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With the growing interest in healthy and sustainable diets, studying diets with high nutritional quality and low environmental impact is needed. We focused on the nitrogen footprint (NFP)-an indicator of reactive nitrogen loss that causes various environmental impacts-of Japanese diets using individual dietary records and identified the characteristics of lower NFP diets. This cross-sectional study was a secondary data analysis from the 2017 Saitama Prefecture Nutrition Survey. We analyzed the data obtained from a questionnaire and two-day dietary records of 479 men and women aged 30-65 y who had no misreported or missing data. The NFP was calculated using the virtual nitrogen factors of each food group reported in a previous study. After assessing NFP and its contributions, we conducted sub-group analysis for participants with appropriate weight status and adequate protein intake, classifying them into three groups according to tertiles of NFP to protein ratio. We compared NFP, its contributions, and nutrient intake between the groups. The total NFP (kg N/y) was 18.2±5.0 in men and 16.1±4.4 in women. In the sub-group analysis, total NFPs of the lower NFP group were 16.5±3.1 in men and 13.6±2.8 in women. Cereals, pulses, and fish and seafood contributed more significantly to the total NFP in the lower NFP group than in the higher NFP group. These results suggest that adequate protein intake from a variety of food sources is required to lower the environmental impact of adequate diets.
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http://dx.doi.org/10.3177/jnsv.68.429 | DOI Listing |
J Orthop Surg (Hong Kong)
July 2025
Division of Orthopaedic Trauma, Department of Surgery, University of Calgary, Calgary, AB, Canada.
IntroductionFractures of the tibia and fibula occurring at the same level can be technically challenging. Fibular plating (FP) prior to intramedullary nailing (IMN) may facilitate tibial reduction, stabilization, and subsequent tibial healing. The primary goal of this study was to compare tibial fracture healing between FP and no fibular plating (NFP) in patients with same-level distal third tibia/fibula fractures.
View Article and Find Full Text PDFPediatr Obes
October 2025
Institute of Nutrition and Food Technology (INTA), University of Chile, Santiago, Chile.
Non-nutritive sweeteners (NNS) are used as sugar alternatives in foods and beverages. However, their intake and dietary sources in toddlers and their association with total sugars intake have been scarcely explored. We aimed to characterise NNS intake (sucralose, acesulfame-K, aspartame, steviol glycosides, saccharin and cyclamate) and their individual association with dietary total sugars in a sample of Chilean toddlers.
View Article and Find Full Text PDFJ Health Econ
August 2025
Department of Finance, Calrson School of Management, and Business Advancement Center for Health, University of Minnesota, Minneapolis, United States.
The paper examines whether, among inpatient psychiatric admissions in California, for-profit (FP) hospitals engage in cream skimming, i.e., selecting patients for some characteristic(s) other than their need for care, which enhances the profitability of the provider.
View Article and Find Full Text PDFChild Abuse Negl
August 2025
Department of Social Work, Ernst-Abbe-Hochschule Jena, University of Applied Sciences, Jena, Germany. Electronic address:
Background: This study examines the efficacy of two different delivery models of the ProKind intervention, a German adaptation of the Nurse-Family Partnership (NFP): The continuous model (CM) with visits exclusively delivered by NFP-trained midwives, and a tandem model (TM) with visits delivered by a midwife during pregnancy and a social worker postnatally.
Objective: To evaluate the effectiveness of different delivery models in the ProKind intervention on reducing surveillance by the child protection service (CPS), foster care placements, and pediatric medical incidents.
Participants And Setting: 755 pregnant disadvantaged women were randomized into intervention (n = 394) and control groups (n = 361).
BMJ Open
January 2025
Faculty of Health Sciences, Simon Fraser University, Vancouver, British Columbia, Canada.
Objective: To evaluate the impact of Nurse-Family Partnership (NFP), a home-visiting programme, on exploratory maternal outcomes in British Columbia (BC), Canada.
Design: Pragmatic, parallel arm, randomised controlled trial conducted October 2013-November 2019. Random allocation of participants (1:1) to comparison (existing services) or NFP (plus existing services).