Search Results (5,303)

Alfalfa (Medicago sativa L.) is a major forage legume worldwide. Developing multifoliolate germplasm has been explored as a strategy to improve forage nutritive value and support more efficient forage livestock production. Here, we developed a multifoliolate population, SJ-ML, using CRISPR/Cas9-generated palmate-like pentafoliate mutants as donor parents. Molecular and phenotypic analyses indicated a stable inheritance of the edited alleles and the multifoliolate trait in SJ-ML. SJ-ML was evaluated under solar greenhouse and field conditions, with the recipient cultivar ‘Aohan’ as the greenhouse control and the commercial cultivars ‘Galaxie-Max’ and ‘GN5’ as field controls. SJ-ML showed a greater leaf area and a higher leaf-to-stem ratio, without reductions in yield or plant height. Nutritive analyses indicated that SJ-ML had a higher crude protein content, relative feed value, digestible dry matter, and dry matter intake, while acid detergent fiber, neutral detergent fiber, and lignin were lower than those of the controls. Across regrowth stages, SJ-ML generally maintained a higher nutritive value than controls. These results support SJ-ML as a multifoliolate germplasm resource for improving nutritive value without a trade-off in agronomic traits, with potential relevance for sustainable agriculture through enhanced forage protein value and a reduced reliance on supplemental protein in some ration contexts. Full article

Background: Cystic fibrosis-related bone disease (CFBD) is a comorbidity whose prevalence is increasing. Conventional areal DXA (aDXA) only assesses part of bone strength, whereas new techniques provide a more comprehensive assessment of bone structure. However, these tools are rarely implemented systematically. Furthermore, the contribution of clinical factors to bone structural parameters remains insufficiently characterized. Therefore, this study aimed to comprehensively assess cortical and trabecular bone alterations in adults with CF, and to explore clinical and lifestyle factors associated with bone health. Methods: A case–control study was conducted including 32 adults with CF and 70 healthy controls matched by age, sex, and BMI. Bone status was assessed using aDXA, trabecular bone score (TBS), and three-dimensional DXA (3D-DXA). Clinical data, body composition, lifestyle variables, and biochemical markers were collected. Multivariate linear regression models were applied to explore factors associated with bone parameters. Results: Twenty-two percent of CF people had prevalent fragility fractures and the percentage with low bone mass was significantly higher (28.1% vs. 5.7%; p < 0.001). TBS categories indicated more degraded microarchitecture in CF (p = 0.002). Cortical and trabecular 3D-DXA values were also significantly lower (p < 0.001). Adherence to the Mediterranean diet (MedDiet) was significantly associated with most of the bone parameters evaluated. Other variables associated with bone parameters included sex, fat-free and fat mass, prolonged corticosteroid use, intake of oral nutritional supplements, FEV₁, disease duration and P1NP-values. Conclusions: Adults with CF revealed significant cortical and trabecular structural deficits. Among the evaluated factors, adherence to MedDiet was associated with several bone parameters, suggesting a potential role of dietary patterns in CF bone health. Further studies are needed to confirm these preliminary results. Full article

Background/Objectives: Perioperative malnutrition, sarcopenia, and reduced functional reserve are frequent in adults undergoing elective gastrointestinal (GI) surgery and are associated with higher postoperative morbidity and delayed recovery. Enhanced Recovery After Surgery (ERAS) pathways incorporate nutrition-focused elements, but reported effects vary across procedures, protocols, and baseline risk. This review aims to summarize and critically appraise current evidence on perioperative nutritional strategies within ERAS-focused elective GI care, including risk identification, nutritional prehabilitation (oral nutritional supplements and immunonutrition), preoperative carbohydrate loading, early postoperative feeding, and selected microbiome-directed adjuncts. Methods: This narrative literature review was informed by a focused search of PubMed/MEDLINE and Scopus (2010–early 2026), supplemented by targeted screening of relevant clinical practice guidelines and consensus statements (e.g., ESPEN). Evidence was interpreted by hierarchy (guidelines/meta-analyses, randomized trials, observational studies) and discussed with attention to heterogeneity in surgical populations, intervention definitions (composition, timing, duration), and endpoint reporting. Results: Early nutritional risk screening is consistently supported to identify malnutrition and sarcopenia and to trigger tailored optimization plans. Perioperative oral nutritional supplementation, particularly when started preoperatively and continued postoperatively, is frequently associated with improved intake and reduced infectious morbidity in malnourished or at-risk patients, though effect sizes vary. Immunonutrition shows potential benefit in selected high-risk settings but remains formulation- and timing-dependent. Carbohydrate loading is generally endorsed within ERAS and may reduce insulin resistance and improve patient comfort, while impacts on major clinical outcomes are context-dependent. Early oral/enteral feeding is feasible in many elective GI procedures and may accelerate gastrointestinal recovery without increasing major complications when implemented with structured advancement and appropriate patient selection. Probiotics/synbiotics show the most consistent signals in colorectal surgery, with strain-specific effects and important safety boundaries in immunocompromised or critically ill patients. Conclusions: Perioperative nutritional optimization is a core component of elective GI surgical care within ERAS pathways. Benefits are most reproducible in higher-risk patients and when interventions are integrated into high-compliance multidisciplinary programs. Future research should prioritize procedure-specific, risk-stratified trials with standardized interventions and clinically meaningful endpoints. Full article

Esports are a rapidly expanding form of competitive activity that demand high levels of cognitive alertness, motor precision, stress management, and resilience to mental and physical fatigue. At the same time, the sedentary lifestyle, extended screen exposure, and psychological pressures associated with competitive gaming raise concerns for both performance and long-term health. Growing evidence highlights the importance of nutrition and lifestyle behaviors in supporting cognitive performance and overall competitive demands. While balanced dietary patterns and adequate hydration are essential, dietary supplements may provide additional benefits when used appropriately and under professional guidance. However, the current research is limited by a predominance of cross-sectional and self-reported studies, short-term or acute interventions, small sample sizes, and insufficient emphasis on esports-specific and personalized strategies. This review examines existing evidence on individualized nutrition, supplementation, and lifestyle strategies in esports, identifies key methodological limitations, and outlines future directions to inform evidence-based practice for athletes, practitioners, and organizations seeking to optimize cognitive performance, well-being, and long-term sustainability in this emerging field. Full article

Coffee cherry pulp is an abundant by-product of coffee processing and contains bioactive compounds with potential value in animal nutrition. This study evaluated fermented coffee cherry pulp (CCF) as a feed additive in Thai native chickens. Five hundred day-old chicks were randomly allocated to five treatments: basal diet (CON), antibiotic growth promoter (AGP), and basal diets supplemented with 0.5, 1.0, or 2.0 g/kg CCF for 12 weeks. Supplementation with 1.0 g/kg CCF significantly increased final body weight and average daily gain and significantly improved feed conversion ratio compared with the basal diet (p < 0.05). Serum triglyceride levels were significantly reduced in the CCF1.0 and CCF2.0 groups (p < 0.05), while liver and kidney function indicators were not affected. Cooking loss was significantly lower in CCF-supplemented groups, and thigh muscle crude protein content was significantly higher at 0.5 and 1.0 g/kg (p < 0.05). Alpha diversity of cecal microbiota was not significantly altered, but directional shifts in community composition were observed, including enrichment of short-chain fatty acid-associated genera. Functional prediction indicated differences in carbohydrate and amino acid metabolic pathways. These results support fermented coffee cherry pulp as a potential alternative to antibiotic growth promoters in native chicken production. Full article

Fatigue and reduced energy availability significantly affect athletic performance, and nutritional strategies to maintain carbohydrate and electrolyte levels are critical for delaying fatigue and preserving endurance. This study aimed to evaluate the effects of carbohydrate and electrolyte (CHO-E) supplementation on sports performance in physically active individuals. A systematic review and meta-analysis of 26 studies, including randomised and observational designs, was conducted. Four separate analyses examined the impact of CHO-E supplementation on performance outcomes, metabolic biomarkers, blood mineral concentrations, and additional performance descriptors. The meta-analysis showed that CHO-E supplementation significantly increased time to exhaustion (Standard Mean Difference (SMD) 0.60; 95% confidence interval (CI): 0.17, 1.02; p = 0.006), blood glucose levels (SMD 0.82; 95% CI: 0.45, 1.19; p < 0.001), and blood sodium levels (SMD 0.22; 95% CI: 0.07, 0.36; p = 0.004) compared to placebo, while no significant effect was observed for time to finish (SMD −0.07; 95% CI: −0.28, 0.13; p = 0.49). These findings indicate that CHO-E supplementation during moderate-to-high intensity exercise can enhance performance by extending endurance and supporting metabolic and electrolyte balance. Overall, the results support the targeted use of CHO-E supplementation to maintain energy availability and physiological stability during prolonged physical activity, providing evidence-based guidance for athletes and practitioners. Full article

Introduction: Eating Disorders (ED) represent a significant health concern in the pediatric population due to high morbidity, prolonged hospital stays, and frequent readmissions. Scientific evidence regarding nutritional factors that may influence length of stay or risk of readmission is limited in this population. Objectives: To identify variables associated with longer hospital stays and readmission in pediatric patients with ED admitted to a reference unit in northern Spain. Methods: A retrospective observational study was conducted following STROBE guidelines, including patients under 18 years admitted for ED at a tertiary referral hospital between 2022 and 2025. Nutritional, anthropometric, clinical, evolution-related, and treatment variables were collected. Descriptive analyses, group comparisons according to length of stay and readmission, and logistic regression models were performed to identify associated factors. Results: The study included 75 patients, predominantly female (94.7%), with a mean age of 14.5 years. Twenty-eight percent of patients experienced at least one readmission during the study period. Multivariable regression identified that the use of a nasogastric tube and nutritional supplements was significantly associated with reduced length of stay. In addition, in patients with moderate to severe malnutrition, a recovery greater than 5% according to the Waterlow index was associated with a lower probability of readmission. Although anthropometric differences were observed between groups according to their need for readmission, most were not statistically significant. Conclusions: Nutritional support via nasogastric tube when indicated, the use of nutritional supplements, and a >5% recovery in the Waterlow index in patients with moderate to severe malnutrition are key factors in reducing hospital stay and readmission risk in pediatric patients with ED in our cohort. Isolated laboratory analyses and anthropometric measures showed limited predictive value in this context. Full article

Late-onset hypogonadism (LOH) is an age-related condition characterized by a decline in testosterone (Ts) levels and associated symptoms that impair quality of life in older men. Although Ts replacement therapy is available, its clinical use is limited by adverse effects. Vitamin K (VK) is a fat-soluble vitamin that functions as a cofactor for γ-glutamylcarboxylase and plays important roles in blood coagulation and bone homeostasis. Menaquinone-4 (MK-4), a VK homolog predominantly found in animal-derived foods, has been shown to enhance Ts production in healthy male rats. However, whether this effect occurs under low-Ts conditions remains unclear. In this study, we investigated the effects of VK on LOH using a leuprorelin acetate (LA)-induced low-Ts rat model. Male Sprague–Dawley rats were administered sustained-release LA and fed a control diet or diets supplemented with VK1 or MK-4 (75 mg/kg) for 4 weeks. Compared with the control group, MK-4 supplementation significantly ameliorated the reduction in serum Ts levels and seminiferous tubule diameter, whereas VK1 supplementation showed no significant effects. Furthermore, MK-4 supplementation activated the protein kinase A signaling pathway, which is directly involved in testicular Ts production. These findings suggest that MK-4 supplementation may represent a novel nutritional strategy for the management of LOH. Full article

This review aims to explore the potential and mechanisms of selenium-biofortified probiotics as an innovative nutritional strategy for alleviating exercise-induced physiological stress. Exercise, particularly high-intensity or exhaustive exercise, triggers a cascade of physiological perturbations, including oxidative stress, inflammatory responses, gut barrier dysfunction, and muscle damage. Traditional single-nutrient strategies, such as inorganic selenium or probiotic supplementation, are often limited by low bioavailability or a narrow scope of action. Selenium-biofortified probiotics are produced via microbial biotransformation, which converts inorganic selenium into bioavailable organic forms like selenoamino acids or selenium nanoparticles that are loaded onto active probiotic carriers. This creates a synergistic entity combining the bioactivity of selenium with the gut-modulating functions of probiotics. Their core mechanism involves establishing a multi-layered defense system: by providing substrate for key selenoproteins like glutathione peroxidase, they directly enhance endogenous antioxidant defenses; by modulating immune cytokine networks, they downregulate excessive post-exercise inflammation; through probiotic colonization and metabolites, they maintain intestinal epithelial barrier integrity, countering exercise-induced intestinal hyperpermeability; and via the gut–muscle axis, they may regulate muscle metabolism and repair. Animal studies provide evidence for improved exercise endurance and reduced damage markers, but human clinical trials show inconsistent results, highlighting the influence of study design, dosage, and individual baseline status. Future research requires high-quality, long-term human trials to elucidate specific molecular pathways and develop personalized application protocols, advancing this synergistic strategy toward precision sports nutrition. Full article

Ferulic acid is a bioactive phenolic compound with potential benefits for skeletal muscle health. In this study, Mongolian horses were used as experimental subjects and were orally administered ferulic acid at doses of 5, 10, or 15 g per horse per day for 40 consecutive days. Muscle biopsy samples were analyzed using proteomics to assess fiber type composition and regulatory protein expression. Ferulic acid supplementation increased the proportion of fast-twitch fibers and upregulated key differentiation factors such as MUSTN1, while modulating glycolysis, ECM remodeling, and calcium signaling pathways. Although ferulic acid induced moderate oxidative stress, it did not trigger classical ferroptosis. Collectively, these findings demonstrate that ferulic acid promotes fast-twitch fiber transformation in horses through coordinated metabolic and signaling mechanisms, highlighting its potential as a nutritional strategy to enhance skeletal muscle adaptability and athletic performance in horses. Full article

Age-related macular degeneration (AMD) is a leading cause of irreversible vision loss worldwide and is driven by complex pathophysiological processes, including oxidative stress, chronic inflammation, complement dysregulation, and vascular endothelial growth factor (VEGF)-mediated neovascularization. Nutritional interventions—particularly supplementation with carotenoids, omega-3 fatty acids, polyphenols, and essential micronutrients—have demonstrated clinical benefits in slowing disease progression, as evidenced by landmark trials such as AREDS and AREDS2. However, many AMD-relevant bioactives exhibit poor aqueous solubility, low chemical stability, and limited gastrointestinal bioavailability, which significantly constrain their therapeutic efficacy. Food-grade microgels have emerged as versatile colloidal delivery platforms capable of addressing these limitations through rational structural and physicochemical design. This review provides a systematic roadmap for developing food-grade microgels, organized into: (1) the molecular design of protein- and polysaccharide-based networks; (2) advanced fabrication strategies such as microfluidics and atomization; (3) spatiotemporal release programming within the gastrointestinal tract; and (4) multi-nutrient synergy for retinal protection. This approach highlights how controlled crosslinking, interfacial assembly, and tunable network architectures enhance nutrient stabilization. Particular emphasis is placed on spatiotemporal release programming within the gastrointestinal tract, including diffusion-limited gastric retention, pH- and bile-responsive swelling in the small intestine, and microbiota-triggered degradation in the colon. These mechanisms collectively enable region-specific release, improved micellar incorporation, enhanced systemic absorption, and more consistent retinal delivery. Furthermore, we discuss co-encapsulation strategies that accommodate both hydrophilic and lipophilic bioactives, thereby minimizing antagonistic interactions and enabling synergistic nutritional modulation of oxidative and inflammatory pathways implicated in AMD. A central novelty of this review is the integration of the gut–eye axis, framing microgel-based oral delivery as a systemic pathway to modulate retinal health via the intestinal environment. By bridging retinal disease biology with food colloid science, this review proposes food-grade microgels as a translational platform for next-generation nutraceutical interventions. The integration of programmable release behavior with clinically validated nutrient regimens offers a promising pathway toward more effective and mechanistically informed dietary management of AMD. Full article

Background and Aims: Injectable lipid emulsions are an integral component of parenteral nutrition, providing energy as well as essential fatty acids. However, conventional soybean oil–based emulsions, which are rich in omega-6 fatty acids, are associated with a risk of exacerbating pro-inflammatory responses and immunosuppression, which is of particular importance in critically ill patients. The aim of this review is to present the significance of the composition of modern injectable lipid emulsions, with particular emphasis on emulsions containing fish oil as a source of omega-3 fatty acids (EPA and DHA), and to discuss their potential clinical benefits in selected critical conditions. Methods: This narrative review discusses the rationale for modern mixed-oil ILE, with a focus on fish oil as a source of EPA and DHA, and summarizes potential clinical benefits in selected critical care settings. Results: Modern injectable lipid emulsions combine long-chain triglycerides derived from soybean oil (omega-6), MCTs, olive oil (omega-9), and fish oil (omega-3). Adjusting the supply of individual fractions affects cell membrane structure, signaling pathways, gene expression, and the profile of lipid mediators produced, including specialized pro-resolving mediators (SPMs). ESPEN guidelines and international recommendations emphasize the need to use lipids in parenteral nutrition, preferring mixed-oil ILE supplemented with fish oil. The cited meta-analyses and clinical studies indicate that omega-3-containing emulsions may reduce the risk of infections and sepsis; shorten hospital stay, ICU length of stay, and duration of mechanical ventilation in patients with sepsis; as well as improve outcomes in acute pancreatitis; lower the risk of delirium; and reduce the incidence of delayed gastric emptying. Conclusions: Available data support the use of mixed-oil ILE supplemented with fish oil in the parenteral nutrition of critically ill patients as a strategy with immunomodulatory and pro-resolving potential that may translate into improved clinical outcomes. However, further well-designed randomized trials are needed to optimize dosing and administration regimens. Full article

Hair loss affects over half of adults by age 70 and represents a major determinant of overall hair health, imposing significant psychosocial burden across genders. Nutritional factors play a critical role in follicle biology, yet targeted strategies remain underexplored. This comprehensive review examines five key hair-constituent macromolecules—type I collagen, elastin, keratin, ceramides, and melanin—and their physiological and clinical impacts on hair structure, density, shining, and growth. We conducted a structured literature search in PubMed and Google Scholar through January 2025, selecting in vitro studies, animal experiments, and human clinical trials that evaluated each macromolecule’s effects on follicular function and hair fiber integrity. Type I collagen enhances dermal papilla cell proliferation, upregulates Wnt/β-catenin and growth factors, and improves hair thickness and breakage resistance in randomized controlled trials. Keratin hydrolysates replenish cortical protein, reinforce disulfide cross-links, and reduce telogen shedding, with clinical studies demonstrating 30–50% decreases in hair loss and gains in tensile strength. Oral ceramide formulations restore the cuticular lipid barrier, shift follicles toward anagen, and increase hair density in double-blind trials. Although direct clinical data on melanin supplementation are lacking, ex vivo and animal models confirm its role as a UV-protective pigment, preserving keratin integrity and color fastness. Together, these macromolecules constitute a coherent framework for hair health, and clinical studies increasingly provide evidence that their combined or parallel application can meaningfully enhance hair density, strength, shine, and resilience. Full article

Cholestasis in children is characterized by impaired bile flow that disrupts hepatic metabolism, nutrient homeostasis, and effects trace element balance. This narrative review summarizes current evidence on the metabolism, biological functions, and clinical implications of key trace elements—zinc, selenium, copper, and manganese—in pediatric cholestatic liver disease. The liver regulates trace element absorption, intracellular trafficking, storage, and biliary excretion; cholestasis alters these processes, leading to deficiencies or toxic accumulation. Zinc and selenium deficiencies are common and contribute to impaired growth, immune dysfunction, oxidative stress, and delayed hepatic regeneration. Conversely, reduced biliary excretion promotes copper and manganese accumulation, potentially exacerbating liver injury and causing manganese-related neurotoxicity. Recent advances in understanding metal-specific hepatic transporters and trafficking pathways have provided mechanistic insight into these alterations. Management strategies emphasize individualized supplementation, monitoring during enteral and parenteral nutrition, and prevention of deficiency and toxicity. Precision-based nutritional approaches may improve outcomes in pediatric cholestatic liver disease. Full article

This study aimed at determining the effects of phytase alone and in combination with XAP at full matrix specifications on growth performance, nutrient digestibility, carcass yield, toe ash, gastrointestinal organ weight and pH, energy utilisation (AME, AMEn, and ME:GE), and the digestibility of key nutrients in the jejunum and ileum of broilers fed complex diets. Day-old mixed-sex Cobb 500 broilers (n = 384) were assigned to four dietary treatments with eight replicates of 12 birds per treatment from d 0 to 42, with energy utilisation determination from d19 to 21 and digestibility determination at d21. The treatments were as follows: a positive control (treatment 1, PC) formulated meeting nutritional requirements and three test diets reformulated with reduced nutrients and energy according to respective matrix values of the enzymes used. The enzymes supplemented are: treatment 2, a mixed enzyme (NC1 + XAP, 100 g/ton with activities of 2000 U/kg xylanase, 200 U amylase and 4000 U protease, respectively); treatment 3, a novel consensus bacterial 6-phytase variant (NC2 + PhyG) at 1000 FTU/kg; and treatment 4 (NC3 + XAP + PhyG, PhyG at 1000 FTU/kg and XAP combination). Overall, enzyme inclusion with full matrix application maintained overall weight gain, feed intake and the FCR. There were significant increases in starch, Ca, P and Na digestibility with almost all enzyme inclusions (p < 0.05). NC2 + PhyG and NC3 + XAP + PhyG reduced the feed cost/kg live gain compared to PC (p = 0.006). In conclusion, this study demonstrates that the full matrix values for phytase alone or in combination with XAP may lower the cost/kg live gain while maintaining the growth performance of broilers offered a complex diet with increased use of locally available ingredients (rapeseed and lupins). Full article