Search Results (177)

This study examines whether international food price dynamics provide a reliable signal of undernourishment and human development outcomes relevant to the attainment of SDG 2 (Zero Hunger) by 2030. We apply wavelet coherence analysis to the FAO Food Price Index and the prevalence of undernourishment (SDG Indicator 2.1.1) over 2001–2023, testing statistical significance against an AR(1) red-noise null hypothesis. Hybrid ARIMA–Random Forest models generate probabilistic price forecasts through 2030. Despite strong raw coherence (R² ≈ 0.77), only 7.8% of time–frequency cells achieve statistical significance, indicating that apparent co-movement largely reflects autocorrelation rather than substantive dependence. Where significant coherence emerges, it concentrates at medium-run horizons (3–6 years), consistent with undernourishment as a habitual dietary adequacy measure linked to sustained affordability pressures affecting health, productivity, and human capital formation. Rolling correlation analysis reveals suggestive evidence of a regime change around 2012—from negative to positive correlation—coinciding with a slowdown in progress toward reducing hunger, although the 5-year rolling windows yield only 19 observations, limiting the power of formal structural break tests. Price forecasts exhibit rapidly widening confidence intervals (by ±131 index points by 2030), underscoring fundamental limits to predictability. The annual PoU series comprises only 23 observations, which constrains the estimation of long-run (8–12-year) wavelet cycles; results at those horizons should therefore be interpreted with caution. These findings caution against mechanistic inferences from global price indices to hunger and human development outcomes, redirecting policy emphasis toward domestic transmission channels and nutrition-sensitive safety nets. Full article

Background: Undernutrition and cachexia are common in advanced cancer and often linked to systemic inflammation. While inflammation is associated with poorer prognosis, accelerated weight loss, and reduced treatment tolerance, its direct impact on food intake remains insufficiently investigated. Aim: To examine the association between systemic inflammation and energy and protein intake over time in patients with advanced cancer. Methods: A total of 170 patients from the Palliative Radiotherapy and Inflammation Study were included. Nutritional status was assessed using PG-SGA SF. Dietary intake was recorded using repeated 24 h recalls. Systemic inflammation was defined as CRP > 10 mg/L. Mixed linear models were applied to evaluate the association between inflammation energy and protein intake over time. Results: Systemic inflammation (CRP >10 mg/L) was present in 87 (51%) patients and associated with significantly lower energy (−3.6 kcal/kg, p = 0.04) and lower protein intake (−0.25 g/kg, p = 0.003). Patients with inflammation were more often undernourished and had shorter survival. Conclusions: Systemic inflammation is likely associated with clinically relevant reductions in energy and protein intake in advanced cancer. CRP may help identify patients for whom standard nutritional support is insufficient. Full article

This article investigates whether increasing economic status through adopting digital payment capabilities in Delhi fosters economic and financial inclusion among urban women street vendors in Mahila Haat. Digital freedom is a new step forward in technology for everyone. Still, a woman not only balances the social responsibilities of childbearing, caring for her children and family, and struggling with economic issues, health issues, and undernourishment, but can also balance the household job of street vending to increase self-esteem and financial independence. This research work conducted a sampling survey and applied the Kruskal–Wallis H-test with a p-value (0.05) significance level by evaluating 11 variables to investigate the relationship between the digital capabilities and economic independence of street vendors in Mahila Haat (a women’s market where the vendors are all women) in the Red Fort area of New Delhi. UPI systems were created using measurements based on a five-point Likert scale to analyze different levels of satisfaction in clusters of digital capabilities on digital platforms. Further, the ordinary least squares (OLS) method was used to estimate quality of life and social happiness in the context of digital empowerment. Digital payment systems positively influence women’s empowerment. Women vendors can adopt digital payment methods, making them economically independent. The positive relationship between women vendors and customer satisfaction before UPI use and after UPI use is also analyzed. This research will be helpful for both government and non-government organizations to provide financial assistance, informational awareness, skill development training, and advocacy for gender equality to increase women’s empowerment. Full article

This study investigated the effects of tributyrin supplementation on the immune and antioxidant status of lambs born to perinatal Hu ewes with negative energy balance (NEB) at 75%. Twenty healthy Hu ewes (average body weight 45.00 ± 5.00 kg) with similar body condition score, pregnant for 100 days with twin lambs, were randomly allocated into two groups: NEB group and 0.5% tributyrin supplementation group (TB). Lambs were artificially fed with milk from their respective maternal groups for 42 days and were classified as L-NEB (n = 20) and L-TB (n = 20). The experimental period lasted from 40 days before delivery to 42 days after delivery. At 42 days of age, five male lambs from each group were randomly selected and euthanized for analysis. Tributyrin supplementation significantly increased fat-corrected milk yield, milk fat content, and colostrum fat yield in perinatal ewes (p < 0.01). Lambs in the L-TB group exhibited improved growth performance compared with L-NEB lambs (p < 0.05). Serum triglyceride concentration at 7 days of age was 68.4% higher, and serum triglyceride and glucose concentrations at 42 days of age were 42.9% and 13.9% higher, respectively, in the L-TB group than in the L-NEB group (p < 0.05). In addition, the L-TB group showed a 39.2% lower serum IL-1β concentration at 7 days and significantly downregulated hepatic IL-8 mRNA expression at 42 days, together with enhanced antioxidant capacity (p < 0.05). These findings suggest that dietary tributyrin supplementation at 0.5% in perinatal undernourished ewes, applied under a controlled NEB feeding regimen, may improve milk composition and, consequently, enhance growth performance, immune status, and antioxidant capacity in lambs. Full article

Regional vulnerability to food insecurity is shaped by intertwined socioeconomic and climatic factors. In Indonesia, vulnerability is evident in the rise in undernourishment from 8.23% in 2017 to 10.21% in 2022. This study proposes a new regional vulnerability index for food insecurity across Indonesia and shows that social and economic conditions are the main drivers. Using fuzzy set Qualitative Comparative Analysis (fsQCA), the study examines how combinations of poverty, unemployment, GRDP per capita, government expenditure per capita, economic growth, and rainfall jointly produce vulnerability. fsQCA groups regions with similar profiles and identifies multiple causal pathways instead of a single cause. Analysis of 34 provinces reveals nine distinct pathways, typically involving high poverty and unemployment, low income and government spending, slow economic growth, and low rainfall. The results highlight the need to account for each region’s specific combination of conditions and to use methods that capture causal complexity in food insecurity. Full article

Background: Postnatal growth failure in very preterm infants remains a major concern in neonatal care and clinical management is complicated by the lack of a standardized definition. This study aims to identify risk factors for growth faltering (GF) and undernutrition (UN) at hospital discharge, defined according to the latest consensus definitions established by the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). Methods: We conducted a retrospective observational study of 416 preterm infants (gestational age < 32 weeks and/or birth weight < 1500 g). Growth was monitored using the Intergrowth 21st standards. In line with ESPGHAN criteria, GF was defined longitudinally as a weight for age (WFA) z-score decline ≥ 1 SD from birth, while UN was defined cross-sectionally as a WFA or length for age z-score < −2 SD at discharge. Logistic regression models were used to determine independent predictors for both growth phenotypes. Results: At discharge, the prevalence of GF and UN was 45.3% and 33.1%, respectively. In infants born without growth restriction (GR), UN was almost entirely driven by GF (89.7%). In contrast, 85.5% of infants born with GR remained undernourished at discharge. Multivariate analysis identified bronchopulmonary dysplasia and higher maximal postnatal weight loss as major independent risk factors for GF, while female sex and human milk feeding at discharge were associated with a lower risk of GF. For infants born with adequate weight, maternal hypertension, extremely low birth weight, and the co-occurrence of GF were the strongest predictors of UN. Conclusions: Nearly half of very preterm infants experience significant growth impairment before discharge. By assessing the dynamic process of GF and the static endpoint of UN, we identified distinct clinical trajectories. Standardized ESPGHAN criteria allow for the identification of high-risk “phenotypes”—particularly those with GR at birth or severe neonatal morbidity—enabling more targeted and intensive nutritional management during the critical developmental window. Full article

Background/Objectives: Tuberculosis (TB) remains a major global health challenge influenced by social determinants of health (SDHs) such as poverty, overcrowding, malnutrition, and limited healthcare access. Although Central Asia (CA) has achieved progress through vaccination, screening, and treatment, the region continues to face severe disease consequences, unstable incidence patterns, and an escalating challenge of TB resistant to first-line drugs. This study aimed to analyze TB incidence dynamics in Kazakhstan, Tajikistan, the Kyrgyz Republic, Turkmenistan, and Uzbekistan from 2000–2023, forecast trends to 2030, and identify key SDHs shaping the epidemic. Methods: Data on TB incidence were obtained from the World Bank DataBank for 2000–2023. Of 61 socioeconomic, environmental, and health-related indicators, 29 were included in the analysis. Statistical procedures in SPSS (v24.0) involved time-series forecasting through 2030, calculation of average annual percentage change (AAPC), correlation testing, and linear regression, with significance set at p < 0.05. Results: TB incidence generally declined across CA during 2000–2023, though trends varied by country. Forecasts suggest continued decreases in Turkmenistan and Uzbekistan, while Kazakhstan, Tajikistan, and the Kyrgyz Republic display fluctuating or nonsignificant patterns, likely influenced by SDHs. Regression analyses indicated that anemia, undernourishment, and population density showed a positive relationship with TB incidence, while clean fuel access, physician density, and Gross Domestic Product per capita (GDP) were inversely related. Conclusions: The findings highlight the heterogeneous nature of TB dynamics in CA and the possible role of SDHs. Enhanced surveillance, nutritional and social interventions are required to sustain progress toward End TB targets. Full article

Background and Objectives: Reports of respiratory function in COVID-19 survivors are still rare, especially in children. This study aims to determine the prevalence and prognostic factors that influence long-term respiratory function in children after COVID-19. Materials and Methods: An observational analytical study with a retrospective cohort design was conducted between January and June 2024. The subjects were pediatric patients aged 5–18 years with confirmed history of COVID-19. Respiratory function was evaluated with spirometry. The analyzed prognostic factors included clinical classification of COVID-19, gender, age, comorbidities, history of ventilator support, history of hospitalization and persistent symptoms. Results: A total of 100 subjects were included in this study. The subjects were 53% female, 52% aged ≥ 12–18 years, and 76% had at least one comorbidity, the most common being obesity (27%). The majority (73%) had a history of mild COVID-19, and 78% were not hospitalized. The prevalence of impaired lung function was 47%, dominated by restrictive lung pattern. The prevalence of long COVID was 18%, with the most common symptom being fatigue (13%). The presence of persistent symptom is significantly associated with abnormal spirometry result (p = 0.03, RR 1.99; 95% CI 1.38–2.87). Undernourished status and moderate-to-severe and critical COVID-19 significantly influence long-term respiratory function with p = 0.002, aOR 5.64; CI 95% 1.89–16.85 and p = 0.006, aOR 5.18; and CI 95% 1.59–16.89, respectively. Conclusions: The prevalence of impaired lung function in children after COVID-19 was 47%. Persistent symptoms, undernourished status, and moderate-to-critical severity of COVID-19 were found to be associated with impaired long-term respiratory function in post-COVID-19 pediatric patients. Further prospective studies are needed to confirm these findings and clarify causal mechanisms. Full article

Arginine supplementation improves fetal growth and colostrum composition in nutrient-restricted ewes, but its high cost and ruminal degradation limit its practical use. N-carbamylglutamate (NCG), which stimulates endogenous arginine synthesis, and is not degraded in rumen, may be a viable alternative. This study evaluated the effects of oral NCG supplementation (60 mg/kg BW/day from day 100 of gestation to term) on undernourished twin-bearing ewes (~50% NRC requirements; NCG n = 20, Control n = 21). Maternal body weight (BW), body condition score (BCS), blood metabolites, placental traits, lamb body measurements, and colostrum composition were assessed. BW increased and BCS decreased over time (p < 0.0001), with no treatment effect. Lamb and placental traits were similar between groups. NCG supplementation resulted in a 15% higher plasma urea concentration (p < 0.03) and altered 21 serum metabolites, with reduced levels of valine, leucine, isoleucine, glycine, proline, and phosphate, and increased serine, ethanolamine, urea, and 2-hydroxyhexanoic acid concentration compared to CON animals. Colostrum from NCG ewes had a 21% higher protein (p < 0.04) and a 16% higher IgG content (p < 0.03) compared to CON animals. Although NCG did not mitigate the negative effects of maternal undernutrition on fetal traits, it influenced maternal metabolism and improved colostrum quality. Full article

Soybeans (Glycine max) are nutrient-dense legumes and a high-quality plant-based protein source containing all essential amino acids. With a protein content of 36–40%, soy surpasses many other plant-derived proteins in nutritional value. Its bioactive components, particularly peptides and isoflavones, contribute to reducing inflammation, oxidative stress, and the risk of chronic diseases. In undernourished regions such as Pakistan, where protein-energy malnutrition is prevalent among women and children, soy offers a sustainable and cost-effective nutritional intervention. This review synthesizes findings from biochemical analyses, nutritional profiling, and clinical trials evaluating the impact of soybean protein and its bioactive compounds on growth, metabolic health, immune function, and disease prevention. Emphasis was placed on studies relevant to food-insecure populations and technological innovations enhancing soy product bioavailability. Soy protein has been shown to have positive effects on hormonal regulation, cardiovascular health, cognitive function, and immune support. Technological approaches such as fortification and fermentation improve nutritional bioavailability and sensory acceptance. The integration of soy into local diets enhanced nutritional adequacy, promoted environmental sustainability, and aligned with Sustainable Development Goals. Soybeans represent a sustainable, nutrient-rich solution to combat protein-energy malnutrition in vulnerable communities. Their high-quality protein profile, therapeutic properties, and adaptability to local food systems make them an effective strategy for improving public health and supporting environmental resilience. Full article

Background/Objectives: While oral nutritional supplements (ONSs) are known to support general growth in undernourished children, their specific effects on body composition and bone health remain underexplored. This manuscript evaluates the impact of ONS combined with dietary counselling (DC) on these outcomes in Indian children aged 3 to 6.9 years at nutritional risk, within the framework of a larger randomized controlled trial assessing multiple growth parameters. Methods: This prospective, randomized controlled trial was conducted among Indian children, both male and female participants with picky eating habits and at risk of undernutrition, aged 3 to 6.9 years (height-for-age and weight-for-height below the 25th percentile per WHO Growth Standards and Growth Reference). Participants were randomized in a 1:1 ratio to receive either ONS + DC or DC alone for 6 months. Body composition, bone mineral density (BMD), and bone mineral content (BMC) were measured using dual-energy X-ray absorptiometry (DXA) at baseline and after 6 months. Group differences were analyzed to evaluate intervention effects. Results: A total of 223 children were enrolled and randomized. At 6 months, the test group showed significantly greater improvements in BMD (0.023 g/cm²) compared to the control (0.017 g/cm²; p = 0.004), and a greater gain in BMC (36.60 g vs. 28.48 g; p =0.0007). Lean mass increased significantly more in the test group (926.33 g) versus the control (801.48 g; p = 0.0401). Fat mass showed a numerical reduction in the test group (−171.42 g) compared with the control group (−114.60 g), although this difference was not statistically significant. Conclusions: These findings highlight the potential of targeted nutritional interventions to favorably improve body composition and bone health during critical growth periods in undernourished children, offering a promising approach to address early-life nutritional deficits with lasting health benefits. Full article

Global malnutrition and hunger represent crises of alarming magnitude, threatening progress toward all the Sustainable Development Goals (SDGs). The drivers of food insecurity and malnutrition are complex and interconnected, including conflict, climate change, migration, population aging, and the erosion of social capital. Despite some progress in specific areas, current trends reveal insufficient advancement toward key global nutrition and diet-related, non-communicable disease targets, confirming the persistent double burden of malnutrition. Without urgent, multisectoral action—including investments in integrated nutrition policies, resilient food systems, and conflict resolution—the goal of achieving Zero Hunger by 2030 remains unlikely. The World Food Program estimates that in 2025, 319 million people will face acute food insecurity; if current trends persist, approximately 582 million people could still be chronically undernourished by 2030. Furthermore, overweight and obesity are projected to continue rising globally, with adult obesity prevalence expected to reach 19.8% in 2030. This narrative review synthesizes current global trends in malnutrition—both undernutrition and overnutrition—and food insecurity; it explores the root causes driving these crises and analyzes the scientific literature to inform future research in the critical years leading up to the 2030 Agenda deadline. It calls for coordinated global efforts that prioritize vulnerable populations, which are essential to reversing the current trajectory of malnutrition and hunger. Since nutrition is a fundamental component of sustainable development, achieving the SDG 2 targets is essential to the accomplishment of all 17 goals. Full article

Background: Malnutrition is highly prevalent in hospitalized older adults and is associated with adverse clinical outcomes. However, the extent to which nutritional care is systematically implemented and its relationship with outcomes remains unclear. Methods: We conducted a retrospective analysis of 4963 patients aged ≥65 years who were admitted to the National Institute for Health and Scientific Research for the Elderly (IRCCS INRCA, Ancona, Italy) between 2012 and 2020 and received at least one nutritional consultation. We examined associations between timing and type of nutritional interventions, the Geriatric Nutritional Risk Index (GNRI), and clinical outcomes, including in-hospital mortality and length of hospital stay (LOS). We also analyzed the prevalence of different complications during Medical Nutritional Therapy (MNT). Results: Only 11% of hospitalized patients received a nutritional consultation. Among them, in-hospital mortality was 35.8%. The Geriatric Nutritional Risk Index was a significant predictor of mortality (HR 1.89; 95% CI: 1.55–2.31; p < 0.001) and inversely associated with LOS, reflecting a frail subset of patients with complex clinical conditions. The timing of nutritional consultation showed no significant association with mortality or LOS, possibly due to relatively prompt intervention (median 4 days). Enteral (EN) and parenteral nutrition (PN) were more frequently prescribed to non-survivors. Medical nutrition therapy-related complications were also more common in non-survivors (22.3% vs. 14%, p < 0.001). Artificial nutrition (AN) was not associated with increased mortality, but it was associated with prolonged hospital stays both in survivors and in non-survivors. Conclusions: Our findings highlight the limited use of nutritional consultations in hospitalized elderly patients despite the high prevalence of malnutrition and its prognostic relevance. The GNRI is a valuable tool for early risk stratification and clinical decision-making. Systematic screening and timely nutritional intervention, integrated with broader therapeutic goals, may improve care and optimize outcomes even in this vulnerable population. Full article

Background and Objectives: Growth failure is the main symptom of growth hormone deficiency (GHD) in children. The standard treatment for GHD is the administration of recombinant human growth hormone (rhGH). However, this therapy seems to be less effective in undernourished children. Our study aimed to investigate if professional dietary counseling could affect the parameters of growth response in GHD children undergoing rhGH treatment. Methods: The study group involved 29 prepubertal children with GHD (20 boys and 9 girls) aged 8.7 ± 2.50, who were subject to a year of individualized nutritional counseling from a dietician, which included three sessions in 6-month intervals, starting at the beginning of rhGH treatment. The control group consisted of 47 children with GHD (33 boys and 14 girls) aged 8.8 ± 1.73 who were not under the care of the dietician during their rhGH treatment. Parameters of growth response, including the variation of height standard deviation score (ΔhSDS) and height velocity (HV), were compared between the groups during the first two years of rhGH therapy. Results: The mean HV and ΔhSDS were slightly higher in the study group than in the control group during both the first and the second year of rhGH therapy, however, those differences did not reach a statistical significance. BMI z-score was stable throughout the observation period. Conclusions: One-year of dietary counseling, starting at the beginning of rhGH treatment, and conducted in 6-month intervals did not significantly improve the parameters of growth response in prepubertal GHD children during the first two years of the therapy. Full article