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Author: Gerald Cheruiyot Reviewed by: Dr Kathy Martyn, Sarah Anderson One in four people worldwide is living with anaemia. According to the World Health Organization, approximately 25% of the global population is affected, with iron deficiency accounting for around half of all cases. Among women, the burden is even greater, affecting an estimated 31% globally compared with around 18% of men. Despite its scale, iron deficiency rarely receives the attention it deserves. Public conversations often focus on vitamin D, protein intake, and the latest wellness trends, while one of the world's most common and readily treatable nutritional deficiencies continues to affect billions of people. Iron deserves a far more prominent place in discussions about health and nutrition. The Warning Signs We Too Often Dismiss Iron plays a vital role in human health. It is a key component of haemoglobin, the protein in red blood cells that transports oxygen throughout the body. When iron stores become depleted, oxygen delivery is compromised, affecting multiple organs and systems. The symptoms often develop gradually. Persistent fatigue, shortness of breath, reduced concentration, headaches, dizziness, and pale skin are among the most common signs. Yet many people, particularly women, come to regard these symptoms as a normal part of everyday life rather than indicators of an underlying deficiency. This normalisation is concerning. Iron deficiency anaemia, often preceded by deficient iron stores, remains the most common nutritional disorder globally, affecting quality of life, productivity, educational attainment, and overall well-being. What is often dismissed as tiredness may, in fact, be a sign of a condition that can be identified and treated. Who Is Most at Risk? Although iron deficiency can affect anyone, some groups face a considerably higher risk. Women of reproductive age are particularly vulnerable because of iron losses associated with menstruation. Heavy menstrual bleeding remains one of the leading causes of iron deficiency, yet conversations around prevention and early detection are often limited. Iron requirements also increase during pregnancy to support foetal development and the expansion of maternal blood volume. Adolescent girls face similar challenges, as rapid growth combined with the onset of menstruation increases their iron needs. Dietary patterns can also influence iron status. Individuals following vegetarian or vegan diets, or moving towards a plant-based diet, can meet their iron requirements but may need to pay closer attention to food choices because non-heme iron from plant foods is absorbed less efficiently than heme iron from animal sources. Meanwhile, conditions such as coeliac disease and Crohn's disease can impair iron absorption regardless of dietary intake. Collectively, these groups account for millions of people worldwide, highlighting that iron deficiency is not a niche nutritional issue but a widespread public health concern. From Plate to Prescription: Addressing Iron Deficiency Iron deficiency is both preventable and treatable. For many individuals, improving iron status begins with dietary change. Foods such as lean red meat, poultry, fish, fortified cereals, beans, lentils, tofu, nuts, seeds, some dried fruits and dark green leafy vegetables can all contribute meaningfully to iron intake. Understanding how iron is absorbed is equally important. Consuming vitamin C-rich foods alongside iron-containing meals can enhance absorption, while tea and coffee consumed around mealtimes may reduce it. However, food alone is not always sufficient. When iron deficiency is confirmed, supplementation may be necessary. Ferrous sulphate and ferrous fumarate remain among the most prescribed forms of oral iron, and current evidence suggests that once daily on an empty stomach or with a vitamin C-rich drink, or alternate day dosing may improve tolerance while maintaining effectiveness. Treatment should continue beyond symptom resolution to fully replenish iron stores. Equally important is identifying and addressing the underlying cause of the deficiency rather than focusing solely on restoring iron levels. The Cost of Looking the Other Way Perhaps the most frustrating aspect of iron deficiency is that it is both common and highly treatable. Yet many people continue to live with symptoms for months or even years before seeking advice or receiving a diagnosis. A simple blood test can identify iron deficiency and guide appropriate treatment. For anyone experiencing persistent fatigue, breathlessness, reduced concentration, or unexplained low energy levels, assessing iron status may be an important first step. Given its impact on health, education, productivity, and quality of life, iron deficiency deserves far greater attention from healthcare professionals, policymakers, and the public alike. Addressing it will not solve every nutrition challenge we face, but it represents one of the clearest opportunities to improve health outcomes through timely identification, appropriate treatment and informed dietary choices. This commentary is for general informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional regarding concerns about your health or nutritional status. References World Health Organization (WHO). Anaemia. Fact Sheet. Geneva: World Health Organization; 2025. Available at: https://www.who.int/news-room/fact-sheets/detail/anaemia World Health Organization (WHO). Anaemia in Women and Children. Global Health Observatory Data; 2025. Available at: https://www.who.int/data/gho/data/themes/topics/anaemia_in_women_and_children British Dietetic Association (BDA). Iron: Food Fact Sheet. British Dietetic Association. Available at: https://www.bda.uk.com/resource/iron-rich-foods-iron-deficiency.html NHS Scotland. Iron Deficiency Anaemia Guidelines. Available at: https://rightdecisions.scot.nhs.uk

Author: Sarah Anderson Edited by: Professor Sumantra (Shumone) Ray What does resilience in nutrition look like today? Across many parts of Europe, recent days have brought record-breaking temperatures, serving as another reminder of the growing links between climate, health and nutrition. As communities adapt to increasingly frequent extreme weather events, the need for evidence-informed nutrition, resilient food systems and global collaboration has never been more important. In this edition of the Anna Edesia newsletter, we share updates from across the NNEdPro network that reflect this collective effort. From activities led by our India team and developments across the International Academy for Nutrition Educators (IANE), to new opportunities to connect through the 12th International Summit on Food, Nutrition and Health, this issue highlights the breadth of work taking place across our global community. With our first Summit Satellite Event taking place next month and abstract submissions now open, there are plenty of ways to get involved, whether by sharing your research, expanding your professional network, or contributing to conversations that will help shape the future of nutrition and health. We also feature updates on our new Strategic Plan, opportunities through PANCO membership, careers within the nutrition sector, and other initiatives designed to support learning, collaboration and impact. Wherever you are in the world, we hope this edition keeps you informed, inspired and connected with colleagues working towards better nutrition and health for all. Summit 2026 Satellite Events Begin in July Preparations for the 12th International Summit on Food, Nutrition and Health continue to gather momentum, with the first of this year's pre-Summit Satellite Events taking place on 20th July! Running across multiple regions, these events provide opportunities to connect with experts, share knowledge, and explore regional priorities ahead of the Main Summit in November. Our upcoming Summit events for the coming quarter include: The Global North Symposium: Exploring Pathways to Nutrition Security & Equity at King's College London (20 July). The Global South Symposium: Pathways to Nutrition Empowerment across Diverse Communities hosted by Tecnológico de Monterrey in Mexico City (31 August), The International Awards Symposium at Bern University of Applied Sciences (10 September). All three events offer hybrid participation, with limited in-person places still available. Submit Your Abstracts The call for abstracts for the Main Summit is now open. This year, submissions are invited through two streams: the Student Abstract Competition (virtual track) and the Professional Abstract Call (Main Summit track). We welcome research aligned with the Summit theme, as well as wider scientific work across food, nutrition and health. Accepted abstracts may be considered for publication in BMJ Nutrition, Prevention & Health. We encourage delegates to register and submit their abstracts early. Student abstract submissions close on 15 August, while professional abstract submissions close on 15 September. Whether you are an early-career researcher, clinician, educator or experienced professional, we look forward to showcasing the latest research and innovations from across our global community. Announcements Looking Ahead: NNEdPro Strategy 2026-2030 NNEdPro is publishing its new Five-Year Strategy (2026-2030), setting out an ambitious vision for the next phase of our journey: empowering global nutrition knowledge for a healthier, fairer world. Building on the progress and lessons of the past five years, the strategy outlines how NNEdPro will strengthen its role as a global institute for research, education and knowledge translation. It places a renewed emphasis on measurable impact, sustainable growth, digital innovation and partnerships that bridge the gap between evidence, policy and practice. The strategy also reaffirms our commitment to tackling malnutrition in all its forms by supporting professionals, policymakers and communities with trusted, evidence-informed nutrition knowledge. As we continue to expand our global reach, this roadmap will guide our work towards creating lasting improvements across food, nutrition and health systems. NB: This version of our 2026-2030 Strategic Plan is currently published in DRAFT for consultation over July 2026 and is expected to be reissued in its FINAL form in our new financial year commencing August 2026. Introducing a New Pathway to Professional Recognition through IANE The International Academy of Nutrition Educators (IANE) is pleased to introduce an enhanced membership framework, providing greater opportunities for professionals to gain recognised credentials and demonstrate their expertise in nutrition education. Alongside our existing portfolio assessment route, we will soon launch the IANE Advanced Professional Diplomate Examination. This new assessment pathway will enable eligible professionals to demonstrate the knowledge and competencies expected of a Professional Member of IANE, offering an alternative route to achieving MIANE (Member of the International Academy of Nutrition Educators) status. Designed to benchmark advanced knowledge, the examination will assess evidence-based nutrition, critical appraisal and applied professional practice through a combination of written assessments and applied tasks. Successful candidates will be awarded Professional Membership and the internationally recognised MIANE post-nominals, signifying their commitment to excellence in nutrition education. IANE continues to offer a clear pathway for professional recognition across every stage of a career, from AIANE (Associate Member) through to MIANE (Professional Member) and FIANE (Fellow). These post-nominals provide internationally recognised recognition of professional achievement while connecting members to a global community committed to advancing nutrition education, research and practice. Further information on the new membership pathways, eligibility criteria and examination launch will be announced in the coming months. Exclusive Member Benefit: One Year of Complimentary PANCO Membership As part of the growing partnership between NNEdPro and PAN International, all current NNEdPro-IANE members in paid subscribing membership grades can now claim one year of complimentary PANCO Premium Membership. PANCO is PAN International's global learning and professional community for healthcare professionals, providing access to CPD courses, exclusive educational resources, international networking opportunities, conference discounts, members-only events and an extensive library of learning materials. Together, our organisations are committed to strengthening nutrition education and supporting healthcare professionals around the world. This partnership extends beyond member benefits. PAN International is an organisational partner of NNEdPro, and both organisations have committed funding to support the GNOME Initiative (Global Nutrition Observatory for Medical Education), helping to advance evidence generation, collaboration and capacity building in medical nutrition education worldwide. If you are an IANE member in a paid subscription grade, don't miss this opportunity to expand your professional network and access a wealth of additional learning resources. Claim your complimentary one-year PANCO membership using the link below. Recent Events 15 May 2026 | Leadership Talk at Shiv Nadar University Professor Sumantra Ray delivered a keynote as part of Shiv Nadar University's Leadership Talk Series, exploring how international networks can help address complex global challenges. Drawing on NNEdPro's work across six continents, the session highlighted the importance of collaboration in advancing nutrition education, research and policy. 18 May 2026 | MTK Conclave Marks a Decade of Impact The Mobile Teaching Kitchen (MTK) Conclave 2026 brought together researchers, educators and practitioners to celebrate ten years of the initiative and explore the theme From Practice to Policy. Hosted in partnership with Amity University, the hybrid symposium reflected on the MTK's evolution from a single community kitchen in Kolkata into a globally adapted model spanning five countries. 20 May 2026 | IANE Webinar Explores Culinary Medicine IANE hosted a webinar on Culinary Medicine and Nutrition Education: Why, What and How?, bringing together experts to discuss the growing role of culinary medicine in healthcare education and professional practice. The session formed part of IANE's ongoing programme of CPD opportunities for members and the wider nutrition community. You can read an overview of the webinar here. 21 April | Mediterranean Diet Forum NNEdPro partnered with the Italian Embassy in London for a successful inaugural roundtable establishing the Mediterranean Diet Forum as a scientific and strategic platform to advance knowledge, collaboration, and action around healthy dietary patterns. The event brought together a select group of stakeholders from the UK and Italy across academia, healthcare, policy, and the food system to define the Forum’s vision, scope, and future direction, and highlighted the value of international partnerships in advancing nutrition research and policy. 22 April | Interdisciplinary Workshop Explores Food Security and Sustainable Food Systems NNEdPro and the University of Parma jointly hosted an invitation-only interdisciplinary workshop bringing together experts in law, economics and nutrition to explore food security and sustainable food systems. Held as part of the FOSTER Jean Monnet Centre of Excellence, the event fostered cross-disciplinary dialogue on the legal, economic, policy and nutritional dimensions of food systems, with a focus on sustainability, equity and the human right to food. Read more here. Summer School 2026 - 23 to 24 April Cambridge Summer School Welcomes Global Cohort Another successful Cambridge Summer School in Applied Human Nutrition brought together participants from 11 countries representing healthcare, biological and social sciences. The programme continues to provide an internationally recognised learning experience, equipping professionals with practical, evidence-informed knowledge to improve nutrition practice. More details, including registration information, can be found here. Around our Networks NNEdPro at the World Health Assembly, Geneva NNEdPro was represented at a PAN International and EAT-Lancet side event during the World Health Assembly in Geneva. The event strengthened collaborations with international partners and reinforced our shared commitment to advancing nutrition within global health policy. Contributing to the Global Nutrition Report 2026 NNEdPro participated in the official launch of the Global Nutrition Report 2026 at the FAO. As a registered contributor to the report, NNEdPro continues to support global commitments to improving equitable access to nutrition knowledge and strengthening nutrition systems worldwide. Little Literacy Library Celebrates Five Years The Little Literacy Library Initiative celebrated its fifth anniversary at RG Kar, Kolkata, showcasing the achievements of children participating in the programme. The milestone highlighted the initiative's continuing impact in supporting literacy, nutrition education and community engagement in underserved areas. Scottish Mobile Teaching Kitchen Launches New Phase The Scottish Mobile Teaching Kitchen launched the next phase of its programme with a community microenterprise event at the St Andrews Summer Fayre. The initiative combined practical nutrition education with healthy food demonstrations, engaging more than 100 visitors while showcasing new protein-rich products developed through the project. RECENT BLOG POSTS Culinary Medicine and Nutrition Education - Why, what and how? Inside the NNEdPro Summer School: A Reflection on Learning, Practice and Perspective Exploring Food Consumption Behaviour Among Eritrean Migrants in Switzerland: A Scoping Study Advertising in the Anna Edesia The Anna Edesia newsletter provides a valuable platform to share opportunities, events, publications and initiatives with a global audience working across food, nutrition and health. With a diverse readership spanning academia, healthcare, policy and industry, it offers a targeted way to reach engaged professionals and organisations. We welcome enquiries from partners and organisations interested in featuring in upcoming editions. Whether you are promoting an event, recruitment opportunity or new initiative, we would be pleased to discuss suitable options. Contact us via info@nnedpro.org.uk. BECOME A REVIEWER FOR BMJ NUTRITION, PREVENTION & HEALTH We encourage all members to actively engage in the scientific community. By becoming a reviewer for BMJ Nutrition, Prevention & Health, you have the chance to stay up-to-date with the latest literature, advance your career, and establish your expertise and reputation in the field. Express your interest by reaching out to us at info.nutrition@bmj.com. Online First Alerts - Ensure you stay ahead in your field by signing up here to receive alerts for Online First content in BMJ Nutrition, Prevention & Health. Be the first to access new publications and stay informed. Visit the BMJ Nutrition, Prevention & Health webpage for more detailed information on editorial policies, open access, and author guidelines. 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.nutritionresearchregistry.org Anna Edesia, named after "Annapurna" (the Ancient Indian deity of food and nourishment) and "Edesia" (the Ancient Roman goddess of food), is NNEdPro's platform for highlighting our ongoing work, providing a snapshot of our key projects, ongoing research outputs and related publications - including from our flagship journal, BMJ Nutrition, Prevention and Health. ​ Since 2023, Anna Edesia has been published in the form of blogs, continuing to share insights into our key projects, research, and publications. From June 2021 to June 2023, Anna Edesia was a quarterly magazine, and before that, it was shared as newsletters.

Speakers: Prof Tamara Bucher & Ms Franziska Scheidegger-Balmer Author: Rishi Khiroya Edited by: Sarah Armes, Sarah Anderson, Prof Sumantra (Shumone) Ray This blog summarises key discussions and findings from an International Academy of Nutrition Educators (IANE) webinar. The full webinar recording will be available on the NNEdPro VLE. Culinary Nutrition in Practice: Moving beyond Healthy Eating Advice Nutrition advice is widely available, yet many people still struggle to apply it in everyday life. Between busy schedules, rising food costs, limited cooking confidence, and increasing reliance on convenience foods, knowing what to eat does not always translate into healthier habits. These were a handful of the key themes explored during a recent webinar focused on culinary nutrition and culinary medicine. Throughout the webinar, the speakers discussed how practical food skills, cooking confidence, and food literacy may support healthier behaviours and improve long-term health outcomes. Rather than focusing solely on nutritional theory, the session highlighted how nutrition education can be translated into real-world settings through hands-on learning, community programmes, and accessible resources. Bridging the Gap Between Knowledge and Everyday Life One of the central themes explored during the webinar was the growing disconnect between nutrition knowledge and daily practice. The speakers highlighted the decline in home cooking and increasing reliance on meals prepared outside the home, trends that may contribute to poorer diet quality over time. Alongside this, presenters discussed how healthcare professionals often receive limited nutrition education, despite diet-related disease remaining a major public health concern. The webinar explored the growing fields of culinary nutrition and culinary medicine, both of which support food security by equipping people with the skills, knowledge, and access they need to consistently make and consume healthy meals. While culinary nutrition often focuses on community education and food literacy, culinary medicine is more closely linked to healthcare settings and the concept of “food as medicine” to support disease prevention and management. Importantly, the speakers emphasised that cooking skills are about far more than simply following recipes. Culinary education programmes may help improve confidence, independence, food literacy, and the ability to make healthier food choices in everyday life. Behaviour change, accessibility, and sustainability were recurring themes throughout the presentation. Accessibility, Independence and Community-Based Approaches A range of programmes and frameworks were presented during the webinar, each exploring different ways culinary nutrition can be applied in practice. One of the featured initiatives was the “No Money No Time” programme, which focused on helping individuals make healthier food choices despite barriers such as limited time and affordability. The platform allows users to assess the nutritional quality of their meals and provides practical suggestions and healthier alternatives where appropriate. The programme aims to address the competing priorities people face around food, so nutrition advice and suggestions must be realistic and practical. Another key initiative mentioned was the Cook-Ed model, a framework designed to help culinary programme providers identify and incorporate cooking skills that may support improved dietary and health outcomes. The framework emphasised the importance of evidence-based programme development and highlighted how culinary education interventions can be more systematically designed and evaluated, rather than delivered as isolated sessions. The webinar also explored the role of culinary medicine within healthcare education. It highlighted the growing awareness that traditional medical education does not adequately cover nutrition. The speakers discussed how culinary medicine may help bridge this gap, with a successful programme including features such as teaching nutrition knowledge translation into clinical scenarios and providing practical cooking experience. There was also an emphasis on developing a Food Literacy Tool for young adults, recognising that this population consumes the highest proportion of ultra-processed foods in Switzerland. The researchers highlighted that many young adults are increasingly living alone and may face barriers such as limited time, space, and resources for cooking. The project aimed to develop and test a tool to assess skills and nutrition knowledge, helping inform future culinary nutrition interventions tailored to this population. One of the most impactful examples presented was the EssEntial programme, which focused on supporting young adults with intellectual disabilities through culinary nutrition education. Individuals with intellectual disabilities face greater health inequalities than the general population, whilst independent living may also be associated with increased sedentary behaviour and poorer dietary habits. The speakers discussed how culinary nutrition programmes like the EssEntial programme may support not only nutritional knowledge, but also confidence, independence, and social participation. Researchers used focus groups and expert input to identify important skills and develop an accessible intervention relevant to everyday life. The programme included eight modules covering kitchen safety, food safety, cooking skills, and nutrition, using simple everyday recipes. Final Reflections Overall, the webinar highlighted how culinary nutrition and culinary medicine are evolving beyond traditional healthy eating advice. Rather than focusing solely on nutrients and dietary recommendations, many of the approaches discussed aimed to empower individuals with practical skills, confidence, and greater independence in their food choices. The webinar also demonstrated the importance of accessibility, behaviour change, and community involvement when designing nutrition interventions. Whether through healthcare education, food literacy programmes, or community-based activities, culinary nutrition has growing potential as a practical public health tool. Ultimately, the sessions reinforced that improving nutrition is not simply about providing information but helping people develop the confidence, skills, and support needed to apply that knowledge in everyday life. References: Asher, R.C. et al. (2020) ‘Cook-EdTM: A model for planning, implementing and evaluating cooking programs to improve diet and health’, Nutrients, 12(7), p. 2011. Available at: https://www.mdpi.com/2072-6643/12/7/2011

Author: Gerald Cheruiyot Reviewed by: Sarah Armes, Sarah Anderson, Professor Sumantra (Shumone) Ray This blog is a reflection of the NNEdPro-IANE Summer School, a Foundation in Applied Human Nutrition, 2026 cohort. More Than a Classroom The Summer School sits at the heart of NNEdPro's Foundation Certificate in Applied Human Nutrition, a programme accredited and endorsed for Continuing Professional Development (CPD) by the Royal College of Physicians and the Royal Society of Biology, among other leading professional bodies. It draws together core areas of nutritional science, research methods, clinical practice, and public health policy. What makes it meaningful isn't just the breadth of topics covered, but rather how those elements come together, and what happens when a room full of people from different professional backgrounds works through them side by side. Before arriving in Cambridge, participants had already engaged with self-directed learning through a series of online lectures on NNEdPro's Virtual Learning Environment VLE). This meant that when the cohort came together for the live Masterclasses, the focus shifted from taking in new information to working through evidence in structured case studies, allowing participants to test ideas and assumptions together rather than learning in isolation. When Theory Meets the Real World That spirit of shared inquiry carried straight into the sessions themselves, which consistently pushed participants to engage rather than simply listen. This was most evident in the Critical Appraisal Workshop on Day One. In small groups, participants reviewed research papers, examined study design and methods, identified limitations and assessed whether the data supported the conclusions. Groups then presented their analyses to the wider cohort. The format was deliberately demanding and encouraged clarity of thought, particularly when interpretations were tested through follow‑up questions. For many participants, this was where theoretical knowledge was applied directly to practical evaluation. A guest lecture from Dr Marko Kerac of the London School of Hygiene and Tropical Medicine deepened that encounter with reality. His session on malnutrition in infants and young children, covering the MAMI framework, the 2023 WHO Wasting Guideline, and the evidence for treating the mother and infant as a single unit of care, was dense and well-evidenced. But what lingered most was not a statistic or a framework. It was the moral urgency underneath it all. Dr Kerac made a clear case that nutrition is not only a clinical or scientific problem, but also a political one. The course also incorporated an interactive exercise interweaving Yoga-inspired stretching and breathing as well as an comprehensive session on mindful wellbeing and self-care based on the philosophy of ‘VIHASA’ providing a counterbalance to the nutrition sessions, and acknowledging the importance of supporting the wellbeing of those working in demanding health and nutrition settings. From Global Policy to the Patient in Front of You Day Two built on the themes of the first day by moving between policy, practice, and clinical application. The morning opened with a global lens. In small groups, participants investigated real health promotion programmes, such as Australia's Crunch and Sip initiative, the UK's 5 a Day campaign, and evaluated them against the UN Decade of Action on Nutrition pillars and the Sustainable Development Goals. The discussion highlighted the challenges of implementation, with participants noting how interventions supported by strong evidence can struggle to achieve impact when introduced into real communities. The afternoon brought things closer to home. Working through a case study using the Malnutrition Universal Screening Tool (MUST), participants applied the five-step screening instrument to a patient scenario, calculating risk categories and mapping management implications. This activity reflected the types of decisions and conversations encountered routinely in clinical and community settings. Guest presentations from Dr Rajna Golubic, a Consultant in Diabetes and Endocrinology and Associate Director at NNEdPro, on cardiometabolic health, and from Professor Martin Kohlmeier on nutrigenetics and nutrigenomics, reinforced the link between scientific evidence, policy frameworks, and patient care, demonstrating how these areas connect in practice. The Best Part? The Other Participants Of course, what happens in the room is only part of the story. Just as important as the sessions themselves were the people attending them. This year's cohort brought together healthcare professionals, researchers, dietitians, and early-career practitioners from across the world. Each came with their own experiences, challenges and points of view, and those differences shaped the discussions in ways that could not have been planned. The Essay Competition, the Critical Appraisal Workshop and the multiple-choice examination are all part of how the programme holds itself to a standard. But the cohort itself is part of what makes that standard worth reaching for. What You Take Home As the Summer School came to a close, what stood out was not only what had been covered, but how it had been experienced. Over the two days, nutrition shifted from a subject of study to something participants actively applied. Evidence was examined alongside policy, and global frameworks were considered in relation to clinical and community settings. The focus consistently returned to real people and real decisions, reinforcing the close connection between science, policy, and practice. This change didn't result from any single session or speaker, but from the combined experience of the programme, reviewing research papers, working through case studies, and discussing ideas informally between sessions. For many participants, these cumulative experiences had a lasting impact beyond the Summer School itself. Ready to Join the Next Cohort? Each year, the Summer School brings together a new cohort, but the intention remains the same: to create a space where ideas can be explored, challenged and connected to real-world practice. The Foundation Certificate in Applied Human Nutrition is delivered in a blended online format, with pre-recorded lectures available at your own pace via the Virtual Learning Environment, followed by live mentored sessions attended online or in person in Cambridge. Beyond the certificate, participants gain automatic one-year associate membership to the International Academy of Nutrition Educators (IANE), a pathway into NNEdPro's global Regional Networks, a 20% discount on publishing in BMJ Nutrition, Prevention & Health, and discounted registration for the NNEdPro International Summit on Food, Nutrition and Health. If you are curious about nutrition, whether from a clinical, research or public health perspective, the next cohort will gather again in April 2027. Find out more at www.nnedpro.org.uk/summer-school. But the conversation does not have to wait until then. The discussions that began in those Cambridge seminar rooms, about evidence and policy, about global systems and individual patients, about what nutrition really demands of us, deserve a bigger stage. That stage is the 12th International Summit on Food, Nutrition and Health, where researchers, clinicians, policymakers and advocates from across the world come together to take these questions further. It is the natural next step for anyone who believes that well-executed nutrition science, applied boldly, has the power to change lives. We hope to see you there. Register now at www.nnedpro.org.uk/summit.

Author: Rishi Khiroya Edited by: Sarah Armes, Sarah Anderson, Prof Sumantra (Shumone) Ray This blog summarises key discussions and findings from an International Academy of Nutrition Educators (IANE) webinar, by key speaker Sucheta Mitra. The full webinar recording will be available on the NNEdPro VLE. Why do food habits change after migration? Migration often brings significant changes to everyday life. Food is no exception. A recent webinar explored food consumption behaviours among Eritrean migrants in Switzerland, drawing on findings from a qualitative study. Eritrean migrants represent one of the largest migrant groups in Europe and Switzerland, yet there remains limited research exploring how their food practices evolve post-migration. The underlying study was initiated and implemented by Sucheta Mitra, Associate Director at the NNEdPro Global Institute for Food, Nutrition and Health, as part of her MSc thesis research at the Bern University of Applied Sciences, where the work was conducted under primary academic supervision, with external advisory support from NNEdPro. How was this explored? The study underpinning the webinar combined a literature review with six expert interviews and four focus group discussions involving Eritrean migrants living in Switzerland (n=30 participants). Participants were recruited through community settings such as Ethiopian-Eritrean restaurants, religious institutions, and local organisations, thereby capturing rich, context-specific insights. Discussions were often held in familiar settings, such as cafés and Eritrean restaurants, where shared food and coffee rituals fostered a sense of comfort and trust. This approach supported open and meaningful conversation around food practices and lived experiences. At the same time, challenges such as language barriers, translation needs, and group dynamics were acknowledged, which may have influenced how some perspectives were expressed. What did the webinar reveal? Food emerged as far more than a source of nutrition. It was deeply tied to cultural identity, social belonging, and heritage. Many participants described a strong desire to maintain traditional practices within the home, including preparing dishes such as Injera and Zigni, and preserving communal eating traditions. However, maintaining these practices was not always straightforward. Economic constraints, including low income and the high cost of traditional ingredients such as teff flour, often limited their food choices. In some cases, this led to substitutions with more affordable alternatives, which could affect both authenticity and nutritional value. Time pressures also played a key role. Traditional cooking methods were often seen as time-intensive, making them difficult to sustain alongside work and family responsibilities. As a result, many participants described shifting towards more convenient, processed foods, particularly outside the home. This created what could be described as a “dual cultural identity”, where traditional foods were maintained in private settings, while more Westernised eating patterns were adopted in daily routines such as work. Generational differences further shaped these changes, with younger individuals showing a stronger preference for Western foods, which influenced household choices and increased financial strain. What does “healthy eating” mean in a new environment? Participants commonly associated “healthy” eating with fresh, unpackaged, and homemade foods. However, limited nutrition literacy, combined with language barriers, made it challenging to navigate unfamiliar food environments and interpret food choices. Difficulties understanding food labelling in Switzerland often led to confusion and uncertainty in food selection. As one participant described, they “thought they were buying sardines, but realised it was cat food.” How can we better understand these problems? These experiences can be understood through Social Practice theory, which highlights how behaviours are shaped by the interaction between access to resources, skills and knowledge, and cultural meanings (Giordono et al., 2022). In this context, dietary change is not driven by a single factor but by the dynamic relationship between these elements. Key discussion points from the panel During the webinar, the panel discussion focused on the broader implications of these findings. In particular, there was emphasis on the role of local government in improving access to culturally appropriate foods and supporting community-led initiatives. This discussion also highlighted how similar dietary transitions can be observed across other migrant groups, reflecting shared challenges in balancing cultural preservation with adaptation in new food environments. Additionally, it was noted that varying levels of understanding around diet-related conditions such as obesity and diabetes may influence food choices and long-term health outcomes, underscoring the importance of accessible, culturally relevant health education. What does this mean for practice and support? These findings highlight the need for culturally sensitive and context-specific approaches to nutrition. Improving access to traditional foods, supporting multilingual food literacy, and addressing structural barriers such as cost and accessibility may help support healthier dietary transitions, while also preserving cultural identity within migrant communities. This work also raises the question as to whether migration due to economic or political insecurity can inadvertently lead to a state of food and nutrition insecurity instead and therefore future efforts must uncover and mitigate the determinants of such untoward phenomena. As migration continues to shape diverse populations across Europe, recognising and responding to these complex influences on food behaviour will be essential in promoting both health and cultural inclusivity. References: Giordono, L.S. et al. (2022) ‘Food practice lifestyles: Identification and implications for energy sustainability’, International Journal of Environmental Research and Public Health. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC9103468/ (Accessed: 30 March 2026).

Authors: Priyanka Kotak, Ramya Rajaram Reviewers: Sarah Anderson, Prof Sumantra (Shumone) Ray The Gala Tartan Dinner, held on 11th December at Dundee & Angus College, marked a memorable cultural highlight of the 11th International Summit on Food, Nutrition and Health . Bringing together food, music, and craft, the evening unfolded as an East meets West celebration, where Scottish tradition met global influences in a shared and immersive experience. The atmosphere was one of both reflection and celebration, offering a space where culture, community, and conversation came together naturally.  Significantly, this Gala Dinner came almost two years after the Scottish MTK initiative began its journey. Following the programme’s launch, participants underwent training to become MTK Champions. The first workshop in this series had been held at Dundee & Angus College - the very venue of the Gala Dinner - making the evening a full circle moment moment for the initiative. It was these very Champions who prepared the delectable food at the heart of the Gala Dinner, with each plate reflecting their dedication, collaboration, and nearly two years of training.   The dishes drew from the Scottish, Indian, and Mexican MTK menus, reflecting the breadth of the initiative’s global adaptations. Each recipe was nutritionally mapped, reinforcing NNEdPro’s ongoing commitment to integrating health with culturally relevant and accessible food practices.  Guests served themselves from family-style dishes on each table, creating a participatory dining experience that encouraged connection. This shared approach to dining echoed the core ethos of the MTK model, bringing people together through food, while fostering dialogue, inclusivity, and a deeper engagement with nutrition in practice.   Weaving Culture Through Music and Craft  The evening began with the meditative sounds of Paul Wright, sitarist and teacher of Indian classical music, setting a calm and reflective tone. This was followed by Nikitah Rajput Ray, classical singer and contributor to the ideation of the MTK initiative, who performed selections from Rabindra Sangeet (Tagore songs), a tradition rooted in rich literary and musical heritage, known for its reflective and evocative compositions.  As guests were served their meals, Scottish bagpiper James Salmond moved through the room, his music creating a distinct yet seamless shift in atmosphere. The interplay of sound and setting added to the experience, allowing the music to become part of the shared space rather than a separate performance.  The evening also featured a choral performance by students from St Leonards School in St Andrews: Jennifer Niven, Lana McGuire, Arabella Hayes, and Nikitah Rajput Ray, whose carols brought a warm and festive quality to the gathering, reinforcing the sense of community that carried through the evening.    The evening’s entertainment concluded with  Purano Shei Diner Kotha , which is a Bengali adaptation of the Scottish song "Auld Lang Syne", flowing naturally into the familiar melody. This performance beautifully echoed the Indian classical music that opened the night while celebrating the blending of Scottish and Indian cultural heritage.  The Scottish MTK Tartan  A highlight of the evening was the creation of a bespoke tartan for the Scottish MTK initiative, designed by master tartan weaver Ashleigh Slater.   Ashleigh spoke of tartan as an expression of identity, heritage, and community, where each thread carries meaning, and the act of weaving becomes a way to preserve and honour tradition while bringing people together. The tartan was woven throughout the evening and presented at the close of the gala. It was later officially registered in January 2026. Together with the Scottish MTK initiative, it now holds a place within Scotland’s cultural heritage, representing collaboration, shared purpose, and the initiative’s evolving roots in Scotland.    Closing Reflections  The evening, in many ways, felt like a reminder of what sits at the centre of this work, not only the science or the structure of programmes, but the people, contexts, and cultures through which these ideas take shape. There was something in the way conversations unfolded, and in how different traditions came together without needing to be explained, that stayed with you.  This was reflected throughout the evening, in the food prepared and shared by the MTK Champions, in the conversations that gathered naturally around the table, and in the way music and craft were woven into the experience. The tartan, created over the course of the evening, and the performances that accompanied it, did not feel separate from the work, but closely connected to it.   The evening’s success reflected the individual achievement and the collective success of MTK in Scotland, showing how sustained training and community engagement can transform effort into lasting impact.  As the MTK initiative continues to take shape across different regions, these moments offer something important. They show how ideas move beyond concept and into practice, shaped by the communities they engage with. It is within this balance, between local context and shared learning, that the work continues to grow, adapting to each setting while remaining connected to a wider, collective purpose.  View NNEdPro's work in Scotland Learn more about the Scottish MTK

Author: Sarah Anderson Edited by: Professor Sumantra (Shumone) Ray What does progress in nutrition look like in practice? Often, it isn't a single breakthrough, but the steady build-up of collaboration, shared learning and action across different parts of the world.   In this edition of the Anna   Edesia  newsletter, we highlight some of the work shaping that progress across the NNEdPro network. From expanding projects led by our India team , to the growing role of the iKANN Nutrition Research Registry  in connecting researchers, and ongoing efforts to strengthen global medical nutrition education through the GNOME Initiative , this issue brings together a range of developments and opportunities to engage.     We also look ahead to upcoming Summit activities, Summer School opportunities, and ways to take a more active role in the network through Special Interest Groups and wider contributions.   Whether you are looking to collaborate, contribute or simply stay informed, we hope this edition gives you a clear sense of where NNEdPro is heading and how you can be part of it. Announcements GNOME Initiative & Fundraising The GNOME Initiative (Global Nutrition Observatory for Medical Nutrition Education)  is a growing global hub for evidence generation, knowledge sharing and capacity building in medical nutrition education. Building on the foundations of the NEPHELP  project, GNOME serves as an international reference point for understanding how nutrition is integrated into medical and health professional training worldwide.   In partnership with PAN International , the initiative brings together data, research and practical tools to support the translation of evidence into policy and action. Its work spans global surveys, regional reporting, Summit satellite events, academic publications and recognition programmes, all aimed at strengthening the role of nutrition within healthcare systems.   As GNOME continues to expand, it is now seeking additional donors and strategic partners  to support its next phase of development. Contributions will help to strengthen regional capacity, grow the global observatory and ensure the long-term sustainability of this work .   We encourage members, partners and organisations to support and share the initiative, whether through donations, partnerships or wider advocacy, as part of a collective effort to strengthen nutrition education and empower the healthcare workforce of the future. Special Interest Groups (SIGs) We are currently inviting expressions of interest for Co-Chair positions across two Special Interest Groups (SIGs) .   The Food, Mood and Mental Health  and the   Implementing Effective Interventions in Healthcare  SIGs are each in need of additional co-chairs.   These roles provide an opportunity to contribute to shaping thematic areas, fostering collaboration and supporting knowledge exchange within the network.   Members interested in taking on a leadership role are encouraged to apply by emailing admin.support@nnedpro.org.uk .   Please note, these voluntary  roles are only open to NNEdPro-IANE members. If you aren't a member and would like to become one, please get in contact. Global Nutrition Careers Hub (Launching Soon!) We will soon be launching a dedicated  Global Nutrition Careers Hub  on the NNEdPro and IANE websites, designed to connect professionals with opportunities  across nutrition, food systems and public health. The platform will feature roles from a range of organisations, including international agencies, universities, NGOs and research institutes, and will cover areas such as policy, research, clinical practice and food systems. Alongside job listings, selected roles will include brief expert commentary to provide additional insight into requirements and context. In its initial phase, listings will be shared widely to build visibility and engagement, with further opportunities for featured listings to follow. Organisations interested in advertising roles or learning more about the platform are encouraged to get in touch via   info@nnedpro.org.uk . iKANN Research Registry – Upcoming Changes The iKANN Research Registry  continues to serve as a global platform for sharing and connecting nutrition education research, implementation projects and ongoing studies.   As the registry grows, a new paid  access model will take effect from 1 July 2026 to support its sustainability, functionality, and long-term development.   Until then, the platform remains fully accessible, and we strongly encourage researchers, practitioners, and students to use this period to upload and share their work . This is a valuable opportunity to  increase visibility , connect  with potential collaborators and contribute  to the growing global evidence base. We particularly encourage MSc students and early career researchers to submit their projects.   From July, the updated structure will introduce different access tiers to meet a range of user needs: A basic access tier  will allow users to create a contributor profile and explore existing research within the registry. A professional tier will provide additional functionality, including the ability to upload and publish research, access collaboration opportunities and view detailed project summaries. Institutional access  will also be available, enabling organisations to create multiple contributor profiles and share research at scale.   This transition is designed to enhance the value of the registry by improving visibility, encouraging collaboration and supporting a more robust global evidence base in nutrition education. NNEdPro Honorary Presidential Officers & IANE Honorary Deans In March 2026, the NNEdPro Global Institute  and its International Academy of Nutrition Educators (IANE)  introduced new honorary presidential officers and deans to support its continued development and global engagement.   Prof Suzanne Piscopo  continues in her role as Honorary President of NNEdPro and took on additional responsibilities as Senior Dean of IANE, overseeing the Annual Awards and Fellowship elections.   Prof Tamara Bucher  was appointed Honorary Vice President of NNEdPro and Academic Dean of IANE, contributing to international engagement and leading the Academic CPD programme, with a focus on researchers and innovators.   Dr Melina Jampolis was appointed Honorary Vice President of NNEdPro and Clinical Dean of IANE, supporting ambassadorial activity, particularly in the United States, and leading the Clinical CPD programme for practitioners. Upcoming Events Summer School 2026 - Last chance to register! Final preparations are underway for the upcoming Summer School cohort, taking place from 23 to 24 April, and today is your final day to register!   Designed for students, early-career professionals and practitioners, the programme combines expert teaching with interactive discussion and practical case studies.   More details, including registration information, can be found here . Summit 2026 - Registrations now open! Registration is now open for the 12th International Summit on Food, Nutrition and Health , taking place from 23 to 25 November 2026 at the University of Malta  (hybrid participation available).   This year’s Summit is part of a wider, global series of satellite events running before and after the main meeting, creating multiple opportunities to engage across regions, disciplines and themes. These include the Global North and Global South Symposia, International Policy Dialogues, the International Awards Symposium, and additional thematic events focused on areas such as scientific advances, climate change and youth engagement.   Together, these events form a connected platform for dialogue, knowledge exchange and collaboration, bringing diverse perspectives into one shared conversation on food, nutrition and health.   The main Summit will bring this global engagement together, offering a dynamic programme of plenary sessions, technical discussions and collaborative exchanges focused on advancing practical, evidence-informed solutions across human and planetary health.   We encourage early registration to secure your place and to explore opportunities to engage across the wider Summit series. Recent Events MTK Seminar at The Rowett Institute, Aberdeen 24 March 2026   NNEdPro delivered a seminar at The Rowett Institute  marking two years of the Mobile Teaching Kitchen International  (MTKi) Initiative in the UK.   Presented by Professor Sumantra Ray, the session explored the evolution of the MTK model from its origins in India to its growing impact in the East of Scotland, with additional insights from Belfast, East London, Mexico and the United States.   The seminar highlighted how integrated nutrition education, culinary skills and community engagement can support efforts to address food insecurity and malnutrition, alongside updates on the Scottish programme’s continued development. 1st International Water Seminar, São Paulo 23 March 2026   Nikitah Ray and Francesco Giurdanella represented the NNEdPro Youth Ambassadors Club  at the 1st International Water Seminar in São Paulo, contributing to global discussions on water preservation and sustainability.   The session focused on the critical links between water, food systems, nutrition and health, emphasising the need for integrated approaches that connect environmental sustainability with nutrition policy and practice.   The event reinforced the importance of cross-sector collaboration in building more resilient and healthy communities. Dundee Science Festival 19–22 February 2026 NNEdPro participated in the Dundee Science Festival with a dedicated Mobile Teaching Kitchen (MTK) stand, engaging families and the wider public in conversations around nutrition and health. Hosted by Dundee Science Centre , the team connected with a large number of visitors over the course of the festival, sharing practical, evidence-based messages and showcasing the MTK approach. The event provided a valuable opportunity for community engagement and public education. MTK Community Workshops, Arbroath February–March 2026 A series of Mobile Teaching Kitchen (MTK) workshops took place in Arbroath between February and March, bringing together members of the public for practical sessions combining cooking demonstrations with nutrition education. The workshops featured both Scottish and South Asian menu templates, highlighting culturally relevant, affordable and nutritious approaches to healthy eating. The final session marked two and a half years of MTK activity in the East of Scotland, reflecting strong community engagement and the contribution of local MTK Champions. Insights shared by participants, including perspectives on traditional low-cost diets, reinforced the value of integrating lived experience with evidence-based guidance. These sessions continue to inform the ongoing development and future expansion of the programme. NNEdPro India A Year of Community, Growth and Impact Over the past year, NNEdPro’s work in India has continued to evolve through a combination of community engagement, nutrition education, research and enterprise development, led by the Bhavishya Shakti Cooperative Society (BSCS). From early 2025 to early 2026, this has included both the continuation of long-standing programmes such as the Mobile Teaching Kitchen and Little Literacy Library, as well as expansion into new areas of impact. These initiatives highlight how locally led approaches can drive meaningful change, while contributing to wider global priorities in food, nutrition and health. As this work continues to grow, we look forward to sharing further insights and identifying opportunities for collaboration across the network. The year began with a field visit to Dindori, Madhya Pradesh (2–5 January 2025) , where data was collected from the Baiga community as part of a collaborative project with NNEdPro and partners in the UAE.   This work is contributing to the development of a Baiga recipe book aimed at improving nutritional adequacy through locally relevant and culturally rooted food practices.   In February , outreach efforts included the distribution of clothing to 25 children in the R.G. Kar slum, supporting basic needs within the community. This was followed in March by activities for International Women’s Day  (8th March), where free health check ups and blood tests were organised for MTK Champions recognising their central role in delivering community nutrition initiatives. In April , the team marked World Autism Day  by providing free meals to children with autism in collaboration with the DWish Institute for Special Needs, reinforcing inclusive community engagement. With the onset of summer, May  saw a responsive public health initiative in which traditional cooling drinks, such as aam panna (Raw mango cooling drink), were distributed to help communities cope with the heatwave. During this period, the MTK programme also expanded its menu by introducing a fish curry dish . This was preceded by focused training for MTK Champions on safe handling, hygiene practices, and the separation of cooking areas, ensuring quality, consistency, and standardisation in preparation. In June , the Bhavishya Shakti Kitchen celebrated Jamaishasthi  (1st June)  with a special Maha Bhoj thali  comprising 12 items, blending cultural tradition with community enterprise. This was followed by a nutrition awareness programme (4th June) , during which community members engaged in one-on-one discussions to better understand food and nutrition, and to learn about the work of the Bhavishya Shakti Kitchen.   Activities continued on 21st June ( International Yoga Day ) , with a nutrition awareness session conducted in collaboration with AIWC, linking nutrition with broader wellbeing practices. During July , the initiative continued to grow through both enterprise and outreach. A bulk order for a birthday celebration  (25th July)  enabled the redistribution of food to children from Little Literacy Libraries (LLLs) in R.G. Kar and Chetla Gate, ensuring that celebrations also contributed to community nourishment.   Earlier in the month, a Mexican cuisine training session  (18th July)  was held for MTK Champions, expanding their culinary skills and diversifying the menu offerings. In August , fundraising efforts supported the renovation and maintenance of LLL spaces , with contributions handed over to the educational supervisor. This was complemented by the distribution of hygiene kits, notebooks, colour pencils, and educational materials by Prof. Ray and Nikitah Rajput Ray.   The MTK initiative also fulfilled a bulk food order for Lake Town Club members (50 plates)  and conducted a Mexican menu workshop , where Champions showcased their skills and introduced new menu options to the wider Kolkata community. September  marked Nutrition Month , during which interactive sessions were held at both library sites, engaging approximately 40 children along with their parents. This helped extend nutrition education beyond children to families, strengthening household-level awareness.   The festive season also brought in bulk orders during Durga Puja , reflecting increasing community trust and demand for MTK services. In October , programme innovation continued with a protein bar experimentation session (8th October), where oats were incorporated into the formulation. The month also included multiple bulk orders, including from Remedy Clinic (17th October) and additional orders later in the month, indicating growing institutional engagement.   November focused on direct health service delivery, with health camps  conducted on 14th November (R.G. Kar Library) and 15th November (Chetla Library), reinforcing the integration of nutrition with broader healthcare access. The year concluded with a series of impactful engagements in December , including a bulk order from PYC  (3rd December), participation in the 6th Kolkata District Book Fair  (17th–19th December) through the MTK van, and a special order of patisapta  (22nd December) distributed to cancer patients at Gandhi Hospital, extending support to vulnerable groups during the festive period.   Momentum has continued into 2026 , with sustained enterprise activity and community engagement.   In January , orders included 25 plates of patisapta  and egg devil (12th January), followed by additional bulk orders at the end of the month. In February , a sponsored initiative enabled the distribution of milk to children at the Little Literacy Libraries  during Maha Shivratri (17th February), continuing efforts to support child nutrition.   Overall, this period has reflected the steady continuation of our work in India across community programmes, training activities, kitchen initiatives, and partnerships.   Looking ahead, the next major activities planned are the MTK Conclave in May  and a clinical nutrition focused event in August . RECENT BLOG POSTS Scottish Mobile Teaching Kitchen at the Dundee Science Festival The Glass Before the Plate   Reflections from the MTK UK Workshop: A Medical Doctor’s Perspective Polypharmacy And Masld: Why Taking Many Medicines Can Matter For Your Health Advertising in the Anna Edesia The Anna Edesia newsletter provides a valuable platform to share opportunities, events, publications and initiatives  with a global audience working across food, nutrition and health. With a diverse readership spanning academia, healthcare, policy and industry, it offers a targeted way to reach engaged professionals and organisations.   We welcome enquiries from partners and organisations interested in featuring in upcoming editions. Whether you are promoting an event, recruitment opportunity or new initiative, we would be pleased to discuss suitable options. Contact us via info@nnedpro.org.uk . BECOME A REVIEWER FOR BMJ NUTRITION, PREVENTION & HEALTH We encourage all members to actively engage in the scientific community. By becoming a  reviewer  for BMJ Nutrition, Prevention & Health, you have the chance to stay up-to-date with the latest literature, advance your career, and establish your expertise and reputation in the field. Express your interest by reaching out to us at  info.nutrition@bmj.com .     Online First Alerts  - Ensure you stay ahead in your field by signing up  here  to receive alerts for Online First content in BMJ Nutrition, Prevention & Health. Be the first to access new publications and stay informed.      Visit the BMJ Nutrition, Prevention & Health  webpage for more detailed information on editorial policies, open access, and author guidelines. 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.nutritionresearchregistry.org Anna Edesia, named after "Annapurna" (the Ancient Indian deity of food and nourishment) and "Edesia" (the Ancient Roman goddess of food), is NNEdPro's platform for highlighting our ongoing work, providing a snapshot of our key projects, ongoing research outputs and related publications - including from our flagship journal, BMJ Nutrition, Prevention and Health. ​ Since 2023, Anna Edesia has been published in the form of blogs , continuing to share insights into our key projects, research, and publications. From June 2021 to June 2023, Anna Edesia was a quarterly magazine, and before that, it was shared as newsletters .

Author: Francesco Giurdanella Reviewed by: Sarah Anderson, Prof Sumantra (Shumone) Ray From 19th to 22nd February, NNEdPro participated in the Dundee Science Festival , organised by the Dundee Science Centre . Through our booth, we showcased the Scottish Mobile Teaching Kitchen (MTK) and highlighted its development and impact over the past three years. The event provided a valuable opportunity to engage directly with the public and share our work to improve access to practical food and nutrition education across communities. With more than 1,500 attendees, the festival drew a diverse audience of adults, families and children. The MTK was among the most visited exhibits, reflecting strong interest in its approach and relevance. This engagement enabled us to broaden awareness of the model and deepen understanding of how it supports healthier, more informed food choices. It was a privilege for the Scottish MTK team to contribute to an event that places scientific knowledge, public engagement and community learning at its core.

Water, Nutrition and the Women Who Carry Both A World Water Day Perspective from the Lens of Food, Nutrition and Health Author:  Gerald Cheruiyot  Reviewed by Sarah Armes, Sarah Anderson, Professor Sumantra (Shumone) Ray Before the plate is laid, the glass must be filled. It’s a simple, everyday step that many of us rarely think about. But in many parts of the world, getting that water requires significant time, effort, and risk. For millions of women and girls around the world, it means hours of walking, physical labour and daily exposure to risk, drawn from sources that are unprotected, contaminated, and often shared. This year, the United Nations marks World Water Day under the theme  Water and Gender , anchored by the campaign message message  “Where Water Flows, Equality Grows.”  Water insecurity is simultaneously a gender crisis, a nutrition crisis and a child development crisis, and the evidence is clear that no meaningful response to any one of these can succeed whilst the others remain unaddressed. Improving nutrition for the world's most vulnerable populations begins, quite literally, with the glass before the plate.  Photo: UNICEF/Vinay Panjwani Water Is Not Just a Drink. It Is What Makes Food Work.  To understand why water belongs at the centre of any serious nutrition conversation, it helps to consider what water does in the body. Research published in  Nutrition Reviews  confirms that water is not simply a thirst quencher.[1] It is the substance that makes digestion possible: breaking down food in the stomach, carrying vitamins and minerals from the gut into the bloodstream, supporting the liver and enabling the kidneys to clear metabolic waste. Without sufficient clean water, none of those processes function as they should.  The implication for nutrition is direct and still insufficiently acknowledged in how programmes and policies are designed. Good food consumed without good water does not translate into good nutrition. When water is unsafe or insufficient, the body cannot properly absorb what it is given, regardless of how nutritious the food may be. Water security and nutrition security are not two separate concerns. They are the same concern, and addressing one without the other will always fall short.  What the Research Shows: Water, Food and Child Growth  The real-world consequences of this gap disproportionately affect those with the fewest resources. A study published in  BMJ Nutrition, Prevention and Health  followed infants in rural Zimbabwe and found that when families lacked reliable access to sufficient food, children grew more slowly in their first 18 months of life.[2] The researchers also noted that addressing food and water insecurity together carries benefits well beyond child growth, including keeping girls in school and freeing up women's time and agency. Where these two forms of insecurity coexist in the same household, they must be tackled together.  A second paper in the same journal deepens this picture, examining how gender inequality shapes child nutrition in conflict-affected settings.[3] It found that when women and girls are consistently last in line for food and water within the home, the consequences reach beyond their own health into the next generation. Children in households where mothers go without are more likely to experience poor nutrition, slower development and poorer long-term outcomes. These patterns do not resolve within one generation. They carry forward.  She Carries the Water. She Carries the Cost.  Understanding the nutritional consequences of water insecurity requires understanding who bears its burden. In households without a water source on the premises, women and girls are responsible for collecting water in eight out of ten cases globally.[4] That daily journey can take anywhere from half an hour to several hours. Over the course of a year, it represents hundreds of hours that women and girls are not in school, not earning, not resting and not caring for young children. Each of those hours has a direct bearing on the health and nutrition of the whole family.  The toll is greatest for pregnant and breastfeeding women, whose nutritional needs are higher than at almost any other stage of life. When the water they drink is contaminated, the harm extends well beyond illness. Unsafe water interferes with the absorption of iron and folate, both essential for a healthy pregnancy, and exposes infants to infections that damage the gut lining in early life. This condition, known as Environmental Enteric Dysfunction, carries no obvious symptoms, yet it silently prevents the body from absorbing nutrients from food, even when food is available. No level of nutritional support can fully address this whilst the water source itself remains contaminated. The glass before the plate, if unsafe, continues to undo the plate's work.  When Women Have a Voice, Water Works Better for Everyone  Recognising the burden is necessary, but it is not sufficient. World Water Day 2026 goes further, calling for a genuine shift in who shapes the solutions. The UN campaign calls for women to have an equal say in how water systems are planned, managed and governed, from the community level to national policy.[4]  This matters because women who collect water daily hold knowledge that is rarely reflected in planning. They know which sources are seasonal, which are unsafe and what distances are realistic for a woman in the later stages of pregnancy. That knowledge is directly relevant to building systems that genuinely serve communities, yet it remains largely absent from the decision-making process.  Joining the Dots: Water, Nutrition, Gender and the Global Goals  Taken together, the evidence reviewed here points to something important. Water insecurity, gender inequality and poor nutrition are not three separate problems that happen to occur in the same communities. They are deeply entangled, each reinforcing the other. A child who is stunted may be eating but drinking contaminated water that prevents absorption. A girl who drops out of school may be needed at the river each morning. A woman who is anaemic during pregnancy may have access to nutritious food, but not to water safe enough to allow her body to use it. The United Nations Sustainable Development Goals reflect this interconnection: SDG 2 (Zero Hunger), SDG 3 (Good Health and Wellbeing), SDG 5 (Gender Equality) and SDG 6 (Clean Water and Sanitation) are designed to reinforce one another. The evidence from  the BMJ Nutrition, Prevention and Health  review presented here provides a concrete, human foundation for interdependence.  Yet in practice, water and nutrition programmes are still too often designed and funded in isolation. The families living with both challenges are left to navigate the gap between them. Integrating water safety and access into nutrition programming, and making gender equity a guiding principle in both, is not an aspirational ambition. It is a practical, evidence-based necessity.   Fill the Glass. Change the Outcome.  The evidence is both sobering and instructive. Water insecurity, poor nutrition and gender inequality are deeply connected, but none are inevitable. They are the product of choices, priorities and systems that can be changed: by integrating water into nutrition programming, by including women in water governance and by treating water safety as a core, non-negotiable part of any serious effort to improve nutritional outcomes.  Before a single meal can nourish a body, before a child can grow, before a mother can provide her family with what they need, the glass before the plate must be filled with water that is clean, safe and available to all.  On World Water Day 2026, that is the commitment worth renewing.  “Where Water Flows, Equality Grows” — UN World Water Day 2026   We at NNEdPro are proud to have been a collaborator on the cutting-edge SAFEWATER project led by our strategic partner Ulster University , as well as to have contributed to the advisory board of this excellent global challenges work, supported across three Latin American countries by UKRI over 2017-2022. As of March 2026, we are contributing two talks to the 1st São Paulo International Water Seminar, organised by SABESP, one of the key collaborators of the SAFEWATER project. Additionally, a few years ago we had the opportunity to be involved in the first UN environment programme report , linking freshwater ecosystems to risk of malnutrition.   References  [1]   Popkin, B.M., D'Anci, K.E. & Rosenberg, I.H. (2010).  Water, hydration, and health . Nutrition Reviews, 68(8), 439–458. DOI: 10.1111/j.1753-4887.2010.00304.x. PubMed Central: PMC2908954.  https://pmc.ncbi.nlm.nih.gov/articles/PMC2908954/   [2]   Aryeetey, R., Kordas, K., Li, C-S., Tavengwa, N.V., Majo, F.D. et al. (2022).  Growth and growth trajectory among infants in early life: contributions of food insecurity and water insecurity in rural Zimbabwe . BMJ Nutrition, Prevention and Health, 5(2), 332–343. DOI: 10.1136/bmjnph-2022-000470. Data: SHINE Trial. PubMed Central: PMC9813639.  https://pmc.ncbi.nlm.nih.gov/articles/PMC9813639/   [3]   Meyer, S.R., Vahedi, L., Lasater, M.E. et al. (2025).  Gender-based violence and child nutrition in fragile settings: exploring intersections and opportunities for evidence generation . BMJ Nutrition, Prevention and Health, 8(1), e000682. DOI: 10.1136/bmjnph-2023-000682. PubMed Central: PMC12322537.  https://pmc.ncbi.nlm.nih.gov/articles/PMC12322537/   [4]   UN-Water, UNICEF & UN Women (2026).  World Water Day 2026: Water and Gender. Where Water Flows, Equality Grows — Campaign Launch . United Nations.   https://www.un.org/en/observances/water-day

Author: Dr Moniba Arshad Reviewed by: Sarah Armes, Sarah Anderson, Prof Sumantra (Shumone) Ray As a junior doctor, transitioning from the fast-paced environment of a hospital to the aromatic atmosphere of a Mobile Teaching Kitchen (MTK) workshop in Arbroath was an "eye-opener." While we often treat the symptoms of metabolic disease in the clinic, the MTK initiative is where the real "preventative medicine" happens—right in the heart of the community. The Three-Day Culinary Journey In Arbroath, I witnessed the power of "bringing nutrition to the doorstep" through three distinct cultural templates: The Mexican Template: Showcasing vibrant, plant-forward dishes that prove healthy eating doesn't have to be bland. The Scottish Template: Reimagining local, familiar ingredients to create nutrient-dense meals that feel like home. The Indian Template: Utilising aromatic spices and legumes to demonstrate how affordable options can become powerful tools for health. Bridging the Gap: From Clinic to Kitchen In my daily practice, I see the heavy toll of metabolic diseases like Type 2 Diabetes and hypertension on hospital resources. Often, patients know they "should" eat better, but they lack the practical skills to do so on a budget or with limited time. At the MTK workshops, I saw a side of healthcare that clinicians struggle to deal with. Helping the team and prepping ingredients alongside community members, I realised this initiative is where ‘Food as Prevention’ is used to fight those diseases. Turning Personal Adversity into Community Advocacy What moved me most was my time spent talking to the MTK champions. I was truly amazed by their profound, personal desire to heal their own community. These aren't just champions, but many are individuals who have navigated their own health challenges and metabolic struggles in the past. Hearing how they turned their personal health battles into a mission to help others was a depiction of empathy. They aren’t just teaching recipes; they are sharing a survival guide for a healthier life based on their experiences. Their passion proved to me that the most effective "medicine" often comes from a local who understands exactly what it feels like to struggle with their health. The Impact: Beyond the Plate The MTK initiative does more than just teach recipes; it builds community adaptability to never-ending health challenges. My conversations with attendees revealed: A Shift in Mindset: Food was no longer just fuel or a source of stress, but a form of prevention. Increased Awareness: Attendees left with the confidence to make "healthy swaps" in their own kitchens. Decreased Hospital Burden: By empowering people to manage their health through diet, we are actively preventing the complications that lead to hospital admissions. Every healthy meal prepared at home is a step toward reducing the strain on our overstretched Healthcare System. A Vision for the Future This workshop strengthened my belief that nutrition education is as vital as any prescription I write. The MTK model, with its See One, Do One, Teach One (SODOTO) approach, creates a ripple effect that starts in a community centre in Arbroath and ends with a healthier, more informed population. I left Arbroath not just as a doctor who treats disease, but as an advocate for a world where we have the tools to prevent it.

Author:  Gerald Cheruiyot  Reviewed by: Sarah Armes, Sarah Anderson and Sumantra (Shumone) Ray  UNDERSTANDING MASLD AND TREATMENT COMPLEXITY  Metabolic dysfunction-associated steatotic liver disease (MASLD), previously referred to as NAFLD (Non–alcoholic Fatty Liver Disease), is now estimated to affect more than one-third of adults worldwide ( https://www.nature.com/articles/s41572-025-00599-1 ). It is closely linked with overweight and obesity, type 2 diabetes, high cholesterol, and high blood pressure.  As a result, many people living with MASLD are prescribed several medicines at the same time. These medicines may be needed to manage blood sugar, blood pressure, cholesterol, or other health problems alongside liver disease. While medicines are an important part of care, managing many of them together can place a significant burden on daily life and wellbeing.  A recent systematic review of research published in  BMJ Nutrition, Prevention and Health  examined how common it was for individuals with MASLD to take multiple medicines at the same time and what this may mean for them.   HOW COMMON IS POLYPHARMACY IN MASLD?  The review examined six studies from the United States, Australia and Italy. Across these studies, between one quarter and almost nine out of ten adults with MASLD were taking multiple long-term medicines. This wide range reflects differences in healthcare systems and how polypharmacy was defined.  When the most comparable studies were combined, around eight in ten adults with MASLD were managing complex medication routines. In hospital and specialist care settings, people were often prescribed close to ten long-term medicines, highlighting how demanding treatment can become.    HOW TAKING MANY MEDICINES AFFECTS DAILY LIFE   For many people living with MASLD, taking several medicines each day can affect how they feel and function in everyday life. People managing multiple medicines often report feeling more tired, having less energy and finding it harder to carry out daily activities such as work, household tasks, and social life.  Ongoing symptoms linked to liver disease, such as persistent tiredness, poor sleep, and muscle cramps, are also more commonly reported by those taking many medicines. Over time, these symptoms can build up and make day-to-day life more challenging, particularly for people with more advanced forms of the condition.  In some cases, managing many medicines is linked to a higher chance of needing hospital care, especially among people with more severe liver disease. Hospital admissions can be disruptive and stressful, and may affect confidence, independence, and overall wellbeing.  Taking several medicines is more common among older adults and people living with more than one long-term condition, such as diabetes or heart disease. For some, this means juggling complex routines, dealing with side effects and feeling overwhelmed by treatment, especially when the benefits of each medicine are not always clear.  WHY MEDICINE BURDEN MATTERS IN MASLD  The liver plays a central role in breaking down medicines. In MASLD, this process can be altered, leading to medicines remaining in the body for longer or interacting with each other in unexpected ways. This can increase the risk of side effects and harmful drug interactions.  Managing many medicines can also make treatment routines harder to follow, increase fatigue and discomfort, and affect overall wellbeing. The review highlighted knowledge gaps, including limited information on whether all prescribed medicines are necessary or whether some could be safely reduced.  WHAT THIS MEANS FOR CARE AND SUPPORT  Regular medication reviews are an important part of care for people living with MASLD. Working with healthcare professionals, including doctors, pharmacists, and dietitians, can help ensure medicines remain appropriate, effective, and as simple as possible.  Non-drug approaches are also central to MASLD management. Strong evidence shows that changes in diet, physical activity, and sustained weight loss can improve liver health and metabolic conditions. In some cases, these improvements may reduce the need for certain medicines. Nutrition-focused support, therefore, plays a key role in improving health while helping to minimise unnecessary medication burden.  LOOKING AHEAD  As MASLD becomes more common worldwide, managing multiple medicines will remain a growing challenge. Future research should explore how medicine use changes over time, identify which medicines provide the greatest benefit and assess safe ways to reduce medication burden alongside nutrition and lifestyle support.  Improving care in MASLD should involve not only the introduction of additional treatments (when needed and appropriate), but also the optimisation of existing therapies, support for sustainable lifestyle changes, and a focus on interventions that enhance long-term quality of life.  KEY TAKEAWAYS   Many people living with MASLD take several long-term medicines.  Taking many medicines can affect energy levels, daily activities and wellbeing.  Managing complex medication routines may increase the risk of side effects and hospital admissions.  Regular medication reviews help ensure medicines remain necessary and safe.  Diet, physical activity and weight management play a central role in improving health and may reduce reliance on medicines.  References  BMJ Nutrition, Prevention and Health (2025).  Polypharmacy in adults with metabolic dysfunction-associated steatotic liver disease: a systematic review and meta-analysis . Volume 8, Issue 2, Article 677.  Available at:  https://nutrition.bmj.com/content/8/2/677   In November 2024, NNEdPro presented a summary of current understanding of MASLD and lifestyle factors with talks by key researchers in this area. Read more about it here .

Author: Priyanka Kotak Reviewed and edited by: Sumantra (Shumone) Ray and Sarah Anderson   The morning of 13th December was dedicated to research dissemination and youth engagement at the 11th International Summit on Food, Nutrition & Health . Hosted at St Leonards School in St Andrews, the setting reflected the Summit’s commitment to education, early leadership, and intergenerational dialogue, reinforcing the role of both emerging research and youth voices in shaping future food and nutrition systems. This final morning brought together two complementary strands of the Summit’s mission. The announcement of the BMJ Nutrition, Prevention & Health  Scientific Poster Competition results highlighted the strength and diversity of current nutrition research, while NNEdPro’s first Global Youth Essay Competition created space for young people to critically engage with global food, nutrition, and planetary health challenges. Together, these sessions underscored the importance of knowledge exchange, capacity building, and empowering the next generation as active contributors to policy-relevant dialogue. Deputy Headmaster Will Gainsford opened the session, welcoming participants and setting the tone for a morning centred on curiosity, critical thinking, and youth-led ideas. Research Dissemination: Abstract and Poster Competition The day began by celebrating today’s nutrition innovators, as the results of the BMJ Nutrition, Prevention & Health  Scientific Poster Competition were announced. This year’s competition received a record number of submissions, showcasing cutting-edge research shaping contemporary food and nutrition science and offering inspiration for the many directions in which the field continues to evolve. The diversity of topics spanned clinical and precision nutrition, public health nutrition, nutrition education, food systems, and sustainability. All accepted abstracts will be published in BMJ Nutrition, Prevention & Health , supporting global knowledge sharing across the nutrition community.   2025 Abstract Winners  Winner   The effect of flexitarian, time-restricted eating on body composition in young men without obesity: a factorial randomised controlled trial (The FlexiFast® Study)   Marta Lonnie, Lidia Wadolowska, Graham Horgan, Alexandra M. Johnstone  Runner-up   True Cost Accounting for Food (TCAF): Tool or Trap for Just Food System Transformation?   Rolf Arnold, Agathe Crosnier, Kate Dassesse, Emilia Schmitt, Evelyn Markoni, Laurence Jeangros, Franziska Götze, Theresa Tribaldos  Second runner-up   Daily potato consumption increases parasympathetic activity, assessed by 24‑hour heart rate variability, in healthy adults: results from the STARCHy randomised controlled trial   Anya R. Klarner, Sarah E. Berry, Wendy L. Hall     View all abstracts  here .    Youth Essay Competition    After three days of Summit proceedings focused on experts working across food and nutrition, this session shifted attention to the voices of young people internationally who will help shape the future of the field. Centred on the theme  Youth as Agents of Change: Fresh Perspectives and Solutions on Global Food and Nutrition Challenges , NNedPro’s first Global Youth Essay Competition was open to young people aged 13 to 19, and invited them to engage with real-world issues via structured topics across three broad themes:  Food and Nutrition Policy ;  From Human to Planetary Health ; and  Nutrition and Health .    Junior essays most frequently explored the  nutrition and health  theme, focusing on how everyday food environments, education, and behavioural factors influence wellbeing. Many demonstrated a strong ability to connect campaign ideas to their own lived experience, often grounding global nutrition challenges and solutions in school or community contexts. In contrast, senior essays largely focused on  food and nutrition policy , demonstrating a more advanced understanding of the broader dynamics shaping evolving food systems.    2025 Youth Essay Competition Winners  Junior Category (Ages 13 to 15)   Winner:  Rose Howison   Runner-up:  Utkarsh Gupta   Joint second runners-up:  Eva Sampson and Lennja Bowels   Senior Category (Ages 16 to 19)   Joint winners:  Maryam Bahzad and Natalie Tha   Runner-up:  Adit Mital   Joint second runners-up:  Chidera Chioma and Ginny R Hathaway      Finalists were also invited to present their essays (either in-person or online), condensing their work into three-minute presentations. Translating substantial research into such a concise format is no small task, yet it is a vital skill to develop for a future in science - ideas that cannot be communicated clearly are difficult to advocate for or implement.     Presentations were followed by a judging panel discussion marked by optimism and a shared recognition of the quality of submissions across both age groups. What stood out was participants’ capacity to use statistics and conduct research to support their arguments, alongside a clear understanding of the relationship between macro-level food systems and policy and micro-level action in communities and schools. The competition structure encouraged students not only to identify problems, but to articulate their own perspectives and propose practical, evidence-informed solutions.  Notably, some finalists even reflected on how the process of writing their essay prompted real-world action, for example, investigating food waste in their own school environment, illustrating the tangible impact of reflective, research-based learning that engaging in this competition offered. Further, these essays demanded interdisciplinary thinking: the broad topics enabled students to draw connections between biological science and social science to create change – a skill that might not be expected given that subjects are typically taught discretely in schools, yet participants managed to make these links impressively well.     Writing an essay of this nature and subsequently presenting it orally requires critical engagement with evidence, the synthesis of complex ideas, as well as confidence and conviction in proposing solutions. These skills are essential not only for producing rigorous academic work but also for putting the interventions discussed in their essays into practice. As someone who has only recently completed postgraduate study, it is encouraging to see school-age students already demonstrating such strong research, analytical, and communication skills.    Presenters of the Day   Junior Category – In person:   Rose Howison   Senior Category – In person:   Ginny R. Hathaway   Junior Category – Virtual:   Utkarsh Gupta   Senior Category – Virtual:   Maryam Bahzad     View the finalists’ essays  here .    Closing Remarks – The Importance of Youth Action    The session closed with  Inspiring Tomorrow’s Thinkers , a talk by Dr Patrick Cortbaoui, Director of the Institute for Global Food Security at McGill University. He highlighted the demographic reality that young people already constitute the majority in many regions, yet food systems are too often shaped without their voices. As those who will live longest with the consequences of today’s decisions, from food insecurity to biodiversity loss, young people must be more than passive recipients of inherited challenges, but rather, co-owners of the solutions.    This Global Youth Essay Competition explicitly demonstrated that generational continuity is fundamental to building sustainable, future-proof food systems. Hosting an education-focused competition within a school created space for young people to research, innovate, and articulate their ideas. By doing so, it effectively handed the baton to the next generation and recognised the value that the youth can, and already bring to shaping solutions - evident in both the thoughtfulness of their essays and impassioned presentations.