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Search Results (378)

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26 pages, 10480 KiB  
Article
Monitoring Chlorophyll Content of Brassica napus L. Based on UAV Multispectral and RGB Feature Fusion
by Yongqi Sun, Jiali Ma, Mengting Lyu, Jianxun Shen, Jianping Ying, Skhawat Ali, Basharat Ali, Wenqiang Lan, Yiwa Hu, Fei Liu, Weijun Zhou and Wenjian Song
Agronomy 2025, 15(8), 1900; https://doi.org/10.3390/agronomy15081900 - 7 Aug 2025
Abstract
Accurate prediction of chlorophyll content in Brassica napus L. (rapeseed) is essential for monitoring plant nutritional status and precision agricultural management. The current study focuses on single cultivars, limiting general applicability. This study used unmanned aerial vehicle (UAV)-based RGB and multispectral imagery to [...] Read more.
Accurate prediction of chlorophyll content in Brassica napus L. (rapeseed) is essential for monitoring plant nutritional status and precision agricultural management. The current study focuses on single cultivars, limiting general applicability. This study used unmanned aerial vehicle (UAV)-based RGB and multispectral imagery to evaluate six rapeseed cultivars chlorophyll content across mixed-growth stages, including seedling, bolting, and initial flowering stages. The ExG-ExR threshold segmentation was applied to remove background interference. Subsequently, color and spectral indices were extracted from segmented images and ranked according to their correlations with measured chlorophyll content. Partial Least Squares Regression (PLSR), Multiple Linear Regression (MLR), and Support Vector Regression (SVR) models were independently established using subsets of the top-ranked features. Model performance was assessed by comparing prediction accuracy (R2 and RMSE). Results demonstrated significant accuracy improvements following background removal, especially for the SVR model. Compared to data without background removal, accuracy increased notably with background removal by 8.0% (R2p improved from 0.683 to 0.763) for color indices and 3.1% (R2p from 0.835 to 0.866) for spectral indices. Additionally, stepwise fusion of spectral and color indices further improved prediction accuracy. Optimal results were obtained by fusing the top seven color features ranked by correlation with chlorophyll content, achieving an R2p of 0.878 and an RMSE of 52.187 μg/g. These findings highlight the effectiveness of background removal and feature fusion in enhancing chlorophyll prediction accuracy. Full article
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20 pages, 753 KiB  
Article
Production of Vegan Ice Cream: Enrichment with Fermented Hazelnut Cake
by Levent Yurdaer Aydemir, Hande Demir, Zafer Erbay, Elif Kılıçarslan, Pelin Salum and Melike Beyza Ozdemir
Fermentation 2025, 11(8), 454; https://doi.org/10.3390/fermentation11080454 - 4 Aug 2025
Viewed by 305
Abstract
The growing demand for sustainable plant-based dairy alternatives has spurred interest in valorizing agro-industrial byproducts like hazelnut cake, a protein-rich byproduct of oil extraction. This study developed formulations for vegan ice cream using unfermented (HIC) and Aspergillus oryzae-fermented hazelnut cake (FHIC), comparing [...] Read more.
The growing demand for sustainable plant-based dairy alternatives has spurred interest in valorizing agro-industrial byproducts like hazelnut cake, a protein-rich byproduct of oil extraction. This study developed formulations for vegan ice cream using unfermented (HIC) and Aspergillus oryzae-fermented hazelnut cake (FHIC), comparing their physicochemical, functional, and sensory properties to conventional dairy ice cream (DIC). Solid-state fermentation (72 h, 30 °C) enhanced the cake’s bioactive properties, and ice creams were characterized for composition, texture, rheology, melting behavior, antioxidant activity, and enzyme inhibition pre- and post-in vitro digestion. The results indicate that FHIC had higher protein content (64.64% vs. 58.02% in HIC) and unique volatiles (e.g., benzaldehyde and 3-methyl-1-butanol). While DIC exhibited superior overrun (15.39% vs. 4.01–7.00% in vegan samples) and slower melting, FHIC demonstrated significantly higher post-digestion antioxidant activity (4.73 μmol TE/g DPPH vs. 1.44 in DIC) and angiotensin-converting enzyme (ACE) inhibition (4.85–7.42%). Sensory evaluation ranked DIC highest for overall acceptability, with FHIC perceived as polarizing due to pronounced flavors. Despite textural challenges, HIC and FHIC offered nutritional advantages, including 18–30% lower calories and enhanced bioactive compounds. This study highlights fermentation as a viable strategy to upcycle hazelnut byproducts into functional vegan ice creams, although the optimization of texture and flavor is needed for broader consumer acceptance. Full article
(This article belongs to the Topic Fermented Food: Health and Benefit)
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23 pages, 2059 KiB  
Systematic Review
Comparative Effectiveness of Nutritional Supplements in the Treatment of Knee Osteoarthritis: A Network Meta-Analysis
by Yuntong Zhang, Yunfei Gui, Roger Adams, Joshua Farragher, Catherine Itsiopoulos, Keegan Bow, Ming Cai and Jia Han
Nutrients 2025, 17(15), 2547; https://doi.org/10.3390/nu17152547 - 3 Aug 2025
Viewed by 440
Abstract
Background: Knee osteoarthritis (KOA) is a prevalent degenerative joint disease that can greatly affect quality of life in middle-aged and elderly individuals. Nutritional supplements are increasingly used for KOA due to their low risk, but direct comparative evidence on their efficacy and [...] Read more.
Background: Knee osteoarthritis (KOA) is a prevalent degenerative joint disease that can greatly affect quality of life in middle-aged and elderly individuals. Nutritional supplements are increasingly used for KOA due to their low risk, but direct comparative evidence on their efficacy and safety remains scarce. This study aimed to systematically compare the effectiveness and safety of seven common nutritional supplements for KOA. Methods: A systematic review and network meta-analysis were conducted following PRISMA guidelines. Embase, PubMed, and the Cochrane Library were searched through December 2024 for randomized controlled trials (RCTs) evaluating use of eggshell membrane, vitamin D, Boswellia, curcumin, ginger, krill oil, or collagen, versus placebo, in adults with KOA. Primary outcomes included changes in scores for WOMAC pain, stiffness and function, and pain visual analog scale (VAS). Adverse events were also assessed. Bayesian network meta-analyses estimated ranking probabilities for each intervention. Results: In total, 39 RCTs (42 studies; 4599 patients) were included. Compared with placebo, Boswellia showed significant improvements in WOMAC pain (mean difference [MD] = 10.58, 95% CI: 6.45 to 14.78, p < 0.05), stiffness (MD = 9.47, 95% CI: 6.39 254 to 12.74, p < 0.05), function (MD = 14.00, 95% CI: 7.74 to 20.21, p < 0.05), and VAS pain (MD = 17.26, 95% CI: 8.06 to 26.52, p < 0.05). Curcumin, collagen, ginger, and krill oil also demonstrated benefits in some outcomes. No supplement was associated with increased adverse events compared to placebo. Bayesian rankings indicated Boswellia had the highest probability of being most effective for pain and stiffness, with krill oil and curcumin showing potential for function improvement. Conclusions: Nutritional supplements, particularly Boswellia, appear to be effective and well-tolerated for improving KOA symptoms and function. These results suggest that certain supplements may be useful as part of non-pharmacological KOA management. However, further large-scale, well-designed randomized controlled trials (RCTs) are needed to confirm these findings, particularly those that include more standardized dosages and formulations, as well as to evaluate their long-term efficacy. Full article
(This article belongs to the Section Nutrition Methodology & Assessment)
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19 pages, 1086 KiB  
Article
The Value of the Naples Prognostic Score at Diagnosis as a Predictor of Cervical Cancer Progression
by Seon-Mi Lee, Hyunkyoung Seo, Seongmin Kim, Hyun-Woong Cho, Kyung-Jin Min, Sanghoon Lee, Jin-Hwa Hong, Jae-Yun Song, Jae-Kwan Lee and Nak-Woo Lee
Medicina 2025, 61(8), 1381; https://doi.org/10.3390/medicina61081381 - 30 Jul 2025
Viewed by 206
Abstract
Background and Objectives: The Naples prognostic score (NPS), which incorporates inflammatory and nutritional indicators, is increasingly used as a prognostic score for various malignancies. Nonetheless, few studies have specifically evaluated the NPS as a prognostic factor for cervical cancer. This study aimed [...] Read more.
Background and Objectives: The Naples prognostic score (NPS), which incorporates inflammatory and nutritional indicators, is increasingly used as a prognostic score for various malignancies. Nonetheless, few studies have specifically evaluated the NPS as a prognostic factor for cervical cancer. This study aimed to assess the value of NPS at diagnosis as a predictor of cancer progression. Materials and Methods: This study included patients diagnosed with cervical cancer at Korea University Anam Hospital from January 2019 to December 2023. Patients with incomplete data or those who were lost to follow-up were excluded. The NPS was calculated based on laboratory results at the time of diagnosis, categorizing patients into the low-NPS group (NPS 0–1) and high-NPS group (NPS ≥ 2). Survival analysis was performed using the Kaplan–Meier method and log-rank test. Univariate and multivariate Cox proportional hazards models were used to identify independent prognostic factors. Results: Out of 178 patients, 98 and 80 were categorized into the low-NPS and high-NPS groups, respectively. Kaplan–Meier survival analysis showed that the high-NPS group had significantly lower disease-free survival (DFS) (p < 0.001) and overall survival (OS) (p = 0.02) rates than the low-NPS group. Multivariate Cox regression analysis identified the NPS as an independent prognostic factor for DFS (adjusted hazard ratio, 1.98; p = 0.017), but not for OS. Conclusions: This study demonstrated that the NPS measured at diagnosis may serve as a useful independent prognostic factor for cancer progression in patients with cervical cancer. Full article
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12 pages, 239 KiB  
Article
The Range and Direction of Changes in the Classification of the Body Mass Index in Children Measured Between the Ages of 6 and 10 in Gdansk, Poland (Longitudinal Studies)
by Marek Jankowski, Aleksandra Niedzielska, Jacek Sein Anand, Beata Wolska and Paulina Metelska
Nutrients 2025, 17(15), 2399; https://doi.org/10.3390/nu17152399 - 23 Jul 2025
Viewed by 294
Abstract
Background/Objectives: Body Mass Index (BMI) is a widely used indicator of children’s nutritional status and helps identify risks of being underweight and overweight during development. Understanding how BMI classifications evolve over time is crucial for early intervention and public health planning. This study [...] Read more.
Background/Objectives: Body Mass Index (BMI) is a widely used indicator of children’s nutritional status and helps identify risks of being underweight and overweight during development. Understanding how BMI classifications evolve over time is crucial for early intervention and public health planning. This study aimed to determine the scope and direction of changes in BMI classification among children between the ages of 6 and 10. Methods: This longitudinal study included 1026 children (497 boys and 529 girls) from Gdansk, Poland. Standardized anthropometric measurements were collected at ages 6 and 10. BMI was calculated and classified using international reference systems (IOTF and OLAF). BMI classification changes were analyzed using rank transformations and Pearson correlation coefficients (p < 0.05) to explore relationships between body measurements. Results: Most children (76.51%) retained their BMI classifications over the four-year period. However, 23.49% experienced changes, with boys more often moving to a higher BMI category (15.29%) and girls more frequently shifting to a lower category (14.03%). The prevalence of children classified as living with obesity declined between ages 6 and 10, while both overweight and underweight classifications slightly increased. Strong correlations were observed between somatic features and BMI at both ages. Conclusions: The stability of BMI classification over time underscores the importance of early identification and sustained monitoring of nutritional status. The sex-specific patterns observed highlight the importance of targeted health promotion strategies. In this context, incorporating dietary interventions—such as promoting balanced meals and reducing unhealthy food intake—could play a significant role in maintaining healthy BMI trajectories and preventing both obesity and undernutrition during childhood. Full article
20 pages, 1776 KiB  
Review
Comparative Effectiveness of Exercise, Protein Supplementation, and Combined Interventions for Sarcopenia Management in Women: A Network Meta-Analysis
by Ruixiang Yan, Wenrui Huang, Yuanhao Zhong and Xuelian Du
Nutrients 2025, 17(15), 2392; https://doi.org/10.3390/nu17152392 - 22 Jul 2025
Viewed by 573
Abstract
Background/Objectives: The comparative efficacy and optimal combination strategies of exercise intervention, nutritional supplementation, and their integration for older women with sarcopenia remain inadequately supported by high-quality evidence. Methods: We systematically searched PubMed, Embase, Web of Science, and the Cochrane Central Register [...] Read more.
Background/Objectives: The comparative efficacy and optimal combination strategies of exercise intervention, nutritional supplementation, and their integration for older women with sarcopenia remain inadequately supported by high-quality evidence. Methods: We systematically searched PubMed, Embase, Web of Science, and the Cochrane Central Register of Controlled Trials (CENTRAL) until February 2025. A frequentist random-effects network meta-analysis was conducted to compare the relative effects of different interventions. The quality of evidence was assessed using the GRADE framework, and interventions were ranked based on relative efficacy and evidence certainty. Results: A total of 21 randomized controlled trials involving 1215 participants were included. The network meta-analysis showed that combined exercise and nutritional interventions were the most effective in improving handgrip strength (MD = 1.95, 95% CI: 0.1 to 3.18; SUCRA = 74%), usual gait speed (MD = 0.11, 95% CI: 0.04 to 0.17; SUCRA = 94.49%), maximum gait speed (MD = 0.22, 95% CI: 0.06 to 0.38; SUCRA = 82.17%), and appendicular skeletal muscle mass (MD = 0.21, 95% CI: 0.05 to 0.38; SUCRA = 92.83%). Exercise alone significantly improved knee extension strength (SMD = 0.75, 95% CI: 0.41 to 1.08; SUCRA = 84.58%). However, nutritional supplementation alone did not significantly improve any outcome. No intervention demonstrated a significant effect on skeletal muscle mass index. Conclusion: Exercise interventions effectively enhance muscle mass, strength, and physical function in older women with sarcopenia. Combined exercise and nutritional supplementation may offer superior benefits compared with exercise alone. Full article
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22 pages, 867 KiB  
Article
Occurrence of Potentially Toxic Metals Detected in Milk and Dairy Products in Türkiye: An Assessment in Terms of Human Exposure and Health Risks
by Burhan Basaran
Foods 2025, 14(15), 2561; https://doi.org/10.3390/foods14152561 - 22 Jul 2025
Viewed by 512
Abstract
This study investigated ten potential toxic metals (PTMs) in six milk and dairy product types and evaluated food safety (TDI, RDA), human exposure (EDI), non-carcinogenic risk (THQ, HI), and contamination levels (CF, PLI). Based on total PTM load, products ranked as: children’s milk [...] Read more.
This study investigated ten potential toxic metals (PTMs) in six milk and dairy product types and evaluated food safety (TDI, RDA), human exposure (EDI), non-carcinogenic risk (THQ, HI), and contamination levels (CF, PLI). Based on total PTM load, products ranked as: children’s milk > yogurt > protein milk > milk > ayran > kefir. Aluminum (Al) showed the highest average concentration in all products except ayran, where manganese (Mn) was dominant. Cadmium (Cd), mercury (Hg), and lead (Pb) were consistently at the lowest levels. Except for chromium (Cr) exposure from children’s milk, all average and maximum EDI values stayed below TDI and RDA thresholds. Children’s milk had the highest non-carcinogenic risk, while yogurt, kefir, milk, and ayran may also pose potential risks when maximum HI values are considered. Although CF values varied across products, PLI results showed all products had high levels of PTM contamination. Given the widespread consumption of dairy across all age groups, especially by sensitive populations like children, monitoring and controlling PTM levels is crucial alongside ensuring nutritional quality. Full article
(This article belongs to the Section Dairy)
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17 pages, 1731 KiB  
Article
The Effect of Duck Breeds on Carcass Composition and Meat Quality at Different Slaughter Ages
by Lixia Wang, Xing Chen, Yu Yang, Shengqiang Ye, Ping Gong, Yanan Wang, Mingli Zhai, Yan Wu and Yunguo Qian
Animals 2025, 15(14), 2106; https://doi.org/10.3390/ani15142106 - 16 Jul 2025
Viewed by 313
Abstract
Meat quality is influenced by factors such as age, breed, slaughter weight, and nutrition. This study investigated the growth performance, slaughter performance, and meat quality of ducks across different breeds and ages. Results indicated that at the same age, significant differences in body [...] Read more.
Meat quality is influenced by factors such as age, breed, slaughter weight, and nutrition. This study investigated the growth performance, slaughter performance, and meat quality of ducks across different breeds and ages. Results indicated that at the same age, significant differences in body weight were observed among breeds (p < 0.05), with the weight ranking in descending order as follows: Cherry Valley ducks (C) > Wuqin 10 meat ducks (W) > Mianyang Partridge ducks (M) > Liancheng White ducks (L). A comparison of the same breed across different ages revealed that the pectoral muscle ratio tended to increase with age, whereas the leg muscle ratio showed the opposite trend; however, total meat production gradually rose. At all three growth stages, C ducks exhibited higher body weight and meat yield than the other breeds. W ducks demonstrated excellent meat quality traits and appropriate meat production, with indices such as shear force, water-holding capacity, and fat content all higher than those of the other breeds. L ducks and M ducks had relatively lower body weight and meat production compared to the other breeds, yet their shear force and water-holding capacity were superior to those of C ducks. The analysis of meat quality at different times showed that across all breeds, shear force, meat color, muscle fiber diameter, crude protein content, and fat content increased with age, while drip loss rate and muscle fiber density decreased. A comprehensive multi-index evaluation model for duck meat quality under different breeds was established, along with a four-factor principal component model (Z1, Z2, Z3, Z4). Using the comprehensive ranking equation K, the meat quality performance of different breeds at various ages, in descending order, was as follows: 63-day-old W > 90-day-old M > 63-day-old C > 90-day-old L > 63-day-old M > 90-day-old C > 63-day-old L > 90-day-old W > 42-day-old C > 42-day-old W. This study not only provides a theoretical basis for evaluating meat quality traits in different duck breeds but also offers insights for breed selection and age-related quality optimization. Full article
(This article belongs to the Section Poultry)
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20 pages, 1340 KiB  
Article
Assessment of Soil and Plant Nutrient Status, Spectral Reflectance, and Growth Performance of Various Dragon Fruit (Pitaya) Species Cultivated Under High Tunnel Systems
by Priyanka Belbase, Krishnaswamy Jayachandran and Maruthi Sridhar Balaji Bhaskar
Soil Syst. 2025, 9(3), 75; https://doi.org/10.3390/soilsystems9030075 - 14 Jul 2025
Viewed by 326
Abstract
Dragon fruit or pitaya (Hylocereus sp.) is an exotic tropical plant gaining popularity in the United States as it is a nutrient-rich fruit with mildly sweet flavor and a good source of fiber. Although high tunnels are being used to produce specialized [...] Read more.
Dragon fruit or pitaya (Hylocereus sp.) is an exotic tropical plant gaining popularity in the United States as it is a nutrient-rich fruit with mildly sweet flavor and a good source of fiber. Although high tunnels are being used to produce specialized crops, little is known about how pitaya growth, physiology and nutrient uptake change throughout the production period. This study aims to evaluate the impact of high tunnels and varying rates of vermicompost on three varieties of pitaya, White Pitaya (WP), Yellow Pitaya (YP), and Red Pitaya (RP), to assess the soil and plant nutrient dynamics, spectral reflectance changes and plant growth. Plants were assessed at 120 and 365 DAP (Days After Plantation). YP thrived in a high tunnel compared to an open environment in terms of survival before 120 DAP, with no diseased incidence and higher nutrient retention. The nutrient accumulation in the RP, WP, and YP shoot samples 120 DAP were ranked in the following order, K > N > Ca > Mg > P > Fe > Zn > B > Mn, while 365 DAP, they were ranked as K > Ca > N > Mg > P > S > Fe > Zn > B > Mn. The nutrient accumulation in the RP, WP, and YP, soil samples 120 and 365 DAP were ranked in the following order: N > Ca > Mg > P > K > Na > Zn. Soil nutrients showed a higher concentration of Na and K grown inside the high tunnels in all three pitaya species due to the increased concentration of soluble salts. Spectral reflectance analysis showed that RP and WP had higher reflectance in the visible and NIR region compared to YP due to their higher plant biomass and canopy cover. This study emphasizes the importance of environmental conditions, nutrition strategies, and plant physiology in the different pitaya plant species. The results suggest that high tunnels with appropriate vermicompost can enhance pitaya growth and development. Full article
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19 pages, 808 KiB  
Article
Nutritional and Organoleptic Characterization of Two Quinoa (Chenopodium quinoa) Cultivars Grown in Quebec, Canada
by Aria Haiying Huang, Sophie Turcot, Nancy Graveline, Marylène Pelletier, Hugues Plourde, Sébastien Villeneuve and Isabelle Germain
Foods 2025, 14(13), 2394; https://doi.org/10.3390/foods14132394 - 7 Jul 2025
Viewed by 508
Abstract
Quinoa (Chenopodium quinoa) cultivation and consumption have been increasing globally for its nutritional value and agricultural adaptability, with over 120 countries involved in its production. In Canada, quinoa is cultivated as a specialty crop to increase crop diversity and support agroresilience. [...] Read more.
Quinoa (Chenopodium quinoa) cultivation and consumption have been increasing globally for its nutritional value and agricultural adaptability, with over 120 countries involved in its production. In Canada, quinoa is cultivated as a specialty crop to increase crop diversity and support agroresilience. This study is the first to examine quinoa cultivars grown under northern Quebec conditions and to provide a nutritional and sensory characterization of two Quebec (Canada) varieties (Sweet and Bitter) in comparison to the Bolivian reference cultivar, Royal White. Analyses included proximate composition, amino acids, fatty acids, phenolics, and anti-nutrients. Sensory evaluations involved hedonic and bitterness ranking tests. Bolivian cultivar had higher omega-3 content, while the Quebec cultivars showed favorable protein and lipid profiles, with better lipid health indexes. Protein quality was comparable between the Bolivian and Sweet cultivars. The overall flavor appreciation was similar among twice-brushed Bitter cultivar and Bolivian samples. The Bolivian sample received a better score for texture. Descriptive flavor data support the development of a quinoa flavor lexicon. Notably, total saponins content, commonly used as a bitterness indicator, did not consistently correlate with perceived bitterness, emphasizing the need for a standardized quantification method for cultivar selection and further investigation into other flavor-contributing compounds. Full article
(This article belongs to the Section Food Nutrition)
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19 pages, 1839 KiB  
Article
South African Consumer Attitudes Towards Plant Breeding Innovation
by Mohammed Naweed Mohamed, Magdeleen Cilliers, Jhill Johns and Jan-Hendrik Groenewald
Sustainability 2025, 17(13), 6089; https://doi.org/10.3390/su17136089 - 3 Jul 2025
Viewed by 434
Abstract
South Africa’s bioeconomy strategy identifies bio-innovation as a key driver of economic growth and social development, with plant breeding playing a central role in improving food security through the development of high-yielding, resilient, and high-quality crops. However, consumer perceptions of recent advances, particularly [...] Read more.
South Africa’s bioeconomy strategy identifies bio-innovation as a key driver of economic growth and social development, with plant breeding playing a central role in improving food security through the development of high-yielding, resilient, and high-quality crops. However, consumer perceptions of recent advances, particularly new breeding techniques (NBTs), remain underexplored. This study examines South African consumer attitudes towards plant breeding innovations, using a mixed-methods approach. The initial focus group interviews informed the development of a structured quantitative survey examining familiarity, perceptions, and acceptance of plant breeding technologies. Consumer awareness of plant breeding principles was found to be limited, with 67–68% of respondents unfamiliar with both conventional and modern plant breeding procedures. Despite this information gap, consumers expressed conditional support for modern breeding techniques, especially when associated with actual benefits like increased nutritional value, environmental sustainability, and crop resilience. When favourable effects were outlined, support for general investment in modern breeding practices climbed from 45% to 74%. Consumer purchase decisions emphasised price, product quality, and convenience over manufacturing techniques, with sustainability ranked last among the assessed factors. Trust in the sources of food safety information varied greatly, with medical experts and scientists being ranked highly, while government sources were viewed more sceptically. The results further suggest that targeted education could improve customer confidence, as there is a significant positive association (R2 = 0.938) between familiarity and acceptance. These findings emphasise the significance of open communication strategies and focused consumer education in increasing the adoption of plant breeding breakthroughs. The study offers useful insights for policymakers, researchers, and industry stakeholders working on engagement strategies to facilitate the ethical growth and application of agricultural biotechnology in support of food security and quality in South Africa. This study contributes to a better understanding of South African consumers’ perceptions of plant breeding innovations and food safety. The research findings offer valuable insights for policymakers, researchers, and industry stakeholders in developing effective engagement and communication strategies that address consumer concerns and promote the adoption of products derived from diverse plant breeding technologies. Full article
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20 pages, 1783 KiB  
Review
Beyond Muscle Weakness: Unraveling Endocrine and Metabolic Dysfunctions in Duchenne Muscular Dystrophy, a Narrative Review
by Giuseppe Cannalire, Giacomo Biasucci, Vanessa Sambati, Tommaso Toschetti, Arianna Maria Bellani, Anna-Mariia Shulhai, Federica Casadei, Erika Rita Di Bari, Francesca Ferraboschi, Cecilia Parenti, Maria Carmela Pera, Susanna Esposito and Maria Elisabeth Street
Biomedicines 2025, 13(7), 1613; https://doi.org/10.3390/biomedicines13071613 - 1 Jul 2025
Viewed by 908
Abstract
Background: Duchenne muscular dystrophy (DMD) is a severe X-linked neuromuscular disorder caused by mutations in the DMD gene, leading to progressive muscle degeneration, loss of ambulation, and multi-systemic complications. Beyond its impact on mobility, DMD is associated with significant endocrine and metabolic dysfunctions [...] Read more.
Background: Duchenne muscular dystrophy (DMD) is a severe X-linked neuromuscular disorder caused by mutations in the DMD gene, leading to progressive muscle degeneration, loss of ambulation, and multi-systemic complications. Beyond its impact on mobility, DMD is associated with significant endocrine and metabolic dysfunctions that develop over time. Objective: To provide a comprehensive analysis of growth disturbances, endocrine dysfunctions, and metabolic complications in DMD including bone metabolism, considering the underlying mechanisms, clinical implications, and management strategies for daily clinical guidance. Methods: In this narrative review, an evaluation of the literature was conducted by searching the Medline database via the PubMed, Scopus, and Web of Science interfaces. Results: Growth retardation is a hallmark feature of DMD, with patients exhibiting significantly shorter stature compared to their healthy peers. This is exacerbated by long-term glucocorticoid therapy, which disrupts the growth hormone/insulin-like growth factor-1 (GH/IGF-1) axis and delays puberty. Obesity prevalence follows a biphasic trend, with increased risk in early disease stages due to reduced mobility and corticosteroid use, followed by a decline in body mass index (BMI) in later stages due to muscle wasting. Metabolic complications, including insulin resistance, altered lipid metabolism, and hepatic steatosis, further characterize disease burden. Osteoporosis and increased fracture risk, primarily due to reduced mechanical loading and glucocorticoid-induced bone resorption, are major concerns, needing early screening and intervention. The RANK/RANKL/OPG signaling pathway has emerged as a critical factor in bone deterioration, providing potential therapeutic targets for improving skeletal health. Conclusions: Growth and endocrine disorders in DMD are complex and multifactorial, requiring proactive monitoring and early intervention. Addressing these issues requires a multidisciplinary approach integrating endocrine, nutritional, and bone health management. Further research is essential to refine treatment strategies that mitigate growth and metabolic disturbances while preserving overall patient well-being. Full article
(This article belongs to the Special Issue Musculoskeletal Diseases: From Molecular Basis to Therapy (Volume II))
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24 pages, 3344 KiB  
Review
Effects of Nutritional Supplements on Endurance Performance and Subjective Perception in Athletes Exercising in the Heat: A Systematic Review and Network Meta-Analysis
by Jiahao Li, Shuning Liu, Siqi Wang, Yutong Wu, Liu Yang, Qi Luo, Zixiao Li, Shengxin Yang, Kai Zhao and Chang Liu
Nutrients 2025, 17(13), 2141; https://doi.org/10.3390/nu17132141 - 27 Jun 2025
Viewed by 2365
Abstract
Objectives: This study aimed to evaluate the efficacy of various nutritional supplements in enhancing endurance performance and subjective thermal perception in athletes exposed to high-temperature environments through a systematic review and network meta-analysis. Methods: A comprehensive search was conducted in PubMed, [...] Read more.
Objectives: This study aimed to evaluate the efficacy of various nutritional supplements in enhancing endurance performance and subjective thermal perception in athletes exposed to high-temperature environments through a systematic review and network meta-analysis. Methods: A comprehensive search was conducted in PubMed, Embase, Web of Science, Cochrane Library, and EBSCOhost from inception to January 2025. Studies were included if they evaluated the effects of nutritional supplements on either endurance performance or subjective thermal perception in athletes under heat stress. Two independent reviewers screened the literature, extracted data, and assessed the risk of bias. A network meta-analysis was performed using R software (version 4.3.1). The search was limited to English-language publications and employed both MeSH and free-text terms related to “athletes,” “nutritional supplements,” and “exercise performance,” using Boolean operators (AND/OR) to construct the strategy. Results: Twenty-five randomized controlled trials (RCTs) involving 552 participants were included, yielding 22 comparisons: 18 assessed endurance performance, and 11 assessed subjective perception. Standardized mean differences (SMDs) and posterior probabilities (P-scores based on Bayesian ranking) were calculated using random-effects and Bayesian models. Menthol (SMD = −1.83, 95% CI [−3.15, −0.51]; P-score = 71.04%) and taurine (SMD = 0.91, 95% CI [0.08, 1.73]; P-score = 12.75%) demonstrated significant positive effects on endurance. Menthol energy gel showed the greatest improvement in thermal comfort (SMD = 2.14, 95% CI [1.01, 3.26]; P-score = 99.54%). Conclusions: Menthol and taurine appear effective in enhancing endurance in hot environments, while menthol energy gel substantially improves perceived thermal comfort. Future research should apply stricter controls regarding environmental conditions, supplement dosage, and participant characteristics. While individual supplements may offer limited benefits, synergistic combinations may yield greater improvements in performance and comfort. Full article
(This article belongs to the Section Sports Nutrition)
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10 pages, 847 KiB  
Article
Impact of a 12-Week Hypocaloric Weight Loss Diet with Mixed Tree Nuts vs. Pretzels on Trimethylamine-N-Oxide (TMAO) Levels in Overweight Adults
by Onkei Lei, Jieping Yang, Hannah H. Kang and Zhaoping Li
Nutrients 2025, 17(13), 2137; https://doi.org/10.3390/nu17132137 - 27 Jun 2025
Viewed by 546
Abstract
Trimethylamine N-oxide (TMAO), a gut microbiome metabolite linked to cardiovascular health, can be influenced by dietary factors like choline intake and diet quality. This study compared the effects of mixed tree nuts (MTNs) and pretzels, as part of a 12-week hypocaloric weight loss [...] Read more.
Trimethylamine N-oxide (TMAO), a gut microbiome metabolite linked to cardiovascular health, can be influenced by dietary factors like choline intake and diet quality. This study compared the effects of mixed tree nuts (MTNs) and pretzels, as part of a 12-week hypocaloric weight loss diet, on TMAO levels and identified dietary predictors. Methods: Plasma samples from 95 overweight individuals consuming either 1.5 oz. of mixed tree nuts (MTNs, n = 56) or isocaloric pretzels (n = 39) daily for 12 weeks were analyzed. Nutritional data were collected at baseline and week 12 through dietary recall using the Automated Self-Administered 24 h Dietary Assessment Tool (ASA24), and the overall diet quality was assessed via the Healthy Eating Index (HEI) score. TMAO levels were determined and analyzed using linear mixed-effect models, adjusting for covariates. Wilcoxon signed-rank tests compared baseline and week 12 TMAO and weight. Multiple linear regression identified baseline predictors of TMAO. Results: Baseline demographics, anthropometric measures, HEI scores, and dietary choline intake were similar between the MTN and pretzel groups. A significant positive association was observed between baseline dietary choline and plasma TMAO levels (p = 0.012). The 12-week hypocaloric diet led to significant weight reduction in both groups (p < 0.01), but the magnitude of weight loss did not differ significantly between the MTN (−3.47 lbs) and pretzel (−4.25 lbs) groups (p = 0.18). Plasma TMAO levels decreased significantly in both groups (p < 0.01), but the between-group difference in reduction was not significant. (MTNs: −0.34 vs. pretzels: −0.37; p = 0.43). HEI scores and dietary choline intake remained unchanged, with no significant time–intervention interaction. Participants with low baseline HEI scores (≤53.72) had a more pronounced reduction in TMAO levels in the MTN group compared to the pretzel group (MTN: −0.54 vs. pretzel: −0.23; p = 0.045) over 12 weeks, despite similar weight loss. This difference was not observed in participants with higher HEI scores. Conclusions: The 12-week hypocaloric diet reduced body weight and plasma TMAO levels similarly in both MTN and pretzel groups. Participants with lower dietary quality saw a greater reduction in TMAO levels in the MTN group, suggesting MTNs may better modulate TMAO levels, especially for those with poorer baseline diets. Full article
(This article belongs to the Special Issue Impact of Optimized Nutritional Strategies on Weight Control)
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Article
High Dietary Phosphorus Impairs Bone Microarchitecture and Induces Alterations in the LGR4–R-Spondins Axis in Rats with Normal Renal Function
by Sara Fernández-Villabrille, Francisco Baena-Huerta, Laura Suárez-Fernández, Elena Nefyodova, Paula Calvó, Nerea González-García, Helena Gil-Peña, Carlos Gómez-Alonso, Cristina Alonso-Montes, Manuel Naves-Díaz, Christa Maes, Natalia Carrillo-López and Sara Panizo
Nutrients 2025, 17(12), 2049; https://doi.org/10.3390/nu17122049 - 19 Jun 2025
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Abstract
Background: The increasing prevalence of processed foods has significantly elevated dietary phosphorus intake globally, posing a risk to skeletal health. Elevated serum phosphate promotes parathyroid hormone (PTH) release, leading to bone resorption and decreased bone formation. Objective: This study investigated the influence [...] Read more.
Background: The increasing prevalence of processed foods has significantly elevated dietary phosphorus intake globally, posing a risk to skeletal health. Elevated serum phosphate promotes parathyroid hormone (PTH) release, leading to bone resorption and decreased bone formation. Objective: This study investigated the influence of chronically elevated phosphorus intake on bone structure in rats with normal renal function, focusing on the Receptor Activator of Nuclear factor Kappa-B (RANK)/RANK ligand (RANKL)/osteoprotegerin (OPG) pathway and its related components, leucine rich repeat containing G protein-coupled receptor 4 (LGR4), and R-spondins (RSPOs). Methods: Rats were fed a high-phosphorus diet, followed by assessment of the bone microstructure and of the expression of key signalling molecules. Results: Elevated phosphorus intake induced significant bone deterioration, particularly in the trabecular bone compartment, associated with alterations in the RANK/RANKL/OPG pathway and in the LGR4 and RSPO1 and RSPO4 signalling components in bone. Moreover, we also observed changes in RANKL, RSPO1 and RSPO4 serum levels in the rats that had received a high-phosphorus diet. Conclusions: These findings highlight the detrimental impact of excessive dietary phosphorus on skeletal health, even without renal impairment, and suggest that components of this pathway, particularly RSPO1 and RSPO4, could serve as potential biomarkers of bone deterioration. The widespread consumption of phosphorus-rich processed foods underscores the importance of nutritional education to mitigate these skeletal risks in industrialized populations. Full article
(This article belongs to the Section Micronutrients and Human Health)
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