Search Results (1,078)

Livestock contributes to economic stability and food security by providing income, employment, and nutrient-dense animal-source foods, particularly in low- and middle-income regions. However, the sector is also a major source of anthropogenic greenhouse gas emissions, primarily methane, nitrous oxide, and carbon dioxide, raising growing environmental and public health concerns. This review synthesizes current evidence on strategies to mitigate greenhouse gas emissions from livestock systems while safeguarding productivity, food security, and human health. Emphasis is placed on the need to balance supply-side mitigation measures with demand-side interventions to avoid unintended nutritional and socio-economic consequences. Key supply-side approaches discussed include genetic improvement, optimized feeding strategies, manure and land resource management, and system-level efficiency gains. Demand-side strategies include food loss and waste reduction, shifts toward sustainable dietary patterns, and the development of alternative protein sources. Central to this review is the integration of these approaches within a planetary health framework, highlighting the interconnectedness of environmental sustainability, human and animal health, and socio-economic resilience. The review underscores that mitigation policies should be context-specific, equity-focused, and health-centered to ensure that climate goals are met without compromising access to affordable, nutritious foods. Collectively, the evidence indicates that coordinated policy action across production, consumption, and health systems is essential for achieving sustainable animal-source food production with reduced climate impact. Full article

Parkinson’s disease (PD) is the second most common neurodegenerative disease, characterized by motor and non-motor symptoms that significantly impact patients’ quality of life. Beyond pharmacological treatments, nutrition plays a crucial role in the prevention and management of the disease. Nutritional interventions represent a pivotal strategy for improving clinical outcomes and quality of life in PD patients, addressing issues such as delayed gastric emptying, constipation, weight loss, malnutrition, and chewing or swallowing difficulties. A plant-based diet is particularly suitable for such patients, due to its high fiber content which can enhance gastrointestinal motility, thereby improving levodopa bioavailability, and potentially ameliorateing PD symptoms. For this reason, alongside neurological support, PD patients should receive nutritional counseling. Moreover, food choices can influence the risk of developing the disease: a high consumption of dairy products has been associated with an increased risk of PD; conversely, many plant foods could elicit neuroprotective effects thanks to beneficial phytochemicals such as flavonoids, especially anthocyanins. Furthermore, a moderate coffee consumption could reduce PD risk and progression. The aim of this review is to explore the impact of dietary factors on the risk and progression of PD, evaluate the therapeutic potential of specific foods and dietary patterns in disease management, and highlight the clinical significance of nutritional interventions, specifically focusing on plant-based diets. Full article

Patients with hepatocellular carcinoma (HCC) often sit at the crossroads of malignancy and chronic liver disease, where impaired hepatic reserve, systemic inflammation, and treatment-related stress accelerate loss of skeletal muscle mass and function. In this narrative review, we synthesize current evidence on the two-way relationship between sarcopenia and HCC management across curative and palliative settings. We outline key biological pathways—altered energy substrate use, amino acid imbalance, hyperammonemia-related signaling, and inflammatory and hormonal perturbations—that promote progressive muscle wasting, and we summarize how sarcopenia influences tolerance, complications, and outcomes of surgery, locoregional therapies, and systemic agents. We then translate the literature into practical supportive-care principles, including adequate energy and protein delivery, optimized meal distribution (including late-evening snacks), and selected supplementation alongside hepatic rehabilitation/exercise. Potential adjuncts discussed include branched-chain amino acids, L-carnitine, vitamin D, zinc, and other micronutrients. Because the available data are heterogeneous and largely derived from observational cohorts or extrapolated from cirrhosis populations, HCC-specific randomized trials and standardized intervention protocols remain limited. Therefore, nutritional and exercise recommendations should be individualized according to tumor stage, hepatic function, comorbidities, and treatment goals, and viewed as supportive guidance that requires confirmation in well-designed prospective studies. Full article

Background/Objectives: Given the lack of clarity regarding how maternal overnutrition during pregnancy regulates offspring metabolic health, our study intends to explore the specific influences of maternal Western diet (WD) exposure on neonatal islet cell development and heterogeneity. Methods: Using a WD-induced gestational diabetes mellitus (GDM) rat model, we assessed glucose homeostasis via blood glucose and serum insulin levels. Target protein expression and islet function were evaluated using immunofluorescence and insulin secretion assays, respectively. To delineate alterations in cellular heterogeneity, we subsequently performed single-cell RNA sequencing (scRNA-seq) on isolated islet cells. Results: Maternal WD exposure induced significant glucose intolerance and insulin resistance, confirming GDM establishment. Their neonatal offspring consequently displayed disrupted glucose homeostasis, characterized by concurrent hypoglycemia, hyperinsulinemia, and enhanced insulin secretion. ScRNA-seq analysis further identified the enhanced endocrine cells in GDM-offspring islets, with imbalanced α/β-cell subsets—specifically, reduced immature α1/β1 subsets and expanded mature α2/β2/β3/β4 subsets, alongside upregulated expression of insulin- and glucagon-related genes (Ins1, Ins2, Gcg). Notably, β cells in GDM offspring displayed metabolic hyperactivity (enriched ribosomal and glycolytic pathways) with multiple organelle dysfunction, including mitochondrial swelling, cristae reduction, decreased membrane potential, and severe endoplasmic reticulum stress. Conclusions: The metabolic dysregulation of WD-induced GDM in maternal rats is transmitted to offspring, leading to disrupted neonatal α/β-cell subset balance and accelerated islet maturation. However, such excessive development comes at the cost of organelle damage in β cells. Our findings provide a molecular basis for mitigating the intergenerational transmission of diabetes through early nutritional interventions. Full article

Cardiac rehabilitation is strongly recommended in secondary cardiovascular prevention. In patients after coronary artery bypass grafting, this intervention is suggested to reduce mortality, morbidity, and disability. In addition, rehabilitation programs improve quality of life and cardiorespiratory fitness. Modern cardiac rehabilitation programs include structured exercise training, education, nutritional counseling, psychosocial support, and management of cardiovascular risk factors, each tailored to the specific needs of post-coronary artery bypass grafting patients who often face a high burden of comorbidities and surgical recovery challenges. For these reasons, cardiac rehabilitation should be regarded as standard of care. Evidence supports early cardiac rehabilitation initiation and individualized multidisciplinary plans, which have shown to improve exercise capacity, health-related quality of life, and medication adherence. Long-term follow-up is essential, as studies have demonstrated a clear association between sustained cardiac rehabilitation engagement and decreased rates of rehospitalization and all-cause mortality. Therefore, this comprehensive review presents recent advances and updates on the management of patients after coronary artery bypass grafting during cardiac rehabilitation, with a focus on the core components and long-term follow-up. Full article

Background/Objectives: The increasing problem of excess body weight and the resulting dyslipidemia among children and adolescents is a serious health challenge that may have long-term consequences. In this context, the search continues for an optimal diet that will support both body weight normalization and improvement in lipid parameters. In the prevention and treatment of cardiovascular diseases and lipid disorders, limiting highly processed foods and replacing them with natural, minimally processed options lower in fat, saturated fatty acids (SFA), cholesterol, sugar, and salt is recommended. This study aimed to assess the quality and nutritional value of the low-glycemic index (LGI) diet and standard (ST) diet. Methods: Both diets were based on the principal recommendation of the Cardiovascular Health Integrated Lifestyle Diet-2 (CHILD-2). The Diet Quality Index (DQI) was used to assess the diet quality. Moreover, the nutritional value of the diet was assessed before and after 8 weeks of intervention. The study included 40 patients aged 8–16 years with excess body weight and dyslipidemia who completed the entire nutritional intervention. Results: This study demonstrated that both LGI and ST diets were effective in improving diet quality. The nutritional intervention led to an almost 2-fold reduction in the mean DQI score in the LGI diet group and almost 1.5-fold reduction in the ST diet group (significant differences between groups). No participants were classified into a lower diet quality category than at baseline. The percentage of participants with minimum moderate diet quality reached 100% in the LGI diet group and 44% in the ST diet group. Changes in nutritional value were similar in the LGI and ST diet groups. Both interventions resulted in a significant increase in protein and fiber consumption, as well as a decrease in cholesterol, SFA, and sodium. A greater improvement in diet quality was significantly associated with lower fat and SFA, as well as higher vitamin C intake, in both groups; specifically, it was also associated with reduced cholesterol and sugar intake in the LGI diet group, and reduced sodium intake in the ST diet group. Conclusions: These results suggest that in the dietary therapy of children and adolescents with excess body weight and dyslipidemia, the quality of the diet is crucial, as it is associated with beneficial changes in nutritional value, which may have a positive impact on patient health. To achieve this, however, constant and consistent cooperation with a dietitian is necessary to help implement appropriate dietary recommendations in practice. Further long-term, larger-scale studies are needed. Full article

This review examines how distinct gut microbial community configurations—characterized by differential enrichment of Bacteroides, Prevotella, Ruminococcus, Bifidobacterium, and Lachnospira—may be associated with variations in host redox homeostasis through microbiota-derived metabolites, including short-chain fatty acids, secondary bile acids, and tryptophan derivatives. These compositional patterns represent reproducible features across populations and correlate with differential disease susceptibility in metabolic disorders. While microbial communities exist along compositional continua rather than discrete clusters, stratification based on dominant patterns offers a pragmatic framework for interpreting large-scale microbiome datasets and guiding precision nutrition interventions. Observational evidence suggests Bacteroides-enriched communities may associate with pro-inflammatory signatures, whereas Prevotella- Ruminococcus, Proteobacteria, Bifidobacterium, and Lachnospira-enriched configurations may exhibit anti-inflammatory or antioxidant characteristics in certain populations. However, inter-population variability and species- and strain-level heterogeneity limit generalization. Condition-dependent effects are exemplified by Prevotella copri, which demonstrates pro-inflammatory responses in specific settings despite beneficial profiles in others. When dysbiosis compromises intestinal barrier integrity, microbial translocation may amplify chronic oxidative stress and immune activation. We evaluate therapeutic potential of beneficial genera including Lactobacillus and Bifidobacterium while examining the dose-dependent, context-specific, and sometimes paradoxical effects of key metabolites. Microbiota-stratified therapeutic strategies—personalizing dietary, probiotic, or prebiotic interventions to baseline community composition—show promise but remain at proof-of-concept stage. Current evidence derives predominantly from cross-sectional and preclinical studies; prospective interventional trials linking community stratification with oxidative stress biomarkers remain scarce. The community–redox relationships presented constitute a hypothesis-generating framework supported by mechanistic plausibility and observational associations, rather than established causal pathways. Future research should prioritize intervention studies assessing whether aligning therapeutic approaches with baseline microbial configurations improves outcomes in oxidative stress-related metabolic disorders. Full article

Growth stagnation or weight loss is prevalent in weaned piglets, with post-weaning diarrhea severely compromising intestinal health, underscoring the criticality of intestinal structural integrity for preventing digestive disorders. Tight junction proteins (TJPs), core components of intestinal intercellular junctions, play indispensable roles in maintaining barrier function, nutrient absorption, and intestinal homeostasis by regulating paracellular permeability and mediating immune defense-related signaling pathways. Dysregulated TJP expression disrupts these processes and impairs piglet growth performance. Despite recent progress in characterizing TJP-mediated regulation of intestinal health in weaned piglets, key knowledge gaps remain regarding the specific regulatory mechanisms by which distinct TJP subtypes modulate intestinal microbiota–immune crosstalk. Future research should prioritize elucidating the effects of nutritional interventions on TJP expression and intestinal health, as well as the molecular mechanisms underlying TJP involvement in intestinal diseases. These efforts will provide theoretical support for developing novel feed additives and nutritional strategies to improve weaned piglet health. Full article

Background/Objectives: The dietary inflammatory index (DII) has been widely used to examine dietary inflammation in chronic diseases; however, the relative contribution of individual nutrients to the total DII score remains unclear. Identifying nutrient clusters that strongly influence the energy-adjusted DII (E-DII) in patients with diabetes and prediabetes may provide practical guidance for dietary counselling and intervention. This study aimed to identify nutrient clusters based on dietary intake and examine their association with the E-DII in patients with diabetes and prediabetes. Methods: In total, 408 dietary records of 17 patients were analysed. The E-DII was calculated from the reported dietary intake using photographs. Exploratory factor analysis was used to derive nutrient clusters, and ordinary logistic regression analysis was applied to examine their association with the E-DII tertiles. Results: Five nutrient clusters (antioxidant-mineral, protein-B complex, fatty acids, plant-lipids, and immune-modulating micronutrients) were extracted, explaining 69.3% of the total variance. Ordinary logistic regression showed that antioxidant-mineral, fatty acids, and immune-modulating micronutrients predicted classification between low, intermediate, and high E-DII groups. Conclusions: Antioxidant-mineral, fatty acids, and immune-modulating micronutrients were associated with a lower probability of belonging to the pro-inflammatory group. The identification of these clusters highlighted specific nutrient combinations that may protect against diet-induced inflammation. These results provided clinically relevant evidence that nutritional strategies emphasising fruits, vegetables, healthy fats, and balanced protein sources may contribute to lowering dietary inflammatory potential and improving metabolic health in patients with diabetes and prediabetes. Full article

Background/Objective: Nutrition plays a significant role in quality of life (QoL); however, information regarding the effects of nutritional interventions for brain tumors patients is limited. The objective of this scoping review is to analyze existing literature on nutrition and its impact on QoL in brain tumor patients. Methods: Using the PubMed database in July 2025, this scoping review identified original studies written in English using the keywords: nutrition, brain cancer, QoL, and diet. Using the ChatGPT5 prompts: “I’m looking for journal articles and clinical trials with brain cancer, nutrition, quality of life” in July 2025 and “I’m looking for research articles assessing quality of life in brain tumor patients on ketogenic diet” in December 2025, additional articles were identified. Studies investigating the implementation of nutritional interventions (specific diets, supplements) and effects on QoL in brain tumor patients of all ages were included. Reviews were not included, but original articles cited within the reviews were. Articles were reviewed by the authors for selection, and a total of twelve articles pertaining to eleven studies were identified. Results: Nine studies focused on the utilization of ketogenic diets (KD). One study pertained to protein supplementation, and another study discussed enteral and parental nutrition. Six studies reported positive effects on QoL, three reported no statistical significance, and one study reported a negative effect. One study had mixed results of a positive effect in one area and no statistical significance effects in another. Universal conclusions on QoL were limited since many studies had small sample sizes, lacked control subjects, and utilized self-reporting rather than standardized assessment tools. Conclusions: This review revealed that the evidence regarding the effect of KD on QoL in brain tumor patients is encouraging but limited. Data regarding the impact of other dietary interventions is insufficient to draw conclusions. Additional research is necessary. Future studies should consider (1) increasing recruitment to yield larger sample sizes, (2) standardizing nutritional interventions, (3) utilizing control subjects, and (4) utilizing standardized assessment tools. Full article

Background: Calcium (Ca) and magnesium (Mg) are essential micronutrients integral to metabolic processes and cardiovascular health. Emerging evidence suggests that the dietary Ca:Mg ratio may influence chronic disease risk, yet variability in this ratio across diverse demographic groups and its relationship to body composition and vitamin D status remain unclear. Methods: Dietary intakes of Ca and Mg were assessed using validated Food Frequency Questionnaires (FFQs) and body composition was quantified via Dual-energy X-ray Absorptiometry (DXA) scans. Relationships between dietary Ca:Mg ratios and demographics, body composition parameters (lean and fat mass), and vitamin D and parathyroid hormone (PTH) levels were examined statistically using SPSS ver. 29.0 and R ver. 4.5.1 (2025) employing Kruskal–Wallis, regression, and moderated mediation analyses. Results: We examined 155 healthy adults with a mean age of 36.6 ± 12.5 years. Only 16.8% had adequate intakes of Mg compared with 45.8% who had adequate dietary Ca intakes. Significant differences in the Ca:Mg ratio were observed across racial groups (p = 0.023) and age groups (p = 0.017). South Asian Indians exhibited the highest median Ca:Mg ratio (4.83), whereas African Americans exhibited the lowest (2.67). Interestingly, our moderated mediation analysis indicated that African Americans were the most sensitive to the impact of PTH changes on the balance of Ca:Mg (indirect effect = −0.762, 95% CI [−1.298, −0.234]), indicating that even slight shifts in their Ca:Mg balances cause significant elevation in the PTH, which, in turn, leads to lowering of their vitamin D levels. Young adults (ages 18–29) had the highest median Ca:Mg ratio (4.73). No statistically significant differences were detected based on Gender (p = 0.425 and BMI (p = 0.744) on Ca:Mg ratios. Additionally, dietary Ca:Mg ratios were positively associated with sPTH in males (r = 0.203, p < 0.05), but not with body composition. Conclusion: Important variations in dietary Ca:Mg ratios exist across racial and age demographics, notably among young adults, and specific ethnic groups exhibited elevated ratios. Tailored nutritional interventions may be necessary for these populations to optimize Ca:Mg balance and support metabolic and cardiovascular health outcomes in these populations. Full article

Aging is accompanied by progressive gastrointestinal structural and functional decline, increased intestinal permeability, dysbiosis, and impaired mucosal immunity, collectively elevating susceptibility to infections, chronic inflammation, and multimorbidity. These age-related changes are further exacerbated by polypharmacy, metabolic disorders, and lifestyle factors, positioning the gastrointestinal tract as a central driver of systemic physiological decline. Gut-centered interventions have emerged as critical strategies to mitigate these vulnerabilities and support healthy aging. Dietary modulation, prebiotic and probiotic supplementation, and microbiota-targeted approaches have demonstrated efficacy in improving gut microbial diversity, enhancing short-chain fatty acid production, restoring epithelial integrity, and modulating immune signaling in older adults. Beyond nutritional strategies, non-nutritional interventions such as molecular hydrogen and medical ozone offer complementary mechanisms by selectively neutralizing reactive oxygen species, reducing pro-inflammatory signaling, modulating gut microbiota, and promoting mucosal repair. Hydrogen-based therapies, administered via hydrogen-rich water or inhalation, confer antioxidant, anti-inflammatory, and cytoprotective effects, while ozone therapy exhibits broad-spectrum antimicrobial activity, enhances tissue oxygenation, and stimulates epithelial and vascular repair. Economic considerations further differentiate these modalities, with hydrogenated water positioned as a premium wellness product and ozonated water representing a cost-effective, scalable option for geriatric gastrointestinal care. Although preclinical and early clinical studies are promising, evidence in older adults remains limited, emphasizing the need for well-designed, age-specific trials to establish safety, dosing, and efficacy. Integrating dietary, microbiota-targeted, and emerging non-nutritional gut-centered interventions offers a multimodal framework to preserve gut integrity, immune competence, and functional health, potentially mitigating age-related decline and supporting overall health span in older populations. Full article

Background: Nutrition during the perinatal period, including pregnancy, childbirth, postpartum, and lactation, is a critical determinant of maternal and neonatal health. While the importance of balanced nutrition is well established, the integration of nutritional counseling into midwifery care remains inconsistent across settings. Evidence suggests that midwives are uniquely positioned to deliver nutrition-related support, yet gaps persist in their formal training and in the availability of structured guidance. These gaps are particularly evident in certain regions, such as Greece, where dedicated national guidelines for perinatal nutrition are lacking. Methods: This systematized narrative review synthesises evidence from studies published between 2010 and 2025, retrieved through PubMed, CINAHL, Scopus, and relevant national guidelines. Although the synthesis draws on diverse study designs to provide contextual depth, randomized controlled trials (RCTs) were prioritized and synthesized separately to evaluate the effectiveness of midwife-led interventions. In total, ten randomized controlled trials were included in the evidence synthesis, alongside additional observational and qualitative studies that informed the narrative analysis. Both international and Greek literature were examined to capture current practices, challenges, and knowledge gaps in the nutritional dimension of midwifery care. Results: Findings indicate that adequate intake of macronutrients and micronutrients, including iron, folic acid, vitamin D, iodine, calcium, and omega-3 fatty acids, is essential for optimal maternal and neonatal outcomes. Despite this, studies consistently report insufficient nutritional knowledge among midwives, limited confidence in providing counseling, and variability in clinical practice. Socio-cultural factors, such as dietary traditions and migration-related challenges, further influence nutritional behaviors and access to guidance. Emerging approaches, including e-health tools, group counseling models, and continuity-of-care frameworks, show promise in enhancing midwives’ capacity to integrate nutrition into perinatal care. Conclusion: Nutrition is a cornerstone of perinatal health, and midwives are strategically placed to address it. However, gaps in training, inconsistent guidelines, and cultural barriers limit the effectiveness of current practices. Strengthening midwifery education in nutrition, developing context-specific tools, and fostering interdisciplinary collaboration are essential steps toward more comprehensive and culturally sensitive perinatal care. Future research should focus on longitudinal and intervention studies that assess the impact of midwife-led nutritional counseling on maternal and neonatal outcomes. Full article

Background: Childhood obesity represents the most common nutritional and metabolic disorder in industrialized countries and constitutes a major public health concern. In Italy, 20–25% of school-aged children are overweight and 10–14% are obese, with marked regional variability. Excess adiposity in childhood is frequently associated with hypertension, dyslipidemia, insulin resistance, and non-alcoholic fatty liver disease (NAFLD), predisposing to future cardiovascular disease (CVD). Objective: To investigate anthropometric indicators of cardiometabolic risk in 810 children and adolescents aged 7–17 years who underwent assessment for competitive sports eligibility at the Sports Medicine Unit of Modena, evaluate baseline knowledge of cardiovascular health aligned with ESC, AAP (2023), and EASO guidelines. Methods: 810 children and adolescents aged 7–17 years undergoing competitive sports eligibility assessment at the Sports Medicine Unit of Modena underwent evaluation of BMI percentile, waist circumference (WC), waist-to-height ratio (WHtR), and blood pressure. Cardiovascular knowledge and lifestyle habits were assessed via a previously used questionnaire. Anthropometric parameters, blood pressure (BP), and lifestyle-related knowledge and behaviors were assessed using standardized procedures. Overweight and obesity were defined according to WHO BMI-for-age percentiles. Elevated BP was classified based on the 2017 American Academy of Pediatrics age-, sex-, and height-specific percentiles. Statistical analyses included descriptive statistics, group comparisons, chi-square tests with effect size estimation, correlation analyses, and multivariable logistic regression models. Results: Overall, 22% of participants were overweight and 14% obese. WHtR > 0.5 was observed in 28% of the sample and was more frequent among overweight/obese children (p < 0.001). Elevated BP was detected in 12% of participants with available measurements (n = 769) and was significantly associated with excess adiposity (χ² = 7.21, p < 0.01; Cramér’s V = 0.27). In multivariable logistic regression analyses adjusted for age and sex, WHtR > 0.5 (OR 2.14, 95% CI 1.32–3.47, p = 0.002) and higher sedentary time (OR 1.41 per additional daily hour, 95% CI 1.10–1.82, p = 0.006) were independently associated with elevated BP, whereas BMI percentile lost significance when WHtR was included in the model. Lifestyle knowledge scores were significantly lower among overweight and obese participants compared with normal-weight peers (p < 0.01). Conclusions: WHtR is a sensitive early marker of cardiometabolic risk, often identifying at-risk children missed by BMI alone. Baseline cardiovascular knowledge was suboptimal. The observed gaps in cardiovascular knowledge underscore the importance of integrating anthropometric screening with structured educational interventions to promote healthy lifestyles and long-term cardiovascular prevention. Full article

Background: China’s rapidly aging population demonstrates the importance of conducting an accurate resting metabolic rate (RMR, kcal/day) assessment to mitigate geriatric nutritional imbalances—amid concurrent undernutrition (e.g., ~1/3 with protein insufficiency) and overnutrition (e.g., high obesity and type 2 diabetes rates). While RMR prediction equations exist for other populations, none are specific to Chinese older adults. This study aimed to develop and validate population-specific RMR prediction equations for community-dwelling Chinese older adults. Methods: A total of 189 healthy participants (Aged 69.5 ± 6.3, range: 60–94 years; BMI: 24.0 ± 3.1 kg/m²) were recruited from the Shanghai, China, community. RMR was measured via indirect calorimetry, and body composition via dual-energy X-ray absorptiometry. Results: Two novel prediction equations were derived: Cai1 (fat-free mass [FFM] + age): RMR = 1393.019 − (11.112 × age) + (11.963 × FFM); R² = 0.572, and Cai2 (sex + age + weight [WT]): RMR = 1537.513 + (91.038 × sex) − (11.515 × age) + (5.436 × WT); R² = 0.528. Both novel prediction equations achieved 82.5% adequacy (predicted RMR within 90–110% of measured values), minimal systematic bias (%) (−0.72% and −1.08%) and strong positive correlations with measured RMR (r = 0.792 and 0.773, both p < 0.001). Bland–Altman analysis confirmed no systematic bias. In contrast, 11 widely used published prediction equations (e.g., Harris–Benedict, Mifflin–St. Jeor) exhibited significant overestimation (systematic bias +8.39% to +38.03%). Conclusions: The novel population-specific RMR equations outperform published ones, providing a clinically reliable tool for individualized energy prescription in nutritional interventions to support healthy aging in Chinese older adults. Full article