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Diet and nutrition

What is eaten and how it bears on mind and body.

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Qurʾān

القرآن6 shown

Verses named for this subject by hand come first. The rest are found by the subject’s own Arabic and English senses and are shown as lexical matches, not as anchors anyone has confirmed.

Qur'ān 6:141English sense: eat | Arabic sense: تسرفوا, كلوا

۞وَهُوَ ٱلَّذِيٓ أَنشَأَ جَنَّٰتࣲ مَّعۡرُوشَٰتࣲ وَغَيۡرَ مَعۡرُوشَٰتࣲ وَٱلنَّخۡلَ وَٱلزَّرۡعَ مُخۡتَلِفًا أُكُلُهُۥ وَٱلزَّيۡتُونَ وَٱلرُّمَّانَ مُتَشَٰبِهࣰ ا وَغَيۡرَ مُتَشَٰبِهࣲۚ كُلُواْ مِن ثَمَرِهِۦٓ إِذَآ أَثۡمَرَ وَءَاتُواْ حَقَّهُۥ يَوۡمَ حَصَادِهِۦۖ وَلَا تُسۡرِفُوٓاْۚ إِنَّهُۥ لَا يُحِبُّ ٱلۡمُسۡرِفِينَ

It is He who produces both trellised and untrellised gardens, date palms, crops of diverse flavours, the olive, the pomegranate, alike yet different. So when they bear fruit, eat some of it, paying what is due on the day of harvest, but do not be wasteful: God does not like wasteful people

Qur'ān 7:31English sense: eat | Arabic sense: تسرفوا, كلوا

۞يَٰبَنِيٓ ءَادَمَ خُذُواْ زِينَتَكُمۡ عِندَ كُلِّ مَسۡجِدࣲ وَكُلُواْ وَٱشۡرَبُواْ وَلَا تُسۡرِفُوٓاْۚ إِنَّهُۥ لَا يُحِبُّ ٱلۡمُسۡرِفِينَ

Children of Adam, dress well whenever you are at worship, and eat and drink [as We have permitted] but do not be extravagant: God does not like extravagant people

Qur'ān 5:88Arabic sense: كلوا | English sense: eat, lawful and good

وَكُلُواْ مِمَّا رَزَقَكُمُ ٱللَّهُ حَلَٰلࣰ ا طَيِّبࣰ اۚ وَٱتَّقُواْ ٱللَّهَ ٱلَّذِيٓ أَنتُم بِهِۦ مُؤۡمِنُونَ

but eat the lawful and good things that God provides for you. Be mindful of God, in whom you believe

Qur'ān 25:20Arabic sense: الطعام, طعام | English sense: eat

وَمَآ أَرۡسَلۡنَا قَبۡلَكَ مِنَ ٱلۡمُرۡسَلِينَ إِلَّآ إِنَّهُمۡ لَيَأۡكُلُونَ ٱلطَّعَامَ وَيَمۡشُونَ فِي ٱلۡأَسۡوَاقِۗ وَجَعَلۡنَا بَعۡضَكُمۡ لِبَعۡضࣲ فِتۡنَةً أَتَصۡبِرُونَۗ وَكَانَ رَبُّكَ بَصِيرࣰ ا

No messenger have We sent before you [Muhammad] who did not eat food and walk about in the marketplace. But We have made some of you a means of testing others- will you stand fast? Your Lord is always watching

Qur'ān 25:7English sense: eat | Arabic sense: الطعام, طعام

وَقَالُواْ مَالِ هَٰذَا ٱلرَّسُولِ يَأۡكُلُ ٱلطَّعَامَ وَيَمۡشِي فِي ٱلۡأَسۡوَاقِ لَوۡلَآ أُنزِلَ إِلَيۡهِ مَلَكࣱ فَيَكُونَ مَعَهُۥ نَذِيرًا

They also say, ‘What sort of messenger is this? He eats food and walks about in the marketplaces! Why has no angel been sent down to help him with his warnings

Qur'ān 2:57English sense: eat | Arabic sense: كلوا

وَظَلَّلۡنَا عَلَيۡكُمُ ٱلۡغَمَامَ وَأَنزَلۡنَا عَلَيۡكُمُ ٱلۡمَنَّ وَٱلسَّلۡوَىٰۖ كُلُواْ مِن طَيِّبَٰتِ مَا رَزَقۡنَٰكُمۡۚ وَمَا ظَلَمُونَا وَلَٰكِن كَانُوٓاْ أَنفُسَهُمۡ يَظۡلِمُونَ

We made the clouds cover you with shade, and sent manna and quails down to you, saying, ‘Eat the good things We have provided for you.’ It was not Us they wronged; they wronged themselves

Tafsīr

التفسير6 shown

Commentary on the verses above, at most two editions per verse.

en-asbab-al-nuzul-by-al-wahidi on 7:31en-asbab-al-nuzul-by-al-wahidicommentary on an ayah this subject surfaced

O children of Adam! Put on your adornment at every place of prostration. In the tongue of learning, this is the curtaining of the pudendum during the prayer. In the tongue of unveiling, the adornment of every servant is in the station of contemplating the heart's presence, clinging to the Presence, and the continuity of witnessing the Haqiqah. It has been said that the adornment of the worshiper's soul is the traces of prostration, and the adornment of the recognizer's heart is the lights of finding. The worshiper has the attribute of servanthood in the prostration, and the recognizer is on the carpet of proximity in the repose of witnessing.

en-al-jalalayn on 6:141en-al-jalalayncommentary on an ayah this subject surfaced

And He it is Who produces creates gardens orchards trellised extending along the ground as in the case of watermelons and untrellised rising upwards on a stem such as palm-trees; and He produces palm-trees and crops diverse in flavour diverse in the shape and savour of its fruit and seed and olives and pomegranates alike in terms of their leaf mutashābihan ‘alike’ is a circumstantial qualifier and unlike in terms of their savour. Eat of the fruit thereof when it ripens before its maturity passes and pay the due thereof the alms as appropriate on the day of its harvest read yawma hasādahu or yawma hasādihi that is one tenth or half of it and do not be prodigal by giving it all away so that nothing remains for the consumption of your dependants. Truly God does not love the prodigal who overstep the bounds of that which He has delimited for them.

en-al-jalalayn on 7:31en-al-jalalayncommentary on an ayah this subject surfaced

O Children of Adam! Don your adornment that which covers your nakedness at every place of worship at prayer and at the circumambulation and eat and drink what you want but do not be excessive; He truly does not love those who are excessive.

en-tafisr-ibn-kathir on 6:141en-tafisr-ibn-kathircommentary on an ayah this subject surfaced

And it is He Who produces gardens Ma'rushat and not Ma'rushat, and date palms, and crops of different shape and taste, and olives, and pomegranates, similar, and different. Eat of their fruit when they ripen, but pay the due thereof on the day of their harvest, and waste not by extravagance. Verily, He likes not the wasteful (141)And of the cattle (are some) for burden and (some smaller) for Farsh. Eat of what Allah has provided for you, and follow not the footsteps of Shaytan. Surely, he is to you an open enemy (142) Allah Created the Produce, Seed Grains and Cattle Allah states that He created everything, including the produce, fruits and cattle that the idolators mishandled by their misguided ideas, dividing them into various designated parts, allowing some and prohibiting some. Allah said, وَهُوَ الَّذِي أَنشَأَ جَنَّاتٍ مَّعْرُوشَاتٍ وَغَيْرَ مَعْرُوشَاتٍ (And it is He Who produ

en-al-jalalayn on 5:88en-al-jalalayncommentary on an ayah this subject surfaced

And eat of the lawful and good food which God has provided you halālan tayyiban ‘lawful and good food’ is the direct object and the preceding genitive construction mimmā ‘of … which’ is a circumstantial qualifier connected to the former; and fear God in Whom you are believers.

en-tafisr-ibn-kathir on 5:88en-tafisr-ibn-kathircommentary on an ayah this subject surfaced

O you who believe! Make not unlawful the good things which Allah has made lawful to you, and transgress not. Verily, Allah does not like the transgressors (87)And eat of the things which Allah has provided for you, lawful and good, and have Taqwa of Allah in Whom you believe (88) There is No Monasticism in Islam Ali bin Abi Talhah said that Ibn 'Abbas said, "This Ayah [5:87] was revealed about some of the Companions of the Prophet ﷺ who said, 'We should cut off our male organs, abandon the desires of this life and travel in the land, just as the Ruhban (monks) do.' When the Prophet ﷺ heard of this statement, he summoned them and asked them if they made this statement and they answered 'Yes.' The Prophet ﷺ said, لٰكِنِّي أَصُومُ وَأُفْطِرُ، وَأُصَلِّي، وَأَنَامُ، وَأَنْكِحُ النِّسَاءَ، فَمَنْ أَخَذَ بِسُنَّتِي فَهُوَ مِنِّي، وَمَنْ لَمْ يَأْخُذْ بِسُنَّتِي فَلَيْسَ مِنِّي (I fast and

Ḥadīth

الحديث6 shown

Sound narrations only, and never matched by text. A narration appears here because a compiler filed it under a chapter this subject maps to, or because someone read it and anchored it. Each row says which.

Sahih al-Bukhari 5467Sacrifice On Occasion Of Birthfiled here by the compiler

حَدَّثَنِي إِسْحَاقُ بْنُ نَصْرٍ، حَدَّثَنَا أَبُو أُسَامَةَ، قَالَ حَدَّثَنِي بُرَيْدٌ، عَنْ أَبِي بُرْدَةَ، عَنْ أَبِي مُوسَى ـ رضى الله عنه ـ قَالَ وُلِدَ لِي غُلاَمٌ، فَأَتَيْتُ بِهِ النَّبِيَّ صلى الله عليه وسلم فَسَمَّاهُ إِبْرَاهِيمَ، فَحَنَّكَهُ بِتَمْرَةٍ، وَدَعَا لَهُ بِالْبَرَكَةِ وَدَفَعَهُ إِلَىَّ، وَكَانَ أَكْبَرَ وَلَدِ أَبِي مُوسَى‏.‏

Narrated Abu Musa:A son was born to me and I took him to the Prophet (ﷺ) who named him Ibrahim, did Tahnik for him with a date, invoked Allah to bless him and returned him to me. (The narrator added: That was Abu Musa's eldest son)

Sahih al-Bukhari 5468Sacrifice On Occasion Of Birthfiled here by the compiler

حَدَّثَنَا مُسَدَّدٌ، حَدَّثَنَا يَحْيَى، عَنْ هِشَامٍ، عَنْ أَبِيهِ، عَنْ عَائِشَةَ ـ رضى الله عنها ـ قَالَتْ أُتِيَ النَّبِيُّ صلى الله عليه وسلم بِصَبِيٍّ يُحَنِّكُهُ، فَبَالَ عَلَيْهِ، فَأَتْبَعَهُ الْمَاءَ‏.‏

Narrated `Aisha:A boy was brought to the Prophet (ﷺ) to do Tahnik for him, but the boy urinated on him, whereupon the Prophet had water poured on the place of urine

Jami' at-Tirmidhi 1494The Book On Sacrificesfiled here by the compiler

حَدَّثَنَا قُتَيْبَةُ، حَدَّثَنَا أَبُو عَوَانَةَ، عَنْ قَتَادَةَ، عَنْ أَنَسِ بْنِ مَالِكٍ، قَالَ ضَحَّى رَسُولُ اللَّهِ صلى الله عليه وسلم بِكَبْشَيْنِ أَمْلَحَيْنِ أَقْرَنَيْنِ ذَبَحَهُمَا بِيَدِهِ وَسَمَّى وَكَبَّرَ وَوَضَعَ رِجْلَهُ عَلَى صِفَاحِهِمَا ‏.‏ قَالَ وَفِي الْبَابِ عَنْ عَلِيٍّ وَعَائِشَةَ وَأَبِي هُرَيْرَةَ وَأَبِي أَيُّوبَ وَجَابِرٍ وَأَبِي الدَّرْدَاءِ وَأَبِي رَافِعٍ وَابْنِ عُمَرَ وَأَبِي بَكْرَةَ أَيْضًا ‏.‏ قَالَ أَبُو عِيسَى هَذَا حَدِيثٌ حَسَنٌ صَحِيحٌ ‏.‏

Narrated Anas bin Malik:"The Messenger of Allah (ﷺ) slaughtered two horned male sheep which were mostly white. He slaughtered them with his hand and mentioned Allah's Name, and he said 'Allahu Akbar', and put his foot on their side

Jami' at-Tirmidhi 1496The Book On Sacrificesfiled here by the compiler

حَدَّثَنَا أَبُو سَعِيدٍ الأَشَجُّ، حَدَّثَنَا حَفْصُ بْنُ غِيَاثٍ، عَنْ جَعْفَرِ بْنِ مُحَمَّدٍ، عَنْ أَبِيهِ، عَنْ أَبِي سَعِيدٍ الْخُدْرِيِّ، قَالَ ضَحَّى رَسُولُ اللَّهِ صلى الله عليه وسلم بِكَبْشٍ أَقْرَنَ فَحِيلٍ يَأْكُلُ فِي سَوَادٍ وَيَمْشِي فِي سَوَادٍ وَيَنْظُرُ فِي سَوَادٍ ‏.‏ قَالَ أَبُو عِيسَى هَذَا حَدِيثٌ حَسَنٌ صَحِيحٌ غَرِيبٌ لاَ نَعْرِفُهُ إِلاَّ مِنْ حَدِيثِ حَفْصِ بْنِ غِيَاثٍ ‏.‏

Narrated Abu Sa'eed Al-Khudri:"The Messenger of Allah (ﷺ) slaughtered a horned male ram of fine pedigree, (around) his mouth was black, and his legs were black, and (around) his eyes was black

Jami' at-Tirmidhi 1464The Book On Huntingfiled here by the compiler

حَدَّثَنَا أَحْمَدُ بْنُ مَنِيعٍ، حَدَّثَنَا يَزِيدُ بْنُ هَارُونَ، حَدَّثَنَا الْحَجَّاجُ، عَنْ مَكْحُولٍ، عَنْ أَبِي ثَعْلَبَةَ، وَالْحَجَّاجُ، عَنِ الْوَلِيدِ بْنِ أَبِي مَالِكٍ، عَنْ عَائِذِ اللَّهِ بْنِ عَبْدِ اللَّهِ، أَنَّهُ سَمِعَ أَبَا ثَعْلَبَةَ الْخُشَنِيَّ، قَالَ قُلْتُ يَا رَسُولَ اللَّهِ إِنَّا أَهْلُ صَيْدٍ ‏.‏ قَالَ ‏"‏ إِذَا أَرْسَلْتَ كَلْبَكَ وَذَكَرْتَ اسْمَ اللَّهِ عَلَيْهِ فَأَمْسَكَ عَلَيْكَ فَكُلْ ‏"‏ ‏.‏ قُلْتُ وَإِنْ قَتَلَ قَالَ ‏"‏ وَإِنْ قَتَلَ ‏"‏ ‏.‏ قُلْتُ إِنَّا أَهْلُ رَمْىٍ ‏.‏ قَالَ ‏"‏ مَا رَدَّتْ عَلَيْكَ قَوْسُكَ فَكُلْ ‏"‏ ‏.‏ قَالَ قُلْتُ إِنَّا أَهْلُ سَفَرٍ نَمُرُّ بِالْيَهُودِ وَالنَّصَارَى وَالْمَجُوسِ فَلاَ نَجِدُ غَيْرَ آنِيَتِهِمْ ‏.‏ قَالَ ‏"‏ فَإِنْ لَمْ تَجِدُوا غَيْرَهَا فَاغْسِلُوهَا بِالْمَاءِ ثُمَّ كُلُوا فِيهَا وَاشْرَبُوا ‏"‏ ‏.‏ قَالَ وَفِي الْبَابِ عَنْ عَدِيِّ بْنِ حَاتِمٍ ‏.‏ قَالَ أَبُو عِيسَى هَذَا حَدِيثٌ حَسَنٌ صَحِيحٌ ‏.‏ وَعَائِذُ اللَّهِ بْنُ عَبْدِ اللَّهِ هُوَ أَبُو إِدْرِيسَ الْخَوْلاَنِيُّ وَاسْمُ أَبِي ثَعْلَبَةَ الْخُشَنِيِّ جُرْثُومٌ وَيُقَالُ جُرْثُمُ بْنُ نَاشِرٍ وَيُقَالُ ابْنُ قَيْسٍ ‏.‏

Narrated Abu Tha'labah Al-Khushani:"I said: 'O Messenger of Allah! We are a people who hunt.' He said: 'If you send your dog and you mentioned the Name of Allah upon it, and he catches something for you, then eat it.' I said: 'Even if he kills it?' He said: 'Even if he kills it.' I said: 'We are a people who shoot (at game).' He said: 'What you catch with your bow, then eat it.'" He said: "Then I said:'Indeed we are a people who travel. We come across Jews, Christians, and Zoroastrians, and we do not find vessels other than theirs.' He said: 'If you do not find other than them, then wash them with water, then eat and drink from it

Classical works

كتب التراث6 shown

Arabic originals, reached through the subject’s Arabic senses. Interpretive sources, never proof of a ruling.

ihya §13812ihyaArabic sense: الشبع, الطعام, شبع, طعام

والميل إذا لم يكن لا يمكن اختراعه واكتسابه بمجرد الإرادة بل ذلك كقول الشبعان نويت أن أشتهى الطعام وأميل إليه أو قول الفارغ نويت أن أعشق فلانا وأحبه وأعظمه بقلبى فذلك محال

ihya §3255ihyaArabic sense: الشبع, الطعام, شبع, طعام

ثم ينبغي أن يرفع اليد قبل الشبع ومن فعل ذلك استغنى عن الطبيب وسيأتي فائدة قلة الأكل وكيفية التدريج في التقليل منه في كتاب كسر شهوة الطعام من ربع المهلكات

mukhtasar-minhaj §2476mukhtasar-minhajArabic sense: الشبع, الطعام, شبع, طعام

ثم إن الشهوة لو لم تسكن عند أخذ مقدار الحاجة من الطعام، لأسرفت وأهلكت نفسك، فخلق لك الكراهة عند الشبع لتترك الأكل بها، وكذلك القول في شهوة الوقاع لحكمة بقاء النسل.

mukhtasar-minhaj §554mukhtasar-minhajArabic sense: الطعام, طعام, كلوا

وكان خيثمى رحمه الله يصنع الخبيص والطعام الطيب، فيدعو إبراهيم والأعمش ويقول: كلوا، فما صنعته إلا لكم.

riyad-salihin §949riyad-salihinArabic sense: الطعام, طعام, كلوا

744 عن ابن عباس رضي الله عنهما عن النبي صلى الله عليه وسلم قال البركة تنزل وسط الطعام فكلوا من حافتيه ولا تأكلوا من وسطه رواه أبو داود والترمذي وقال حديث حسن صحيح

mukhtasar-minhaj §537mukhtasar-minhajArabic sense: الشبع, الطعام, شبع

ومن ضرورة هذه النية أن لا يمد يده إلى الطعام إلا وهو جائع، وأن يرفع يده قبل الشبع، ومع فعل ذلك لم يكد يحتاج إلى طبيب، ومن ذلك أن يرضى بالموجود من الرزق، ولا يحتقر اليسير منه، وأن يجتهد فى تكثير الأيدى على الطعام ولو من أهله وولده.

Research library

المكتبة البحثية1,410 works held

Peer-reviewed work held with its DOI and abstract, labelled with the study design its publication types report. None of it has been read or assessed, so nothing here may be cited as showing anything. Retracted work is held for the record but never listed; a review that a later version replaced is listed under its replacement and marked.

10.1186/1475-2891-4-9Nutrition journal (2005)MEDLINE-indexed journal, not yet read by us; matched on Diet, Feeding Behavior, Dietary Carbohydrates, Dietary Fats, Energy Intake, Fruit, Vegetables, nutrition

Food selection associated with sense of coherence in adults.: Background: Favorable dietary habits promote health, whereas unfavorable habits link to various chronic diseases. An individual's "sense of coherence" (SOC) is reported to correlate with prevalence of some diseases to which dietary habits are linked. However, understanding what determines an individual's dietary preferences and how to change his/her behavior remains limited. The aim of the present study was to evaluate associations between dietary intake and SOC in adults. Methods: Diet intake w

10.1016/j.nut.2019.110640Nutrition (Burbank, Los Angeles County, Calif.) (2020)MEDLINE-indexed journal, not yet read by us; matched on Diet, Nutritional Status, Feeding Behavior, Nutritional Status, Energy Intake, nutrition

Malnutrition in older adults: Correlations with social, diet-related, and neuropsychological factors.: Background: The number of older adults is increasing rapidly. Malnutrition is a major problem in this age group, which may adversely affect health and quality of life. Several physiological, socioeconomic, and neuropsychological factors can lead to malnutrition. Objectives: The aim of this study was to evaluate the nutritional status of community-dwelling older adults, and explore the associations of malnutrition risk with physiological, socioeconomic, and neuropsychological characteristics. Met

10.3390/nu11040825Nutrients (2019)MEDLINE-indexed journal, not yet read by us; matched on Diet, Feeding Behavior, Diet, Healthy, Dietary Fats, Energy Intake, Fruit, Vegetables

Effectiveness of Interventions and Behaviour Change Techniques for Improving Dietary Intake in Young Adults: A Systematic Review and Meta-Analysis of RCTs.: Poor eating habits are common during young adulthood and influence chronic disease morbidity. This systematic review evaluates the effectiveness of interventions aiming to improve dietary intake among young adults and, identifies which behaviour change techniques (BCTs) are most effective. Six electronic databases were searched for RCTs published until October 2018, and evaluating behavioural interventions assessing change in dietary intake in young adults (17-35 years). Of the 18,779 articles i

10.1016/j.arr.2021.101403Ageing research reviews (2021)MEDLINE-indexed journal, not yet read by us; matched on Diet, Diet, Mediterranean, dietary pattern, Fruit, Vegetables, nutrition

Associations between nutrition and the incidence of depression in middle-aged and older adults: A systematic review and meta-analysis of prospective observational population-based studies.: Aim: To systematically examine the longitudinal observational evidence between diet and the incidence of depression in adults aged 45 years and older. Method: Three electronic databases were searched for cohort studies published up to December 2020 that investigated the association between baseline dietary intake and incidence of depression in community-dwelling adults aged 45+years. Combined odds ratios (OR) and 95% confidence intervals (95%CI) were calculated. Random-effects models were used.

10.1016/j.maturitas.2014.06.014Maturitas (2014)MEDLINE-indexed journal, not yet read by us; matched on Diet, Diet, Mediterranean, Feeding Behavior, dietary pattern

Dietary patterns and stroke: a systematic review and re-meta-analysis.: The effect of diet on the development of stroke has recently achieved much interest by various research groups, but with inconclusive results. The aim of the present review was to systematically present and discuss the up to date available research regarding the relationship between adherence to dietary patterns and stroke. Studies included were observational and randomized clinical trials. Internet searches until May 31, 2014, retrieved 152 potentially relevant papers; of them, 34 were excluded

10.1093/advances/nmz117Advances in nutrition (Bethesda, Md.) (2020)MEDLINE-indexed journal, not yet read by us; matched on Diet, Diet, Mediterranean, dietary pattern, Vegetables, nutrition

Effects of Polyphenols in a Mediterranean Diet on Symptoms of Depression: A Systematic Literature Review.: Depression is a mood disorder which currently affects 350 million individuals worldwide. Recently, research has suggested a protective role of diet for depression. The Mediterranean-style dietary pattern has been highlighted in several systematic reviews as a promising candidate for reducing depressive symptoms. It has been speculated that this could be due to the high polyphenol content of foods commonly found in the diet. Therefore, the aim of this review was to assess the effects of polypheno

Research library, full list

226 to 250 of 1,410
Melnyk BM, Jacobson D, Kelly S, Belyea M, Shaibi G, Small L, O'Haver J, Marsiglia FF (2013)randomised controlled trialMEDLINE-indexed journal, not yet read by usAmerican journal of preventive medicine104 citations

Promoting healthy lifestyles in high school adolescents: a randomized controlled trial.

Background: Although obesity and mental health disorders are two major public health problems in adolescents that affect academic performance, few rigorously designed experimental studies have been conducted in high schools. Purpose: The goal of the study was to test the efficacy of the COPE (Creating Opportunities for Personal Empowerment) Healthy Lifestyles TEEN (Thinking, Emotions, Exercise, Nutrition) Program, versus an attention control program (Healthy Teens) on: healthy lifestyle behaviors, BMI, mental health, social skills, and academic performance of high school adolescents immediately after and at 6 months post-intervention. Design: A cluster RCT was conducted. Data were collected from January 2010 to May of 2012 and analyzed in 2012-2013. Setting/participants: A total of 779 culturally diverse adolescents in the U.S. Southwest participated in the trial. Intervention: COPE was

matched on Diet (mesh), nutrition (text)

Ren L, Zhu D, Wei Y, Pan X, Liang L, Xu J, Zhong Y, Xue Z, Jin L, Zhan S, Niu W, Qin X, Wu Z, Wu Z (2012)randomised controlled trialMEDLINE-indexed journal, not yet read by usWorld journal of surgery149 citations

Enhanced Recovery After Surgery (ERAS) program attenuates stress and accelerates recovery in patients after radical resection for colorectal cancer: a prospective randomized controlled trial.

Background: The aim of this trial was to compare the Enhanced Recovery After Surgery (ERAS) program with conventional perioperative management in patients who underwent radical resection for colorectal cancer. Methods: A combination of evidence-based and consensus methodology was used to develop the ERAS protocol. Five hundred ninety-seven consecutive patients who underwent elective colorectal resection were randomized to either the ERAS (n = 299) or the control group (n = 298). Outcomes relating to nutrition and metabolism index, stress index, and recovery index were measured and recorded. Results: Demographic and operative data were similar between the two groups. Patients in the ERAS group showed improved nutritional status when compared with those of the control group. On postoperative day (POD) 1, the HOMA-IR (insulin resistance index) of the ERAS group was lower than that of the co

matched on Nutritional Status (mesh), nutrition (text)

Rondanelli M, Opizzi A, Antoniello N, Boschi F, Iadarola P, Pasini E, Aquilani R, Dioguardi FS (2011)randomised controlled trialMEDLINE-indexed journal, not yet read by usClinical nutrition (Edinburgh, Scotland)62 citations

Effect of essential amino acid supplementation on quality of life, amino acid profile and strength in institutionalized elderly patients.

Background & aims: This study assessed the efficacy of supplemented essential amino acids on depressive symptoms, nutrition, muscle function, daily physical activity, and health-related quality of life (HRQoL) of institutionalized elderly patients. Methods: Forty-one patients (58.5% women; mean age 79.8 yrs) with sequelae of coronary artery disease (73%), femoral fracture (34%), were randomly assigned to receive oral essential amino acids 4 gr 2 times a day for 8 weeks or isocaloric placebo. Before randomization and 8 weeks after the protocol started, the following variables were measured: depressive symptoms (Geriatric Depression Scale, GDS), nutritional panel (Mini Nutritional Assessment, MNA; serum albumin and prealbumin levels), muscle strength (Hand Grip, HG), Activity Daily Life (ADL), Quality of Life (SF-36, HRQoL) and amino acid profile. Results: Compared with the placebo group,

matched on Nutritional Status (mesh), nutrition (text)

Ni Mhurchu C, Turley M, Gorton D, Jiang Y, Michie J, Maddison R, Hattie J (2010)randomised controlled trialMEDLINE-indexed journal, not yet read by usBMC public health22 citations

Effects of a free school breakfast programme on school attendance, achievement, psychosocial function, and nutrition: a stepped wedge cluster randomised trial.

Background: Approximately 55,000 children in New Zealand do not eat breakfast on any given day. Regular breakfast skipping has been associated with poor diets, higher body mass index, and adverse effects on children's behaviour and academic performance. Research suggests that regular breakfast consumption can improve academic performance, nutrition and behaviour. This paper describes the protocol for a stepped wedge cluster randomised trial of a free school breakfast programme. The aim of the trial is to determine the effects of the breakfast intervention on school attendance, achievement, psychosocial function, dietary habits and food security. Methods/design: Sixteen primary schools in the North Island of New Zealand will be randomised in a sequential stepped wedge design to a free before-school breakfast programme consisting of non-sugar coated breakfast cereal, milk products, and/or

matched on Diet (mesh), nutrition (text)

Berger AM, Kuhn BR, Farr LA, Von Essen SG, Chamberlain J, Lynch JC, Agrawal S (2009)randomised controlled trialMEDLINE-indexed journal, not yet read by usJournal of clinical oncology : official journal of the American Society of Clinical Oncology77 citations

One-year outcomes of a behavioral therapy intervention trial on sleep quality and cancer-related fatigue.

Purpose: To determine 1-year outcomes of a four-component behavioral therapy (BT) sleep intervention (Individualized Sleep Promotion Plan [ISPP]) versus a healthy eating control (HEC) on cancer-related fatigue in women receiving breast cancer adjuvant chemotherapy treatment (CTX). Patients and methods: A total of 219 participants from 12 oncology clinics were randomly assigned in a clinical trial. Before CTX, research nurses coached intervention participants to develop a BT plan including stimulus control, modified sleep restriction, relaxation therapy, and sleep hygiene. BT plans were revised before each CTX and 30, 60, and 90 days after the last CTX and reinforced 7 to 9 days later. HEC participants received nutritional information and equal attention. Pittsburgh Sleep Quality Index (PSQI), Daily Diary, Wrist Actigraph, and Piper Fatigue Scale measures and Repeated Linear Mixed Model a

matched on Nutritional Status (mesh), nutrition (text)

Cook RF, Billings DW, Hersch RK, Back AS, Hendrickson A (2007)randomised controlled trialMEDLINE-indexed journal, not yet read by usJournal of medical Internet research95 citations

A field test of a web-based workplace health promotion program to improve dietary practices, reduce stress, and increase physical activity: randomized controlled trial.

Background: Most work sites engage in some form of health promotion programming designed to improve worker health and reduce health care costs. Although these programs have typically been delivered through combinations of seminars and print materials, workplace health promotion programs are increasingly being delivered through the Internet. Objective: The purpose of this research was to evaluate the effectiveness of a Web-based multimedia health promotion program for the workplace, designed to improve dietary practices, reduce stress, and increase physical activity. Methods: Using a randomized controlled trial design with pretest-posttest comparisons within each group, 419 employees of a human resources company were randomly assigned to the Web-based condition or to a condition that provided print materials on the same topics. All subjects were assessed at pretest and posttest through an

matched on Diet (mesh), nutrition (text)

Stock S, Miranda C, Evans S, Plessis S, Ridley J, Yeh S, Chanoine JP (2007)randomised controlled trialMEDLINE-indexed journal, not yet read by usPediatrics116 citations

Healthy Buddies: a novel, peer-led health promotion program for the prevention of obesity and eating disorders in children in elementary school.

Objective: We designed and tested a novel health promotion program for elementary schools that was based on peer teaching from older to younger schoolchildren ("Healthy Buddies"). Subjects and methods: This prospective pilot study compared the effect of our program (2-3 hours/week, 21 weeks) in 2 Canadian elementary schools (intervention: n = 232 children, the whole school implementing the program; control: n = 151). Older students (4th through 7th grade) were given direct instruction from 1 intervention teacher and were paired with younger students (kindergarten through 3rd grade) for the whole school year. Students in 4th through 7th grade then acted as teachers for their younger "buddies." All lessons included 3 components of healthy living: nutrition, physical activity, and healthy body image. The students first learned how to be positive buddies and learned the 3 components of a hea

matched on Diet (mesh), nutrition (text)

Alvarez-Jiménez M, González-Blanch C, Vázquez-Barquero JL, Pérez-Iglesias R, Martínez-García O, Pérez-Pardal T, Ramírez-Bonilla ML, Crespo-Facorro B (2006)randomised controlled trialMEDLINE-indexed journal, not yet read by usThe Journal of clinical psychiatry121 citations

Attenuation of antipsychotic-induced weight gain with early behavioral intervention in drug-naive first-episode psychosis patients: A randomized controlled trial.

Background: The purpose of this study was to compare an early behavioral intervention (EBI) with nonstructured standard physical care (routine care intervention [RCI]) in preventing antipsychotic-induced weight gain in drug-naive first-episode psychosis patients. Method: Sixty-one patients with a DSM-IV-diagnosed psychotic disorder were first randomly assigned to 3 different antipsychotic treatments (risperidone [N = 23], olanzapine [N = 18], and haloperidol [N = 21]) and subsequently randomly assigned to the intervention condition (EBI, N = 35) or RCI (N = 27). EBI was specifically designed to teach strategies to enhance control over factors associated with antipsychotic-induced weight gain and consisted of 8 flexible intervention modules that incorporated behavioral interventions, nutrition, and exercise. In the RCI group, patients were informed about potential weight gain and advised

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White AH, Wilson JF, Burns A, Blum-Kemelor D, Singh A, Race PO, Soto V, Lockett AF (2011)cohort or longitudinalMEDLINE-indexed journal, not yet read by usJournal of nutrition education and behavior13 citations

Use of qualitative research to inform development of nutrition messages for low-income mothers of preschool children.

Objective: To develop and test nutrition messages and supporting content with low-income mothers for use with theory-based interventions addressing fruit and vegetable consumption and child-feeding practices. Design: Six formative and 6 evaluative focus groups explored message concepts and tested messages, respectively. Setting: Research facilities in Maryland, Texas, California, Florida, North Carolina, New York, Alabama, and Illinois. Participants: Ninety-five low-income mothers of 2- to 5-year-old children; over half from households participating in a federal nutrition assistance program. Phenomenon of interest: Preference for and comprehension of nutrition messages. Analysis: Qualitative data analysis procedures to generate common themes from transcripts and observers' notes. Results: Messages on role modeling, cooking and eating together, having patience when introducing new food it

matched on Feeding Behavior (mesh), Fruit (mesh), Vegetables (mesh), nutrition (text)

Spring B, Champion KE, Acabchuk R, Hennessy EA (2021)meta-analysisMEDLINE-indexed journal, not yet read by usHealth psychology review55 citations

Self-regulatory behaviour change techniques in interventions to promote healthy eating, physical activity, or weight loss: a meta-review.

Poor quality diet, physical inactivity, and obesity are prevalent, covariant risk factors for chronic disease, suggesting that behaviour change techniques (BCTs) that effectively change one risk factor might also improve the others. To examine that question, registered meta-review CRD42019128444 synthesised evidence from 30 meta-analyses published between 2007 and 2017 aggregating data from 409,185 participants to evaluate whether inclusion of 14 self-regulatory BCTs in health promotion interventions was associated with greater improvements in outcomes. Study populations and review quality varied, with minimal overlap among summarised studies. AMSTAR-2 ratings averaged 37.31% (SD = 16.21%; range 8.33-75%). All BCTs were examined in at least one meta-analysis; goal setting and self-monitoring were evaluated in 18 and 20 reviews, respectively. No BCT was consistently related to improved ou

matched on Diet (keyword), Diet, Healthy (mesh)

Behavioural intervention for weight loss maintenance versus standard weight advice in adults with obesity: A randomised controlled trial in the UK (NULevel Trial).

Background: Scalable weight loss maintenance (WLM) interventions for adults with obesity are lacking but vital for the health and economic benefits of weight loss to be fully realised. We examined the effectiveness and cost-effectiveness of a low-intensity technology-mediated behavioural intervention to support WLM in adults with obesity after clinically significant weight loss (≥5%) compared to standard lifestyle advice. Methods and findings: The NULevel trial was an open-label randomised controlled superiority trial in 288 adults recruited April 2014 to May 2015 with weight loss of ≥5% within the previous 12 months, from a pre-weight loss BMI of ≥30 kg/m2. Participants were self-selected, and the majority self-certified previous weight loss. We used a web-based randomisation system to assign participants to either standard lifestyle advice via newsletter (control arm) or a technology-m

matched on Feeding Behavior (mesh), Diet, Healthy (mesh)

Steinglass JE, Albano AM, Simpson HB, Wang Y, Zou J, Attia E, Walsh BT (2014)randomised controlled trialMEDLINE-indexed journal, not yet read by usThe International journal of eating disorders95 citations

Confronting fear using exposure and response prevention for anorexia nervosa: A randomized controlled pilot study.

Objective: Anorexia nervosa (AN) is a severe illness with high rates of relapse. Exposure and Response Prevention for AN (AN-EXRP) is a new approach that specifically addresses maladaptive eating behavior by targeting eating-related fear and anxiety. The aim of this study was to evaluate AN-EXRP as an adjunctive strategy to improve eating behavior during weight restoration, at a pivotal moment when treatment goals shift toward relapse prevention. Method: A randomized controlled trial was conducted to compare AN-EXRP with a comparison condition, Cognitive Remediation Therapy (CRT). Hospitalized patients with AN (n = 32) who had achieved weight restoration to a BMI > 18.5 kg/m(2) received 12 sessions of either AN-EXRP or CRT. Outcome was assessed by change in caloric intake in an objective assessment of eating behavior. Results: The average test meal caloric intake of participants who rece

matched on Feeding Behavior (mesh), Energy Intake (mesh)

Mahboub N, Rizk R, Karavetian M, de Vries N (2021)reviewMEDLINE-indexed journal, not yet read by usNutrition reviews64 citations

Nutritional status and eating habits of people who use drugs and/or are undergoing treatment for recovery: a narrative review.

A comprehensive overview is presented of the nutritional issues faced by people who use drugs or are undergoing treatment for recovery. Chronic substance use affects a person's nutritional status and body composition through decreased intake, nutrient absorption, and dysregulation of hormones that alter the mechanisms of satiety and food intake. Anthropometrics alone is not the best indicator of nutritional status, because this population has hidden deficiencies and disturbed metabolic parameters. Socioeconomic factors (eg, higher education, higher income, presence of a partner, living at home) positively affect nutritional status. Scarce available data on users undergoing treatment indicate improvement in anthropometric and metabolic parameters but with micronutrient intake remaining suboptimal. Weight gain is noted especially among women who use drugs and potentially increases their ri

matched on Nutritional Status (mesh), Feeding Behavior (mesh), Nutritional Status (keyword), nutrition (text)

Mieziene B, Emeljanovas A, Fatkulina N, Stukas R (2020)MEDLINE-indexed journal, not yet read by usNutrients14 citations

Dietary Pattern and Its Correlates among Lithuanian Young Adults: Mediterranean Diet Approach.

A poor diet leads to serious health risks and accounts for a significant proportion of deaths. Young adults are the population whose health behaviors particularly need to be studied in terms of nutrition because they are in a period of life when the effects of nutrition accumulate to health outcomes that usually appear later in life in forms of disease or infirmity. The aim of this study is to examine the dietary pattern and its relationships with physical activity and covariates, such as body mass index, gender, age and education among Lithuanian young adults of 18-36 years old. A cross-sectional study was performed among Lithuanian young people aged 18-36 years. Snowball sampling-a non-probability, convenient sampling strategy-was used. In total, data were collected from 3031 study participants: 1723 (56.8%) were male and 1308 (43.2%) were female. The mean age was 23.72 ± 4.80 years. A

matched on Diet, Mediterranean (mesh), Nutritional Status (mesh), Feeding Behavior (mesh), dietary pattern (text), Diet, Healthy (mesh), nutrition (text)

Vorster HH, Venter CS, Wissing MP, Margetts BM (2005)MEDLINE-indexed journal, not yet read by usPublic health nutrition76 citations

The nutrition and health transition in the North West Province of South Africa: a review of the THUSA (Transition and Health during Urbanisation of South Africans) study.

Objective: To describe how urbanisation influences the nutrition and health transition in South Africa by using data from the THUSA (Transition and Health during Urbanisation of South Africans) study. Design: The THUSA study was a cross-sectional, comparative, population-based survey. Setting: The North West Province of South Africa. Subjects: In total, 1854 apparently healthy volunteers, men and women aged 15 years and older, from 37 randomly selected sites. Pregnant and lactating women, those with diagnosed chronic diseases and taking medication, with acute infections or inebriated were excluded but screened for hypertension and diabetes mellitus. Subjects were stratified into five groups representing different levels of urbanisation in rural and urban areas: namely, deep rural, farms, squatter camps, townships and towns/cities. OUTCOME MEASURES AND METHODS: Socio-economic and educatio

matched on Diet (mesh), Nutritional Status (mesh), Feeding Behavior (mesh), dietary pattern (text), Dietary Fats (mesh), nutrition (text)

Fast track to health - Intermittent energy restriction in adolescents with obesity. A randomised controlled trial study protocol.

Background: Intermittent energy restriction (IER) has shown early success in adolescents with obesity, however efficacy trials are needed. This study aims to determine if IER results in lower body mass index (BMI) z-score after 52 weeks in metabolically unhealthy adolescents with obesity compared with continuous energy restriction (CER). Methods/design: This is a prospective, randomised, multi-centre trial conducted in tertiary care settings, with three phases: jumpstart (weeks 0-4); intensive intervention (weeks 5-16); continued intervention and/or maintenance (weeks 17-52). During the jumpstart phase, all participants follow a very low energy diet (∼800kcal/3350kJ/day), then transition to their allocated intervention: IER or CER. IER involves three energy-restricted days/week, consuming one-third of daily energy requirements (∼600-700kcal/2500-2950kJ/day), and four days/week of a healt

matched on Feeding Behavior (mesh), Energy Intake (mesh), nutrition (text)

Montero MD, Mora-Urda AI, Anzid K, Cherkaoui M, Marrodan MD (2017)MEDLINE-indexed journal, not yet read by usJournal of biosocial science4 citations

DIET QUALITY OF MOROCCAN ADOLESCENTS LIVING IN MOROCCO AND IN SPAIN.

Intra-population socioeconomic changes and migration are powerful factors in changing eating habits. Changes in eating habits could affect the nutritional status, growth, development and health of adolescents. The aim of this study was to compare the diet of adolescents of Moroccan origin living in Spain with that of adolescents living in Morocco. The sample comprised 428 Moroccan adolescents aged from 12 to 19 recruited in high schools: 327 living in Ouarzazate (Morocco) and 101 living in Madrid (Spain). The variables studied were energy intake (kcal/day), diet quality indicators (adherence to the Mediterranean Adequacy Index (MAI); cholesterol intake (mg/day); fibre intake (g/day) and energy profile)); and indicators of keeping traditional customs (halal meat consumption, bread made at home). Teenagers from Morocco living in Madrid consumed more calories, proteins, saturated fats and s

matched on Diet (mesh), Nutritional Status (mesh), Feeding Behavior (mesh), Fruit (mesh), Vegetables (mesh), nutrition (text)

Interventions to prevent obesity in children aged 5 to 11 years old.

Background: Prevention of obesity in children is an international public health priority given the prevalence of the condition (and its significant impact on health, development and well-being). Interventions that aim to prevent obesity involve behavioural change strategies that promote healthy eating or 'activity' levels (physical activity, sedentary behaviour and/or sleep) or both, and work by reducing energy intake and/or increasing energy expenditure, respectively. There is uncertainty over which approaches are more effective and numerous new studies have been published over the last five years, since the previous version of this Cochrane review. Objectives: To assess the effects of interventions that aim to prevent obesity in children by modifying dietary intake or 'activity' levels, or a combination of both, on changes in BMI, zBMI score and serious adverse events. Search methods:

matched on Diet, Healthy (mesh), Energy Intake (mesh)

Chen YE, Loy SL, Chen LW (2023)meta-analysisMEDLINE-indexed journal, not yet read by usNutrients13 citations

Chrononutrition during Pregnancy and Its Association with Maternal and Offspring Outcomes: A Systematic Review and Meta-Analysis of Ramadan and Non-Ramadan Studies.

Much evidence suggests that food intakes and eating patterns are major determinants of the phase of peripheral circadian clocks, and desynchronization between them is thought to contribute to the development of metabolic disorders. However, much remains to be understood about how different dimensions of chrononutrition during pregnancy affect pregnant women's and their offspring's health outcomes. Therefore, we systematically reviewed and integrated all emerging evidence on chrononutrition during pregnancy (including meal skipping, meal frequency, night eating, and (Ramadan) fasting) and their relationships with maternal and offspring outcomes. The results suggest that meal skipping and night eating during pregnancy were generally associated with adverse pregnancy and birth outcomes, whereas no strong conclusion could be reached for meal frequency. In our meta-analysis, Ramadan fasting d

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Linardon J, Messer M, Tylka TL (2023)meta-analysisMEDLINE-indexed journal, not yet read by usBody image51 citations

Functionality appreciation and its correlates: Systematic review and meta-analysis.

Functionality appreciation is a component of positive body image that refers to respecting and honoring the body for what it is capable of doing. A growing number of studies have investigated the features, correlates, and outcomes of functionality appreciation, yet a synthesis of this literature is missing. We conducted a systematic review and meta-analysis of research on functionality appreciation. Fifty-six studies were included (85 % cross-sectional). Random effects meta-analyses were performed on 21 cross-sectional correlates and on seven randomized trials of psychological interventions that assessed functionality appreciation as an outcome. Meta-analyses showed that functionality appreciation was consistently associated with fewer body image problems, lower levels of eating disorder symptoms, and better mental health and wellbeing. Functionality appreciation was unrelated to age and

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Al-Khudairy L, Loveman E, Colquitt JL, Mead E, Johnson RE, Fraser H, Olajide J, Murphy M, Velho RM, O'Malley C, Azevedo LB, Ells LJ, Metzendorf MI, Rees K (2017)meta-analysisMEDLINE-indexed journal, not yet read by usThe Cochrane database of systematic reviews257 citations

Diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years.

Background: Adolescent overweight and obesity has increased globally, and can be associated with short- and long-term health consequences. Modifying known dietary and behavioural risk factors through behaviour changing interventions (BCI) may help to reduce childhood overweight and obesity. This is an update of a review published in 2009. Objectives: To assess the effects of diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years. Search methods: We performed a systematic literature search in: CENTRAL, MEDLINE, Embase, PsycINFO, CINAHL, LILACS, and the trial registers ClinicalTrials.gov and ICTRP Search Portal. We checked references of identified studies and systematic reviews. There were no language restrictions. The date of the last search was July 2016 for all databases. Selection criteria: We selected randomised c

matched on Feeding Behavior (mesh)

Agha M, Agha RA, Sandall J (2014)meta-analysisMEDLINE-indexed journal, not yet read by usPloS one62 citations

Interventions to reduce and prevent obesity in pre-conceptual and pregnant women: a systematic review and meta-analysis.

Background: The increasing prevalence of obesity in pregnant women is associated with adverse maternal and neonatal outcomes, and increased costs to healthcare, the economy and broader society. Objectives: To assess the efficacy of behavioural interventions for managing gestational weight gain (GWG) in the pre-conceptual and pregnancy period in overweight, obese and morbidly obese women. Search methods: A search was performed for published studies in the English language, from date? 2000-31 December 2012 in five electronic databases; PubMed, Scopus, Cochrane Library, CINAHL and PsycINFO. Selection criteria: Studies were included if they compared the efficacy or effectiveness of a particular behavioural intervention in pregnant or pre-conceptual women with standard maternity care. Studies that included women with co-morbid conditions such as diabetes mellitus and polycystic ovarian syndro

matched on Feeding Behavior (mesh)

Menzel JE, Schaefer LM, Burke NL, Mayhew LL, Brannick MT, Thompson JK (2010)meta-analysisMEDLINE-indexed journal, not yet read by usBody image203 citations

Appearance-related teasing, body dissatisfaction, and disordered eating: A meta-analysis.

A meta-analysis was conducted to determine the relationship between appearance and weight-based teasing and three outcome measures: body dissatisfaction, restrictive eating, and bulimic behaviors. Four meta-analyses were conducted. Fifty effect sizes (N=10,618) resulted in a moderate effect size of .39 for the relationship between weight teasing and body dissatisfaction; 24 effect sizes (N=7190) resulted in an effect size of .32 for the relationship between appearance teasing and body dissatisfaction; 20 effect sizes (N=4792) resulted in an effect size of .35 for the relationship between weight teasing and dietary restraint; and 22 effect sizes (N=5091) resulted in an effect size of .36 for the relationship between weight teasing and bulimic behaviors. Significant moderators that emerged were teasing measure type, publication type, study type, age group, and gender. The findings offer fu

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Li J, Trivic Z (2024)systematic reviewMEDLINE-indexed journal, not yet read by usThe Science of the total environment1 citations

Impact of "blue-green diet" on human health and wellbeing: A systematic review of potential determinants in shaping the effectiveness of blue-green infrastructure (BGI) in urban settings.

Discourses concerning the potential health benefits of blue-green infrastructure (BGI) have gained momentum, highlighting its positive influence on human health and wellbeing. While studies have explored the concept of "Nature Pyramid" and the role of exposure to natural environments in promoting health, the role of water elements remains underexplored. Rooted in this concept, this study proposed a notion of "blue-green diet" as a framework to understand the intricate mechanisms and determinants of optimal blue-green exposure. Understanding the relationship between these determinants and their health-related impacts can facilitate the enhancement of BGI design, leading to greater effectiveness in promoting health and wellbeing and supporting sustainable urban development strategies. To enhance the comprehension of the "blue-green diet", this study conducted a systematic literature review

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Sheikh-Wu SF, Liang Z, Downs CA (2023)systematic reviewMEDLINE-indexed journal, not yet read by usBiological research for nursing1 citations

The Relationship Between Telomeres, Cognition, Mood, and Physical Function: A Systematic Review.

Background and Purpose: Cognitive, affective, and physical symptoms and alterations in their function are seen across chronic illnesses. Data suggest that environmental, psychological, and physiological factors contribute to symptom experience, potentially through loss of telomeres (telomere attrition), structures at the ends of chromosomes. Telomere length is affected by many factors including environmental (e.g., exercise, diet, smoking) and physiological (e.g., response to stress), as well as from oxidative damage and inflammation that occurs in many disease processes. Moreover, telomere attrition is associated with chronic disease (cancer, cardiovascular disease, Alzheimer's disease) and predicts higher morbidity and mortality rates. However, findings are inconsistent among telomere roles and relationships with health outcomes. This article aims to synthesize the current state-of-the

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