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Search Results (331)

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Keywords = omega-3 index

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17 pages, 6443 KB  
Article
Exceptional Points in Hermitian Media, and Density of States Singularities in Anisotropic, Tellegen, Chiral, Moving-Medium, Omega and Other Isotropy-Broken Materials
by Maxim Durach
Photonics 2026, 13(6), 582; https://doi.org/10.3390/photonics13060582 - 14 Jun 2026
Viewed by 238
Abstract
Anisotropic, Tellegen, chiral, moving-medium-type, omega, gyrotropic, hyperbolic, and multi-hyperbolic materials form an important class of isotropy-broken photonic media in which wave propagation can no longer be characterized by the Fresnel wave surface alone. Here we show that Fresnel wave surfaces can be converted [...] Read more.
Anisotropic, Tellegen, chiral, moving-medium-type, omega, gyrotropic, hyperbolic, and multi-hyperbolic materials form an important class of isotropy-broken photonic media in which wave propagation can no longer be characterized by the Fresnel wave surface alone. Here we show that Fresnel wave surfaces can be converted into propagation maps that organize positive- and negative-phase-velocity propagation together with attenuation and amplification. In Hermitian media, the boundary between forward and backward propagation forms the orthogonal-phase-velocity separatrix. This separatrix is also a continuous locus of orthogonal-phase-velocity exceptional points, where the index-of-refraction operator becomes defective even though the material medium remains Hermitian. In non-Hermitian media, the attenuation–amplification boundary forms the loss–gain separatrix. The associated loss–gain singularities occur where the handedness remains continuous while the gain–loss character changes sign. Their physical importance is revealed by the momentum-resolved density of states: at these points, the Lorentzian linewidth of the non-Hermitian momentum-resolved density of states (DOS) collapses, producing sharp DOS peaks whose sign reverses across the separatrix. Thus, loss–gain singularities are threshold-like singularities of the Fresnel wave-surface propagation map, generated by non-Hermitian linewidth collapse. The result is a compact geometric language for describing how handedness, degeneracy, loss, gain, and momentum-resolved DOS are organized in isotropy-broken electromagnetic materials. Full article
(This article belongs to the Special Issue Plasmonic Metasurfaces and Metamaterials)
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23 pages, 2034 KB  
Review
Nutritional Challenges and Strategies in Obese Critically Ill Patients with Gynecological Cancer: A Narrative Review
by Maria Fanaki, Dimitrios Haidopoulos, Dimitrios Efthimios Vlachos, Vasileios Lygizos, Antonia Varthaliti, Vasileios Pergialiotis, Georgios Daskalakis and Nikolaos Thomakos
Nutrients 2026, 18(12), 1905; https://doi.org/10.3390/nu18121905 - 12 Jun 2026
Viewed by 246
Abstract
Critically ill obese patients with gynecological cancer represent a high-risk population with complex nutritional needs. Although excess adiposity may suggest adequate energy reserves, it often conceals sarcopenia, micronutrient deficiencies, and functional malnutrition, contributing to impaired wound healing, immune dysfunction, prolonged mechanical ventilation, increased [...] Read more.
Critically ill obese patients with gynecological cancer represent a high-risk population with complex nutritional needs. Although excess adiposity may suggest adequate energy reserves, it often conceals sarcopenia, micronutrient deficiencies, and functional malnutrition, contributing to impaired wound healing, immune dysfunction, prolonged mechanical ventilation, increased susceptibility to infections, and adverse oncologic outcomes. Obesity-associated inflammation, insulin resistance, and tumor-driven catabolism further exacerbate metabolic stress and complicate nutritional management in the intensive care setting. Accurate nutritional assessment requires a multimodal approach incorporating body composition analysis, functional measures, and laboratory parameters, as conventional indices such as body mass index may underestimate nutritional risk. Nutritional support should be individualized and may include early enteral nutrition to preserve gut integrity, supplemental or total parenteral nutrition when gastrointestinal function is compromised, high-protein regimens, and targeted micronutrient replacement. Immunonutrition, including arginine, glutamine, omega-3 fatty acids, and nucleotides, has emerged as a promising strategy to modulate inflammation, enhance immune function, and support tissue repair. This narrative review summarizes current evidence regarding obesity-related metabolic dysfunction, nutritional assessment, enteral and parenteral nutrition, and immunonutrition in obese critically ill patients with gynecological cancer. It highlights the challenges associated with sarcopenic obesity and hidden malnutrition while providing a clinically relevant overview for intensivists, gynecologic oncologists, surgeons, and nutrition specialists. Early recognition of nutritional risk and implementation of individualized multimodal nutritional strategies may improve recovery and clinical outcomes. However, high-quality ICU-specific studies remain limited, and further prospective research is needed to establish evidence-based nutritional protocols and evaluate their impact on survival, treatment tolerance, and quality of life in this vulnerable population. Full article
(This article belongs to the Special Issue The Role of Dietary and Nutritional Factors in Cancer Treatment)
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12 pages, 650 KB  
Article
Structural Validity of the Arabic Roland–Morris Disability Questionnaire Using Confirmatory Factor Analysis in Patients with Low Back Pain
by Abdulrahman M. Alsubiheen, Mishal M. Aldaihan and Ali H. Alnahdi
J. Clin. Med. 2026, 15(12), 4527; https://doi.org/10.3390/jcm15124527 - 11 Jun 2026
Viewed by 99
Abstract
Background/Objective: Low back pain (LBP) is a leading cause of disability worldwide, and patient-reported outcome measures such as the Roland–Morris Disability Questionnaire (RMDQ) are essential for assessing LBP-related disability. While the Modern Standard Arabic version of the RMDQ has demonstrated preliminary reliability, its [...] Read more.
Background/Objective: Low back pain (LBP) is a leading cause of disability worldwide, and patient-reported outcome measures such as the Roland–Morris Disability Questionnaire (RMDQ) are essential for assessing LBP-related disability. While the Modern Standard Arabic version of the RMDQ has demonstrated preliminary reliability, its structural validity has not been thoroughly evaluated. This study aimed to assess the structural validity of the Modern Standard Arabic RMDQ using confirmatory factor analysis (CFA). Methods: A cross-sectional study was conducted for 113 patients with LBP recruited from outpatient physical therapy clinics in Saudi Arabia. Participants completed the Modern Standard Arabic RMDQ, a 24-item instrument scored dichotomously. CFA was performed using the Weighted Least Squares Mean and Variance adjusted estimator to test a unidimensional model. Model fit was assessed using Root Mean Square Error of Approximation (RMSEA), Standardized Root Mean Square Residual (SRMR), Tucker–Lewis Index (TLI), and Comparative Fit Index (CFI). Reliability was evaluated using McDonald’s omega (ω). Results: The initial one-factor CFA model showed close to acceptable fit (RMSEA = 0.044; SRMR = 0.149; TLI = 0.94; CFI = 0.93). After accounting for significant residual correlations between item pairs (items 4 & 21; 13 & 18), model fit improved (Δχ2 = 22.33; Δdf = 2; p < 0.001) (RMSEA = 0.038; SRMR = 0.145; TLI = 0.95; CFI = 0.95). Most items had significant loadings on the latent construct, except item 2. McDonald’s ω was 0.91, indicating excellent internal consistency. Conclusions: The findings of this study provide supportive evidence for the structural validity and internal consistency of the Modern Standard Arabic version of the RMDQ and suggest the presence of a dominant unidimensional structure. The Arabic RMDQ may be useful for assessing LBP-related disability in Arabic-speaking patients with LBP, although further validation studies are warranted. Full article
(This article belongs to the Section Clinical Rehabilitation)
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22 pages, 26186 KB  
Article
Influence of Chemical-Modified Cotton on Thermal Properties of Flexible Polyurethane Foams and Associated Fire Hazard
by Arkadiusz Głowacki, Przemysław Rybiński, Witold Żukowski, Anna Zawierucha, Monika Żelezik and Salaeh Subhan
Polymers 2026, 18(12), 1432; https://doi.org/10.3390/polym18121432 - 8 Jun 2026
Viewed by 233
Abstract
In this study, a new approach to improving the fire resistance of flexible polyurethane (PUR) foams is presented, based on the incorporation of cotton chemically modified with boron compounds into the polyurethane matrix. The developed system was additionally modified with melamine polyphosphate (MPP). [...] Read more.
In this study, a new approach to improving the fire resistance of flexible polyurethane (PUR) foams is presented, based on the incorporation of cotton chemically modified with boron compounds into the polyurethane matrix. The developed system was additionally modified with melamine polyphosphate (MPP). The effects of the applied modifications on the morphology and chemical structure of the PUR composites were investigated using scanning electron microscopy and infrared spectroscopy. Thermal stability was evaluated by thermogravimetric analysis, whereas fire hazard was assessed using cone calorimetry and a smoke optical density chamber. The toxicometric index (WLC50SM) was determined using a coupled TG-Omega 5 gas analyzer system. The results provide insight into the mechanism responsible for reducing flammability and limiting the emission of toxic combustion and thermal decomposition products through the modification of PUR foams with chemically modified cotton in combination with MPP. It was observed that, during the combustion of the developed PUR composites, the addition of cotton promotes the formation of a three-dimensional spatial network, which substantially limits heat release and the emission of toxic combustion products. Consequently, the composites exhibited a reduction in heat release of up to 67% in terms of HRRMAX, together with decreased production of HCN and CO. Nevertheless, the formation of a protective carbon layer contributed to an increase in smoke optical density, which was associated with increased CO2 emission. Overall, this work demonstrates the development of a new synergistic system capable of reducing both the flammability and toxicity of flexible PUR foams. Full article
(This article belongs to the Special Issue Functional Polymer Composites: Synthesis and Application)
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17 pages, 299 KB  
Article
Developing the Spanish Version of the Fraboni Scale of Ageism: Cross-Cultural Adaptation with Initial Reliability and Content Validity Findings
by Juan Ramón de-Moya-Romero, Alexis Caballero-Bonafé, Laura Fernández-Puerta, Raquel Valera-Lloris and Antonio Martínez-Sabater
Clin. Pract. 2026, 16(6), 104; https://doi.org/10.3390/clinpract16060104 - 31 May 2026
Viewed by 277
Abstract
Background: Ageism is a global public health concern associated with poorer health outcomes and inequities in care. Culturally adapted instruments are needed to assess ageist attitudes among healthcare professionals in Spain. This study aimed to cross-culturally adapt and evaluate the preliminary psychometric properties [...] Read more.
Background: Ageism is a global public health concern associated with poorer health outcomes and inequities in care. Culturally adapted instruments are needed to assess ageist attitudes among healthcare professionals in Spain. This study aimed to cross-culturally adapt and evaluate the preliminary psychometric properties of the Spanish version of the Fraboni Scale of Ageism (FSA-SV). Methods: A methodological study was conducted, including translation and back-translation, expert review, and a pilot test. Content validity was assessed using the content validity index (CVI), the modified kappa coefficient, and Aiken’s V. A descriptive cross-sectional pilot study was conducted with 101 healthcare professionals from a single health department in Valencia to evaluate comprehension and reliability. Internal consistency was examined using Cronbach’s alpha and McDonald’s omega. Results: Content validity indices indicated acceptable agreement among experts (S-CVI = 0.745; Aiken’s V = 0.770). All items were retained to preserve conceptual and structural equivalence with the original instrument. The FSA-SV demonstrated high internal consistency (Cronbach’s alpha = 0.903; McDonald’s omega = 0.915). The mean total score was 51.2 (SD = 9.62), with no significant associations observed between ageism and participants’ sociodemographic or professional variables. Conclusions: This pilot study represents a first step in the cross-cultural adaptation and preliminary psychometric evaluation of the FSA-SV for use among healthcare professionals in Spain. The results suggest that the instrument shows promising initial properties for the preliminary assessment of ageism, supporting its potential utility in future research and in evaluating educational and organizational interventions aimed at reducing ageism and improving the quality and safety of care for older adults. Further studies with larger, more diverse samples are required to evaluate additional psychometric properties, including the factorial structure. Full article
26 pages, 4368 KB  
Article
Combined Synbiotics and Omega-3 Polyunsaturated Fatty Acids Enhance Clinical and Histological Recovery in DSS-Induced Ulcerative Colitis: An Experimental Study in Rats
by Ioannis Varnalidis, Orestis Ioannidis, Athina Papadopoulou, Theofilos Poutahidis, Ioannis Taitzoglou, Aliki Brenta, Elissavet Anestiadou, Savvas Symeonidis, Stefanos Bitsianis, Ioannis Mantzoros, Manousos George Pramateftakis, Efstathios Kotidis and Stamatis Angelopoulos
Diseases 2026, 14(6), 192; https://doi.org/10.3390/diseases14060192 - 29 May 2026
Viewed by 509
Abstract
Background/Objectives: Ulcerative colitis (UC) is a chronic inflammatory bowel disease in which alterations in the gut microbiota and dietary lipid composition play a central role; this study aimed to evaluate the effects of synbiotics, omega-3 polyunsaturated fatty acids, and their combination on clinical, [...] Read more.
Background/Objectives: Ulcerative colitis (UC) is a chronic inflammatory bowel disease in which alterations in the gut microbiota and dietary lipid composition play a central role; this study aimed to evaluate the effects of synbiotics, omega-3 polyunsaturated fatty acids, and their combination on clinical, macroscopic, microbiological, and histopathological outcomes in dextran sodium sulfate (DSS)-induced colitis in Wistar rats. Methods: Seventy-two male Wistar rats were randomly allocated to four groups (n = 18/group) and received 5% DSS in drinking water for eight days to induce colitis. Following DSS withdrawal and histological confirmation of colitis in sentinel animals, groups were treated for 8 days as follows: DSS (control), DSS-S (synbiotics, Ecologic® 825), DSS-Ω3 (omega-3 fatty acid-enriched diet, ProSure®), or DSS-S&Ω3 (combined therapy). Eight rats per group were sacrificed on days 4 and 8 post-DSS. Body weight, Disease Activity Index (DAI), distal colon length, hematologic parameters, bacterial translocation to the liver and mesenteric lymph nodes, histological colitis score, and myeloperoxidase (MPO)-positive cell counts were assessed. Results: DSS induced severe colitis characterized by diarrhea, rectal bleeding, and extensive mucosal erosions. After 8 days of treatment, the DSS-S&Ω3 group showed the greatest body-weight recovery (206.1→222.9 g, p < 0.05 vs. other groups), significantly preserved distal colon length, and the largest reduction in DAI (p < 0.05). Both the DSS-S and DSS-S&Ω3 groups demonstrated reduced bacterial translocation compared with DSS. The DSS-Ω3 group demonstrated persistent MPO-positive neutrophil infiltration compared with the DSS-S and DSS-S&Ω3 groups, whereas combined therapy was associated with lower MPO-positive cell counts. Histological colitis scores were significantly improved only in the DSS-S&Ω3 group (p < 0.05). Conclusions: In this DSS colitis model, the DSS-S&Ω3 group demonstrated superior clinical and histological outcomes compared with DSS-S or DSS-Ω3 alone, supporting further evaluation of combined synbiotic and omega-3 therapy as an adjunctive approach in ulcerative colitis. Full article
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29 pages, 807 KB  
Article
Fatty Acid Profile, Oxidative Stability, and Quality Traits of Meat from Broilers Fed Raw or Fermented Rapeseed Cake
by Tatiana Dumitra Panaite, Gabriela Maria Cornescu, Mihaela Dumitru, Florentina Aldea, Ana Elena Cismileanu, Smaranda Mariana Toma, Dan Traian Râmbu, Georgeta Ciurescu and Nicoleta Corina Predescu
Foods 2026, 15(11), 1911; https://doi.org/10.3390/foods15111911 - 28 May 2026
Viewed by 307
Abstract
Raw rapeseed cake represents a viable alternative protein source for broiler diets, and its fermentation may reduce anti-nutritional factors while improving its feeding value. This 35-day study involved 300 one-day-old ROSS 308 chicks (three groups, four replicates/group, with 25 broilers/replicate) raised on wood [...] Read more.
Raw rapeseed cake represents a viable alternative protein source for broiler diets, and its fermentation may reduce anti-nutritional factors while improving its feeding value. This 35-day study involved 300 one-day-old ROSS 308 chicks (three groups, four replicates/group, with 25 broilers/replicate) raised on wood shavings (16 broilers/m2). Broilers received either a control diet (corn–soybean meal) or diets supplemented with 200 g/kg of RRCs (raw rapeseed cakes) or fermented rapeseed cakes (FRCs). At the end of the trial, eight broilers per group were slaughtered, and breast and thigh samples were collected. The nutritional quality of the meat was assessed by proximate composition, fatty acid profile, and health-related lipid indices. In addition, oxidative status during shelf-life storage was evaluated based on myoglobin content (Mb), metmyoglobin concentration (metMb), total antioxidant capacity (TAC), and lipid peroxidation, determined as thiobarbituric acid reactive substances (TBARS). The omega-3 fatty acid content in fresh breast and thigh samples was significantly higher in RRC and FRC groups compared to C (p = 0.014; p = 0.0001), which significantly decreased the omega-6/omega-3 ratio for both samples (p = 0.0001). The TBARS values exhibited a significant decrease (p < 0.0001) between groups for breast and thigh samples. The TAC values showed significantly higher antioxidant capacity in RRC and FRC breasts and thigh samples compared to C, considering both group differences (p < 0.0001) and shelf-life evaluation (p = 0.001). In thigh samples, the RRC group showed lower metMB values compared to the control group (p = 0.042), whereas differences in breast samples were not statistically significant (p = 0.054). Healthy lipid indexes registered significantly lower values for experimental groups, both for breast and thigh, and for linoleic/α-linolenic acid ratio (p = 0.0001), but for atherogenicity index (AI) (p = 0.0001) and thrombogenic index (TI) (p = 0.0001) only for the RRC group, while nutritive value index (NVI) significantly increased (p = 0.0001) on both groups. In conclusion, RRC and FRC may represent sustainable alternatives to soybean meal in broiler nutrition, supporting improvements in meat lipid profile and oxidative stability. Overall, the RRC group showed more significant effects on n-3 fatty acid enrichment and lipid quality indices, whereas the FRC mainly influenced proximate composition and selected color parameters. Full article
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25 pages, 2805 KB  
Article
The Effect of Selenium–Arabinogalactan Nanocomposite on Fatty Acid Composition in Soybean Seedlings Grown from Pectobacterium carotovorum–Infected Seeds
by Alla I. Perfileva, Natalia V. Semenova, Elena Yu. Garnik, Alla V. Korobova, Nadezhda V. Klushina, Boris G. Sukhov, Irina S. Kapustina and Vadim N. Nurminsky
Plants 2026, 15(11), 1647; https://doi.org/10.3390/plants15111647 - 27 May 2026
Viewed by 560
Abstract
The phytopathogenic bacterium Pectobacterium carotovorum (Pcc) infects a wide range of crop plants and causes substantial economic losses. The authors of this study previously demonstrated that the selenium–arabinogalactan nanocomposite (Se/AG NC) is capable of mitigating the negative effects of infection of [...] Read more.
The phytopathogenic bacterium Pectobacterium carotovorum (Pcc) infects a wide range of crop plants and causes substantial economic losses. The authors of this study previously demonstrated that the selenium–arabinogalactan nanocomposite (Se/AG NC) is capable of mitigating the negative effects of infection of soybean seeds with Pcc during germination and can influence physiological and biochemical factors in the seedlings. This study investigated changes in the membrane fatty acid (FA) profile of soybean seedlings grown under different treatments and in control using chromatography–mass spectrometry (CMS). The soybean seed treatments included the following: (1) infection by Pcc alone; (2) nanopriming with Se/AG NC alone; and (3) infection by Pcc followed by nanopriming with Se/AG NC. The infection was performed by soaking seeds in a bacterial suspension. Nanopriming was performed by placing the seeds in an aqueous solution of Se/AG NC (6.25 µg/mL) with a Se concentration of 0.000625%. Then, the seeds were germinated over 5 days in the darkness at 25 °C. The FA profile of soybean seeds was characterized by 13 FAs dominated by linoleic (LA), linolenic (LNA), oleic (OA), palmitic (PA) and stearic (SA) acids. Se/AG NC nanopriming had no influence on the FA profile of soybean seeds. A unique FA profile of soybean seedlings was demonstrated. It consisted of 18 FAs containing 12 to 20 carbon atoms. The following FAs were dominant in the control samples: PA (28%), LA (32.8%), LNA (18.6%), and SA (7.5%). Pcc infection of the seeds amplified the content of unsaturated FAs. Nanopriming of the seeds with Se/AG NC had an obvious influence on the seedling FA profile. Treatment of soybean seeds infected with Pcc using Se/AG NC caused weakening of the detrimental effects of the pathogen, while giving the possibility to maintain soybean seedlings’ FA profile at the control level. Transcript levels of the GmFAD8-2 gene encoding the membrane-bound omega-3 FA desaturase (FAD) were elevated for soybean seedlings after both Pcc and Se/AG NC seed treatment processes. The FA double-bond index (DBI) grew under the influence of seed infection and dropped under other treatments. Nanopriming of the seeds with Se/AG NC effectively reduced stress in Pcc-infected plants, as evidenced by analysis of the abscisic acid (ABA) content. Variations in the membrane FA composition under nanopriming with Se/AG NC may be one of the forms of its phytoprotective effect. Full article
(This article belongs to the Special Issue Nanobiotechnology in Plant Health and Stress Resilience)
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22 pages, 6163 KB  
Article
Identifying Critical Age Periods for the Prevention of Metabolic Complications in Obesity: An Integrative Analysis of Body Composition, Biochemical Profiles and Nutritional Recommendations in 29,544 Adults
by Irina A. Lapik, Inna Yu. Tarmaeva, Svetlana V. Klochkova and Dmitry B. Nikityuk
Nutrients 2026, 18(10), 1533; https://doi.org/10.3390/nu18101533 - 12 May 2026
Viewed by 594
Abstract
Background/Objectives: Evidence-based nutritional recommendations for obesity management require understanding of sex-specific and age-specific body composition patterns and their associations with metabolic biomarkers, habitual dietary intake and chronic low-grade inflammation. This study aimed to characterize body composition phenotypes in a large clinical cohort of [...] Read more.
Background/Objectives: Evidence-based nutritional recommendations for obesity management require understanding of sex-specific and age-specific body composition patterns and their associations with metabolic biomarkers, habitual dietary intake and chronic low-grade inflammation. This study aimed to characterize body composition phenotypes in a large clinical cohort of adults with obesity, to evaluate associated metabolic and inflammatory biomarker patterns, to contextualise these patterns against habitual nutrient intake assessed in a dietary subcohort, and to derive age- and sex-specific nutritional recommendations based on the identified patterns. Methods: We performed a cross-sectional analysis of 29,544 adults with obesity (BMI ≥ 30; 21,374 women, 8170 men; age 30–69) who underwent multi-frequency bioelectrical impedance analysis (BIA; InBody 770). Biochemical assessments (fasting glucose, lipid profile, uric acid, HbA1c, insulin) were available for 2019 hospitalized patients from the same population. Habitual dietary intake was quantitatively assessed in a dietary subcohort of 423 patients using the validated Russian software-based questionnaire “Scientific Nutrition Analysis Tool”. Inflammatory biomarkers (high-sensitivity CRP, IL-6) and adipokines (leptin, adiponectin) together with serum 25(OH)D were measured in an inflammation/adipokine subcohort of 116 patients. A body composition phenotype with low relative muscle mass and high visceral fat (VFA ≥ 100 cm2) was defined using FNIH criteria (ALM/BMI < 0.789 men, <0.512 women). Benjamini–Hochberg FDR correction (q < 0.05) was applied for multiple comparisons. Results: The body composition phenotype prevalence increased progressively with age: men 24.6% (30–39) to 42.0% (60–69); women 10.3% (30–39) to 31.8% (60–69). Skeletal muscle mass (SMM) was positively associated with uric acid (r = +0.347, p < 0.001, FDR q < 0.05) and inversely associated with HDL-cholesterol (r = −0.321, p < 0.001, FDR q < 0.05)—both associations with direct nutritional implications. BMI was associated with fasting insulin (r = +0.233, p < 0.001, FDR q < 0.05). Women showed significant age-related metabolic differences between the 30–39 and 60–69 age groups: fasting glucose +12.9%, triglycerides +34.8%, uric acid +15.0% (all p < 0.001); in men, significant differences were observed for fasting glucose (+7.0%) and HbA1c (+5.2%) (both p < 0.001), while lipid parameters did not reach significance. In the dietary subcohort, habitual saturated-fat intake exceeded recommended values in 70–72% of patients of both sexes, dietary fibre intake was below recommended levels in 73–85%, and habitual calcium intake decreased significantly with age in women (1022 → 746 mg/day, p = 0.028). Serum CRP was elevated (median 5.59 mg/L, n = 59). In a separate extended laboratory subcohort, serum oestradiol declined markedly with age in women (55.0 → 16.8 pmol/L between 30–39 and 50–59 years, p < 0.001), consistent with the menopausal transition; serum testosterone in men remained stable across age groups; and 25(OH)D insufficiency (<30 ng/mL) was prevalent in 49.7–55.8% of patients. Conclusions: The identified sex-specific and age-specific body composition patterns provide a rationale, supported by observed dietary and inflammatory patterns, for targeted nutritional intervention: increased dietary protein, omega-3 fatty acids supplementation, low-glycemic-index dietary patterns, and purine restriction with hyperuricemia. Routine BIA-based nutritional screening combined with quantitative dietary assessment should begin at age 30, with preventive monitoring at age 40 and intensification of control at age 50, to guide personalized dietary planning in obesity. Full article
(This article belongs to the Section Nutrition and Obesity)
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15 pages, 608 KB  
Article
Associations Between Diet, Metabolic Profile, and Cognitive Function in Men with Schizophrenia and Healthy Controls: Evidence from a Comparative Study
by Krzysztof Krysta, Beata Trędzbor, Ewa Martyniak, Aleksandra Cieślik, Agnieszka Koźmin-Burzyńska, Katarzyna Piekarska-Bugiel, Rafał Bieś, Katarzyna Skałacka, Karolina Drzyzga and Marek Krzystanek
Nutrients 2026, 18(10), 1492; https://doi.org/10.3390/nu18101492 - 8 May 2026
Viewed by 381
Abstract
Introduction: Growing evidence indicates that diet quality significantly influences metabolic parameters and cognitive functioning. In healthy individuals, higher consumption of minimally processed foods and products rich in omega-3 fatty acids is associated with a more favorable lipid profile and better cognitive performance. [...] Read more.
Introduction: Growing evidence indicates that diet quality significantly influences metabolic parameters and cognitive functioning. In healthy individuals, higher consumption of minimally processed foods and products rich in omega-3 fatty acids is associated with a more favorable lipid profile and better cognitive performance. Patients with schizophrenia present an increased risk of metabolic disturbances and reduced cognitive functioning. This suggests that this group may be particularly sensitive to nutritional factors. However, relatively few studies have simultaneously examined the relationships between diet, metabolism, and cognitive profile in patients with schizophrenia and healthy individuals. Aim: The aim of the study was to compare the relationships between the frequency of consumption of selected food categories and metabolic parameters (glycemia, lipid profile, and insulin resistance), as well as cognitive functions (Stroop Test, Trail Making Test, and verbal fluency), in patients with schizophrenia and healthy men. Methods: The study included 21 patients with schizophrenia and 20 healthy men. All participants completed a questionnaire assessing the frequency of food consumption. Blood samples were collected to determine glucose, insulin, HDL, LDL, and triglyceride levels, and the HOMA-IR index was calculated. Cognitive functioning was assessed using the Stroop Test (RCNb, NCWd) and the Trail Making Test (TMT-A and TMT-B), which measure psychomotor speed and visuospatial working memory, respectively, and the verbal fluency test (semantic and phonological). Correlation analyses were performed separately in both groups. Due to the small sample size, all correlations are treated as exploratory and are analyzed with correction for multiple comparisons. Results: Exploratory analyses identified several patterns of associations between the frequency of consumption of selected food categories, metabolic parameters, and cognitive performance in both healthy men and patients with schizophrenia. The observed patterns differed between groups, suggesting that clinical status and treatment-related factors may modify diet–metabolism–cognition relationships. These findings highlight potential pathways linking dietary habits with metabolic and cognitive outcomes and provide a basis for further hypothesis-driven research. Conclusions: Diet quality may be related to metabolic status and cognitive functioning. However, the pattern of these associations differs between patients with schizophrenia and healthy individuals. The findings suggest that diet may play a role in metabolic health and cognitive functioning, particularly in clinical populations. Full article
(This article belongs to the Special Issue The Relationship Between Nutrition and Mental Health)
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38 pages, 2998 KB  
Systematic Review
Effects of LC n-3 PUFA Supplementation on Muscle Pain, Function, and Damage Markers in Healthy Young to Middle-Aged Adults Following Acute or Chronic Exercise: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
by Elham Yaghoobi, Fereshteh Pashaei, Giselle L. Allsopp, Matthew Retallack, Nicholas Charalambous, Rhiannon M. J. Snipe, Christopher S. Shaw, Greg M. Kowalski, Clinton R. Bruce, Angus M. Hunter, Martin C. Refalo, Gunveen Kaur, Gavin Abbott and D. Lee Hamilton
Nutrients 2026, 18(9), 1447; https://doi.org/10.3390/nu18091447 - 30 Apr 2026
Viewed by 1571
Abstract
Background: Supplementation with long-chain omega-3 polyunsaturated fatty acids (LC n-3 PUFAs), particularly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), may mitigate exercise-induced muscle damage (EIMD) and enhance post-exercise recovery. However, the systematic reviews/meta-analyses evaluating these effects across populations and exercise models are [...] Read more.
Background: Supplementation with long-chain omega-3 polyunsaturated fatty acids (LC n-3 PUFAs), particularly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), may mitigate exercise-induced muscle damage (EIMD) and enhance post-exercise recovery. However, the systematic reviews/meta-analyses evaluating these effects across populations and exercise models are limited and do not provide dosing recommendations. Objective: This systematic review and meta-analysis aimed to evaluate the effects of LC n-3 PUFA supplementation on key post-exercise recovery outcomes, including muscle soreness, muscle function, and muscle damage biomarkers in healthy adults. Methods: Following the PRISMA guidelines, a comprehensive search of PubMed, Scopus, and clinical trial registry databases was conducted (to January 2025). All studies that met the inclusion criteria underwent appropriate methodological quality assessments using established tools. The data were extracted for inputting into random-effects models, with effect sizes reported as Hedges’ g and 95% confidence intervals (CIs). Heterogeneity was assessed using the I2 statistic. Results: Among the 2539 records, 43 studies met the inclusion criteria for the systematic review, and nine met the inclusion criteria for the meta-analysis. The effect of LC n-3 PUFA supplementation on recovery outcomes was equivocal, with significant methodological limitations noted across the literature. However, the meta-analysis of nine placebo-controlled, eccentric exercise trials demonstrated that LC n-3 PUFA supplementation significantly reduced delayed onset muscle soreness (DOMS) (Hedges’ g = −0.75; 95% CI: −1.14 to −0.36), creatine kinase (CK) (Hedges’ g = −0.40; 95% CI: −0.70 to −0.10), and muscle swelling (Hedges’ g = −0.45; 95% CI: −0.83 to −0.07), and significantly improved muscle strength (Hedges’ g = 0.45; 95% CI: 0.07 to 0.83) and range of motion (ROM) (Hedges’ g = 0.93; 95% CI: 0.33 to 1.53) at peak impairment compared with placebo. Conclusions: LC n-3 PUFA supplementation may support recovery from EIMD. However, due to the methodological limitations across the literature base it was not possible to assess effective dosing strategies. Future studies should address dose–response and duration requirements and incorporate objective assessments of omega-3 status (e.g., the Omega-3 Index [O3I] or comparable biomarkers) alongside standardized compliance measures. These approaches are necessary to determine effective dosing strategies and to test the relationship between omega-3 status and recovery outcomes. Full article
(This article belongs to the Special Issue Effects of Nutrient Intake on Exercise Recovery and Adaptation)
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21 pages, 543 KB  
Review
From Plate to Mind: Scientific Perspectives on Foods That May Influence Anxiety and Depression
by Antoniya Hachmeriyan, Gabriela Panayotova and Hristiyana Todorova
Nutrients 2026, 18(9), 1318; https://doi.org/10.3390/nu18091318 - 22 Apr 2026
Viewed by 1589
Abstract
Background: Nutritional psychiatry increasingly links diet quality and specific bioactive nutrients to depression and anxiety outcomes. Mechanistic evidence implicates neuroimmune activation, inflammation, altered neurotransmitter synthesis, and microbiota-derived metabolites. Objective: The objective of this study is to synthesize evidence on omega-3 polyunsaturated fatty acids [...] Read more.
Background: Nutritional psychiatry increasingly links diet quality and specific bioactive nutrients to depression and anxiety outcomes. Mechanistic evidence implicates neuroimmune activation, inflammation, altered neurotransmitter synthesis, and microbiota-derived metabolites. Objective: The objective of this study is to synthesize evidence on omega-3 polyunsaturated fatty acids (n-3 PUFAs), the microbiota–gut–brain axis, and vitamins and minerals that influence neurotransmitter synthesis, inflammation, and brain function and to translate these findings into food-based strategies. Methods: This study consisted of a focused synthesis of randomized controlled trials (RCTs), meta-analyses, and systematic reviews indexed in PubMed, Scopus and Web of Science, selected for relevance to omega-3s, probiotics/prebiotics, dietary patterns, and micronutrients (folate/B-vitamins, vitamin D, magnesium, zinc, and vitamin C/copper pathways). Results: RCT and meta-analytic evidence suggest modest benefits of omega-3 supplementation for anxiety severity and depressive symptoms, with heterogeneity by dose, EPA: DHA composition, and baseline inflammatory status. The gut–brain axis literature supports bidirectional effects of stress and microbiota, and meta-analyses of probiotics/prebiotics show small improvements in depressive and anxiety symptoms, likely dependent on strain and host phenotype. Micronutrients serve as enzymatic cofactors for monoamine and GABA synthesis and modulate immune signaling; clinical effects are the most consistent when correcting insufficiency or in biomarker-defined subgroups. A whole-diet RCT demonstrates that structured dietary improvement can reduce depressive symptoms as adjunctive therapy. Conclusions: A food-first approach emphasizing Mediterranean-style dietary patterns, omega-3-rich seafood, a diverse array of fiber, and micronutrient density is the most defensible. Supplementation may be considered selectively, guided by clinical context and nutritional status. Full article
(This article belongs to the Section Nutrition and Neuro Sciences)
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24 pages, 684 KB  
Review
Anti-Inflammatory Diets in Metabolic Syndrome and Obesity: Multi-Omics Perspectives on the Interplay Between Gut Microbiota, DNA Methylation, and Adipokine Regulation—A Narrative Review
by Karol Makiel
Int. J. Mol. Sci. 2026, 27(6), 2734; https://doi.org/10.3390/ijms27062734 - 17 Mar 2026
Viewed by 2110
Abstract
An anti-inflammatory dietary pattern represents a key component of non-pharmacological management in obesity and metabolic syndrome (MetS), as it targets chronic low-grade inflammation, adipose tissue dysfunction, insulin resistance, and disturbances of the gut–metabolic axis. In the present work, we outline a framework for [...] Read more.
An anti-inflammatory dietary pattern represents a key component of non-pharmacological management in obesity and metabolic syndrome (MetS), as it targets chronic low-grade inflammation, adipose tissue dysfunction, insulin resistance, and disturbances of the gut–metabolic axis. In the present work, we outline a framework for an “omics-based” approach that integrates data on gut microbiota composition and function (metagenomics), adipokine profiles, nutrigenomics, epigenetics, and related transcriptomic and metabolomic layers in order to enable more precise characterization of the metabolic phenotype and to support precision nutrition strategies. The proposed dietary model emphasizes the quality rather than merely the quantity of macronutrients, with particular focus on lipid profile optimization. Specifically, total fat intake is recommended to remain below 30% of total energy through the reduction in saturated fatty acids (SFA), trans fats, and excessive omega-6 fatty acids, alongside increased consumption of omega-3 PUFA (EPA/DHA) and plant-based sources of α-linolenic acid (ALA). Concurrently, greater intake of lean protein sources and low-glycemic-index carbohydrates rich in dietary fibre—particularly fermentable fractions—is recommended. The model also highlights the importance of polyphenols with antioxidant and immunomodulatory properties. To enhance feasibility and long-term adherence, recommendations are structured as flexible food substitutions rather than rigid prescriptions. Further well-designed interventional studies are required to confirm the impact of a multi-omics-based anti-inflammatory diet on both molecular and clinical endpoints. Full article
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19 pages, 2380 KB  
Article
DTBAffinity: A Multi-Modal Feature Engineering and Gradient-Boosting Framework for Drug–Target Binding Affinity on Davis and KIBA Benchmarks
by Meshari Alazmi
Computers 2026, 15(3), 182; https://doi.org/10.3390/computers15030182 - 10 Mar 2026
Viewed by 875
Abstract
An accurate prediction of how strongly a drug binds to its target (where the drug will have the desired effect) is very important for drug discovery. It helps select the most promising compounds and saves money by doing fewer experiments. We present DTBAffinity, [...] Read more.
An accurate prediction of how strongly a drug binds to its target (where the drug will have the desired effect) is very important for drug discovery. It helps select the most promising compounds and saves money by doing fewer experiments. We present DTBAffinity, a multi-modal regression framework that integrates chemically meaningful ligand descriptors with diverse protein sequence features in a unified gradient-boosting model. The representation of ligands includes physicochemical and topological descriptors (RDKit and Mordred), structural keys (MACCS and FP4), circular fingerprints (ECFP/Morgan), and SMILES-derived features from iFeatureOmega. For proteins, thousands of sequence-derived descriptors (composition, autocorrelations, physicochemical profiles, and evolutionary indices) from iFeatureOmega are used, together with contextual embeddings from large protein language models (ESM-1b, ESM-2). The feature matrices are cleaned up, variance filtered, z-score scaled, and univariate selected before being concatenated and modeled with regularized XGBoost ensembles. We evaluate DTBAffinity on two kinase-centric datasets that are commonly used: Davis (30,056 interactions: pKd values) and KIBA (118,254 interactions: integrated affinity scores). Various metrics are used to measure the performance, such as MSE, R2, Pearson/Spearman correlations, Concordance Index (CI), rm2, and AUPR. On Davis, DTBAffinity yields MSE = 0.1885, CI = 0.9102, and AUPR = 0.8112, and on KIBA, it gives MSE = 0.1540, CI = 0.8686, and AUPR = 0.8361; thus, it is better than the state-of-the-art baselines such as KronRLS, SimBoost, DeepDTA, and GraphDTA. The findings here imply that the combination of interpretable descriptors and contextual embeddings in a robust boosting framework is a great way to realize accurate, interpretable, and generalizable DTBA prediction. Full article
(This article belongs to the Special Issue AI in Bioinformatics)
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21 pages, 863 KB  
Article
Nutritional Biomarkers, Bone Turnover, and Oxidative DNA Damage in Postmenopausal Women with Periodontitis: A Cross-Sectional Study
by Irina-Georgeta Sufaru, Stefan-Lucian Burlea, Maria-Alexandra Martu, Sorina Mihaela Solomon, Maria-Georgeta Laza, Liliana Pasarin, Alexandra Cornelia Teodorescu and Ioana Martu
Nutrients 2026, 18(5), 845; https://doi.org/10.3390/nu18050845 - 5 Mar 2026
Viewed by 684
Abstract
Background/Objectives: Periodontitis and low BMD often occur after menopause, but the role of nutritional status in the oral–skeletal link is unclear. This study examined whether nutritional biomarkers relate to periodontitis severity and modify the relationship between low BMD and periodontal destruction in postmenopausal [...] Read more.
Background/Objectives: Periodontitis and low BMD often occur after menopause, but the role of nutritional status in the oral–skeletal link is unclear. This study examined whether nutritional biomarkers relate to periodontitis severity and modify the relationship between low BMD and periodontal destruction in postmenopausal women. Methods: This cross-sectional study included 120 postmenopausal women who underwent comprehensive periodontal measurements at six sites per tooth and were classified according to the 2017 World Workshop staging and grading framework. Areal BMD was measured using dual-energy X-ray absorptiometry (DXA). Objective biomarkers included serum 25(OH)D, plasma vitamin C, RBC omega-3 index, and serum ferritin. Mechanistic measures were serum CTX, P1NP, and urinary 8-OHdG/creatinine. The main periodontal outcome was the mean CAL. Results: Low BMD was associated with greater periodontal destruction (mean CAL 2.06 vs. 1.45 mm; adjusted β = 0.664 mm, 95% CI 0.465–0.863; p < 0.001). Higher 25(OH)D and omega-3 index were independently associated with lower mean CAL (β = −0.024 mm per 1 ng/mL and β = −0.107 mm per 1%, respectively), with false discovery rate control applied across nutritional biomarkers. Across the cohort, serum 25(OH)D showed a weak inverse correlation with CTX (r = −0.14; p = 0.141), and exploratory mediation analyses suggested only small indirect effects via CTX and 8-OHdG. Conclusions: In women after menopause, lower BMD is associated with greater periodontal tissue loss. Objective nutritional biomarkers, especially 25(OH)D and omega-3 levels, correlate with biologically plausible pathways involved in periodontal destruction and remodeling. This supports the idea that nutrition could be a key factor linking oral health and skeletal health. Full article
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