Search Results (1,114)

Background/Objectives: The impact of choline on congenital heart defects (CHDs) in humans remains unclear. This study aimed to investigate the associations between maternal dietary intakes of choline and choline derivatives during pregnancy and CHD. Methods: This case–control study included 474 cases and 948 controls from hospitals in Northwest China. Pregnant women admitted for delivery were enrolled and completed a validated food frequency questionnaire to assess their dietary intake during pregnancy. A standardized questionnaire was also administered to collect additional pregnancy-related information. Mixed logistic regression models were used to estimate ORs (95%CIs) for CHD in association with choline intake. Results: Higher intakes of total choline, phosphatidylcholine, sphingomyelin, glycerophosphocholine, and phosphocholine in pregnancy were associated with reduced risks of total CHD, ventricular septal defects, and atrial septal defects, with all trend tests showing statistical significance (all p < 0.05). The ORs (95%CIs) of total CHD, comparing the highest with the lowest tertiles of intake, were 0.38 (0.24–0.61) for total choline, 0.51 (0.38–0.70) for phosphatidylcholine, 0.37 (0.26–0.51) for sphingomyelin, 0.34 (0.21–0.53) for glycerophosphocholine, and 0.53 (0.34–0.82) for phosphocholine. The inverse associations remained unchanged according to maternal age, work, education, parity, passive smoking, anemia, medication use, or folate/iron supplements use in pregnancy; however, these associations appeared to be more pronounced among pregnant women in urban areas. Conclusions: Higher maternal intake of dietary choline during pregnancy may be associated with a lower risk of CHD. Promoting choline intake in pregnant women could serve as a potential strategy for the primary prevention of fetal CHD in China. Full article

Background: Preoperative anemia is common among patients undergoing arthroplasty and is associated with increased transfusion requirements and worse outcomes. Current perioperative pathways rely on iron studies to guide intravenous iron supplementation, but systemic inflammation triggered by surgery profoundly alters iron markers, risking misclassification of iron deficiency. This study evaluated whether adjusting iron indices for inflammatory markers improves diagnostic accuracy after total hip arthroplasty (THA). Methods: In this prospective cohort study, 20 patients undergoing elective primary THA at a single center were enrolled. Patients with preoperative inflammation were excluded. Serum iron, transferrin, transferrin saturation (TSAT), CRP, and albumin were measured preoperatively and on postoperative days (PODs) 1, 2, 3, and 90. Serum iron was adjusted for systemic inflammation using a validated regression equation incorporating CRP and albumin, and adjusted TSAT was calculated accordingly. Absolute iron deficiency was defined as serum iron < 10 µmol/L, and functional iron deficiency was defined as TSAT < 20%. Comparisons were made using Wilcoxon’s signed-rank test and ANOVA. Results: In the 20 included patients, a pronounced systemic inflammatory response was observed, with CRP peaking on POD 2 (median, 162 mg/L) and albumin falling to 32 g/L on POD 1 (both p < 0.001). Unadjusted serum iron and TSAT fell sharply, with nearly all patients classified as iron-deficient in the first three postoperative days. Adjustment for CRP and albumin significantly attenuated these declines: on POD 2, median iron was 8.2 µmol/L adjusted versus 2.0 µmol/L unadjusted (p < 0.001), and TSAT was 19% versus 4% (p < 0.001). Misclassification of iron deficiency fell by 40–50% with adjustment, and by POD 90, adjusted indices approximated baseline values. Conclusions: Systemic inflammation after THA markedly suppresses iron indices, leading to widespread misclassification of iron deficiency. Adjustment for CRP and albumin reduces this misclassification and provides a more accurate assessment of perioperative iron status. These findings complement existing evidence supporting intravenous iron supplementation by highlighting a diagnostic refinement that could improve patient selection for therapy. Full article

Forested areas in Poland comprise numerous post-mining sites that hinder effective forest management. Such mining remnants may pose a threat to humans, animals, and operating forest machines. This study aimed to determine the feasibility of inventorying such man-made landforms as mining waste heaps, excavations, remnants of shallow shafts, adits, etc., using the Digital Elevation Model (DEM) based on Airborne Laser Scanning (ALS) data provided by the national agency (the Head Office of Geodesy and Cartography—HOGC) as open data. The DEM, when combined with other cartographic materials using GIS, accurately reflects the anthropogenic transformation evident in the topography. This paper presents the results of inventorying remnants of iron ore mining in the present-day forested area located between Krzepice, Kłobuck, and Częstochowa in southern Poland. The identification and inventory of post-mining landforms, mainly mounds resulting from shallow shaft mining operations, were supplemented by their digitization, automatically providing information on parameters such as perimeter (ranged in most cases from 24.3 to 159 m), surface area (46.9 to 1656 m²), length and width (7.8 to 59.2 m). The heights of the investigated structures were also read from the DEM, ranging from 0.3 to 4.1 m. Much larger structures were also identified, but they occurred accidentally (up to 23.5 m in height). In this manner, approximately 823 morphological forms were characterized, resulting in a database. Test fieldwork was then conducted to verify the DEM readings. It was proposed to calculate deformation indexes (Id [%]) for forested areas and apply them when estimating the forest management hindrance index used by the State Forests. The studied forest compartments managed by State Forests were characterized by an Id value from 0.1 to 55.5%. This type of measure provides a helpful tool in planning forestry operations in areas with diverse topography, including those transformed by mining activities. The actual environmental impact is highlighted. Forest management practices in the study area must take into consideration, in particular, topography, as well as geology and hydrology. Studies have shown that the DEM based on the ALS data is sufficiently accurate to detect even minor post-mining deformations (which may be important, in particular, in inaccessible areas). The recorded parameters can be considered when planning management, protection interventions, or reclamation activities. Full article

Iron is essential for numerous physiological processes, including oxygen transport, energy metabolism, and immune function. This study evaluated the efficacy and safety of three iron formulations combining heme and non-heme iron, comparing them with existing market products and the original form of iron. The formulations tested were GlobiFer^® Forte, a combination of heme and non-heme iron containing 18 mg of elemental iron (hereinafter referred to as nutraceutical product 1); GlobiFer^®, a combination of heme and non-heme iron containing 14 mg of elemental iron (hereinafter referred to as nutraceutical product 2); and a double dose of nutraceutical product 2. Using an in vitro 3D intestinal barrier model, all three formulations significantly increased tight junction protein expression and TEER values, indicating preserved barrier integrity. Iron absorption analysis revealed that all three iron formulations had higher absorption rates than controls. Nutraceutical product 1 showed the highest absorption, associated with increased expression of the iron transporters such as the primary non-heme iron transporter, DMT1, and the leading apical heme transporter, HCP-1. All three new formulations increased ferritin and ferroportin levels, markers of systemic iron storage and regulation. Nutraceutical product 1 was found to be the most effective, based on percentage. Overall, combining heme and non-heme iron improved intestinal absorption and supported iron metabolism, with Nutraceutical Product 1 proving the most promising in terms of efficacy and safety. These results support the development of optimised dual-source iron supplements to improve bioavailability and maintain intestinal barrier integrity, prerequisites for better efficacy and tolerability in clinical use. Full article

Large quantities of wastewater (OMW) are generated by the olive oil industry, requiring sustainable management to mitigate environmental impacts. The main goal of this work is to evaluate the possibility of using the homogeneous Fenton process as a pretreatment of OMW, as well as the iron (Fe (II) and Fe (III)) addition to improve the methane production through AD. The Fenton process achieved chemical oxygen demand (COD) and total phenolic compound (TPh) removals of 17–47% and 75–94%, respectively. However, methane production did not improve compared with untreated OMW, which yielded about 82 NmL CH₄/ g COD_i. The increase in H₂S production from about 2 mL in raw OMW to more than 8 mL in treated OMW may justify the inhibition of AD. Supplementing AD with 2 mg/L of Fe (III) increased methane production by 65% and significantly reduced H₂S due to FeS precipitation. The addition of 1 and 2 mg/L of Fe (II) also increased methane production by 82 and 59%, respectively, but no reduction in H₂S was observed. Therefore, although the Fenton pretreatment effectively reduces recalcitrant organic matter, it does not necessarily enhance methane production. A balance must be achieved between improving OMW characteristics and minimizing adverse impacts on AD performance. Full article

Hericium erinaceus is a medicinal mushroom valued in the wellness industry for its neuroprotective, immunomodulatory, and antioxidant activities. While many extracts and bioactive compounds from both mycelium and fruit bodies have been characterized, the mechanisms driving their effects are not fully understood. Here, the transcriptomic and protein-level effects of H. erinaceus mycelium (HDLM) in human peripheral blood mononuclear cells (PBMCs) were investigated, along with antioxidant and iron chelating activity. A commercially available H. erinaceus fruit body extract (FBE) claiming high β-glucan content was included in a subset of assays to compare immune-related outcomes between mycelial and fruit body constituents. HDLM activated a wide array of immune- and oxidative stress-related transcripts and pathways, exhibited significant antioxidant activity, and consistently reduced IL-1β, TNF-α, and IL-8 during LPS challenge while maintaining low basal cytokine expression, indicating targeted immunomodulatory activity. FBE almost doubled production of IL-1β when challenged by LPS, whereas HDLM significantly decreased production of this stress mediator. HDLM also demonstrated augmented iron chelating ability when compared to FBE. Depending on tissue source and preparation methods, different H. erinaceus materials may either potentiate or quench stress responses, highlighting the need for further bioactivity and safety comparisons across H. erinaceus supplements, particularly with respect to cytokine regulation under conditions of immune challenge. Full article

Background: Inadequate nutrition, poor health care, and limited stimulation constrain early childhood development and cognitive potential. Micronutrient deficiencies during pregnancy and early life are prevalent in low- and middle-income countries (LMICs) and may impair cognitive outcomes. Maternal multiple-micronutrient (MMN) and point-of-use micronutrient powder (MNP) supplements improve birth outcomes and iron status, but their long-term cognitive impact remains unclear. This systematic review assessed the long-term impact of maternal MMN and early-childhood MNP supplementation on cognitive development among children aged 4–14 years in LMICs. Method: Following PRISMA guidelines (PROSPERO CRD42023459846), (cluster) randomized controlled trials were identified from six databases and gray literature (October 2023; updated July 2025). Records were managed in EndNote and screened in Covidence, and data were synthesized using Review Manager. Eligible studies examined MMN or MNP interventions during pregnancy, lactation, or early childhood, reporting cognitive, motor, or socio-emotional outcomes in children aged 4–14. Results: Ten studies met the inclusion criteria: six on maternal supplementation, three on early childhood interventions, and one combining both. Most were conducted in Asia, with one in Tanzania and one in Peru. Although most findings were not statistically significant, two large UNIMMAP-based trials indicated modest long-term improvements in procedural memory and intelligence, while one early childhood point-of-use MNP trial suggested enhanced pre-academic skills. Conclusions: Maternal MMN supplementation may modestly enhance specific domains of cognitive development, whereas evidence on the long-term effects of MMN and point-of-use MNPs on cognitive development remain limited, highlighting the necessity for further research. Full article

Micronutrient deficiencies, also known as “hidden hunger,” remain a pervasive public health issue in low- and middle-income countries, particularly among vulnerable populations within these countries. The main drivers of these deficiencies are poverty, limited dietary diversity, weak nutritional strategies, poor health service delivery and general health access barriers. This review assesses the prevalence, drivers, and consequences of selected micronutrient deficiencies: iron, iodine, zinc, vitamin A and vitamin D, within the scope of undernutrition, food insecurity, and socioeconomic inequity. The consequences associated with these deficiencies include stunted growth, increased susceptibility to illness, poor cognitive and social functioning, and deepened poverty. The primary strategies to address these deficiencies include dietary diversification, supplement provision, biofortification, and the production of fortified foods. Barriers to progress include the high cost of food, weak healthcare infrastructure, low educational levels, and ineffective policy implementation. Integrated food systems, personalised nutrition, and innovative food technologies have the potential to address both nutritional and health inequities. Addressing barriers to safe and nutritious food and healthcare systems in order to address health inequities requires integrated, multisectoral planning and contextual policy. Improving individual health outcomes is crucial, but addressing micronutrient deficiencies has a ripple effect throughout society, enabling economic development through poverty reduction and increased productivity. Full article

Background/Objectives: Micronutrient deficiencies during infancy remain a major public health concern, particularly in developing countries. Although exclusive breastfeeding is the optimal source of nutrition for infants up to six months of age, limited studies have simultaneously evaluated multiple micronutrient statuses in this population. This study aimed to assess the levels of vitamin D, iron, and other micronutrients—including vitamins A, E, B12, folic acid, zinc, and copper—in exclusively breastfed infants. Methods: This cross-sectional study was conducted between 2022 and 2024 at a university well-child clinic in İzmir, Turkey. A total of 132 healthy, exclusively breastfed six-month-old infants were included. Blood samples were analyzed for hemogram, serum iron, ferritin, 25(OH)D, vitamins A, E, B12, folic acid, zinc, and copper. Sociodemographic data and supplementation practices were recorded. Deficiency cut-offs were defined according to WHO and national guidelines. Results: Among the infants, 40.2% had iron deficiency or anemia, and 14.4% had vitamin D deficiency. Vitamin B12, A, E, zinc, and copper deficiencies were identified in 29.5%, 2.4%, 4%, 7.4%, and 6.6% of infants, respectively. Regular vitamin D and iron supplementation were significantly associated with lower deficiency rates (p < 0.05). Maternal education level, dressing style, and smoking status were significantly related to infant vitamin D status. Conclusions: Despite national supplementation programs, iron and vitamin D deficiencies remain common in exclusively breastfed infants. Routine and regular supplementation should be emphasized, and subclinical deficiencies—particularly vitamin B12—should be considered. Broader studies evaluating maternal nutritional factors and socioeconomic determinants are warranted to guide preventive strategies. Full article

Iron deficiency anemia remains a major public health concern in Brazil, particularly among children, pregnant women, and women of childbearing age. This scoping review aimed to map the trend line of public policies on iron supplementation and food fortification implemented between 1977 and 2025. The review followed PRISMA-ScR guidelines and the Joanna Briggs Institute methodology, and included searches in PubMed/MEDLINE, Scopus, Web of Science, Embase, Google Scholar, and official government documents. Three main strategies were identified: iron supplementation, mandatory food fortification, and nutrition education. Key milestones included the National Iron Supplementation Program, the 2002 ANVISA Resolution (RDC No. 344/2002) mandating wheat and corn flour fortification, and the launch of the NutriSUS program in 2014. Despite important normative and programmatic advances, persistent critical issues remain, including low adherence, inadequate monitoring, data discontinuity, and bureaucratic barriers. Strengthening intergovernmental coordination, improving information systems, and adopting more bioavailable iron compounds are essential to increase the effectiveness of public policies aimed at preventing and controlling iron deficiency anemia in Brazil. Full article

Yeast culture (YC) is a microbial product that enhances ruminal fiber breakdown and improves nutrient digestion and utilization. Our previous research showed that oxalic acid (OA) is a crucial metabolite in YC that enhances rumen function. This study aimed to investigate the effects of YC, OA, and their combination (YO) on rumen function, growth, and fattening in sheep. Twenty lambs were divided into 4 groups (ctrl, YC, OA, and YO; n = 5 each) and fed a diet supplemented with 2 levels of YC and 2 doses of OA for 60 days in a 2 × 2 factorial design. Growth and fattening performance, rumen microbiome analysis, serum indices and anti-oxidant levels, and metabolomic profiling were performed. Individual supplementation with YC and OA significantly increased the digestibility of dry matter (DM), organic matter (OM), and crude protein (CP) (p < 0.001); neutral detergent fiber (NDF) (p < 0.05); and acid detergent fiber (ADF) (p < 0.001) and their interaction significantly increased dry matter intake (DMI) (p = 0.05). Serum IgA and IgM levels were higher in the supplemented groups (p < 0.05). Serum calcium levels were higher in the OA and YO groups (p < 0.001). The supplemented groups showed significantly higher growth hormone and superoxide dismutase levels (p < 0.05). The longissimus dorsi muscle had higher levels of iron in the OA and YO groups; zinc in the OA, YO, and YC groups (p < 0.01); and selenium in the YC group (p < 0.05). The OA group had a higher total antioxidant capacity. All supplemented groups showed higher bacterial richness and diversity. Ruminococcus, Succinivibrio, and Fibrobacter were positively correlated with the fermentation and digestibility parameters. The supplementation also altered metabolite levels and types in key physiological pathways. In conclusion, this supplementation improved bacterial composition, nutrient digestibility, weight gain, carcass weight and quality, serum indices, antioxidant levels and metabolomic profiles. This suggests potential for the development of dietary supplements for ruminants. Full article

Background: Micronutrient deficiencies, particularly of vitamin D, vitamin B12, and iron, are prevalent worldwide and contribute significantly to morbidity. In Saudi Arabia, these deficiencies are increasingly recognised as public health challenges, yet comprehensive data on prevalence, risk factors, and public awareness remain limited. Objectives: This study aimed to determine the prevalence of laboratory-confirmed deficiency and testing for vitamin D, vitamin B12, and iron among adults in Saudi Arabia; to identify associated sociodemographic, lifestyle, and clinical factors; and to assess public knowledge and attitudes regarding micronutrient status. Methods: A cross-sectional survey was conducted in 2025 among adults residing in Saudi Arabia. Data were collected using a structured, self-administered questionnaire covering demographics, lifestyle, chronic disease history, laboratory testing and supplementation, and knowledge and perceptions regarding micronutrient deficiency. Descriptive statistics, chi-squared tests, and network analysis were used to identify associations and patterns. Results: A total of 1652 participants were included (52.6% female; mean age 41.3 ± 10.2 years). The prevalence of laboratory-confirmed deficiency was 7.6% for vitamin D, 5.5% for vitamin B12, and 7.0% for iron. Most participants had never been tested for these micronutrients. Vitamin D deficiency was significantly associated with gender, age, education, marital status, physical inactivity, and the presence of chronic conditions. Similar patterns were observed for vitamin B12 and iron. Public knowledge was primarily sourced from social media and internet sites; 38.1% of participants considered vitamin deficiency a public health concern, and 96.4% supported awareness campaigns. Conclusions: Micronutrient deficiencies remain common and under-recognised among adults in Saudi Arabia. There is a critical need to improve public awareness, expand routine laboratory testing, and develop targeted interventions to address identified risk groups and knowledge gaps. Our study is the first study to investigate the status of three key micronutrients (vitamin D, vitamin B12, and iron) in a single large sample. We also employed network to explore the complex factors associated with micronutrient deficiencies. Full article

This article presents the results of an analysis of ceramics from archeological sites. The main goal of the study was to determine the elemental composition of ceramics using XRF. This study was conducted in two stages. The first stage involved the analysis of complete vessels from the museum exhibition. The second involved the interpretation of the results obtained from the first stage. In the second stage, 30 samples obtained by dividing a single fragment of a ceramic vessel were analyzed. The results (results scattered due to material heterogeneity) were compared with the results of analyses of a large group of ceramic samples from a similar period. To supplement the information about the ceramic material studied, destructive analyses were also performed (after grinding the aforementioned 30 samples), namely mineral composition using FTIR (to determine the raw materials) and iron speciation using UV-Vis and HPLC-ICP hrOES (to determine the firing method). The results obtained indicated that limiting the research to the most-used non-destructive procedures in archaeometry can lead to misinterpretation. Although the presented study concerned archaeological objects, it can be considered in the context of research on other materials. Full article

Heart failure (HF) remains a major challenge in cardiovascular medicine, contributing to high global rates of hospitalization and mortality. Recent research (2022–2025) has emphasized its heterogeneity, highlighting distinct phenotypes—HFpEF, HFmrEF, and HFrEF—driven by mechanisms such as chronic inflammation, myocardial fibrosis, and neurohormonal imbalance. Advances in therapy, particularly with sodium–glucose cotransporter-2 inhibitors (SGLT2i), angiotensin receptor–neprilysin inhibitors (ARNI), and iron supplementation, have reshaped treatment strategies. Moreover, the growing recognition of overlaps between HF and cardiomyopathies such as hypertrophic, Takotsubo, and amyloidosis underscores the need for integrated care. This review summarizes recent findings from leading journals, mapping the evolving understanding of HF pathophysiology and management, and outlining emerging directions for research and clinical practice. Full article

This study investigates the valorisation of piscindustrial by-products, specifically fishbones from mackerel, horse-mackerel, and sardines, as sustainable sources of multi-mineral ingredients (MMIs) for future dietary supplementation. Ground fishbone powders were first analysed for moisture content and total ash to establish baseline composition. Following these preliminary assessments, the samples underwent mineral profiling using microwave plasma atomic emission spectroscopy (MP-AES), enabling quantification of calcium, phosphorus, magnesium, iron, zinc, sodium, potassium, copper, lead, cadmium, selenium, chromium, tin, manganese, and mercury. All three species yielded high concentrations of essential minerals, supporting their relevance as upcycled nutritional resources. A sardine-based capsule formulation was developed and compared with a commercial calcium supplement through 240 min dissolution testing. While calcium release values differed significantly from 75 min onward, both formulations exhibited similar dissolution profile shapes, despite differing dosage forms. Statistical analysis confirmed time- and formulation-dependent effects, with the sardine capsule demonstrating enhanced calcium bioaccessibility in later phases (95.26 ± 10.11 vs. 78.79 ± 5.39 mg). This work contributes to the advancement of the United Nations Sustainable Development Goals (SDGs), particularly SDG 3, SDG 12, and SDG 14. By transforming marine waste into health-promoting ingredients, and enabling revenue streams for ocean-cleaning charities, this initiative exemplifies circular innovation at the interface of nutrition, sustainability, and marine stewardship. Full article