographic disadvantage and mobility-related limitations and not by distance to food resources. These results give practical spatial data to promote specific nutrition and resource intervention. Full article

This study evaluated the effects of dietary supplementation with goji berries (Lycium barbarum) on the nutritional profile, oxidative stability, and shelf life of rabbit meat. Thirty-two rabbits were assigned to two dietary treatments: a control diet (CN) and the same diet supplemented with 3% dried goji berries (GJ). Proximate composition and fatty acid profile of the Longissimus thoracis et lumborum muscle were determined at dissection, whereas physical, microbiological, and biochemical parameters were evaluated during refrigerated storage (4 °C; 1, 4, and 10 days) and frozen storage (−20 °C; 60 and 120 days). Dietary supplementation significantly modified the lipid profile of the meat, reducing saturated fatty acids and increasing long-chain n-3 and n-6 polyunsaturated fatty acids. During refrigerated storage, lipid peroxidation increased in both groups; however, meat from the GJ group showed significantly lower TBARS values after 10 days (0.22 vs. 0.33 mg MDA/kg; p < 0.001), indicating improved oxidative stability. Lower accumulation of total volatile basic nitrogen (TVB-N), reduced formation of biogenic amines, and slower growth of spoilage-related microbial populations, particularly Pseudomonas spp., were also observed in GJ samples. Overall, the GJ diet improved fatty acid composition and delayed degradative processes during storage, suggesting its potential as a functional feed ingredient to enhance rabbit meat quality and shelf life. Full article

Increased demands for protein have led to a search for alternatives to traditional protein sources like soy and animal protein. Black Soldier Fly Larvae can be reared on many feedstocks to produce a high-quality nutrient source for livestock and pets. These insects contain biologically meaningful compounds like antimicrobial peptides, lauric acid, and chitin. This combination of compounds highlights the need to investigate BSFL as a functional ingredient in broilers. This study examined the impact of BSFL inclusion on broiler performance with and without a subclinical Necrotic Enteritis (NE) challenge over two experiments. In both experiments, diets included 0%, 2.5%, or 5.0% BSFL from 0–42 d. During Experiment 2, birds were given a live coccidiosis vaccine at hatch and challenged with C. perfringens at 19, 20, and 21 d. Primary variables include growth performance, lesion scores, and NE-specific mortality. A BSFL inclusion of 2.5% and 5.0% significantly improved feed conversion ratio in both experiments (p < 0.001); 5% BSFL inclusion also significantly improved body weight gain in both experiments (p = 0.014, p = 0.023, respectively). Overall, results indicate that BSFL is an effective and safe feed ingredient option for commercial broiler production, providing biologically relevant improvements in performance with and without disease pressure. Full article

Background: Dietary fibre has been increasingly recognised for its potential role in modulating inflammation, gut-derived uraemic toxins, nutritional status, and kidney-related outcomes in chronic kidney disease (CKD), particularly through mechanisms involving the gut–liver–kidney axis. While nutritional management in CKD has traditionally focused on protein intake, despite growing evidence supporting soluble and insoluble types, the role of dietary fibre remains insufficiently reflected in clinical guidelines. Objective: This systematic review evaluated the effects of dietary fibre intake on inflammatory markers, gut-derived uraemic toxins, nutritional status, kidney function, and mechanistic pathways relevant to gut–liver–kidney axis among CKD patients. Methods: PubMed, Scopus and Medline Complete were searched for observational and interventional human studies. Review articles and animal studies were excluded. A total of 45 met eligibility criteria. Risk-of-bias (RoB) was assessed using domain-based tools, and findings were synthesised narratively across predefined outcome domains. Results: Higher fibre intake was generally associated with reductions in interleukin-6 (IL-6) and selective improvements in inflammatory tone including Tumor Necrosis Factor alpha (TNF-α), while effects on C-reactive protein (CRP) varied. Several fermentable fibres were frequently linked with reduced gut-derived uraemic toxins, including indoxyl sulphate (IS), p-cresyl sulphate (pCS), and less consistently trimethylamine-N-oxide (TMAO). Nutritional markers such as albumin, BMI and overall diet quality were typically maintained or improved. Kidney function was stable across short-term interventions, with suggestions of slower decline in longer studies incorporating fibre-rich dietary patterns. Mechanistic studies frequently reported increased saccharolytic activity and favourable changes in fermentation profiles. Despite growing evidence, soluble fibre remains an underrepresented component in CKD dietary guidelines, warranting further high-quality interventional studies to confirm its therapeutic potential. Full article

Background/Objectives: Irritable bowel syndrome (IBS) is primarily treated via dietary modifications. Several diets have been shown to improve symptoms with similar efficacy. Other aspects of IBS, such as insufficient nutrient intake and being overweight, should also be considered when planning treatment options. The present scoping review aimed to identify various diets investigated in IBS-related clinical trials and to map the measured outcomes. Methods: We performed a systematic search of three databases: PubMed, Embase, and CINAHL Ultimate. Our search was limited to papers published between January 2000 and February 2026, and included human studies published as peer-reviewed original articles in English that described dietary interventions in adult patients (≥18 years) with IBS. Results: The titles and abstracts of 1261 studies were screened; 1147 studies were excluded; and 114 full-text articles were assessed for eligibility. Excluding articles outside the scope of our research resulted in a total of 71 included articles from 57 unique clinical trials. The most common interventions were low fermentable oligo-, di-, and monosaccharides and polyols (FODMAP) (n = 43), traditional dietary advice (n = 13), and gluten-free diets (n = 11). The most common primary outcomes were the effect on IBS symptoms (n = 48), efficacy in terms of improving quality of life (n = 10), psychological well-being (n = 7), nutrient intake (n = 7), and adherence/applicability/feasibility to the diet (n = 7). Conclusions: In conclusion, the most studied dietary intervention in IBS was low FODMAP, and an effect on GI symptoms was the most common outcome. Considering other conditions associated with IBS, the effects on anthropometric, endocrine, metabolic, and nutritional parameters should also be evaluated. Full article

Canola meal, with environmentally friendly attributes, lower cost, and previous studies, is an interesting proteic source to partially replace the soybean meal for poultry nutrition. For that, in this work we aimed to investigate canola meal as a partial replacement of soybean meal in finishing poultry diets (21 to 49 days) on the productive performance, also including the impact on the quality, nutritional attributes and antioxidative status of valuable cuts of meat. Ninety-six 21-day-old chickens were assigned to four experimental diets (24/diet), with increasing doses of canola meal (CM 0, 2.5, 5 and 10%). Daily consumption, weekly live weight and post mortem carcass weight and yield were determined. At 24 h post mortem, pH, color (CIE L, a*, b*) and drip loss were measured in the breast, drumstick and thigh cuts. Fatty acid composition and health lipid indexes were also determined in the fresh cuts. The oxidative status of lipids and proteins, polyphenol and flavonoids content in fresh and in stored (7 days-display at 4–6 °C) in vacuum packaged cuts were determined. Including CM, up to 10%, the feed intake and growth of birds was not affected (p = 0.74 and p = 0.87 respectively). In meat, CM significantly decreased the drip loss (p < 0.05), the pH in breast and thigh (p = 0.01 and p = 0.05 respectively), a lower L and b in thigh and increased PUFAs in more oxidative cuts, with a strong interaction between dose and muscle type. There was no effect on lipid oxidation while carbonyls decrease at a 2.5% dose in fresh and stored cuts but there is an increase with higher ones. Flavonoids raise the maximum deposition in meat at 5% CM. In conclusion, CM can be included in finishing poultry diets, but high doses must to be adequately managed if performance and quality of meat criteria are considered together. Full article

The focus of modern livestock production is increasingly shifting toward improving animal health, welfare, and product quality through the use of natural feed ingredients. Pumpkin (Cucurbita spp.) and its seeds are of interest because they contain biologically active compounds, including tocopherols and phenolic antioxidants. This study evaluated the effects of pumpkin seed cake (PSC) in rabbit diets on blood parameters, oxidative status, and trace element distribution in tissues. Sixty Popielno White rabbits were initially assigned to three dietary groups: control (0% PSC), 5% PSC, and 10% PSC. At 90 days of age, samples from 30 rabbits (10 per group) were collected and analysed. PSC supplementation significantly increased red blood cell count, haemoglobin, haematocrit, and platelet indices (p ≤ 0.05), indicating affected haematological status. It also reduced (p ≤ 0.05) urea, triglycerides, total cholesterol, and LDL cholesterol. Antioxidant status significantly improved, as indicated by higher superoxide dismutase activity and ferric-reducing antioxidant power, together with lower malondialdehyde levels (p ≤ 0.05). Mineral analysis showed lower manganese concentrations in muscle and kidney tissues; cadmium remained low, and lead was below the detection limit in muscle and liver samples. Overall, PSC may be considered a promising feed ingredient that supports haematological status, antioxidant protection, and metabolic balance under the conditions of the present study. Full article

Background: Nutritional psychiatry increasingly links diet quality and specific bioactive nutrients to depression and anxiety outcomes. Mechanistic evidence implicates neuroimmune activation, inflammation, altered neurotransmitter synthesis, and microbiota-derived metabolites. Objective: The objective of this study is to synthesize evidence on omega-3 polyunsaturated fatty acids (n-3 PUFAs), the microbiota–gut–brain axis, and vitamins and minerals that influence neurotransmitter synthesis, inflammation, and brain function and to translate these findings into food-based strategies. Methods: This study consisted of a focused synthesis of randomized controlled trials (RCTs), meta-analyses, and systematic reviews indexed in PubMed, Scopus and Web of Science, selected for relevance to omega-3s, probiotics/prebiotics, dietary patterns, and micronutrients (folate/B-vitamins, vitamin D, magnesium, zinc, and vitamin C/copper pathways). Results: RCT and meta-analytic evidence suggest modest benefits of omega-3 supplementation for anxiety severity and depressive symptoms, with heterogeneity by dose, EPA: DHA composition, and baseline inflammatory status. The gut–brain axis literature supports bidirectional effects of stress and microbiota, and meta-analyses of probiotics/prebiotics show small improvements in depressive and anxiety symptoms, likely dependent on strain and host phenotype. Micronutrients serve as enzymatic cofactors for monoamine and GABA synthesis and modulate immune signaling; clinical effects are the most consistent when correcting insufficiency or in biomarker-defined subgroups. A whole-diet RCT demonstrates that structured dietary improvement can reduce depressive symptoms as adjunctive therapy. Conclusions: A food-first approach emphasizing Mediterranean-style dietary patterns, omega-3-rich seafood, a diverse array of fiber, and micronutrient density is the most defensible. Supplementation may be considered selectively, guided by clinical context and nutritional status. Full article

This study was conducted to evaluate the effect of varying dietary energy levels on milk production, feed intake, nutrient digestion and metabolism, and antioxidation function of lactating donkeys, and integrating 16S rRNA gene sequencing, metabolomics, and proteomics to comprehensively reveal the underlying regulatory networks. A single-factor, completely randomized design was used in this study. Twenty-four Dezhou donkeys with similar milk yield (3.25 ± 0.46 kg/d), lactation days (29 ± 4.34 d), parities (4.17 ± 1.17), and body weight (256 ± 34 kg) were randomly divided into three dietary treatments (n = 8), and either a fed high-energy diet (DE = 13.1 MJ/kg, HED), medium-energy diet (DE = 12.4 MJ/kg, MED), and low-energy diet (DE = 11.7 MJ/kg, LED). The experiment period included 2 weeks for adaptation and 8 weeks for data and sample collection. Orthogonal polynomial contrasts were used to evaluate the linear and quadratic effects of increasing dietary energy. There were no significant interaction effects between dietary energy level and lactation week on any milk production and quality variables (p > 0.05). Increasing dietary energy level increased DMI, milk production, milk production efficiency, and milk components (linear and quadratic; p < 0.05). Increasing dietary energy improved the digestibility of DM and neutral detergent fiber (linear; p < 0.05), and crude protein digestibility, energy digestibility and metabolism, and nitrogen metabolism (quadratic; p < 0.05). However, it decreased BHBA and NEFA concentrations (linear; p < 0.05). Furthermore, increasing dietary energy first increased then decreased the activities of GSH-PX, SOD, and T-AOC (linear and quadratic; p < 0.05), while increasing the MDA content (linear; p < 0.05). Compared with HED and MED, LED increased the relative abundance of the genera unclassified_f_Syntrophomonadaceae, Christensenellaceae_R-7_group and Treponema_2. Compared with HED, MED increased the relative abundance of the genera Ruminiclostridium_5, Ruminiclostridium_1, Family_XIII_UCG-001, unclassified_o__Clostridiales and norank_f__PL-11B10. Thyroid hormone synthesis, tyrosine metabolism, and glutathione metabolism pathways are critical metabolic routes; these pathways can enhance energy metabolism and antioxidant function, thereby improving the milk production performance of lactating donkeys. In conclusion, the digestible energy of 12.40 MJ/kg was optimal for the milk performance of lactating donkeys, whereas excessively high dietary energy (13.1 MJ/kg) may reduce milk performance. Full article

This study investigated the interactive effects of silage type (corn silage, CS vs. sweet sorghum silage, SS) and nitrogen source (soybean meal, SM vs. slow-release urea, SRU) on lamb meat quality. Results indicated that silage type minimally affected basic chemical composition, although CS-fed lambs exhibited higher ether extract content. Compared to CS, the SS group displayed higher redness (a*) and enhanced antioxidant capacity. SRU improved meat tenderness by reducing Warner-Bratzler Shear Force (WBSF) by 20.40%, with limited effects on other quality traits. Notably, fatty acid profiles and health indices (IA, IT, HH, and HPI) were significantly modulated by the silage × nitrogen interaction. Specifically, the SS diet increased polyunsaturated fatty acids (e.g., LA, EPA, DHA) and achieved a 25.44% higher fish lipid quality (FLQ) value. Crucially, while SRU substitution in the SS diet showed no adverse effects on health value, it detrimentally affected these indices in the CS diet. In conclusion, sweet sorghum silage enhances meat quality and offers superior health benefits, and while SRU improves tenderness, its application requires caution in CS-based diets due to potential negative impacts on nutritional value. Full article