1,792 results on '"Food '
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2. Genetically Predicted Frailty Index Is Associated With Increased Risk of Multiple Metabolic Diseases: 175 226 European Participants in a Mendelian Randomization Study.
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Wang H, Zhang H, Tang D, Yao Y, Qiu J, and Shu X
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- Humans, Risk Factors, Europe epidemiology, Female, Male, Polymorphism, Single Nucleotide, Mendelian Randomization Analysis methods, Frailty genetics, Frailty epidemiology, Metabolic Diseases genetics, Metabolic Diseases epidemiology, Genome-Wide Association Study
- Abstract
Background: A relationship between frailty index (FI) and metabolic diseases (MDs) has been reported in previous observational studies. However, the causality between them remains unclear. This study aimed to examine the causal effect of FI on MDs., Methods: We performed a bidirectional two-sample Mendelian randomization (MR) study. A recent large-scale genome-wide association study (GWAS) provided available data associated with FI, and summary statistics on eight MDs were collected from the IEU OpenGWAS database. Inverse variance weighted (IVW) was used as the main analysis to estimate causal effects, together with MR pleiotropy residual sum and outlier (MR-PRESSO), MR-Egger, Cochran's Q test, pleiotropy test, leave-one-out method, and MR Steiger analysis were used in the sensitivity analyses., Results: Our MR study demonstrated for the first time that elevated FI was causally associated with an increased risk of MDs including obesity (odds ratio [OR] = 1.78; 95% confidence interval [CI]: 1.17-2.70; p = 0.0075), T2DM (OR = 1.67; 95% CI: 1.24-2.24; p = 6.95 × 10
-4 ), gout (OR = 2.45; 95% CI: 1.29-4.64; p = 0.006), hypothyroidism (OR = 1.96; 95% CI: 1.47-2.60; p = 3.47 × 10-6 ), and HTN (OR = 2.17; 95% CI: 1.72-2.74; p = 5.25 × 10-11 ). However, no causal association was found between FI and osteoporosis, vitamin D deficiency, and hyperthyroidism., Conclusions: Our findings support a causal relationship between FI and multiple MDs. This is crucial for the prevention of associated MDs in patients with frailty., (© 2025 The Author(s). Journal of Diabetes published by Ruijin Hospital, Shanghai JiaoTong University School of Medicine and John Wiley & Sons Australia, Ltd.)- Published
- 2025
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3. Comparison of the four co-created interventions to improve snacking and physical activity behaviour in European adolescents: the SEEDS project.
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Queral J, Llauradó E, Wargers A, Jansen W, Manios Y, Senequier A, Williams CA, Vlachopoulos D, Solà R, and Tarro L
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- Humans, Adolescent, Europe, Female, Male, Focus Groups, Adolescent Behavior psychology, Exercise psychology, Snacks, Health Promotion methods
- Abstract
Background: New approaches involving adolescents in designing and implementing interventions are an opportunity to improve healthy lifestyles. This study aims to describe and analyse the differences and similarities between the four country-specific (Greece, Spain, The Netherlands and the United Kingdom) co-created interventions through a Makeathon by adolescents from the European Science Engagement to Empower aDolescentS (SEEDS) project, to tackle unhealthy behaviours. Also, it aims to determine if the barriers/facilitators identified in previous focus groups were addressed in the interventions., Methods: This comparative design study describes and analyses the differences and similarities among the four co-created interventions from the SEEDS project, which is a cluster-randomised controlled trial using a citizen science approach that actively involves participants in all steps of the scientific process. Two of the relevant steps are the definition of the barriers and facilitators by focus groups and the co-design of the interventions by Makeathons. The interventions co-created in each country related to healthy snacking and physical activity (PA) practice are described using the Template for Intervention Description and Replication (TIDieR) with some extra information about the country context (barriers and facilitators)., Results: The four interventions have some points in common: type of activities per behaviour (methodology used), face-to-face activities, school hours implementation, and external professionals, teachers, or researchers as providers. However, the difficulties in comparing the interventions are the high diversity of activities and activity frequency among the four countries. About barriers, 2 of 3 modifiable barriers to healthy snacking behaviour and 4 of 6 modifiable barriers to PA and sedentary behaviour were addressed in the intervention, but 6 of 12 barriers to PA seemed not feasible for schools and not address in the intervention. Regarding facilitators, focusing on PA and sedentary behaviour, two of the four facilitators identified and focused on healthy snacking behaviour, and only one of the four facilitators identified was addressed in the interventions., Conclusions: In four co-created interventions by adolescent ambassadors, most of the barriers identified were addressed whereas the facilitators were not enough addressed. Thus, more effort is needed to completely adapt the intervention to the real interest of adolescents. Future research needs to confirm the SEEDS intervention effect and impact on the desired behaviour., Trial Registration: Num. NCT05002049; Date: 2021-08-12., Competing Interests: Declarations. Ethics approval and consent to participate: The four pilot countries (Greece, the Netherlands, Spain, and the UK) obtained approval for the study from their corresponding Ethics Committee. Greece: The study was approved by the Bioethics Committee of Harokopio University (ethical approval code: 953/10-3-2021). The Netherlands: The Medical Research Ethics Committee of the Erasmus Medical Centre, Rotterdam, The Netherlands granted permission to execute this study and for publications in a later stage of the study (permission ID: MEC-2021-0396). Spain: The Drug Research Ethics Committee (CEIm) of the Pere Virgili Health Research Institute (Reus, Spain) granted permission to execute this study and for publications in a later stage of the study (n° Ref. CEIM: 085/2021). The UK: The study has been approved by the Sport and Health Sciences Ethics Committee of the University of Exeter, ref. numbers (21-03-24-B-02, 21-07-14-B-04).The SEEDS intervention has adhered to the principles of the Declaration of Helsinki and the International Conference on Harmonization Good Clinical Practice guideline. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests., (© 2025. The Author(s).)
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- 2025
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4. Dynamics of soil carbon stock in response to land use conversion in European woodland and shrubland in the last decade.
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Shoumik BAA, Tiema A, Abiye W, Rai P, Adhikari K, Esmaeili-Gisavandani H, Khan MZ, and Gülser C
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- Ecosystem, Carbon Sequestration, Forests, Europe, Global Warming, Soil chemistry, Carbon analysis
- Abstract
Soil carbon sequestration and its monitoring is important to improve climate resilience and mitigate global warming. According to the European Environment Agency (EEA), soils in Europe are losing carbon that could hamper achieving the EU climate targets. Hence, it is necessary to explore the dynamics of soil organic carbon (SOC) storage in different ecosystems so that the EU policymakers can observe the progress towards achieving EU Green Deal objectives. The aim of this research was to quantify the ΔSOC-S in woodland and shrubland in the last decade (2009-2018) and to study the ΔSOC-S due to the land use conversion. In this regard, revisited sampling points between 2009 and 2018 from the topsoil (0-20 cm) of woodland and shrubland of the EU + UK soil database named Land Use/Land Cover Area Frame Survey (LUCAS) was used. The analysis revealed that broadleaved-woodland to coniferous- or mixed-woodland conversion in 2018, and shrubland to woodland conversion in 2015 increased SOC-S. Overall, we found a net accumulation of SOC-S in woodland (2184.08 ton ha
-1 ) and shrubland (302.78 ton ha-1 ) soil with 7.78% increment in woodland and 12.56% in shrubland between 2009/12 and 2018. Also, in central Europe, mean annual temperature (MAT) increased and precipitation (MAP) decreased between the study periods. The relationship between precipitation and temperature showed that precipitation and SOC-S in woodland had no relationship, but with the rising temperature, SOC-S in both land types significantly decreased revealing warming can significantly affect SOC-S., Competing Interests: Declaration of competing interest The authors declare that they have no competing interests., (Copyright © 2025 Elsevier Ltd. All rights reserved.)- Published
- 2025
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5. MUSAE: Fusion of art and technology to address challenges in food and health.
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O'Gorman A, Lauryn M, Efremenko T, Canina M, Redava PI, Puig LE, Cangelosi A, Ferro F, Dellino F, Van Gansbeke R, Bulgheroni M, Jovanovic K, and Brennan L
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- Humans, Food Supply, Robotics, Europe, Food Technology, Food, Art, Artificial Intelligence
- Abstract
There is an urgent need to transform our current food system to improve population health/wellbeing and planetary health. A number of challenges exist in order to achieve this. Artists, with their innate ability to use imagination to envision future needs and solve problems, represent a key group in this transformation. The project MUSAE brings together artists with experts from different disciplines to define an innovative model to integrate artistic collaboration in the (European) Digital innovation hubs (E-DIHs). They will employ the Design Futures Art-Driven (DFA) methods to enable artists and a range of companies involved in food production and distribution to develop innovative products and services that address key issues in the food system. MUSAE will run two residencies involving 23 artists and 11 SMEs working with three main technologies-Artificial Intelligence, Wearables and Robotics-to envision the future scenarios for societal needs and technology applications, as well as develop future-driven prototypes, thus opening new markets and innovations in the area of food., (© 2024 The Author(s). Nutrition Bulletin published by John Wiley & Sons Ltd on behalf of British Nutrition Foundation.)
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- 2025
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6. Interaction between breastfeeding duration and an obesity genetic risk score to predict body fat composition in European adolescents: The HELENA study.
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Baxevanis GK, Iglesia I, Seral-Cortes M, Sabroso-Lasa S, Flores-Barrantes P, Gottrand F, Meirhaeghe A, Kafatos A, Widhalm K, Hockamp N, Molnár D, Marcos A, Nova E, González-Gross M, Gesteiro E, Gutiérrez Á, Manios Y, Anastasiou CA, Rodríguez G, and Moreno LA
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- Humans, Female, Adolescent, Male, Cross-Sectional Studies, Europe epidemiology, Risk Factors, Adiposity, Body Composition, Waist Circumference, Time Factors, Genetic Risk Score, Breast Feeding statistics & numerical data, Pediatric Obesity epidemiology, Pediatric Obesity genetics, Pediatric Obesity prevention & control, Genetic Predisposition to Disease, Body Mass Index
- Abstract
Background: Although the genetic interplay with the environment has a major impact on obesity development, little is known on whether breastfeeding could modulate the genetic predisposition to obesity., Objectives: To investigate whether breastfeeding attenuates the effect of an obesity genetic risk score (GRS) on adiposity in European adolescents., Methods: Totally 751 adolescents from the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) cross-sectional study were included, divided according to breastfeeding status into never breastfed, 1-3 months and ≥4 months. Adjusting by socioeconomic status and lifestyle factors multiple linear regression models were used to assess (1) the main effect of breastfeeding duration and (2) its interaction effect with an obesity GRS, to predict different adiposity measures., Results: A significant negative association between ≥4 months of breastfeeding and waist circumference (WC) z-score was observed [β (95% confidence interval), p-value] = [β = -0.189 (-0.37, -0.00), p = 0.044]. Also, significant interaction effects were observed for 1-3 and ≥4 months of breastfeeding and obesity GRS regarding body mass index (BMI) z-score [β = 0.155 (0.06, 0.24), p = 0.001] and [β = 0.108 (0.01, 0.18), p = 0.020, respectively] and fat mass index (FMI) z-score [β = 0.134 (0.04, 0.22), p = 0.003] and [β = 0.100 (0.01, 0.18), p = 0.026, respectively]., Conclusions: Breastfeeding modulates the association between the obesity GRS and body composition in adolescents., (© 2025 The Author(s). Pediatric Obesity published by John Wiley & Sons Ltd on behalf of World Obesity Federation.)
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- 2025
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7. A snapshot of country-specific dietary habits and obesity in European children: the Feel4Diabetes study.
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Mahmood L, Moreno LA, Schwarz P, Willems R, Cardon G, Hilal S, Rurik I, Iotova V, Bazdarska Y, Dimova R, Anastasiou K, Manios Y, and Gonzalez-Gil EM
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- Humans, Male, Female, Child, Europe, Energy Intake, Body Mass Index, Cross-Sectional Studies, Nutrition Policy, Adolescent, Feeding Behavior, Pediatric Obesity epidemiology, Pediatric Obesity prevention & control, Pediatric Obesity etiology
- Abstract
This study assessed the dietary intake of European children by country, gender, and obesity degree across six European countries participating in the Feel4Diabetes study. It also compared food group intakes with European food-based dietary guidelines. The Feel4Diabetes study included 9,847 children (50.4% girls) from six European countries. Families provided baseline data on energy balance-related behaviors and socioeconomic factors via questionnaires. Children's dietary intake and breakfast consumption were assessed using semi-quantitative food frequency questionnaires, and anthropometric measurements were taken. Intake from 11 food groups was analyzed by country, gender, and obesity degree. Chi-square analyses compared food intake with dietary guidelines. "Nutrient-dense " foods (e.g., fruits, vegetables, whole grains) and "energy-dense, low-nutrient" foods (e.g., high in added sugars, saturated fats) were categorized based on the European food-based guideline. Over 85% of children consumed breakfast 5-7 days a week, with no significant differences by Body Mass Index (BMI) or country. Mean intakes of nutrient-dense food groups fell below recommendations, while the intake of energy-dense, low-nutrient foods exceeded limits, particularly in children with overweight/obesity (p = 0.048). No significant gender differences were observed in most food groups., Conclusions: Dietary intake varied by country and obesity degree among European children. Across the six countries, children's diets did not align with food-based dietary guidelines. These findings underscore the need for interventions promoting healthier eating habits among European children., Trial Registration: The Feel4Diabetes-study is registered with the clinical trials registry (NCT02393872), http://clinicaltrials.gov What is Known: • Childhood obesity is a growing concern across Europe, with some variations in food consumption observed between European countries • Previous studies have highlighted the role of diet in childhood obesity, but few have examined cross-country comparisons while accounting for gender and BMI status., What Is New: • This study provides a comprehensive cross-country analysis of children's dietary intake, considering gender, BMI status, and adherence to European dietary guidelines. • New insights into gender differences in sweets consumption and the positive association between BMI and food intake (such as soft drinks and sweets) are presented, which can inform targeted dietary interventions., Competing Interests: Declarations. Ethics approval: The study followed the Declaration of Helsinki guidelines. Ethical approval was obtained from the Ethical Committees of Spain (code: CP03/2016), Greece (code: 46/3–4-2015), Finland (code: 174/1801/2015), Belgium (code: B670201524237), Bulgaria (code: 52/10–3-201r), and Hungary (code: 20095/2016/EKU). Consent to participate: Informed consent was obtained from all participants. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests., (© 2025. The Author(s).)
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- 2025
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8. Low capacity for molecular detection of Alphaviruses other than Chikungunya virus in 23 European laboratories, March 2022.
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Pezzi L, Moegling R, Baronti C, Stanoeva KR, Presser LD, Jourdan P, Ayhan N, van den Akker WMR, Zientara S, Gossner CM, Charrel RN, and Reusken CBEM
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- Europe, Humans, Animals, Alphavirus isolation & purification, Alphavirus genetics, Chikungunya virus isolation & purification, Chikungunya virus genetics, Alphavirus Infections diagnosis, Alphavirus Infections virology, Alphavirus Infections epidemiology, Laboratories
- Abstract
Alphaviruses comprise over 30 identified species spread worldwide and carry a large global health burden. With vector expansion occurring in and around Europe, it is anticipated this burden will increase. Therefore, regular assessment of the diagnostic capabilities in Europe is important, e.g., by conducting external quality assessments (EQAs). Here we evaluated molecular detection of alphaviruses in expert European laboratories by conducting an EQA in March 2022. Molecular panels included 15 samples: nine alphaviruses, Barmah Forest virus (BFV), chikungunya virus (CHIKV), Eastern equine encephalitis virus (EEEV), Mayaro virus (MAYV), o'nyong-nyong virus (ONNV), Ross River virus (RRV), Sindbis virus (SINV), Venezuelan equine encephalitis virus (VEEV), and Western equine encephalitis virus (WEEV) and four negative control samples. Alphavirus detection was assessed among 23 laboratories in 16 European countries. Adequate capabilities were lacking for several viruses, and approximately half of the laboratories (11/23) relied on pan-alphavirus assays with varying sensitivity and specificity. Only 46% of laboratories characterized all EQA samples correctly. Correct result rates were > 90% for CHIKV, RRV and SINV, but laboratories lacked specificity for ONNV and MAYV and sensitivity for VEEV, BFV, and EEEV. Only two alphaviruses causing human disease circulate or have circulated in Europe, CHIKV and SINV. Molecular detection was satisfactory with both CHIKV and SINV, but < 50% correct for the entire alphaviruses panel. With continued imported cases, and a growing global concern about climate change and vector expansion, focus on progress toward rapid, accurate alphavirus diagnostics in Europe is recommended, as well as regular EQAs to monitor quality., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2025 Pezzi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2025
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9. Paediatric strategy forum for medicinal product development in diffuse midline gliomas in children and adolescents ACCELERATE in collaboration with the European Medicines Agency with participation of the Food and Drug Administration.
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Pearson AD, Mueller S, Filbin MG, Grill J, Hawkins C, Jones C, Donoghue M, Drezner N, Weiner S, Russo M, Dun MD, Allen JE, Alonso M, Benaim E, Buenger V, de Rojas T, Desserich K, Fox E, Friend J, Glade Bender J, Hargrave D, Jensen M, Kholmanskikh O, Kieran MW, Knoderer H, Koschmann C, Lesa G, Ligas F, Lipsman N, Ludwinski D, Marshall L, McDonough J, McNicholl AG, Mirsky D, Monje M, Nysom K, Pappo A, Rosenfield A, Scobie N, Slaughter J, Smith M, Souweidane M, Straathof K, Ward L, Weigel B, Zamoryakhin D, Karres D, and Vassal G
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- Humans, Child, Adolescent, United States, United States Food and Drug Administration, Drug Development, Antineoplastic Agents therapeutic use, Europe, Brain Neoplasms drug therapy, Brain Neoplasms therapy, Glioma therapy, Glioma drug therapy
- Abstract
Fewer than 10 % of children with diffuse midline glioma (DMG) survive 2 years from diagnosis. Radiation therapy remains the cornerstone of treatment and there are no medicinal products with regulatory approval. Although the biology of DMG is better characterized, this has not yet translated into effective treatments. H3K27-alterations initiate the disease but additional drivers are required for malignant growth. Hence, there is an urgent unmet need to develop new multi-modality therapeutic strategies, including alternative methods of drug delivery. ONC201 (DRD2 antagonist and mitochondrial ClpP agonist) is the most widely evaluated investigational drug. Encouraging early data is emerging for CAR T-cells and oncolytic viruses. GD2, B7-H3 and PI3K signalling are ubiquitous targets across all subtypes and therapeutics directed to these targets would potentially benefit the largest number of children. PI3K, ACVR1, MAPK and PDGFRA pathways should be targeted in rational biological combinations. Drug discovery is a very high priority. New specific and potent epigenetic modifiers (PROTACS e.g. SMARCA4 degraders), with blood-brain penetrance are needed. Cancer neuroscience therapeutics are in early development. Overall survival is the preferred regulatory endpoint. However, the evaluation of this can be influenced by the use of re-irradiation at the time of progression. An efficient clinical trial design fit for regulatory purposes for the evaluation of new therapeutics would aid industry and facilitate more efficient therapy development. Challenges in conducting clinical trials such as the need for comparator data and defining endpoints, could be addressed through an international, first-in-child, randomised, complex innovative design trial. To achieve progress: i) drug discovery; ii) new multi-modality, efficient, collaborative, pre-clinical approaches, possibly including artificial intelligence and, iii) efficient clinical trial designs fit for regulatory purposes are required., Competing Interests: Declaration of Competing Interest MR is an employee of Novartis and holds Novartis stock. JAE is an employee of Chimerix. EB is an employee of SonALAsence. JF is an employee of Kazia Therapeutics. MJ is an employee of Brainchild Bio and holds Brainchild Bio stock. MWK is an employee of Day One Biopharmaceuticals. HK is an employee of Loxo Oncology. AGM is an employee of Laminar Pharma. AR is an employee of AstraZeneca. DZ is an employee of Biodexa Pharmaceuticals (Midatech). ADJP has consulted for Lilly, Norgine and Developmental Therapeutics Consortium Limited and been an advisor for Amgen. All remaining authors have declared no conflicts of interest., (Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved.)
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- 2025
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10. Detection of Echinococcus spp. and other taeniid species in lettuces and berries: Two international multicenter studies from the MEmE project.
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Umhang G, Bastien F, Cartet A, Ahmad H, van der Ark K, Berg R, Bonelli P, Davidson RK, Deplazes P, Deksne G, Gargate MJ, Van der Giessen J, Jamil N, Jokelainen P, Karamon J, M'Rad S, Maksimov P, Oudni-M'Rad M, Muchaamba G, Oksanen A, Pepe P, Poulle ML, Rinaldi L, Samorek-Pieróg M, Santolamazza F, Santoro A, Santucciu C, Saarma U, Schnyder M, Villena I, Wassermann M, Casulli A, and Boué F
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- Animals, Humans, Europe, Echinococcus genetics, Echinococcus isolation & purification, Echinococcus classification, Food Contamination analysis, Echinococcosis epidemiology, Echinococcosis veterinary, Echinococcosis transmission, Echinococcosis parasitology, Echinococcus granulosus genetics, Echinococcus granulosus isolation & purification, Echinococcus multilocularis genetics, Echinococcus multilocularis isolation & purification, DNA, Helminth genetics, DNA, Helminth analysis, Food Parasitology, Pakistan epidemiology, Fruit parasitology
- Abstract
Cystic and alveolar echinococcosis are severe zoonotic diseases characterized by long asymptomatic periods lasting months or years. Viable Echinococcus spp. eggs released into the environment through the feces of canids can infect humans through accidental ingestion via hand-to-mouth contact or consumption of contaminated food or water. Both Echinococcus multilocularis and Echinococcus granulosus sensu lato are considered as foodborne parasites. However, when considering possible pathways of human infection, it appears that food and water-borne related variables do not significantly increase the risk of infection. Providing evidence-based data for the presence of DNA and, potentially, eggs in fresh produce is crucial in understanding foodborne transmission of Echinococcus spp. to humans. Two multicenter and multicountry studies were conducted within the One Health EJP framework to estimate the proportion of lettuces and berries contaminated by E. multilocularis, E. granulosus sensu lato, and other taeniid DNAs from a total of 12 European countries, Tunisia and Pakistan. A total of 1117 lettuces, 71 others vegetables, 300 strawberries, 130 blueberries and 50 others berries samples were collected and analysed by washing, sequential sieving and real-time PCRs. E. multilocularis DNA was detected in 1.2 % (7/570) of lettuce samples tested from the seven European endemic countries (Denmark, France, Germany, Latvia, the Netherlands, Poland and Switzerland) and in 2 % (2/100) from Pakistan. E. granulosus sensu lato DNA was identified in 1.3 % of lettuces (9/695) collected in five European endemic countries (France, Italy, Latvia, Poland and Portugal) and in 12 % (9/75) and 4 % (4/100) from Tunisia and Pakistan, respectively. All E. granulosus sensu lato samples were identified as E. granulosus sensu stricto (20/22), except for two identified as E. canadensis (2/22) from Latvia and Pakistan. Regarding berries, E. multilocularis DNA was detected in 5.4 % (n = 11/202) of strawberries, 7.3 % (6/82) of blueberries from the seven European endemic countries and 56 % (14/25) of blueberries from Pakistan. High contamination rates of E. granulosus sensu stricto were found outside of Europe, with 12.0 % (3/25) in blueberries from Pakistan and 81.3 %. (13/16) in strawberries from Tunisia. The total contamination rate of all taeniid species DNA in lettuces (5.3 %; 59/1117), others vegetables (5.6 %; 4/71) and berries (12.1 %; 58/480) suggests that the transfer of taeniid eggs from carnivore feces to food is not uncommon. Although we assume that eggs are the source of the DNA detected in this study, the viability of such eggs is unknown. The detection of Echinococcus species in lettuces and berries suggests a potential risk of foodborne human infection. The relative contribution of this risk remains to be estimated. Further studies on food and environmental contamination are necessary to cover different epidemiological contexts and social habits, leading to a better understanding of human infections by Echinococcus spp. eggs., Competing Interests: Declaration of competing interest The authors declare no conflict of interest., (Copyright © 2025 Elsevier B.V. All rights reserved.)
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- 2025
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11. Genomic characteristics and virulence of common but overlooked Yersinia intermedia, Y. frederiksenii, and Y. kristensenii in food.
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Lü Z, Su L, Han M, Wang X, Li M, Wang S, Cui S, Chen J, and Yang B
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- Virulence genetics, Genomics, Phylogeny, Virulence Factors genetics, Humans, Plasmids genetics, Europe, Genome, Bacterial, Yersinia genetics, Yersinia pathogenicity, Yersinia classification, Food Microbiology
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Yersinia intermedia, Y. frederiksenii, and Y. kristensenii are a group of pathogens that are commonly found in food and are often overlooked in terms of their pathogenic potential. This study conducted a systematic and comprehensive genomic analysis of 114 Y. intermedia genomes, 20 Y. frederiksenii genomes, and 65 Y. kristensenii genomes from public database and our previous study. The results showed that these species were most frequently detected in Europe (56.28 %, 112/199), followed by in Asia (20.6 %, 41/199). Additionally, 33.17 % (66/199) genomes were isolated from food. Y. intermedia were grouped into Bayesian analysis of population structure (Baps) groups 3 and 4, demonstrating significant genomic diversity. This species has a high proportion of accessory genes (79.43 %), approximately 50 % of which have unknown functions, indicating a high degree of genomic plasticity. The three species carried a large number of mobile genetic elements (MGEs), including plasmids such as ColRNAI_1, ColE10_1, Col440II_1, Col440I_1, and Col (Ye4449) _1; insertion sequences (ISs) like MITEYpe1, MITEEc1, and IS1635; genomic islands (GIs); and prophages. In Y. intermedia, the following antibiotics resistance genes (ARGs) were detected: qnrD1 in 3.51 % (4/114), aph(3')-Ia in 2.63 % (3/114), bla
A in 1.75 % (2/114), and catA1, vat(F), and tet(C) each in 0.88 % (1/114). In Y. kristensenii, vat(F) was present in 98.46 % (64/65), blaTEM-116 in 7.69 % (5/65), and aph(3')-Ia in 1.54 % (1/65). However, only one Y. frederiksenii genome carried vat(F). There were differences in the virulence gene composition of the three species, with Y. kristensenii having the highest number of virulence genes, particularly its complete cytotoxic genes (yaxA and yaxB) and flagellar motor proteins genes (motA and motB). The pathogenic mechanisms of Y. intermedia and Y. frederiksenii were more similar, especially in the carriage of O-antigen related genes. Y. frederiksenii's unique mechanisms also include the yapC gene, which encodes the autotransporter protein YapC from Y. pestis. After co-cultured with human colonic epithelial cell lines Caco-2 and HT-29, Y. intermedia and Y. kristensenii demonstrated different adhesive and invasive capabilities, particularly the Y. intermedia strain y7, which exhibited stronger adhesion and invasion in both cell lines. In strains y118 and y119 of Y. intermedia, an Arg378del mutation in the UreC protein was identified, resulting in the loss of urease activity. Therefore, this study revealed the pathogenic potential of Y. intermedia, Y. frederiksenii, and Y. kristensenii. Future research should focus on identifying their unknown virulence genes and strengthening public food safety measures to mitigate potential risks., Competing Interests: Declaration of competing interest All authors have no conflict of interest to declare., (Copyright © 2025 Elsevier B.V. All rights reserved.)- Published
- 2025
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12. Vitamin D status and muscle strength in a pan-European cohort of children and adolescents with normal weight and overweight/obesity.
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Zeeb H, Brand T, Lissner L, Lauria F, Molnár D, Veidebaum T, Nauck M, Tornaritis M, De Henauw S, Moreno LA, Ahrens W, Pohlabeln H, and Wolters M
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- Humans, Male, Child, Female, Adolescent, Europe epidemiology, Body Mass Index, Overweight epidemiology, Overweight physiopathology, Overweight blood, Cohort Studies, Logistic Models, Cross-Sectional Studies, Vitamin D Deficiency epidemiology, Vitamin D Deficiency blood, Vitamin D blood, Vitamin D analogs & derivatives, Hand Strength physiology, Pediatric Obesity blood, Pediatric Obesity epidemiology, Pediatric Obesity physiopathology
- Abstract
This aimed to investigate associations between the vitamin D status and handgrip strength in children and adolescents considering weight status. Participants aged 7 to < 16 years from the European IDEFICS/I.Family cohort were included. Serum 25-hydroxyvitamin D [25(OH)D] and handgrip strength were measured in 2013/2014. In multivariable logistic regression models, we investigated the association of vitamin D status with handgrip strength adjusted for demographic variables, BMI z-score, sports club membership, screen time and UV intensity. Vitamin D-sufficient children had higher odds for a high handgrip strength (OR = 1.92, 95%-CI: 1.12, 3.30), but this association was limited to children with thinness/normal weight (OR = 2.60, 95%-CI: 1.41-4.81). Children with overweight (OR = 2.64, 95%-CI: 2.00, 3.49) and obesity (OR = 4.53, 95%-CI: 2.93, 7.02) were more likely to have a high handgrip strength than thin/normal weight children., Conclusions: The positive association of vitamin D with muscle strength in our study is limited to children with low and normal BMI. In children with overweight or obesity, the higher muscle strength seems to superimpose the association with vitamin D. Overall, our results indicate the importance of sufficient levels of vitamin D and offers physical activity perspectives for children with overweight and obesity., Study Registration: ISRCTN: https://doi.org/10.1186/ISRCTN62310987 ., What Is Known: • Studies have shown a positive association between vitamin D status and handgrip strength in older adults while studies in children and adolescents are scarce. • Conflicting results were found on whether overweight and obesity are associated with reduced or increased handgrip strength compared to normal weight., What Is New: • The results of this large pan-European study in children and adolescents indicate that a sufficient vitamin D status is associated with better handgrip strength, particularly in participants with thinness/normal weight. • Children with overweight and obesity have a higher handgrip strength as compared to children with thinness/normal weight which seems to superimpose the positive association between vitamin D status and handgrip strength in this group., Competing Interests: Declarations. Informed consent and ethics approval: Parents and children aged 12 years and older provided written informed consent before the start of the study while younger children gave oral consent. Ethics approval for the IDEFICS/I.Family studies was obtained from the following institutional review boards of all study centres: Ethics Committee of the Gent University Hospital, Belgium, 15/10/2007, ref: No. EC UZG 2007/243 and 19/02/2013, No. B670201316342; Cyprus National Bioethics Committee, Cyprus, 12/07/2007, ref: No. EEBK/EM/2007/16 and 21/Feb/2013, No. EEBK/ETI/2012/33; Tallinn Medical Research Ethics Committee, Estonia, 14/06/2007, ref: No. 1093 and 17/January 2013, No. 128; Ethic Commission of the University of Bremen, Germany, 16/01/2007 and 11/12/2012; Medical Research Council, Hungary, 21/Jun/2007, ref: 22–156/2007-1018EKU and 18/12/2012, 4536/2013/EKU; Ethics Committee of the Local Health Authority, Avellino, Italy, 19/06/2007, ref: No. 2/CE and 18/Sep/2012, No. 12/12; Ethics Committee for Clinical Research of Aragon, Spain, 20/06/2007, ref:No. PI07/13 and 13/Feb/2013, No. PI13/0012; Regional Ethics Research Board in Gothenburg, Sweden, 30/07/2007, ref: No. 264–07 and 10/Jan/2013, No. 927–12. The study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments. Conflict of interest: The authors declare no competing interests., (© 2025. The Author(s).)
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- 2025
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13. Environmental impact of peat alternatives in growing media for European mushroom production.
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Goglio P, Ponsioen T, Carrasco J, Tei F, Oosterkamp E, Pérez M, van der Wolf J, and Pyck N
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- Europe, Agriculture methods, Environment, Agaricales, Soil chemistry
- Abstract
Button mushrooms are an important protein source with a production of >48 million metric tonnes in 2021. Several life cycle assessments (LCAs) have been employed in assessing mushroom cultivation. This paper assessed potential impacts of relevant alternatives (sphagnum moss, grass fibres, spent casing and bark) to peat as casing materials for mushroom production across Europe by using LCA using a cradle to farm gate approach. Here, we: i) compared the environmental impacts of mushroom produced with different growing media across Europe ii) identified environmental hotspots across the value chains of mushroom growing media and iii) provide insights on the sustainability of mushroom growing media production. Two functional units have been used the kg and € of harvested mushrooms. Data were gathered from mushroom producers and casing processors across Europe. Changes in casing material for mushroom production caused environmental trade-offs, by reducing the resource use for fossil and by moderately changing (<7.7 %) all other impacts assessed here except the bark used as casing material which caused a reduction for all impact categories. Thus, each of the casing alternative material could substitute peat in mushroom production with limited environmental impacts if productivity does not decrease. LCA demonstrated advantages or disadvantages of replacing part of the peat casings by other alternatives (e.g., sphagnum moss, spent casing, grass fibre, bark). As switching to alternatives becomes more urgent in the near future, potential trade-offs, advantages and disadvantages of using less peat need to be identified using a broader range of alternatives., Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Pietro Goglio reports financial support was provided by H2020 Food Security Sustainable Agriculture and Forestry Marine Maritime and Inland Water Research and the Bioeconomy. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2025 The Authors. Published by Elsevier B.V. All rights reserved.)
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- 2025
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14. First detection and phylogenetic analysis of Trypanosoma species in European wolves and bears: discovery of novel haplotypes.
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Orłowska B, Świsłocka-Cutter M, Filip-Hutsch K, Młocicki D, Olszewski A, Asman M, Anusz K, and Werszko J
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- Animals, Europe, RNA, Ribosomal, 18S genetics, Trypanosomiasis veterinary, Trypanosomiasis parasitology, Phylogeny, Wolves parasitology, Wolves genetics, Haplotypes, Ursidae parasitology, Trypanosoma genetics, Trypanosoma classification, Trypanosoma isolation & purification
- Abstract
Wild carnivores may be important sources of emerging zoonotic pathogens worldwide, however, specific data concerning their presence in large carnivores are limited. The genus Trypanosoma (protozoan parasites) comprises numerous species adapted to all classes of vertebrates. This genus includes highly pathogenic species, such as T. brucei ssp., T. congolense or T. vivax. The aim of this study was to expand on the ecological or zoonotic significance of detecting Trypanosoma in large carnivores. Samples from free-living carnivores (n = 26) were collected. The diversity and occurrence of Trypanosoma species among wildlife in Europe were investigated through the analysis of 18S rRNA gene sequences. The phylogenetic analysis showed three new haplotypes of the 18S rRNA gene of Trypanosoma sp. isolated from two grey wolves (Canis lupus) and two brown bears (Ursus arctos). To the best of our knowledge, this this study represents the first detection of trypanosomes in large carnivores in Europe. The detection of Trypanosoma sp. was achieved through nested- PCR amplification. Furthermore, the identification of new haplotypes of these protozoan highlights variability within Trypanosoma sp., which could lead to the emergence of new, potentially more virulent variants of these parasites in wild animal populations, posing a potential threat to their health. Moreover, these findings underscore the need for further research to comprehensively understand the diversity, distribution, and potential impact of Trypanosoma species on the populations of large carnivores., Competing Interests: Declarations. Competing interests: The authors declare no competing interests. Ethical approval: The experimental protocols were approved by The Regional Director of Environmental Protection (license number: WPN.6401.105.2019.ŁL.1) and General Directorate of Environmental Protection in Poland (license number: DZP-WG.6401.1.2022.EB). All methods were carried out in accordance with relevant guidelines and regulations. All methods are reported in accordance with ARRIVE guidelines ( https://arriveguidelines.org ). Consent for publication: All authors have read and agreed to the published version of the manuscript., (© 2025. The Author(s).)
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- 2025
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15. Transition of clinical biomarker status from childhood into adolescence-A prospective study in children from eight European countries.
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Floegel A, Russo P, Veidebaum T, Tornaritis M, Molnár D, Lissner L, De Henauw S, Moreno LA, Ahrens W, Marron M, and Börnhorst C
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- Humans, Child, Male, Female, Europe epidemiology, Prospective Studies, Child, Preschool, Adolescent, C-Reactive Protein analysis, C-Reactive Protein metabolism, Glycated Hemoglobin analysis, Cholesterol, HDL blood, Triglycerides blood, Interleukin-6 blood, Ferritins blood, Biomarkers blood, Insulin-Like Growth Factor I analysis, Insulin-Like Growth Factor I metabolism, Leptin blood
- Abstract
Purpose: Understanding factors influencing clinical biomarkers is important for the prevention of chronic disease. This study aimed to estimate transitions of biomarker status from childhood to adolescence and to identify determinants of biomarker status in early life in a prospective children cohort., Subjects and Methods: Our sample comprised 1295 children participating in the baseline (2007/08) and second follow-up examination (2013/14) of the multi-center IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS)/I.Family study. Clinical blood biomarkers including glycated hemoglobin A1c (HbA1c), high-density lipoprotein cholesterol (HDL-cholesterol), triglycerides, C-reactive protein (CRP), interleukin 6, ferritin, leptin and insulin-like growth factor 1 (IGF-1) were repeatedly measured in 2007/2008 (age range: 3.0 to <10.0 years) and in 2013/2014. Latent transition analysis was used to estimate biomarker statuses and transition probabilities; determinants of biomarker status were estimated using mixed-effects models., Results: Four distinct biomarker statuses were identified: (1) "normal" (all biomarkers low/medium; except HDL-cholesterol; reference), (2) "low leptin/IGF-1/HbA1c", (3) "dyslipidemia/high leptin" and (4) "inflammation". Children classified as "low leptin/IGF-1/HbA1c" at baseline were most likely to stay in this status (89.8%) or to change to the "normal" status (10%) during follow-up. Compared to "normal" children, children classified as "low leptin/IGF-1/HbA1c" were less likely to have a family history of diabetes (0.26 [0.08;0.86]; odds ratio (OR) and 95% confidence interval) or hypertension (0.53 [0.29;0.99]) and the children (0.32 [0.27;0.38]) as well as their mothers (0.93 [0.88;0.98]) had a lower BMI. Children from families with low/medium education had a 55% [9%-119%] higher risk of being in the "dyslipidemia/high leptin" and 49% [1%-121%] higher risk of being in the "inflammation" status as compared to children in the "normal" status. Membership in a sports club reduced the latter risks by 28% [2%-47%] and 40% [17%-56%], respectively., Conclusions: European children showed distinct phenotypes for the investigated biomarkers. Especially parental characteristics like a family history of diabetes or hypertension, a high maternal BMI, or low/medium education were associated with unfavorable biomarker status in children., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2025 Floegel et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2025
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16. A reform of value-added taxes on foods can have health, environmental and economic benefits in Europe.
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Springmann M, Dinivitzer E, Freund F, Jensen JD, and Bouyssou CG
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- Europe, Humans, Food economics, Vegetables economics, Fruit economics, Environment, Diet economics, Meat economics, Dairy Products economics, Taxes economics
- Abstract
Fiscal policies can provide important incentives for encouraging the dietary changes needed to achieve global policy targets. Across Europe, the foods relevant to health and the environment often incur reduced but non-zero value-added tax (VAT) rates at about half the maximum rates, which allows for providing both incentives and disincentives. Integrating economic, health and environmental modelling, we show that reforming VAT rates on foods, including increasing rates on meat and dairy, and reducing VAT rates on fruits and vegetables can improve diets and result in health, environmental and economic benefits in most European countries. The health improvements were primarily driven by reductions in VAT rates on fruits and vegetables, whereas most of the environmental and revenue benefits were driven by increased rates on meat and dairy. Our findings suggest that differentiating VAT rates based on health and environmental considerations can support changes towards healthier and more sustainable diets in Europe., Competing Interests: Competing interests: The authors declare no competing interests., (© 2025. The Author(s).)
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- 2025
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17. Perspectives in cattle reproduction for the next 20 years - A European context.
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Pascottini OB, Crowe AD, Ramil UY, Hostens M, Opsomer G, and Crowe MA
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- Animals, Cattle physiology, Europe, Female, Animal Husbandry methods, Animal Husbandry trends, Male, Reproductive Techniques, Assisted veterinary, Reproductive Techniques, Assisted trends, Dairying methods, Dairying trends, Reproduction physiology
- Abstract
Following a significant increase in herd and farm sizes after the removal of milk quotas in Europe, the past 10 years have seen a slight yet steady decline in the population of cattle. This includes a reduction of approximately 5 % in dairy and beef cattle. This trend is driven by various factors, such as changing market demands, economic shifts, and sustainability challenges in the livestock sector. Despite this, technological advancements in reproductive management have continued to enhance efficiency and sustainability, particularly in dairy production. The main areas of rapid development, which will continue to grow for improving fertility and management, include: i) genetic selection (including improved phenotypes for use in breeding programs), ii) nutritional management (including transition cow management), iii) control of infectious disease, iv) rapid diagnostics of reproductive health, v) development of more efficient ovulation/estrous synchronization protocols, vi) assisted reproductive management (and automated systems to improve reproductive management), vii) increased implementation of sexed semen and embryo transfer, viii) more efficient handling of substantial volumes of data, ix) routine implementation of artificial intelligence technology for rapid decision-making at the farm level, x) climate change and sustainable cattle production awareness, xi) new (reproductive) strategies to improve cattle welfare, and xii) improved management and technology implementation for male fertility. This review addresses the current status and future outlook of key factors that influence cattle herd health and reproductive performance, with a special focus on dairy cattle. These insights are expected to contribute to improved performance, health, and fertility of ruminants in the next 20 years., Competing Interests: Competing interests The authors declare that they have no competing interests., (Copyright © 2024. Published by Elsevier Inc.)
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- 2025
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18. Development and Validation of Healthy and Unhealthy Plant-Based Diet Propensity Scores in European Children, Adolescents and Adults From the I.Family Study.
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Masip G, Goerdten J, Asif T, Hebestreit A, Hunsberger M, Lissner L, Molnar D, Pala V, Russo P, Tornaritis M, Veidebaum T, Wolters M, Moreno LA, and Bogl LH
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- Humans, Female, Male, Cross-Sectional Studies, Adolescent, Child, Europe, Adult, Diet, Vegetarian statistics & numerical data, Young Adult, Middle Aged, Diet Surveys, Propensity Score, Feeding Behavior, Reproducibility of Results, Diet, Plant-Based, Diet, Healthy statistics & numerical data
- Abstract
Introduction: Plant-based dietary patterns may reduce the risk of chronic diseases, but their benefits and risks in younger populations remain unclear due to variations in diet quality and nutrient adequacy. Robust tools to assess adherence to these patterns are essential. The aim of this study was to develop and validate three plant-based diet propensity (PBDP) scores - overall, healthy and unhealthy - to capture plant-based dietary patterns and assess their associations with nutrient intakes and health indicators in children, adolescents and adults., Methods: This cross-sectional study of children, adolescents and adults used data from the I.Family study (n = 15,780 participants) from eight European countries. Dietary intake was assessed using a food frequency questionnaire. The overall PBDP score was constructed by categorising all plant-based food groups as positive and animal-based food groups as negative. The healthy PBDP emphasised healthy plant-based food groups, whereas the unhealthy PBDP emphasised less healthy plant-based food groups. Validity was assessed through correlations with nutrient intakes and comparison across demographic groups. Associations with health indicators were also analysed., Results: PBDP scores showed expected associations with nutrient intakes. Higher overall and healthy PBDP scores were observed in females, adults, individuals with higher parental educational levels and those from Belgium and Spain. The healthy PBDP score was associated with higher HDL cholesterol, improved bone stiffness and lower triglycerides. The unhealthy PBDP score was associated with lower HDL cholesterol in adults, but not in children or adolescents., Conclusion: PBDP scores describe plant-based dietary patterns across demographic groups and are valid and reliable in adults. The findings highlight challenges in assessing dietary patterns in children and adolescents. Future research should address these challenges to enhance the validity of PBDP scores in younger populations and further explore their potential in guiding dietary recommendations across all age groups., (© 2025 The British Dietetic Association Ltd.)
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- 2025
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19. DMI fungicide resistance in Zymoseptoria tritici is unlinked to geographical origin and genetic background: a case study in Europe.
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Oreiro EG, Samils B, Kildea S, Heick T, Hellin P, Legrève A, Rodemann B, Berg G, Jørgensen LN, Friberg H, Berlin A, Zhan J, and Andersson B
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- Europe, Plant Diseases microbiology, Sterol 14-Demethylase genetics, 14-alpha Demethylase Inhibitors pharmacology, Fungal Proteins genetics, Ascomycota drug effects, Ascomycota genetics, Drug Resistance, Fungal genetics, Fungicides, Industrial pharmacology, Triticum microbiology
- Abstract
Background: The hemibiotrophic fungus Zymoseptoria tritici causing Septoria tritici blotch (STB), is a devastating foliar pathogen of wheat worldwide. A common group of fungicides used to control STB are the demethylation inhibitors (DMIs). DMI fungicides restrict fungal growth by inhibiting the sterol 14-α-demethylase, a protein encoded by CYP51 gene and essential for maintaining fungal cell permeability. However, the adaptation of Z. tritici populations in response to intensive and prolonged DMI usage has resulted in a gradual shift towards reduced sensitivity to this group of fungicides. In this study, 311 isolates were collected pre-treatment from nine wheat-growing regions in Europe in 2019. These isolates were analysed by high-throughput amplicon-based sequencing of nine housekeeping genes and the CYP51 gene., Results: Analyses based on housekeeping genes and the CYP51 gene revealed a lack of population structure in Z. tritici samples irrespective of geographical origin. Minimum spanning network (MSN) analysis showed clustering of multilocus genotypes (MLGs) based on CYP51 haplotypes, indicating an effect of selection due to DMI fungicide use. The majority of the haplotypes identified in this study have been reported previously. The diversity and frequencies of mutations varied across regions., Conclusion: Using a high-throughput amplicon-sequencing approach, we found several mutations in the CYP51 gene combined in different haplotypes that are likely to cause fungicide resistance. These mutations occurred irrespective of genetic background or geographical origin. Overall, these results contribute to the development of effective and sustainable risk monitoring for DMI fungicide resistance. © 2024 The Author(s). Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry., (© 2024 The Author(s). Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.)
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- 2025
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20. Bluetongue virus serotype 12 in sheep and cattle in the Netherlands in 2024 - A BTV serotype reported in Europe for the first time.
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van den Brom R, Santman-Berends I, van der Heijden MG, Harders F, Engelsma M, van Gennip RGP, Maris-Veldhuis MA, Feddema AJ, Peterson K, Golender N, Spierenburg M, van Rijn PA, and Holwerda M
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- Animals, Sheep, Netherlands epidemiology, Cattle, Cattle Diseases virology, Cattle Diseases epidemiology, Cattle Diseases prevention & control, Viral Vaccines immunology, Retrospective Studies, Vaccination veterinary, Europe epidemiology, Bluetongue virus classification, Bluetongue virus genetics, Bluetongue virus isolation & purification, Bluetongue virus immunology, Bluetongue epidemiology, Bluetongue virology, Bluetongue prevention & control, Serogroup
- Abstract
Bluetongue (BT) is a viral vector borne disease primarily affecting ruminants such as sheep, cattle, and goats. On 3 September 2023, the Netherlands reported the first case of bluetongue virus serotype 3 (BTV-3/NET2023)), after being BTV free for eleven years. Vaccination with inactivated BT vaccines for serotype 3 has been applied in the Netherlands since May 2024. Nonetheless, in late June/July 2024, BTV-3 re-emerged and spread over large parts of Europe. In October 2024, BTV-12 was identified by follow-up diagnostics after a BTV-3 vaccinated sheep with signs of BT was tested positive for BTV but negative for serotype 3. This marks a significant event, as BTV-12 had never been reported in Europe. Screening of farms in close proximity to the sheep farm and retrospective analysis of samples from clinically affected animals that were panBTV PCR positive resulted in the detection of nine BTV-12 affected farms in total. The emergence of BTV-12 in the Netherlands raises important questions about the route of introduction of BT in the Netherlands and mechanisms of viral spread of this specific serotype. Possible adaptation of new BTV serotypes to the European climatic and husbandry conditions prompts reconsideration of prevention, surveillance, and control strategies in relation to changing ecological conditions and vector dynamics. The initial findings, respective studies as well as the initial attempts to trace the origin of BTV-12/NET2024 are described., Competing Interests: Declaration of Competing Interest The authors declare that they have no conflicts of interest., (Copyright © 2025 The Authors. Published by Elsevier B.V. All rights reserved.)
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- 2025
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21. Geochemical insights into plant uptake of Technology-critical elements: A case study on lettuce from European soils.
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Qvarforth A, Svensson PA, Lundgren M, Rodushkin I, Engström E, Paulukat C, Hough RL, Moreno-Jiménez E, Beesley L, Trakal L, and Augustsson A
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- Europe, Environmental Monitoring methods, Metals metabolism, Metals analysis, Cadmium metabolism, Cadmium analysis, Lactuca metabolism, Soil Pollutants analysis, Soil Pollutants metabolism, Soil chemistry
- Abstract
While vegetable uptake of traditional metal contaminants is a well-studied pathway to human exposure and risk, a paucity of information exists on the uptake of emerging metal contaminants. This study evaluated the uptake of the Technology-critical elements (TCEs) gallium (Ga), germanium (Ge), niobium (Nb), tantalum (Ta), thallium (Tl), and rare earth elements (REEs) into lettuce cultivated in 21 European urban soils. For comparison, the uptake of cadmium (Cd) was also analysed. First, the uptake was predicted by multiplying soil concentrations with previously established bioconcentration factors (BCFs). Subsequently, multiple regression models incorporating geochemical variables as predictors were used to determine whether prediction accuracy could be improved. A "3-predictor model" incorporated soil TCE concentration, pH, and organic matter (OM), and a "7-predictor model" added data on clay content and the soil concentrations of Fe, Al, and Mn as well. With the exception of Cd, Ge, and Tl, the BCF approach provided unsatisfactory predictions (R
2 < 0.5), while the 7-predictor models yielded the best predictions, even when accounting for the greater number of predictors. While the most important predictors of uptake varied somewhat between the TCEs, the concentrations of TCEs in the soil generally explained the largest proportion of the variation. The least influential predictors in our dataset were [Mnsoil ], [Fesoil ], and soil OM. Incorporating geochemical data generally improved the predictions of uptake by lettuce, and these findings underscore the need for more detailed characterisations of the uptake potential of TCEs by food plants and subsequent consequences for human health., Competing Interests: Declaration of competing interest The authors declare no conflict of interest., (Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved.)- Published
- 2025
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22. Dietary patterns among European children and their association with adiposity-related outcomes: a multi-country study.
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Warkentin S, Stratakis N, Fabbri L, Wright J, Yang TC, Bryant M, Heude B, Slama R, Montazeri P, Vafeiadi M, Grazuleviciene R, Brantsæter AL, and Vrijheid M
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- Humans, Child, Male, Female, Adolescent, Europe epidemiology, Diet statistics & numerical data, Body Mass Index, Dietary Patterns, Adiposity physiology, Pediatric Obesity epidemiology, Feeding Behavior
- Abstract
Background/objective: Children's diets in school-age are inherently unhealthy, with few meeting dietary recommendations. Yet, little is known about similarities and differences on dietary patterns across countries and their association with obesity. We aimed to derive dietary patterns in childhood and explore their association with adiposity-related outcomes in childhood and adolescence., Subjcts/methods: This study included data from six European countries (Spain, France, UK, Greece, Lithuania and Norway) during childhood (n = 1597) and adolescence (n = 803). Using a food frequency questionnaire, we derived data-driven dietary patterns through exploratory factor analyses and calculated the Mediterranean KIDMED index. We assessed body mass index z-score (zBMI), fat mass proportion and waist-to-height ratio at both visits. Associations were estimated using generalized linear regressions, adjusted for key-confounders., Results: "Meat", "Dairy", "Western", "Healthy" and "Sweets and fats" dietary patterns were derived. Norwegian children showed better diet quality, with higher consumption of fruits and vegetables, and highest "Healthy pattern" adherence, and Lithuanian children, the worst, with higher sweets consumption, and highest "Western pattern" adherence. Children with lower intake of healthy foods (vegetables, fruits, fish) tended to have higher adiposity, e.g., children with average or low "Healthy pattern" adherence (vs. high) had higher fat mass proportion in childhood (average: β (95% CI) 1.44 (0.48; 2.39), low: 1.10 (0.09; 2.12)). Low adherence to a "Healthy pattern" (vs. high) was associated with increased adolescent zBMI, and child and adolescent waist-to-height ratio. Low "Dairy pattern" adherence (vs. high), was associated with lower zBMI and fat mass in childhood, but not in adolescence. No significant associations were seen with the KIDMED index., Conclusions: Many European children have poor diets and a low adherence to a healthy diet pattern may be of concern for adiposity-related outcomes. Assessment of children's dietary patterns can help tailor dietary advice and provide support for families aiming to prevent future excess weight gain., Competing Interests: Competing interests: The authors declare no competing interests., (© 2024. The Author(s).)
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- 2025
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23. Ancient genomics and the origin, dispersal, and development of domestic sheep.
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Daly KG, Mullin VE, Hare AJ, Halpin Á, Mattiangeli V, Teasdale MD, Rossi C, Geiger S, Krebs S, Medugorac I, Sandoval-Castellanos E, Özbaşaran M, Duru G, Gülcür S, Pöllath N, Collins M, Frantz L, Vila E, Zidarov P, Stoddart S, Boldgiv B, Orlando L, Pearson MP, Mullville J, Askeyev IV, Askeyev AO, Askeyev OV, Shaymuratova DN, Van den Hurk Y, Zeeb-Lanz A, Arbogast RM, Hemmer H, Davoudi H, Amiri S, Doost SB, Decruyenaere D, Fathi H, Khazaeli R, Hassanzadeh Y, Sardari A, Lhuillier J, Abdolahi M, Summers GD, Marro C, Bahshaliyev V, Berthon R, Çakirlar C, Benecke N, Scheu A, Burger J, Sauer E, Horwitz LK, Arbuckle B, Buitenhuis H, Gourichon L, Bulatović J, O'Connor T, Orton D, Jalabadze M, Rhodes S, Chazan M, Özkaya V, Zeder M, Atıcı L, Mashkour M, Peters J, and Bradley DG
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- Animals, Humans, Sheep genetics, Europe, History, Ancient, Genomics, Sheep, Domestic genetics, Genome, DNA, Ancient analysis
- Abstract
The origins and prehistory of domestic sheep ( Ovis aries ) are incompletely understood; to address this, we generated data from 118 ancient genomes spanning 12,000 years sampled from across Eurasia. Genomes from Central Türkiye ~8000 BCE are genetically proximal to the domestic origins of sheep but do not fully explain the ancestry of later populations, suggesting a mosaic of wild ancestries. Genomic signatures indicate selection by ancient herders for pigmentation patterns, hornedness, and growth rate. Although the first European sheep flocks derive from Türkiye, in a notable parallel with ancient human genome discoveries, we detected a major influx of Western steppe-related ancestry in the Bronze Age.
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- 2025
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24. A Systematic Literature Review of Variables Associated with the Occurrence of African Swine Fever.
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Dhollander S, Chinchio E, Tampach S, Mur L, Méroc E, Thulke HH, Cortiñas JA, Boklund AE, Stahl K, and Stegeman JA
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- Animals, Swine, Europe epidemiology, Genotype, African Swine Fever epidemiology, African Swine Fever virology, African Swine Fever Virus genetics, Sus scrofa
- Abstract
Since African swine fever virus (ASFV) genotype II reached Europe in 2007 and has widely spread, causing important economic losses to the pig production sector. To guide policy and management actions, robust quantitative evidence about possible explanatory variables associated with ASF in domestic pigs and Eurasian wild boar ( Sus scrofa ) is needed. To this aim, a systematic literature review of the scientific evidence available on variables analysed through quantitative methods investigating their possible association with ASF occurrence was carried out in 2021 and updated in 2024. Information on article metadata, study settings, and details of the analysed variables were extracted from the identified articles. The variables were structured in categories and subcategories, and their frequencies were evaluated, as well as the proportions of the studied variables that proved significant in each subcategory. The literature search retrieved 569 articles, resulting in 48 inclusions in the review after application of the selection criteria. The categories of variables most often significantly associated with the occurrence of ASF in domestic pigs were related to the ASF virus infection pressure in the area, socio-economic factors (mainly human population density and poverty), the pig farming system (pig or farm density and certain biosecurity practises), and wild boar habitats. For wild boars, these were also variables related to ASFV infection pressure in the area, wild boar habitats (mainly climatic conditions, vegetation, waterbodies), and socio-economic factors (especially human population and poverty-related variables). Despite the many studies of variables possibly associated with ASF occurrence, the review identified a gap in quantitative observational studies focusing on manageable variables, i.e., those related to specific biosecurity measures applied to pig farms and during hunting. To allow for a meta-analysis of the results, these studies should be performed according to standardised protocols using harmonised data collections.
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- 2025
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25. Entry Points, Barriers, and Drivers of Transformation Toward Sustainable Organic Food Systems in Five Case Territories in Europe and North Africa.
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Góralska-Walczak R, Stefanovic L, Kopczyńska K, Kazimierczak R, Bügel SG, Strassner C, Peronti B, Lafram A, El Bilali H, and Średnicka-Tober D
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- Humans, Africa, Northern, Europe, Male, Female, Adult, Denmark, Organic Agriculture methods, Food, Organic, Sustainable Development, Food Supply
- Abstract
Background: The organic sector is often suggested as a lever with a potential for contributing to the three dimensions of sustainability: social, environmental, and economic. This study aims to investigate selected organic initiatives and organic food sectors in different locations, such as capital cities, rural areas, and the bio-district in SysOrg project consortium, in the Warsaw municipality in Poland, North Hessia region in Germany, Cilento bio-district in Italy, Kenitra province in Morocco, and Copenhagen municipality in Denmark to uncover the diverse drivers, barriers, and entry points to enable a transformation process to resilient and sustainable organic food systems. Methods: Following the methodology of the SysOrg project, this study relied on the following mixed data collection methods: quantitative (a household survey distributed among citizens) and qualitative (semi-structured interviews with organized initiatives). Results: The results demonstrate that, despite being in different stages of development in the investigated territories, the organic sector is challenged by similar barriers (e.g., undeveloped market, regulatory/budgetary constraints, and lack of knowledge and awareness) and benefits from analogous drivers (e.g., awareness and education, community support, and incentives). Conclusions: Those similarities, but also analyses of their differences and origins, allowed us to establish critical entry points for the development of a sustainable organic food system, e.g., promoting organics through a top-down approach, providing training and education, reducing information delay, popularizing negative feedback, strengthening the effectiveness of a given incentives scheme by tailored nudging mechanisms, establishing country/regional specific traditional frames, making the system more inclusive, building organic communities, and awareness-building.
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- 2025
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26. Cross-National Survey About Nutrition and Nutrition Communication Among Older Adults Aged 60 Years and Above.
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Juber J, Montez De Sousa ÍR, Kreher J, Rademacher C, and Brombach C
- Subjects
- Humans, Aged, Male, Female, Middle Aged, Aged, 80 and over, Nutrition Surveys, Feeding Behavior, Germany, Spain, France, Diet, Mediterranean statistics & numerical data, Switzerland, Diet statistics & numerical data, Europe, Diet, Healthy statistics & numerical data, Diet, Western, Food Preferences, Nutritional Status
- Abstract
Background/Objectives: The global population is undergoing a significant demographic shift characterised by an increasing proportion of older individuals. Healthy aging has become a priority for personal well-being and sustainable healthcare systems, with nutrition playing a pivotal role. However, the rise in non-communicable diseases (NCDs), malnutrition, and a shift in eating behaviour underscore the need for tailored, effective nutrition communication strategies. This research is intended to provide the basic data needed to support the development of tailored nutritional communication strategies and practices. Methods: To investigate these aspects, a cross-national survey about nutrition and nutrition communication was conducted within the framework of the Innovative Training Network SmartAge, focusing on older adults aged 60 years and above in Germany, Switzerland, Spain, and France (each 25%; N = 1000 persons). This paper specifically focuses on the development, methodology, and discussion of the survey and aims to investigate the characteristics of the sample in relation to their dietary patterns and food choices within the European context. Results: The analysis identified significant associations between various plant- and animal-based food items and the variables gender, age group, and country. Spanish participants showed a dietary pattern towards the Mediterranean Diet, while German participants showed tendencies towards the Western Diet. Furthermore, the findings revealed that protein-rich foods such as meat, fish, nuts and seeds, legumes, and (whole) grains were infrequently consumed, particularly among German and Swiss participants. Conclusions: This study highlights the need to promote adequate protein intake among older adults, emphasising diverse sources like legumes, nuts and seeds, (whole) grains, and lean meats to support healthy aging. For the development of future nutrition communication strategies, the influence of the specific social, cultural, and traditional factors needs to be considered.
- Published
- 2025
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27. Multi-omics architecture of childhood obesity and metabolic dysfunction uncovers biological pathways and prenatal determinants.
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Stratakis N, Anguita-Ruiz A, Fabbri L, Maitre L, González JR, Andrusaityte S, Basagaña X, Borràs E, Keun HC, Chatzi L, Conti DV, Goodrich J, Grazuleviciene R, Haug LS, Heude B, Yuan WL, McEachan R, Nieuwenhuijsen M, Sabidó E, Slama R, Thomsen C, Urquiza J, Roumeliotaki T, Vafeiadi M, Wright J, Bustamante M, and Vrijheid M
- Subjects
- Humans, Female, Pregnancy, Child, Male, Risk Factors, Transcriptome, Europe epidemiology, Body Mass Index, Child, Preschool, Environmental Pollutants toxicity, Exposome, Multiomics, Pediatric Obesity metabolism, Pediatric Obesity genetics, Prenatal Exposure Delayed Effects metabolism
- Abstract
Childhood obesity poses a significant public health challenge, yet the molecular intricacies underlying its pathobiology remain elusive. Leveraging extensive multi-omics profiling (methylome, miRNome, transcriptome, proteins and metabolites) and a rich phenotypic characterization across two parts of Europe within the population-based Human Early Life Exposome project, we unravel the molecular landscape of childhood obesity and associated metabolic dysfunction. Our integrative analysis uncovers three clusters of children defined by specific multi-omics profiles, one of which characterized not only by higher adiposity but also by a high degree of metabolic complications. This high-risk cluster exhibits a complex interplay across many biological pathways, predominantly underscored by inflammation-related cascades. Further, by incorporating comprehensive information from the environmental risk-scape of the critical pregnancy period, we identify pre-pregnancy body mass index and environmental pollutants like perfluorooctanoate and mercury as important determinants of the high-risk cluster. Overall, our work helps to identify potential risk factors for prevention and intervention strategies early in the life course aimed at mitigating obesity and its long-term health consequences., Competing Interests: Competing interests: The authors declare no competing interests., (© 2025. The Author(s).)
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- 2025
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28. A meta-analysis of epigenome-wide association studies of ultra-processed food consumption with DNA methylation in European children.
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Llauradó-Pont J, Stratakis N, Fiorito G, Handakas E, Neumann A, Barros H, Brantsæter AL, Chang K, Chatzi L, Felix JF, Grazuleviciene R, Jaddoe VWV, Karachaliou M, Lecorguillé M, Lopes C, Millett C, McEachan RRC, Papadopoulou E, Slama R, Vamos EP, Vineis P, Vrijheid M, Wright J, Voortman T, Bustamante M, Robinson O, and Lassale C
- Subjects
- Humans, Child, Child, Preschool, Male, Female, Europe, Epigenome genetics, CpG Islands genetics, Fast Foods statistics & numerical data, Diet statistics & numerical data, Food, Processed, DNA Methylation genetics, Genome-Wide Association Study methods, Epigenesis, Genetic genetics
- Abstract
Background/objective: There is limited knowledge on how diet affects the epigenome of children. Ultra-processed food (UPF) consumption is emerging as an important factor impacting health, but mechanisms need to be uncovered. We therefore aimed to assess the association between UPF consumption and DNA methylation in children., Methods: We conducted a meta-analysis of epigenome-wide association studies (EWAS) from a total of 3152 children aged 5-11 years from four European studies (HELIX, Generation XXI, ALSPAC, and Generation R). UPF consumption was defined applying the Nova food classification system (group 4), and DNA methylation was measured in blood with Illumina Infinium Methylation arrays. Associations were estimated within each cohort using robust linear regression models, adjusting for relevant covariates, followed by a meta-analysis of the resulting EWAS estimates., Results: Although no CpG was significant at FDR level, we found suggestive associations (p-value < 10
-5 ) between UPF consumption and methylation at seven CpG sites. Three of them, cg00339913 (PHYHIP), cg03041696 (intergenic), and cg03999434 (intergenic), were negatively associated, whereas the other four, cg14665028 (NHEJ1), cg18968409 (intergenic), cg24730307 (intergenic), and cg09709951 (ATF7), were positively associated with UPF intake. These CpGs have been previously associated with health outcomes such as carcinomas, and the related genes are mainly involved in pathways related to thyroid hormones and liver function., Conclusion: We only found suggestive changes in methylation at 7 CpGs associated with UPF intake in a large EWAS among children: although this shows a potential impact of UPF intake on DNAm, this might not be a key mechanism underlying the health effects of UPFs in children. There is a need for more detailed dietary assessment in children studies and of intervention studies to assess potential epigenetic changes linked to a reduction in UPF in the diet., Competing Interests: Declarations. Ethics approval and consent to participate: Detailed information about the ethical approvals and the consent procedures for each cohort study can be found in the supplemental materials S1 accompanying this manuscript. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests., (© 2024. The Author(s).)- Published
- 2025
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29. Antimicrobial susceptibility profiles of Mycoplasma hyosynoviae strains isolated from five European countries between 2018 and 2023.
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Klein U, Földi D, Nagy EZ, Tóth L, Belecz N, Költő K, Wehmann E, Marton S, Merenda M, Gastaldelli M, Catania S, Spergser J, Siesenop U, Vyt P, Bányai K, Kreizinger Z, Depondt W, and Gyuranecz M
- Subjects
- Animals, Swine, Europe, Swine Diseases microbiology, Tylosin pharmacology, Tylosin analogs & derivatives, Lincomycin pharmacology, Hungary, Germany, Italy, Doxycycline pharmacology, Diterpenes pharmacology, Austria, Belgium, Microbial Sensitivity Tests, Anti-Bacterial Agents pharmacology, Mycoplasma Infections microbiology, Mycoplasma Infections drug therapy, Mycoplasma Infections veterinary, Mycoplasma hyosynoviae drug effects
- Abstract
Mycoplasma (M.) hyosynoviae is a facultative pathogen, causing arthritis in finisher pigs world-wide. In the absence of a commercial vaccine improvement of housing conditions and antibiotic therapy are the only options to alleviate the clinical signs. This study aimed to determine antibiotic susceptibility profiles of 106 M. hyosynoviae isolates against ten antibiotics licensed for veterinary use in cases of arthritis. The isolates were collected between 2018 and 2023 from five European countries: Austria (n = 20), Belgium (n = 20), Germany (n = 25), Hungary (n = 21) and Italy (n = 20). The minimal inhibitory concentrations (MIC) were determined by broth micro-dilution assay. The tested isolates were highly susceptible to tiamulin (MIC
90 ≤ 0.039 µg/ml), tylvalosin (MIC90 ≤ 0.039 µg/ml) and lincomycin (MIC90 ≤ 0.25 µg/ml). Low concentrations of tylosin (MIC90 0.5 µg/ml) and tilmicosin (MIC90 1 µg/ml) inhibited the growth of the isolates. While moderate minimal inhibitory concentrations were detected for doxycycline (MIC90 0.312 µg/ml), oxytetracycline (MIC90 2 µg/ml), enrofloxacin (MIC90 0.625 µg/ml) and florfenicol (MIC90 2 µg/ml), only high concentrations of tulathromycin (MIC90 64 µg/ml) inhibited the growth of the isolates. Statistical analysis revealed significant differences between countries in case of enrofloxacin, where the Hungarian isolates showed the lowest MIC values, and the German isolates the highest MIC values among the tested countries. Our results show that European M. hyosynoviae isolates are generally susceptible to the tested antibiotics with the exception of tulathromycin. The country specific differences indicate the importance of regular susceptibility testing of isolates on a Pan-European level., Competing Interests: Declarations. Competing interests: I have read the journal’s policy and the authors of this manuscript have the following competing interests: U. Klein and W. Depondt are the employees of Huvepharma® NV, the producer of various veterinary antibiotic products., (© 2025. The Author(s).)- Published
- 2025
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30. Method to define recommended portion sizes for consumer guidance.
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Eldridge AL, Kotzakioulafi E, Debras C, Tsai LT, Meijer GW, Salesse F, and Gibney ER
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- Humans, Australia, Europe, Serving Size, Energy Intake, Nutritive Value, Food Labeling standards, Food Labeling methods, Recommended Dietary Allowances, Portion Size standards, Nutrition Policy
- Abstract
Purpose: Provision of nutrition information is mandated for packaged foods, but few countries regulate serving sizes. Our objective was to develop a methodology to establish globally consistent portion size recommendations for both nutrient-dense and discretionary foods., Methods: A stepwise systematic approach incorporated portion values from serving size regulations (n = 10), food-based dietary guidelines (FBDG; n = 90, aggregated into 6 regions), and reported food intakes from Europe and Australia. Global Portion Values (GPVs) for 50 food groups were derived as the median of all data inputs. Consistency was evaluated using 25th and 75th percentiles and dispersion of input values (percent of median absolute deviations (MAD)/median)., Results: GPVs were calculated for 50 food groups organized into nine food categories: Milk/Dairy (n = 6 food groups), Protein Foods (n = 5), Mixed Dishes (n = 4), Grains (n = 7), Fruits/Vegetables (n = 5), Snacks/Sweets (n = 12), Sauces/Condiments (n = 5), Fats/Oils/Sugars (n = 4) and Beverages (n = 2). Data inputs for each portion value ranged from 6 to 18; only 4 foods had < 10 inputs; 21 had ≥ 15. Dispersion ranged from 0 to 33%; 88% of GPVs were considered "consistent" (dispersion < 25%) and 9 groups had 0% variation, indicating high consistency. Example GPVs include: 240mL for milk (16 inputs, 8% dispersion); 90 g for meat/poultry/fish main dishes (16 inputs, 13% dispersion); 50 g for bread/rolls (18 inputs, 20% dispersion); 130 g for canned vegetables (10 inputs, 2% dispersion); 30 g for chocolate (15 inputs, 17% dispersion); and 250mL for soft drinks (17 inputs, 20% dispersion)., Conclusions: This standardized approach provides clear and consistent portion recommendations that, if adopted, could help consumers make informed choices about appropriate portions., (© 2024. The Author(s).)
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- 2025
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31. Assessment of whole-site methane emissions from anaerobic digestion plants: Towards establishing emission factors for various plant configurations.
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Wechselberger V, Hrad M, Bühler M, Kupper T, Spangl B, Fredenslund AM, Huber-Humer M, and Scheutz C
- Subjects
- Anaerobiosis, Waste Disposal, Fluid methods, Air Pollutants analysis, Europe, Wastewater, Manure, Methane analysis, Methane metabolism, Biofuels analysis
- Abstract
This study examines methane (CH
4 ) emission factors from biogas and wastewater treatment plants, based on primary and secondary data collected from 109 facilities. Primary emission data were measured at 19 facilities representing prevalent plant configurations across Europe. Statistical analysis highlights two categorical variables, namely primary feedstock and plant size, expressed as CH4 production (≤250 kgh-1 : small and medium-sized plants, >250 kgh-1 : large plants), each of which has a significant impact on whole-site CH4 emissions. Additionally, digestate storage (gastight vs. not-gastight) has a meaningful effect when considering CH4 production as a continuous variable in the statistical analysis. Our results indicate that wastewater treatment plants have the highest average CH4 losses (7.0 % of CH4 produced, n = 31 or 0.10 kgpopulation equivalent(PE)-1 yr-1 , n = 28), followed by manure-based plants (3.7 %, n = 49), biowaste treatment facilities (2.8 %, n = 11) and energy crop-processing plants (1.9 %, n = 14). Furthermore, small and medium-sized plants have elevated emissions (5.6 %, n = 67) compared to larger counterparts (2.2 %, n = 42), primarily attributed to the absence of gastight digestate storage. Emissions tend to be lower with gastight digestate storage (2.7 %, n = 61) than not-gastight storage options (6.2 %, n = 48). Emission factors were determined for normal operating conditions, with a further investigation into other-than-normal operating conditions revealing temporal or constant emission peaks in eight out of 19 facilities. These peaks, suggesting potential areas for targeted mitigation strategies, were attributed to pressure relief valves, flare ignition problems and major leakages., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)- Published
- 2025
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32. Food Supplements Marketed Worldwide: A Comparative Analysis Between the European and the U.S. Regulatory Frameworks.
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Zovi A, Vitiello A, Sabbatucci M, Musazzi UM, Sagratini G, Cifani C, and Vittori S
- Subjects
- United States, Humans, Food Safety, Europe, Dietary Supplements standards, European Union, Legislation, Food
- Abstract
In recent decades, a new health paradigm emerged which increasingly places diet and nutrition at the center of citizens' healthcare. The resulting evolution of the food market has prompted country governments to adapt their regulatory frameworks to ensure product safety and preserve the health of citizens. Dietary supplements (DS) are products which are increasingly occupying a significant market share in Western countries, contributing to meeting the nutritional and physiological needs of a large portion of the global population. Food supplements must be safe for use by the final consumer who has access to the global market, but currently they are framed by a different legislation worldwide. This search aimed of comparing the legislative frameworks currently in force in the European Union (EU) and in the United States (USA), the two main markets in which DS are purchased, to focus on the strengths, similarities and possible shortcomings, against the backdrop of a global market which often transcends the regulatory barriers of individual countries. Both in the EU and the USA, food supplements are governed by specific regulations to ensure their safety and quality. However, the regulatory approaches differ sharply in some cases. It is expected that more and more operators will launch new DS in Western markets. As a result, it is crucial for competent authorities in food safety to deepen and develop additional regulatory tools aimed to control and safeguard the DS market.
- Published
- 2025
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33. Wheat field earthworms under divergent farming systems across a European climate gradient.
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Nuutinen V, Briones MJI, Schrader S, Dekemati I, Grujić N, Hyvönen J, Ivask M, Lassen SB, Lloret E, Ollio I, Pérez-Rodríguez P, Simon B, Sutri M, de Sutter N, Brandt KK, Peltoniemi K, Shanskiy M, Waeyenberge L, Martínez-Martínez S, and Fernández-Calviño D
- Subjects
- Animals, Europe, Soil chemistry, Oligochaeta physiology, Triticum, Climate, Agriculture methods
- Abstract
Earthworms are a key faunal group in agricultural soils, but little is known on how farming systems affect their communities across wide climatic gradients and how farming system choice might mediate earthworms' exposure to climate conditions. Here, we studied arable soil earthworm communities on wheat fields across a European climatic gradient, covering nine pedo-climatic zones, from Mediterranean to Boreal (S to N) and from Lusitanian to Pannonian (W to E). In each zone, 20-25 wheat fields under conventional or organic farming were sampled. Community metrics (total abundance, fresh mass, and species richness and composition) were combined with data on climate conditions, soil properties, and field management and analyzed with mixed models. There were no statistically discernible differences between organic and conventional farming for any of the community metrics. The effects of refined arable management factors were also not detected, except for an elevated proportion of subsurface-feeding earthworms when crop residues were incorporated. Soil properties were not significantly associated with earthworm community variations, which in the case of soil texture was likely due to low variation in the data. Pedo-climatic zone was an overridingly important factor in explaining the variation in community metrics. The Boreal zone had the highest mean total abundance (179 individuals m
-2 ) and fresh mass (86 g m-2 ) of earthworms while the southernmost Mediterranean zones had the lowest metrics (<1 individual m-2 and <1 g m-2 ). Within each field, species richness was low across the zones, with the highest values being recorded at the Nemoral and North Atlantic zones (mean of 2-3 species per field) and declining from there toward north and south. No litter-dwelling species were found in the southernmost, Mediterranean zones. These regional trends were discernibly related to climate, with the community metrics declining with the increasing mean annual temperature. The current continent-wide warming of Europe and related increase of severe and rapid onsetting droughts will likely deteriorate the living conditions of earthworms, particularly in southern Europe. The lack of interaction between the pedo-climatic zone and the farming system in our data for any of the earthworm community metrics may indicate limited opportunities for alleviating the negative effects of a warming climate in cereal field soils of Europe., (© 2024 The Author(s). Ecological Applications published by Wiley Periodicals LLC on behalf of The Ecological Society of America.)- Published
- 2025
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34. Response of native (Quercus robur L.) and alien (Quercus rubra L.) species to water stress and nutrient input in European temperate ecosystems.
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Rolando M, Ganugi P, Secchi F, Said-Pullicino D, Bonifacio E, and Celi L
- Subjects
- Europe, Nutrients metabolism, Stress, Physiological, Dehydration, Plant Stems physiology, Plant Stems metabolism, Soil chemistry, Quercus physiology, Quercus metabolism, Plant Leaves physiology, Plant Leaves metabolism, Nitrogen metabolism, Ecosystem, Phosphorus metabolism, Water metabolism, Droughts, Introduced Species
- Abstract
Drought and nutrient-poor soils can increase the invasive potential of non-native species, further changing the ecosystems they invade. The high adaptability of these alien species, especially in their efficient use of resources, improves their resilience against abiotic stress. Here, we evaluated the response of the North American Quercus rubra L. (RO) and the European Quercus robur L. (EO) oak species to drought and nutrient scarcity as single and combined factors. Both species were grown under well-watered or alternating short dry-wet phases, with or without the addition of phosphorous (P) and labelled nitrogen (N). Leaf gas exchanges and stem water potential were measured; moreover, leaf chemical characterization was carried out. Under concurrent low fertility and drought, both species reduced gas exchanges and stem water potential, although RO recovery was faster than EO. Nutrient inputs did not modulate RO's physiological response; however, P supply increased its uptake of the more available N forms (
15 NH4 15 NO3 ). The different leaf contents of N and P demonstrated that EO has lower nutrient use efficiency compared to RO. Nevertheless, P addition significantly mitigated the drought effects on EO, highlighting the crucial role of this nutrient in aiding EO's recovery under stress conditions. RO invasive potential may be linked to its superior adaptability and resource-use efficiency under combined abiotic stress. Nevertheless, EO competitiveness can be improved through targeted nutrient management., (© 2025 The Author(s). Physiologia Plantarum published by John Wiley & Sons Ltd on behalf of Scandinavian Plant Physiology Society.)- Published
- 2025
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35. Genome-wide local ancestry and the functional consequences of admixture in African and European cattle populations.
- Author
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McHugo GP, Ward JA, Ng'ang'a SI, Frantz LAF, Salter-Townshend M, Hill EW, O'Gorman GM, Meade KG, Hall TJ, and MacHugh DE
- Subjects
- Animals, Cattle genetics, Africa, Genome genetics, Europe, Software, Breeding, Polymorphism, Single Nucleotide, Gene Flow, Genetics, Population
- Abstract
Bos taurus (taurine) and Bos indicus (indicine) cattle diverged at least 150,000 years ago and, since that time, substantial genomic differences have evolved between the two lineages. During the last two millennia, genetic exchange in Africa has resulted in a complex tapestry of taurine-indicine ancestry, with most cattle populations exhibiting varying levels of admixture. Similarly, there are several Southern European cattle populations that also show evidence for historical gene flow from indicine cattle, the highest levels of which are found in the Central Italian White breeds. Here we use two different software tools (MOSAIC and ELAI) for local ancestry inference (LAI) with genome-wide high- and low-density SNP array data sets in hybrid African and residually admixed Southern European cattle populations and obtained broadly similar results despite critical differences in the two LAI methodologies used. Our analyses identified genomic regions with elevated levels of retained or introgressed ancestry from the African taurine, European taurine, and Asian indicine lineages. Functional enrichment of genes underlying these ancestry peaks highlighted biological processes relating to immunobiology and olfaction, some of which may relate to differing susceptibilities to infectious diseases, including bovine tuberculosis, East Coast fever, and tropical theileriosis. Notably, for retained African taurine ancestry in admixed trypanotolerant cattle we observed enrichment of genes associated with haemoglobin and oxygen transport. This may reflect positive selection of genomic variants that enhance control of severe anaemia, a debilitating feature of trypanosomiasis disease, which severely constrains cattle agriculture across much of sub-Saharan Africa., Competing Interests: Competing interests: The authors declare no competing interests. Research Ethics Statement: For this study new Illumina® BovineHD 777 K BeadChip SNP data sets were generated for 39 individuals (23 Somba, 8 N’Dama and 8 Boran). The Somba individuals were obtained from DNA samples that were previously published as part of microsatellite-based surveys of cattle genetic diversity in the early 1990s and the N’Dama and Boran individuals were obtained from unpublished DNA samples collected during a time-course infection experiment carried out in 2003. This livestock DNA sampling work was completed prior to the requirement for Institutional Permission in Ireland, which is based on European Union Directive 2010/63/EU; however, all efforts were made to ensure ethical handling of all animal subjects., (© 2024. The Author(s), under exclusive licence to The Genetics Society.)
- Published
- 2025
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36. Ecological and intrinsic drivers of foraging parameters of Eurasian lynx at a continental scale.
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Oliveira T, Mattisson J, Vogt K, Linnell J, Odden J, Oeser J, Premier J, Rodríguez-Recio M, Belotti E, Bufka L, Černe R, Duľa M, Fležar U, Gonev A, Herdtfelder M, Heurich M, Hočevar L, Hvala T, Iľko T, Kont R, Koubek P, Krojerová-Prokešová J, Kubala J, Kübarsepp M, Kusak J, Kutal M, Machciník B, Männil P, Melovski D, Molinari P, Ornicāns A, Pavlov A, Prostor M, Slijepčević V, Smolko P, Tam B, and Krofel M
- Subjects
- Animals, Europe, Ecosystem, Feeding Behavior, Food Chain, Female, Male, Seasons, Lynx physiology, Predatory Behavior
- Abstract
The estimation of foraging parameters is fundamental for understanding predator ecology. Predation and feeding can vary with multiple factors, such as prey availability, presence of kleptoparasites and human disturbance. However, our knowledge is mostly limited to local scales, which prevents studying effects of environmental factors across larger ecological gradients. Here, we compared inter-kill intervals and handling times of Eurasian lynx (Lynx lynx) across a large latitudinal gradient, from subarctic to the Mediterranean ecosystems, using a standardised dataset of predicted adult ungulate kills from 107 GPS-collared lynx from nine distinct populations in Europe. We analysed variations in these two foraging parameters in relation to proxies reflecting prey availability, scavengers' presence and human disturbance, to improve our understanding of lynx predation at a continental scale. We found that inter-kill intervals and handling times varied between populations, social status and in different seasons within the year. We observed marked differences in inter-kill intervals between populations, which do not appear to be driven by variation in handling time. Increases in habitat productivity (expressed by NDVI, used as a proxy for prey availability) resulted in reduced inter-kill intervals (i.e. higher kill rates). We observed less variation in handling (i.e. feeding) times, although presence of dominant scavengers (wild boars and brown bears) and higher human impact led to significantly shorter handling times. This suggests that kleptoparasitism and human disturbance may limit the energetic input that lynx can obtain from their prey. We also observed that the human impact on foraging parameters can be consistent between some populations but context-dependent for others, suggesting local adaptations by lynx. Our study highlights the value of large-scale studies based on standardised datasets, which can aid the implementation of effective management measures, as patterns observed in one area might not be necessarily transferable to other regions. Our results also indicate the high degree of adaptability of these solitary felids, which enables them to meet their energy requirements and persist across a wide range of environmental conditions despite the constraints imposed by humans, dominant scavengers and variable prey availability., (© 2024 The Author(s). Journal of Animal Ecology published by John Wiley & Sons Ltd on behalf of British Ecological Society.)
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- 2025
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37. Nature or nurture: genetic and environmental predictors of adiposity gain in adults.
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Peruchet-Noray L, Dimou N, Cordova R, Fontvieille E, Jansana A, Gan Q, Breeur M, Baurecht H, Bohmann P, Konzok J, Stein MJ, Dahm CC, Zilhão NR, Mellemkjær L, Tjønneland A, Kaaks R, Katzke V, Inan-Eroglu E, Schulze MB, Masala G, Sieri S, Simeon V, Matullo G, Molina-Montes E, Amiano P, Chirlaque MD, Gasque A, Atkins J, Smith-Byrne K, Ferrari P, Viallon V, Agudo A, Gunter MJ, Bonet C, Freisling H, and Carreras-Torres R
- Subjects
- Humans, Female, Male, Middle Aged, Adult, Genetic Predisposition to Disease, Gene-Environment Interaction, Risk Factors, Waist-Hip Ratio, Multifactorial Inheritance, Aged, Europe epidemiology, Phenotype, Obesity genetics, Obesity epidemiology, Adiposity genetics, Body Mass Index
- Abstract
Background: Previous prediction models for adiposity gain have not yet achieved sufficient predictive ability for clinical relevance. We investigated whether traditional and genetic factors accurately predict adiposity gain., Methods: A 5-year gain of ≥5% in body mass index (BMI) and waist-to-hip ratio (WHR) from baseline were predicted in mid-late adulthood individuals (median of 55 years old at baseline). Proportional hazards models were fitted in 245,699 participants from the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort to identify robust environmental predictors. Polygenic risk scores (PRS) of 5 proxies of adiposity [BMI, WHR, and three body shape phenotypes (PCs)] were computed using genetic weights from an independent cohort (UK Biobank). Environmental and genetic models were validated in 29,953 EPIC participants., Findings: Environmental models presented a remarkable predictive ability (AUC
BMI : 0.69, 95% CI: 0.68-0.70; AUCWHR : 0.75, 95% CI: 0.74-0.77). The genetic geographic distribution for WHR and PC1 (overall adiposity) showed higher predisposition in North than South Europe. Predictive ability of PRSs was null (AUC: ∼0.52) and did not improve when combined with environmental models. However, PRSs of BMI and PC1 showed some prediction ability for BMI gain from self-reported BMI at 20 years old to baseline observation (early adulthood) (AUC: 0.60-0.62)., Interpretation: Our study indicates that environmental models to discriminate European individuals at higher risk of adiposity gain can be integrated in standard prevention protocols. PRSs may play a robust role in predicting adiposity gain at early rather than mid-late adulthood suggesting a more important role of genetic factors in this life period., Funding: French National Cancer Institute (INCA_N°2019-176) 1220, German Research Foundation (BA 5459/2-1), Instituto de Salud Carlos III (Miguel Servet Program CP21/00058)., Competing Interests: Declaration of interests L.M. discloses that an immediate family member holds stocks in Novo Nordisk. The other authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier B.V.)- Published
- 2025
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38. Human Footprint and Forest Disturbance Reduce Space Use of Brown Bears (Ursus arctos) Across Europe.
- Author
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Hertel AG, Parres A, Frank SC, Renaud J, Selva N, Zedrosser A, Balkenhol N, Maiorano L, Fedorca A, Dutta T, Bogdanović N, Bragalanti N, Chiriac S, Ćirović D, Ciucci P, Domokos C, Fedorca M, Filacorda S, Finďo S, Groff C, de Gabriel Hernando M, Huber D, Ionescu G, Jerina K, Karamanlidis AA, Kindberg J, Kojola I, Mertzanis Y, Palazon S, Pop MI, Psaralexi M, Quenette PY, Sergiel A, Skuban M, Zlatanova D, Zwijacz-Kozica T, and De Barba M
- Subjects
- Animals, Europe, Conservation of Natural Resources methods, Human Activities, Humans, Homing Behavior, Ecosystem, Ursidae physiology, Forests
- Abstract
Three-quarters of the planet's land surface has been altered by humans, with consequences for animal ecology, movements and related ecosystem functioning. Species often occupy wide geographical ranges with contrasting human disturbance and environmental conditions, yet, limited data availability across species' ranges has constrained our understanding of how human pressure and resource availability jointly shape intraspecific variation of animal space use. Leveraging a unique dataset of 758 annual GPS movement trajectories from 375 brown bears (Ursus arctos) across the species' range in Europe, we investigated the effects of human pressure (i.e., human footprint index), resource availability and predictability, forest cover and disturbance, and area-based conservation measures on brown bear space use. We quantified space use at different spatiotemporal scales during the growing season (May-September): home range size; representing general space requirements, 10-day long-distance displacement distances, and routine 1-day displacement distances. We found large intraspecific variation in brown bear space use across all scales, which was profoundly affected by human footprint index, vegetation productivity, and recent forest disturbances creating opportunity for resource pulses. Bears occupied smaller home ranges and moved less in more anthropized landscapes and in areas with higher resource availability and predictability. Forest disturbances reduced space use while contiguous forest cover promoted longer daily movements. The amount of strictly protected and roadless areas within bear home ranges was too small to affect space use. Anthropized landscapes may hinder the expansion of small and isolated populations, such as the Apennine and Pyrenean, and obstruct population connectivity, for example between the Dinaric Pindos population and the Alpine or Carpathian population. Our findings call for actions to maintain bear movements across landscapes with high human footprint, for example by maintaining forest integrity, to support viable bear populations and their ecosystem functions., (© 2025 The Author(s). Global Change Biology published by John Wiley & Sons Ltd.)
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- 2025
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39. Large heterogeneity in biosecurity legislation in the intensive pig production across Europe.
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Biebaut E, Štukelj M, Chantziaras I, Nunes TP, Nedosekov V, Gomes CC, Mehmedi B, Corrégé I, Ózsvári L, Svennesen L, Bernaerdt E, Toppari I, Gresakova L, Romanelli C, Filippitzi ME, Meling S, Angjelovski B, Küker S, Viltrop A, Đidara M, Nikolić M, Nicolaisen T, Vink E, Dahlin L, Kureljušić B, Bărăităreanu S, Allepuz A, and Prodanov-Radulović J
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- Animals, Europe, Swine, Biosecurity, Surveys and Questionnaires, Legislation, Veterinary, Animal Husbandry methods, Animal Husbandry legislation & jurisprudence, Swine Diseases prevention & control, Swine Diseases epidemiology
- Abstract
Implementing biosecurity measures in the pig production is crucial to optimize animal health and reduce antimicrobial usage. A legal framework may help to ensure all stakeholders understand the need of biosecurity measures and to implement them correctly. Limited knowledge is available about how implementation of biosecurity measures is regulated in European countries. Therefore, the aim of this study was to identify which biosecurity measures were mandatory by national legislation and/or by pig sector organizations of European countries for the intensive pig production under normal circumstances (i.e. no (threat of) disease outbreaks). A questionnaire including 51 biosecurity measures, 32 on external and 19 on internal, was developed and sent to national country representatives. Twenty-four European countries, of which 18 belonging to the European Union, indicated which biosecurity measures were mandatory by law. Four countries, France, Spain, Italy and Romania had a single national pig-specific biosecurity legislation, while in the other countries multiple legislations had to be consulted to complete the questionnaire. In general, there was a high heterogeneity in the number of measures that were mandatory by law per country. Most biosecurity measures addressed in the national legislation focused on external biosecurity and were measures that can be easily audited when conducting a farm visit such as the presence of a hygiene lock, fencing around the farm and the existence of documentation. A significant (p < 0.001) positive correlation was observed between the presence of external and internal biosecurity measures in the legislation. Yet, no significant association was observed between the number of biosecurity measures present in the national legislation and the size of the pig production. Fourteen countries indicated which biosecurity measures were required by pig sector organizations for intensive pig farms. The median number of biosecurity measures mandatory by pig sector organizations but not by law was 13 with a minimum of one measure in Germany and a maximum of 24 in Croatia. Different countries apply different strategies to increase the level of biosecurity. Further research is needed to investigate the impact of the different strategies on the implementation of biosecurity on intensive pig farms in the countries., Competing Interests: Declaration of Competing Interest All the authors declare no conflicts of interest., (Copyright © 2025 The Authors. Published by Elsevier B.V. All rights reserved.)
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- 2025
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40. Can triad forestry reconcile Europe's biodiversity and forestry strategies? A critical evaluation of forest zoning.
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Nagel TA, Rodríguez-Recio M, Aakala T, Angelstam P, Avdagić A, Borowski Z, Bravo-Oviedo A, Brazaitis G, Campagnaro T, Ciach M, Curovic M, Doerfler I, Fotakis D, Govedar Z, Gregor K, Gültekin YS, Heilmann-Clausen J, Hoffmann J, Hofmeister J, Jansone D, Jansons Ā, Kepfer-Rojas S, Lachat T, Lapin K, Lõhmus A, Manton M, Mikac S, Mikoláš M, Mohren F, Nordén B, Odor P, Oettel J, Paillet Y, Panayotov M, Roibu CC, Sitzia T, Svoboda M, Tanács E, Trentanovi G, Vacchiano G, van der Sluis T, Zlatanov T, and Burrascano S
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- Europe, Biodiversity, Forestry methods, Conservation of Natural Resources methods, Forests
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Balancing increasing demand for wood products while also maintaining forest biodiversity is a paramount challenge. Europe's Biodiversity and Forest Strategies for 2030 attempt to address this challenge. Together, they call for strict protection of 10% of land area, including all primary and old growth forests, increasing use of ecological forestry, and less reliance on monocultural plantations. Using data on country wide silvicultural practices and a new database on strict forest reserves across Europe, we assess how triad forest zoning could help meet these goals. Our analysis reveals that zoning in Europe is overwhelmingly focused on wood production, while there has been little concomitant protection of forests in strict reserves. Moreover, most strict forest reserves are < 50 ha in size, likely too small to capture the minimum dynamic area necessary to sustain many taxa. We outline research priorities to meet future demands for timber while minimizing the impact on native biodiversity., (© 2024. The Author(s).)
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- 2025
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41. The Meq Genes of Nigerian Marek's Disease Virus (MDV) Field Isolates Contain Mutations Common to Both European and US High Virulence Strains.
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Patria JN, Jwander L, Mbachu I, Parcells L, Ladman B, Trimpert J, Kaufer BB, Tavlarides-Hontz P, and Parcells MS
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- Animals, Virulence genetics, Nigeria, Europe, United States epidemiology, Phylogeny, Marek Disease virology, Chickens virology, Mutation, Herpesvirus 2, Gallid genetics, Herpesvirus 2, Gallid pathogenicity, Herpesvirus 2, Gallid isolation & purification, Herpesvirus 2, Gallid classification, Oncogene Proteins, Viral genetics, Poultry Diseases virology
- Abstract
Background: Marek's disease (MD) is a pathology affecting chickens caused by Marek's disease virus (MDV), an acute transforming alphaherpesvirus of the genus Mardivirus . MD is characterized by paralysis, immune suppression, and the rapid formation of T-cell (primarily CD4+) lymphomas. Over the last 50 years, losses due to MDV infection have been controlled worldwide through vaccination; however, these live-attenuated vaccines are non-sterilizing and potentially contributed to the virulence evolution of MDV field strains. Mutations common to field strains that can overcome vaccine protection were identified in the C-terminal proline-rich repeats of the oncoprotein Meq (Marek's Eco RI-Q-encoded protein). These mutations in meq have been found to be distinct to their region of origin, with high virulence strains obtained in Europe differing from those having evolved in the US. The present work reports on meq mutations identified in MDV field strains in Nigeria, arising at farms employing different vaccination practices., Materials and Methods: DNA was isolated from FTA cards obtained at 12 farms affected by increased MD in the Plateau State, Nigeria. These sequences included partial whole genomes as well as targeted sequences of the meq oncogenes from these strains. Several of the meq genes were cloned for expression and their localization ability to interact with the chicken NF-IL3 protein, a putative Meq dimerization partner, were assessed., Results: Sequence analysis of the meq genes from these Nigerian field strains revealed an RB1B-like lineage co-circulating with a European Polen5-like lineage, as well as recombinants harboring a combination of these mutations. In a number of these isolates, Meq mutations accumulated in both N-terminal and C-terminal domains., Discussion: Our data, suggest a direct effect of the vaccine strategy on the selection of Meq mutations. Moreover, we posit the evolution of the next higher level of virulence MDVs, a very virulent plus plus pathotype (vv++).
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- 2024
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42. The association between animal protein, plant protein, and their substitution with bladder cancer risk: a pooled analysis of 10 cohort studies.
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Beigrezaei S, Dianati M, Salehi-Abargouei A, Fararouei M, Akbari-Beni A, Brinkman M, White E, Weiderpass E, Le Calvez-Kelm F, Gunter MJ, Huybrechts I, Liedberg F, Skeie G, Tjonneland A, Riboli E, Zeegers MP, and Wesselius A
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- Adult, Aged, Animals, Female, Humans, Male, Middle Aged, Animal Proteins, Dietary administration & dosage, Cohort Studies, Diet methods, Diet statistics & numerical data, Dietary Proteins administration & dosage, Europe epidemiology, Follow-Up Studies, Plant Proteins administration & dosage, Plant Proteins, Dietary administration & dosage, Proportional Hazards Models, Prospective Studies, Risk Factors, United Kingdom epidemiology, United States epidemiology, Urinary Bladder Neoplasms epidemiology
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Purpose: Although total dietary protein intake has been associated with bladder cancer (BC) risk, the effect of the origin (plant or animal) and the substitutions remain to be understood. This study aimed to investigate the effect of total dietary protein, animal-based protein, plant-based protein, and their substitutions with each other on the risk of BC using a pooled analysis of 10 cohort studies., Methods: The study was conducted within the "BLadder cancer Epidemiology and Nutritional Determinants" (BLEND) study, including 10 prospective cohort studies from several European countries, the United Kingdom, and the United States. Individual data from 10 prospective cohorts containing 434,412 participants (overall male/female ratio was almost 3:1) with a total of 4,224,643.8 person-years of follow-up was analyzed. Hazard ratios (HRs) and 95% confidence intervals (CIs) for BC risk for animal and plant-based protein substitutions of 30gram (g) per day (g/day) were estimated by multivariable adjusted HRs using Cox proportional hazards models., Results: During 11.4 years of follow-up, among 434,412 participants (73.28% female), 1,440 new cases of BC were identified. After multivariable adjustment, no association was observed between the intake of total, animal-based protein, and plant-based protein and BC risk. Replacement of every 30 g/day of animal-based protein intake by the same amount of plant-based protein intake or vice versa was not associated with the risk of BC., Conclusion: In conclusion, our study found no association between protein intake-whether from animal or plant sources-and the risk of BC. Substituting animal-based protein with plant-based protein, or the reverse, did not influence BC risk. Future studies are required to provide information on the link between animal- and plant-based proteins and BC risk., Competing Interests: Declarations. Ethics approval and consent to participate: Each participating study has been approved by the local ethics committee. Informed consent was obtained from all individual participants included in each study. Conflict of interest: The authors declare that they have no conflict of interest. Disclaimer: Where authors are identified as personnel of the International Agency for Research on Cancer/ World Health Organization, the authors alone are responsible for the views expressed in this article and they do not necessarily represent the decisions, policies, or views of the International Agency for Research on Cancer/ World Health Organization., (© 2024. The Author(s).)
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- 2024
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43. Comprehensive characterization of European house dust contaminants: Concentrations and profiles, geographical variability, and implications for chemical regulation and health risk.
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Haglund P, Alygizakis NA, Covaci A, Melymuk L, Nizzetto PB, Rostkowski P, Albinet A, Alirai S, Aurich D, Bieber S, Ballesteros-Gómez A, Brennan AA, Budzinski H, Castro G, den Ouden F, Dévier MH, Dulio V, Feng YL, Gabriel M, Gallampois C, García-Vara M, Giovanoulis G, Harrad S, Jacobs G, Jobst KJ, Kaserzon S, Kumirska J, Lestremau F, Lambropoulou D, Letzel T, de Alda ML, Nipen M, Oswald P, Poma G, Přibylová P, Price EJ, Raffy G, Schulze B, Schymanski EL, Šenk P, Wei S, Slobodnik J, Andújar BT, Täubel M, Thomaidis NS, Wang T, and Wang X
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- Europe, Risk Assessment, Humans, Air Pollutants analysis, Air Pollution, Indoor analysis, Air Pollution, Indoor statistics & numerical data, Polycyclic Aromatic Hydrocarbons analysis, Dust analysis, Environmental Monitoring
- Abstract
This study investigated the concentration profiles and geographical variability of contaminants in house dust across Europe. A collaborative trial (CT) was organized by the NORMAN network using pooled dust and advanced chromatographic and mass spectrometric techniques combined with suspect screening and non-target screening (NTS). Over 1200 anthropogenic compounds were tentatively identified. Additionally, seventy-five individual samples were subjected to target analysis and NTS. The median concentrations of most contaminants varied <3-fold across Europe, and the contaminant profile of European dust was similar to that of North American dust, which was investigated in a previous CT. This similarity may be attributed to the use of similar consumer articles and building materials throughout the developed world. Multivariate data analysis revealed geographical trends in contaminant distribution, with north-south gradients across Europe. Geographical trends were more frequently found for compounds with rapid release (pharmaceuticals, personal care products, fragrances, pesticides, biocides) and smoke-related compounds. The concentrations of chlorinated paraffins, polycyclic aromatic hydrocarbons (PAHs), perfluorinated alkyl substances and stimulants generally increased from north to south, whereas the biocides levels decreased from north to south. Despite widespread presence of in-use contaminants in dusts, some of the highest risks come from compounds that have been restricted for decades or more. These include di(2-ethylhexyl) phthalate (DEHP), polychlorinated biphenyl (PCB) 118 and polybrominated diphenyl ethers 47, 99, and 153. DEHP remains the most abundant contaminant in European house dust, while the other compounds are classified as persistent organic pollutants (POPs). Moreover, there is a striking lack of reliable toxicity data, particularly for emerging compounds. For instance, although acceptable daily intakes (ADIs) were examined for 202 compounds, only 46 had consensus-based ADI values. The results highlight the need for proactive measures to prevent hazardous chemicals from entering the market and for careful selection of substitute chemicals, when such are needed, to avoid regrettable substitutions., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier B.V.)
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- 2024
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44. External quality assurance schemes (EQUASs) and interlaboratory comparison investigations (ICIs) for the human biomonitoring of aromatic amines in urine as part of the quality assurance programme under HBM4EU.
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Nübler S, Burkhardt T, Schäfer M, Müller J, Haji-Abbas-Zarrabi K, Pluym N, Scherer M, Scherer G, Esteban-López M, Castaño A, Mol HGJ, Koch HM, Antignac JP, Hajslova J, Vorkamp K, and Göen T
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- Humans, Aniline Compounds urine, Quality Control, Laboratories standards, Europe, Methylenebis(chloroaniline), Tandem Mass Spectrometry methods, Phenylenediamines, Toluidines, Biological Monitoring methods, Amines urine, Amines analysis
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Exposure to aromatic amines may occur via tobacco smoke, hair dyes or tattoo inks, but also in the workplace during certain manufacturing processes. As some aromatic amines are known or suspected carcinogens, human biomonitoring (HBM) is essential to assess their exposure. Aromatic amines were among the selected chemicals in HBM4EU, a European-wide project to harmonise and advance HBM within 30 European countries. For this purpose, the analytical comparability and accuracy of participating laboratories were assessed by a QA/QC programme comprising interlaboratory comparison investigations (ICIs) and external quality assurance schemes (EQUASs). This paper presents the evaluation process and discusses the results of three ICI/EQUAS rounds for the determination of aromatic amines in urine conducted in 2019 and 2020. The final evaluation included ten participants which analysed the following six targeted aromatic amines over three rounds: aniline, ortho -toluidine (TOL), 4,4'-methylenedianiline (MDA), 4,4'-methylenebis(2-chloroaniline) (MOCA), 2,4-diaminotoluene (2,4-TDA), and 2,6-diaminotoluene (2,6-TDA). Most participants achieved satisfactory and highly comparable results, although low quantification limits were required to quantify the parameters at the level of exposure in the general population. Hydrolysis of the sample followed by liquid-liquid extraction and subsequent analysis of the derivatised analytes by means of GC-MS/MS were preferred for the sensitive and precise determination of aromatic amines in urine. This QA/QC programme succeeded in establishing a network of laboratories with high analytical comparability and accuracy for the analysis of aromatic amines in Europe.
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- 2024
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45. Microbiome testing in Europe: navigating analytical, ethical and regulatory challenges.
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Rodriguez J, Cordaillat-Simmons M, Badalato N, Berger B, Breton H, de Lahondès R, Deschasaux-Tanguy M, Desvignes C, D'Humières C, Kampshoff S, Lavelle A, Metwaly A, Quijada NM, Seegers JFML, Udocor A, Zwart H, Maguin E, Doré J, and Druart C
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- Humans, Europe, Microbiota, Reproducibility of Results, Feces microbiology
- Abstract
Background: In recent years, human microbiome research has flourished and has drawn attention from both healthcare professionals and general consumers as the human microbiome is now recognized as having a significant influence on human health. This has led to the emergence of companies offering microbiome testing services. Some of these services are sold directly to the consumer via companies' websites or via medical laboratory websites., Methodology: In order to provide an overview of the consumer experience proposed by these microbiome testing services, one single faecal sample was sent to six different companies (five based in Europe and one based in the USA). Two out of the six testing kits were commercialized by medical laboratories, but without any requirement for a medical prescription. The analyses and reports received were discussed with a panel of experts (21 experts from 8 countries) during an online workshop., Results: This workshop led to the identification of several limitations and challenges related to these kits, including over-promising messages from the companies, a lack of transparency in the methodology used for the analysis and a lack of reliability of the results. The experts considered the interpretations and recommendations provided in the different reports to be premature due to the lack of robust scientific evidence and the analyses associated with the reports to be of limited clinical utility. The experts also discussed the grey areas surrounding the regulatory status of these test kits, including their positioning in the European market. The experts recommended a distinction between regulatory requirements based on the intended use or purpose of the kit: on the one hand, test kits developed to satisfy consumer curiosity, with a clear mention of this objective, and no mention of any disease or risk of disease, and on the other hand, in vitro diagnostic (IVD) CE-marked test kits, which could go deeper into the analysis and interpretation of samples, as such a report would be intended for trained healthcare professionals., Conclusions: Recommendations or actions, specific to the context of use of microbiome testing kits, are listed to improve the quality and the robustness of these test kits to meet expectations of end users (consumers, patients and healthcare professionals). The need for standardization, robust scientific evidence, qualification of microbiome-based biomarkers and a clear regulatory status in Europe are the main issues that will require attention in the near future to align laboratory development with societal needs and thus foster translation into daily health practice., Competing Interests: Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Donor has consent for publication. Competing interests: JS is co-founder and CSO of MyMicroZoo. RdL is co-founder and CTO of GMT Science. The other authors declare that they have no competing interests., (© 2024. The Author(s).)
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- 2024
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46. Associations between dietary mycotoxins exposures and risk of hepatocellular carcinoma in a European cohort.
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Huybrechts I, Jacobs I, Biessy C, Aglago EK, Jenab M, Claeys L, Zavadil J, Casagrande C, Nicolas G, Scelo G, Altieri A, Fervers B, Oswald IP, Vignard J, Chimera B, Magistris MS, Masala G, Palli D, Padroni L, Castilla J, Jiménez-Zabala A, Frenoy P, Mancini FR, Ren X, Sonestedt E, Vineis P, Heath A, Werner M, Molina-Montes E, Dahm CC, Langmann F, Huerta JM, Brustad M, Skeie G, Schulze MB, Agudo A, Sieri S, Korenjak M, Gunter MJ, De Saeger S, and De Boevre M
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- Humans, Male, Female, Middle Aged, Europe epidemiology, Aged, Dietary Exposure adverse effects, Dietary Exposure analysis, Adult, Prospective Studies, Cohort Studies, Risk Factors, Food Contamination analysis, Proportional Hazards Models, Trichothecenes toxicity, Trichothecenes adverse effects, Trichothecenes analysis, Diet adverse effects, Surveys and Questionnaires, Carcinoma, Hepatocellular epidemiology, Carcinoma, Hepatocellular chemically induced, Carcinoma, Hepatocellular etiology, Liver Neoplasms epidemiology, Liver Neoplasms etiology, Liver Neoplasms chemically induced, Mycotoxins adverse effects, Mycotoxins analysis, Mycotoxins toxicity
- Abstract
Mycotoxins have been hypothesized to contribute to a diversity of adverse health effects in humans, even at low concentrations. Certain mycotoxins are established human carcinogens, whereas for others research suggests potential carcinogenic effects. The aim of this study was to determine the association between dietary exposure to mycotoxins and hepatobiliary cancers in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. EPIC questionnaire data were matched to mycotoxin food occurrence data compiled by the European Food Safety Authority to assess long-term dietary mycotoxin exposure (expressed as μg/kg body weight/day) and then relate them to the risk of hepatocellular carcinoma (HCC) (n = 255) and biliary tract cancers (n = 273). Analyses were conducted using multivariable Cox proportional hazards regression models to compute hazard ratios (HR) and 95% confidence intervals (95% CI). Key food groups contributing to mycotoxin exposure were cereals and cereal-based products, vegetables, non-alcoholic beverages (including fruit juices) and fruits. Estimated intake of deoxynivalenol (DON) and its derivatives was positively associated with HCC risk (HRT3vsT1: 1.90, 95% CI: 1.18-3.05, p-trend <0.01). No statistically significant associations were found for the other mycotoxins. Further research to confirm our observations and investigate potential underlying mechanisms of these compounds is warranted. These data may provide evidence of HCC risks associated with higher dietary intake levels of DON, which has not yet been classified as a human carcinogen., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Huybrechts et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2024
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47. Application of EFSA EU menu database and R computing language to calculate the green chlorophyll intake in the European population.
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Roca M and Pérez-Gálvez A
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- Europe, Humans, Adult, Middle Aged, Young Adult, Female, Male, Adolescent, Aged, Child, European Union, Child, Preschool, Aged, 80 and over, Chlorophyll analysis, Databases, Factual
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The growing evidence of the health benefits of chlorophyll pigments and the claims that could arise from industry and academia require data on their common dietary intakes. This study presents data on the chronic intake of green chlorophyll in 23 European countries using standardised methodologies to manage food consumption data within the EU Menu methodology. A mean intake of 207.12 mg of green chlorophylls/(d × person) for the adult population was calculated, considering significant covariates. The hierarchical cluster and partial least squares discriminant analysis (PLS-DA) techniques were applied to analyse intake disparities by region and age groups, identifying common food sources of green chlorophylls, such as olive oil, kale, and spinach. This paper presents a modern mathematical approach for obtaining novel information from existing databases of food composition data. Future challenges include building a comprehensive chlorophyll composition database for foods and extending the estimation to non-green chlorophyll pigments and metallo-chlorophyll food colourants., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. The authors declare no conflict of interest., (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
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- 2024
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48. Association of ability to rank sweet and fat taste intensities with sweet and fat food propensity ratios of children, adolescents and adults: the I.Family study.
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Jilani H, Intemann T, Eiben G, Lauria F, Lissner L, Michels N, Molnár D, Moreno LA, Pala V, Tornaritis M, Veidebaum T, Ahrens W, and Hebestreit A
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- Humans, Adolescent, Female, Male, Child, Adult, Europe, Taste Perception physiology, Young Adult, Cohort Studies, Middle Aged, Surveys and Questionnaires, Diet methods, Diet statistics & numerical data, Feeding Behavior physiology, Food Preferences physiology, Dietary Fats administration & dosage, Taste physiology
- Abstract
Purpose: It is assumed that sensory taste perception shapes food choices and impacts dietary intake. However, this has rarely been studied in free living subjects of different age-groups with standardised methods. The present study investigated the association of the ability to rank sweet and fat taste intensities with consumption frequency of sweet and fatty foods in children, adolescents and adults from eight European countries., Methods: In total, 461 children, 421 adolescents and 612 adults from the IDEFICS/I.Family cohort participated in sensory sweet and fat intensity rating tests. Sweet and fatty food consumption frequencies were assessed using a food frequency questionnaire. The association between the ability to rank sweet and fat intensity with sweet and fatty food consumption frequencies was estimated using linear mixed regression models adjusting for weight status, country, sex, age and family affiliation., Results: Across all age groups, the largest proportion of participants had medium sweet and fat taste intensity ranking abilities. The next largest proportion had low sweet and fat taste intensity rating abilities, while the smallest proportion had high intensity rating abilities to sweet and fat taste. A negative association of sweet and fat taste intensity ranking ability with sweet and fatty food consumption frequencies was found for children. In adolescents, the association was positive. In adults, there was no association., Conclusion: It seems that the association of taste intensity ratings with food consumption frequencies during adolescence differs from the associations in children and adults. This could be due to hormonal changes during puberty, growth and maturation. Thus, further research focussing on maturation processes in association with taste perception during adolescence may be required., Competing Interests: Declarations. Conflict of interest: The authors declare that they have no conflict of interest. Ethics approval and consent to participate : Each study centre obtained ethical approval from the local institutional review board; Belgium: Ethics Committee of the Gent University Hospital, 15/10/2007, ref: No. EC UZG 2007/243 and 19/02/2013, No. B670201316342, Cyprus: Cyprus National Bioethics Committee, 12/07/2007, ref: No. EEBK/EM/2007/16 and 21/Feb/2013, No. EEBK/ETI/2012/33, Estonia: Tallinn Medical Research Ethics Committee (TMREC), 14/06/2007, ref: No. 1093 and 17/January 2013, No. 128, Germany: Ethic Commission of the University of Bremen, 16/01/2007 and 11/12/2012, Hungary: Medical Research Council, 21/Jun/2007, ref: 22-156/2007-1018EKU and 18/12/2012, 4536/2013/EKU, Italy: Ethics Committee of the Local Health Authority (ASL) in Avellino, 19/06/2007, ref: No. 2/CE and 18/Sep/2012, No. 12/12, Spain: Ethics Committee for Clinical Research of Aragon (CEICA), 20/06/2007, ref:No. PI07/13 and 13/Feb/2013, No. PI13/0012, Sweden: Regional Ethics Research Board in Gothenburg, 30/07/2007, ref: No. 264-07 and 10/Jan/2013, No. 927-12. The ISRCTN reference is: ISRCTN62310987. Besides the oral information given, all participants above 12 years gave a written consent and parents gave a written consent on behalf of their children below 12 years in addition to the oral consent of their children., (© 2024. The Author(s).)
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- 2024
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49. Age- and sex-specific reference percentile curves for accelerometry-measured physical activity in healthy European children and adolescents.
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Ploegstra MJ, Swenne A, Buck C, Moreno LA, Lissner L, Lauria F, de Henauw S, Molnár D, Tornaritis M, Konstabel K, Rayson M, Pitsiladis Y, Manios Y, Béghin L, Widhalm K, Polito A, Sinningen K, Kafatos A, Gomez-Martinez S, González-Gross M, Casajús JA, Mazur A, Ortega FB, Ahrens W, Berger RMF, and Intemann T
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- Humans, Child, Adolescent, Female, Male, Child, Preschool, Europe, Reference Values, Sex Factors, Age Factors, Accelerometry, Exercise physiology
- Abstract
Physical activity measured by accelerometry (PA-accelerometry) is used as an indicator of physical capacity in chronic diseases. Currently, only fragmented age ranges of reference percentile curves are available for European children and adolescents. This study aimed to provide age- and sex-specific percentiles for physical activity measured by hip-worn accelerometry derived throughout the full age range of European children and adolescents. Individual-level population-based PA data measured by accelerometry from HELENA and IDEFICS/I.Family studies were pooled and harmonized. Together these studies involved children and adolescents aged 2-18 years from 12 European countries. Primary outcomes included averaged counts per minute (CPM), sedentary time (SED), light PA (LPA) and moderate-to-vigorous PA (MVPA). Generalized Additive Models for Location, Scale and Shape were used to derive age- and sex-specific reference percentile curves for these outcomes. The combined cohort consisted of 11,645 children and adolescents aged 2 to 18 years who contributed 14,610 valid accelerometry recordings, with a median accelerometer wear time of 6 days. This dataset allowed for the construction of age- and sex-specific reference percentile curves for CPM, SED, LPA, and MVPA. The curves demonstrated varying trends and variability across age groups., Conclusions: This study provides age- and sex-specific percentile curves for PA-accelerometry in European children and adolescents, addressing a current gap in the availability of full-age range reference data. These curves based on healthy children and adolescents can be used by clinicians, researchers, and policymakers to interpret PA-accelerometry measurements, track physical activity trends, and evaluate treatment responses and health interventions., What Is Known: • Daily physical activity (PA) is considered an important measure in various paediatric conditions. Existing reference data for PA in European children based on hip-worn accelerometers are limited to specific age ranges, and comprehensive data covering the full age range are lacking., What Is New: • The study provides age- and sex-specific reference curves for PA derived by hip-worn accelerometers in European children and adolescents. These curves aid clinicians, researchers, and policymakers in interpreting PA measurements and tracking trends over time in European children., Competing Interests: Declarations. Ethics approval: All contributing studies have been approved by the appropriate ethics committees and have been performed in accordance with the ethical standards of the Declaration of Helsinki. The names of the approval committees/institutional review boards of HELENA were as follows: (1) Austria: Ethics Committee of the Medicine's University from Vienne; (2) Belgium: Ethics Committee of the Gent University Hospital; (3) France: Protection committees people from Lille; (4) Germany: Ethics Committee of the Medicine's University from Dortmund; (5) Greece: Ethics Committees of the Harokopio University from Athens and University of Crete School of Medicine from Heraklion; (6) Hungary: A Pecsi Orvostudomanyi és Egészségtudomanyi Központ Regionalis Kutatas-Etikai Bizottsaga from Pècs; (7) Italy: Ethics Committee of Medical Activities of the University of Naples Federico II; (8) Spain: Ethics Committee for Clinical Research of Aragon; (9) Sweden: Regional Ethics Committee from Stockholm. The names of the approval committees/institutional review boards of IDEFICS/I.Family were as follows: (1) Belgium: Ethics Committee of the Gent University Hospital; (2) Cyprus: Cyprus National Bioethics Committee; (3) Estonia: Tallinn Medical Research Ethics Committee; (4) Germany: Ethic Commission of the University of Bremen; (5) Hungary: Medical Research Council; (6) Italy: Ethics Committee of the Local Health Authority in Avellino; (7) Poland: Bioethical Committee of the University of Rzeszów; (8) Spain: Ethics Committee for Clinical Research of Aragon; (9) Sweden: Regional Ethics Research Board in Gothenburg. Consent to participate: All participants and/or their legal guardians have given informed consent prior to inclusion in the contributing studies. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
- Published
- 2024
- Full Text
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50. Participant engagement and involvement in longitudinal cohort studies: qualitative insights from a selection of pregnancy and birth, twin, and family-based population cohort studies.
- Author
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Budin-Ljøsne I, Fredheim NAG, Jevne CA, Kleven BM, Charles MA, Felix JF, Flaig R, García MP, Havdahl A, Islam S, Kerr SM, Meder IK, Molloy L, Morton SMB, Pizzi C, Rahman A, Willemsen G, Wood D, and Harris JR
- Subjects
- Humans, Female, Pregnancy, Longitudinal Studies, Australia, New Zealand, Informed Consent statistics & numerical data, Cohort Studies, Adult, Europe, Patient Participation statistics & numerical data, Birth Cohort, Male, Twins statistics & numerical data, Family, Patient Selection, Qualitative Research
- Abstract
Background: Longitudinal cohort studies are pivotal to understand how socioeconomic, environmental, biological, and lifestyle factors influence health and disease. The added value of cohort studies increases as they accumulate life course data and expand across generations. Ensuring that participants stay motivated to contribute over decades of follow-up is, however, challenging. Participant engagement and involvement (PEI) aims to secure the long-term commitment of participants and promote researcher-participant interaction. This study explored PEI practices in a selection of pregnancy and birth, twin, and family-based population cohort studies., Methods: Purposive sampling was used to identify cohorts in Europe, Australia and New Zealand. Fourteen semi-structured digital interviews were conducted with cohort study representatives to explore strategies for participant recruitment, informed consent, communication of general and individual information to participants, data collection, and participant involvement. Experiences, resources allocated to PEI, and reflections on future PEI, were discussed. The interview data were analyzed using a content analysis approach and summary results were reviewed and discussed by the representatives., Results: The cohort studies used various strategies to recruit participants including support from health professionals and organizations combined with information on the studies' web sites and social media. New approaches such as intra-cohort recruitment, were being investigated. Most cohorts transitioned from paper-based to digital solutions to collect the participants' consent and data. While digital solutions increased efficiency, they also brought new challenges. The studies experimented with the use of participant advisory panels and focus groups to involve participants in making decisions, although their success varied across age and socio-economic background. Most representatives reported PEI resources to be limited and called for more human, technical, educational and financial resources to maximize the positive effects of PEI., Conclusions: This study of PEI among well-established cohort studies underscores the importance of PEI for project sustainability and highlights key factors to consider in developing PEI. Our analysis shows that knowledge gaps exist regarding which approaches have highest impact on retention rates and are best suited for different participant groups. Research is needed to support the development of best practices for PEI as well as knowledge exchange between cohorts through network building., Competing Interests: Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests., (© 2024. The Author(s).)
- Published
- 2024
- Full Text
- View/download PDF
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