Search Results (160)

Background: MASLD is characterised by chronic inflammation and oxidative stress, which contribute to disease progression. Currently, no effective pharmacological treatment is available, and the first-line treatment remains lifestyle modification, including dietary changes and physical activity. This study aimed to assess the effect of dietary antioxidants, anthocyanins, on the risk of MASLD in a cohort from Southern Italy. Methods: The sample of this study comprised 1, 297 individuals aged between 54 and 64 years from a larger cohort, the NUTRIHEP study cohort. Data on anthocyanin intake were collected using a food-frequency questionnaire. MASLD is diagnosed when fatty liver disease is present in conjunction with at least one cardiometabolic risk factor. Results: Anthocyanin intake was inversely associated with MASLD risk. In Model b, adjusted for adjusted for age, sex, Fasting Glucose, Triglycerides, Diastolic Blood Pressure, Job, Alcohol consumption (g/day), daily energy intake, adherence to the Relative Mediterranean Diet (rMED), Available Carbohydrates, fibre intake, the third quartile (Q3) and the highest intake group (Q4) of anthocyanins showed a negative correlation with MASLD. Analysis of Anthocyanin intake as a continuous variable showed a modest negative association with MASLD risk (OR = 0.990, 95% CI 0.989–0.999), suggesting that higher anthocyanin intake may slightly lower the risk of MASLD. Conclusions: Our study highlights the protective effects of dietary anthocyanins against MASLD. These findings confirm the potential preventive role of dietary polyphenols in MASLD and identify anthocyanins as novel targets for intervention. Full article

Background/Objectives: Foods and beverages consumed during school lunch periods contribute substantially to children’s dietary intake; however, Canadian evidence of their nutritional contribution and quality remains limited. This study assessed nutrient content, nutrient density, and contributions to dietary recommendations among Saskatchewan elementary students. Methods: A descriptive quantitative study was conducted among 379 students aged 5–13. Dietary intake during school lunch periods was assessed using a photography-assisted plate waste method. Nutrient content was estimated using standard nutrient databases, nutrient density was evaluated using the Nutrient-Rich Food (NRF) 9.3 Index, and contributions to dietary recommendations were examined. Results: Median lunch energy was 411.4 kcal (IQR: 296.7), and the mean NRF 9.3 score was 292.6 (SD: 130.7). Compared with home-packed and mixed lunches, school-provided lunches contained less energy, carbohydrate, fat, and sugar, while protein was similar across lunch types. Overall, lunches contributed <25% of daily requirements for key nutrients, including fibre, vitamin D, calcium, and potassium. Older students had lower proportional nutrient contributions relative to their higher nutritional requirements. Nutrient density differed by lunch provenance, but not by age or reported gender, with school-provided lunches achieving the highest NRF 9.3 scores. Conclusions: Lunches contributed modestly to daily nutrient requirements, particularly among older students. In this sample, school-provided lunches were associated with higher nutrient density than home-packed lunches, although their absolute contributions to several nutrients remained limited. These findings provide baseline evidence on lunches consumed during school lunch periods among Saskatchewan elementary students and may inform future evaluations of school food systems and policies. Full article

Background: Long COVID (LC) has been associated with persistent endothelial dysfunction and vascular impairment. Although nutrition is a key modifiable determinant of cardiovascular health, the relationship between dietary macronutrient intake and vascular alterations in LC remains poorly understood. Objective: To evaluate the association between dietary macronutrient intake and markers of vascular structure, arterial stiffness, and vascular aging in patients with LC, including potential sex differences. Methods: We conducted a cross-sectional study including 304 patients with LC. Dietary intake was assessed using a validated 7-day dietary record (EVIDENT study). Vascular evaluation included carotid intima–media thickness (cIMT), carotid–femoral pulse wave velocity (cfPWV), brachial–ankle pulse wave velocity (baPWV), cardio-ankle vascular index (CAVI), augmentation index adjusted to a heart rate of 75 beats per minute (AIx@75), and vascular aging index (VAI), measured using carotid ultrasound and validated devices (SphygmoCor^® and VaSera^®). Results: The mean age was 53 ± 12, higher in men (p = 0.001). The study included 207 women (68%) and 97 men (32%). Energy intake and carbohydrate intake in g/day showed a negative association with cfPWV in Model 2 (energy intake: β = −0.06; 95% CI: −0.11 to −0.01; p = 0.02; carbohydrate intake: β = −0.47; 95% CI: −0.87 to −0.07; p = 0.02). The percentage of carbohydrate/total energy intake was positively associated with AIx@75 in Model 2 (β = 0.8; 95% CI 0.12 to 1.49; p = 0.02), and percentage of fat/total energy intake showed a consistent inverse association (β = −0.30; 95% CI: −0.49 to −0.11; p = 0.002). No significant associations were observed for cIMT, baPWV, CAVI or VAI. Conclusions: In patients with LC, total energy intake and absolute carbohydrate intake were negatively associated with cfPWV, whereas the relative contribution of carbohydrates and fats to total energy intake showed divergent associations with AIx@75. These findings suggest that both absolute macronutrient intake and relative macronutrient distribution may be related to central arterial stiffness and wave reflection parameters LC. However, given the cross-sectional design of the study, these results should be interpreted as exploratory and do not allow causal inference. Further longitudinal and interventional studies are needed to confirm these findings and to assess whether nutritional strategies may contribute to modulating vascular risk in this population. Full article

Balancing of macronutrient intake assumes that animals change their food preferences to increase consumption of the deficient nutrients and/or decrease consumption of nutrients in excess. Harvestmen are generalist predators that consume mostly soft-bodied insects, but they supplement this with plant-derived food such as berries (omnivory). In spite of this, they are often carbohydrate-limited in their natural habitats. As aphids have higher sugar content than most other insect prey, they are a potential source of sugar. We hypothesized that sugar-deficient harvestmen have increased preference for aphids relative to other insect prey (fruit flies) and consume more aphids than sugar-satiated harvestmen. Likewise, we hypothesized that protein-deficient harvestmen would show increased consumption of aphids relative to a pure sugar source (dried grape pulp). The former hypothesis was confirmed but the latter was not. Carbohydrate-deprived harvestmen (Leiobunum gracile) consumed 1.9 times more aphids than nutritionally balanced ones (p = 0.0004). Consumption of dried grape was increased in carbohydrate-deficient harvestmen, while protein deficiency did not increase consumption of aphids. These results indicate that aphids may be used as a carbohydrate source if no better alternative is available, but they are unable to relieve a deficiency in protein. We suggest that carbohydrate deprivation in predators may enhance aphid control. Full article

Background/Objectives: The increasing prevalence of nutrition-related diseases and the limited availability of convenient, metabolically safe, high-protein foods represent a pressing public health challenge. This study aimed to evaluate the effects of four composite animal-derived high-protein ingredients based on collagen enzymatic hydrolysates on physical endurance, feeding behaviour, carbohydrate metabolism, renal function, and behavioural parameters in rats. Methods: Four lyophilised collagen hydrolysate-based ingredients were developed using enzymatic biotransformation of bovine and porcine raw materials, combined with bovine whey protein concentrate, bovine meat trim hydrolysate, porcine blood plasma proteins, and an api-component (Samples 1–4; protein content 87–89%). Ninety male Wistar rats were randomised into one control group and four experimental groups (n = 20 per experimental group, n = 10 controls) and received test samples by intragastric gavage at 3000 mg/kg/day for 40 days. Physical endurance was assessed via a weighted forced swimming test (days 0, 30, and 40); behavioural status by open field, adhesive removal, and marble burying tests; and biochemical parameters (blood glucose, serum urea, creatinine, urinary protein, and GFR) at days 0 and 40. Results: All experimental groups demonstrated a significant reduction in standard chow consumption (19–24%, p < 0.01) without affecting body weight gain. Physical endurance improved significantly in all groups relative to baseline, with the most pronounced effect in the Sample 3 group (+39% at day 40, p < 0.05). Blood glucose levels were significantly reduced across all groups (9–16%, p < 0.05). No adverse behavioural effects were observed. Biochemical markers indicated an adaptive rather than pathological renal response, with elevated GFR in three of four experimental groups (p < 0.05) and reduced proteinuria in the Sample 1 and Sample 3 groups. Conclusions: Forty-day administration of collagen hydrolysate-based protein complexes improved physical endurance and glucose metabolism, reduced food intake without compromising body weight, and did not impair renal function or behavioural status in healthy adult rats. These findings support the potential of such ingredients as functional food components, pending confirmation of long-term safety in extended studies. Full article

Background/Objectives: Diet is considered one of the most important modifiable risk factors for non-communicable diseases in modern society. While numerous studies have reported on the association between diet and mental health, including anxiety, research examining the relationship between dietary patterns and mental health is relatively scarce. Therefore, this study aimed to analyze the association between anxiety and suicidal ideation with macronutrient intake. Methods: This study was conducted on adults aged 19 years or older using raw data from the 2021–2023 Korea National Health and Nutrition Examination Survey. Excluding those with missing test items, 9002 subjects were included. The study subjects were divided into four groups based on macronutrient intake (normal diet group, high-carbohydrate diet group, high-fat diet group, and high-protein diet group; based on Korean Dietary Reference). Results: There was no significant association between dietary patterns and suicidal ideation. However, after adjusting for covariates for moderate or severe anxiety in the HP diet group, the odds ratio was reported to be 0.492 (95% CI 0.298–0.810). Subgroup analysis by gender revealed no significant difference between dietary types and anxiety in women, but in men, the HP diet significantly lowered the odds of moderate or severe anxiety (OR 0.230, 95% CI 0.089–0.599). Conclusions: This study found that higher protein intake was associated with lower levels of moderate to severe anxiety, and this trend was statistically significant, particularly in men. Further research is needed to confirm the causal relationship. Full article

Background/Objectives: University students frequently exhibit suboptimal dietary habits, and even those enrolled in nutrition-related programmes may fail to meet recommended intakes of several key nutrients. This study aimed to assess changes in dietary intake and body composition over a single academic semester among university nutrition students. Methods: A prospective pre–post study was conducted with 102 students at the Czech University of Life Sciences Prague. Dietary intake was assessed using a 3-day food record and evaluated for energy, macronutrients, and specific micronutrients. Body composition was measured by a multi-frequency bioelectrical impedance analysis. Changes between baseline and follow-up were analysed using paired statistical tests with the false discovery rate correction. Predictors of follow-up body fat percentage were examined using an analysis of covariance. Results: At baseline, mean daily energy intake was 2114 ± 632 kcal. A particularly low intake was observed for dietary fibre (15.45 ± 8.46 g/day), potassium (2013 ± 954 mg/day), iodine (63.5 ± 69.8 µg/day), and vitamin D (2.31 ± 3.01 µg/day), whereas protein intake was relatively high. During follow-up, significant increases were observed in the intake of carbohydrates (+54.2 g/day), dietary fibre (+9.3 g/day), potassium (+766 mg/day), vitamin C (+69.2 mg/day), and magnesium (+86.2 mg/day), together with lower sodium and saturated fat intake (all adjusted p < 0.001). No significant short-term changes were found in body weight, body fat percentage, or skeletal muscle mass. Follow-up body fat percentage was primarily associated with baseline adiposity. Conclusions: One semester of nutrition-related education was associated with improved dietary intake, particularly for fibre and selected micronutrients, but not with measurable short-term changes in body composition. These findings suggest that nutrition education may support healthier dietary behaviour and may contribute to preventive healthcare strategies in young adults. Full article

Objectives: In Japan, smartphone applications are increasingly used for dietary recording in healthcare settings. This study aimed to examine the agreement between energy and nutrient intake estimates obtained using an artificial intelligence (AI)-based dietary recording application and those obtained using the weighed dietary record (WDR). Methods: The AI-based dietary recording method (FoodLog Athl method) was compared with WDR. Thirty-six university students (35 women and 1 man) simultaneously recorded their dietary intake using FoodLog Athl (FLA) and the WDR for 10 consecutive days. Energy and nutrient intakes were estimated using each method, and correlations and agreement between the two methods were evaluated. Results: Significant positive correlations were observed between the two methods for energy and most nutrients, except for iron, vitamin B1, and sodium chloride equivalent (p < 0.01). Compared with the WDR, the FLA method showed systematic overestimation of energy and major macronutrients (protein, fat, and carbohydrate) and underestimation of total dietary fiber. Bland–Altman analysis indicated fixed bias and relatively wide limits of agreement for several nutrients. Conclusions: The FLA method demonstrated moderate agreement with the WDR, with systematic bias observed for selected nutrients. These findings suggest that the application may be useful for monitoring overall dietary trends or relative intake over time, but caution is warranted when precise individual-level nutrient quantification is required. Professional review by registered dietitians may help improve estimation accuracy and reduce bias. Full article

Iron is an essential nutrient for piglets, but iron sources vary greatly in bioavailability, and their effects on intestinal health remain unclear. In this study, 21-day-old weaned piglets were used to compare the effects of different iron sources (ferrous sulfate (FeSO₄), ferric ammonium citrate (FAC), and ferrous glycinate (Fe-Gly)) on growth performance, intestinal inflammation, and gut microbiota. Compared to the FeSO₄ group, the Fe-Gly group significantly increased the body weight of piglets at 35 days (p < 0.05), promoted the average daily feed intake (ADFI) and average daily gain (ADG) of piglets from day 21 to 35 (p < 0.01), and also markedly reduced the diarrhea rate of piglets (p < 0.01). Meanwhile, although FAC increased growth performance-related indicators (ADG, ADFI) in piglets, there was no significant statistical difference compared with FeSO₄ (p > 0.10). Moreover, Fe-Gly supplementation significantly elevated serum iron levels and total iron-binding capacity (p < 0.01), while significantly reducing the iron content in colonic chyme (p < 0.0001). Both the Fe-Gly and FAC significantly improved the anti-inflammatory and antioxidant capacities of the piglets (p < 0.01). Interestingly, Fe-Gly primarily increased the abundance of Lactobacillus, thereby reducing the abundance of harmful bacteria such as Escherichia coli. Functional prediction using PICRUSt2 revealed that Fe-Gly supplementation tended to elevate the relative abundance of gut bacteria capable of carbohydrate metabolism and amino acid synthesis. In conclusion, this study demonstrated that dietary Fe-Gly supplementation improved systemic iron status, effectively reduce residual iron in the intestine, inhibit the proliferation of pathogenic bacteria in the gut, promote the growth performance and intestinal health of piglets, and reduce the diarrhea rate. Full article

Background/Objectives: Nutrition is essential for both physiological and physical health. The study aimed to explore dietary habits, nutritional intake and supplementation in association with the indirect omega-3 index (ω-3I) magnitude in a cohort of professional athletes. Methods: A 3-day food record was used as an approach to document all the dishes and beverages consumed by athletes over three consecutive days. Additionally, in aiming to assess the dietary habits and supplementation as well as the estimated ω-3I, both a food frequency questionnaire and a valid equation proposed by Swiss scientists were applied. The body composition of athletes was assessed using the bioelectrical impedance analysis. Results: Given that carbohydrate-containing foods were relatively frequently consumed by athletes, the average daily carbohydrate content (5.5 g/kg of body weight/day) did not reach the minimum recommended limit. A Western pattern diet applied to professional athletes ensured a sufficient level of protein intake (1.7 g/kg of body weight/day) and resulted in the overconsumption of dietary fat (40.3% of energy intake (EI)), especially saturated fatty acids (FAs) (13.8% of EI). The frequency of the consumption of fish products was considered to fulfill the lowest rank, which in turn, led to the lowest average intakes for polyunsaturated (6.2% of EI), ω-6 (5.7% of EI), and ω-3 (0.3% of EI) FA. Also, the dietary ω-3 FA deficiency generated an unhealthy ω-6/ω-3 FA ratio of 18.4:1 which was not directly related to the intermediate-desirable level (5.5–9.8%) of the estimated ω-3I in a sample of professional athletes. Conclusions: Taking into account the predicted regression model which was adjusted for sports and sex, the estimated ω-3I was significantly and positively associated with the higher consumption of polyunsaturated FA supplementation (β 1.5, 95% confidence interval (CI): 1.3; 1.6, p < 0.001), fish products (β 1.1, 95% confidence interval (CI): 1.0; 1.2, p < 0.001), and the energy percentage obtained from the dietary ω-3 FA (β 0.8, 95% CI: 0.1; 1.6, p = 0.049) in a cohort of professional athletes. Therefore, whilst acknowledging that the increased fish consumption may serve as an equally strong potential predictor for the indirect ω-3I magnitude, the supplementation with polyunsaturated FA also becomes an important strategy for maintaining the optimum ω-3I levels among professional athletes. Full article

This study examined how meal frequency under isocaloric conditions affects triglyceride accumulation in adipocytes, focusing on the role of insulin dynamics. Using a mathematical model of carbohydrate–lipid metabolism, we simulated feeding regimens from one to eight meals/day while holding calories and macronutrient ratios constant. A simplified model allowed independent variation in insulin peak amplitude, width, and overlap Results show that, relative to thrice-daily feeding (the reference regimen with stable triglyceride content over one month), infrequent meals (1–2/day) reduce, while frequent meals (5–8/day) increase triglyceride accumulation—most strongly in healthy individuals and attenuated in type 2 diabetes, as parameterized from the literature. Crucially, fat accumulation correlates not with average insulin levels but with its dynamic profile. Metabolic flux analysis revealed that triglyceride accumulation is driven not by changes in synthesis rate but by suppression of lipolysis, which depends on the amplitude, duration, and degree of overlap of insulin peaks. Thus, fat mass is shaped not only by caloric intake but by meal timing, which defines the insulin signal’s temporal structure. These findings highlight that insulin dynamics—not mean concentration—govern lipid metabolism, urging dietary guidelines to account for meal pattern, not just composition or total energy. Full article

Background/Objectives: Stage 5 chronic kidney disease (CKD), or end-stage renal disease (ESRD), requires renal replacement therapy, commonly hemodialysis (HD). This treatment necessitates dietary changes due to impaired excretory function and protein-energy wasting (PEW). A structured diet with adequate energy, protein, electrolytes, and fluids is essential. The aim was to characterize habitual dietary intake in adults on HD relative to KDOQI and ESPEN recommendations. Methods: In this cross-sectional study, 50 adults on maintenance HD at the Medical University of Warsaw completed a validated Food Frequency Questionnaire (55 items, nine frequency categories). The study was questionnaire-based and did not collect, link, or analyze dialysis efficacy indices, residual diuresis, or anthropometric measurements; all dietary estimates are independent of these clinical parameters. Estimated intakes of energy, macronutrients, fiber, electrolytes (Na, K, Ca, P), and fluids were compared with KDOQI 2020 and ESPEN 2021 recommendations. Sensitivity analyses included deterministic scenarios and Monte Carlo simulations. Results: Mean intakes were 2696.9 ± 1392.7 kcal and 87.7 ± 35.3 g protein; 64% and 82% met reference values. Sensitivity analyses revealed per-kg shortfalls in heavier patients (>75 kg): Monte Carlo medians were 37.8 kcal/kg/day and 1.28 g/kg/day. Diets were fat-dominant (~46%E), with low carbohydrates (~40%E) and low fiber, about 8 g per 1000 kcal. Sodium and phosphorus were elevated, about 1119 mg and 498 mg per 1000 kcal, while calcium was low (~346 mg/1000 kcal). Conclusions: Despite adequate mean intake, sensitivity analyses revealed per-kg energy/protein deficits and elevated sodium and phosphorus. Individualized counseling with electrolyte and fluid management, greater dietary diversity, and psychosocial support is warranted in HD. Full article

The invasive seaweed Caulerpa cylindracea is widespread in the Mediterranean and has notable ecological impacts, yet its nutritional potential remains underexplored. This study aimed to characterize the nutritional composition of C. cylindracea comprehensively. Samples were collected from the Northern Adriatic and analyzed for proximate composition, amino acids, minerals, vitamins, and fatty acids using standardized laboratory methods. The results revealed a balanced proximate profile with notable protein (11.8 g/100 g DW) and fiber (24.4 g/100 g DW) levels and relatively low carbohydrates (11.6 g/100 g DW). The seaweed exhibited a rich mineral content, including high levels of iron, magnesium, manganese, and potassium, while toxic heavy metals were absent. Vitamins B12 and E were present at elevated concentrations compared to related species. Amino acid analysis showed a well-balanced essential amino acid profile supporting its nutritional value. The high salt content (33.8 g/100 g DW) suggests the need for desalination prior to consumption to reduce sodium intake risks. These results indicate the potential of this invasive species as a novel dietary component, particularly for populations who may benefit from plant-based marine sources of essential nutrients in the Mediterranean region. This is the first comprehensive nutritional characterization of C. cylindracea from the Adriatic Sea, highlighting its potential for valorization as both an environmental management strategy and a novel dietary resource. Full article

Background/Objectives: The beverage hydration index (BHI) assesses the relative hydration properties of beverages. Commercially available caffeinated energy drinks (with and without electrolytes or carbohydrates) were compared to water. Methods: Fourteen men and fourteen women completed four trials: 500 mL water plus either 500 mL water or caffeinated energy drink beverage (CAF) with 280 mg, CAF (280 mg) plus electrolytes (CAF + E), or CAF (106 mg) + E and carbohydrates (CAF + CE). Participants’ habitual caffeine intake (0–535 mg/day) was used to stratify users into naïve (<25 mg/day, n = 19) or regular users. Results: BHIs at 240 min for CAF (0.86 ± 0.16) and CAF + E (0.91 ± 0.16) were lower (p < 0.001) versus water (1.0 ± 0.0) and CAF + CE (1.01 ± 0.12). Urine mass with CAF and CAF + E was significantly greater (p < 0.01) by 244 g and 162 g versus CAF + CE. The % fluid retained at 240 min was lower (p < 0.001) for CAF (−71.2 ± 21.5%) and CAF + E (−65.1 ± 26.3%) versus CAF + CE (−46.4 ± 18.8%). Habitual intake status had no effect on the BHI (p = 0.827) between the naïve (0.92 ± 0.1) and habitual user group (0.93 ± 0.1) averaged across all three caffeinated beverages for 120 and 240 min. At 240 min, the drink (p < 0.001) and drink x sex interaction (p = 0.042) indicated women had higher BHI than men (p = 0.03) for caffeinated drinks despite higher relative fluid and caffeine dosages. Conclusions: A low-carbohydrate–electrolyte beverage with moderate caffeine had similar hydration properties compared to water; however, this differs from beverages with higher caffeine containing limited carbohydrate and/or electrolytes, which were inferior to water. Habitual caffeine intake had no apparent influence, but men and women exhibited differences in the diuretic response to energy drink consumption. Full article

Background: Dietary polyphenols, particularly flavonoids, have been associated with improved glycemic control and reduced risk of type 2 diabetes. Raspberry leaf (RL) is a rich but underexplored source of such bioactives, including ellagitannins, flavonoids, and phenolic acids. While raspberry fruit has received some attention in nutritional science, the metabolic effects of raspberry leaf—especially its influence on postprandial glucose and insulin responses—remain largely unstudied. Objective: This study is the first to investigate the acute effects of RL tea consumption on postprandial blood glucose and insulin levels in healthy individuals following intake of common dietary carbohydrates (sucrose and glucose). Methods: In a randomized crossover study, 22 healthy adults (12 males, 10 females) consumed 50 g of glucose or sucrose with or without 10 g of RL tea in four separate sessions. Blood glucose and insulin levels were measured at fasting and at 15, 30, 60, 90, and 120 min post-ingestion. A total of 37 polyphenolic compounds were identified in the RL infusion using LC–MS, following a 5-minute hot water extraction. The contents of ellagitannins, flavonoids, and phenolic acids were 38 mg, 7 mg, and 4 mg per 10 g of RL, respectively, contributing to a total polyphenol content of 50 mg per 10 g. Results: When RL tea was consumed with sucrose, postprandial blood glucose levels were significantly reduced at 15 and 30 min by 1.19 ± 0.88 mmol/L (25.59% reduction, p = 0.001) and 2.03 ± 1.05 mmol/L (43.57% reduction, p = 0.0004), respectively. Insulin concentrations were also significantly lower at 15 min (113.90 ± 59.58 pmol/L, p = 0.019), 30 min (161.76 ± 91.96 pmol/L, p = 0.0008), and 60 min (139.44 ± 75.96 pmol/L, p = 0.025). No significant differences were observed with glucose ingestion. Conclusions: This study provides the first clinical evidence that RL tea can blunt early postprandial glycemic and insulinemic responses to sucrose in healthy individuals. The data suggest that these effects are likely mediated by relatively low levels of polyphenols—particularly ellagic acid—through inhibition of carbohydrate-digesting enzymes such as α-glucosidase and β-fructofuranosidase. These findings support the potential of RL tea as a simple, dietary approach to modulate glucose metabolism and warrant further investigation in populations at risk for metabolic disorders. Full article