Search Results (327)

Background: Depression represents a major public health burden in Hungary, where prevalence remains higher than the global average. Although diet is an increasingly studied factor associated with mental health, evidence from Central and Eastern Europe is scarce. Methods: This cross-sectional study analyzed data from the Hungarian wave of the European Health Interview Survey (EHIS) 2019, a nationally representative sample of 5603 adults aged ≥15 years. Depressive symptom severity was assessed using the Patient Health Questionnaire-8 (PHQ-8) and categorized as none (0–4), mild (5–9), and moderate-to-severe (≥10). Self-reported frequency of consumption of fruits, vegetables, fruit juice, dairy products, fish, processed meat, sweetened beverages, coffee, and sweeteners was examined. Multivariable ordinal logistic regression models, adjusted for gender, age, education, income, physical activity, smoking, and alcohol consumption, were used to estimate associations with depressive symptom severity. Results: Overall, 77.9% of participants had no depression, 17.0% mild, and 5.1% moderate-to-severe symptoms. After full adjustment, lower consumption of fruits and vegetables, less frequent fruit juice intake, and lower processed meat consumption were associated with higher odds of more severe depressive symptoms. Moderate coffee intake (1–2 cups/day) was associated with lower odds than heavier consumption. Conclusions: In the Hungarian adult population, poorer dietary patterns, particularly low intake of fruits, vegetables, and paradoxically lower processed meat consumption, are significantly associated with greater depressive symptom severity, independent of major sociodemographic and lifestyle factors. These findings underscore the potential role of diet quality in mental health and support public health efforts to promote nutrient-rich dietary patterns in Hungary. Full article

Due to their wide application, there is a large amount of residual antibiotics in our environment and food, raising concerns about health risks to children. In this study, 302 primary-school students in Hainan Province, China, were recruited to collect urine samples and questionnaires. The internal exposure levels of sixteen antibiotics and three metabolites in urine were determined by high-performance liquid chromatography–tandem mass spectrometry (HPLC-MS/MS), and the contents of DNA oxidative damage markers, 8-hydroxy-2′-deoxyguanosine (8-OHdG) and lipid peroxidation marker malondialdehyde (MDA), were also measured. Antibiotics and their metabolites were frequently detected, with a total concentration of < LOD-4.58 × 10³ ng/mL. Binary logistic regression analysis revealed that the detection frequency of DFs of antibiotics was associated with animal-derived foods, such as red meat with fluoroquinolones (FQs) (OR = 76.4, 95% CI 1.68–3479), poultry with norfloxacin (NFX) (OR = 6.56, 95% CI 1.08–39.9), and aquatic products with ciprofloxacin (CIP) (OR = 3.96, 95% CI 1.32–11.9). Cumulative risk assessment based on microbial effects showed a hazard index of 3.5 for children, mainly driven by azithromycin (45.6%), oxytetracycline (18.1%), and CIP (33.9%). Multiple linear regression indicated that lipid peroxidation was significantly associated with high quantiles of three antibiotic classes, while DNA oxidation was positively correlated with all antibiotic classes except FQs. These findings indicate that children in Hainan are widely exposed to antibiotics. Although the exposure levels are generally low, chronic low-dose antibiotic exposure may contribute to disease development and oxidative stress damage. Full article

Background: Toxoplasmosis, caused by the parasite Toxoplasma gondii, is a zoonotic disease that poses significant health risks to immunocompromised individuals, pregnant women, and infants. Transmission occurs primarily through infected cat feces or contaminated food. Awareness of transmission routes, prevention strategies, and health consequences remains limited in high-prevalence humid regions such as Jazan, Saudi Arabia. Methods: This cross-sectional study was conducted in Jazan, Saudi Arabia, between April and May 2025, surveying 485 adults using a five-section questionnaire covering demographics, knowledge, practices, medical history, and recommendations. The survey was distributed in both English and Arabic. Self-reported previous diagnoses were used to estimate prevalence, with risk factors presented as frequencies and percentages. Binary logistic regression analyzed categorical variables, and independent t-tests assessed continuous variables to identify predictors of awareness and knowledge regarding toxoplasmosis. Results: Participants comprised 58.6% females, 97.3% Saudis, and 69.1% individuals aged ≤30 years; 49.7% had heard of toxoplasmosis. Females (adjusted odds ratio [AOR]: 1.67, 95% CI: 1.13–2.5, p < 0.01) and those >30 years old (AOR: 1.8, 95% CI: 0.80–4.29, p > 0.05) demonstrated greater awareness and knowledge, though this was not statistically significant. No significant differences were observed based on marital status (p > 0.05). Risk behaviors included consuming unwashed fruits and vegetables (27.6%) and unpasteurized dairy products (28.2%), with 62.7% always washing hands after handling raw meat or soil. Cat ownership (20.6%) was not associated with knowledge (p = 0.97). Self-reported diagnosis prevalence was 1.9%. Conclusions: Low awareness and prevalent risky behaviors underscore the urgent need for targeted public health education interventions focusing on hygiene practices and zoonotic disease prevention in Jazan. Serological studies are recommended to obtain more accurate prevalence estimates and guide evidence-based interventions. Full article

Background and Aim: Underweight young adult women are vulnerable to health risks such as menstrual disorders and vitamin deficiencies. Because few seek medical care for low body weight, the underlying causes remain unclear. This study aimed to examine the associations of body type with dietary patterns and gut microbiota diversity in young women. Methods: We enrolled 40 women aged 20–39 years who visited a nutrition evaluation clinic with a BMI < 17.5 at their first consultation (underweight group) and 40 age-matched women with 18.5 ≤ BMI < 25 (control group). Some women in the underweight group were no longer underweight at the time of analysis but were classified based on their initial BMI. Dietary patterns were assessed based on ten major food categories (meat, fish, eggs, dairy products, soybeans, green and yellow vegetables, seaweed, fruit, tubers, and fats and oil) based on the Food Frequency Questionnaire based on Food Groups. Gut microbiota α-diversity was evaluated using the Shannon, Simpson, and Pielou indices, while β-diversity was analyzed by nonmetric multidimensional scaling (NMDS) and redundancy analysis (RDA). Genera contributing to group differences were identified by RDA and ANOVA-Like Differential Expression tool (ALDEx2). Results: Underweight women had significantly lower gut microbiota α-diversity, while no difference was observed in dietary patterns. NMDS revealed significant β-diversity differences in gut microbiota (PERMANOVA: R² = 0.064, F = 5.31, p = 0.0001) but not in dietary patterns (p = 0.99). RDA showed that body type explained 4.5% of variance (adjusted R² = 0.032, F = 3.65, p = 0.0005). Bacteroides, Bifidobacterium, Enterocloster, and Erysipelatoclostridium were enriched in underweight women, whereas Fusicatenibacter, Agathobacter, Dorea, and Prevotella were enriched in controls. AldEx2 confirmed increases in Bacteroides, Enterocloster, and Erysipelatoclostridium and a decrease in Dorea. Conclusions: Underweight women demonstrated reduced gut microbiota diversity and enrichment of taxa associated with inflammatory tendencies. Dietary therapies involving not only prebiotics but also probiotics may beneficially modulate gut microbiota and contribute to the management of low body weight. Full article

Background/Objectives: Gestational diabetes mellitus (GDM) is a common pregnancy complication, and maternal diet before conception may be an important modifiable risk factor. This study aimed to investigate the association between maternal pre-pregnancy energy and macronutrient intake and the risk of GDM. Methods: Data from the BORN2020 cohort in Northern Greece were used. Women were recruited at their first trimester prenatal visit (11–13 weeks of gestation) and provided detailed dietary data via a validated food frequency questionnaire (FFQ), reflecting intake in the six months prior to conception. Weighted Quantile Sum (WQS) regression models were applied to assess the joint effects of food-derived macronutrient mixtures on GDM risk. Analyses were adjusted for parity, maternal age, pre-pregnancy BMI, thyroid disorders, smoking, energy intake, and physical activity. Results: In total, 797 women were included in the analyses. In normal-BMI women, higher pre-pregnancy intake of energy (aOR = 81.16, 95% CI: 4.55–1447.46), total carbohydrates (aOR = 50.66, 95% CI: 3.59–715.04), total fat (aOR = 9.35, 95% CI: 1.17–74.54), and total protein (aOR = 11.06, 95% CI: 1.14–107.09) were significantly associated with increased odds of GDM. The main contributing foods were energy-dense and processed items such as puff pastry, processed meats, potatoes, refined grains, and dairy products. In contrast, dietary fiber, vegetable protein, and animal protein were not significantly associated with GDM risk. Among overweight and obese women, none of the macronutrient or energy mixtures showed significant associations. Conclusions: For women of normal weight, a pre-conception diet high in energy and macronutrients from processed foods is a significant predictor of GDM risk. This association was not found in overweight or obese women, highlighting a critical window for targeted nutritional intervention for normal-weight individuals before pregnancy. Full article

Interest in more sustainable diets for the global population of 528 million companion dogs is steadily increasing, encompassing nutritionally sound cultivated meat, vegan, and microbial protein-based dog foods. Factors driving these alternative dog foods include lower impacts on the environment, fewer welfare problems related to intensively farmed animals and wild-caught fish, and potentially superior canine health outcomes, relative to conventional meat-based dog food. Through a questionnaire with 2639 responses, this study aimed to gain insights into dog guardians’ current feeding patterns and dog food purchasing determinants, acceptance of more sustainable dog diets, and sources of information used for decisions about dog diets. Key results included that 84% (2188/2596) of respondents currently fed either conventional or raw meat-based dog food. More than 43% (936/2169) of this group of respondents who answered found at least one of the more sustainable alternative dog foods acceptable, with purchases of these alternatives hinging most commonly upon the nutritional soundness of the products. Cultivated meat-based dog food was the most popular alternative (selected by 24%, 529/2169), followed by vegetarian (17%, 359/2169), insect-based (16%, 336/2169), and vegan (13%, 290/2169) dog food. The top three information sources used to make decisions regarding dog diets were labels/packaging (selected by 42% of all respondents, 1080/2596), scientific articles/books (38%, 989/2596), and business webpages (35%, 900/2596). Numerous human and dog demographic variables had impacts on current diets, acceptance of alternative diets, and information sources used. Notably, human diet and dog diet were the factors most commonly associated with current and potential purchasing decisions, as well as with information sources used. For instance, greater reductions by guardians in the consumption of animals were associated with greater acceptance of more sustainable dog diets. It should be noted that, due to the reliance on convenience sampling and the overrepresentation of respondents from the UK, of female guardians, of respondents with higher education, and of vegan guardians, the reported relative frequencies of subgroups were not fully representative of the global dog guardian population. Association estimates were based on regression analyses to minimize any resultant bias effects. Full article

Background: The family environment and physical activity (PA) levels are known to influence the eating habits of children and adolescents, but it is unclear how different domains of parental PA can affect parent–child associations with eating habits. Methods: This study included 473 participants: 192 children and adolescents (aged between 5 and 17 years), 163 mothers, and 118 fathers. Parental PA was assessed in occupational, sports, and leisure-time/commuting domains. Children’s and parents’ dietary intake was evaluated using a weekly food frequency questionnaire, covering healthy and unhealthy food groups. The mother–child and father–child associations were analyzed using multiple quantile regression. Results: Active mothers in occupational PA showed mother–child associations for fruits, vegetables, and dairy foods, whereas inactive mothers showed associations for fried foods and sweets. In the sports practice domain, active mothers showed mother–child associations for vegetables and red meat consumption, whereas active fathers showed associations for grains and salty snacks consumption. Active mothers in the leisure-time/commuting domain showed mother–child associations for fried foods and red meat consumption, while active fathers showed associations for fruits and salty snacks consumption. Conclusions: Mother–child associations were more consistent across PA domains than father–child associations. Overall, the healthy eating habits of physically active mothers were more strongly linked to the healthy eating patterns of their children. Full article

Background/Objectives: This study aimed to investigate the association between dietary patterns and the risk of developing osteoporosis in women, emphasizing the role of nutrition in bone health during menopause-related hormonal changes. Methods: We conducted a prospective study involving 4865 women aged 40–69 years without osteoporosis at baseline. Dietary information was collected using a validated semi-quantitative food frequency questionnaire, and composite-defined osteoporosis (CDO) was defined using self-administered questionnaires and quantitative ultrasound. Multivariate Cox proportional hazards regression analysis was employed to calculate hazard ratios and 95% confidence intervals to assess the association between dietary patterns and the risk of CDO. Results: During a median follow-up of 8.26 years, 895 and 1525 cases of CDO were reported in premenopausal and postmenopausal women, respectively. Three dietary patterns were identified in premenopausal women: the “Vegetables and Seafood,” “Western,” and “White rice, Meat, and Alcohol” patterns. In postmenopausal women, the “Diverse,” “Plant-based,” and “Sweets and Drinks” patterns were identified. Among premenopausal women, the “White rice, Meat, and Alcohol” pattern was associated with a significantly greater risk of CDO in the highest tertile compared with that in the lowest tertile, whereas no significant patterns were observed in postmenopausal women. Conclusions: These findings underscore the importance of dietary factors in maintaining bone health, particularly in premenopausal women. Encouraging the reduction in dietary factors associated with an increased osteoporosis risk may help improve bone health and quality of life in women, especially before significant menopause-induced bone loss occurs. This study highlights the need for early dietary interventions to prevent osteoporosis in women. Full article

Background: Rational dietary patterns and adequate nutritional status support athlete health and performance, while unhealthy habits may impair these outcomes. This study aimed to identify dietary patterns among Polish professional athletes using a food frequency questionnaire and assess their correlations with nutritional status indicators. Methods: Participants included 226 elite Polish athletes (aged 16–39 years; 87 women, 139 men) from various sports disciplines. Dietary intake was assessed using a food frequency questionnaire, and dietary patterns were identified through principal component factor analysis. Nutritional status was evaluated using anthropometry, bioelectrical impedance, and selected blood biochemical markers. Spearman’s rho correlations were applied to explore associations between dietary patterns and nutritional status. Results: Eight dietary patterns were identified: ‘High-fat’, ‘Sweets and beverages’, ‘Potentially rational’, ‘Vegetables and fruits’, ‘Meat and flour’, ‘Low-fat’, ‘Dairy’, and ‘Juices’. Of the two patterns considered unhealthy, ‘High-fat’ was associated with anthropometric indices—positively with the slenderness index and negatively with body mass index, particularly among men. Positive correlations with favorable nutritional indicators were observed for the ‘Vegetables and fruits’ pattern (arm muscle circumference, BMI, serum uric acid, hydration status), ‘Low-fat’ (body fat percentage), ‘Dairy’ (serum creatinine), and ‘Juices’ (serum creatinine, total protein, chlorine, uric acid). Conclusions: Our findings suggest that the identified dietary patterns are original and specific to Polish professional athletes. Determining the relationships between nutritional factors and anthropometric and biochemical indices may inform dietary modifications among athletes to ensure optimal nutritional status. Full article

Background/Objectives: Understanding the impact of dietary habits in terms of obesity, health outcomes, and functional decline is critical in Europe’s growing elderly population. This study analyzed trends in Mediterranean diet (MD) adherence, obesity prevalence, and grip strength among middle-aged and elderly Europeans using data from the Survey of Health, Ageing and Retirement in Europe (SHARE). Methods: Data from four SHARE waves (2015–2022) across 28 countries were analyzed. Dietary patterns were assessed through food frequency questionnaires classifying participants as MD-adherent or non-adherent where adherent implies daily consumption of fruits and vegetables and occasional (3–6 times/week) intake of eggs, beans, legumes, meat, fish, or poultry (an unvalidated definition of the MD pattern). Handgrip strength, a biomarker of functional capacity, was categorized into low, medium, and high groups. Body mass index (BMI), self-perceived health (SPHUS), chronic disease prevalence, and CASP-12 scores (control, autonomy, self-realization, and pleasure evaluated on the 12-item version) were also evaluated. Statistical analyses included descriptive methods, logistic regressions, and multiple imputations to address missing data. Results: A significant majority (74–77%) consumed fruits and vegetables daily, which is consistent with MD principles; however, the high daily intake of dairy products (>50%) indicates limited adherence to the MD, which advocates for moderate consumption of dairy products. Logistic regression indicated that individuals with two or more chronic diseases were more likely to follow the MD (odds ratio [OR] = 1.21, confidence interval [CI] = 1.11–1.32), as were those individuals who rated their SPHUS as very good/excellent ([OR] = 1.42, [CI] = 1.20–1.69). Medium and high maximal handgrip were also strongly and consistently associated with higher odds of MD adherence (Medium: [OR] = 1.44, [CI] = 1.18–1.74; High: [OR] = 1.27, [CI] = 1.10–1.48). Conclusions: The findings suggest that middle-aged and older adults are more likely to adhere to the MD dietary pattern if they have more than two chronic diseases, are physically active, and have a medium or high handgrip. Although an unvalidated definition of the MD dietary pattern was used, the results highlight the importance of implementing targeted dietary strategies for middle-aged and elderly adults. Full article

Background/Objectives: The role of maternal diet in atopic dermatitis (AD) requires better understanding, as AD often manifests early in life and precedes other allergic diseases. We evaluated the association between maternal diet and AD up to 2 years of age. Methods: A total of 116 mother–child dyads from the CARE birth cohort study were included. Maternal diet during pregnancy was assessed with a validated self-administered 97-item food frequency questionnaire, and dietary scores were calculated. AD was evaluated at ages 4 months, 1 year, and 2 years. The associations between maternal dietary patterns and AD were examined by logistic regression analysis adjusting for total energy intake, gender of the child, maternal antibiotic therapy during pregnancy, and history of atopic disease among both parents. Results: Of the 116 children, 27 (23.3%) developed AD by 2 years, 11 of whom (40.7%) had persistent AD within the first 2 years. AD risk was reduced with a higher Mediterranean diet score during pregnancy (upper median > 3 points versus lower median: adjusted OR 0.24, 95% CI 0.08–0.69, p = 0.009) and with greater dietary diversity, as measured by the number of items consumed (upper median > 53 items versus lower median: OR 0.19, 95% CI 0.06–0.58, p = 0.005). No association was found with macronutrients and micronutrients. Red meat consumption showed a positive association with the persistent AD phenotype (adjusted OR 5.04, 95% CI 1.47 to 31.36, p = 0.034). Conclusions: Adherence to a Mediterranean diet and a diverse diet during pregnancy may decrease the risk of developing early childhood AD. This highlights the synergistic role of nutrients in dietary patterns as they modulate immune development and disease susceptibility. Full article

Objective: Eating habits established during adolescence play a crucial role in shaping both current and future health status. However, adolescents today appear to be increasingly adopting poorer dietary and lifestyle habits. This study aims to investigate eating behaviors and supplement use among adolescent students who participated in the EduALI nutrition education project. Methods: The project included first-year students from six sports-oriented scientific high schools in Florence. The students participated in six nutrition sessions, completing the International Physical Activity Questionnaire to assess physical activity performance, a questionnaire on dietary supplement use, and, to assess eating habits a Food Frequency Questionnaire (FFQ), as well as the Medi-Lite questionnaire to specifically assess adherence to the Mediterranean diet (MD). The data from the FFQ were compared with national dietary guidelines. Results: The study sample consisted of 83 students (69.9% male; average age: 13.8 ± 0.4 y). The results showed that 61.4% of participants had used supplements in the past year, most commonly mineral salts (56.6%) and vitamins (54.2%), followed by botanical products (22%), sports drinks (16%), proteins/amino acids (8%), and creatine (2%). Alarmingly, 27.7% used supplements without medical supervision. Students involved in individual sports had higher supplement consumption than those in team sports, especially creatine use. Eating habits revealed poor adherence to both the MD and Italian dietary guidelines, with deficiencies in fruits, vegetables, olive oil, fish, and legumes, and excessive intake of cheese, meat, especially red and processed meats. Conclusions: A high prevalence of supplement use among adolescents was observed, along with poor adherence to dietary guidelines and MD. These findings underscore the need for targeted, school- and sport-based interventions to enhance adolescents’ nutritional awareness and responsible supplement use. Full article

Background: Preconception diet and nutritional status are important determinants of reproductive and pregnancy health. As a comprehensive evaluation, this paper describes harmonization of diet data across multiple cohorts including over 50,000 participants and the differences between them. This information may be useful for developing targeted strategies to improve women’s diet prior to pregnancy for optimal prenatal health outcomes. Methods: The Preconception Period Analysis of Risks and Exposures influencing health and Development (PrePARED) consortium incorporates studies covering the preconception period and includes both couples planning pregnancy and studies covering the reproductive period but not focused on pregnancy. We harmonized data on 56,520 participants from seven cohort studies that collected data during the preconception period. We generated data on diet quality according to the International Federation of Gynecology and Obstetrics (FIGO) nutrition checklist to examine diet quality measures across the cohorts and compare estimates of diet quality across studies. Four studies used food frequency questionnaires; one used a study-specific diet history; one used two 24 h dietary recalls; and one used a short series of general diet questions. Positive responses on the six FIGO questions were tallied to calculate a total diet quality score. Results: Cohort samples varied in terms of age; socioeconomic status; race; ethnicity; and geographic region. Across the cohorts, participants met a median of three or four of the FIGO criteria for diet quality; those most commonly met were recommendations for consumption of meat and protein, while those least commonly met were recommendations for limiting consumption of processed foods and snacks. There was greater variation in meeting recommendations for the consumption of fruits and vegetables; dairy; fish; and whole grains. The percentage meeting ≤ 2 criteria ranged from 6.4% (Coronary Artery Risk Development in Young Adults) to 40.4% (Bogalusa Heart Study). Discussion: There was wide variability across preconception cohort studies in the extent to which participants met FIGO dietary guidelines. Although studies were conducted in populations that were not likely to be malnourished, it was rare for women to meet all the preconception dietary recommendations. These findings illustrate a need for strategies to promote meeting dietary guidelines prior to conception to improve health outcomes. Full article

Background: Red meat, a significant source of heme iron, may influence iron status and metabolic health, particularly in Qatar, where consumption is high. Understanding these associations is essential for addressing iron deficiency and cardiovascular risk in this population. Methods: We conducted a cross-sectional study using data from 13,778 Qatari adults enrolled in the Qatar Biobank (men: n = 5770; women: n = 8008). Red meat intake was assessed via the Food Frequency Questionnaire and categorized as low (≤1/month), moderate (2–4/month), and high (≥5/month) intake. Hematological and metabolic biomarkers were analyzed. Two-sample t-tests compared biomarker levels by gender. Multiple linear regression examined associations between red meat intake and iron profile indicators, adjusting for age, gender, supplement use, diabetes, hypercholesterolemia, and hypertension. Results: High red meat consumption was associated with increased ferritin (Coef = 134.685, p < 0.001) and hemoglobin (Coef = 0.918, p = 0.017). Males showed higher hemoglobin (14.8–14.9 vs. 12.4–12.5 g/dL, p < 0.0001) and total cholesterol (5.17 ± 1.10 vs. 5.02 ± 1.01 mmol/L, p = 0.0125). TIBC showed no significant gender differences across categories (p > 0.15) but varied significantly within each gender across red meat consumption categories (males: p < 0.0000; females: p < 0.0000). Conclusions: Higher red meat intake is associated with improved iron status, particularly ferritin levels, and gender-specific effects on hemoglobin and cholesterol levels. Moderate red meat intake may support iron health while maintaining a favorable lipid profile. Full article

Background: Maternal nutrition is one of the main determinants of healthy pregnancy outcomes. The aim of this study is to investigate maternal nutritional risks and their relationship with gestational weight gain (GWG) among Saudi women. Methods: This is a cross-sectional study conducted in the antenatal clinics of a university hospital. The FIGO Nutrition Checklist was used to investigate the nutritional habits of pregnant women attending their regular antenatal visits. The FIGO tool includes a brief food frequency questionnaire (FFQ) and total nutritional risk score (NRS). Data on other variables were collected, including participant demographics and obstetric history. Current weight and height were extracted from nursing notes of the current visit, and the pre-pregnancy weight was self-reported by participants. GWG was reported and participants were classified according to IOM Guidelines. All data were analyzed using SPSS (Version 30, release September 2024) and p < 0.05 was defined as statistically significant. Results: A total of 570 pregnant women participated in the study, of whom 96% had at least one nutritional risk. More than 90% of participants reported sufficient folic acid intake, normal hemoglobin level and adequate meat and poultry intake. Only 23.9% of participants had sufficient fish intake and 24.6% reported proper sun exposure. Additionally, 10% of participants scored poorly on the FFQ, while 30% were classified as high-risk based on NRS scale. Poor nutritional scores were not associated with any clinical or socioeconomical variables. According to IOM guidelines, 26.3% of the participants achieved adequate GWG, while 49.5% had inadequate GWG, and 24.2% exceeded recommended GWG. Inadequate GWG was most common among those with low pre-pregnancy BMI (60%), followed by overweight (43.2%) and obese (37%) women. Neither parity nor nutritional scores significantly influenced GWG. Conclusions: Although poor nutritional quality and high nutritional risk are relatively uncommon among Saudi women, the prevalence rates remain consistent across all sociodemographic groups. This suggests widespread, uniform patterns of suboptimal dietary habits within the community. While GWG was not affected by nutritional status or parity of the participants, nearly half of participants had inadequate GWG, particularly those with a low pre-pregnancy BMI. Full article