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Abstracts of concurrent session papers are presented including topics on Type 2 diabete, food saftey in hospital and interprofessional learning opportunities for dietetics students.

Abstracts of plenary papers are presented including "New Dietetic Competency Standards and Their Impact On The Profession" by Claire Palermo, "Cardiovascular Health Future Directions and Opportunities" by Dr. Karen J. Murphy and "Research Translation and Primary Care" by Margaret Allman-Farinelli.

Qualitative research methods are increasingly used in nutrition and dietetics research. Ethnography is an underexploited approach which seeks to explore the diversity of people and cultures in a given setting, providing a better understanding of the influences that determine their choices and behaviours. It is argued that traditional ethnography, that is, the methodology of living within participant communities, is a dated practice, with roots in colonialism, accessible to only researchers with the means, connections and status to conduct such research, typically white, privileged males. This paper proposes a formal interpretation of 'patchwork ethnography', whereby research is carried out in situ around existing modern‐day commitments of the researcher, thus enabling more researchers within health, nutrition and dietetic practice to benefit from the rich data that can be discovered from communities. This review proposes the concept that pragmatic patchwork ethnography is required, proposing a framework for implementation, providing researchers, particularly within the fields of human nutrition, dietetics and health, the accessibility and means to deploy a meaningful client‐centric methodology. We present pragmatic patchwork ethnography as a modern method for use within multiple healthcare settings, thus adding a progressive brick in the wall of qualitative research. Key points: Ethnography in health research allows professionals to gather rich qualitative data such as lived experiences of participants.However, undertaking traditional ethnography can be demanding, costly and time‐consuming, consequently rendering it inaccessible and challenging to undertake.Pragmatic patchwork ethnography is underpinned by guiding principles of traditional ethnography, enabling researchers to weave the method into existing life and health practice commitments.This paper sets out the seven steps required to deploy pragmatic patchwork ethnography enabling and empowering public health, nutrition and dietetic researchers to undertake valuable qualitative research in a contemporary research landscape. [ABSTRACT FROM AUTHOR]

This work aims to provide a comprehensive overview of the use of front‐of‐package nutritional labeling (FOPL), identify and characterize the major existing FOPL systems, examine the impact of FOPL systems on consumer behavior, and discuss future perspectives. The searched databases were PubMed, Scopus, and Web of Science, and papers in English, Portuguese, Spanish, and French were considered. The integrative review method was used, comprising 68 papers. The FOPL system from more than 47 countries from North America, South America, Africa, Europe, Australia, and Asia was included in this study. The two main ways to characterize FOPL are the level of interpretation and the type of information provided. Interpretive schemes (such as warning labels, multiple traffic lights, and Nutri‐Score) appear to lead to better consumer understanding and support healthier food purchases. However, due to the differences among the results and the specificity of the contexts in which they are used, it is impossible to define one FOPL interpretation scheme superior to the others. Some potential factors that influence the effectiveness of FOPL on consumer attitudes have been identified, such as food taste, as a major intrinsic factor. Extrinsic factors, such as price, food category, cultural diversity, politics, and economics, were also relevant. The lack of availability of similar alternatives, lack of understanding of the importance of FOPL, and lower levels of income and education were also some cognitive and social aspects impairing FOPL effectiveness. Prospects for the United States, Europe, Brazil, Colombia, and Argentina were discussed. [ABSTRACT FROM AUTHOR]

Background: Qualitative health research has the potential to answer important applied health research questions to inform nutrition and dietetics practice, education and policy. Qualitative health research is a distinct subdiscipline of qualitative inquiry that purposefully draws upon the context of healthcare and emphasises health and wellness. Methods: Qualitative health research is defined by two parameters: (1) the focus of the study and (2) the methods used. When considering the methods to be used, decisions are required about the type of data to be generated (e.g., transcripts, images and notes) and the process involved in data generation (e.g., interviews, elicitation strategies and observations) to answer the research question(s). Drawing upon examples from nutrition and dietetics literature, this paper provides a framework to support decision‐making for nutrition and dietetics researchers and clinician researchers designing conducting qualitative health research. Results: The guiding questions of the framework include: What types of data will be generated? Who is involved in data generation? Where will data generation occur? When will data generation occur? How will data be recorded and managed? and How will participants' and researchers' emotional safety be promoted? Conclusion: Questions about the types of data, those involved, where and when, as well as how safety can be maintained in data generation, not only support a more robust design and description of data generation methods but also keep the person at the centre of the research. Key points: In the discipline of qualitative health research, researchers purposefully consider the person at the centre of the research; adapt methods to consider the healthcare context; and prioritise individual health, wellness and capabilities.This humanisation of research requires researchers to select strategies that minimise the burden placed on participants and to make methodological decisions informed through consideration of participants' well‐being. This includes attention to the promotion of both participants' and researchers' emotional safety.To guide data generation decision‐making in the design and conduct of qualitative health research studies, a framework is presented with practical considerations on the 'who, what, when, where and how?' associated with data collection procedures. [ABSTRACT FROM AUTHOR]

This paper exploits the discontinuity around a welfare index of eligibility to assess the impact of Peru's social pension program Pension 65 on nutrition‐related health outcomes among elderly poor individuals. Overall, we find evidence of how a relatively inexpensive program can produce improvements in anemia and nutrition‐related mortality risk markers. The effects appear to be driven by plausible underlying mechanisms, including via improved nutritional quality as well as greater food expenditures and healthcare utilization. These positive effects are only modestly countered by tentative signs of an increased obesity risk among women in the short term (<2 years), but not beyond this term. As the program evolves further, policymakers need to confront the challenge of continuing to ensure the health benefits in terms of reducing nutritional deficits while avoiding potential undesirable side effects in terms of over‐nutrition in Peru. The findings may serve to highlight the wider benefits of similar pension policies for the poor also in other middle income countries, well beyond the immediate economic welfare effects that the policies have primarily been designed for. [ABSTRACT FROM AUTHOR]

Microalgae is one of the most important components in the aquatic ecosystem, and they are increasingly used in food and medicine production for human consumption due to their rapid growth cycle and survival ability in the harsh environment. Now, the exploration of microalgae has been gradually deepening, mainly focused on the field of nutrition, medicine, and cosmetics. A great deal of studies has shown that microalgae have a variety of functions in regulating the body health and preventing disease, such as nitrogen fixation, antitumor, antivirus, antioxidation, anti‐inflammatory, and antithrombotic. Furthermore, microalgae can synthesize various high‐valued bioactive substances, such as proteins, lipids, polysaccharides, and pigments. In this paper, we have briefly reviewed the research progress of main bioactive components in microalgae, proteins, lipids, polysaccharides, pigments, and other nutrients included, as well as their present application situation. This paper can provide the guidance for research and development of industrial production of microalgae. [ABSTRACT FROM AUTHOR]

School food programs across the United States are plagued by widespread criticism and face urgent calls for reform and public discourse has also become fixated upon "healthy" eating as a means to address a variety of child health problems. Scholars widely challenge the admonishment to eat "healthy" as laden with privilege and recognize the inherent, hegemonic whiteness of contemporary alternative food movements, but few studies have directly examined the relationship between race and school food programs. This paper draws on ethnographic research to unpack "healthy eating" through the perspective of elementary school students and shows how they challenge dominant narratives that assume kids do not like vegetables and expose the fallacy of nutrition education as the key to healthy eating. Through the performance of vegetable nutrition, kids critically engage with normative nutrition messages and begin to reveal a racialized consciousness of school food. [ABSTRACT FROM AUTHOR]

Over the past three decades, many countries have introduced iodized salt policies to eradicate iodine deficiency. Iodine deficiency in utero is detrimental to cognitive ability, but little is known about the consequences of iodine deficiencies after birth. This paper examines the impact of iodine deficiency in adolescence on school performance. I exploit the introduction of iodized salt in Denmark during 1998–2001 as a natural experiment. Combining administrative records on high school grades over a 30‐year period with geographic variation in initial iodine deficiency, I find that salt iodization increases the grade point average of students by 6–9 percent of a standard deviation. [ABSTRACT FROM AUTHOR]

In March 2016, the UK government's new Eatwell Guide was published following work to identify food-based dietary guidelines consistent with the new UK fibre and free sugars recommendations adopted in 2015. The revised proportions of the model were developed using a technique known as optimisation modelling, which finds a combination of foods that meet a set of nutritional recommendations while deviating as little as possible from current dietary habits. This paper focuses on two recently published papers, one that describes the scientific rationale for the new proportions of the Guide and a second paper from the same research group exploring the effects on health that might be expected if the optimised diet depicted in the Guide were to be followed. [ABSTRACT FROM AUTHOR]

This paper explores messages about foods in Harry Potter and the Sorcerer's Stone, the first book of J. K. Rowling's popular Harry Potter series. This book is widely read by today's youth, and as such, the food‐related content may help shape their expectations about what foods are desirable. Of interest was how frequently nutrient‐dense and nutrient‐poor foods are depicted, and with what associated affect, whether positive, neutral, or negative. All mentions of foods and beverages in the book were identified, counted, and coded into broader categories such as sweets, vegetables, and alcoholic and nonalcoholic beverages. Each food reference was coded for affect. The food category most frequently depicted, and most often with positive affect, was sweets. Other foods, such as vegetables, were depicted less frequently and less often with positive affect. The implications of these food messages to preadolescents' and adolescents' health are considered. [ABSTRACT FROM AUTHOR]

The debate over whether boarding school is beneficial for students still exists in both developing and developed countries. In rural China, as a result of a national school merger program that began in 2001, the number of boarding students has increased dramatically. Little research has been done, however, to measure how boarding status may be correlated with nutrition, health and educational outcomes. In this paper, we compare the outcomes of boarding to those of non‐boarding students using a large, aggregate dataset that includes 59 rural counties across five provinces in China. We find that for all outcomes boarding students perform worse than non‐boarding students. Despite these differences, the absolute levels of all outcomes are low for both boarding and non‐boarding students, indicating a need for new policies that will target all rural students regardless of their boarding status. [ABSTRACT FROM AUTHOR]

Despite rhetoric arguing that enhanced agriculture leads to improved nutrition and health, there is scant empirical evidence about potential synergies across sectors or about the mix of actions that best supports all three sectors. The geographic scale and socioeconomic nature of these interventions require integration of previously separate research methods. This paper proposes a typology of interventions and a metric of integration among them to help researchers build on each other's results, facilitating integration in methods to inform the design of multisector interventions. The typology recognizes the importance of regional effect modifiers that are not themselves subject to randomized assignment, and trade-offs in how policies and programs are implemented, evaluated, and scaled. Using this typology could facilitate methodological pluralism, helping researchers in one field use knowledge generated elsewhere, each using the most appropriate method for their situation. [ABSTRACT FROM AUTHOR]

The paper outlines how the principles of convergent innovation (CI) can be applied to bring about a transformation in the pulse value chain. The paper presents three pioneering CI initiatives--two in conception and one in operation--by various actors in the pulse ecosystem, which are delivering economic and human development impact in particular segments of the pulse value chain. It goes on to propose the way forward to scale up these efforts and connect them into a roadmap so as to achieve transformation throughout society, calling into action a number of actors in the ecosystem. [ABSTRACT FROM AUTHOR]

The purpose of this study was to evaluate a school‐based, parent education program to promote health behaviors and knowledge in Latino families in five schools in Los Angeles, California. An evaluation was conducted during and after the program. The sample consisted of 91 Latino parents. Pretest (baseline), post‐test (4th week), and follow‐up (12th week) quantitative data were collected from paper surveys. In addition, qualitative data regarding strengths and suggestions for improvements of the program were collected at post‐test (4th week) and follow‐up (12th week). The quantitative data indicated participants had significant increases in nutrition/cooking knowledge, nutrition/cooking behaviors, physical activity knowledge, and physical activity behaviors. The results from the qualitative data indicated that participants used the knowledge gained in the classes to create healthier home environments for their children and families. The primary suggestion by participants was to continue having classes in exercise, nutrition, and cooking. [ABSTRACT FROM AUTHOR]

ABSTRACT BACKGROUND With the rise in childhood obesity, school policies related to nutrition and physical activity have been written and implemented. In this paper, we present a model to evaluate the degree to which state legislation for school health policies are implemented at the school level. METHODS Using Washington, DC's Healthy Schools Act (HSA) and a self-report measure of the implementation of the HSA, we illustrate the process of developing a composite score that can be used to measure compliance with the provisions of the law. RESULTS We calculated elementary and middle school composite scores based on the provisions within the HSA. Schools have been successful in implementing nutrition provisions; however, more resources are needed for schools to achieve the minutes of health and physical education. We found statistically significant differences between public charter and traditional public schools on the implementation of the provisions of the HSA. CONCLUSIONS Understanding how schools are complying with school wellness policies is a next step to determining where additional resources or support are needed in order to support school-wide adoption of healthy policies. [ABSTRACT FROM AUTHOR]

Sarcopenia, an age-related decline in muscle mass, is a burgeoning public health concern in the UK, with the number of people over the age of 65 expected to double by 2050. Resistance exercise is an effective intervention in its prevention and management. Increasing quantity and improving quality of dietary protein, by inclusion of high-availability leucine, are also purportedly beneficial. Leucine is a key anabolic amino acid, found in dairy foods. A number of studies have investigated dairy foods in prevention of sarcopenia. This paper reviews interventions of exercise, amino acids including leucine, dairy protein and foods for prevention of sarcopenia. [ABSTRACT FROM AUTHOR]

The European Nutrition and Health Claims Regulation ensures that any claims on European Union food labels are substantiated by robust scientific evidence; is this promoting innovation in the food industry and enabling consumers to make meaningful food choices? This paper provides an overview of the Regulation and some of the issues that have arisen since its implementation in 2007, with examples. It also discusses several European Commission-funded projects that are underway, in particular BACCHUS ( FP7/2007-2013; 312090: ) that is providing support to small- and medium-sized enterprises that are considering whether to use or apply for health claims. [ABSTRACT FROM AUTHOR]

Yogurt is a nutrient-dense food within the milk and dairy products food group. The nutritional content of yogurt varies depending on the processing method and ingredients used. Like milk, it is a good source of protein and calcium, and can be a source of iodine, potassium, phosphorus and the B vitamins - riboflavin ( B2) and vitamin B12 (depending on type). Some yogurt products are also fortified with vitamin D. The nutritional value of dairy products (milk, cheese and yogurt) and the importance of the nutrients they provide for bone health are well recognised. These foods are collected together as one of the four main food groups within the UK's eatwell plate model that illustrates a healthy, balanced diet. Studies exploring the nutritional and health attributes of yogurt are limited but some research has suggested benefits in relation to bone mineral content, weight management, type 2 diabetes and metabolic profile. Yogurt consumption has also been associated with diet quality. The aim of this paper is to use national survey data to examine yogurt consumption in the UK and consider its contribution to nutrient intakes at different life stages within the context of nutritional challenges in each age group. The contribution of yogurt to energy and nutrient intakes across the life course was calculated via secondary analysis of data from the Diet and Nutrition Survey of Infants and Young Children (2011) and the National Diet and Nutrition Survey (2008/2009-2010/2011). The products categorised within the 'yogurt group' included all yogurt, fromage frais and dairy desserts, and fortified products. Comparisons were also made between specific sub-categories of yogurt, namely 'yogurt', 'fromage frais' and 'dairy desserts'. Nutrients included in the analyses were energy; the macronutrients; micronutrients that yogurt can be defined as a 'source of'; micronutrients that may be of concern in the UK population; and vitamin D for fortified products. A simple dietary modelling exercise was also undertaken to investigate the potential impact of including an additional pot of yogurt per day on the nutrient intakes of adolescents. Children aged 3 years and under had the highest intakes of yogurt [mean intake 43.8 g/day ( SD 39.7 g) in 4-18 month-olds; 46.7 g/day ( SD 39.1 g) in 1.5-3 year-olds], and adolescents (11-18 years) consumed the least [21 g/day ( SD 38.0 g)]. In adults, highest mean consumption [35.7 g/day (SD 55.0 g)] was during middle age (50-64 years), equivalent to less than a third of a standard 125 g pot. Around 80% of young children (aged 3 years and under) but only a third of teenagers and young adults had consumed any yogurt product during the survey period of 4 days. Average yogurt consumption was twice as high in women as men among older adults (65 years and over), while gender differences in consumption were less apparent in children. Fromage frais and fortified yogurt products were most commonly consumed by younger children, as were dairy desserts in those aged 4-18 years. Among adults, yogurt per se was most commonly consumed. Children aged 4-10 years exhibited the most variety in the types of yogurt consumed. Low-fat yogurt (including those with added fruit, nuts and cereals) was the most commonly consumed yogurt type when all ages were combined. More than a third of all yogurt products consumed by children aged 3 years and under were fortified, compared with 18% in those aged 4-10 years. During adulthood, the consumption of fortified products was negligible. The yogurt group made a useful contribution to micronutrient intakes in children aged 4 months to 10 years, particularly vitamin B12 (4-18 months: 7.6%; 1.5-3 years: 5.3%; 4-10 years: 3.8%), riboflavin (7.8%, 6.9%, and 5.7%, respectively), calcium (9.5%, 8.2%, and 5.9%, respectively), iodine (7.2%, 7.6%, and 7%, respectively) and phosphorus (8.1%, 6.3%, and 4.3%, respectively). It also provided 3.9% of the total intake of vitamin D in those aged 4-18 months and 10.5% in those aged 1.5-3 years. Although the contribution to total dietary energy intake was low (4.9% at 4-18 months and 4.2% at 1.5-3 years), yogurt contributed a high proportion of non-milk extrinsic sugars ( NMES) to the diets of young children (22.7% and 11.1% in 4-18 months and 1.5-3 years, respectively). However, the total NMES intake was comparatively low in children aged 4-18 months (6.7% total energy), and 11.6% in 1.5-3 year-olds (compared to 15.3% total energy in children aged 11-18 years in this survey). As children aged, the contribution of yogurt (all categories combined) to micronutrient intake, as well as to NMES, decreased, reflecting the increasing amounts and variety of foods in the diet. Yogurt made a small contribution to energy and macronutrient intakes during adulthood, with the greatest proportions mostly in the older age group (65 years and over) (energy: 1.7%; fat: 1.3%; saturated fatty acids: 2.1%; NMES: 4%). As intake was higher among women, yogurt made a greater contribution to their micronutrient intakes compared with men, providing >5% of the reference nutrient intakes ( RNIs) for phosphorus, iodine, calcium, vitamin B12 and riboflavin. Simple dietary modelling was carried out to investigate the hypothetical change in mean nutrient intakes among adolescents aged 11-14 and 15-18 years, if they were all to add an extra 125 g pot of low-fat fruit yogurt to their current diet. This showed an increase in average intake, as a percentage of the RNI, for several micronutrients for which there is some evidence of low intakes in this age group, notably calcium in boys and girls (11-18 years) and iodine in girls (11-18 years). Although some benefits for micronutrient intakes were noted, such advice would impact on energy and macronutrient intakes (including NMES), and would need to be given in the context of the wider diet ( e.g. as 'swaps' for less nutrient-dense foods). In conclusion, yogurt makes a small but valuable contribution to nutrient intakes in the UK, particularly in young children. Among adolescents, the addition of a low-fat yogurt would help meet recommended intakes for several micronutrients, particularly calcium and iodine, which are of concern in some teenage diets. Advice to replace some types of snacks and desserts, particularly those high in fat and sugars and low in micronutrients, with a pot of yogurt or similar dairy product may improve the nutrient density of their diet. [ABSTRACT FROM AUTHOR]

Nutrition is affected by numerous environmental and societal causes. This paper starts with a simple framework based on three domains: nutritional quality, economic viability, and environmental sustainability, and calls for an integrated approach in research to simultaneously account for all three. It highlights limitations in the current understanding of each domain, and how they influence one another. Five research topics are identified: measuring the three domains (nutritional quality, economic viability, environmental sustainability); modeling across disciplines; furthering the analysis of food systems in relation to the three domains; connecting climate change and variability to nutritional quality; and increasing attention to inequities among population groups in relation to the three domains. For an integrated approach to be developed, there is a need to identify and disseminate available metrics, modeling techniques, and tools to researchers, practitioners, and policy makers. This is a first step so that a systems approach that takes into account potential environmental and economic trade-offs becomes the norm in analyzing nutrition and food-security patterns. Such an approach will help fill critical knowledge gaps and will guide researchers seeking to define and address specific research questions in nutrition in their wider socioeconomic and environmental contexts. [ABSTRACT FROM AUTHOR]

The multiple burdens of persistent undernutrition and micronutrient deficiencies, along with the rapidly growing rates of overweight, obesity, and associated chronic diseases, are major challenges globally. The role of agriculture and the food system in meeting these challenges is very poorly understood. Achieving food security and addressing malnutrition in all its forms, a Sustainable Development Goal, requires an understanding of how changing food systems affect health outcomes and the development of new tools to design and evaluate interventions. An interinstitutional programme to address this interdisciplinary research challenge is described. Over the past seven years, the Leverhulme Centre for Integrative Research on Agriculture and Health has built a portfolio of successful and innovative research, trained a new cadre of interdisciplinary researchers in "Agri‐Health," and built an international research community with a particular focus on strengthening research capacity in low‐ and middle‐income countries. The evolution of this programme is described, and key factors contributing to its success are discussed that may be of general value in designing interdisciplinary research programmes directed at supporting global development goals. The Leverhulme Centre for Integrative Research on Agriculture and Health (LCIRAH) has built a portfolio of innovative interdisciplinary research projects addressing the relationship between agriculture, nutrition, and health in low‐ and middle‐income countries. This paper describes how LCIRAH developed this new area of research and training and created a global interdisciplinary research community, and shares lessons learned from this process. [ABSTRACT FROM AUTHOR]

The article reports that /University of Illinois at Chicago (UIC) Department of Pediatrics has received a Health Care Innovation Award from the Centers for Medicare & Medicaid Services for its program Coordinated Healthcare for Complex Kids (CHECK). The CHECK is reportedly created for offering a comprehensive quality health care delivery system for children suffering from chronic conditions. CHECK also workswith CPS school nurse leadership to identify improved methods of communication.

Summary: Background: Digital food marketing is increasing and has an impact on children's behaviour. Limited research has been performed in Latin America. Objectives: To determine the extent and nature of Mexican children's and adolescents' exposure to digital food and beverage marketing during recreational internet use. Methods: A crowdsourcing strategy was used to recruit 347 participants during the COVID‐19 lockdown. Participants completed a survey and recorded 45 minutes of their device's screen time using screen‐capture software. Food marketing was identified and nutrition information for each marketed product was collected. Healthfulness of products was determined using the Pan‐American Health Organization and the Mexican Nutrient Profile Model (NPM). A content analysis was undertaken to assess marketing techniques. Results: Overall, 69.5% of children and adolescents were exposed to digital food marketing. Most frequently marketed foods were ready‐made foods. Children and adolescents would typically see a median of 2.7 food marketing exposures per hour, 8 daily exposures during a weekday and 6.7 during a weekend day. We estimated 47.3 food marketing exposures per week (2461 per year). The most used marketing technique was brand characters. Marketing was appealing to children and adolescents yet most of the products were not permitted for marketing to children according to the NPMs (>90%). Conclusions: Mexican children and adolescents were exposed to unhealthy digital food marketing. The Government should enforce evidence‐based mandatory regulations on digital media. [ABSTRACT FROM AUTHOR]

Widespread inequities in diet and nutrition present a pressing public health problem. Sociologists working to illuminate the causes and contours of these inequities often center the role of family foodwork, or the multifaceted domestic labor that supports eating, including planning and preparing meals. Mounting sociological scholarship on foodwork considers how food's meanings are socially patterned to reflect broader social structures, ideologies and institutions that influence their manifestation and families' resources to enact them. Here, we present three core contributions from the sociology of foodwork that can advance essential transdisciplinary conversations around nutrition disparities as well as efforts to tackle these disparities. We lay out how (1) family foodwork is historically rooted in broader structures of capitalist exploitation and women's subordination, and today remains gendered through normative discourses equating "good" feeding with "good" mothering; (2) the moralization of foodwork is buttressed by an ideological context idealizing homecooked meals and lamenting foodwork's decline, and; (3) foodwork—and societal evaluations of it—are shaped and stratified by intersecting gendered, classed, and racial inequalities. After reviewing each contribution and its importance for addressing nutrition inequities, we conclude by advocating for a closer conversation across disciplines and highlighting important future directions for sociologists. [ABSTRACT FROM AUTHOR]

Aims: Foodservices are a strong contributor to global environmental impact. Systemic change is required to lead the transformation towards environmentally sustainable foodservices. However, guidance to support foodservices to be more environmentally sustainable is lacking. The aim was to explore food‐related environmentally sustainable strategies and their transferability to foodservices in a range of settings, to inform a framework for future application and research. Methods: A constructivist grounded theory study design was used. Semi‐structured interviews with foodservice sustainability consultants, who support foodservice organisations to improve environmental sustainability, were conducted. Interviews were recorded, transcribed, and coded line‐by‐line. Ten consultants were purposively sampled for diversity in location, organisation type, funding model, and services provided. Codes were collapsed into categories, to inform the development of themes and a framework for the implementation of strategies. Results: Four sub‐themes were created under an overarching theme of 'Transforming the Foodservice System': embedding leadership, shifting perspective, constructing collaborative networks, and fostering momentum. A range of implementation strategies were captured within the sub‐themes. Conclusion: These themes informed the development of a practical application framework for implementing sustainable strategies in foodservices that is useful for practice and future research in the area. [ABSTRACT FROM AUTHOR]

Background: Understanding the health information needs of adolescents is the first step towards providing them with relevant information to aid them in their decision making regarding health issues. Objective: The goal of this study is to assess adolescents' needs, perceptions and sources of health information. Methods: Four hundred sixty‐nine high school students in Osijek, Croatia, participated in this study by answering a questionnaire. The collected data were analysed using basic frequency and non‐parametric statistical methods. Results: The most popular health topics identified by adolescents in our study were nutrition, diseases, depression, relationships, sexual intercourse and alcohol. Adolescents consider their parents the most reliable personal source of health information (72.0%), while they perceive the Internet as the main non‐personal source of health information (29.8%). Adolescents wish to get more education about health issues at school (54.4%). Significant gender differences were found in adolescents' needs, perceptions and sources of health information. Conclusions: It is important to provide adolescents with systematic institutional health education and improve health advisory services and library/information services to assist adolescents in locating health information and resolving their health related questions. [ABSTRACT FROM AUTHOR]

Overpopulation and the pressure on land‐based resources have driven the aquaculture sector to increase its production since the 1980s. To address such demands, new aquafeed technologies have been developed relying on natural and artificial ingredients that are commercially viable. In addition, current global sustainable initiatives require feed technologies to reduce the pressure on limited wild fisheries and minimize negative environmental effects. Although there are numerous studies on abalone nutrition, most tend to focus on animal growth and nutrient utilization. A more holistic research approach to ensure a sustainable future for this industry will require the development of feeds that provide integrated nutrition and health benefits. In this review, we aim to synthesize the most recent scientific literature on the nutritional and health benefits and shortcomings of two main abalone feeding approaches (seaweed and formulated feeds) within aquaculture production practices. We also identify major research gaps and future directions for the development of sustainable abalone feeds. [ABSTRACT FROM AUTHOR]

This paper introduces a novel survey instrument to identify distinct components of nutrition knowledge and test for links between knowledge and dietary choices in Southern Malawi. Our first aim is to distinguish respondents' familiarity with recommended behaviours, such as when to start breastfeeding or introduce solid foods, from respondents' factual knowledge about mechanisms, such as whether biscuits or papaya and orange fruit or orange Fanta contribute more to future health. We find knowledge of nutrition behaviours to be strongly associated with more schooling, older age, and being female, whereas knowledge of mechanisms is associated only with training and employment as a health professional. We then test whether this expanded definition of nutrition knowledge is associated with dietary intake when controlling for other factors and find no significant links in these data. Results point to the need for knowledge surveys and public health behaviour‐change campaigns to address the kinds of information that might have the most influence on actual behaviour, potentially including the mechanisms involved in food composition, food safety, and disease transmission. [ABSTRACT FROM AUTHOR]

Aims: To understand how young adult women use social media, including which nutrition and health‐related content they prefer to view and why. Findings are intended to support dietitians to use social media more effectively for health promotion to reach, educate and positively influence young adult women. Methods: Qualitative research was conducted through semi‐structured interviews involving 10 women aged 18–35 years via Zoom videoconferencing. The interviews were recorded, transcribed verbatim and analysed using an interpretative phenomenological approach. Results: Young adult women use social media daily to view a wide variety of content, including nutrition and health‐related content. Three themes were identified: authenticity, engaging content, and affecting trust through selling products. Conclusion: To effectively use social media for health promotion, dietitians need to share their authentic voice while maintaining professional standards. Recommendations for effective social media engagement include using engaging content, infographics, and videos with closed captions. More research is needed to assess whether health promotion deployed via social media is effective at increasing nutrition knowledge, improving health literacy, and producing behaviour change. [ABSTRACT FROM AUTHOR]

Across a period of 54 months, several changes were made to the feeding protocols of 32 adult chimpanzees living at the Yerkes National Primate Research Center Field Station. Before implementing any changes in diet, baseline data were collected for 6 months. During Baseline (BS), the chimpanzees received unlimited amounts of primate biscuits twice a day and a limited amount of produce as enrichment. Treatment One (T1) dietary modifications included an increased amount of vegetables, primarily leafy greens, and biscuit feedings scheduled to occur an hour after vegetables were provided to the chimpanzees. T1 lasted for 1 year. At the end of T1, most of the chimpanzees had gained weight. Treatment Two (T2) occurred over the span of 3 years, during which all the chimpanzees were switched from unlimited, group‐distributed primate biscuits to individually prescribed amounts of biscuits, fed in\dividually, and increased daily feedings of leafy greens. By the end of T2, 10 of 15 chimpanzees who were overweight or obese at the start of the project were within range of ideal body condition, and 4 of the remaining 5 were improved. All the chimpanzees who started the project within ideal range were still within ideal range. Significantly more time was invested in eating, foraging, and processing food during T2 (p <.05), more appropriately replicating the natural time budget for a chimpanzee. There were not any increases in abnormal, stress‐related, or agonistic behaviors as a function of dietary modifications. Inactivity, however, was significantly higher (p <.05) during the later protocol, and locomotion was concurrently lower (p <.05). RESEARCH HIGHLIGHTS: We changed the diet of 32 chimpanzees from unlimited, group‐fed primate biscuits to limited, individually‐fed biscuits and increased leafy greens. After 3 years on the new diet, 10/15 previously obese chimpanzees had good body condition, and 14/15 had improved. [ABSTRACT FROM AUTHOR]

An overview is given on recent developments in insects as food and food by reviewing the literature which has appeared during the last few years on edible insects. An outlook to the future is provided. About a decade ago, the attention shifted from harvesting insects in the tropics to farming insects all over the world for food and feed applications. Most production is targeted towards pet food, but it will turn to aquafeed in the next two decades. More than 80% of all publications dealing with edible insects appeared during the last five years. Crickets and mealworms are used for human food while the black soldier fly is the main species used as animal feed. The criteria to choose insect species are automation, cheap substrates, disease avoidance, and market potential. Genetics are increasingly explored to improve production. The environmental impact of producing insects compares well to other alternative proteins, in particular their capacity to degrade organic waste streams. Edible insects are not only a good source of nutrients but also seem to provide health benefits not only for humans and animals, but also for plants (left over substrate). The challenge of convincing Western consumers is reviewed and whether sustainability is an issue. Processing techniques are being developed. The sector of insects as food and feed is developing fast thanks to an increasingly conducive legislative framework. It will progress further, provided that the insect industry, academia, governmental organizations, and public society closely cooperate. [ABSTRACT FROM AUTHOR]

Three‐dimensional food printing (3DFP) uses additive manufacturing concepts to fabricate customized designed products with food ingredients in powder, liquid, dough, or paste presentations. In some cases, it uses additives, such as hydrocolloids, starch, enzymes, and antibrowning agents. Chocolate, cheese, sugar, and starch‐based materials are among the most used ingredients for 3DFP, and there is a broad and growing interest in meat‐, fruit‐, vegetable‐, insect‐, and seaweed‐based alternative raw materials. Here, we reviewed the most recent published information related to 3DFP for novel uses, including personalized nutrition and health‐oriented applications, such as the use of 3D‐printed food as a drug vehicle, and four‐dimensional food printing (4DFP). We also reviewed the use of this technology in aesthetic food improvement, which is the most popular use of 3DFP recently. Finally, we provided a prospective and perspective view of this technology. We also reflected on its multidisciplinary character and identified aspects in which social and regulatory affairs must be addressed to fulfill the promises of 3DFP in human health improvement. [ABSTRACT FROM AUTHOR]

This study uses individual level data from a 13‐year, nationally representative rotating panel survey of Kyrgyzstan to estimate the effects of fluctuations in predicted income on health and nutrition outcomes from early childhood to adulthood. We consider impacts on both undernutrition and overnutrition side‐by‐side, and carefully consider the mechanisms at work. We address the endogeneity of income following Bartik (1991): We construct a measure of predicted income, obtained using the household's initial period share of income from different sources and aggregate national growth rates over time in each source. We find that young children (under age 5) exposed to reductions in predicted income experienced reductions in important measures of health and nutrition: weight, weight‐for‐age Z‐scores, and weight‐for‐height Z‐scores. We further identify reductions in both weight and height among older children (aged 5–18). Declines in child health and nutrition are most pronounced among households most dependent on agriculture and those living in rural areas. Reduced consumption of healthy foods and reduced parental time spent with children may help explain the results. A channel possibly offsetting negative impacts is increased use of contraceptives. At the same time, older children and adults experienced decreases in body mass index and—for adults—decreases in the incidence of overweight and obesity, suggesting selective health benefits for some groups. [ABSTRACT FROM AUTHOR]

Quinoa is one of the ancestral grains now considered as the "superfoods of the future" due to their characteristics as functional foods with great environmental adaptability. The Zimbabwe Resilience Building Fund has introduced quinoa in Zimbabwe to increase resilience of farming systems in light of environmental shocks. In order to improve adoption of the crop, it is important to understand the combined effects of socio‐demographic variables on consumer perceptions of the crop. However, there is limited literature on the combined effects of socio‐demographic variables on quinoa health and nutritional benefits in Zimbabwe. In this study, we used principle component analysis to identify consumers' perception about health and nutritional benefits of quinoa in Gweru Urban District, Gweru, Zimbabwe. A questionnaire was designed and applied to 200 participants. However, only 167 forms were valid for analysis. Age, education, and income level are main factors that determine consumer perceptions on health and nutritional claims. The results indicate that quinoa need to be promoted a as a crop that goes beyond food and income security by placing additional emphasis on health and nutritional aspects. This is very insightful in light of the need to improve the uptake of the crop by smallholder farmers in Zimbabwe. However, the use of self‐reporting survey method has received criticism for failing to get detailed information on perceptions of individuals. These findings could be handy to promote quinoa as a climate smart crop with additional health and nutritional benefits. This is one of the novel research studies exploring the motives of Zimbabwean consumers towards quinoa as a functional food crop. The work also contributes to knowledge on consumer food preferences. [ABSTRACT FROM AUTHOR]

The motivation behind this article is to give point‐by‐point data about the beneficial applications of oregano feed supplement in fish diets as immunomodulators, antioxidant, antiviral, antifungal and antiparasitic. Use of this plant as feed additive plays an important role in the fish diet when compared to other synthetic feed additives. Oregano is rich in phytochemical compounds including carvacrol and thymol in addition to other phenolic compounds with antioxidant and immune‐enhancing activities. Origanum vulgare extract improved the immunological responses and enhanced non‐specific immunity. Also, non‐specific immunity and the lysosomal activity were significantly increased in rainbow trout fed diet enriched with 3.0 mL essential oil of Origanum onites L kg−1 diet for 60 days. Furthermore, non‐specific immune stimulant, antioxidant and nitric oxide activities were improved due to O. vulgare oil supplementation. In some recent studies, Origanum heracleoticum L essential oil as a growth enhancer increased the antioxidant status. In rainbow trout, the hepatic levels of antioxidant enzymes and the total antioxidant capacity increased by feeding diet enriched with 6 and 10 g kg−1 diet of O. vulgare extract. Therefore, the addition of oregano and/or derivatives as a dietary supplement in fish diet may promote growth and enhance the immunity and health of fish and this will be useful for nutritionists, physiologists and veterinarians. [ABSTRACT FROM AUTHOR]

Water is imperative for nutrition and health, economic productivity, and political stability; it also holds cultural and symbolic meanings and functions. Household water insecurity is an emerging construct that captures lived experiences with water access, use, and acceptability. Although the plausibility of household water insecurity to "get under the skin" and shape human biology is high, these relationships have not been systematically investigated. Therefore, in this article, we set out to examine how household water insecurity and allied concepts affect health and human biology throughout the life course. We first lay out the various ways that water insecurity can act as a deleterious exposure, that is, through problematic quality, excess, and shortage. Next, we posit how water insecurity directly shapes human biology, as well as indirectly, via psychosocial stress precipitating cortisol exposure, with potential intergenerational effects. We highlight a range of established and plausible biological consequences using evidence from human and animal model studies. These include diarrheal prevalence, dehydration, stunting, food insecurity, gut microbiome alteration, malnutrition, psychosocial stress, adverse birth outcomes, lower cognitive function and performance, hypertension, and chronic kidney disease. We also discuss the mechanisms by which household water insecurity may shape human biology across the life course; however, these pathways are just beginning to be understood. Longitudinal studies that simultaneously quantify household water insecurity and biological outcomes using comparable metrics in diverse environments and across generations will provide necessary evidence to establish causal relationships. Given the current global water crisis and its potential health consequences, such studies are urgently needed. This article is categorized under:Engineering Water > Water, Health, and SanitationScience of Water > Water Quality [ABSTRACT FROM AUTHOR]

This article employs a household survey of low‐income working‐class households conducted in Tokyo in 1930 to investigate nutritional attainment levels and the relationship between calorie intake and morbidity. We find that the daily calorie intake was 2,118 kcal per adult male equivalent, high enough to satisfy the energy requirements for moderate physical activity. Richer households purchased more expensive calories mainly by substituting meat and vegetables for rice. We find negative associations between morbidity and income and crowding, but no significant associations for nutrition, tentatively suggesting that income and crowding were more important for morbidity in 1930 Tokyo than nutrition. [ABSTRACT FROM AUTHOR]

The article provides a summary of the 2018 British Nutrition Foundation Annual Lecture by Ian Macdonald, Professor of Metabolic Physiology at the University of Nottingham and recipient of the 2017 British Nutrition Foundation Prize for outstanding achievement in the area of nutrition. Topics include acute cardiovascular responses to food ingestion; improving the evidence base for future nutrition policy developments; and the impact of undernutrition.

Aim: To evaluate the information sources that are used and preferred by Australian athletes and to assess if preferences influence nutrition knowledge (NK). Methods: Elite and non‐elite Australian team sport athletes, playing Australian football (AF), cricket, lawn bowls, soccer or hockey, were recruited via the sporting organisations' qualified sports dietitians or club presidents. Athletes completed one of two online, validated sports NK questionnaires. Frequency analysis on previous sources of advice, preferred sources of information and preferred type of support were assessed. Differences in NK scores (%) based on previous sources of dietary advice and preferences for obtaining information were assessed using t test or Mann‐Whitney U test. Results: Demographic and information source questions were completed by 410 athletes; 331 also completed NK questions. Athletes were mostly non‐elite (76%) and AF players (79%). Forty‐four per cent of athletes reported having previously received advice from a dietitian. Twenty per cent, 19% and 16% of athletes chose "dietitian," "internet" and "nutritionist" as their preferred source of nutrition information, respectively. Athletes preferred information on sports nutrition (35%), individual consultations (33%), and information on general healthy eating (33%), over cooking classes (4%) and group presentations (3%). There were no significant associations between preferred and previous information sources and NK scores. Conclusions: Australian athletes prefer dietitians, the internet and nutritionists for sports nutrition information. There is an interest in and need for access to a qualified sports dietitian and reputable internet‐based nutrition information. Education programs and advice given to athletes need to be evaluated. [ABSTRACT FROM AUTHOR]

The article offers information on the generational change in nutrition and dietetics. It discusses the evolution of technology and its increased use in the health care which includes electronic health records, mobile health apps and the mobile computing. It mentions the use of internet and social media for accessing health information.

The primary aim of this cross-sectional study was to compare subjective correlates of health, such as nutrition, self-esteem, sleep and stress, between adolescent elite athletes (n = 625) and a reference group of adolescents (n = 391) not involved in elite sports. A secondary aim was to study predictors for self-perceived stress. A questionnaire was e-mailed to all participants containing valid questions about competence-based self-esteem, nutrition, self-perceived stress and sleep. Our results show that adolescent elite athletes reported significantly (p <.001) lower self-perceived stress, competence-based self-esteem, a more varied diet and more time of sleep, compared to adolescents not involved in elite sports (Hedges'g 0.31–0.82). Female adolescent elite athletes and female adolescents, compared to their male peer group, reported poorer values for competence-based self-esteem (elite, Hedges'g 0.29; adolescents, Hedges'g 0.30) and self-perceived stress (elite, Hedges'g 0.63; adolescents, Hedges'g 0.60). The linear mixed effect model revealed several significant (p <.05) predictors (sex, general well-being, competence-based self-esteem, sleep during weekdays, BMI, training volume) associated with self-perceived stress in adolescent elite athletes. In conclusion, differences in correlates of health with a moderate to strong effect sizes were found between the two groups, where elite athletes surprisingly reported less stress, competence-based self-esteem, a more varied diet and more time of sleep. Even if injury risk is high in adolescent elite athletes and pressure from multiple stakeholders is evident, it appears that the athletes still have better conditions for a good subjective health, based on self-reported measures, compared to adolescents not involved in elite sports. [ABSTRACT FROM AUTHOR]

Abstract: Multifactorial work‐related diseases are diseases that occur in the general population, but may be exacerbated or partially caused by occupational exposures. There is increasing evidence to suggest that type 2 diabetes and cardiovascular diseases are associated with duration and time of working hours. Despite the role of diet in the aetiology of cardiometabolic disease being well established, gaps remain in understanding the relationship between working hours and diet. Studies that have compared the diets of shift to non‐shift workers have reported inconsistent results, likely due to the heterogeneity of study design, including variations in the industry studied and dietary measurement methods used. There is a paucity of research investigating dietary intakes across different shift types, both inside and outside of working hours and in relation to duration of working hours. From the published research that exists, there appears to be growing consensus that night working is associated with a change in the temporal distribution of energy intake and poorer food choices. Epidemiological studies have shown that consuming a higher percentage of energy during the evening is positively associated with metabolic syndrome, while controlled studies have demonstrated an altered metabolic response to eating at night compared to during daytime hours. In the UK, 15% of the working population are employed in jobs that require shift work and 13% of employees work more than 48 hours per week. Understanding the complex relationship between working hours, diet and cardiometabolic health will provide an opportunity to improve the health of a significant proportion of the population. [ABSTRACT FROM AUTHOR]

Childhood malnutrition remains a significant global problem, with an estimated 162 million children under the age of five suffering from stunted growth. This article examines the extent to which cash transfer programmes can improve child nutrition. It adopts a framework that captures and explains the pathways and determinants of child nutrition. The framework is then used to organize and discuss relevant evidence from the impact evaluation literature, focusing on impact pathways and new and emerging findings from sub-Saharan Africa to identify critical elements that determine child nutrition outcomes as well as knowledge gaps requiring further research, such as children's dietary diversity, caregiver behaviours and stress. [ABSTRACT FROM AUTHOR]

Olympic combat sports separate athletes into weight divisions, in an attempt to reduce size, strength, range and/or leverage disparities between competitors. Official weigh-ins are conducted anywhere from 3 and up to 24 h prior to competition ensuring athletes meet weight requirements (i.e. have ‘made weight’). Fighters commonly aim to compete in weight divisions lower than their day-to-day weight, achieved via chronic and acute manipulations of body mass (BM). Although these manipulations may impair health and absolute performance, their strategic use can improve competitive success. Key considerations are the acute manipulations around weigh-in, which differ in importance, magnitude and methods depending on the requirements of the individual combat sport and the weigh-in regulations. In particular, the time available for recovery following weigh-in/before competition will determine what degree of acute BM loss can be implemented and reversed. Increased exercise and restricted food and fluid intake are undertaken to decrease body water and gut contents reducing BM. When taken to the extreme, severe weight-making practices can be hazardous, and efforts have been made to reduce their prevalence. Indeed some have called for the abolition of these practices altogether. In lieu of adequate strategies to achieve this, and the pragmatic recognition of the likely continuation of these practices as long as regulations allow, this review summarises guidelines for athletes and coaches for manipulating BM and optimising post weigh-in recovery, to achieve better health and performance outcomes across the different Olympic combat sports. [ABSTRACT FROM PUBLISHER]

Food insecurity, the lack of consistent access to sufficient quality and quantity of food, affects an estimated 800 million people around the world. Although household food insecurity is generally associated with poor child nutrition and health in the USA, we know less about household food insecurity and child health in developing countries. Particularly lacking is research assessing how associations between household food insecurity and children's health outcomes may differ by child age and among children beyond age 5 years in low-income settings. We use data from a population-based sample of households with children ages 3-11 years ( N = 431) in León, Nicaragua to consider how household food insecurity is associated with three measures of child health: illness, anaemia and low height-for-age. Our results provide new evidence that even mild household food insecurity is detrimental to children's health; and that child age conditions the associations between household food insecurity and child health. We find that food insecurity is especially harmful to health during early childhood, but continues to have significant associations with health into middle childhood (up to ages 7-8 years). We discuss the potential implications of these results for future child health research and policies in low-income countries. © 2016 John Wiley & Sons Ltd [ABSTRACT FROM AUTHOR]

Improving nutrition is a development priority, particularly in low- and middle-income countries (LMICs) in Africa and South Asia, in which there is a persistent burden of undernutrition and increasing obesity. Healthy food systems can play a necessary role, aligned with other multisectoral actions, in addressing this challenge. Contributing to improved nutrition and health outcomes through food-based solutions is complex. In considering the role that pulses can play in addressing this challenge, there are useful conceptual frameworks and emerging lessons. National food systems in LMICs provide limited diet quality. Foods for a healthy diet may be produced locally, but they increasingly rely on improved markets and trade. What might be done to transform food systems for healthier diets, and what role can pulses play? Food systems innovations will require a convergence of technical innovation with smarter institutional arrangements and more effective policies and regulations. In many countries in Africa and South Asia, pulses can make important contributions to healthier diets. Options for supporting pulses to make a greater contribution to healthier diets include increasing the efficiency of pulse supply chains, creating more effective public-private institutional arrangements for innovation, and establishing policies, regulations, and investments that are nutrition sensitive. [ABSTRACT FROM AUTHOR]

Unhealthy food choice is one of the main causes of being overweight. Nutritionists blame a particular category of food: junk food. Several authors have proposed a fat tax for reducing the junk food demand, but others have demonstrated that these taxes must be very high in order to be effective. Therefore, a warning label about calorie content may be an alternative way to reduce the consumption of junk food. In this exploratory study, using students as respondents, a high-calorie warning label is explored with an incentive compatible valuation method. The results indicate that a high-calorie warning label has little effect on respondents' choices, even when they have no prior familiarity with the food. [ABSTRACT FROM AUTHOR]

Issue addressed The study examined effective ways to build the capacity of health organisations and professionals in the public health sector to reduce Aboriginal chronic disease risk factors. It investigated the capacity-building strategies of the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) nutrition team in the facilitation of the statewide implementation of the Victorian Aboriginal Nutrition and Physical Activity Strategy 2009-2014 (VANPAS). Methods Using a qualitative design, the study analysed the VACCHO program from 2009-2014 across five domains of capacity development: workforce, resources, organisations, partnerships and leadership. Data were sourced from archival program documents and 62 semi-structured participant interviews. Results Diverse Aboriginal and non-Aboriginal professional, organisation representatives and community participants engaged in the implementation of the VANPAS. The VACCHO team used the VANPAS to solidify participant buy-in, strengthen workforce effectiveness, increase health promotion and resource appropriateness, improve organisational policy and build an evidence-base through collaborative dialogue using action-reflection principles. Conclusion A credible, high-profile Aboriginal community led and evidence-based statewide program and a commitment to dialogue through action-reflection provided a meaningful basis for both Aboriginal community and mainstream organisational engagement. Upon this foundation, the VACCHO team built a coherent sectoral system with increased capacity to enhance the nutrition of Aboriginal Victorians. So what? In an historical context of mistrust and unmet expectations, program implementation methods that build confidence amongst collaborating Aboriginal and non-Aboriginal health agencies is fundamental to building capacity to enhance Aboriginal nutrition and health. [ABSTRACT FROM AUTHOR]

India's national nutrition and health programmes are largely designed to provide evidence ‐ based nutrition ‐ specific interventions, but intervention coverage is low due to a combination of implementation challenges, capacity and financing gaps. Global cost estimates for nutrition are available but national and subnational costs are not. We estimated national and subnational costs of delivering recommended nutrition ‐ specific interventions using the Scaling Up Nutrition (SUN) costing approach. We compared costs of delivering the SUN interventions at 100% scale with those of nationally recommended interventions. Target populations (TP) for interventions were estimated using national population and nutrition data. Unit costs (UC) were derived from programmatic data. The cost of delivering an intervention at 100% coverage was calculated as (UC*projected TP). Cost estimates varied; estimates for SUN interventions were lower than estimates for nationally recommended interventions because of differences in choice of intervention, target group or unit cost. US$5.9bn/year are required to deliver a set of nationally recommended nutrition interventions at scale in India, while US$4.2bn are required for the SUN interventions. Cash transfers (49%) and food supplements (40%) contribute most to costs of nationally recommended interventions, while food supplements to prevent and treat malnutrition contribute most to the SUN costs. We conclude that although such costing is useful to generate broad estimates, there is an urgent need for further costing studies on the true unit costs of the delivery of nutrition ‐ specific interventions in different local contexts to be able to project accurate national and subnational budgets for nutrition in India. [ABSTRACT FROM AUTHOR]