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There is limited research on the association between soda consumption and the risk of metabolic syndrome (MetS), particularly during the COVID-19 pandemic. This study investigated the relationship between soda consumption and MetS in Korean adults, stratified by sex, and compared differences before and after the pandemic using data from the Korea National Health and Nutrition Examination Survey (2017–2021). A total of 13,051 adults aged 19–64 years were included. Soda consumption was assessed using 24-hour recall and categorized into five groups (nondrinkers and four quartiles). Multivariable logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CI) for MetS and its components. After adjusting for multiple covariates, no significant association was found between soda consumption and MetS overall. However, adults in the highest quartile of soda consumption (≥373g/day) had higher risks of abdominal obesity (P-trend=0.006) and hypertriglyceridemia (P-trend=0.003), compared to nondrinkers. When analyzed by gender, women in the highest quartile of soda consumption (≥315g/day) had significantly increased risks: MetS by 70% (OR=1.70; 95% CI: 1.08–2.68), abdominal obesity by 63% (OR=1.63; 95% CI:1.12–2.38), hypertriglyceridemia by 83%(OR=1.83; 95% CI:1.23–2.74), and low HDL cholesterol by 46%(OR=1.46; 95% CI:1.06–2.01), whereas no significant associations were observed in men. Post-pandemic analysis revealed a significant association between high soda consumption (≥ 416g/day) and MetS (OR=1.56; 95% CI:1.04–2.34), which was not significant in the pre-pandemic period (P-interaction=0.031). These findings suggest that high soda consumption may increase the risk of MetS, particularly among Korean women.
Coenzyme Q10 (CoQ10) is biologically plausible as an ergogenic aid through roles in mitochondrial energy production and antioxidant defence, yet findings from randomised trials are inconsistent. This review included 24 studies from 6 databases published up to November 2025, assessing effects of CoQ10 on exercise performance, subjective fatigue, and circulating CoQ10 levels in healthy adults. Randomised trials comparing CoQ10 with placebo were synthesised using a three-level model. Risk of bias was assessed with RoB2 and certainty judged with GRADE.
Supplementation consistently increased blood CoQ10, indicating robust biochemical responsiveness. In contrast, performance effects were small and inconsistent. In primary analyses, chronic supplementation showed a small benefit, whereas acute supplementation showed no benefit. After excluding outliers, the chronic effect was no longer stable and the acute effect remained trivial. All subgroup analyses were restricted to chronic supplementation. Within this context, aerobic endurance was significant in primary analyses but became borderline after outlier exclusion, while anaerobic and strength outcomes showed little change. Evidence for reduced subjective fatigue was suggestive and became more consistent after outlier exclusion. Benefits in trained individuals were unstable and became consistent only after outlier exclusion. No stable dose–response pattern emerged for supplementation dosage or duration. Heterogeneity and moderate-to-high risk of bias reduced certainty.
Collectively, CoQ10 reliably elevates circulating levels but provides at most modest and context-dependent benefits for exercise performance, largely under chronic use. Overall certainty is very low to low. Well-controlled randomised trials that standardise formulation, dose, and duration and examine sex-specific and endurance-related responses are needed.
Food literacy and mindful eating are increasingly recognized as key factors in the prevention and management of chronic diseases, particularly Type 2 Diabetes Mellitus (T2DM) and Metabolic Syndrome (MetS). This study aimed to assess the association between food literacy and mindful eating and the risk of developing type 2 diabetes mellitus and metabolic syndrome. This cross-sectional study included 1091 adults (777 females, 314 males) aged 18–65 years. General characteristics, anthropometric measurements, risk of T2DM (Finnish Diabetes Risk Score-FINDRISC) and MetS (Metabolic Syndrome Index), food literacy (Food Literacy Tool), and mindful eating (Mindful Eating Inventory) were assessed using a questionnaire. Food literacy and mindful eating scores were significantly and negatively correlated with both the FINDRISC score (r = -0.153 and r = -0.168, respectively; p < 0.001) and the Metabolic Syndrome Index score (r = -0.181 and r = -0.171, respectively; p < 0.001). Linear regression analyses indicated that age, marital status, education level, body mass index (BMI), waist circumference, and total scores from the Food Literacy Tool and the Mindful Eating Inventory were significant predictors of the risk of T2DM (R2 = 0.580; p < 0.001) and MetS (R2 = 0.440; p < 0.001). Given the association between food literacy, mindful eating, and the risk of T2DM and MetS, public health interventions should incorporate these factors. The long-term effects of such interventions should be evaluated and their adaptability to different socio-cultural contexts should be explored to support effective global prevention and management.
White potatoes are a major contributor to energy and nutrient intake in the US, which supports investigating their relationship with cardiometabolic health. This cross-sectional analysis assessed relationships of total white potato intake and dietary patterns containing white potatoes prepared by various methods with diet quality and markers of cardiometabolic health in adults categorized by diabetes status. The dietary intake assessment component of NHANES (2001-2018), What We Eat in America (WWEIA), was linked with the Food and Nutrient Database for Dietary Studies and Food Patterns Equivalents Database to rank consumption of white potato-containing foods. Dietary patterns were determined by percent calories from white potatoes and main food groups in WWEIA using cluster analysis. Regression analysis assessed trends in individuals with (n=5,467) and without (n=38,159) diagnosed diabetes. P < 0.01 was significant. The most consumed white potato-containing foods were French fries, potato chips, and home fries. In adults without diagnosed diabetes, total white potato intake was positively associated with glucose, insulin, HOMA-IR, and waist circumference. Glycated hemoglobin was lower in those who primarily consumed dietary patterns with baked/boiled potatoes and waist circumference was higher in those who primarily consumed dietary patterns with chips, fried potatoes, or mashed potatoes compared to adults with no white potato intake. In adults without diagnosed diabetes, total white potato intake was associated with greater cardiometabolic risk, which may be due, in part, to frying as the predominate preparation method of white potatoes in the US.
This study aimed to identify linear growth trajectories from 0-5 years and assess their associations with cognitive function and school achievement in Ethiopian children aged 10 years. Latent class trajectory modelling was used to identify distinct height-for-age (HAZ) trajectories. Cognitive function was assessed using the Peabody Picture Vocabulary Test (PPVT), while school achievement was measured by Math, English, and Science (MES) combined scores and grade-for-age. Associations were assessed using multiple linear or logistic regressions.
We identified 4 distinct HAZ trajectories. Decreasing trajectory (n=145, 31.9%) started high at birth but dropped sharply. The increasing-decreasing trajectory (n=196, 43.2%) increased up to 3 months followed by a decrease. The stable low (n=74, 16.3%) had low HAZ at birth, followed by a slight decrease. The rising trajectory (n=39, 8.6%) started low but then increased to HAZ above, yet close to zero. At 10 years, children in the rising trajectory had 4.54 (95% CI: -0.45, 9.55, p=0.075) higher MES combined score and 2.4 times (95% CI: 1.12, 5.15, p=0.025) higher odds of being in the appropriate grade-for-age compared to those in the increasing-decreasing trajectory. The association between stable low and decreasing trajectory with appropriate grade-for-age had odds ratio close to null.
In conclusion, we found that three of the four linear growth trajectory classes showed a declining pattern. Data suggest that greater linear growth in early childhood may be associated with higher school achievement and better cognitive function.
National genebanks hold vast crop diversity that could support more resilient agri-food systems, yet their collections remain underutilized due to weak linkages with users. To address this, Kenya’s national genebank piloted the Germplasm User Group (GUG) model to facilitate structured engagement with farmers, researchers and other stakeholders. The objective of this study is to gain understanding on the feasibility and utility of this approach in supporting farmers in accessing and uncovering new and promising crop diversity. In this activity, 5 participatory variety selection (PVS) field days were held where farmers evaluated 2,041 sorghum accessions, out of which 393 accessions were selected as having farmer-preferred traits. Results demonstrate that farmer selection was non-random, as it resulted in accessions with significantly different trait profiles. Useful traits such as tolerance to striga and early maturity were identified. Seeds of 51 accessions were shared with 514 households belonging to 26 GUGs for on-farm evaluation. Out of these, farmers selected 46 accessions for seed saving and showed significantly greater preference for genebank accessions compared to the check variety. Partnerships were developed with sorghum breeding and research teams, farmer groups, extension service and marketers. This study has highlighted the value of agro-morphological characterization and passport data in assembling germplasm subsets with useful traits. The study has further shown that PVS and farmer-managed evaluation provide a powerful pathway through which farmers can discover and access the otherwise ‘hidden’ diversity conserved in genebank seed collections.
Undernutrition is common amongst older people and can lead to adverse health outcomes and increased dependence. This review focuses on an aspect of undernutrition that is often overlooked, namely loss of appetite, and will discuss the challenges in this under-researched field from the perspective of geriatric medicine. Appetite decline is common in later life and predicts undernutrition in older populations. As such, timely identification and intervention on poor appetite could delay onset or progression of undernutrition to optimise healthy ageing and maintain independence. In addition, management of undernutrition ultimately requires the individual to meet their nutritional requirements. However, unless attention is paid to mitigating appetite decline, strategies to improve intake are likely to be ineffective. Treatment for appetite decline is challenging due to the multiple and complex underlying mechanisms. Current evidence is limited to a few trials targeting older people including flavour enhancement and fortification or supplementation, lifestyle measures such as increasing physical activity and social interaction, and medications, all with mixed results. Progress on treatments for appetite decline has been hampered by a lack of distinction from undernutrition, but also perhaps the approach to it as a concept. Categorising appetite decline in ageing as a geriatric syndrome could aid progress in the unification of approaches to mechanistic research, assessment and management strategies, which are likely to be most effective when in multi-component form and underpinned by the principles of Comprehensive Geriatric Assessment (CGA).
Sustainable diets can improve environmental health by supporting food security and promoting healthy living for future generations. This study aimed to assess changes over time in the consumption of foods within the national diet and diet-related environmental indicators, specifically greenhouse gas emissions (GHGE) and water footprint (WF). Individual food consumption was assessed using 24-hour dietary recalls from the Türkiye Nutrition and Health Surveys (TNHS) conducted in 2010 and 2017. Greenhouse gas emissions (GHGE) and water footprint (WF) were calculated based on these dietary data. According to the TNHS 2010 and 2017, GHGE increased by 16.1%, total WF by 17%, green WF by 19.3%, blue WF by 9.4%, and grey WF by 10.9% (p < 0.001). During the same period, the consumption of red meats (by 72%), eggs (by 42.5%), and fats (by 53.6%) increased significantly (p< 0.001). Conversely, the most notable decrease in consumption was observed for fresh vegetables and fruits, which declined by 17.5% and 6.9%, respectively (p<0.001). In 2010 and 2017, red meats (GHGE: +29.8%; total WF: +23.6%) and fats (GHGE: +14.3%; total WF: +13.6%) were the foods that increased their contribution to GHGE and total WF the most. Although the GHGE and total WF values of Türkiye’s national diet remain below the global average, both indicators increased in 2017 compared to 2010. Despite the rising consumption of animal-based foods in recent years, the predominance of cereals in the national diet has played a key role in keeping GHGE and total WF below the global average.
Intensive study of recently discovered taxa and more-or-less concordant phylogenetic analyses have led to recognition and broad acceptance of four families of mainly Cambrian radiodonts. A single frontal appendage of a new radiodont from the Kinzers Formation is described as Verrocaris kerrymatti n. gen. n. sp. This appendage bears paired long and slender ventral endites, not alternating long/short, attached to 11 of 15 articulated podomeres. The endites lack auxiliary spines. These features are not consistent with those cited as diagnostic for any one radiodont genus or family. Among radiodonts supposed to have preyed largely on infaunal “worms,” auxiliary spines range from saw-tooth-like forms suited for manipulation of prey to spikes and distally bifurcating probes or pitchforks. In some taxa, all spines are relatively similar. In others, sets of auxiliary spines are differently adapted. Development of these radiodonts was modular, both axially and on two subsidiary levels, among endites and among their auxiliary spines. By contrast, numerous identical auxiliary spines of the suspension feeder Tamisiocaris are fully integrated as components of a single baleen-like net. We infer the new species to have been an endmember in the adaptive range of bottom-feeding anomalocaridids. Adapted to sweep loose, unconsolidated sediment in search of shallowly buried prey that it presumably ingested by suction and serial slicing, it is likely to have engulfed meiofaunal organisms adventitiously. Hence it represents a potential transition, requiring only the simplest developmental expression of accessory spines, pervasive among anomalocaridids, to give rise to a suspension feeder such as Tamisiocaris.
The Global Leadership Initiative on Malnutrition (GLIM) provides a consensus-based diagnostic framework for malnutrition in hospitalized patients which includes at least one phenotypic and one etiologic criterion. In GLIM, Appendicular Skeletal Muscle based on Bioelectrical Impedance Analysis (ASMBIA) and calf circumference (CC) are two commonly techniques for muscle mass assessment, but their accuracy remains debated. Therefore, current study evaluates the prevalence of malnutrition upon hospital admission applied by GLIM criteria and mainly compares the effectiveness of ASMBIA and CC. We screened a total of 605 patients from four hospitals in Indonesia (August–October 2024). Multivariate logistic regression analyzed associations with clinical outcomes. Prevalence of malnutrition was 72.7% using three phenotypes, 55.9% with two phenotypes, 22.1% via ASMBIA, and 62.6% using CC. Significant associations (p < 0.05) were found between malnutrition and weight loss, BMI, mid-upper arm circumference (MUAC), handgrip strength (HGS), sarcopenia, and fat-free mass index (FFMI). For all criteria combinations, sensitivity was greater in CC (86.1%), followed by two phenotypes (76.8%), while the ASMBIA had the poorest sensitivity (30.5%). All GLIM-based diagnostic methods correlated with malnutrition risk screening and nutrition status indicators. The GLIM criteria provide a standardized, clinically relevant approach for diagnosing malnutrition in hospitalized patients, with CC emerging as a highly sensitive assessment to examine muscle mass.
Coconut oil, extracted from coconut kernels, is a rich source of medium-chain fatty acids (MCFAs), including lauric acid, capric acid and caprylic acid. This experiment aimed to investigate the protective effect of coconut oil against intestinal injury induced by lipopolysaccharide (LPS) challenge in piglets. A total of 24 piglets were used in a 2 × 2 factorial experiment with dietary treatment (3% soybean oil vs 3% coconut oil) and LPS challenge (saline vs LPS). After 28 days of the experiment, piglets were injected intraperitoneally with LPS (100 μg/kg body weight) or saline. Piglets were slaughtered and sampled for testing. Pigs fed coconut oil had higher average daily gain and body weight during the entire study. Supplementation with coconut oil improved intestinal morphology and barrier function, indicated by increased jejunal villus height, as well as enhanced protein expression of ZO-1 and Occuldin. Furthermore, coconut oil supplementation improved plasma antioxidant capacity indicated by enhanced glutathione peroxidase (GSH-Px) activity and decreased malondialdehyde (MDA) concentration. Moreover, Coconut oil ameliorated the LPS-induced release of pro-inflammatory cytokines, as indicated by decreased IL-1β expression in the jejunum. Coconut oil also alleviated the up-regulation of the expression of necroptosis protein receptor-interacting protein kinase 3 (RIPK3) and mixed lineage kinase-like protein (MLKL) in the jejunum of piglets stimulated by LPS. In conclusion, dietary supplementation of coconut oil can improve the growth performance of piglets, and alleviate LPS-induced intestinal injury and inflammation by inhibiting necroptosis signaling pathway.
The Dutch Children’s Food Literacy Questionnaire (DCFLQ) was developed and validated to assess food literacy among children aged 8 to 12 years. The DCFLQ is structured around farm-to-fork principles, including questions on food production, distribution, consumption, waste, and sustainability.
Design
After initial item pool creation, the DCFLQ was developed in collaboration with experts and children. The validation process included assessments of reliability and construct validity, as well as a test–retest evaluation in a subgroup of children.
Setting
The expert panel consisted of domain-related researchers, a pedagogue, a paediatrician, dietitians, and a primary school teacher. Children were recruited via primary schools and a sports club.
Participants
A total of 11 experts and 27 children participated in the development process; 608 children participated in the validation process.
Results
The final questionnaire comprised 29 questions and demonstrated good internal consistency (Cronbach’s α = 0.80) and test-retest reliability (ICC = 0.81). DCFLQ scores positively correlated with age, indicating that food literacy is higher in older children.
Conclusions
The DCFLQ is a valuable tool for assessing the effectiveness of nutrition intervention programs and monitoring Dutch children’s food literacy over time. International expert consensus on developing food literacy instruments is needed, as diversity in assessment tools impedes cross-cultural comparisons.
Autism Spectrum Disorder (ASD) has been frequently associated with an increased risk of obesity and metabolic disorders, including dyslipidaemia. However, research on lipid profiles and dietary intake in this population remains scarce. This cross-sectional study aimed to evaluate dietary patterns and their association with serum lipid profile in children and adolescents diagnosed with ASD. The study included 233 individuals from 2 to under 19 years assisted by the public health system in Pelotas, Brazil. Fasting blood samples were collected and analysed for serum concentrations of total cholesterol (TC), HDL-C, LDL-C, and triglycerides (TG). Dietary intake was assessed using three non-consecutive 24-hour food recalls (two weekdays and one weekend day). Dietary patterns were derived through reduced rank regression, using food group intakes as predictors and fibre density, energy density, carbohydrate, and saturated fat intakes as response variables. Standardised pattern scores were calculated to assess individual adherence, and linear regression models, adjusted for potential confounders, were applied to examine the association between the dietary pattern scores and lipid profiles. Elevated TG concentrations were observed in 48.9% of the participants. Four dietary patterns were identified: Healthy, Sugar and Starches, Mixed and Dairy and Biscuits. After adjustment, no significant associations were observed between dietary pattern scores and lipid profile. These findings underscore the complex nature of lipid metabolism in individuals with ASD, and suggest that dietary patterns alone may not fully explain variations in lipid profiles. This reinforces the need for further research and development of appropriate nutritional interventions for this population.
The aim of this paper is to review the latest evidence on food reformulation as a public health policy to improve our understanding of how different policy designs can drive reformulation and influence food system change. The focus is on three key nutrients of concern—trans fatty acids, salt and sugar.
In recent times, food reformulation has been categorised as either mandatory or voluntary, a distinction that can help assess policy effectiveness. However, this binary classification oversimplifies a far more complex landscape. Some policies—whether mandated by government or voluntarily suggested to industry—are explicitly intended to trigger reformulation. Others, by contrast, may have never been designed with the intention to encourage reformulation but have nonetheless prompted significant changes in product composition, intake and potential health outcomes.
Within what is commonly described as mandatory reformulation, for example, we find a broad mix of policy tools that operate very differently. Some, such as the UK’s Soft Drinks Industry Levy, were deliberately created to incentivise reformulation by applying financial pressure. Others, including front of pack nutrition labelling systems (particularly warning labels) and school food standards have encouraged reformulation only as a positive unintended consequence. These indirect drivers are not always evaluated for their impact on reformulation, which may lead to an incomplete understanding of their contribution to reducing intake nutrients of concern and health outcomes.
Nevertheless, emerging evidence suggests no single policy encourages reformulation alone, instead a combination of approaches are likely to drive it and contribute to meaningful and sustained food system change.
To evaluate eligibility and participation in nutrition assistance programs (Supplemental Nutrition Assistance Program [SNAP] and Woman, Infants, and Children [WIC]) among transgender and gender diverse (TGD) adults in the United States (U.S.) and to capture their experiences when accessing food benefits.
Design:
This was a cross-sectional analysis of the U.S. Transgender Survey (USTS) dataset– the largest survey of TGD adults in the U.S. SNAP and WIC participation and experiences when visiting the public assistance office were reported using descriptive statistics; stratified analyses were conducted based on race using multivariate logistic regression modeling.
Setting:
The USTS was completed electronically in the United States.
Participants:
27,715 TGD adults.
Results:
Approximately 40.9% of the full sample were SNAP eligible, yet only 30.6% of those eligible were receiving the benefit; 0.45% of the sample reported receiving WIC. TGD adults avoided the public assistance office because they feared being mistreated (3.2%), were identified as transgender (46.2%), were denied equal treatment (6.5%), or were verbally harassed (5.2%). People of color were more likely to be denied equal treatment and verbally harassed at the public benefits office than white peers. The impact of age, education level, employment status, relationship status, and census region varied within each racial group.
Conclusions:
Far more TGD adults need food assistance compared to the general population, yet fewer are receiving the benefit. Culturally informed interventions are urgently needed to resolve the root causes of food insecurity, increase SNAP participation and address the negative experiences of TGD adults when accessing food benefits.
Aspects of the school food environment can influence food purchasing and consumption among adolescents, particularly those without access to a school meal program. Our objective was to describe and compare food vendors of junior high schools in Ghana.
Design:
We conducted structured observations of food vendors within a 0.25-km radius of 8 junior high schools. We compared foods sold and hygiene practices by vendor and community characteristics, such as on vs off campus location, urban vs rural, and predominant income generating activity of the community. We also assessed the relationship between adolescent diet quality (food group diversity, all-5, NCD-protect, and NCD-risk scores) and procurement method for foods consumed during the school day.
Setting:
Cape Coast and Elmina, Ghana
Participants:
200 randomly selected students.
Results:
Of 265 identified vendors, 25.3% sold foods on-campus. On-campus vendors were less likely to sell branded snacks (19.4% vs. 33.8%, p=0.001), and beverages (17.9% vs. 35.4%, p=0.008) and more likely to sell prepared dishes (53.7% vs. 31.8%, p=0.001) than off-campus vendors. Vendors practiced an average of 38.8% of applicable food hygiene practices, which did not differ by on- or off- campus location. In the previous month, 59.4% of students most often purchased food on campus. There were no significant relationships between method of food procurement and diet quality.
Conclusion:
Many adolescents purchased food at school and there were differences in foods sold by on- and off campus vendors. School policies may be a promising avenue to alter food environments for adolescents.
This study documents and analyzes arthropod trackways from the Upper Cretaceous Wapiti Formation, located in west-central Alberta, Canada. In general, the ichnotaxonomy of arthropod trackways is problematic due to inconsistent use of diagnostic criteria in previous studies. Thus, the trackways from the Wapiti Formation are described following recently defined criteria to facilitate future ichnotaxonomic reevaluations. Judging primarily from the number and morphology of the imprints and the symmetry of the track series, the trackways are identified as Octopodichnus cf. O. raymondi Sadler, 1993. Other relevant track attributes include heteropody and great imprint depth. The mudstone slabs bearing the trackways also contain other well-preserved invertebrate trace fossils along with abundant silicified plant material. The silicified plant fragments, taken together with bentonite overlying the trace-bearing surface, suggest volcanic ash played a role in preserving the trackways. The associated traces include burrows, fecal mounds, and surficial marks and contribute to a diverse invertebrate trace-fossil assemblage. The Wapiti Formation trackways are attributed to crayfish or similar decapods and were emplaced in a succession interpreted to have been deposited in a swampy floodplain environment. By contrast, previously described examples of Octopodichnus have typically been attributed to arachnids in aeolian/desert environments. This paper expands the ichnological record of crayfish-like arthropods from the Late Cretaceous and contributes to the underexplored invertebrate fossil record of the Wapiti Formation and, more broadly, Cretaceous strata in the Western Canada Sedimentary Basin.
The present study examined the association of body mass index (BMI), screen and sleep time, physical fitness and eating behaviour with Mediterranean diet (MD) adherence in a sample of pre-schoolers from Granada, Spain.
Design:
A cross-sectional, non-randomised design was employed. A multilinear regression model with backward elimination was used for analysis.
Setting:
Variables included age, BMI, screen time, hours of nightly sleep, physical fitness, food approach and food avoidance. The developed model met assumptions of multiple regression in terms of linearity, homoscedasticity, normality, independence and non-multicollinearity.
Participants:
Data were collected from 653 of the 2250 three-to-six-year-old children attending the 18 schools invited to take part in the present study.
Results:
Better sleep time and lower screen time and food avoidance were found to be predictive of MD adherence. These variables explained 15% of the variance in pre-schoolers MD adherence.
Conclusions:
The present study suggests that sleep and screen time and food avoidance are important components to consider when targeting improvements in MD adherence in pre-schoolers. Future research should explore the way in which parental health behaviours influence their children’s health habits in order to better understand outcomes.
This study assessed iron-rich food consumption and its factors among children aged 6–23 months in South and Southeast Asia.
Design:
A cross-sectional study from the Standard Demographic and Health Survey (2015-2022).
Setting:
South and Southeast Asian countries.
Subjects:
Data collected from 95,515 children aged 6 to 23 months, including information from their parents or caregivers.
Results:
The overall proportion of children, aged 6 to 23 months, consuming iron-rich foods in the region was 29.87% (95% CI: 29.58, 30.16). Higher odds of iron-rich food consumption were observed among children aged 12–23 months (AOR = 3.59; 95% CI: 3.45–3.76), had history of exclusive breastfeeding (AOR = 1.17; 95% CI: 1.12–1.23), born to teenage motherhood (AOR = 1.09; 95% CI: 1.02–1.17), born in health institution (AOR = 1.10; 95% CI: 1.02–1.19), and had pregnant mother at the time of the survey (AOR = 1.60; 95% CI: 1.50–1.72). Children of birth order 2–4 (AOR = 1.26; 95% CI: 1.20–1.32) and 5+ (AOR = 1.29; 95% CI: 1.18–1.43), from female-headed households (AOR = 1.06; 95% CI: 1.01–1.12), and those with household mass media exposure (AOR = 1.27; 95% CI: 1.19–1.36) also had significantly higher odds of iron-rich food consumption. Additionally, higher odds ratios (AOR > 1) of iron-rich food consumption were observed in Cambodia, Bangladesh, Indonesia, Myanmar, Maldives, Philippines, Pakistan, and Timor-Leste.
Conclusion:
Across countries, only about 30% of children consumed iron-rich foods, with significant variation. Targeted public health efforts are essential to address maternal, child, and household factors that influence intake.
Patients with chronic liver disease (CLD) often experience hypozincemia. The clinical factors associated with hypozincemia have not been established. We investigated clinical factors that may be useful to predict hypozincemia in patients with CLD. The serum zinc levels CLD patients were measured; Study 1 investigated the predictive factors of hypozincemia, and Study 2 was performed to validate the factors identified in Study 1. Study 1 included 197 participants, of whom 28 and 106 had serum zinc levels <60 µg/dL and <80 µg/dL, respectively. A multivariate analysis revealed that serum zinc levels <60 µg/dL or <80 µg/dL were associated with the albumin–bilirubin (ALBI) score and serum albumin level. A receiver operating characteristic curve analysis revealed that the ALBI score ≥ −1.83 and the serum albumin level ≤3.3 g/dL were the cut-off values for a serum zinc level <60 µg/dL, whereas the ALBI score ≥ −2.44 and the serum albumin level ≤3.6 g/dL were the cut-off values for a serum zinc level <80 µg/dL. In Study 2 (n = 177), the diagnostic accuracy rates for serum zinc <60 µg/dL were 81.9% for the ALBI score and 75.1% for the serum albumin level, and those for serum zinc <80 µg/dL were 70.1% for both parameters. Together these findings indicate that the ALBI score may serve as a predictive factor of hypozincemia in CLD patients.