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Author: Sarah Armes Editor: Sarah Anderson This blog is the third in a three-part series covering key insights from the 2024 Modality Pathfinder Lifestyles Summit . Women encounter distinct health challenges, including hormonal and metabolic changes, as well as an increased risk of conditions such as osteoporosis and iron deficiency. Addressing these issues requires tailored interventions that consider lifestyle choices, including diet, exercise, sleep, stress management, and substance use. Women can achieve better health outcomes and improved quality of life by prioritising these factors in healthcare. Diet and Nutrition A healthy diet is fundamental to women’s health, supporting weight management, preventing chronic diseases, and ensuring overall wellbeing. However, many women face nutritional deficiencies, such as a lack of iron, calcium, or folic acid, which can lead to anaemia, osteoporosis, and pregnancy complications. Reducing carbohydrate intake to 120 grams per day (or lower under medical supervision) and prioritising unprocessed foods is beneficial to address metabolic issues. For weight management, increasing plant-based foods, healthy fats, and proteins while avoiding processed and high-carbohydrate foods can reduce cravings, stabilise mood, and promote long-term health. Physical Activity Exercise is a cornerstone of good health. For women, regular physical activity reduces the risk of cardiovascular disease by 30-60%, improves insulin resistance, and lowers blood pressure. It also supports mental wellbeing by alleviating symptoms of depression and anxiety, enhancing mood, and reducing stress. Exercise is also crucial for maintaining bone health. Weight-bearing exercises like walking and resistance training help prevent osteoporosis, especially after menopause. Incorporating simple daily habits, such as a brisk 20-30 minute walk or following a structured '3-5 plan' workout (3-5 exercises, 3-5 repetitions, 3-5 sets, 3-5 days a week), can yield long-term health benefits. Sleep and Recovery Sleep is essential for overall health, yet women often struggle with sleep disruptions, particularly during menopause or while raising young children. Chronic sleep deprivation can lead to hormonal imbalances, weight gain, and mental health challenges. Research indicates that adults who sleep fewer than six hours per night have a 13% higher risk of mortality. Sleep deprivation is also linked to a 30% higher likelihood of obesity. Women can improve sleep quality by establishing a bedtime routine, reducing blue light exposure, avoiding stimulants like caffeine in the afternoon, and engaging in relaxation practices like mindfulness or Nidra yoga. Stress Management and Mental Health Stress has a profound impact on women’s health, affecting the cardiovascular, gastrointestinal, and reproductive systems. Women are often more susceptible to stress due to societal pressures, caregiving roles, and work-life balance challenges. Chronic stress can disrupt ovulation, lead to irregular menstrual cycles, and increase the risk of hypertension. Practising mindfulness, spending time in nature, engaging in deep relaxation, and nurturing social relationships can all significantly improve mental wellbeing. These practices not only enhance resilience but also contribute to overall wellbeing. Addressing Substance Use Smoking, alcohol, and drug misuse pose serious health risks for women. Smoking increases the likelihood of lung cancer, cardiovascular diseases, and reproductive health complications. Excessive alcohol consumption raises the risk of breast cancer, liver disease, and mental health problems. Healthcare guidance, such as the National Institute for Health and Care Excellence (NICE) fertility recommendations , highlights the importance of reducing exposure to harmful substances. Women trying to conceive should avoid smoking and limit alcohol intake, as these behaviours can affect fertility. Polycystic Ovarian Syndrome (PCOS) Lifestyle management is essential for women with PCOS. A combination of healthy eating and regular physical activity can improve overall health, quality of life, and weight management. Healthcare providers should work closely with women to set personalised goals, recognising that even modest lifestyle changes can lead to meaningful health improvements. By addressing lifestyle factors, healthcare providers can help women prevent chronic conditions, manage existing health issues, and enhance their quality of life. Diet, exercise, sleep, stress management, and substance use should be central to women’s healthcare strategies.

Authors  – Ankita Ghosh, Asim Kumar Manna, Debashis Chakraborty   Reviewed and edited by – Sarah Anderson, Ramya Rajaram, Sucheta Mitra, Sumantra Ray    The NNEdPro-IANE 10th International Summit on Food, Nutrition & Health , held from 17th to 20th December 2024 in Kolkata, India, was a landmark event underlining the global dialogue on food systems, health, and social justice.   The Summit’s theme, “Democratising and Decolonising Food and Nutrition: From Science to Society,” illuminated the urgent need for equity, sustainability, and inclusivity in addressing the world’s nutrition challenges. The topic reflected the need to rethink and reshape global food and nutrition systems. Currently, food systems, agricultural practices, and nutrition science are highly influenced by external perspectives, leading to the loss of traditional foods.    The 10th International Summit was more than just a conference; it was a summative call to action, bringing together the cumulative insights of a decade in this Summit series. It brought together experts, activists, policymakers, and passionate advocates worldwide to focus on making food systems, as well as access to nutrition and health, more equitable and sustainable. A series of deliberations through plenary sessions, workshops, panel discussions, and interactive forums laid the foundation for future changes in nutrition, health, and global food policy.   DAY 1: 17TH DECEMBER  Day one's programme began at 14:00 IST, with registration opening an hour earlier to allow early access to the auditorium. The opening remarks by the Summit’s co-chairs, Professor Sumantra Ray and Professor Pauline Douglas, set the stage for in-depth conversations about food policies and practices, with key insights shared by experts from diverse fields. After that, the day was packed with five insightful tracks, beginning with the Sanchita Banerjee Memorial Track, which addressed global food insecurity. Food sovereignty, public health nutrition, decolonising nutrition practices, and incorporating Indigenous knowledge into contemporary food systems were among the topics explored in panel discussions. Discussions also explored structural disparities in food systems and solutions for tackling nutrition issues in underserved communities, featuring experts from various disciplines. The cultural interlude, featuring an Indian evening tea, provided networking opportunities. After the evening tea break, the importance of international collaboration in addressing nutrition-related challenges was highlighted. The day concluded with the symbolic lighting of the 'Lamp of Learning' and a cultural performance by the Calcutta Youth Choir and guest performers, reinforcing the Summit’s spirit of collaboration and shared learning.   DAY 2 and DAY 3: 18TH DECEMBER and 19TH DECEMBER  On the second and third days of the seminar, the programme commenced at 09:00 IST, with the registration desk opening at 08:00 IST. Each day featured an immersive schedule structured into five parallel tracks running across multiple seminar halls: Clinical Nutrition  – Explored advancements in personalised nutrition, therapeutic dietary interventions, and the integration of clinical nutrition into healthcare systems. Public Health Nutrition  – Addressed nutrition equity, food security, public health policies, and the impact of social determinants on dietary health outcomes.   Nutrition Education Track  – Presented in partnership with the Society for Nutrition Education & Behavior (SNEB), this track explored innovative strategies for advancing nutrition education and behaviour change. Indigenous Populations and Planetary Health  – In collaboration with Smily Academy, this track highlighted the intersection of Indigenous knowledge, environmental sustainability, and women’s leadership in food sovereignty movements. Flagship Symposium Track   – Food Systems, Sustainability & Global Nutrition Challenges: This afternoon session focused on pressing global issues in food security, sustainable nutrition practices, and policy-driven solutions for resilient food systems.   Each track was co-chaired by two experts, with a keynote speaker delivering an address specific to the session's theme. Following the keynote, two to three panellists engaged in a discussion alongside the keynote speaker, offering a deeper analysis of key themes and emerging insights. A dedicated facilitator moderated every session to ensure structured and meaningful discussions.   In addition to the main tracks, the seminar featured an abstract and Mini Learning Zone competition, held in the lobby of the seminar hall. Poster presentations of cutting-edge nutrition and public health research were judged from 09:00 to 11:00 IST. The morning tracks concluded at 12:45 IST, followed by a one-hour lunch break, offering participants valuable networking opportunities with fellow delegates.   After the lunch break, sessions continued in the mini auditorium from 14:00 to 18:00 IST. The afternoon session had four different tracks and ended with a panel discussion to recap the day's proceedings. The session started with a recap of the key points of the morning session, which the morning co-chairs shared. Each track was allocated 45 minutes and moderated by a designated individual. Every track featured a keynote speaker, followed by a panel discussion. Judging for the Mini Learning Zone took place in parallel after lunch.   DAY 4: 20th December 2024  The final day's programme started at 09:45 IST and ended at 14:00 IST. Women in Education Leadership were honoured with a symposium and recognition awards ceremony on the last day of the NNEdPro-IANE 10th International Summit. The final day's discussions centred on sustainability, Indigenous knowledge, and nutrition policy, with experts offering culturally sensitive solutions and examining gaps in existing nutrition policies.   Recognition awards were presented to outstanding contributors in education and community work excellence, celebrating their impact in advancing nutrition and health equity. Discussions about transformational leadership and empowering women via the 3Cs—courage, connection, and conversation—concluded the Summit discussions. The winners of the abstract presentations and mini learning zone poster presentations were also recognised on the stage. The entire four-day programme ended with the recognition of the volunteers and a small gesture towards the organising committee.   Conclusion  The NNEdPro-IANE 10th International Summit on Food, Nutrition, and Health was a thought-provoking and transformative event that gave participants a comprehensive understanding of the intricate relationships between sustainability, food systems, nutrition, and health. With the theme "Democratising and Decolonising Food and Nutrition,"  the Summit examined how eradicating structural injustices, integrating Indigenous knowledge, and encouraging inclusive, sustainable practices can help address nutritional disparities worldwide. To promote cooperation and collective action, participants in five thematic tracks engaged in lively discussions, workshops, and panel sessions over four unforgettable days. The Summit highlighted the critical role of Indigenous leadership and wisdom, stressing the need to integrate local and global perspectives to tackle the challenges facing food systems today. The closing sessions summarised the Summit's key takeaways and outlined actionable next steps for shaping the future of food, nutrition, and health. As a direct outcome of the Summit, we have established the Forum on Democratising Food and Nutrition —an action-driven, globally connected hub dedicated to fostering equitable access to knowledge, amplifying underrepresented voices, and reshaping global food systems through informed advocacy and capacity-building. This forum serves as a collaborative space where researchers, policymakers, practitioners, and communities can continue the vital conversations sparked at the Summit and translate insights into meaningful change. As the Summit drew to a close, it became evident that continued cooperation between all sectors—government, international organisations, Indigenous communities, and others—is necessary to build more inclusive, sustainable, and equitable food systems. With the momentum of the Summit now channelled into this new forum, participants left with a fresh sense of purpose and the means to actively contribute to sustainability and global health efforts. The full Summit programme can be found here . View the Photo Gallery .

Author: Janice Man Editor: Sarah Anderson The NNEdPro-IANE International Summit on Food, Nutrition and Health is a leading annual scientific meeting. The 2023 Summit (on ‘Sustainable Resourcing for all in Food & Nutrition Security: Creative solutions for healthy & resilient populations’), highlighted the need to consider the inequities that exist within the food and nutrition landscape. This led us to fully explore the theme of ‘ Democratising and Decolonising Food and Nutrition: From Science to Society ’ in 2024.  The event gathered a wide array of experts from over 78 countries, along with numerous organisations, offering expanded geographical and disciplinary perspectives.  The Summit brought together keynote speakers from across six continents who highlighted the urgent need to dismantle structural inequalities in food systems. They discussed the integration of indigenous knowledge, sustainable practices, and the need for nutrition science to be accessible to all, particularly marginalised communities. The intricate relationship between food, health, and climate was explored, underscoring how inclusive approaches could help address global nutritional disparities.  International Summit Co-Chairs  Professor Pauline Douglas – NNEdPro | Ulster University    Professor Pauline Douglas, one of the Co-Chairs of the Summit, discussed “Taking the Evidence and Translating it into Clinical Practice.” She explored how clinical practices could be aligned with socioeconomic contexts and addressed disparities in nutritional care across populations. With over 30 years of experience in dietetics, Pauline taught Professional Practice for dietetic students at the Nutrition Innovation Centre for Food and Health at Ulster University, alongside Nutrition Education for healthcare professionals.  Professor Sumantra Ray – NNEdPro   Alongside Professor Pauline Douglas, Professor Sumantra Ray served as Co-Chair of the Summit. He set the stage for the exploration of the central theme: ‘Democratising and Decolonising Food and Nutrition: From Science to Society.’ Sumantra is the Founder and Co-Chair of BMJ Nutrition, Prevention and Health and the Founder and Principal Investigator of the Mobile Teaching Kitchen International Initiative, which operates in India, Mexico, the USA, and the UK. Since 2008, he, along with NNEdPro, has led initiatives focused on integrating nutrition education into medical and health systems across 78 countries through NNEdPro's Regional Networks.  Principal Keynote Speaker: Sanchita Banerjee Memorial Lecture   Dr Shakuntala Thilsted – Director, Nutrition, Health, and Food Security Impact Area Platform (CGIAR)  Dr Shakuntala Thilsted delivered the Sanchita Banerjee Memorial Lecture, diving deep into food systems, sustainability, and global nutrition challenges. She discussed structural inequalities, food sovereignty, and how food could act as a tool for international cooperation. Shakuntala brought decades of expertise to the Summit, having been awarded the 2021 World Food Prize for her transformative work in aquatic food systems. She is also the recipient of the 2021 Arrell Global Food Innovation Award and serves on several influential global panels, including the High-Level Panel of Experts on Food Security and Nutrition of the United Nations.  Honorary Joint President of NNEdPro & IANE  Professor Suzanne Piscopo – University of Malta | President, SNEB  Professor Suzanne Piscopo explored “Competency and Collaboration in Nutrition Education for a Healthier People and Planet.” She addressed the challenges and strategies for transdisciplinary collaboration in nutrition education, bringing together nutritionists, social workers, and policymakers. Suzanne, a Senior Faculty member at the University of Malta, is also involved in national community education projects focusing on sustainable living and Mediterranean food systems. She has contributed to the development of Maltese national dietary guidelines and school food policies.  Key Speakers  Dr Prachi Prabhat Pandit – Consultant to Shiv Nadar Foundation  Dr Prachi Pandit led the session on “MoolGyan: Cultivating Health and Sustainability – One Meal at a Time.” She explored the integration of Indigenous knowledge into global food policy, addressing challenges in incorporating these practices into formal agricultural and food policy frameworks. Prachi is deeply committed to reducing health inequalities and improving healthcare access. She led the MoolGyan project at the Shiv Nadar Foundation, a school farm initiative that uses a STEAM approach to foster healthy, sustainable choices in students.  Professor Nitya Rao – University of East Anglia  Professor Nitya Rao presented on “Gender Justice: The Key to Equity, Health and Resilience of Food Systems.” She discussed the role of gender in sustainable agriculture and the leadership challenges within this field. Nitya is a Professor of Gender and Development at the University of East Anglia and the Director of the Norwich Institute for Sustainable Development.  Jaroslav Guzanic – NNEdPro | Swiss Association for Cooperation on Food Education  Jaroslav Guzanic’s presentation, “Linking Traditional Knowledge and Gastronomic Landscapes to Accelerate Transition of Food Systems,” addressed agroecology and sustainable food systems. He explored how traditional knowledge could be integrated into modern food systems and the challenges associated with this. With over 10 years of experience in hospitality and food education, Jaroslav is co-lead of NNEdPro's Swiss Regional Network, focusing on the intersections of nutrition and public health.  Professor Chim Lang – School of Medicine, University of Dundee  Professor Chim Lang’s session, “When Diets Fail... The Role of GLP1RA and GIP Modulators,” discussed the integration of pharmacological treatments with culturally sensitive dietary practices. Chim, a consultant cardiologist and clinical pharmacologist, shared insights on how healthcare professionals could balance these approaches in clinical settings.  Professor Mei Yen Chan – School of Medicine, Nazarbayev University  Professor Mei Yen Chan focused on “Leveraging Artificial Intelligence (AI) in Food Interventions: Creating the First Central Asia Food Dataset for Delivering Personalised Nutrition Interventions.” She discussed how AI could be used to address intrinsic biases in clinical nutrition practices and the challenges of creating diverse, representative datasets. Mei Yen is a clinical dietitian and PhD holder with expertise in chronic disease management and nutrition education.  Dr Annalisa Terranegra – Investigator, Precision Nutrition, Sidra Medicine  Dr Annalisa Terranegra’s presentation, “The Importance of a Precision Nutrition Approach to Tackle Non-Communicable Diseases in Diverse Populations,” explored the role of precision nutrition in addressing non-communicable diseases across diverse socio-cultural contexts. Annalisa’s expertise lies in molecular medicine and nutritional sciences.  Dr Jeffrie Quarsie – PhD Candidate in Political Science, Queen Mary University of London  Dr Jeffrie Quarsie presented “Decolonising Medical Guidelines: A Case Study on Ethnicity in Renal Medicine”, emphasising the importance of adaptable and culturally sensitive clinical nutrition guidelines. As both a medical doctor and political scientist, Jeffrie’s research delves into neo-colonial practices in Africa, offering a unique interdisciplinary perspective.  Dr Martin Kohlmeier – Editor in Chief, BMJ Nutrition, Prevention & Health  Dr Martin Kohlmeier addressed the panel theme, “Personalised and Precision Nutrition Beyond Genetics”, focusing on the integration of environmental, cultural, and lifestyle factors within precision nutrition. With expertise in nutritional genetics and education, Martin contributed valuable insights into the evolving field of personalised nutrition.  Other Key Topics and Speakers  The summit featured a diverse lineup of speakers from numerous disciplines, including:  Nutrition and dietetics research  Renal medicine  Artificial intelligence in food innovation  Indigenous Food Sovereignty  Global nutrition  Nutrition and climate change  These discussions sparked profound conversations aimed at rethinking the democratisation and decolonisation of food and nutrition science. As a direct outcome of the Summit, we have established the Forum on Democratising Food and Nutrition —a global, action-driven initiative dedicated to fostering equitable access to knowledge, amplifying underrepresented voices, and reshaping food systems through advocacy and capacity-building. Interested in learning more about the 10th International Summit on Democratising and Decolonising Food and Nutrition: From Science to Society? Read more here !   To view the full photo album, click here .

02 May 2024 🌟 Warm May Greetings from the Anna Edesia Newsletter! 🌟   As we embark on the blossoming month of May 2024, we're thrilled to continue our journey with you, unfolding the latest developments, insights, and aspirations from NNEdPro through the pages of the Anna Edesia Newsletter. In this edition, we'll celebrate the achievements of the previous month while eagerly anticipating the captivating endeavors that lie ahead in the coming months of the year.   We extend a heartfelt invitation for you to join us on this enlightening voyage forward! 🚀 CREATE Global Leadership Academy: Self-care and leadership Project Members of the CREATE Global Leadership Academy  have access to many benefits. Last week we extended a special invitation to all CREATE members to an enriching opportunity to delve into the essence of self-care and leadership through our upcoming 'Values in Selfcare for Leadership ' Project.   Learn more at: https://www.createacademy.online/ JOIN US AT THE UPCOMING EVENTS THE ROYAL SOCIETY OF MEDICINE WEBINAR Join NNEdPro's experts for this educative one-day webinar, which convenes nutrition and lifestyle medicine specialists to discuss the transformative potential of nutrition knowledge in patient care and clinical outcomes. Learn more and register at https://bit.ly/4aGxc7A . The 10th NNEdPro International Summit on Food, Nutrition and Health The NNEdPro Global Institute for Food, Nutrition and Health and the International Academy of Nutrition Educators , in partnership with BMJ Nutrition, Prevention & Health , are excited to announce the forthcoming " Democratising and Decolonising Food and Nutrition: From Science to Society " Summit. This Summit is dedicated to fostering a more inclusive, equitable, and collaborative approach to food and nutrition research, education, practice, and policy worldwide.   This summit will take the form of a hybrid pre-summit workshop and roundtable discussion in Belfast, Northern Ireland on 1st July 2024 , and a main Summit event, also in a hybrid format, in Kolkata, India, from 17th to 20th December.  These events will bring together the collective views of our regional networks spanning over 65 countries as well as a multitude of organisations, giving even wider geographical and disciplinary coverage.   Join us as we continue our journey of exploring inclusivity, equity, and collaboration in the field of food and nutrition!   ​To learn more about the event, please visit https://www.nnedpro.org.uk/summit . Join us at the SNEB conference   The Society of Nutrition, Education, and Behavior (SNEB) is excited to offer a special promotion for our upcoming conference! By using the promo code IANEPARTNERSHIP during registration, you can enjoy a 30% discount. Don't miss out on this fantastic opportunity to network with leading experts and stay current on emerging trends in nutrition education. By participating in this event, you will not only enhance your professional development but also contribute to the advancement of nutrition science.   Join us at the SNEB conference and take your career to new heights!   Where:   Student Union | University of Tennessee, Knoxville When:   Monday, July 29 – Thursday, August 1, 2024 BSLM 2024 Annual Medical Conference Imagine then, that there was a healthcare approach that is cost effective and accessible to all.  Lifestyle Medicine is that healthcare approach.  At their annual conference this year, BSLM 2024, they will look at health span, through life span and show how we can all Start Well, Live Well and Age Well in the UK.     If you haven’t heard of British Society of Lifestyle Medicine, or Lifestyle Medicine in general, it is a modern medical discipline providing solutions to the challenge of our declining health and over-stretched health-care systems.     Changes, such as healthy eating, activity, sleep, social connections, mental health and reducing harmful substances have been proven to benefit overall health and quality of life.      This year their conference theme is “Start Well, Live Well, Age Well”, meaning that at every stage of life, children, adults, and the elderly should have the tools for optimum health and promoting healthy ageing.     This is reflected through their 3-day programme on the variety of comprehensive speaker programme and engaging sessions planned, with each one providing unique insight into these topical aspects of lifestyle medicine.   We can’t wait for you to explore, take in and enjoy, these three full days of Lifestyle Medicine and all it has to offer!  Event Page link: https://bslm.org.uk/events/bslm-2024-medical-conference What is Lifestyle Medicine: https://bslm.org.uk/lifestyle-medicine/what-is-lifestyle-medicine/   About Us: https://bslm.org.uk/about/about-us/   🌟 Embark on an exhilarating journey through the realm of nutrition! Delve deep into captivating subjects such as cutting-edge research methodologies, disease prevention strategies fueled by nutrition, and the pivotal role of nutrition in healthcare environments. 🚀 Join us for our upcoming live sessions on the 23rd and 24th of September  and unlock the secrets to optimal health and vitality!   Don't miss out—secure your spot now by registering at https://www.nnedpro.org.uk/summer-school   🎉 Let the adventure begin! PARTNERSHIP ANNOUNCEMENTS NNEdPro & Smily Academy We are thrilled to announce our innovative partnership with Smily Academy! This announcement heralds an exciting partnership between NNEdPro and Smily Academy, poised to catalyse significant advancements in One Health and indigenous factors. With a dedicated focus on empowering eco-entrepreneurs and advancing sustainable development goals, our collaboration aims to tackle pressing global challenges in food security, nutrition, and environmental sustainability. Together, we will harness our combined expertise and resources to drive meaningful change and foster a brighter, more resilient future for all. NEW BOOK ANNOUNCEMENT Essentials of Nutrition in Medicine and Healthcare, 1st Edition A Practical Guide takes a systems-based approach to medical nutrition. It includes the pathophysiology of nutrition-related disease as well as the clinical application of nutrition theory in disease management and the role of nutrition in public health. It covers the basics of physiology and biochemistry, including relevant drug-nutrient interactions. MTK Cookbook 2.0 Presenting MTK Cookbook 2.0 - Revolutionising Healthy Eating! Explore a collection of more than 50 thoughtfully curated nutritious recipes, proudly brought to you by NNEdPro's Mobile Teaching Kitchens Initiative.   Check it out here: MTK Cookbook   Purchase the book now:  Amazon UK   Amazon India   Amazon US   BE AWARE The official websites of NNEdPro Global Institute and its subsidiaries are listed below. Please note that any other websites with similar names which do not conform to these URLs are not run by us and do not represent our organisation: www.nnedpro.org.uk vle.nnedpro.org.uk www.iane.online www.createacademy.online www.mtki.org www.ikann.global PLEASE SUPPORT US Your support is not just a donation; it's an investment in a healthier, more equitable world. Together, we can turn the tide against malnutrition and build a future where everyone has the opportunity to thrive. Join us in this vital mission.

05 March 2024 🌟 Welcome to the March Edition of the Anna Edesia Newsletter! 🌟   As we stride into the third month of 2024, we're thrilled to continue our journey with you, bringing forth the latest updates, insights, and aspirations from NNEdPro through the Anna Edesia Magazine. In this edition, we'll recap the highlights of the past month while peering ahead to the exciting endeavors awaiting us in the coming months of 2024.   Join us as we embark on this enriching exploration together! February 6, 2024 Charting a New Course: The NELICO Vision to Redefine Medical and Healthcare Nutrition Education – Insights from a Pilot Intervention in China February 6, 2024 From plate to policy: an overview of the nutrition and health landscape in Brunei Darussalam February 6, 2024 Malnutrition Policy to Achieve Universal Health Coverage in ASEAN Member States: A Call to Action Exciting Developments in Our Strategic Partnership! We are thrilled to announce the latest developments in our ongoing development of a strategic collaboration with King's College London (KCL). A national bid led by KCL, in which we are a supporting partner organisation, has been successful.   The London Interdisciplinary Social Science Doctoral Training Partnership (LISS DTP) bid by KCL to the Economic and Social Research Council (ESRC) has been successful. Overall, along with partner organisations, the LISS DTP will support up to 60 studentships annually, beginning this October. These studentships will encompass various focus areas, including advanced quantitative methods, digital skills, and interdisciplinary research that transcends multiple research council domains. Additionally, the LISS DTP has secured funding to sponsor four Postdoctoral Fellowships each year. One of our primary roles within this partnership is to position nutrition studies prominently among these interdisciplinary PhD projects.   Stay tuned for more announcements as we embark on this enriching journey together with KCL. NNEdPro Hosts Successful UK MTK Culinary Nutrition Education Session at the Dundee & Angus College We are thrilled to announce that we have recently signed a memorandum of understanding with Dundee & Angus College, further solidifying our commitment to culinary education and community engagement. Excitement filled the air at the Arbroath Campus as the first UK MTK Culinary Nutrition Education session of 2024 commenced on February 21st. With fifteen eager participants from the local community, the event promised a journey of learning, discovery, and culinary delight.   Supported by EIT Food, the programme, initiated by D&A College, aims to equip participants with essential skills for both employment and entrepreneurship. It offers a unique blend of culinary training and nutrition education, providing a pathway to new opportunities in the food industry. Led by Executive Chef Kantesh and Chef Tutor Maja, the participants embarked on a culinary adventure, guided by a flagship menu template adapted from the Kolkata MTK cookbook specifically for the UK audience. The session focused not only on mastering culinary techniques but also on understanding the nutritional value of meals.   Divided into four teams, the participants showcased their culinary prowess by preparing a delectable three-course meal. Remarkably, the meal, priced at a mere £4 per plate, met the daily requirements of essential micronutrients, boasted high protein content, and offered sustained energy release, all while promoting sustainability. As the session concluded on a high note, participants and organisers alike expressed anticipation for future sessions. The event served as a testament to the transformative power of culinary education, empowering individuals to make healthier choices and pursue rewarding careers in the food industry.   Stay tuned for more updates from the UK MTK Culinary Nutrition Education sessions as we continue to explore the intersection of culinary artistry and nutritional science. Exploring Partnerships: NNEdPro meets with High Sheriff of Cambridgeshire The 15th of February marked a remarkable day for NNEdPro as Prof Sumantra Ray and Prof Pauline Douglas had the esteemed privilege of meeting Dr Khetani, High Sheriff of Cambridgeshire, along with his wife, Mrs Khetani.   Together, they engaged in insightful discussions about future collaborations with NNEdPro, including the introduction of the Mobile Teaching Kitchen (MTK) in the UK throughout 2024 and beyond.   Stay tuned for more updates as we continue to explore innovative ways to promote culinary education and community engagement! LIMITED SPOTS REMAINING - REGISTER NOW  for the NNEdPro-Cambridge Summer School & Foundation Certificate in Applied Human Nutrition Unlock the Door to Nutrition Excellence with the NNEdPro-Cambridge Summer School & Foundation Certificate in Applied Human Nutrition!   This exclusive programme is a foundation-level certificate in Applied Human Nutrition covering basic nutritional concepts, from current research and methods to prevention, healthcare and policy applications:   Basic Concepts in Human Nutrition Nutrition Research Methods​ Nutrition in Disease Prevention Nutrition in Healthcare Nutrition Public Health and Policy   Next Cohort: 10th and 11th of April 2024 NEW BOOK ANNOUNCEMENT Essentials of Nutrition in Medicine and Healthcare, 1st Edition A Practical Guide takes a systems-based approach to medical nutrition. It includes the pathophysiology of nutrition-related disease as well as the clinical application of nutrition theory in disease management and the role of nutrition in public health. It covers the basics of physiology and biochemistry, including relevant drug-nutrient interactions. BE AWARE The official websites of NNEdPro Global Institute and its subsidiaries are listed below. Please note that any other websites with similar names which do not conform to these URLs are not run by us and do not represent our organisation: www.nnedpro.org.uk vle.nnedpro.org.uk www.iane.online www.createacademy.online www.mtki.org www.ikann.global PLEASE SUPPORT US Your support is not just a donation; it's an investment in a healthier, more equitable world. Together, we can turn the tide against malnutrition and build a future where everyone has the opportunity to thrive. Join us in this vital mission.

07 February 2024 Welcome to the First Anna Edesia Newsletter of 2024! We're excited to kick off the new year with you and share the January  updates through our Anna Edesia Newsletter. January 5, 2024 Little Literacy Library (LLL) - Illuminating Futures, One Child at a Time January 9, 2024 Bhavishya Shakti Cooperative Society - Empowering Lives through Nutrition and Entrepreneurship January 30, 2024 NNEdPro Global Institute for Food, Nutrition and Health: Position Statement on low carbohydrate diets in the management of type 2 diabetes REGISTER NOW  for the NNEdPro-Cambridge Summer School & Foundation Certificate in Applied Human Nutrition Unlock the Door to Nutrition Excellence with the NNEdPro-Cambridge Summer School & Foundation Certificate in Applied Human Nutrition!   We are thrilled to announce that registration is now open for the highly anticipated NNEdPro-Cambridge Summer School & Foundation Certificate in Applied Human Nutrition. This exclusive programme is a foundation-level certificate in Applied Human Nutrition covering basic nutritional concepts, from current research and methods, to prevention, healthcare and policy applications: Basic Concepts in Human Nutrition Nutrition Research Methods​ Nutrition in Disease Prevention Nutrition in Healthcare Nutrition Public Health and Policy   Next Cohort: 10th and 11th of April 2024 NEW BOOK ANNOUNCEMENT Essentials of Nutrition in Medicine and Healthcare, 1st Edition A Practical Guide takes a systems-based approach to medical nutrition. It includes the pathophysiology of nutrition-related disease as well as the clinical application of nutrition theory in disease management and the role of nutrition in public health. It covers the basics of physiology and biochemistry, including relevant drug-nutrient interactions. OUR IMPACT REPORT The Fifteen-Year Impact Report (2008-2023) Building on over a decade and a half of nutrition education, research and innovation. An 'A to Z' of NNEdPro's activities, outputs and expertise from the last 15 years. BE AWARE The official websites of NNEdPro Global Institute and its subsidiaries are listed below. Please note that any other websites with similar names which do not conform to these URLs are not run by us and do not represent our organisation: www.nnedpro.org.uk vle.nnedpro.org.uk www.iane.online www.createacademy.online www.mtki.org www.ikann.global PLEASE SUPPORT US Your support is not just a donation; it's an investment in a healthier, more equitable world. Together, we can turn the tide against malnutrition and build a future where everyone has the opportunity to thrive. Join us in this vital mission.

Authors  – Ramya Rajaram   Key Contributors  – Sumantra Ray, Sarah Armes  Acknowledgements - We would like to extend our heartfelt thanks to all those who contributed to making the Dundee Food Festival, the culminating event of UK MTK Phase 1, a resounding success.   A special note of gratitude goes to EIT Food , whose funding made the UK Mobile Teaching Kitchen Initiative (MTKi) Proof of Concepts possible. Their support has been instrumental in advancing this initiative. Special recognition goes to the NNEdPro team , led by Prof. Sumantra Ray (PI) and Dr. Kathy Martyn (Co-PI), whose leadership and guidance were instrumental throughout the project. We are grateful to Matheus Abrantes and Sarah Armes, our project managers, for their tireless coordination and oversight. Thanks to Chef Kantesh Chowdhury, whose culinary expertise elevated the event, and to Prof. Pauline Douglas, Rauf Khalid, Sucheta Mitra, Wanja Nyaga, and Dr. Ramya Rajaram for their invaluable support and contributions.   We would also like to acknowledge the staff at Dundee & Angus College —Katie Baxter, Maja Gach, Fiona Kilcullen, Sarah Sullivan, Kichelle Williams-Robinson, and their team members—who played an essential role in the event's seamless execution.   A huge thank you to our Champions —Beth Fitzsimmons, Rebecca McCagh, Kathleen McLeod, Debbie Nelson, and Tracey Toal—for their passion and dedication to making this event a memorable experience.  Lastly, we would like to express our gratitude to the Volunteers and Ristolab , especially Dr. Sofia Cavalleri and Chef Amabile Cortiglia, for their invaluable contributions in supporting this effort.   This event would not have been possible without the collective effort, expertise, and dedication of everyone involved.     On the weekend of July 6th and 7th, Dundee Food Festival witnessed an exciting culinary showcase that brought together tradition, innovation, and community spirit. The event marked the culmination of a unique partnership between NNEdPro and Dundee and Angus College, featuring the Mobile Teaching Kitchen (MTK) UK adaptation—a project aimed at empowering local women through culinary training. The festival provided the perfect platform to highlight the skills and achievements of our Champions, a group of women from Arbroath who had participated in an intensive six-month culinary training program.  Six months ago, these committed   women   embarked on a series of five culinary training sessions. These sessions, carefully designed and delivered through the MTK initiative, were more than just cooking classes—they were opportunities for these women to learn, grow, and build confidence in their culinary abilities. The training covered three distinct menu templates: a traditional Indian menu, a Mediterranean Menu, and a newly adapted Scottish menu, crafted to be nutritious, flavourful, and reflective of the cultural diversity within the UK.  As these Champions honed their skills, they also prepared to take on a significant challenge: showcasing their creations to the public at a major food festival. The Dundee Food Festival, with its vibrant atmosphere and diverse audience, was the ideal venue for this grand reveal.  A Culinary Showcase at Dundee Food Festival   The MTK stall at the Dundee Food Festival was a hive of activity throughout the weekend. Visitors were drawn in by the enticing aromas and the promise of dishes that were not only delicious but also nutritious and affordable. Our Champions skilfully prepared and served two distinct menus: the Indian menu, which offered rich, aromatic flavours, and the Scottish menu, which highlighted local ingredients with a fresh twist.  The response from the public was overwhelmingly positive. Festival-goers were delighted by the flavourful bento boxes paired with soothing chai, many expressing surprise at how such nutritious meals could be so affordable. The interaction between our Champions, NNEdPro staff, and the public was lively and engaging, creating a buzz around the stall that persisted throughout the event.  Beyond Taste: Building Awareness and Community   While the delicious food was the highlight, the event also served as a platform to raise awareness about nutrition and the importance of healthy eating. Visitors to our stall were not only treated to flavourful dishes but were also excited to purchase our cookbooks, which feature healthy Indian recipes based on our Indian menu templates. These cookbooks offered the public an opportunity to try out nutritious, culturally inspired dishes at home, sparking significant interest and enthusiasm.  Beyond the food and cookbooks, many people were intrigued by the whole concept of the MTK and the broader work of our organisation. The festival provided an excellent opportunity to showcase the impact of the MTK initiative and engage with the community on a deeper level. Through surveys conducted at the stall, we gathered valuable insights into public nutritional awareness, helping us understand how initiatives like MTK can further impact communities. Our Champions were not just cooking, they were engaging with the public, sharing stories, and managing sales, all of which contributed to their growth and confidence. The hands-on experience of interacting with customers and handling the logistics of a busy food stall added an invaluable dimension to their training.  A Successful Step Forward   The Dundee Food Festival was more than just an event, it was a celebration of the potential within our communities when given the right opportunities and support. The success of our Champions at the festival underscores the power of the MTK initiative, not just as a culinary training program, but as a catalyst for microenterprise and community empowerment.   This weekend highlighted the meaningful impact that can be achieved through collaboration, skill development, and public engagement. As we look to the future, the MTK initiative will continue to build on this success, exploring new ways to empower individuals and transform communities through the universal language of food.

Author: Janice Man  Editors: Sarah Armes & Jenneffer Tibaes  Contributors: Sumantra Ray & Matheus Abrantes     Acknowledgements: NNEdPro Global Institute for Food, Nutrition and Health, International Academy of Nutrition Educators (IANE), BMJ Nutrition, Prevention & Health, Francis W. B. Sanders, Animesh Acharjee, Celia Walker, Luke Marney, Lee D. Roberts, Fumiaki Imamura, Benjamin Jenkins, Jack Case, Sumantra Ray, Samuel Virtue, Antonio Vidal-Puig, Diana Kuh, Rebecca Hardy, Michael Allison, Nita Forouhi, Andrew J. Murray, Nick Wareham, Michele Vacca, Albert Koulman, and Julian L. Griffin Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) is becoming an increasingly common health concern worldwide, affecting millions of people across various age groups. Often linked with obesity and metabolic syndrome, MASLD is characterised by the abnormal accumulation of fat in the liver, which can progress to more severe liver conditions if left untreated. While excessive fat intake has long been blamed for this condition, recent research reveals that the story is far more complex. This study investigates the link between carbohydrate consumption and hepatic steatosis, with a specific focus on de novo lipogenesis (DNL) — the process by which the liver converts excess carbohydrates into fatty acids. The researchers hypothesise that increased DNL following carbohydrate intake contributes to developing and exacerbating hepatic steatosis, thus identifying a metabolic pathway that may influence the risk of fatty liver disease. Understanding this mechanism is crucial in determining dietary strategies to mitigate MASLD progression.    Key Findings:   Elevated De Novo Lipogenesis (DNL) Following Carbohydrate Consumption:  The study found that individuals with hepatic steatosis exhibited significantly elevated DNL activity after consuming carbohydrate-rich meals. This suggests that carbohydrates, particularly refined sugars, fuel lipid synthesis in the liver, leading to fat accumulation.   Insulin Resistance and Lipogenesis:  Insulin resistance was positively correlated with increased DNL. Insulin resistance, common in metabolic syndromes, impairs the body's ability to regulate DNL, resulting in more fat being synthesised and stored in the liver.  Dietary Carbohydrate Composition Matters:  The composition of carbohydrates in the diet plays a crucial role in modulating DNL. Simple sugars, such as fructose, were more potent in stimulating DNL than complex carbohydrates. This indicates that not all carbohydrates pose the same risk for hepatic steatosis. While simple sugars rapidly increase blood glucose and insulin levels, contributing to fat synthesis, complex carbohydrates are metabolised more slowly, posing a lower risk.  Protective Role of Dietary Fat Substitution: Substituting certain dietary fats for carbohydrates was shown to reduce DNL and, consequently, hepatic fat content. However, the type of fat substituted matters—monounsaturated and polyunsaturated fats (found in foods like olive oil, nuts, and fish) are generally more protective against MASLD compared to saturated fats. This suggests that a low-carbohydrate, high-fat diet may be protective against hepatic steatosis in some individuals.  Impact on Weight Loss and Liver Health:  The results indicated that reducing carbohydrate intake, particularly sugars, decreased DNL and helped reduce overall liver fat content. This highlights the potential of carbohydrate restriction in managing MASLD alongside other lifestyle modifications such as exercise and weight loss.    The study's findings have significant implications for managing and preventing hepatic steatosis and MASLD. By identifying the direct link between carbohydrate consumption, DNL, and hepatic fat accumulation, the research suggests that dietary interventions focusing on reducing refined sugars and limiting carbohydrate intake could be crucial in preventing and treating MASLD. This is especially relevant for individuals with insulin resistance, where managing carbohydrate intake may help reduce the liver's tendency to synthesise excess fat. These insights contribute to developing more targeted nutritional guidelines and therapeutic approaches for managing fatty liver disease.    If you are interested in reading more about this study, click here .   10th International Summit on Food, Nutrition and Health, Democratising & Decolonising Food & Nutrition: From Science to Society   The NNEdPro Global Institute for Food, Nutrition and Health, in partnership with the International Academy of Nutrition Educators (IANE) and BMJ Nutrition, Prevention & Health, is hosting an upcoming Summit, "Democratising and Decolonising Food and Nutrition: From Science to Society" from December 17th to 20th in Kolkata, India.     This event promotes global collaboration by incorporating various perspectives into food and nutrition research, education, practice, and policy. The Summit will emphasise the importance of inclusive dialogue, focusing on contributions from historically marginalised communities, and will explore strategies to connect traditional knowledge with modern scientific approaches.    Learn more about the Summit and register here . If you have any questions, please contact us at learning@nnedpro.org.uk

Author: Janice Man  Editors: Sarah Armes & Jenneffer Tibaes   Contributors: Sumantra Ray & Matheus Abrantes     Acknowledgements: NNEdPro Global Institute for Food, Nutrition and Health; International Academy of Nutrition Educators (IANE); BMJ Nutrition, Prevention & Health; Authors of the Nutrition Bulletin Editorial on GLP1 - Adrian Brown; Duane Mellor; Janine Makaronidis; Emma Shuttlewood; Alexander Dimitr Miras; Dimitri J. Pournaras In the ongoing battle against obesity, researchers are continually searching for innovative solutions to support effective weight management and improve overall health. Glucagon-like peptide-1 (GLP-1) has emerged as a significant player in this arena, demonstrating its crucial role in regulating appetite and glucose metabolism. Secreted in response to food intake, GLP-1 promotes feelings of fullness, slows gastric emptying, and enhances insulin secretion. This blog will explore five key findings related to GLP-1's role in obesity management and discuss its implications for food and nutrition.  Key Findings on GLP-1 and Obesity Management: Appetite Regulation:  GLP-1 is instrumental in suppressing appetite. Research shows that synthetic GLP-1 receptor agonists significantly reduce food intake by enhancing satiety signals, leading individuals to consume fewer calories and aiding in weight loss (Brown et al., 2024).  Weight Loss Efficacy: Clinical trials have demonstrated that GLP-1 receptor agonists, such as liraglutide and semaglutide, result in substantial weight loss in individuals with obesity. Participants in these studies experienced an average weight reduction of 5-10% over several months, showcasing the effectiveness of these medications as part of a comprehensive weight management strategy ( Brown et al., 2024).  Improved Metabolic Health: Beyond weight loss, GLP-1 therapy has been linked to improved metabolic markers, including reductions in blood sugar levels and enhanced lipid profiles. These benefits are particularly relevant for individuals with obesity, who face a higher risk of developing type 2 diabetes and cardiovascular diseases ( Brown et al., 2024).  Long-term Sustainability:  Research indicates that weight loss achieved through GLP-1 receptor agonists can be maintained over the long term with continued use. This sustainability is crucial for individuals struggling with obesity, as maintaining weight loss is often a significant challenge (Brown et al., 2024).  Integration with Lifestyle Changes:  GLP-1 treatments work best when combined with lifestyle modifications, such as dietary changes and physical activity. This holistic approach not only enhances the effectiveness of GLP-1 therapy but also fosters better overall health outcomes ( Brown et al., 2024).    Implications: GLP-1 and Its Connection to Food and Nutrition  The findings related to GLP-1 highlight its potential as a powerful tool in combating obesity, particularly when integrated with a balanced diet and healthy lifestyle choices. By promoting satiety and supporting metabolic regulation, GLP-1 offers a biochemical foundation for managing food intake more effectively. Nutritionists and healthcare providers can leverage this knowledge to develop tailored dietary recommendations that align with GLP-1 therapies, ensuring that patients achieve not only weight loss but also lasting health improvements.    In conclusion, as we delve into the complex interplay between hormones, nutrition, and weight management, GLP-1 stands out as a beacon of hope for those seeking effective strategies to combat obesity. Its integration into a broader framework of healthy eating and lifestyle changes represents a promising path to achieving sustainable health outcomes.    For an in-depth exploration of GLP-1 and its implications for nutrition and obesity management, check out this comprehensive study .     References  Brown, A., Mellor, D., Makaronidis, J., Shuttlewood, E., Miras, A. D., & Pournaras, D. J. (2024). “from evidence to practice” – insights from the multidisciplinary team on the optimal integration of glp‐1 receptor agonists in obesity management services. Nutrition Bulletin , 49 (3), 257–263. https://doi.org/10.1111/nbu.12700   10th International Summit on Food, Nutrition, and Health: Democratising and Decolonising Food and Nutrition for Sustainable Development    The NNEdPro Global Institute for Food, Nutrition and Health, in collaboration with the International Academy of Nutrition Educators (IANE) and BMJ Nutrition, Prevention & Health, is proud to announce the 10th International Summit on Food, Nutrition, and Health, themed "Democratising and Decolonising Food and Nutrition: From Science to Society." This significant event will take place from December 17th to 20th, 2024, in Kolkata, India.    This Summit aims to foster global collaboration by integrating diverse perspectives into the fields of food and nutrition research, education, practice, and policy. With a strong emphasis on inclusive dialogue, the event will highlight contributions from historically marginalised communities and explore innovative strategies that connect traditional knowledge with contemporary scientific approaches.    Be a part of transformative discussions that impact the future of food and nutrition. Learn more about the 10th International Summit on Food, Nutrition, and Health  and secure your spot by registering today.    For any inquiries regarding the Summit or registration, please contact us at  learning@nnedpro.org.uk .

An overview of the IANE Webinar held on 20 November 2024. Speaker: Mercedes Zorrilla Tejeda  Author: Holly Giles  Reviewers:  Sarah Armes  In recent decades, advancements in healthcare, sanitation, and nutrition have significantly increased life expectancy, enabling individuals to live longer than ever before. However, this rise in life expectancy has not been partnered with an increase in health expectancy —the number of years an individual can expect to live in good health. As a result, many older adults now face prolonged periods of living with chronic illnesses, disabilities, or diminished quality of life [1]. This discrepancy between life expectancy and health expectancy places additional strain on individuals, families, and healthcare systems, highlighting the importance of addressing not just longevity but also healthy aging through preventive care, lifestyle interventions, and better management of chronic conditions leading to an increase in the number of years older adults can expect to spend in poor health.  Exercise for Older Adults   One of the key methods to address the development of non-communicable diseases such as obesity and hypertension, is through regular exercise. All older adults should undertake regular physical activity totalling 150-300 minutes of moderate intensity aerobic activity each week, as well as muscle strengthening exercises on at least 2 days of the week [2]. Older adults should limit the amount of time they spend in a sedentary setting and replace this time with more active choices [2]. While exercise can be challenging for some older adults, social prescribing can be an effective way to encourage physical activity. These initiatives provide support by offering access to safe environments, making the activity enjoyable, and boosting confidence to exercise safely.  Diet In partnership with exercise, having a healthy diet is a key driver for quality of life in older adults. Micronutrient deficiencies and malnutrition are common in this demographic, due to irregular and altered eating behaviours.  The Mediterranean diet has been associated with a wide range of health benefits, including reduced rates of obesity, hypertension, metabolic syndrome and dyslipidaemia [3]. Specifically for older adults, it has been associated with reduced age-related cognitive dysfunction and lower incidence of Alzheimer’s disease [3]. However, it is recognised that this diet relies on home cooking, meaning upskilling may be needed to enable older adults to adopt this diet.   Sleep Finally, sleep is crucial at all ages, especially for older adults. As well as physiological consequences, poor sleep impacts emotional health and mood, meaning older adults are then less likely to eat well or exercise. It is has also been shown that sleep quality is associated with  better health choices throughout the day [4], meaning it should be prioritised by older adults and health care providers.   Key Takeaway Messages  Regular exercise and a healthy diet are the most effective preventive measures to reduce dependency in older adults.  It is never too late to start exercising or eating well. Small amounts of movements that are incrementally built-up will lead to benefits. Sleep is essential to allow older adults to make good health decisions during the day. Social prescription is a potential method to increase exercise engagement within the older adult community, including the use of ambassadors.   References Wickramasinghe K, Mathers JC, Wopereis S, Marsman DS, Griffiths JC. From lifespan to healthspan: the role of nutrition in healthy ageing. J Nutr Sci. 2020;9:e33.  World Health Organisation. Promoting physical activity for older people: a toolkit for action. 2023. p. 31.  Guasch-Ferré M, Willett WC. The Mediterranean diet and health: a comprehensive overview. J Intern Med. 2021;290(3):549-66.  Ha J, Kim J. Factors influencing perceived health status among elderly workers: occupational stress, frailty, sleep quality, and motives for food choices. Clin Interv Aging. 2019;14:1493-501.

Author: Holly Giles  Speakers: Dr Gautum Mehta, Dr Jenneffer Tibaes  Panellists: Professor Sumantra Ray, Dr Rajna Golubic, Ramya Rajaram & Sarah Armes  Acknowledgements: We would also like to acknowledge Randox Health for their funding and support of both the workshop and the ongoing systematic review.  Reviewer:  Sarah Armes   Metabolic dysfunction-associated steatotic liver disease (MASLD) is one of the most common chronic liver conditions, often associated with obesity or type 2 diabetes [1]. Previously termed non-alcoholic fatty liver disease (NAFLD), the nomenclature change aims to reduce stigma and enhance healthcare understanding and support for this condition [2]. Alongside this shift in terminology , growing recognition of the role of lifestyle factors has prompted a transition from reactive to preventative approaches in MASLD management.   In November 2024, NNEdPro presented a summary of current understanding of MASLD and lifestyle factors with talks by key researchers in this area.    Lifestyle management for MASLD Alcohol consumption There is an increased prevalence of MASLD in patients with obesity and type 2 diabetes, meaning that lifestyle factors can have a preventative effect on MASLD development. It was highlighted that alcohol use has a synergistic impact on cardiometabolic risk factors, showing the importance of lifestyle choices on disease progression. The negative impacts of binge drinking, not currently considered in UK drinking guidelines, were emphasised on the risk of liver injury [3]. Positively, it was shown that 1-month of abstinence from alcohol (in the form of dry January) was associated with an improved risk profile for MASLD [3], meaning lifestyle factors not only drive disease progression but can also have protective effects.   Weight loss Weight loss was emphasised as an important avenue for overweight patients, with waist circumference acting as an independent marker of MASLD risk. Meta-analysis data was presented, showing the benefits of calorie restriction and adherence to a Mediterranean diet on liver stiffness.  The beneficial effects of physical activity were enhanced, showing the importance of both diet and exercise for MASLD patients.  Dietary choices  Using meta-analysis of dietary components, red meat and soft drink consumption were both shown to contribute to MASLD risk. Contrastingly, nut consumption was shown to have a favourable effect. This presentation by Dr Mehta highlighted the importance of lifestyle management, both with regards to physical activity and dietary choices, of MASLD prevention and progression.  Pharmacy in MASLD Management Polypharmacy, defined as the regular use of 5 or more medications, presents a challenge to clinicians in the treatment and management of MASLD. One challenge is the differentiation between clinical symptoms of the disease and side effects as a result of polypharmacy and drug interactions. Polypharmacy significantly impacts the quality of life of patients due to the presence of side effects, as well as compounding the socioeconomic cost of this condition [4]. Many of the issues of polypharmacy can be avoided or reduced through lifestyle factors, as these reduce the need for medication and can facilitate medication de-escalation. This highlights the need for a holistic, patient-centred approach to treatment, with sufficient support for patients to adopt the recommended lifestyle changes.   The challenges associated with polypharmacy for MASLD management have been highlighted in the systematic review, which is anticipated to be published in 2025.  Panel Q&A on MASLD treatment and prevention In the panel discussion, the panellists addressed several key barriers that prevent patients from adopting the recommended lifestyle changes. Acknowledging the impact of food poverty, financial constraints, and limited access to resources, the panellists noted that these factors significantly hinder many patients' ability to make necessary lifestyle adjustments. Furthermore, the challenge of achieving long-term behavioural change was discussed, emphasising the critical role of clinical support and clear, consistent messaging in helping patients achieve sustainable improvements.  The panel highlighted the need for multidisciplinary teams to provide comprehensive support for MASLD patients. These teams should not only focus on the clinical management of the condition but also assist patients in making the lifestyle changes necessary to reduce disease progression. It was suggested that patient care teams should include dietitians, behavioural psychologists, and health promotion practitioners, all of whom could contribute to facilitating long-term behavioural change and enhancing patient outcomes.  Looking ahead, the panellists discussed the potential for future advancements in MASLD treatment, including the expansion of population screening programs. These programs could enable earlier identification of MASLD patients, allowing for timely lifestyle interventions as a primary preventive measure.  This discussion underscored the critical importance of lifestyle choices in the occurrence and progression of MASLD. It is hoped that greater awareness of this relationship, along with the integration of multidisciplinary support to foster patient-led behavioural changes, will lead to improved care and management of MASLD in the future.    References Chan WK, Chuah KH, Rajaram RB, Lim LL, Ratnasingam J, Vethakkan SR. Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD): A State-of-the-Art Review. J Obes Metab Syndr. 2023;32(3):197-213.   Rinella ME, Sookoian S. From NAFLD to MASLD: updated naming and diagnosis criteria for fatty liver disease. J Lipid Res. 2024;65(1):100485.  Mehta G, Macdonald S, Cronberg A, Rosselli M, Khera-Butler T, Sumpter C, et al. Short-term abstinence from alcohol and changes in cardiovascular risk factors, liver function tests and cancer-related growth factors: a prospective observational study. BMJ Open. 2018;8(5):e020673.  Maher RL, Hanlon J, Hajjar ER. Clinical consequences of polypharmacy in elderly. Expert Opin Drug Saf. 2014;13(1):57-65.

England’s coastal communities face significant challenges. These areas often experience deprivation, neglect, and poor health compared to inland regions. Neglected communities show elevated rates of mental health issues, chronic diseases, and dementia. The COVID-19 pandemic has widened these disparities, leading to higher mortality rates, long COVID prevalence, and increased unemployment in coastal areas. Despite these pressing issues, research into health and socioeconomic challenges in these regions remains limited. This hampers the development of effective policy and practice addressing the needs of these communities. Study Overview The study conducted by Cain et al. (2023) explores the complex dynamics of food insecurity, health, well-being, demographics, and deprivation in Fleetwood. Fleetwood is a socially deprived coastal town in Lancashire, UK, which has faced numerous challenges exacerbated by the pandemic. The research examines changes before and after COVID-19, using hospital admission and community mental health referral data. These measures help assess health outcomes and trends in the region. Moreover, free school meal eligibility serves as a proxy for food insecurity, illustrating its associated impacts on health and well-being. Key Findings Food Insecurity The study revealed that some areas, despite having decent housing and income, faced worsening health conditions. More children needed free school meals after the pandemic, highlighting hidden struggles within certain neighborhoods. Mental Health Mental health trends remained relatively stable during the initial year of the pandemic. However, unemployment and serious health conditions, such as heart and lung diseases, negatively impacted mental health, particularly among teenagers and young adults. Hospital Admissions Younger people showed higher rates of hospitalization for mental health issues compared to older adults. This reflects broader challenges faced by young individuals in coastal communities, who may struggle with limited support systems. Mortality Risks The study found that older age, unplanned hospital visits, and cancer were major factors contributing to higher hospital death rates, particularly during the pandemic. Understanding these factors is crucial for addressing health disparities. Coastal Community Challenges These findings reflect common struggles in coastal towns, which often have older populations, under-resourced healthcare systems, and higher rates of chronic health problems. Results The results indicated that areas with better housing and income, yet experiencing high health and disability deprivation, saw an increase in food insecurity after the pandemic. This is evidenced by the rising number of free school meal eligibility claims. Mental health trends appeared stable over the pandemic's first 14 months. However, unemployment, cardiovascular issues, and respiratory conditions significantly impacted mental health, highlighting the vulnerability of adolescents and young adults. Additionally, mortality risks were influenced by COVID-19 and underlying health conditions. These findings underscore the challenges that coastal communities face due to aging populations, inadequate healthcare systems, and high rates of chronic illnesses. Implications The study highlights hidden vulnerabilities present in coastal towns such as Fleetwood. The pandemic exacerbated food insecurity and mental health challenges, particularly in neighborhoods with decent housing but higher health and disability issues. While free school meal eligibility can identify food insecurity, it often misses at-risk groups, including low-income working families. This highlights the urgent need for more nuanced metrics to capture the full scope of these problems. Mental health, although relatively stable at the onset of the pandemic, is closely linked to issues like unemployment, poor physical health, and social isolation. Moving Forward Given these insights, policymakers should prioritize detailed, localized data to address these challenges effectively. Combining targeted interventions, such as job support, health programs, and community-building initiatives, with an understanding of specific spatial and demographic dynamics is crucial. By doing so, we can help prevent future crises, such as food shortages, from exacerbating health disparities in vulnerable coastal communities. Learn more about the impact of food insecurity in the UK Coastal Town. References Cain, R., French, M., & Sedda, L. (2023). Food insecurity, mental health and in-hospital mortality following the COVID-19 pandemic in a socially deprived UK coastal town. BMJ Nutrition, Prevention & Health , 6 (1), 100–107. https://doi.org/10.1136/bmjnph-2022-000561