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The blue gum chalcid (Leptocybe invasa) is a serious invasive, galling insect pest of eucalypts grown outside Australia. Variability in resistance of species and genotypes of Eucalyptus to the pest is widely reported but without consideration of the influence of silviculture on the severity of galling. We assessed the variability of gall expression by 29 genotypes of E. camaldulensis by L. invasa in common nursery experiments and in 5 common garden arboreta planted in diverse climatic zones and soil types around Kenya. We quantified variation in growth and the concentrations of defensive chemical compounds (namely polyphenolic compounds) to assess possible genotype × environment interactions which we also relate to the climate of the parent seed trees in Australia. Generally, genotypes endemic to low latitude regions of Australia were more resistant to the pest while the concentration of quinic acid derivatives (QUIN) exhibited an interaction with arboretum location in Kenya. The concentration of QUIN in potted plants did not vary significantly with nitrogen supplementation. However, growth rates and total polyphenolic concentrations varied with arboretum location. Since QUIN, which have been previously shown to confer resistance against L. invasa, did not vary in different arboreta, resistant subspecies and genotypes of E. camaldulensis can be deployed in novel habitats and will not be galled. Our findings support the critical need to plant stock of known genotype(s) rather than planting stock grown from locally collected seed. This will require the establishment of eucalypt seed orchards if clonal production of planting stock is not possible.
Despite increasing efforts to promote and support breastfeeding, the United States continues to have some of the lowest exclusive and sustained breastfeeding rates globally. Foreign-born immigrants and refugees specifically have been reported to have high initiation but low exclusive breastfeeding (EBF) rates. This scoping review aims to explore what is known about strategies to support breastfeeding among foreign-born mothers in the United States using the Arksey & O’Malley framework for scoping reviews and PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews). Six databases were searched using a comprehensive search strategy and 2,103 articles were identified, of which 31 met eligibility criteria and discussed 33 specific breastfeeding interventions. The articles describe a range of interventions including breastfeeding promotion and education (n=30), hands-on breastfeeding support (n=9), material support -like giving breastfeeding supplies and food- (n=16), social support (n=18), and social marketing campaigns (n=1) to promote community support for breastfeeding. Common strategies for implementing these interventions include individual counseling (n=21), group breastfeeding education (n=17), informational materials (n=12) and family support promotion (n=11). 87.2% of the immigrant mothers targeted by these breastfeeding support interventions were Hispanic; 4.5% and 7.0% were mothers of African and Asian descent respectively. This study reveals limited data and key gaps in efforts to preserve the culture of breastfeeding and promote EBF among multicultural immigrant and refugee families, particularly non-Hispanic groups. Addressing these gaps will improve optimal infant feeding practices among foreign-born mothers in the U.S and consequently maternal and infant health outcomes.
This study investigated changes in serum folate and B12, and associations with endurance performance and bone outcomes, in women during military training. Women (n = 137) had serum folate and B12, haematological markers, and endurance performance (2.4 km run) measured at the start (week 1) and end (week 13) of British Army basic training. Whole-body areal bone mineral density and markers of bone metabolism were measured at week 1. Training decreased serum folate (mean change [95% CI], −2.3 [−3.0, −1.6] nmol∙L-1, p < 0.001), B12 (−16 [−32, 0] pmol∙L-1, p = 0.042), haemoglobin (−0.7 [−0.9, −0.5] g∙dL-1, p < 0.001), and red blood cell (RBC) count (−0.2 [−0.3, −0.2] × 10^9∙L-1, p < 0.001), but had no effect on mean corpuscular volume (p = 0.438) or erythrocyte distribution width (p = 0.088). There was no association between serum folate, serum B12, haemoglobin, or RBC count with run time (p ≥ 0.518). Serum B12 was not associated with areal bone mineral density or bone metabolism at week 1 (p ≥ 0.152). Higher serum folate was associated with lower plasma c-telopeptide cross-links of type I collagen (standardised β [95% CI] = −0.31 [−0.48, −0.15], p < 0.001), but not whole-body bone mineral density or plasma procollagen type I N-terminal propeptide (p ≥ 0.152). Serum folate and B12 decreased after military training in women, resulting in a high prevalence of folate deficiencies at the end of training. Low serum folate may contribute to increased bone resorption, the implications of which are unclear.
The aim of this review is to quantify the strength of evidence for the efficacy of exogenous enzymes (EE) in dairy calf rearing, by systematically identifying, consolidating and discussing existing research on the subject. This review identified 17 articles that measured the effect of EE alone or in combination with another treatment on indicator variables for calf performance, behaviour, health or environmental output; 15 studies realised a positive effect of enzyme supplementation on at least one variable, and one study realised a negative effect of treatment on body parameters. Inconsistent results were noted for effects of EE on growth and feed efficiency. Studies that combined EE with another treatment, did not tend to find performance improvements compared to stand-alone treatments. However, several studies were underpowered which could have limited their ability to detect effects on primary response variables. All papers that measured digestibility found an increase in fibre digestibility from enzyme treatment; however, this did not always result in improved feed efficiency or growth. Reductions in non-nutritive oral behaviour, increased resting time and rumination, were observed in studies measuring calf behaviour, as were enhanced rumen development and reduced cost of calf rearing; suggesting that EE could enhance calf health and welfare, whilst having additional advantages for rearing economics. Future research into the efficacy of EE in dairy calves is worth pursuing. However, a targeted and evidence-based approach to experimental design is required, with due consideration given to enzyme actions and interactions, as well as robust power analysis for sample size.
In a world under a triple planetary crisis of climate change, biodiversity loss, and pollution, this study aimed to evaluate the types, features, and impacts of environmental sustainability and social responsibility food labels on consumers’ choices and purchasing decisions.
Design:
A systematic review encompassing three electronic databases was conducted. The initial search was conducted in May 2022 and updated in July 2025, identifying 364 studies. After screening, 41 studies were included. Data were extracted using a standardized form and analysed by topic.
Setting:
Studies included were conducted in various consumer and market settings, primarily focusing on packaged food products.
Participants:
The studies represented a range of consumers across demographic and geographic contexts, but mostly focused on Western Europe, the US, and other high-income countries.
Results:
Most studies were experimental (‘choice experiments’) and evaluated purchasing intentions. Environmental sustainability labels generally elicit positive consumer responses, with high preferences for organic and animal welfare claims. Consumers often desire additional information to better understand label meanings. While some evidence supports the influence of environmental sustainability labels on consumer choices, their impact on actual purchasing behaviour remains mixed. Research on social responsibility labels is notably limited.
Conclusions:
There is insufficient evidence to determine the real-world impacts of environmental sustainability and social responsibility labels on food choices. Future studies could focus on purchasing behaviours in real-life consumer interactions with labels, the impacts of the exposure to varying levels of information, and a potential integration of domains. Given pressing social and environmental challenges, integrative strategies are required to develop labels that effectively guide consumers towards healthier, sustainable, and socially responsible food options.
Cet article examine la problématique de la grossophobie en discutant de ses racines comme de ses impacts sur les personnes qui en sont victimes ainsi que sa manifestation au sein du droit. Il explore plus précisément comment le droit et les politiques publiques peuvent perpétuer la stigmatisation des corps, notamment à travers les interventions en matière de saine alimentation. L’étude se concentre sur l’approche environnementale adoptée au Québec pour promouvoir une alimentation saine, en interrogeant sa capacité à éviter la stigmatisation individuelle. S’appuyant sur le cadre théorique des Fat Studies, l’article expose l’argumentation politique des Fat Studies, présente le cadre normatif québécois destiné à la création d’environnements favorables à la saine alimentation, et examine la place accordée au poids corporel dans les politiques publiques québécoises liées à la saine alimentation dans le but d’offrir une perspective critique sur les approches actuelles en santé publique ainsi que leurs impacts sur la perception sociétale de la grosseur.
The increasing demand for sustainable feed ingredients in aquaculture has driven research into alternative protein sources to replace fishmeal. This study evaluated the nutritional, physiological, and microbiological impacts of housefly (Musca domestica) larvae meal as a replacement for fishmeal in the diets of rainbow trout (Oncorhynchus mykiss). Diets were formulated to replace fishmeal with larvae meal at 50% and 100% inclusion levels. Growth performance, body composition, intestinal health, and gut microbiota were assessed over a 16-week feeding trial. Fish fed larvae meal-based diets exhibited comparable growth metrics, muscle yield, and hepatosomatic index to those fed fishmeal and commercial diets, indicating no compromise in growth efficiency. Intestinal histological examination revealed no diet-induced morphological changes, with all parameters remaining within normal ranges, highlighting the compatibility of larvae meal with fish intestinal health. Analysis of gut microbiota showed a shift toward Firmicutes dominance and increased abundance of Clostridiales in larvae meal-fed fish, suggesting enhanced fermentation activity. Blood chemistry parameters were consistent across dietary groups, supporting the physiological suitability of larvae meal-based diets. These findings demonstrate that housefly larvae meal is a sustainable and nutritionally viable alternative to fishmeal in aquafeeds for rainbow trout. The results underscore its potential to reduce reliance on fishmeal while maintaining fish health and growth performance.
Responsive feeding characterised by recognising and appropriately addressing children’s hunger and satiety signals, plays a key role in health. Despite children’s innate ability to self-regulate food intake, caregivers can override these cues, especially in child care settings. The study determined the effects of a 6-month coaching intervention on the responsive feeding environments of child care centres. CELEBRATE Feeding was a 6-month, coaching, pre-post intervention design conducted in eight child care centres across Nova Scotia and Prince Edward Island, Canada. Child care centres’ feeding environments and educator practices were observed using a modified Environment and Policy Assessment and Observation tool at baseline and follow-up in two rooms per centre (n = 16). Twenty-one responsive feeding components were scored from 0–3 (3 as best practice). The average centre scores were summed for an overall score ranging from 0–63 at each time point. Paired samples t-tests and Wilcoxon signed rank tests were conducted to assess the impact of the intervention on overall rooms’ and individual responsive feeding components’ scores. There was an increase in scores from baseline (M = 38.16, SD = 6.55) to follow-up (M = 45.75, SD = 5.87), t (15) = 4.91, P < 0.001. All but one score improved, where 3 of the 21 scores were significantly more responsive after the intervention after applying a Bonferroni correction (P < 0.002). The score with the greatest positive change was ‘Educators provide gentle comments or nudges towards feeding’, with a mean difference of 1.33, P < 0.001. The CELEBRATE Feeding coaching intervention was successful in improving responsive feeding practices and environments in child care settings.
Over the past century, psychiatrists have neglected the importance of diet in the management of mental illness. This is especially the case in relation to mood disorders. There is now overwhelming evidence to support the view that a Mediterranean diet can play a role in the management of mood disorders. This is not in any way denying the importance of pharmacological and psychosocial strategies in the management of these disorders. Components of the Mediterranean diet not only impact brain function but also gut microbes, which are increasingly recognised as playing a role in the pathophysiology of mood disorders. Nutrition should be a component in the curriculum of psychiatrists in training.
To assess the feasibility of using large language models (LLM) to develop research questions about changes to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food packages.
Design:
We conducted a controlled experiment using ChatGPT-4 and its plugin, MixerBox Scholarly, to generate research questions based on a section of the U.S. Department of Agriculture (USDA) summary of the final public comments on the WIC revision. Five questions weekly for 3 weeks were generated using LLM under two conditions: fed with or without relevant literature. The experiment generated ninety questions, which were evaluated using the Feasibility, Innovation, Novelty, Ethics and Relevance criteria. t tests and multivariate regression examined the difference by feeding status, artificial intelligence model, evaluator and criterion.
Setting:
The United States.
Participants:
Six WIC expert evaluators from academia, government, industry and non-profit sectors.
Results:
Five themes were identified: administrative barriers, nutrition outcomes, participant preferences, economics and other topics. Feeding and non-feeding groups had no significant differences (Coeff. = 0·03, P = 0·52). MixerBox-generated questions received significantly lower scores than ChatGPT (Coeff. = –0·11, P = 0·02). Ethics scores were significantly higher than feasibility scores (Coeff. = 0·65, P < 0·001). Significant differences were found between the evaluators (P < 0·001).
Conclusions:
The LLM applications can assist in developing research questions with acceptable qualities related to the WIC food package revisions. Future research is needed to compare the development of research questions between LLM and human researchers.
This study sought to explore how food company representatives perceive the food industry’s role in responding to and driving consumer demand for healthy and unhealthy foods.
Design:
Semi-structured interviews were conducted in 2022 by 2–3 researchers to explore food company representatives’ perspectives related to consumer demand for healthy and unhealthy food. Detailed field notes, including verbatim quotes, were recorded, and the data were analysed thematically.
Setting:
This study was part of a government-funded 12-month intervention programme to assess the impact of tailored support for food companies on company nutrition-related policies and practices.
Participants:
Thirty-two food company representatives from thirteen large food and beverage manufacturers in Australia.
Results:
Six themes were identified. Company representatives acknowledged that manufacturers actively shaped demand for both healthy and unhealthy foods. Healthy reformulation and aspects of nutrition labelling were constrained by anticipated consumer resistance, while demand for ‘less healthy’ products was driven by non-health attributes such as taste, comfort and affordability. Internal company marketing teams held significant influence regarding product development, promotion and labelling. Supermarkets were perceived as shaping demand via their marketing strategies. The competitive landscape, driven by the pursuit of market share, was seen to fuel an ongoing cycle of promotion of ‘less healthy’ products.
Conclusions:
Food companies acknowledge playing an active role in influencing consumer demand for healthy and unhealthy food and beverages. A whole-of-system response, including changes in government regulation and practice change by the food industry, is needed to drive stronger action and accountability from food companies to support healthier diets.
After discharge from the intensive care unit (ICU), it is often assumed that a patient’s appetite, weight, and nutritional status will return to premorbid levels with minimal intervention. Malnutrition is common following critical illness, and multiple barriers exist to nutrition rehabilitation following hospital discharge, which are often recognized and understood in this vulnerable patient population. Such barriers include appetite and weight loss, early satiety, gastrointestinal disturbances, altered taste and smell, dysphagia, and the constellation of physical, functional, cognitive, and psychosocial challenges known as the post-intensive care syndrome (PICS). Registered dietitians (RD) can direct the continuity of nutrition care essential to supporting recovery from critical illness, with the goal of helping patients regain muscle mass, strength, and independence. Education and partnership with the patient, family, and medical team are required for the best outcomes in nutrition recovery. Nutrition rehabilitation will be explored after discharge from the hospital by addressing the barriers and strategies to guide the patient toward success.
One major aspect involved in the development of post-intensive care syndrome (PICS) is muscle wasting and weakness. In health, augmented dietary protein is required for skeletal muscle maintenance or growth. Critical illness is characterised by complex metabolic alterations including initial hypometabolism followed by hypermetabolism and muscle catabolism. Despite the potential role of nutrition in attenuating extensive muscle wasting observed in critical illness, no large-scale definitive interventional trial has tested the impact of augmented protein delivery on muscle wasting, and observational and small randomised trial data are conflicting. This may be due to the extensive physiological response to critical illness that cannot be easily overcome or untested factors including individualised nutrition interventions delivered beyond the first week of critical illness. Despite the lack of definitive answers, prolonged under-provision of nutrition will likely result in nutrition-related consequences and has been associated with negative clinical outcomes. The aim of this chapter is to summarise the current critical care nutrition evidence and make practical recommendations for clinicians with the aim of preventing the development or progression of malnutrition and reducing the development of PICS following critical illness.
Infants with single ventricle physiology are at increased risk of undernutrition, which can contribute to adverse outcomes. This is a retrospective case series examining factors associated with undernutrition in patients with single ventricle physiology at one year of age. It includes 56 infants from a single institution who underwent single ventricle palliation between 2003 and 2023. Undernutrition was defined as a weight-for-length z-score below -1, based on World Health Organization normative data. Independent variables included surgical interventions, cardiorespiratory factors, and nutritional interventions. Associations between these variables and nutritional status were assessed using Fisher’s exact test. At one year, a total of nine infants (16%) were undernourished. Undernutrition rates significantly declined after 2013 (p = 0.02), demonstrating improvements in nutritional outcomes over our study period. Those who used supplemental oxygen or pulmonary medications were undernourished at lower rates, though this difference was not statistically significant. While the number of undernourished patients in the cohort may have limited the study’s power, our findings suggest that early respiratory interventions may provide nutritional benefits in infants with single ventricle physiology.
Nutrition plays a pivotal role in cancer survivorship, influencing not only long-term health outcomes but also quality of life and risk of recurrence. As advances in early detection and treatment have led to a growing global population of cancer survivors, attention has increasingly shifted from acute care to the promotion of sustained well-being and prevention of secondary health challenges. Despite growing evidence linking dietary patterns, body composition and metabolic health with survivorship outcomes, there remains significant variability in nutritional guidance, access to evidence-based interventions and integration of nutrition into oncology care. This review explores the current state of knowledge on nutrition in cancer survivorship, highlights key challenges faced by healthcare systems and patients and presents a new proposed model of care to optimise nutrition within survivorship care, bridging the evidence-practice gap.
Myopia is a critical public health issue, particularly among adolescents. This study investigates the association between adherence to a Mediterranean-style diet and the odds of myopia in US adolescents. A cross-sectional analysis was conducted using National Health and Nutrition Examination Survey (NHANES) data from 2005 to 2008, involving 2473 participants aged 12–18 years. Adherence to the diet was assessed using the alternate Mediterranean diet (aMED) score. Myopia was defined as a spherical equivalent of ≤–0·50 dioptres (D). Multivariable logistic regression models adjusted for age, sex, race, education level, BMI, poverty income ratio and total energy intake were used to examine the association between aMED and myopia. Additionally, restricted cubic spline regression was used to explore non-linear relationships, and mediation analysis was conducted to identify potential biological pathways. Of the participants (median age: 15 years; 50·5 % male), 41 % were identified as having myopia. Participants with myopia had significantly lower aMED scores compared with non-myopic individuals (P < 0·05). Higher adherence to the aMED was associated with lower odds of myopia (OR: 0·830, 95 % CI 0·712, 0·968). A significant dose–response relationship was observed, with adolescents in the highest aMED quintile having a 41 % lower odds of myopia compared with the lowest quintile (OR: 0·592, 95 % CI 0·368, 0·952). The association was partially mediated by dietary cholesterol and eicosatetraenoic acid. In conclusion, adherence to a Mediterranean-style diet in adolescents is associated with a lower odds of myopia. Addressing diet quality may mitigate health risks related to myopia development.
Refugees are susceptible to food insecurity. In high-income countries (HIC), settlement workers (SW) provide information, including food security information resources, to newly arrived refugees. Australia has a range of resources, but their use in settlement work is unknown. This study’s aims were to explore SW’s resource use with refugee clients.
Design:
This descriptive, qualitative study explored SW’s perceptions regarding resource use. One-on-one interviews, using a semi-structured guide, were conducted. The Technology Acceptance Model’s usage constructs (including Actual Use and Perceived Usefulness) informed the guide and analytical constructs. Under these constructs, emergent usage themes were identified.
Setting:
Six Australian cities.
Participants:
Settlement workers.
Results:
Fourteen workers were interviewed. Thirteen worked for government-related departments. Most used resources as part of client welcome packs to address acute food insecurity and/or support clinical deficiency issues. Print, pictorial, translated and co-designed resources were perceived to be most useful. Less useful were resources with limited cultural tailoring, translation issues and high literacy demand. There was limited use of digital resources due to variations in clients’ digital access and literacy. Opportunities for improvement include streamlining access, addressing topics such as clinical deficiencies related to food insecurity and increasing culturally nuanced translation.
Conclusions:
Development of culturally appropriate resources, facilitating resource access and improved food culture information may help SW better support refugee populations with food security challenges during resettlement in HIC.
Muscular dystrophy (MD) encompasses inherited myopathies characterised by progressive skeletal and cardiac muscle degeneration, chronic inflammation and metabolic dysfunction. While emerging therapies show pre-clinical promise, few reach clinical translation, highlighting the need for supportive interventions to improve function and quality of life (QoL). Nutritional strategies may offer such benefits; however, limited data exist characterising diet in MD or associations with functional outcomes. This study assessed diet, nutritional status and associations with muscle strength, function and QoL in MD adults. Adults with MD (n 39; FSHD = 8, LGMD = 9 and Other = 22) and matched Controls (n 17) completed two 3-d food records, strength/function assessments and QoL questionnaires. Between-group differences were analysed using t tests or Mann–Whitney U and associations using Pearson’s r or Spearman’s Rho (P < 0·05). Compared with controls, individuals with MD consumed more energy (89 % v. 35 % exceeded RDI, P = 0·023), but less carbohydrate (–21 %, P = 0·013), sugar (–31 %, P = 0·004), protein (–15 %), BCAA (–31 %, P = 0·049) and vitamin C (–43 %, P = 0·009). MD participants demonstrated reduced muscle thickness, strength, function and reported lower QoL and physical capacity (all P < 0·05). Protein intake positively correlated with strength and function (P < 0·05); branched-chain amino acids intake was associated with lean mass (r = 0·442, P = 0·02) and strength (r = 0·372, P = 0·036). Findings indicate adults with MD consume excess energy but insufficient protein and micronutrients, supporting the need for adult MD-specific dietary guidance to optimise musculoskeletal health and QoL.
This review summarises evidence from cohort and intervention studies on the relationships between nutrition in early life, epigenetics and lifelong health. Established links include maternal diet quality with conception rates, micronutrient sufficiency before and during pregnancy with preterm birth prevention, gestational vitamin D intake with offspring bone health, preconception iodine status with child IQ, adiposity with offspring obesity and maternal stress with childhood atopic eczema. Animal studies demonstrate that early-life environmental exposures induce lasting phenotypic changes via epigenetic mechanisms, including DNA methylation, histone modifications and non-coding RNA, with DNA methylation of non-imprinted genes most extensively studied. Human data show that nutrition during pregnancy induces epigenetic changes associated with childhood obesity risk, such as Antisense long Non-coding RNA in the INK4 Locus (ANRIL, a long non-coding RNA) methylation variations linked to obesity and replicated across multiple populations. Emerging insights reveal that paternal nutrition and lifestyle also modify sperm epigenomics and influence offspring development. Although nutritional-randomised trials in pregnancy remain limited, findings from the NiPPeR trial showed widespread preconception micronutrient deficiencies and indicated that maternal preconception and pregnancy nutritional supplementation can reduce preterm birth and early childhood obesity. The randomised trials UPBEAT and MAVIDOS have shown that nutritional intervention can impact offspring epigenetics. Postnatal nutritional exposures further influence offspring epigenetic profiles, exemplified by ALSPAC cohort findings linking rapid infant weight gain to later methylation changes and increased obesity risk. Together, these studies support a persistent impact of maternal and early-life nutrition on child health and development, underpinned by modifiable epigenetic processes.
Individuals with severe mental illness face a significantly reduced life expectancy compared to the general population. Addressing key modifiable risk factors is essential to reduce these alarming rates of mortality in this population. Nutritional psychiatry has emerged as an important field of research, highlighting the important role of nutrition on mental health outcomes. However, individuals with severe mental illness often encounter barriers to healthy eating, including poor diet quality, medication-related side effects such as increased appetite and weight gain, food insecurity and limited autonomy over food choices. While nutrition interventions play a key role in improving health outcomes and should be a standard part of care, their implementation remains challenging. Digital technology presents a promising alternative support model, with the potential to address many of the structural and attitudinal barriers experienced by this population. Nonetheless, issues such as digital exclusion and low digital literacy persist. Integrating public and patient involvement, along with behavioural science frameworks, into the design and delivery of digital nutrition interventions can improve their relevance, acceptability and impact. This review discusses the current and potential role of digital nutrition interventions for individuals with severe mental illness, examining insights, challenges and future directions to inform research and practice.