Search Results (468)

Background/Objectives: Increasing evidence indicates that a vegetarian diet may provide renal protection and improve metabolic health in patients with chronic kidney disease (CKD). However, transitioning from an omnivorous to a vegetarian diet can be challenging. A more practical alternative could be to increase the consumption of plant protein. In this cross-sectional study, we investigated the association between increased plant protein intake and adherence to a low-protein diet (LPD) and the effect on biochemical parameters, body composition, and muscle strength in patients with non-dialysis CKD stages 3–5. Methods: The daily dietary intake of 377 patients, aged 68.5 ± 12.1 years, was evaluated using a quantitative food frequency questionnaire. Plant protein intake percentage was calculated as (daily plant protein intake/total protein intake) × 100%, and the potential renal acid load (PRAL) was estimated. A LPD was defined as a diet with a daily protein intake of <0.8 g/kg of body weight. Anthropometric measurements, body composition, and handgrip strength were assessed in a subgroup comprising 260 patients. The lean tissue index (LTI) and fat tissue index (FTI) were calculated by dividing lean mass and fat mass (kg) by the height in m², respectively. Results: Of the included 377 patients, 69.5% adhered to the LPD. Further, a 10% increase in plant protein intake was associated with a 20% increase in the likelihood of LPD adherence (OR, 1.20, 95% CI, 1.06 to 1.37), lower PRAL (β = −1.10 per 10% increase, 95% CI, −1.63 to −0.57), and higher serum bicarbonate levels (β = 0.24, 95% CI, 0.02 to 0.45). Analysis of the 260-patient subgroup revealed that a 10% increase in plant protein intake was associated with lower body mass index (β = −0.82, 95% CI, −1.05 to −0.59), FTI (β = −0.71, 95% CI, −1.01 to −0.40), waist circumference (β = −2.11, 95% CI, −2.80 to −1.41), hip circumference (β = −1.25, 95% CI, −1.75 to −0.75), waist-to-hip ratio (β = −0.91, 95% CI, −1.44 to −0.38), and waist-to-height ratio (β = −1.25, 95% CI, −1.71 to −0.80). There was no significant association between increased plant protein intake and LTI and handgrip strength. Conclusions: Increased intake of plant protein can reduce dietary acid load, alleviate metabolic acidosis, and potentially improve adiposity parameters without compromising lean mass and handgrip strength. Full article

Palatability is a critical determinant of pet food performance, directly influencing voluntary intake, nutrient utilization, and therapeutic efficacy. In this systematic review, we examine peer-reviewed research publications, patent filings, and commercial product data pertaining to palatant technologies in dry and wet pet food from 2014 to 2024. Major palatant classes—including fats, proteins, yeast extracts, and novel plant-derived or insect-based hydrolysates—are evaluated for their physicochemical properties, flavor-release mechanisms, and stability during processing. We analyze formulation techniques such as microencapsulation, Maillard-reaction enhancement, and multilayer coating systems, focusing on their impact on aromatic compound retention and palatability consistency. Patent landscape assessment identifies over 15 key innovations in delivery systems, life-stage-specific palatant modulation, and dual-phase release architectures. Dual-phase release architectures are defined as systems that deliver active compounds in two sequential phases, such as immediate and sustained release. Sensory evaluation methodologies—ranging from multivariate preference mapping to descriptive analysis—are critically appraised to correlate human-panel metrics with canine and feline feeding behavior. We also discuss strategic integration of palatants at different processing stages (pre-conditioning, extrusion, and post-extrusion) and the challenges of balancing taste masking with nutritional requirements, particularly in formulations containing alternative proteins for sustainability. Despite rapid market growth in functional palatant-infused products, peer-reviewed literature remains relatively limited, suggesting opportunities for further research on species-specific flavor drivers, synbiotic flavor–nutrient interactions, and novel delivery platforms. This comprehensive overview of palatant science, patent innovations, and market evolution provides evidence-based guidance for researchers, formulators, and veterinarians seeking to optimize organoleptic properties and consumer acceptance of next-generation pet foods. Full article

Background: Nitrogen balance studies have traditionally been used to estimate protein requirements in adults. However, ethical and practical constraints have made new studies increasingly difficult to conduct. This systematic review and meta-analysis aimed to compile and analyze the most comprehensive individual-level dataset to date. Methods: We included 31 studies that reported nitrogen intake and excretion data for healthy adults. Studies were selected based on strict eligibility criteria that required data from at least three intake levels per individual. Nitrogen requirements were estimated using regression analysis. In total, data from 395 individuals were analyzed. We used a random effects model for the meta-analysis. Subgroup comparisons and meta-regression were conducted based on sex, age, climate, and protein source. Results: The overall mean nitrogen requirement was 104.2 mg N/kg/day. No significant differences were found by sex, age group (<60 vs. ≥60 years), climate (temperate vs. tropical), or protein source (animal, plant, or mixed). Subgroup and meta-regression analyses did not reveal consistent moderator effects. Substantial heterogeneity was observed (I² > 90%). Conclusions: This analysis provides the most extensive compilation of individual-level nitrogen balance data to date. While the average nitrogen requirement was consistent with previous estimates, the high heterogeneity limits definitive conclusions. Nonetheless, this dataset provides a valuable foundation for revising protein intake recommendations and guiding future research on human nitrogen metabolism in the absence of new studies. Full article

Protein-rich foods, such as meats, eggs, nuts, legumes, and dairy foods, can be important sources of micronutrients, especially those micronutrients that tend to be widely under-consumed. The source of dietary protein, animal or plant origin, is therefore a relevant consideration in the transition to healthier and sustainable diets. In this study, 1589 Australian adult diets with higher diet quality and lower environmental impact were isolated from Australian Health Survey data. These diets were primarily differentiated by lower intake of energy-dense/nutrient-poor discretionary foods. These diets were grouped according to the proportion of total protein obtained from animal and plant sources. On average, 55% of protein was from animal sources and 45% was plant derived. As the proportion of animal protein increased, total dietary protein intake also increased, and total energy intake decreased. Diets with between 60 and 80% of protein from animal sources met the greatest number of Estimated Average Requirements (EARs). Furthermore, diets with this ratio of animal protein were closest to benchmarks when assessed as a proportion of EAR met. That said, across all identified “sustainable healthy diets”, calcium, vitamins B6 and A, zinc, and magnesium were at risk of inadequate intake. This evidence suggests that a diet with around 60–80% of total protein coming from animal sources can reduce the risks of inadequate intake of micronutrients in a sustainable diet. Full article

Background/Objectives: Maternal nutrition and pregestational BMI are critical determinants of pregnancy outcomes. This prospective multicenter observational study investigated the interplay between prepregnancy BMI, dietary patterns, and oxidative/inflammatory status in 153 Italian healthy pregnant women with normal weight (NW), overweight (OW), or obesity (OB). Methods: Detailed clinical, biochemical, placental, and neonatal data were measured at third trimester and delivery. Dietary intake was assessed via a validated questionnaire, and dietary patterns were derived using principal component analysis. Results: OW and OB women had significantly higher levels of inflammatory (CRP, hepcidin) and oxidative stress biomarkers (DNA/RNA damage, catalase activity) than NW. Multivariate models confirmed independent associations between BMI and these biomarkers (CRP: β = 0.297, p = 0.000; hepcidin: β = 1.419, p = 0.006; DNA/RNA damage: β = 409.9, p = 0.000; catalase activity: β = 1.536, p = 0.000). Superoxide dismutase activity and total antioxidant capacity were not associated with BMI. Nutritional intake across BMI groups was largely suboptimal relative to national recommendations, with insufficient levels of polyunsaturated fats and key micronutrients. Four dietary patterns were identified, with adherence varying by BMI. A “prudent-style” pattern (high plant, low animal) was positively associated with gestational age (β = 0.243, p = 0.033) and inversely with neonatal head circumference (β = −0.414, p = 0.050). A “Western-like” pattern (high sugars, snacks, animal fats) was linked to reduced maternal ferritin (β = −2.093, p = 0.036) and increased neonatal head circumference (β = 0.403, p = 0.036). However, not all deviations from the “prudent-style” pattern were metabolically equivalent: while Pattern 3 (high-protein, carbohydrate) may offer partial protective effects, Pattern 4 (moderate protein/plant/sugar) displayed elements of nutritional imbalance with signs of placental inefficiency (β = −0.384, p = 0.023). Conclusions: These findings underscore the dual impact of maternal BMI and diet quality on oxidative-inflammatory balance and perinatal outcomes, supporting the need for early, individualized nutritional strategies in pregnancy. This is further emphasized by the variability in dietary adherence across BMI categories. Full article

Dietary protein is an essential macronutrient derived from both plant and animal sources required for muscle building, immune function, and wound healing. However, in the United States, protein consumption worsens as individuals age, with 30% of men and 50% of women over 71 consuming inadequate dietary protein due to a variety of factors, including changes in gut function, loss of appetite, tooth loss, financial concerns, and social isolation. The aim of this review is to underscore the need for increased protein requirements in aging populations, highlight potential barriers, synthesize these protein requirements, and also recommend strategies to meet these increased protein needs. Achieving adequate protein status, especially when facing chronic or acute health concerns, is essential to promote muscle and bone strength (because aging is associated with significant decreases in postprandial muscle protein synthesis), to support immune health (due to immunosenescence), and to maintain a good quality of life. For older adults, the literature suggests that a dietary protein intake of at least 1.0–1.2 g/kg/day is required in healthy, aging populations, and intakes of 1.2–1.5 g/kg/day are necessary for those with chronic or acute conditions. These protein intake recommendations can increase to 2.0 g/kg/day in more severe cases of illness, malnutrition, and chronic conditions. The reviewed literature also suggests that evenly balanced protein distributions of 25–30 g of dietary protein (0.4 g/kg) per meal from animal and plant protein sources alike are sufficient to maximize muscle protein synthesis (MPS) rates in older populations. Additionally, pre-sleep protein feeds of 40 g/night may be another strategy to improve daily MPS and amino acid utilization. Full article

Euphorbia hirta L. is traditionally used to treat tumors and has demonstrated anticancer effects. This study evaluated the phytochemical composition, toxicity, and antitumor activity of saline extract (SE) from E. hirta leaves in mice. Phytochemical analysis included thin layer chromatography, high-performance liquid chromatography, and quantification of phenols, flavonoids, and proteins. Acute toxicity (2000 mg/kg) assessed mortality, hematological, biochemical, histological parameters, water/feed intake, and body weight. Genotoxicity was evaluated via comet and micronucleus assays. Antitumor activity was tested in vitro and in vivo on sarcoma 180. SE contained 107.3 mg GAE/g phenolics and 22.9 mg QE/g flavonoids; the presence of gallic and ellagic acids was detected. Protein concentration was 12.16 mg/mL with lectin activity present. No mortality, organ damage, or genotoxic effects occurred in toxicity tests. SE demonstrated in vitro cytotoxicity against sarcoma cells (IC₅₀: 10 µg/mL). In vivo, SE (50–200 mg/kg) reduced tumor weight by 70.2–72.3%. SE modulated IL-2, IL-4, IL-6, IL-17, IFN-γ, and TNF-α in tumor environment. Tumors showed inflammatory infiltrate, necrosis, and fibrosis after treatment. These findings position the extract as a promising candidate for further development as a safe, plant-based antitumor agent. Full article

Carotid atherosclerotic stenosis (CAS) is a leading cause of ischemic stroke. Current understanding of plaque vulnerability remains largely confined to histopathological characterization. Consequently, identifying molecular determinants of plaque stability represents a major challenge to advance prevention strategies. Untargeted metabolomic analysis was performed using mass spectrometry coupled to liquid chromatography on carotid plaques removed from patients with CAS undergoing endarterectomy. To identify factors influencing plaque stability, we compared 42 asymptomatic with 30 symptomatic CAS patients. Associations between each annotated metabolite in plaques and asymptomatic CAS status were assessed using logistic regression models. Asymptomatic patients exhibited lower plasmatic levels of C-reactive protein (CRP) and higher HDL-cholesterol. Within the plaques, caffeine and its catabolites, paraxanthine and methylxanthine, were associated with plaque stability and were correlated with HDL-cholesterol. Additional plant-based diet biomarkers including N5-acetylornithine, gentisic acid, proline betaine, and homostachydrine were also associated with plaque stability. In contrast, N-methylpyridone carboxamides, reflecting niacin excess, involved in vascular inflammatory processes, were both associated with plaque vulnerability and also correlated with higher CRP. Our findings provide molecular evidence that plant-based diets, including coffee, promote carotid plaque stability, while excessive niacin intake, linked to processed foods, may be detrimental. Metabolomics offers new insights into food exposome-related vascular risk. Full article

In personalized nutrition, dietary guidelines must be adapted to the physiological and developmental needs of individuals across the lifespan, especially during childhood and adolescence. These should account for nutritional status, health conditions, and early-life risk factors, including those that emerge during pregnancy. This narrative review synthesizes recent evidence (2020–2025) on the biological value of protein sources in supporting pediatric growth and development. While adequate protein intake is essential for physical and cognitive development in individuals under nineteen, excessive intake may accelerate growth and increase the long-term risks of overweight and obesity. Compared to animal-based proteins (ABPs), plant-based proteins (PBPs) carry a higher risk of nutrient deficiencies in vulnerable populations due to lower digestibility and incomplete amino acid profiles. Although plant-based diets are encouraged for environmental reasons—particularly to reduce the ecological impact of livestock—protein intake must remain appropriate for age, sex, health status, and context. Nutritional strategies must ensure an adequate supply of essential amino acids and proper micronutrient supplementation, regardless of whether children follow diets rich in ABPs, PBPs, or a combination of both. Attention to these factors is vital to balancing nutritional adequacy with long-term health and sustainability goals. Full article

The spread of invasive pests can exacerbate the threat of pest stress to agricultural production. Screening natural antifeedants from the secondary metabolites of plants may provide efficient alternative control methods for the integrated management of invasive pests. Therefore, in this study, the three phenolic substances were evenly mixed with the artificial diet at mass ratios of 1:200 and 1:40, respectively. The treatment groups were labeled as follows: vanillic acid (Va1: 1:200, Va2: 1:40), sinapic acid (Si1: 1:200, Si2: 1:40), and syringic acid (Sy1: 1:200, Sy2: 1:40). Subsequently, the feed intake, body weight, protein content, and digestive enzyme activity of the S. frugiperda feeding were measured. This research was extended to the pupal and adult stages, focusing on pupation rate, pupal weight, adult emergence rate, and adult longevity. The results showed that the food intake and body weight of the 4th–6th instars of S. frugiperda decreased significantly after feeding on the different ratios of phenolic substances. Although the protein accumulation of the 4th–5th-instar larvae was inhibited, the protein content of the 6th-instar larvae showed significant accumulation, with that of the Va2 and Sy1 treatment groups being 124.84% and 165.07% of that of the control, respectively. At the same time, the trypsin activity of the 4th–6th-instar larvae in different treatment groups significantly increased, while the activities of pepsin and α-amylase fluctuated but overall showed an increasing trend. The interference of vanillic acid, sinapic acid, and syringic acid on the digestion and absorption of the larvae limited the pupation rate but did not have a significant effect on the pupal weight. All three phenolic substances reduced the adult emergence rate, but unlike the sinapic acid and syringic acid treatments, vanillic acid also had a negative impact on adult longevity. These results can provide material reserves for the development of antifeedants for S. frugiperda, and can also provide optimal plans for its ecofriendly prevention and control. Full article

Pollen, the male gametophyte of flowering plants, is collected by honeybees as a primary source of protein and converted into bee pollen through the enzymatic activity of digestive secretions. The nutrients in bee pollen are available in amounts well beyond those of proteins, comprising macronutrients such as carbohydrates, lipids and dietary fiber, as well as micronutrients such as minerals, vitamins, organic acids, and phenolic compounds. This study aimed to determine the macro and trace mineral content of bee pollen from different botanical and geographical origins, and to assess their bioaccessibility through simulated in vitro digestion, their dietary contribution, and potential health risks. Seven bee pollen samples were investigated, three with a monofloral origin of above 80%, from Nigella spp., Helianthus annuus and Castanea sativa, and four with a multifloral origin. Mineral composition revealed potassium as the most abundant element, while iron, manganese, and copper were found at trace levels. Castanea sativa pollen had the highest overall mineral content, whereas Nigella spp. showed the lowest values for calcium, magnesium, and copper. The bioaccessibility of bee pollen was highest during the gastric phase for most minerals except copper, where most of the samples peaked in the intestinal phase. Overall, mineral bioaccessibility after simulated digestion followed the order K > Mg > Cu > Ca > Mn > Fe > Zn. While for manganese, the consumption of bee pollen showed the highest contribution to recommended dietary intake (16% for women and 12% for men), calcium had the lowest, with less than 1% of the RDA at a consumption level of 40 g/day. Health risk assessment confirmed that consuming 40 g/day of bee pollen poses no risk because the target hazard quotient and hazard index are below the risk threshold of 1.0. Full article

Dietary management is a pillar of chronic kidney disease (CKD) treatment. While some rules are the same as dietary prescriptions for the general population and those suffering from other chronic diseases (energy intake, salt intake, avoidance of ultra-processed food and limited intake of animal fats), in non-dialysis-dependent patients living with CKD, the specific focus is on protein intake. Low-protein diets (LPDs) and supplemented very low protein diets (sVLPDs) have been successfully employed to decrease the symptoms of people living with non-dialysis-dependent CKD, delay the progression of the disease and retard the need for dialysis. Randomized clinical trials have yielded conflicting results on efficacy, resulting in conflicting guidelines. Concerns about the risk of malnutrition (specifically when the main source of proteins is plant-derived), electrolyte imbalances, and energy intake, and the idea that adherence is difficult, jeopardize the use and wide application of LPDs and sVLPDs. That dietary management focuses mainly on nutrients while dietary quality occupies second place is also an erroneous concept that requires discussion. In September 2023, a group of experts composed of nephrologists and dieticians gathered in Frankfurt, Germany, to try to reconcile the different guideline indications and address most of the common doubts of final dispatchers to increase the prescription of “renal diets” and improve people living with CKD’s adherence to them. Full article

Background: Melanoma, one of the most aggressive forms of skin cancer, has seen significant therapeutic advances with immune checkpoint inhibitors (ICIs). However, many patients fail to respond or develop resistance, creating the need for adjunct strategies. Objective: The objective of this study is to critically evaluate how specific dietary patterns and nutrient-derived metabolites modulate melanoma metabolism and immunotherapy outcomes, emphasizing translational implications. Methods: We performed an integrative review of preclinical and clinical studies investigating dietary interventions in melanoma models and ICI-treated patients. Mechanistic insights were extracted from studies on nutrient transport, immunometabolism, and microbiome–immune interactions, including data from ongoing nutritional clinical trials. Results: Diets rich in fermentable fibers, plant polyphenols, and unsaturated lipids, such as Mediterranean and ketogenic diets, seem to contribute to the reprogramming of tumor metabolism and enhance CD8+ T-cell activity. Fasting-mimicking and methionine-restricted diets modulate T-cell fitness and tumor vulnerability via nutrient stress sensors (e.g., UPR, mTOR). High fiber intake correlates with favorable gut microbiota and improved ICI efficacy, while excess protein, methionine, or refined carbohydrates impair immune surveillance via lactate accumulation and immunosuppressive myeloid recruitment. Several dietary molecules act as network-level modulators of host and microbial proteins, with parallels to known drug scaffolds. Conclusions: Integrating dietary interventions into melanoma immunotherapy can significantly influence metabolic reprogramming by targeting metabolic vulnerabilities and reshaping the tumor–immune–microbiome axis. When combined with AI-driven nutrient–protein interaction mapping, this approach offers a precision nutrition paradigm that supports both physicians and patients, emerging as a novel layer to enhance and consolidate existing therapeutic strategies. Full article

Background/Objectives: The purpose of this study is to evaluate the dietary habits of older Korean adults according to their level of plant protein intake. Methods: To conduct this study, the daily plant protein intake of 4254 older adults aged 65 years and older who participated in the dietary survey (24-h recall method) of the 2016~2018 Korea National Health and Nutrition Examination Survey (KNHANES) was divided into quintiles. And the association among plant protein quintiles and general characteristics, health-related behaviors, dietary habits, nutrient intakes, and Korean Healthy Eating Index (KHEI) was examined. Results: For the energy contribution of protein, more than 90% of all groups from Q1 through Q5 were in the Acceptable Macronutrient Distribution Range (AMDR, 7–20%) for protein. In the case of food security, the proportion tended to increase by about 11 percentage points from Q1 (43.4%) to Q5 (54.4%) according to plant protein quintiles, and while food insecurity was above 50% from Q1 to Q3, the percentage tended to decrease as the plant protein quintile increased from Q4 (48.3%) to Q5 (45.3%). Overall, the low plant protein intake group, especially the Q1 to Q3 group, was found to have an inadequate intake of nutrients, including total protein, compared to the recommended intake. In addition, among the components of the KHEI score, the score for the item “consumption of multigrain rice” was found to be very low. Conclusions: Based on these findings, dietary education or guidelines are needed to increase individual awareness, as well as the development of dietary content at government level to support this. Full article

Background/Objectives: Canada’s 2019 Food Guide (CFG) encourages the increased consumption of plant-based foods as dietary protein sources. However, the nutritional implications of replacing animal-based proteins with plant-based alternatives in children’s diets remain unclear. This study aimed to examine the association between protein food sources and nutrient intake in Canadian children aged 9–18 years. Methods: We analyzed data from 2324 children from the 2015 Canadian Community Health Survey (CCHS), using the Public-Use Microdata File (PUMF) containing 24 h dietary recalls. Participants were categorized into four groups based on the proportion of protein from plant sources: Group 1 (0–24.9%), Group 2 (25–49.9%), Group 3 (50–74.9%), and Group 4 (75–100%). Nutrient intakes were compared and assessed against the Recommended Dietary Allowances (RDAs) and Adequate Intake (AI). Results: Groups 1 and 3 had less favorable macronutrient profiles than Group 2. A 3:1 animal-to-plant protein ratio (Group 2) aligned most closely with dietary recommendations. Groups 1 and 2 exceeded RDAs for protein, iron, vitamin B12, thiamine, riboflavin, niacin, vitamin B6, and zinc by over 146% (about four SDs above the mean requirement), suggesting a low risk of inadequacy, although saturated fat intake was high. The intakes of vitamin D and folate were below 66% of the RDA, while calcium and magnesium were below 100% in some subgroups, with probabilities of inadequacy of 0.93 and 0.31, respectively. Group 4 (2.71%) was too small for reliable analysis. Conclusions: An approximate 3:1 ratio of animal-to-plant protein sources may represent an optimal balance for supporting nutrient intake and improving macronutrient profiles in the diets of Canadian children. Full article