To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
This study aimed to develop and validate a questionnaire assessing the nutrition knowledge (NK) of Italian adult women regarding the relationship between diet, lifestyle, and bone health.
Design:
A 30-item questionnaire in Italian was developed by experts based on a literature review. Participants completed the questionnaire twice, with a 2-4 week gap between the two administrations. During the initial administration, weight and height were recorded using a mechanical scale and a stadiometer, while bone mineral density (BMD) of the lumbar spine (L1-L4), femoral neck, and total femur were assessed via dual-energy X-ray absorptiometry (DXA).
Setting:
Centre for Metabolic Bone Diseases at the Parma University Hospital, from January 2022 to June 2024.
Participants:
Women aged 45 to 75 years old, native Italian speakers, undergoing DXA at the Centre participated.
Results:
The sample included 295 women with a median age of 63 years (interquartile range 11.5). The questionnaire demonstrated good internal consistency (Cronbach’s alpha = 0.698) and high temporal stability (R = 0.810, p = 0.002), effectively differentiating between individuals with and without a nutritional background. Regression analysis indicated negative associations between NK score and age (β1 = -0.130, p < 0.001), and BMI (β1 = -0.193, p < 0.001).
Conclusions:
The NutriBone questionnaire is a valid and reliable tool for evaluating NK related to bone health in Italian adult women undergoing DXA, with potential for future research applications.
This study explores associations between clusters characterizing urban Canadians' retail food environments and their acceptability levels of three policies aimed at promoting healthier restaurant food environments.
Design:
The three examined policies related to 1) proposing healthier menu default options, 2) restricting the establishment of fast-food restaurants near schools, and 3) eliminating unhealthy foods from municipal buildings’ food outlets. Retail food environment clusters were available for 1-and 3-kilometer (km) buffer zones from the centroid of participants’ residential dissemination area. Retail food environment data were extracted from Can-FED, whereas acceptability data were provided by the THEPA dataset.
Setting:
Retail food environments present across Canada’s seventeen most populated census metropolitan areas.
Participants:
Urban-dwelling Canadians (N=27,162).
Results:
Results from multivariate multilevel logistic regression analyses showed that those who were surrounded by the greatest relative density of both healthy food outlets (HFOs) and fast-food outlets (FFOs) within a 3 km buffer zone were less likely to be in complete agreement with the fast-food zoning policy than the reference category. Findings also indicated that, within a 1 km buffer zone, those whose retail food environment was categorized as being the least healthy (no HFO and highest relative density of FFOs) were less likely to be in complete agreement with the unhealthy food elimination policy than the reference category.
Conclusions:
This study provides new evidence of associations between retail food environments and restaurant food environment policy acceptability, which may help orient the implementation of these policies.
Individuals with type 2 diabetes are at increased risk for developing cardiovascular disease (CVD). We assessed how dietary counselling on a high-quality, fibre-rich diet influenced the cardiometabolic health profile of patients with type 2 diabetes. In this 6-month trial, 121 patients with type 2 diabetes (67±8.7 years, 68% men, mean body mass index 27.8 kg/m2) were assigned to dietary counselling (n=61) or continued standard care (n=60). Counselling included 4-7 individual sessions with a dietitian, aimed at increasing fibre-rich food intake to improve diet quality. As the primary outcome, a composite cardiovascular risk score was used to estimate 10-year CVD risk. Secondary outcomes included changes in diet quality, assessed by the Dutch Healthy Eating Index-2015 (DHD15-index), HbA1c, LDL-cholesterol, blood pressure, body weight, and medication use. Mean diet quality score (DHD15-index) at baseline was 115±26 and was similar across groups. Over 6 months, DHD15-index scores improved by 4.5 points (95%CI: -0.2; 9.1) in the intervention group vs control, but not significant. The change in 10-year CVD risk across the 6 months of the trial (primary outcome) did not differ between groups -0.1%, 95%CI: -0.2; 0.1. Changes over time in HbA1c (-1.1 mmol/mol, 95%CI: -4.4; 2.3), LDL-cholesterol (0.0 mmol/L, 95%CI: -0.1; 0.1), blood pressure (-1 mmHg, 95%CI: -6; 4), body weight (-0.1 kg, 95%CI: -1.2; 1.1), or medication use did not differ between groups. Dietary counselling for 6 months slightly improved adherence to a high-quality, fibre-rich diet in patients with type 2 diabetes but did not significantly impact cardiometabolic health or medication use.
Climate change driven by human activity has emerged as a determinant factor in the acceleration of global biodiversity loss, with bird species among the most impacted vertebrate groups. Parrots (family Psittacidae) are particularly vulnerable due to their specialised habitats, strong dependence on forested ecosystems, and additional pressures such as illegal wildlife trade and hunting. This review assesses the current scientific understanding of how climate change affects the biodiversity, distribution, physiology, and conservation status of Psittacidae worldwide. An extensive literature search was conducted covering publications from 2000 to 2022 to synthesise key findings on habitat loss, changing climatic patterns, morphological adaptations, and species resilience. Habitat loss was indicated as the predominant threat, compounded by climate-induced alterations in breeding and foraging behaviours. The review emphasises the need for integrated conservation actions, including habitat restoration, ecological corridors, and community involvement. By identifying research gaps and future directions, this paper contributes to strengthening global strategies for Psittacidae conservation under climate change scenarios.
To investigate food consumption behavior and self-perceived nutrition knowledge among university students and derive implications for nutrition education in countries with limited formal nutrition education.
Design:
A mixed-methods approach was adopted. A survey was first conducted to examine participants’ food consumption behavior and self-perceived nutrition knowledge. One-third of the participants were then selected by stratified random sampling for semi-structured interviews to gain more in-depth insights into their self-declared knowledge and related behaviors.
Setting:
Universities in China, representing a context of limited formal nutrition education in pre-university schooling.
Participants:
190 university students.
Analysis:
Interview transcripts were reviewed to verify participants’ self-declared nutrition knowledge and identify misconceptions or gaps in understanding. Questionnaire data were analyzed using descriptive statistics.
Results:
Students with higher education levels reported paying more attention to nutrition labels and selecting healthier snacks. However, interviews revealed that students who claimed to read nutritional claims during food purchases often misunderstood the meaning of sugar and fat content information. A significant “illusion of knowing” was observed, and participants generally lacked awareness of authoritative food standards.
Conclusion and Implications:
Illusion of knowing is common among students who have not received formal systematic nutrition education. Nutrition education programs should prioritize raising students’ understanding of basic food concepts and improving their ability to interpret nutrition information accurately, as part of broader health promotion efforts.
Winning the battle against weeds is crucial for sustainable rice (Oryza sativa L.) production in sub-Saharan Africa (SSA), where weeds remain a leading cause of yield losses and continue to threaten the livelihoods of millions of smallholder farmers, with farms below one hectare. This review evaluates the dynamic landscape of weed control strategies by examining weed ecology, the limitations of traditional hand weeding, and the growing risks associated with overreliance on herbicides including escalating health concerns, environmental impacts, and the rapid rise of herbicide resistance. The central finding advanced in this review is that, despite the proven potential of integrated weed management (IWM) to provide sustainable and resilient weed control, its widespread adoption remains considerably low. Key barriers include weak extension services, low farmer awareness, and insufficient policy support which collectively prevent timely and effective uptake of diversified weed control strategies. While approaches such as biological control, cover cropping, crop rotation, and precision tools old promise, they remain underutilized without strong institutional backing. Drawing from case studies across the region, the review argues that IWM could deliver the most resilient and context appropriate results if embedded within robust advisory systems and supportive incentives. The paper concludes with recommendations to strengthen extension capacity, promote farmer centered innovation, and align policies to accelerate sustainable, scalable adoption of IWM across SSA.
This research was conducted to determine if and how Australian and Canadian dietetic regulatory bodies incorporate social justice into regulatory documents, and how this compares between two otherwise demographically and politically similar countries.
Design:
Quantitative and qualitative content analysis of Australian and Canadian dietetic regulatory documents was performed to determine how often and in what context social justice terms were incorporated into dietetics regulation.
Setting:
Australia and Canada
Participants:
Regulatory documents in Australia and Canada
Results:
Findings reveal that social justice is framed differently between the two countries, particularly related to working with people who experience marginalization. Regulatory documents seldom addressed issues of systemic injustice, focusing instead on self-awareness, and individualistic approaches to care.
Conclusions:
Social justice is currently framed in nutrition and dietetics regulatory documents in ways that do not align with core principles of social justice. Social justice should be re-framed in regulatory documents to shift attention away from awareness, towards action, and should be done in a way that addresses systemic injustices in healthcare. Developing a clear and consistent definition of what social justice is, is a critical first step in achieving this goal, to overcome the challenges identified in this research study.
To optimize school food baskets in Ghana to meet newly proposed food and nutrition targets while considering cultural acceptability and cost.
Design:
Modeling study. Data on existing school meal menus was collected from various regions to provide baseline inputs. Linear programming (LP) was used to model school meal baskets that satisfied minimum nutrient and food targets for school meals while meeting cost and acceptability constraints. Five LP models were tested, each varying in budget constraints and acceptability/food-based parameters.
Setting:
Ghana
Participants:
NA
Results:
Baseline school food baskets were significantly deficient in energy, protein, iron, zinc, vitamin A, folate, vitamin B12 and vitamin C compared to food and nutrient standards for school meals in Ghana. Optimization resulted in school food baskets that met cost, nutrient and food-based/acceptability targets but with substantial deviations from baseline. Achieving nutritional adequacy within cost limits increased reliance on animal-source foods and led to higher environmental impacts, indicating trade-offs between nutrition, affordability, and environmental sustainability.
Conclusion:
The study underscores LP’s potential for enhancing school meals in Ghana but highlights the need for increased financial investment for reaching dietary goals. Addressing local realities and cultural preferences is essential for implementing effective, sustainable school meal strategies and improving child health.
To assess knowledge and perceptions of low-carbohydrate and intermittent fasting diets among UK-based Pakistani and Bangladeshi individuals for T2D prevention and management
Design:
A cross-sectional survey
Setting:
The survey was administered online using Jisc Online Surveys.
Participants:
Pakistani and Bangladeshi adults aged 18 and over who had lived in the UK for at least one year.
Results:
A total of 304 participants took part in the survey, of which 77% (N=234) were females and 80.3% (n=244) were Pakistanis. Intermittent fasting diets appeared to be somewhat more acceptable (N=107, 36%) than low-carbohydrate diets (N=68, 22.8%) particularly. Participants showed generally good dietary knowledge of carbohydrates and T2D, although some gaps were identified. Key barriers to dietary change included reluctance to alter established eating habits as well as low motivation. Age, education and living arrangements were significant predictors of dietary knowledge and dietary preferences.
Conclusions:
These findings support carrying out future research to test culturally tailored interventions, with particular attention to intermittent fasting approaches. Multidisciplinary interventions that involve family members, offer flexible meal timing and present dietary guidance within familiar cultural contexts may improve acceptability and adherence and lead to long term sustained benefits.
To investigate the relationship between self-perceived overall dietary healthfulness and self-reported sugar-sweetened beverage (SSB) consumption among young adult Latinas, accounting for socioeconomic and acculturation-related factors.
Design:
Cross-sectional analysis using survey data. SSB intake was assessed using the BEVQ-15, and dietary self-perception was measured via a two-item scale. Multiple linear regression models examined associations between self-perception and total daily SSB intake, adjusting for income, education, and two validated acculturation indicators.
Setting:
Participants were recruited from a national online panel across the United States.
Participants:
A total of 881 Latina women aged 18–29 years participated. After removing cases with invalid outcome responses and outliers, 840 and 829 were included in descriptive and regression analyses.
Results:
Better dietary self-perception was significantly associated with greater total SSB intake in both unadjusted (B = 1.74, p = .048) and fully adjusted models (B = 2.10, p = .017). Lower income (B = -0.64, p = .031) and lower education (B = -0.77, p = .026) were also associated with higher intake. Acculturation variables were not significant. Subcategory models showed positive associations between self-perception and sweet tea (B = 0.99, p < .001) and black coffee/tea with sugar (B = 0.51, p < .01), and a marginal inverse association with soft drinks (B=-0.47, p = .060).
Conclusions:
Young Latinas who perceive their diets as healthy may consume more added sugar from beverages than recommended. Public health efforts should address this perception gap and emphasize culturally relevant messaging about hidden sugars in commonly consumed drinks.
To examine the association between household food insecurity (HFI) and low subjective well-being (SWB) among pregnant and postpartum women and determine whether these potential associations differed by maternal age and pregnancy status.
Design:
We conducted a secondary analysis of nationally representative cross-sectional data from women of reproductive age (15–49 years). Household food insecurity (HFI) was measured using the Food Insecurity Experience Scale and categorized as none/mild, moderate or severe. Weighted multilevel logistic regression models were used to estimate odds ratios and 95% confidence intervals for the association between HFI and low levels of three SWB measures: happiness, life satisfaction and optimism. Analyses were stratified by age and pregnancy status.
Setting:
Data were drawn from the 2021 Nigeria Multiple Indicator Cluster Survey, Round 6.
Participants:
The analytic sample comprised 12,587 women who were pregnant at the time of the survey or within 24 months postpartum.
Results:
Household food insecurity was significantly associated with all three measures of SWB, although the magnitude of associations varied by outcome, even after adjusting for individual-, household- and community-level characteristics. Stratified analyses revealed heterogeneity in the associations between HFI and SWB by age and pregnancy status. Overall, HFI was associated with lower levels of happiness, life satisfaction and optimism among pregnant and postpartum women in Nigeria.
Conclusions:
Our findings demonstrate a negative association between HFI and SWB among pregnant and postpartum women in Nigeria. These associations were modified by maternal age and pregnancy status, suggesting that strategies to mitigate HFI should account for subgroup differences in order to effectively improve maternal well-being.
Mexico ranks third globally in seabird diversity and second in the number of endemic species that breed within its territory, yet 16% of seabird species in the country are categorized as threatened on the IUCN Red List, including the Critically Endangered Townsend’s shearwater Puffinus auricularis. Nearly 20 years ago, the breeding population of Townsend’s shearwater, which is endemic to the Revillagigedo Archipelago of Mexico, was inferred to comprise < 100 breeding pairs. Since then, conservation initiatives have been implemented in the archipelago. We assessed the current status of Townsend’s shearwater by mapping the distribution of breeding colonies, estimating breeding population size, evaluating reproductive success, describing ongoing threats and modelling population trends under three conservation scenarios. During 2016–2024, we conducted field surveys on the islands of Socorro and Clarión using acoustic monitoring techniques in historical nesting areas. We estimated that the breeding population on Socorro comprises < 200 pairs and documented the return of a small breeding population to Clarión after a 30-year absence. However, reproductive failure persists because of the effects of native predators such as land crabs, snakes and ravens. The population has exhibited a slow decline driven by interactions between native and invasive species. Without ongoing restoration efforts and management actions, including the removal of feral cats, the population could face extinction.
In plant genetic resources research, coancestry-based parameters are widely used to assess the amount of diversity retained in germplasm samples, breeding populations and conservation collections. Among them, the variance effective number and status number are often treated as different measures. However, the analysis presented herein shows that they are algebraically equivalent when expressed under the same coancestry framework. Using standard definitions of average coancestry among individuals, average inbreeding, and group coancestry including self-coancestry, both parameters are derived to show that they reduce to the same expression. A numerical example confirms the identity. This result clarifies that the distinction is unnecessary. It also supports a more consistent interpretation of coancestry-based diversity measures in plant genetic resources.
Accurate harvest time prediction is a challenge for developing sustainable fruit production, especially for both dessert and plantain banana varieties. The proposed approach to predict the optimum harvest date was based on estimating appropriate parameter values, namely the threshold temperature and the corresponding degree-day sum, for a given cultivar and targeted market. When the threshold temperature was estimated from a sufficiently wide and contrasted dataset, as illustrated for the variety 938, the model achieves high predictive accuracy. The thermal time sum model can accurately predict the flowering-to-fruit-ripening phase of five dessert banana varieties moderately to strongly resistant to black leaf streak and fusarium wilt TR4 diseases and for the first time of one of plantain banana variety, cv. French Clair, with values of RMSE, MAPE, and R² ranging, respectively, from 3.8 to 8, from 3% to 6.8%, and from 0.51 to 0.85 on the validation datasets. This study proposes a simple and reliable temperature-based method to optimally forecast banana harvest date according to the targeted market. The calculated thermal time sum from the variety-dependent threshold temperature accurately predicted the fruit storability and the fruit size. Moreover, an adapted statistical method was proposed in the case of inability of recording data on the flowering-to-fruit-ripening phase, based on the occurrence of fruit splitting obtained under contrasting temperatures in different geographical areas. Threshold temperature values for each variety were discussed, and it was determined that this is a purely statistical parameter for prediction, without direct biological meaning.
Southeast Asia is poised to play a pivotal role in global energy decarbonization, driven by its rapidly expanding economies and growing populations. However, the region remains heavily reliant on fossil fuels to meet its energy demand. Energy and Decarbonization in Southeast Asia delves into the critical research topics shaping the region's path towards sustainable energy transformation. From regional interconnectivity via the ASEAN Power Grid to advancements in solar and wind energy, carbon capture and storage, low-carbon hydrogen, and green financing, this book provides a comprehensive exploration of innovative strategies and pressing challenges.
Featuring contemporary case studies across three key themes - socio-economic and environmental challenges, technological and political pathways, and strategies to foster regional cooperation - this volume offers actionable insights for Southeast Asian policymakers, researchers and practitioners. By addressing fundamental questions surrounding the region's evolving climate priorities, the authors present a forward-looking analysis of the energy sector's transition and its implications for the future.' - Beni Suryadi, Acting Executive Director, ASEAN Centre for Energy.
Research on parasite-induced regulation has identified the conditions under which parasites can destabilise host population dynamics: high levels of aggregation, delayed density-dependence, and moderate negative effects on fitness (reproduction, survival). Gastrointestinal helminths with direct life cycles and a single definitive host provide ideal systems to test these predictions. In this study, we first determined which helminths infect common voles (Microtus arvalis) in NW Spain, where populations are cyclic. We showed that the helminth community is dominated by Syphacia sp., a gut-restricted, directly transmitted nematode.
We then examined how the prevalence and abundance of Syphacia sp. varied with host sex, season, and population cycle phase (increase, peak, or crash), and tested if vole condition (relative body mass and organ hypertrophy) and female fecundity (litter size) correlated with the prevalence of Syphacia sp. Infections were highly aggregated in Syphacia sp. and parasite abundance peaked during the crash phase of the vole cycle. We found that vole condition did not vary with the prevalence of Syphacia sp., but vole litter size showed a season-dependent association, with infected females producing smaller litters in spring and summer.
These findings suggest that even low-pathogenic, directly transmitted parasites could exert reproductive effects, potentially shaping host population dynamics in combination with ecological and demographic factors. Experimental approaches are required to clarify causality and potential regulatory feedback.
A systematic review and meta-analysis were conducted, and published estimates determined the pooled prevalence of gastrointestinal nematode parasites affecting free-ranging chickens in Africa. Peer-reviewed articles published between 1993 and 2024 were systematically searched and screened. Prevalence estimates based on 76 eligible articles showed that of the 74,789 free-ranging chickens screened, 13,625 were infected with gastrointestinal nematodes with an overall pooled prevalence of 15% (95% CI: 13–18%). Twenty-seven nematode species were recorded, of which Ascaridia galli and Heterakis gallinarum were the commonly reported species. Southern Africa recorded the highest pooled prevalence (22%; 95% CI: 13–33%), and western Africa had the lowest (5%; 95% CI: 0–2%) despite recording the highest nematode species diversity. Tetrameridae had the highest family-level pooled prevalence of 46% (95% CI: 28–64%), and Spiruridae had the lowest 1% (95% CI: 0–3%). Most studies were conducted between the period 2014 and 2024; however, the highest pooled prevalence was observed between 1993 and 2002 (17%; 95% CI: 11–24%). The necropsy technique recorded the highest pooled prevalence (17%; 95% CI: 14–20%) compared to coproscopy (10%; 95% CI: 7–14%). The quality effects model revealed a high heterogeneity and publication bias among studies due to the diagnostic method used (P <0.05). This systematic review provided insightful information on the occurrence and potential burden of gastrointestinal nematode species of free-ranging chickens in Africa, highlighting the need for enhanced biosecurity and further research to safeguard their health, production, and food security of rural economies.
Autism spectrum disorder (ASD) is a population-scale condition with life-course health consequences, yet nutrition support remains inconsistently embedded in routine pathways. Food selectivity is common in ASD and is associated with restricted dietary variety, nutritional imbalance, gastrointestinal morbidity and cardiometabolic vulnerability. Current responses are predominantly clinic-and family-centred and are difficult to scale equitably. This commentary argues that institutional food services (schools, day-care and residential settings) are an underused public health platform to improve inclusion and accountability through sensory-accessible, nutritionally adequate meals. Because these services are commissioned, standardised and audited, sensory accessibility can be operationalised via procurement specifications and quality indicators, enabling benchmarking across sites. Evidence from sensory-informed menu adaptation and implementation work suggests feasibility within routine operations and supports evaluation using system-relevant outcomes (acceptability, nutritional adequacy, waste, feasibility and maintenance). Three policy actions are proposed: embed sensory accessibility in institutional standards, integrate nutrition across sectors and fund scale-up using implementation science.
Haemonchus contortus is considered the most pathogenic gastrointestinal nematode of sheep and, due to the increasing resistance to synthetic anthelmintics, it poses a serious challenge to small ruminant production systems. The aim of this work was to evaluate the in vivo and in vitro anthelmintic activity of quebracho-chestnut tannin extract against Haemonchus contortus in lambs. The in vitro assays (egg hatching inhibition and larval migration inhibition) were performed to determine the effective concentrations required to inhibit 50% of egg hatching and larval migration (EC50), which were 3.8 and 1.4 mg/mL, respectively. For the in vivo trial, 18 lambs used were divided into three groups: Group 1 (control), Group 2 (a tannin dose equivalent to 0.3% of dry matter intake), and Group 3 (a tannin dose equivalent to 3% of dry matter intake). No significant differences (p > 0.05) were observed among treatments in faecal egg counts, larval counts from coprocultures, or adult H. contortus recovery. The tannin extract was effective in inhibiting egg hatching and larval migration in vitro at low concentrations. However, when administered in vivo at 0.3% and 3% of dry matter intake, it failed to show any effect on faecal egg counts, larval counts in coproculture, or adult worm burden. Adult worms, eggs, and infective larvae were further examined using scanning electron microscopy. The observations revealed significant cuticular alterations in adult worms, which could potentially interfere with normal feeding and reproductive processes. Additionally, eggs and infective larvae exhibited shell rupture and cuticle damage.
Ascidiella aspersa is a solitary ascidian native to the North-east Atlantic that has been introduced to many regions around the globe. In 2023, individuals matching the description of A. aspersa were found on an artificial dock structure in Stanley Harbour, Falkland Islands, where there were no previous records of the species. Individuals were collected for morphological and genetic analyses, and previous surveys of the site were reanalysed to estimate the abundance of the population. The morphological examination and genetic analysis confirmed the individuals were A. aspersa. Analysis of the survey data suggested the species has been present since at least 2011 and forms a reasonably dense population on the more sheltered areas of the dock structure. Further survey work and population genetic investigations are required to better understand the likely origin of the population, and the abundance and extent of the species around the Falkland Islands.