Chronic stress can lead to serious health problems, including elevated blood glucose, intestinal dysbiosis, villous shortening, decreased enzyme activity and hepatic steatosis. Here, we investigate the protective effects of the magnesium-L-theanine (Mg-T) combination on chronic variable stress (CVS)-induced liver and intestinal damage. Fifty-six rats were divided into two groups: normal and stressed, and supplemented with different doses of Mg-T (0, 100, 200 and 400 mg/kg). The results showed that CVS-treated rats had reduced body weight, serum insulin levels, magnesium levels, intestinal barrier proteins and nutrient transporters. However, Mg-T supplementation improved these parameters in a dose-dependent manner. Mg-T treatment reduced CVS-induced glucose, corticosterone and triglyceride levels while alleviating liver and intestinal damage. Histological analysis revealed that Mg-T alleviated CVS-induced intestinal damage, characterised by villus shortening, reduced crypt depth and inflammation. CVS-induced increases in hepatic triglycerides and lipogenic markers (SREBF1, FASN) were attenuated by Mg-T supplementation, while metabolic regulators such as PPARγ and SIRT-1 were upregulated. Moreover, Mg-T restored the expression of intestinal barrier proteins (Claudin-1, Occludin, ZO-1) and mucosal protein (MUC-2). CVS treatment reduced the expression of nutrient transporters (SGLT1, GLUT2) and amino acid carriers; however, Mg-T supplementation increased the protein levels of these markers. Our data demonstrate that Mg-T has significant protective effects against CVS-induced metabolic, hepatic and intestinal disturbances, highlighting its potential as a therapeutic intervention for managing chronic stress-related health problems.

Consumers tend to perceive certain foods as more natural and in turn as more nutritious. Thus, this study aimed to evaluate the nutritional quality, the degree of naturalness, and their association with animal-based and plant-based food products. A total of 1275 food products were collected by the Food Quality Observatory in Québec (Canada) between 2018 and 2022. These products were divided into five categories: sliced processed meats (n = 477), yogurts and dairy desserts (n = 344), sausages (n = 266), processed cheese products (n = 96) and plant-based alternatives (n = 92) within these four categories. The overall nutritional quality was evaluated using the Nutri-Score and the front-of-package (FOP) nutrition symbol recently implemented in Canada, while the degree of naturalness was measured using the Food Naturalness Index (FNI). Yogurts and dairy desserts as well as plant-based alternatives had lower Nutri-Score and thus, higher nutritional quality compared to other food categories. The FOP symbol for foods high in saturated fat or sodium was more common in sliced processed meats and sausages. FNI scores were higher in processed cheese products than in other categories, indicating a greater degree of naturalness. Correlations between nutritional quality and food naturalness varied depending on the food category and the nutrient profiling model, with Spearman coefficients being positive or negative and ranging from weak to moderate. This study supports the idea that food naturalness and nutritional quality offer complementary information depending on the food category. Further research in other food categories would help to better understand the associations between the two concepts.

Dehydration, assessed by urine and blood evaluation, is a risk factor for chronic kidney disease (CKD). The association between water deficit, as determined by a dietary assessment, and CKD prevalence is unclear. Therefore, this study aimed to clarify this association among adults in the USA. This cross-sectional study included the data of 9332 participants aged 18 years or older from the 2009–2012 National Health and Nutrition Examination Survey. Water turnover was calculated using an equation developed by the International Doubly Labelled Water Database Group. Total water intake was assessed by 24-h dietary recall on ≥ 1 d. Water deficit was defined as the ratio of water intake to water turnover. CKD was defined as an estimated glomerular filtration rate < 60 ml/min/1·73 m2, calculated by the 2021 CKD Epidemiology formula. OR for CKD prevalence were calculated using multivariate logistic regression and restricted cubic spline models. The mean daily water intake, turnover and deficit were 2799 ml, 3290 ml and –15 %, respectively. CKD prevalence was 6·3 %. After adjusting for lifestyle and urine and serum osmolality, the fourth water deficit quartile was inversely associated with CKD prevalence when compared with the first quartile (OR, 0·71; 95 % CI, 0·51, 0·98). In the spline analysis, the water deficit at which the OR for CKD prevalence plateaued was approximately –30 % to 0 %. Water deficit had an L-shaped association with CKD prevalence independent of urine and serum osmolality, highlighting the importance of assessing water intake relative to dietary needs. These findings may assist the development of water requirements.

This review aims to highlight some of the key bioactive functionalities that a range of components in milk can potentially make to reduce risks to health at key life stages. Such functionalities cannot be adequately explained by traditional estimates of nutrient supply. The benefits of gangliosides from the milk fat globule membrane (MFGM) for neonatal neurodevelopment are examined along with milk proteins for growth stimulation of children via the proteins’ ability to stimulate insulin-like growth factor-1 (IGF-1). Exosomes in bovine milk and their miRNA are bioavailable, with an animal study indicating that placenta development and embryo survival were both enhanced. Concerning bone health, the unique characteristics of the casein micelle for supplying Ca, P and Mg to the GI tract were considered. The so-called dairy food matrix and the hypotensive effect of some peptides from milk proteins may be compensatory factors for SFA regarding CVD risk. The recent rise in use of glucagon-like peptide-1 (GLP-1) receptor agonists for adiposity reduction and improving glycaemic control is noted alongside evidence that milk proteins can stimulate GLP-1 synthesis potentially reducing GLP-1 receptor agonist need in high milk protein consumers. Other functionality included the ability of whey proteins to stimulate synthesis of skeletal muscle protein, crucial for bone protection and glycaemic control and the role of milk/Ca for reducing colorectal cancer risk. Perhaps the most exciting functionality is that of polar phospholipids in the MFGM potentially improving cognition and reducing the risk of dementia in the elderly. Clearly more human studies are needed.

The long-chain omega-3 polyunsaturated fatty acids (LC n-3PUFA) eicosapentaenoic acid (EPA; 20:5n-3), docosapentaenoic acid (DPA, 22:5n-3) and docosahexaenoic acid (DHA; 22:6n-3) are beneficial for health. The aim of this review is to provide an overview of worldwide dietary recommendations for LC n-3PUFA across life-stages for general healthy populations from technical and scientific documents (TSD) that underpin food based dietary guidelines (FBDG) or TSD from expert groups. Using the Food and Agriculture Organization global online repository of FBDG and structured Google searches, forty-two TSD were identified for inclusion. Seventy-one percent of TSD included quantitative dietary intake recommendations which varied widely across life-stages with gaps for some groups, 62% included health messages related to LC n-3PUFA consumption, 33% discussed supplementation and 29% gave guidance on high intakes. The most frequently recommended intakes for adults were 250 mg/day EPA + DHA and 250 mg/day EPA + DHA plus an additional 100–200 mg/day DHA in pregnancy. This overview is useful for nutrition science, medical, industry and consumer communities since it identifies the recommendations available and the gaps of interest to national or international groups wishing to set dietary intake recommendations for LC n-3PUFA. Low dietary intake of LC n-3PUFA from seafood is a risk factor for suboptimal health. Intake recommendations can be challenging to achieve. Most countries for which data are available show that LC n-3PUFA intakes fail to meet recommended targets, highlighting the need for accessible, innovative, sustainable alternative EPA + DHA sources e.g. bio-enriched foods and supplements to support higher population intakes, LC n-3PUFA status and health benefits.

Integrating metabolic syndrome (MetS) screening procedures into routine care remains challenging. Traditional anthropometric and body composition assessments, while useful, have drawbacks that limit their application. However, automated anthropometrics produced from smartphone scanning applications may offer a solution. This study aimed to determine whether smartphone-derived anthropometrics could effectively predict both MetS and its severity. A total of 281 participants underwent a MetS screening assessment to determine fasting blood pressure, lipids, glucose and waist circumference and completed a smartphone scanning assessment (MeThreeSixty®) to collect digital anthropometrics. Actual MetS classification and MetS severity (MetSindex), a continuous estimate of MetS progression, were determined using MetS screening data. Then, least absolute shrinkage and selection operator regression was used to develop a new MetSindex prediction equation in a subset of participants (n 226), which was subsequently tested in the remaining participants (n 55), and MetS classification was predicted from the retained variables using logistic regression. The following equation was produced: Smartphone-predicted MetSindex: −0·8880 + 0·1493(medication use = 1; 0 = no medication use) + 0·0089(weight) + 0·0079(bust circumf.) + 0·0140 (thigh circumf.) – 0·6247(appendage-to-trunk circumf. index), where medication use includes medications for hypertension, dyslipidaemia or hyperglycaemia. The newly developed MetSindex prediction model demonstrated equivalence with actual MetSindex and revealed acceptable agreement (R2:0·72; root mean squared error: 0·42; se of the estimate: 0·22) when evaluated in the testing sample (n 55), although proportional bias was observed (P < 0·001). Smartphone-predicted MetS classification demonstrated acceptable diagnostic performance with an accuracy of 92·7 % and an AUC of 0·89. Smartphone scanning applications can accurately assess MetS prevalence and severity, presenting new possibilities for health screening beyond clinical environments.

This study investigates how the consumption of interesterified palm oil (IPO) affects the metabolic and morphological features of brown adipose tissue (BAT) in C57BL/6 mice fed a high-fat diet. Mice were divided into four groups: control, high-fat diet (lard), high-fat diet with palm oil (PO; HFP) and high-fat diet with IPO (HFI). The HFP and HFI groups exhibited significant body weight gain, increased fat mass and impaired glucose metabolism. Histological analyses revealed lipid infiltration in BAT, leading to structural remodelling from multilocular to unilocular adipocytes, which are hallmark features of the whitening process. This morphological shift was accompanied by reduced nuclear density and impaired vascularisation. Gene expression analysis indicated downregulation of key thermogenic markers, including Ucp1, Pparγ and Prdm16, especially in the HFI group. Increased expression of endoplasmic reticulum stress markers such as Chop and Atf4 and inflammatory cytokines (TNF-α and IL-6) highlighted the pro-inflammatory and pro-apoptotic microenvironment induced by PO and IPO. These changes culminated in a loss of BAT thermogenic capacity, as evidenced by decreased uncoupling protein 1 levels and impaired adaptive thermogenesis. Our findings underscore the detrimental effects of PO, mainly IPO, on BAT functionality, exacerbating obesity-related metabolic dysfunctions such as insulin resistance and glucose intolerance. The results emphasise the need for caution in the dietary use of these fats, particularly in ultra-processed food formulations, given their potential role in promoting adipose tissue remodelling and metabolic imbalances.

The dietary antioxidant quality score (DAQS) is a valid and reliable tool for assessing the overall antioxidant potency of a diet by considering the synergetic effects of dietary antioxidants. Non-alcoholic fatty liver disease (NAFLD) is linked to the imbalance of the body’s oxidant and antioxidant defense system. The objective of the present research was to investigate the possible associations between DAQS and odds of NAFLD in a large population of the Azar cohort study. The present propensity score–matched case–control study was applied to a population of 14 655 individuals. Demographic, anthropometric and dietary data were gathered, and biochemical markers were measured. The DAQS was evaluated based on the daily dietary intake of vitamin E, vitamin A, vitamin C, Se and Zn, compared with the daily recommended intake. The multivariable logistic regression analysis was employed to determine the association between DAQS with NAFLD-related outcomes. After propensity score matching based on age, gender and body mass index (BMI), participants were allocated into NAFLD (n 660) and non-NAFLD (n 1234) groups. Findings indicated significant differences in age, weight, BMI, waist:hip ratio, TAG, HDL-cholesterol and LDL-cholesterol and dietary intake between percentiles of DAQS in NAFLD patients. Nonetheless, no significant associations were observed between DAQS and NAFLD before and after propensity score matching. Comparing the results to prior research underlines the need for a comprehensive approach for exploring the association between dietary antioxidants, serum antioxidant level and biochemical indices in NAFLD, which is essential for the efficient clarification of the underlying mechanisms.

Pregnant women are particularly vulnerable to stress and depression, which can negatively impact birth outcomes and maternal care practices. This study aimed to investigate the prevalence and determinants of stress, depression, and common mental disorders (CMDs) among pregnant women in East Lombok, Indonesia, during the COVID-19 pandemic. This cross-sectional study was part of the Action Against Stunting Hub. Data on maternal characteristics, dietary intake, anthropometry, and biochemical status were collected. Mental health was assessed during the second and third trimesters using validated instruments, the Perceived Stress Scale (PSS-14), Edinburgh Postnatal Depression Scale (EPDS), and Self-Reporting Questionnaire (SRQ-20). The prevalence of maternal stress, depression, and CMDs was 86.3%, 26.5%, and 29.7%, respectively. CMDs were associated with iron deficiency (aOR 1.61) and not receiving government assistance (aOR 1.48). Low adherence to a healthy and diverse diet, i.e., limited intake of grains, tubers, eggs, fruits, and vegetables, was associated with increased odds of antenatal stress (aOR 1.59) and common mental disorders (aOR 1.60). For depression, significant factors included higher maternal education (aOR 2.27), low-to-moderate social support (aOR 1.72), and adherence to an unhealthy dietary pattern characterized by high sugar and fat intake (aOR 1.47). Targeted nutrition interventions, including food-based dietary recommendations (FBDR) and social safety net programs, are essential during pregnancy to support nutrient intake. In addition to addressing iron deficiency, integrated approaches that promote dietary diversity, provide government support to low-income households, and strengthen social support networks are recommended to improve maternal mental health outcomes.

This scoping review provides an overview of the impact of fruit and vegetable (FAV) consumption on cognitive function in adolescents and young adults between January 2014 and February 2024. A comprehensive search across six databases, CINAHL, PubMed-MEDLINE, ProQuest, Web of Science, Scopus, and Embase, identified 5,181 articles, of which six met the inclusion criteria after deduplication and screening. This scoping review focused on individuals aged 11–35 years in schools, colleges, universities, and communities. Following a descriptive and narrative synthesis of the data, tables and figures were used to present the findings. Across the six included studies, most consistently demonstrated a positive association between higher fruit and vegetable (FAV) intake and improved cognitive performance among adolescents and young adults. This association was evident in both cross-sectional and longitudinal studies, with stronger effects observed for whole fruits and vegetables high in fibre and polyphenols. Cognitive domains positively impacted included psychomotor speed, memory, attention, and mood. However, findings varied by type of food and cognitive domain; while whole FAVs were generally beneficial, results for fruit juice were mixed—some studies showed acute benefits. Differences in study designs, dietary assessment tools, and cognitive measures contributed to variability. Despite these inconsistencies, the overall trend supports a beneficial role of FAV consumption in promoting cognitive health during adolescence and early adulthood. This review demonstrates that increased fruit and vegetable consumption is consistently linked to improved cognitive function in adolescents and young adults. However, further research is needed to establish its long-term effects on cognitive ageing and disease prevention

A significant association between tomato consumption and a lower risk of developing hypertension has been reported. In this study, we aimed to investigate the relationship between tomato intake and prehypertension risk among Korean adults. Hypertension was defined according to the criteria established by the Korean Society of Hypertension. The study participants were selected from the Health Examinees cohort study. Tomato consumption was measured using an FFQ and categorised into quintiles based on the amount consumed. Higher tomato consumption was associated with a lower risk of prehypertension in men (hazard ratio (HR) 0·86, 95 % CI 0·80, 0·92, Pfor trend 0·0005). Women in the highest quintile also showed a similar trend (HR 0·94, 95 % CI 0·90, 0·99, Pfor trend 0·0091). Stratified analyses revealed a reduced risk of prehypertension across all subgroups, except underweight individuals and those with a history of alcohol consumption (all Pfor interaction < 0·05). These findings indicate that higher tomato intake may offer potential advantages for managing blood pressure levels.

Longer life expectancy and growing income inequality have prompted an increasing interest in understanding the impact of ageing on nutritional requirements in order to optimise intakes, increase the number of years lived in good health and reduce morbidity and associated health and social care costs. Food insecurity reduces access to nutritious and healthy food. Understanding the evidence base on the impacts of food insecurity and the maintenance of food security for older people is crucial to informing policy and intervention. The increase in numbers of older people experiencing food insecurity is a public health emergency and is associated with under and malnutrition. Food insecurity can be experienced at any stage of the life course but has been more widely studied with families and children where poverty is a major driver. Food insecurity in later life has been less well explored by academics, but differs from that experienced in earlier years due to additional complexities, as physical and cognitive health amplify the impact of poverty. Additionally, factors which can appear to be relatively small in impact can act in a cumulative way to push people towards food insecurity. This review will draw on research about older people’s food practices, contexts and experiences in relation to food insecurity in later life and offers a model of food insecurity that has the potential to guide focused public health efforts in order to support the older population to be food secure.

To examine the association between snack characteristics (snack frequency, snack energy density and snack nutritional quality) with diet quality and cardiometabolic risks among US adolescents from the 2009–2016 National Health and Nutrition Examination Survey. Cross-sectional dietary data collected using a 24-h dietary recall from the 2011–2016 National Health and Nutrition Examination Survey (1999 boys and 1897 girls aged 12–19 years) were analysed. Associations between snack characteristics with diet quality, fasting blood glucose, TAG, total cholesterol, HDL, LDL, blood pressure, waist circumference and metabolic syndrome risk score using multiple linear regression were analysed stratified by sex. Higher snack nutritional quality (β (95 % CI): boys 0·31 (0·09, 0·52); girls 0·44 (0·30, 0·57)) was linked to better overall diet quality, whereas snack energy density excluding beverages (β (95 % CI): boys –1·82 (–2·52, –1·12); girls –1·75 (–2·69, –0·82)) was linked to poorer overall diet quality. Among girls, higher snack frequency was associated with lower waist circumference and lower fasting blood glucose (–0·67 (–1·28, −0·05)). Additionally, higher snack energy density and nutritional quality were associated with lower waist circumference and TAG, respectively. No associations between snack characteristics and cardiometabolic indicators or metabolic syndrome risk score were observed for boys. Findings suggest that strategies to improve adolescent snack nutritional quality and energy density may enhance overall diet quality. However, limited associations were observed between snack characteristics and cardiometabolic risk indicators among girls only. Prospective studies are needed to further investigate the relationship between snack characteristics and adolescent health outcomes.

Polycystic ovary syndrome is a disorder characterised by insulin resistance, low-grade inflammation and increased adipose tissue. The very low-carbohydrate ketogenic diet has been suggested to reduce obesity risks in polycystic ovary syndrome. This study aimed to update the evidence on the effects of the very low-carbohydrate ketogenic diet in women with polycystic ovary syndrome. Searches were conducted in electronic databases for randomised clinical trials addressing the research question. The values for the meta-analysis were presented as weighted mean difference (WMD). Twelve studies were included in the qualitative analysis and eleven in the quantitative analysis. Significant reductions were observed in anthropometric outcomes: weight (WMD: −9·57 kg; P < 0·0001), waist circumference (WMD: −7·75 cm; P < 0·0009), fat body mass (WMD: −7·44 kg; P = 0·0008), BMI (WMD: −3·45 kg/m2; P < 0·0001) and waist-to-hip ratio (WMD: −0·02; P < 0·0034). Hormonal improvements included free testosterone (WMD: −0·31 ng/dl; P < 0·0001), total testosterone (WMD: −7·21 ng/dl; P < 0·0001), sex hormone-binding globulin (WMD: 15·22 nmol/l; P = 0·0035), luteinising hormone (WMD: −3·97 U/L; P = 0·0008) and luteinising hormone:follicle-stimulating hormone ratio (WMD: −1·04; P = 0·0053), but not for follicle-stimulating hormone levels (WMD: 1·23 mUI/ml; P = 0·12). Significant changes in metabolic markers were seen in blood glucose (WMD: −9·65 mg/dl; P = 0·0031), insulin (WMD: −2·41 mg/dl; P = 0·0387), homeostatic model assessment for insulin resistance (WMD: −2·46; P = 0·0123) and TAG (WMD: −29·95 mg/dl; P = 0·0188). The very low-carbohydrate ketogenic diet shows significant benefits in managing body composition, reducing hyperandrogenism, balancing sex hormones and improving glucose metabolism in polycystic ovary syndrome.

This study aimed to develop and validate a questionnaire that investigates sugar-related eating behaviour, excessive consumption, and addictive-like eating. This questionnaire was validated using a rigorous process assessing content validity, face validity, reliability testing, feasibility testing, and construct validity. Spearman’s correlation coefficients and Cronbach’s alpha were used to assess reliability. Feasibility testing was used to further validate and confirm the scoring/categorisation of ‘low’, ‘medium’, and ‘high’ scorers for use in future research. Exploratory factor analysis and reliability analysis were used to determine underlying latent factors and assess construct validity. Content validity was assessed by health professionals (n = 16), face validity was assessed by the lay public who had no expertise in nutrition or addiction (n = 20). Reliability (n = 54), repeat reliability (n = 50), and feasibility (n = 113) testing were assessed with a sample from the lay public. Spearman’s correlation coefficients were in the range of 0.58–0.91 and were statistically significant (P < 0.001), indicating good temporal stability within the questionnaire. Cronbach’s alpha coefficients were in the range of 0.62–0.93, indicating good internal consistency. Feasibility testing confirmed the use of calculating an ‘average total score’ from the data set and splitting the data set into tertiles: low, medium, and high scorers. Exploratory factor analysis confirmed three latent factors: F1: Compulsive Eating; F2: Comfort Eating; and F3: Withdrawal. Results suggest the questionnaire is highly reliable and was successfully validated. This questionnaire can be used in research to investigate problematic and addictive-like eating behaviour and its effects on ill health.

Acute effects of a daily dose of red wine may cause deterioration of visual function; however, there is limited information on healthy individuals. This study aims to investigate acute effects of daily red wine consumption on visual function and retinal microvasculature in healthy young adults through a randomised self-controlled design and to explore the molecular mechanisms using an animal model. In healthy young adults’ study, twenty-seven adults with follow-up at baseline, 0·5 h and 2 h after consuming 300 ml of either red wine or water underwent blood biochemistry, visual function, morphology and blood flow of retinal and choroidal vasculatures, and cerebral blood flow (CBF) evaluation. Acute red wine consumption caused abnormal changes in retinal function (multifocal visual electrophysiology) that preceded changes in vision. Macular vessel diameter index (VDI) increased significantly at 0·5 h but decreased significantly at 2 h, despite increased regional CBF following red wine consumption, which was consistent with increased choroidal thickness and decreased retinal thickness. Animal experiments conducted on Brown Norway rats demonstrated a significant decrease in retinal VDI and vessel area density (VAD) associated with increased reactive oxygen species production following red wine administration, as well as decreased endothelial nitric oxide synthase (eNOS) and increased endothelin-1 (ET-1) levels in the retina. Consequently, red wine consumption caused abnormal changes in retinal function and microvascular constriction in healthy young adults, and an animal model suggested that the underlying mechanism may involve the regulation of eNOS and ET-1 levels in the retina. These findings imply the potential detrimental effects of drinking habits on individuals with retinal ischaemic diseases.

Family meals are positively associated with healthier diets among children and parents. We aimed to deepen the understanding of these relationships by exploring the associations between shared meals and dietary quality among children, fathers and mothers. A subset of parent-child dyads (296 children aged 3–6 years, 103 fathers, 293 mothers) from the DAGIS Intervention baseline assessment was included in this cross-sectional study. The parents reported how often they shared meals with the child and filled in a food frequency questionnaire assessing their child’s and their own food consumption. A Healthy Food Intake Index (HFII) describing dietary quality was calculated for all family members. We used linear regression to investigate the associations between shared meals and the HFII of the children, fathers and mothers. Models were adjusted for child’s age and gender, parent’s age and educational level and number of children in the household. Children whose fathers reported less frequently sharing a weekend lunch with the child had a lower HFII (B estimate –1·58, 95 % CI –2·66, –0·50). The association remained close to statistical significance with adjustments (B estimate –0·99, 95 % CI –2·17, 0·19). A less frequently shared weekend lunch was also borderline significantly associated with lower HFII among the fathers (adjusted model, B estimate –1·13, 95 % CI –2·30, 0·04). Fathers should be encouraged to share meals with their family, since it might have a role in the dietary quality of both children and fathers. Future studies should recognise fathers as important contributors to a healthy home food environment.