Objective To review the effects of choline on early childhood cognitive function and growth development, middle-age and elderly cognitive function, metabolic associated fatty liver disease, body composition, cancer, risk of mortality. Methods Electronic databases including PubMed, Scopus, Embase, Cochrane Library, Web of Science and SinoMed from 2003.01 to 2024.05 were searched for systematic reviews, meta-analysis and prospective studies related to the association between choline and health outcomes. Results A total of 90 studies from 34655 papers were included. We found that: (1) higher choline intake was correlated with better cognitive function such as memory, language, learning, attention, and executive function in infants and children aged 6 months to 7 years; (2) choline intake was positively correlated with the height and weight of infants, and could also improve growth (such as body weight and head circumference) in infants with prenatal alcohol exposure; (3) higher intake of choline showed a significant association with enhanced cognitive performance in middle-aged and older adults, which contributed to reduced Alzheimer's disease incidence and attenuated progression of dementia-related symptoms; (4) choline intake could reduce the risk of fatty liver disease; (5) serum choline was associated with improved body composition; (6) no significant association was observed between choline and the overall risk of cancers or the risk of all-cause mortality. Conclusion Choline is closely associated with a variety of beneficial health outcomes. Choline-rich foods should be reasonably consumed as part of a healthy diet to obtain maximum health benefits.

Objective To explore the differences in dietary fatty acid intake among patients with obesity, hypertension and hyperlipidemia and to evaluate their dose-response relationships. Methods This case-control study enrolled 6,358 adult participants during 2014~2024 from the Nutrition Health Atlas Project (NHAP). The basic information, physical indicators, health and dietary information of the subjects were collected by the Internet-based Dietary and Lifestyle Questionnaire for Chinese Residents (IDQC). Independent sample t test and Chi-square test were used to compare the differences in dietary fatty acid intake between different disease groups. Multivariate binary logistic regression was used to analyze the associations between the intakes of different types of fatty acids and the prevalences of obesity, hypertension, and hyperlipidemia. Restricted cubic spline (RCS) was used to explore the dose-response relationship. Results Compared with participants in the lowest quintile, both butyric acid and α-linolenic acid were associated with a reduced risk of obesity among participants in the highest quintile, whereas pentadecanoic acid (C15:0) was suggestively linked to an elevated risk of obesity (OR_{butyric acid}=0.602, 95% CI: 0.471~0.767; OR_{α-linolenic acid}=0.777, 95% CI: 0.607~0.993; OR_C15:0=1.767, 95% CI: 1.320~2.367). Arachidonic acid intake was associated with a reduced risk of hypertension (OR =0.481, 95% CI: 0.330~0.697). The results of RCS analysis showed that there was a significant nonlinear relationship between butyrate and obesity (P nonlinear=0.027). There was a significant nonlinear relationship between arachidonic acid and hypertension (P nonlinear=0.042). Conclusion Higher dietary intake of butyric acid and α-linolenic acid are protective for obesity, while higher dietary intake of arachidonic acid is protective for hypertension in a dose-response pattern. Additionally, pentadecanoic acid may increase the risk of obesity.

Objective To describe the trends and epidemiological characteristics of the disease burden of nutritional deficiencies in China from 1990 to 2021 and to project the incidence from 2022 to 2040. Methods Using data from the Global Burden of Disease Study 2019 on the incidence, mortality, and Disability-Adjusted Life Years (DALY) rates of nutritional deficiencies in China from 1990 to 2021, we analyzed the Annual Percentage Change (APC) and Average Annual Percentage Change (AAPC) via Joinpoint regression models. A Bayesian age-period-cohort model was employed to project incidence rates from 2022 to 2040. Results From 1990 to 2021, the overall incidence rate of nutritional deficiencies in China showed a continuous declining trend, with an AAPC of −4.25%. The age-standardized incidence rate also exhibited a continuous decline, with an AAPC of −3.96%. The mortality rate initially decreased and then increased, but showed an overall downward trend with an AAPC of −3.45%. The age-standardized mortality rate declined overall, with an AAPC of −4.97%. The DALY rate displayed a general downward trend (AAPC = −3.78%), as did the age-standardized DALY rate (AAPC = −4.07%). In 2021, the DALY rate for females was three times that of males, and the age-standardized DALY rate for females was 2.5 times that of males. The disease burden declined most rapidly in the 0-4 age group, with AAPCs for incidence, mortality, and DALY rates of −5.66%, −10.80%, and −7.89%, respectively. Projections from the Bayesian age-period-cohort model indicated that the age-standardized incidence rate in China would decrease from 3205.11 per 100 000 in 2022 to 2331.78 per 100 000 in 2040, representing a reduction of 27.22%. Conclusion The disease burden of nutritional deficiencies in China showed a downward trend from 1990 to 2021. Projections suggest that the age-standardized incidence rates for the overall population, females, and males will continue to decline from 2022 to 2040.

Objective To apply a precision nutrition buffet mode and test its nutritional effects in pilots. Methods A total of 149 pilots were selected as the study subjects. They were served by traditional buffet mode upon admission. A 3-day dietary survey and blood lipids and uric acid measurements were conducted. Then, a precise nutrition buffet mode was adopted. Twenty days later, a 3-day dietary survey was conducted and blood lipids and uric acid were rechecked. Food supply standards, dietary reference intakes and Chinese Diet Balance Index (DBI 22) were used to evaluate the quality of dietary nutrition. The differences in blood lipids and uric acid before and after the intervention were analyzed. Results In traditional buffet mode, the intakes of salt, oil, poultry and livestock meat far exceeded the recommended intake. The intakes of many nutrients were excessive. In the precision nutrition buffet mode, the intakes of salt, oil, poultry and livestock meat, as well as many nutrients decreased significantly. High bound score (HBS) of the traditional buffetmode was 14, indicating excessive low-level dietary intake. The HBS of the precision nutrition buffet mode was 7, indicating a more appropriate intake. After the intervention by precision nutrition buffet mode, blood uric acid, triglyceride and cholesterol levels were significantly delined. Conclusion Compared to the traditional buffet mode, precision nutrition buffet mode is better in securiong a balance dietary intake. The precision nutrition buffet mode is worthy of promotion and application.

Dyslipidemia is closely associated with the development of cardiovascular diseases. Cordycepin, a key bioactive compound derived from the medicinal fungus Cordyceps militaris, shows promising potential in regulating lipid metabolism. Current experimental evidence indicates its beneficial effects on improving blood lipid profiles. We summarize research progress in the hypolipidemic action of cordycepin based on experimental studies. Its underlying mechanisms are also explored, including inhibition of lipid synthesis, promotion of fatty acid oxidation, modulation of the gut microbiota-short-chain fatty acid axis, and amelioration of oxidative stress, metabolic inflammation, and autophagy homeostasis.

With the accelerating global population aging and the growing burden of chronic diseases, unhealthy lifestyle habits further increase the risk of age-related diseases such as diabetes, cardiovascular diseases, and neurodegenerative disorders. Time-restricted eating, a dietary pattern that limits the eating time window without restricting total caloric intake, food variety, and quantities, has been shown to have significant potential for promoting healthy aging. Accumulating evidences indicate that time-restricted eating helps regulate circadian rhythm disturbances caused by long-term unhealthy habits (such as sleep deprivation and irregular eating patterns) and has positive effects on weight management, blood glucose levels, lipid metabolism, cardiovascular health, and cognitive function with high compliance. Although the health benefits of time-restricted eating are widely recognized, further research is needed to evaluate its long-term effects and applicability, so as to provide a solid scientific foundation and practical guidance for promoting healthy aging.

As the aging of the population intensifies, the attention paid to elderly diabetic patients is increasing. The physiological changes brought about by aging are closely related to the onset and progression of diabetes. The clinical manifestations and nutritional needs of elderly diabetic patients differ from those of younger patients. Targeted dietary therapy is of great importance for the management of diabetes in the elderly. We outlines the mechanisms linking aging and diabetes development, elucidates the nutritional and metabolic changes in elderly diabetic patients and focuses on the nutritional therapy for elderly diabetic patients, so as to provide new insights into the prevention and treatment of diabetes in the elderly.

Objective To explore the association between gestational weight gain (GWG) and birth outcomes among Chinese women. Methods We collected data on pre-pregnancy BMI, prenatal weight, and birth outcomes. Total GWG was calculated and categorized as insufficient, appropriate, or excessive based on the Chinese health standard (WS/T 801-2022) and the IOM 2009 guidelines. Adverse birth outcomes included small vulnerable newborns (SVN: small for gestational age, low birth weight, or preterm birth), large-sized newborns (large for gestational age or macrosomia). Logistic regression analyses were performed to examine the associations between GWG and adverse birth outcomes, with odds ratios (ORs) and 95% confidence intervals (CIs) estimated. Results A total of 8,126 mother-infant pairs were included in the study. According to the WS/T 801, 7.6%, 42.3%, and 50.1% of the women had insufficient, appropriate, or excessive GWG, respectively, while under the IOM 2009, these proportions were 23.7%, 42.1%, and 34.2%, respectively. Among infants, 12.7% were SVN, 12.8% were large-sized newborns, and 24.5% presented with adverse birth outcomes. Based on the WS/T801, compared with the normal pre-pregnancy BMI and appropriate weight gain group, the OR (95% CI) for SVN in the pre-pregnancy underweight and normal BMI groups with insufficient weight gain were 2.00 (1.38, 2.90) and 1.77 (1.32, 2.36), respectively. For large-sized newborns, the OR (95% CI) in the excessive weight gain group were 1.66 (1.18, 2.34) and 2.21 (1.84, 2.65), respectively. In the pre-pregnancy overweight/obese group, the OR (95% CI) for large-sized newborns among those with excessive weight gain during pregnancy was 3.38 (2.73, 4.18). Among the normal pre-pregnancy BMI group and the pre-pregnancy overweight/obese group, the OR (95% CI) for adverse birth outcomes in those with excessive weight gain were 1.15 (1.01, 1.32) and 1.53 (1.29, 1.82), respectively. In the pre-pregnancy underweight and normal BMI groups, the OR (95% CI) for adverse birth outcomes in those with insufficient weight gain were 1.33 (1.01, 1.74) and 1.47 (1.03, 2.10), respectively. Based on the IOM criteria, the OR (95% CI) for adverse birth outcomes in the pre-pregnancy overweight or obese group with appropriate weight gain was 1.38 (1.10, 1.72). Conclusion Both the WS/T 801 and IOM 2009 criteria can reduce the risk of adverse birth outcomes. The WS/T 801 standard is more conducive to guiding Chinese women in preventing SVN and large-sized newborns, and thereby achieving favorable birth outcomes.

Nutrition is an important factor to improve muscle performance and post-exercise recovery. A well-balanced diet can protect against oxidative stress, inflammatory response and proteolysis in muscle tissue caused by high-intensity exercise, and alleviate muscle fatigue and injury. The nutrients and phytochemicals in natural foods have anti-oxidative and anti-inflammatory capacity, and promote protein synthesis and enhance mitochondrial function, resulting in improved muscle performance. In this review, the effects and the molecular mechanisms of dietary proteins, amino acids, fatty acids and phytochemicals on muscle performance and mitochondrial function were outlined to provide a theoretical basis for the development of dietary supplements.

Depression is one of the most common mental disorders. Zinc is the only identified endogenous ligand for G protein-coupled receptor 39 (GPR39) to date. GPR39 is widely distributed in the nervous system. Recent studies have shown a close association between zinc and its receptor GPR39 and depression. Abnormal expression and functional changes of GPR39 can affect neurotransmitter balance and neural plasticity, thereby influencing the development of depression. Agonists of GPR39 have shown certain potential application value in the prevention and treatment of depression.

Objective To investigate the protective effects and mechanism of sodium butyrate (NaB) on dextran sulfate sodium salt (DSS) induced inflammatory bowel disease in mice. Methods Thirty-eight 7-week-old C57BL/6J mice were randomly divided into control group, model group, NaB (500 mg/(kg·d) ig) group and 5-aminosalicylic acid (5-ASA) group (150mg/(kg·d )ig). NaB administration commenced 3 days before DSS induction and continued throughout the experimental period. During molding with DSS, the control group received sterile water, while the other three groups were given 2.5% DSS for 6 days and followed by sterile water until sacrifice. On day 7, mice were euthanized for colon length measurement and tissue weight analysis. The body weight, disease activity index (DAI) and colon length among different groups were compared. Colon pathology was evaluated via HE staining, and the number of goblet cells in the colon was observed after AB-PAS staining. To assess the degrees of ferroptosis, GSH, Fe2+, MDA levels and SOD activity were measured. The WB method was used to detect the expression of GPX4 and SLC7A11 and the phosphorylation levels of ERK and STAT3. IHC was used to detect the expression level of GPX4. Results Compared to the control group, the model group exhibited significant weight loss (P<0.001), elevated DAI (P<0.001), and shortened colon length (P<0.001). HE staining showed colon cell infiltration, shallow crypt, disappeared villi structure. The AB-PAS staining showed that the number of goblet cells was decreased. Meanwhile, both decreased expression of GPX4 and SLC7A11(P<0.05, P<0.05) and suppressed phosphorylation of ERK and STAT3 (P<0.05, P<0.05) indicated that ERK and STAT3 phosphorylation were inhibited and ferroptosis occured. Compared to the model group, the NaB group displayed reduced DAI (P<0.01), increased colon length (P<0.001). HE staining showed that colon structure was recoved AB-PAS staining indicated increased goblet cells. GSH level and SOD activity were increased (P<0.01, P<0.01), while MDA and Fe2+ levels decreased significantly (P<0.01, P<0.01). GPX4 and SLC7A11 protein expressions were increased (P<0.01, P<0.05), and the phosphorylation of ERK and STAT3 was significantly enhanced (P<0.05, P<0.05). Conclusion Sodium butyrate may play a protective role in inflammatory bowel disease through ERK and STAT3 phosphorylation and ferroptosis inhibition.

Objective To explore how personalized nutritional guidance influences the food choices and dietary patterns of dinner in obese adults undergoing weight management. Methods The study was conducted within a weight management camp in Shanghai. Fifteen male obese adults (BMI≥28), recruited between February and August 2025, were included. A self-pre-post control design was adopted. Before the intervention, a smart dietary assessment system (SAT) was used to conduct a dinner matching test and collect baseline dietary data. A 4-week personalized nutritional intervention was then implemented, comprising standardized meal guidance, systematic nutritional education, and a structured exercise protocol. After the intervention, the SAT test was repeated. Anthropometric measurements (including weight, body fat ratio, BMI, and waist-to-hip ratio) and data on the dietary structure of self-prepared dinners via the SAT system were collected before and after the intervention. Paired sample t-test was used for normally distributed data analysis Wilcoxon signed-rank test was applied for non-normally distributed data analysis. Results Following the weight management intervention, significant reductions were observed in weight, body fat ratio, BMI, and waist-to-hip ratio (P<0.05). Regarding dietary structure, the intakes of livestock, poultry, fish, and eggs were significantly decreased (P<0.05). Energy and protein intakes also showed a significant reduction (P<0.05). The proportions were of the three macronutrients in energy contribution shifted closer to the recommendations by the Chinese Nutrition Society. However, dietary fiber intake remained inadequate. Excessive intake of certain minerals (such as phosphorus and iron) was alleviated, while inadequate dietary calcium intake persisted. The intake of B vitamins showed a decline. Conclusion Personalized dietary guidance can help of obese individuals to adequately choose foods for evening meals, and facilitate a shift towards a more rational dietary pattern. [ACTA NUTRIMENTA SINICA,2025,47（6）：553–559]

Objective This cross-sectional study utilized National Health and Nutrition Examination Survey (NHANES) data to investigate the epidemiological relationship between Composite Dietary Antioxidant Index (CDAI) and female-specific malignancies, providing evidence for optimizing dietary strategies in female cancer prevention. Methods A total of 12 624 women aged ≥20 years (mean age: 51.2 years) from NHANES (2013-2023) were included. CDAI was calculated from two 24-hour dietary recalls by integrating intakes of vitamins A,C,E, zinc, selenium, and carotenoids. Spearman correlation analysis was used to initially assess linear associations between CDAI and gynecological cancers. Multivariable logistic regression models (adjusted for demographic, socioeconomic, and lifestyle confounders) were applied to estimate odds ratios (ORs) and 95% confidence intervals (CIs) across the CDAI quartiles (Q1-Q4). Subgroup heterogeneity was examined. Results CDAI was significantly and inversely correlated with uterine cancer (r=–0.023, P=0.01) and cervical cancer (r=–0.25, P=0.005), but not significantly associated with breast or ovarian cancer (P>0.05). Multivariate models revealed that the risk of uterine cancer in the highest quartile group (Q4) of CDAI was significantly lower than that in the Q1 group (OR=0.488, 95%CI: 0.285-0.834, P=0.011). Subgroup analyses indicated a more pronounced negative correlation between CDAI and endometrial cancer risk in individuals aged <60 years and those with obesity, with no interaction effects by age or race (P>0.05). Conclusion Synergistic intakes of dietary antioxidants are associated with a reduced risk of uterinecancer. Among them, the synergistic intake of vitamin C, E, and zinc has potential preventive significance.

Objective To investigate the characteristics of fluid intake, urine output and hydration status among young males from Tianjin and Shanghai in different seasons, and to analyze the influencing factors. Methods A total of 289 male subjects aged 18-35 years were recruited from Shanghai and Tianjin during the surveys conducted in March, June, July, and December in 2024.Information on daily fluid intake and urination behaviors was recorded using a 24-hour drinking and urination questionnaire over three consecutive days. Urine samples were collected and volumetrically measured using graduated urine collection bottles. Hydration status was measured by using freezing point osmometry to test the osmolality of morning and afternoon urines for three days. The body composition was tested with a bioelectrical impedance analyzer (BIA). Results The median values for total fluid intake (TFI), urine volume, and urine frequency were 1415 ml, 1040 ml, and 6 times, respectively. The median urine osmolality values were 977 mOsm/kg (morning) and 918 mOsm/kg (afternoon), corresponding to dehydration prevalence of 84.1% (morning) and 66.7% (afternoon). Based on the average outdoor temperature(T) measured during the survey period, participants from the two cities were divided into two groups: T≤28℃ and T>28℃.Compared with the T≤28℃ group, the T>28℃ group had higher TFI (Shanghai: Z=6.49, P<0.01; Tianjin: Z = 6.55, P<0.01), lower urine volume (Shanghai: Z =–5.85, P<0.01; Tianjin: Z =–8.54, P<0.01) and frequency (Shanghai: Z =–4.08, P<0.01; Tianjin: Z =–12.76, P<0.01), and higher afternoon urine dehydration prevalence (Shanghai: χ² =5.99, P<0.05; Tianjin: χ²=27.27, P<0.01). No significant differences were observed in morning urine dehydration prevalence between different temperature groups. There were no significant differences in total body water (TBW) and extracellular water (ECW) between different temperature groups, while the T>28°C group had lower intracellular water (ICW) (Shanghai: Z=2.25, P<0.05; Tianjin: Z=2.37, P<0.05) and higher ECW/ICW (Shanghai: t=–4.06, P<0.01; Tianjin: t=–4.47, P<0.01) and ECW/TBW (Shanghai: t =–3.81, P<0.01; Tianjin: t =–4.45, P<0.01). Logistic regression analysis revealed that exposure to the ambient temperatures higher than 28℃ was significantly associated with higher risk of dehydration for both morning urine (OR = 2.59, 95%CI: 1.60-4.20) and afternoon urine (OR = 5.13, 95%CI: 3.28-8.00). TFI more than 2000ml reduced the risk of dehydration for morning urine (OR=0.50, 95%CI: 0.25-0.98). Higher proportion of soup intake reduced the risk of dehydration for afternoon urine (OR =1.24, 95%CI: 1.02-1.50). The proportion of other types of liquid intake had no significant impact on the risk of dehydration. Conclusion Young males in Tianjin and Shanghai commonly exhibit inadequate water consumption and a high dehydration incidence. Higher outdoor temperatures increase the risk of dehydration. Daily water intake exceeding 2000 ml decreases the risk of dehydration.

Objective To investigate the dynamic changes in early infant enterotypes, the levels of short-chain fatty acids (SCFAs), and their associations with neurodevelopment. Methods Using a birth cohort study design, 163 healthy full-term infants born at West China Second University Hospital/West China Women's and Children's Hospital of Sichuan University between November 2020 and September 2021 were enrolled. Fecal samples were collected on days 0, 7, and 30 after birth, and neurodevelopment was assessed using the ASQ-3 questionnaire at 12 months of age. Based on sample and questionnaire completeness, 69 infants completed the ASQ-3 assessment. A total of 38, 57, and 62 fecal samples from healthy full-term infants were included for subsequent analysis on days 0, 7, and 30, respectively. By integrating 16S rRNA sequencing, gas chromatography analysis, and ASQ-3 assessment, correlations between enterotypes, SCFAs levels, and neurodevelopmental indicators were analyzed. Results Infant gut microbiota underwent significant time-dependent succession within the first 30 days after birth. The enterotype shifted from a Bifidobacterium-dominant profile (enterotype 2) at day 0 to a Streptococcus-dominant profile (enterotype 1) at day 7, and further to a Clostridium-dominant profile (enterotype 3) at day 30. SCFAs levels also increased dynamically over time, with butyrate levels in the Clostridium-dominant enterotype (enterotype 3) being significantly higher than in other enterotypes at each time point. Correlation analyses indicated a significant positive association between enterotype and butyrate levels across all time points. A significant negative correlation was observed between enterotype at day 0 and communication domain scores, as well as between enterotype at day 7 and gross motor domain scores. Furthermore, propionate levels at days 0 and 30 were significantly negatively correlated with problem-solving domain scores on the ASQ-3 questionnaire, while acetate levels at day 7 were significantly negatively correlated with fine motor, problem-solving, and personal-social domain scores. Conclusion This study reveals the dynamic succession of early infant gut microbiota and fluctuations in SCFAs metabolism, as well as their associations with infant neurodevelopmental outcomes.

Objective To investigate the protective action and molecular mechanisms of fucoxanthin (Fx) on cisplatin-induced kidney injury in mice. Methods Fifty mice were divided into a control group (n = 10) and an experimental group (n = 40). The experimental group received an intraperitoneal injection of cisplatin (7 mg/kg) once per week for four consecutive weeks to induce kidney injury. The experimental group was then further divided into four subgroups: model group, positive drug amifostine group (10 mg/kg), low-dose Fx group (50 mg/(kg·d)), and high-dose Fx group [100 mg/(kg·d)]. The normal and model groups received a standard diet, while the other three groups underwent respective interventions for another four weeks. At the end of the experiment, the mice were sacrificed to measure serum levels of creatinine (CRE), blood urea nitrogen (BUN), and uric acid (UA). Oxidative enzyme activity, inflammatory cytokines including tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), and interleukin-6 (IL-6), as well as kidney injury markers kidney injury molecule-1 (KIM-1) and neutrophil gelatinase-associated lipocalin (NGAL), were assessed in kidney tissues. Histopathological changes in the kidney were evaluated using hematoxylin and eosin (HE) staining. Western blot analysis was performed to detect the expressions of oxidative stress-related nuclear factor erythroid 2-related factor 2 (Nrf2) family members and ferroptosis-related glutathione peroxidase 4 (GPX4) proteins. Immunohistochemistry was also used to observe Nrf2 and GPX4 protein levels in kidney tissues. Results Fx intervention reduced serum CRE, BUN, and UA levels in mice, decreased TNF-α, IL-1β, and IL-6 levels in the kidney, increased antioxidant enzyme activity, and lowered KIM-1 and NGAL levels. Renal histopathological changes were also improved. Additionally, Fx increased the expressions of Nrf2, heme oxygenase-1 (HO-1), NAD(P)H quinone dehydrogenase 1 (NQO1), and GPX4 proteins. Immunohistochemical analysis showed that Fx treatment led to increased Nrf2 and GPX4 protein expression in kidney tissues. Conclusion Fx protests against cisplatin-induced kidney injury in mice. The mechanism may involve alleviation of inflammation and oxidative stress, and inhibition of ferroptosis via activation of the Nrf2/GPX4 signaling pathway.

Objective To explore the association between the levels of major carotenoids (lutein, zeaxanthin, β-cryptoxanthin, β-carotene, and lycopene) in mature breast milk of postpartum women in Shanghai and the allergic reactions in infants, so as to provide a scientific theoretical framework and strategic basis for the prevention and management of allergic reactions in infants. Methods Healthy singleton full-term lactating women and their newborns were recruited from the obstetrics and gynecology outpatient department of Xinhua hospital affiliated to Shanghai Jiao Tong University School of Medicine from January 2018 to August 2019. Mature breast milk samples were collected from women within 200 to 400 days postpartum. Baby's allergy status from birth to the day of breast milk collection was also investigated. High performance liquid chromatography was used to detect the contents of carotenoids in breast milks. Mann Whitney U test and logistic regression were used to analyze the association between carotenoid levels in breast milks and allergic reactions in infants. Results A total of 200 pairs of maternal and infant data were included. Lutein was the most abundant carotenoid in the analyzed breast milks. Among them, 70 infants and young children reported a history of allergies. The Mann Whitney U test indicated that there was a significant difference (P<0.05) in the contents of lutein and zeaxanthin in breast milks between infants with allergic symptoms and those without allergic symptoms. Logistic regression analysis further showed that as the lutein content in mature breast milks gradually increased, the risk of allergic symptoms in infants gradually decreased (OR=0.843, 95% CI: 0.714-0.996),while other carotenoid levels were not significantly associated with allergic risk. Conclusion The level of lutein in breast milk has a positive impact on allergic reactions in infants. Therefore, the intake level of lutein during early life development in infants may have important clinical significance.

The nutritional value of dietary proteins varies significantly due to their differences in amino acid compositions and the digestion and absorption rates. Adequate methods for evaluating protein nutritional quality are crucial for guiding public dietary practices and developing protein resources. This article reviews the historical evolution of the assessment methodologies for protein quality is outlined and the future perspectives are also discussed, aiming to provide a theoretical foundation for the precise evaluation of protein nutritional value and the development of high-quality protein food resources.

Objective To explore the effects of manganese supplementation on lung inflammation in obese asthmatic mice exposed to ovalbumin (OVA) and to provide new insights for clinical treatment. Methods Sixty male Kunming mice were randomly divided into five groups: control group (CON), obesity group (HF), asthma group (OVA), obese asthma group (HF+OVA), and obese asthmatic manganese intervention group (Mn, hereinafter referred to as the Mn intervention group), with 12 mice in each group. Groups HF, HF+OVA, and Mn were fed a high-fat diet for 12 weeks, and the other two groups were fed a control diet. Mice in the OVA, HF+OVA, and Mn intervention groups were sensitized by intraperitoneal injection of 200 μl of 0.05 mg/ml OVA sensitization solution on the first day of the 9th, 10th, and 11th weeks. On the 12th week, mice were treated by nasal drip 50 μl of 0.05 mg/ml OVA saline solution for 3 consecutive days to induce asthma. During the feeding period of high-fat diet, the Mn intervention group received 1 mg/kg MnCl2 intranasally every two days to induce asthma. After the last nasal drip exposure, asthmatic behavioral changes were observed and airway hyperresponsiveness was measured. Body weight was measured every fortnight during the modeling period, body composition was measured after 12 weeks. Hematoxylin-eosin staining was performed to observe the pathological changes in lung tissues. White blood cells in mouse bronchoalveolar lavage fluid (BALF) were counted and classified. The Mn contents in the serum and lung tissues were detected, and the levels of interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) in BALF were analyzed. Results Compared with the CON group, the mice in the HF group gained 12.4% in body weight, while the HF+OVA group gained 23.2%. The body fat ratios increased by 46.1% and 67.7% in the HF and HF+OVA groups, indicating the obesity model was successfully constructed. The mice in the OVA and HF+OVA groups showed symptoms such as nose scratching and nodding breathing, with increased airway hyperresponsiveness, indicating that the asthma model was established. Significant pathological changes were observed in the lung tissue of asthma mice, with an increased number of inflammatory cells and elevated levels of IL-6 and TNF-α. These symptoms were more pronounced in HF+OVA mice (P0.05). Compared with the HF+OVA group, mice in the Mn intervention group showed a 17.9% reduction in body weight and a 27.4% reduction in body fat ratio. Meanwhile, asthma symptoms were mitigated, airway hyperresponsiveness decreased, and pathological damages to lung tissues reduced. The number of inflammatory cells was decreased, and the levels of IL-6 and TNF-α levels declined (P0.05). Conclusion Mn supplementation protects against inflammatory responses in the lungs of obese asthmatic mice, and its mechanism is related to inhibited inflammatory responses.

Objective Based on the Chinese Diet Balance Index (DBI_22), this study comprehensively evaluated the dietary quality of adult residents in Guangdong Province from 2002 to 2022, aiming to identify long-term trends and existing deficiencies, and provide data support and theoretical guidance for implementing targeted nutritional interventions. Methods Data from four rounds of the Guangdong Provincial Nutrition and Health Monitoring Survey (2002-2022) were utilized, focusing on permanent adult residents aged 18 years and older. A multistage stratified cluster sampling approach was employed. Dietary data were collected using a 3-day 24-hour dietary recall method combined with weighing techniques. The DBI_22 was applied to calculate scores for various indicators, including positive-end score (HBS), negative-end score (LBS), and dietary quality distance (DQD). Data were weighted and analyzed using χ², Kruskal-Wallis H, or Jonckheere-Terpstra trend tests, with stratified comparisons by gender and urban/rural residence. Results During the study period, the overall dietary quality of adult residents in Guangdong Province remained persistently in a state of “moderate imbalance” (median DQD scores ranging from 36 to 41 points), characterized by concurrent “moderate deficiencies of intake” and “mild excesses of intake.” Severe deficiencies existed in vegetable/fruit, dairy, and soy product intakes (deficiency rates ranging from 77.23% to 89.46% and 95.61% to 99.07%), with limited improvement over two decades. While grain overconsumption decreased from 43.63% to 28.18%, deficiency rates rose to 17.40%. Animal food consumption patterns underwent significant shifts by transitioning from predominant deficiency (26.07% deficiency rate in 2002) to emerging excess (16.40% excess rate in 2022). Persistent issues include excessive intakes of pure energy foods and condiments and insufficient dietary diversity. Stratified analysis revealed significant urban-rural, gender, and socioeconomic differences in dietary quality. Dietary imbalances were more pronounced among rural residents, males, low-educated individuals, and low-income groups. Imbalances among urban residents, males, and high-income individuals were primarily driven by “excess”, while those among rural residents, females, and low-income individuals stemmed mainly from “insufficiency”. Conclusion Although dietary quality among Guangdong adults has improved over the past two decades, it remains at a moderate level of dietary imbalance. Future efforts should establish a comprehensive intervention system tailored to urban and rural contexts through precise policy measures.

In emergency scenarios such as floods, mining disasters, earthquakes and epidemics, the metabolism and nutritional needs of the populations undergo significant changes. Malnutrition increases morbidity and mortality in disaster-affected populations, and thereby targeted nutritional support is crucial. We outline the nutritional risks faced by the populations and their intervention strategies in different emergency scenarios. The nutritional risks such as insufficient intakes of energy, protein and micronutrients are discussed and the nutritional interventions are proposed, so as to provide scientific basis for the development of highly adaptable and functional emergency life-saving foods.

Objective To investigate the potential association between maternal total fluid intake at 3 months of infant age and breastfeeding practices and duration. Methods The study was embedded in the Tongji Maternal and Child Health Cohort. Information on total fluid intake for postpartum women was collected via telephone interviews at 3 months of infant age. Total fluid intake was categorized by quartiles. Information on breastfeeding practices and duration was collected via telephone interviews at 3, 6, 12, and 24 months of infant age. Breastfeeding practice was divided into full breastfeeding (FBF) and any breastfeeding (ABF). Logistic and multivariable linear regression models were used to investigate the association of total fluid intake with breastfeeding practices and duration. Results Among 2483 postpartum women-infants, 1350 (54.4%) and 966 (38.9%) received FBF at 3 and 6 months of infant age, respectively, and 2056 (82.8%), 1774 (71.4%), and 646 (36.8%) received ABF at 3, 6, and 12 months of infant age, respectively. The medium (interquartile range) of total fluid intake was 1600 ml (1250-2000 ml). About 2352 (94.7%) did not meet the recommended intake (2600ml). Compared to the mothers with the highest quartile of total fluid intake, those with the lowest quartile of total fluid intake were more likely to cease FBF at 3 months (OR=3.87; 95% CI = 3.03–4.96) and at 6 months (OR=3.05; 95% CI=2.38–3.92) of infant age, and to cease ABF at 12 months of infant age (OR=1.67; 95% CI=1.28–2.17). However, among mother-infants who received FBF at 3 months of infant age, fluid intake at 3 months of infant age was not significantly associated with breastfeeding practices at 6 and 12 months of infant age. Additionally, compared to the mothers with the highest quartile of total fluid intake, those with the lowest quartile of total fluid intake were more likely to cease breastfeeding early (adjusted β=－1.22; 95% CI=－1.85–0.58). Conclusion The postpartum women with lower total fluid intake were more likely to cease breastfeeding. Short duration of breastfeeding was positively associated with limited total fluid intake in postpartum women.

Objective To investigate the effects of magnesium metabolism-related gene polymorphisms on plasma magnesium status and their interaction with dietary magnesium intake in Chinese adults aged 45 years and above. Methods This study utilized data from the 2015 China Nutrition and Health Surveillance. A total of 2,431 participants aged ≥45 years were selected using stratified random sampling. Genotyping for TRPM6 rs2274924, CNNM2 rs3740393, CLDN9 rs719676, and FXYD2 rs948100 was performed using the SNPscan technique. Plasma magnesium concentration was determined by inductively coupled plasma mass spectrometry (ICP-MS). Multiple linear regression and logistic regression models were employed to assess the associations between genotypes and plasma magnesium levels as well as the risk of magnesium deficiency, respectively. The interaction between genotypes and dietary magnesium intake status (adequate/inadequate) was tested. All models were adjusted for sex, age, body mass index (BMI), ethnicity, education level, residence (urban/rural), region (east/central/west), and dietary magnesium intake status. Results The median plasma magnesium concentration of the study population was 0.87 mmol/L. The CC genotype of CNNM2 rs3740393 was associated with higher plasma magnesium levels (β=0.019, 95% CI: 0.002-0.036, P=0.028). The CG genotype of FXYD2 rs948100 was associated with a lower risk of magnesium deficiency (OR=0.386, 95% CI: 0.161-0.925, P=0.033). Interaction analysis revealed a significant interaction between TRPM6 rs2274924 and adequate dietary magnesium intake (TT×adequate: β=0.052, 95%CI: 0.024-0.081, P-FDR=0.003; CT × adequate: β=0.039, 95% CI: 0.010-0.069, P-FDR=0.034). Plasma magnesium levels were significantly higher in carriers of the TT and CT genotypes. Conclusion This study confirms in a middle-aged and elderly Chinese population that CNNM2 and FXYD2 gene variants are independent influencing factors for plasma magnesium status, while the TRPM6 gene variant exhibits an interaction with dietary intake.

Objective To explore the association between dietary patterns and sarcopenia among community-dwelling elderly in Shanghai and the potential mediating role of inflammation in this association, thereby providing a theoretical basis for the dietary prevention and control of sarcopenia. Methods Using convenience sampling, participants were adults aged 65 years and older who voluntarily participated in sarcopenia screening during the 2023-2024 elderly health examination program in Kangqiao Community Health Center, Shanghai. Demographic information was collected by questionnaires. Dietary intake over the past year was assessed using a food frequency questionnaire covering 19 food groups. Principal component analysis was applied to identify dietary patterns. Factor scores of dietary patterns were divided into quartiles (Q1~Q4). Sarcopenia was diagnosed according to the Asian Working Group for Sarcopenia 2019 (AWGS2019) criteria, including handgrip strength, five-time chair stand test and appendicular skeletal muscle (ASM) mass. Fasting blood samples were collected to measure biochemical and hematological parameters. Binary logistic regression was used to analyze the association between dietary patterns and sarcopenia. Mediation analysis was conducted to examine the role of the neutrophil-to-lymphocyte ratio (NLR) in the relationship between dietary patterns and sarcopenia risk. Results A total of 5,930 participants were included, with a sarcopenia prevalence of 5.1%, including 2,734 males (46.1%) and 3,196 females (53.9%). The median age was 71 (68, 74) years. Five dietary patterns were identified, including aquatic-processed meat-plant pattern, egg-dairy-fruit pattern, vegetable pattern, meat pattern and refined carbohydrate pattern. The results of binary logistic regression analysis showed that compared with the lowest quartile (Q1) of the egg-dairy-fruit pattern, the highest quartile (Q4) was associated with a reduced risk of sarcopenia (OR=0.54, 95% CI=0.38-0.78). No significant associations were found between the other four dietary patterns and sarcopenia (P>0.05). Mediation analysis indicated that NLR played a significant mediating role in the association between the egg-dairy-fruit pattern and sarcopenia (mediation proportion=5.3%, P<0.001). Conclusion The egg-dairy-fruit pattern is negatively associated with the risk of sarcopenia among community-dwelling older adults. Inflammation may play a partial mediating role in this association.

Objective To investigate whether eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) improve lipid metabolism in 3T3-L1 adipocytes, by activating the AMPK and STAT3 signaling pathways via myogenic interleukin-6 (IL-6), respectively. Methods 1. C2C12 myotubes were treated with 50, 100, 200, or 400 μmol/L EPA or DHA for 24 h. After intervention, myotubes were co-cultured with mature adipocytes for 24 h. RT-PCR was used to detect mRNA expression of IL-6, ADAM10, ADAM17, and SOCS3 in myotubes. ELISA was performed to measure IL-6 content in the co-culture medium. 2. Myotubes were transfected with IL-6 siRNA, then treated with 200 μmol/L EPA or DHA. Meanwhile, adipocytes were pretreated for 4 h with the AMPK inhibitor dorsomorphin (compound C) or the STAT3 inhibitor FLLL32. The treated myotubes and adipocytes were then co-cultured for 24 h. RT-PCR was used to detect mRNA expression of ATGL, HSL, PGC-1α, and SREBP-1c in adipocytes. Western blot was performed to analyze protein expression of IL-6, AMPK, p-AMPK, STAT3, and p-STAT3 in adipocytes. Results EPA (100, 200, 400 μmol/L) and DHA (200, 400 μmol/L) significantly upregulated IL-6, ADAM10, and ADAM17 expression in myotubes (P<0.01). Only DHA increased SOCS3 mRNA expression (P<0.05). IL-6 secretion was significantly increased by all concentrations except 50 μmol/L DHA (P<0.05 or P<0.01). Myotubes treated with 200 μmol/L EPA or DHA specifically increased the p-STAT3/STAT3 ratio (P<0.05) and p-AMPK/AMPK ratio (P<0.01) in co-cultured adipocytes, respectively. This effect was abolished by IL-6 silencing (P>0.05). EPA-treated myotubes significantly upregulated ATGL, PGC-1α, and SREBP-1c expression in adipocytes (P<0.05 or P<0.01). IL-6 silencing inhibited ATGL upregulation (P<0.01) but did not affect the expression of PGC-1α and SREBP-1c. Inhibition with FLLL32 (alone or combined with IL-6 siRNA) significantly reduced the expression of ATGL, PGC-1α, and SREBP-1c compared to the EPA intervention group (P<0.05 or P<0.01). DHA-treated myotubes significantly upregulated ATGL, HSL, and PGC-1α (P<0.05 or P<0.01) while downregulating SREBP-1c (P<0.01) in adipocytes. Inhibition with compound C (alone or combined with IL-6 siRNA) significantly reduced ATGL, HSL, and PGC-1α expression (P<0.01) but increased SREBP-1c expression compared to the DHA intervention group (P<0.05 or P<0.01). Conclusion EPA and DHA at appropriate concentrations promote myogenic IL-6 secretion. EPA improves lipid metabolism primarily by activating the STAT3 pathway in adipocytes via IL-6, while DHA exerts its effects on lipid metabolism mainly through the IL-6-mediated AMPK pathway.

Objective To investigate the protective effects and mechanism of selenocsteine (Sec) and resveratrol (Res) on ulcerative colitis (UC) in mice. Methods Male C57BL/6J mice were randomly divided into control group (CON), UC model group (M), Sec intervention group, and Res intervention group, with 8 mice in each group. A 14-day intervention experiment was conducted. The CON group drank distilled water normally, and distilled water was changed every two days. The M group, Sec group and Res group were treated with 2.5% dextran sulfate sodium (DSS）for 7 days after normal feeding for 3 days, followed by drinking distilled water for 4 days. At the same time, the Sec group and the Res group were given by gavage with Sec (0.9mg/kg) and Res (100mg/kg) for 14 days from the first day of the experiment, and the other groups were given saline. Finally, the mice were euthanized. The protective effect of Sec and Res on UC was evaluated by analyzing body weight, food intake, colon length, DAI score and histopathological changes. The expression level of p-RET in colon tissue was detected by Western blot, and Pearson correlation analysis was performed to investigate the relationship between the changes of UC parameters and RET phosphorylation after Sec and Res intervention. Results Compared with the CON group, the body weight and colon length of the M group were significantly reduced (P<0.05), the DAI score was significantly increased (P<0.05), and remarkable histopathological damages such as crypt deletion and inflammatory infiltrates were observed, and the level of p-RET protein was significantly reduced (P<0.05). Compared with the M group, the Res group significantly improved the colon length, DAI, and the pathological damage of colon tissue. The histopathological score was reduced and the expression of p-RET protein in the colon tissue was increased (P<0.05). The Sec group had a certain protective effect, but there was no significant difference in some parameters. The results of Pearson correlation analysis showed that colon length was positively correlated with p-RET protein expression, while DAI and histopathology score were negatively correlated with p-RET protein expression. Conclusion Both Res and Sec can improve UC, and Res has a better effect. Its mechanism is related to the upregulation of the phosphorylation level of RET.

Objective To investigate the effects of high-protein diet on urinary metabolome in rats with food restriction. Methods Twenty-four male Wistar rats were randomly divided into three groups (8 per group). The normal control group received 15% casein diet and water ad-libitum. The food restriction group was pair-fed the 15% casein diet with 30% food intake of the normal control. The protein supplemented group was pair-fed 30% casein diet with the 30% food intake of the normal control. Urine samples were collected 2 weeks after pair feeding. Nuclear magnetic resonance spectrometer was used to investigate the changes of urinary metabolite profiles. Results Both food restriction and protein supplemented groups significantly altered the urinary metabolites. Food restriction led to a decrease in the levels of citric acid, α-ketoglutaric acid, N-acetyl glycoprotein and an increase in the level of taurine in the urine, while the levels of citric acid, α-ketoglutaric acid, and N-acetyl glycoprotein were higher in the protein supplemented group than in the food restriction group, and the level of taurine was also higher than in the food restriction group. Conclusion A high-protein diet is helpful in improving metabolic disorders in the food restricted rats.

Objective To explore the effect of different acute high-altitude exposure durations on appetite and intestinal flora in mice. Methods Thiry SPF C57BL/6J male mice aged 7-8 weeks were randomly divided into 3 groups, with 10 mice in each group: plain control group (group P), acute plateaus 1 day group (group G1), and acute plateaus 7 days group (group G7). Among them, Group G7 was transferred to the plateau environment simulation cabin (simulated altitude of 5 000 m) immediately after the experiment began until the experiment ended. Group P was fed in the plain animal house. Group G1 was fed in the plain animal house for 3 days, and then transferred to the simulated cabin of plateau environment (simulated altitude of 5 000 m) for 1 day. During the experiment, the body weight and food intake were recorded every day. At the end of the environmental simulation, feces samples were collected into freezing tube, and blood samples were collected from orbital vein and serum was separated. The contents of NPY and PYY in the serum were determined by ELISA kits. After DNA extraction from mouse feces samples, the V3-V4 region in the variable region of 16S rDNA was selected for PCR amplification, DNA sequencing analysis and functional classification annotation. Results The acute plateaus exposure obviously inhibited the appetite of mice, and at the same time caused the weight loss. After entering the plateau, serum content of PYY increased and the NPY decreased. Among them, there was a significant difference between the group G1 and the group P (P<0.05). The low-pressure hypoxia exposure affected the composition of intestinal flora diversity in mice. The relative abundance of probiotics such as Bifidobacterium decreased, while the relative abundance of Enterococcus increased. The functional annotation results of COG gene showed that the functional characteristics of carbohydrates, amino acids and energy metabolism in the intestinal flora were increased. Rapid entry into the plateau environment adversely affected the generation and transformation of energy in intestinal flora and the expression of related genes such as biosynthesis, transport and catabolism of secondary metabolites. Conclusion Acute high-altitude exposure significantly suppresses the appetite and affected the composition of intestinal flora diversity.

Objective To compare the effects of ketogenic diet (KD) and very low-calorie ketogenic diet (VLCKD) on body weight control and liver injury in obese rats. Methods Thirty 3-week-old male Sprague-Dawley rats were randomly divided into a normal control group (CD group, n=6) and a diet-induced obesity group (DIO group, n=24). The DIO group was fed a 60% high-fat diet for 10 weeks to model obesity. Eighteen successfully modeled obese rats were randomly divided into three groups: KD group (n=6), VLCKD group (n=6), and high fat diet group (HFD group, n=6). After a 5-week intervention, changes of body weight (BW), abdominal circumference (AC), body length, food intake, blood glucose and ketones were recorded. The alterations in glucose and lipid metabolism, liver injury, and oxidative stress were analyzed. Results The body weight and Lee's index of rats in the VLCKD group were significantly reduced. The improvements in blood glucose and lipid metabolism in the KD group were more pronounced than in the VLCKD group. The levels of interleukin-6 (IL-6), interleukin-1β (IL-1β), and tumor necrosis factor-α (TNF-α) in the liver were significantly lower in the VLCKD group than in the KD group. The improvements in malondialdehyde (MDA), superoxide dismutase (SOD), and glutathione peroxidase (GSH-Px) levels in the liver were more pronounced in the KD group. Conclusion VLCKD and KD can improve glucose and lipid metabolism, liver inflammation, and oxidative stress in obese rats. VLCKD has a significant impact on liver inflammatory factors, while KD has a significant impact on liver oxidative stress.

Objective To investigate the effects of Ganoderma lucidum polysaccharides on intestinal microecology to reduce radiation-induced small intestine damage in mice. Methods C57BL/6J male mice were randomly divided into three groups: blank control group, radiation model group and Ganoderma lucidum polysaccharides group, with 15 mice in each group. Mice were given orally with saline or 150 mg/(kg·bw) Ganoderma lucidum polysaccharides once a day for 28 days. On the 15th day, mice in the radiation model group and the Ganoderma lucidum polysaccharides group were given a single whole-body 6 Gy dose of irradiation. On the 27th day, fresh feces samples were collected. On the 28th day, the samples of sera and small intestine tissue were taken after anesthesia. The radiation damage of small intestine was assessed by HE staining, ELISA method, and Western blot analysis. 16S rRNA high-throughput sequencing and gas chromatography-mass spectrometry (GC-MS) were used to analyze the changes of intestinal microbiota and short-chain fatty acids (SCFAs). Pearson correlation analysis was used to explore the associations among microbiota, metabolites and intestinal parameters. Results Compared with the radiation model group, Ganoderma lucidum polysaccharides intervention significantly improved pathological changes of intestinal mucosa caused by radiation, reduced serum D-lactate (D-LA) content, diamine oxidase (DAO) activity, and lipopolysaccharide (LPS) content (P<0.05), and up-regulated the expression of zona occludens 1(ZO-1), claudin1 and mucin 2 (MUC2) (P<0.05）. Meanwhile, Ganoderma lucidum polysaccharides also relieved oxidative stress and inflammation by reducing malondialdehyde (MDA) content, increasing superoxide dismutase (SOD) and catalase (CAT) activities, decreasing the levels of pro-inflammatory cytokines interleukin-1β (IL-1β) and tumor necrosis factor-α (TNF-α), and increasing anti-inflammatory cytokine interleukin-10 (IL-10) level (P<0.05). Ganoderma lucidum polysaccharides significantly improved radiation-induced dysbacteriosis and increased the contents of acetic acid and butyric acid in feces (P<0.05). Correlation analysis showed that Alistipes, Odoribacter, Enterorhabdus and other bacteria were correlated with the improvements in oxidative stress, inflammation and intestinal barrier function, while other genera Eubacterium_ xylanophilum_ group, Mucispirillum, Faecalibaculum, Turicibacter, Eubacterium_siraeum_group, etc. were related to the levels of short-chain fatty acids. Conclusion Ganoderma lucidum polysaccharides reduce radiation-induced small intestine damage possibly by improving the intestinal microecology.

Objective To investigate the preventive effect of a composite probiotic formulation (Bifidobacterium infantis R0033, Bifidobacterium bifidum R0071, and Lactobacillus helveticus R0052) on upper respiratory tract infections (URTIs) in infants and young children aged 0-24 months. Methods From November 2022 to July 2024, 192 infants and young children aged 0-24 months nationwide were recruited. Using a paired, randomized, controlled, double-blind design, subjects were assigned to an intervention group (n=111, composite probiotic preparation) or a control group (n=81, maltodextrin preparation). The intervention period lasted 3 months. During the intervention period, fecal samples were collected for gut microbiota analysis, and questionnaires were used to record feeding patterns, bowel movements, growth and development indicators, and disease incidence. Results The overall incidence of URTIs in infants and young children in the intervention group was significantly lower than that in the control group (31.53% vs. 45.68%, P < 0.05), with a particularly pronounced protective effect observed during spring (4.46% vs.18.52%, P<0.01). Gut microbiota analysis revealed significantly increased abundance of Lactobacillus and Prevotella genera in the intervention group (LDA score >2, P<0.05). Conclusion Combined probiotic intervention significantly reduces the incidence of URTIs in infants and young children while improving respiratory symptoms, with particularly pronounced protective effects during spring.

Objective To investigate the mechanism of action of vanillic acid (VA) in regulating osteoclast differentiation and its effect on osteoporosis in ovariectomized (OVX) mice. Methods In vitro experiment: receptor activator for nuclear factor-κB ligand (RANKL)-treated RAW264.7 cells were used to establish an osteoclast differentiation model. The cells were divided into negative control (NC), RANKL- differentiated (Diff), and RANKL plus VA at 50, 100, and 200 μmol/L groups. Cell viability was assessed using the cell counting kit-8(CCK8) assay. The osteoclast differentiation was detected by tartrate resistant acid phosphatase (TRAP) staining and immunoblot analysis of osteoclast differentiation-related proteins. Cellular reactive oxygen species (ROS) levels were measured using a 2',7'-Dichlorodihydrofluorescein diacetate（DCFH-DA）probe, and Western blotting was performed to detect nuclear factor erythroid2-related factor 2(Nrf2), Kelch like epichlorohydrin related protein 1(Keap1), glutamate-cysteine ligase catalytic subunit (GCLC), superoxide dismutase (SOD), and catalase (CAT) protein expressions. Additionally, ML385 was used to inhibit Nrf2 expression to evaluate its role in osteoclast differentiation and oxidative stress. In vivo experiment: an osteoporosis model was established in OVX mice. The mice were divided into sham, OVX, OVX+estradiol (E2), OVX+VA50 mg/kg, and OVX+VA100 mg/kg (n= 6 per group) groups. Femoral bone structure was analyzed using micro computed tomography（Micro-CT）. Serum RANKL and osteoprotegerin (OPG) levels were assessed by enzyme linked immunosorbent assay (ELISA), and serum oxidative stress markers (SOD, CAT, and malondialdehyde (MDA)) were also quantified. Nrf2 expression in femur sections was evaluated immunofluorescently. Results In vitro: VA at concentrations of 1-500 μmol/L was non-toxic to RAW264.7 cells. Osteoclast differentiation, protein expression, and ROS levels were significantly elevated in the Diff group compared to the NC group (P<0.05). VA (200 μmol/L) significantly inhibited osteoclast differentiation, decreased protein expression and ROS levels, promoted Nrf2 nuclear translocation, and increased antioxidant enzyme (GCLC, SOD, CAT) expression (P<0.05). These changes were reversed after the inhibition of Nrf2 by ML385 (P<0.05). In vivo: compared to the sham group, OVX mice exhibited significantly reduced femoral structural mass, increased serum RANKL and MDA levels, and decreased serum OPG, SOD, and CAT levels, along with reduced Nrf2 expression (P<0.05). VA (100 mg/kg) treatment significantly improved bone structure, reduced serum RANKL and MDA levels, increased serum OPG, SOD, and CAT levels, and elevated Nrf2 expression compared to the OVX group (P<0.05). Conclusion VA mitigates osteoporosis in OVX mice by activating the Nrf2 signaling pathway, and thereby inhibiting osteoclast differentiation and oxidative stress.