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Author: Sarah Anderson Reviewers: Shumone Ray As we reach the midpoint of 2025, we are proud to reflect on a vibrant second quarter within the global ecosystem of the NNEdPro Global Institute and all its nine partner initiatives. The past few months have witnessed strategic organisational developments, increasing global engagement, and continued momentum towards our apex event for this calendar year, the 11th International Summit on Food, Nutrition and Health in December 2025.   Over the first half of 2025, we have implemented pledges made in our 10th International Summit (December 2024) by strengthening our commitment to advancing nutrition science in a manner that is inclusive, accessible, and responsive to global challenges through cross-sector partnerships and impactful knowledge exchange.   None of this would be possible without the ongoing support of our members, collaborators, and funders. With your help, we continue to bridge the gap between evidence and action across disciplines and geographies.   Read on for key highlights from April to June and discover what’s on the horizon, including how you can be part of our mission and vision as we prepare for an inspiring second half of our 17th year. Birthday Message From the Chair As I turned 50 on 3rd July, I have been reflecting on the 25 years since I began my journey since I qualified dually as both a medical doctor and public health nutritionist. The world has changed in so many ways, yet when it comes to population health and resilience, there's still so much work to do particularly as we are met with new global challenges, nowadays often geopolitical in origin, but inevitably adding to the already complex burden of disease.   That said, I feel hopeful. The shared experience, commitment, and knowhow of our incredible virtual community of well over 1,000 professionals from almost half of the world’s nations is an intangible yet invaluable asset in our quest to harness science in the service of society. With continued momentum and directed efforts, I truly believe that the next 25 years can bring meaningful and lasting change for future generations including an increased understanding of our responsibilities linking food, nutrition, health, and climate change. We are all set to explore this fully in our end of year Summit including an exciting satellite event in the margins of COP 30 in the heart of the Amazon itself!   To mark my personal milestone this July and having now spent over half of my adult life in the support of the NNEdPro mission I have started the ball rolling by donating £50 to a cause close to my heart – supporting education for children living in two slum communities with which we have been working for several years – I will be visiting these communities with my daughter, Niki, in August and am looking forward to using proceeds from this crowdfunding campaign and other fundraising activities that we have started, to provide essential educational resources to these children as a small but tangible investment in tomorrow’s changemakers. If you can contribute (even £5 helps significantly) , it would mean a great deal. We will keep everyone updated on impact of funds raised.   Thank you for your continued support and kindness.   – Shumone https://www.nnedpro.org.uk/sumantra-ray Q2 HIGHLIGHTS NNEdPro Contributes Nutrition Content to New Lifestyle Medicine Textbook We are proud to announce that NNEdPro had the opportunity to co-write the nutrition section of the newly published Essential   Lifestyle Medicine  textbook.   This is the official textbook of the British Society for Lifestyle Medicine, a strategic collaborative partner of NNEdPro. The collaborative effort reflects our commitment to evidence-based, interdisciplinary approaches to health.   Special thanks to Dr Breanna Lepre , Dr Federica Amati , Professor Lauren Ball  and Professor Sumantra Ray  for their valuable contributions to this achievement. Thanks also to Dr Ellen Fallows, lead editor, for inviting NNEdPro to contribute. NNEdPro-NICHE Partnership Strengthens Through Expert Lectures and Workshops at Ulster University In April, NNEdPro partnered with Ulster University’s NICHE research group  to host a series of impactful events featuring Professor Martin Kohlmeier , Editor-in-Chief of BMJ Nutrition, Prevention and Health, and  Verónica Flores  from Tec de Monterrey.   These well-attended sessions, including lectures and workshops on precision nutrition, publishing, and challenge-based learning , helped deepen collaboration in nutrition education and innovation between our organisations.   We extend our sincere thanks to all involved in making these events a success, including BrianÓg Murphy, Francesco Giurdanella, Prof Pauline Douglas, and Dr Catherine Hughes. Celebrating Excellence at the 2025 NNEdPro–IANE Awards Symposium  On 30th April, NNEdPro hosted the annual NNEdPro–IANE Awards Symposium  at Selwyn College, University of Cambridge, bringing together our global community to recognise outstanding contributions across nutrition education, research, and innovation.   This year marked the introduction of a new award category for Excellence in Medical Nutrition Education in the UK , co-judged with the Association for Nutrition  and Nutritank , with nominations received from three leading UK medical schools. A clear winner and runner-up were selected for their exceptional efforts in advancing medical nutrition education.   We were also proud to recognise a research group of outstanding calibre with the 2025 Outstanding Achievement Award , alongside numerous Fellows and Academy Members across a range of categories. This year’s symposium was especially meaningful as the IANE Academy officially surpassed 1,000 members  — a milestone worth celebrating.   Our sincere thanks to Sucheta Mitra and the NNEdPro Operations Team for coordinating this year’s awards, as well as the expert judging panel for their time and dedication.   👉 Read the full list of winners on our blog  Gene-Edited Foods and Public Health: NNEdPro on Times Radio On 6 May, NNEdPro’s Chief Scientist, Professor Sumantra Ray, appeared live on the Times Radio Breakfast Show to discuss the UK’s forthcoming legislation on gene-edited foods.   The interview explored key implications for food security, nutrition, and consumer health, and highlighted the importance of transparency, robust research, and public trust. Read the blog here . Dr Rajna Golubic Represents NNEdPro at 75th International Diabetes Federation Congress  We were proud to see  Dr Rajna Golubic  (NNEdPro Associate Director, BMJ Nutrition, Prevention & Health Associate Editor, and NIHR Clinical Lecturer in Diabetes and Endocrinology) deliver a prestigious invited talk at the 75th International Diabetes Federation Congress  in Bangkok.   Dr Golubic’s presentation focused on the cost-effectiveness of lifestyle interventions and glucose-lowering treatments for diabetes prevention, drawing on the NNEdPro Nutrition and Levels of Prevention Framework .   The IDF Congress brought together over 6,000 delegates from around the world, with strong representation from low- and middle-income countries and a shared emphasis on prevention-oriented strategies in resource-constrained settings. NNEdPro–King’s College London Seminar and Partnership Launch  In May, NNEdPro joined King’s College London for a special seminar titled Global Nutrition, Health and Disease: From Molecules to Mankind. The event featured insights across the nutrition science spectrum and marked the beginning of a new phase of strategic partnership between NNEdPro and King’s.   The seminar was recorded and will be available for those who were unable to attend live. We look forward to building on this renewed collaboration through joint initiatives in research, education, and public engagement. Bringing Mexican Flavours to Scotland: MTK Knowledge Exchange Workshop in Dundee On 8th May, NNEdPro’s MTK Mexico Lead, Verónica Flores , led a vibrant knowledge exchange workshop at the Dundee International Women’s Centre . The session marked a significant step in adapting plant-based Mexican menu templates into the UK MTK repertoire, made possible through collaboration with the Scottish MTK team.   Participants included women from seven different countries, highlighting the programme’s global reach and the power of food to connect cultures. The hands-on workshop inspired new ideas, including the potential development of an interventional cookbook focusing on the MENA region with adaptations for the UK context.   This workshop also coincided with the exciting news that UK MTK core funding has been extended into its second year; a promising step for future community-led innovations in culinary education and nutrition.   Our heartfelt thanks to all in-person and remote contributors, and to the communications team for capturing and sharing the day’s highlights. Professor Walter Willett to Deliver Keynote at the 11th International Summit on Food, Nutrition & Health We are honoured to announce that Professor Walter Willett, EAT-Lancet Commission Co-Chair and Professor of Epidemiology and Nutrition at Harvard T.H. Chan School of Public Health , will be delivering a keynote at the 11th International Summit this December.   Reflecting on decades of work in nutritional epidemiology, Professor Willett’s talk will explore the extent to which evidence has informed meaningful changes in nutrition education and public behaviour. His session will conclude with an interactive panel debate, co-hosted with the Society for Nutrition Education and Behavior (SNEB) Foundation. Dietary Patterns and Mental Health: NNEdPro Featured in BBC Coverage of New Study A newly published study in BMJ Nutrition, Prevention & Health examining links between dietary patterns and depressive symptoms has received widespread media attention, including BBC Radio coverage featuring insights from Professor Sumantra Ray.   The NNEdPro Global Institute, as co-owner of the journal, issued a response highlighting both the significance and limitations of the findings, and the need for further well-designed research in this area. Read the full article . IANE Webinars Spotlight Global Nutrition Innovations and Challenges The International Academy of Nutrition Educators (IANE)  continued its engaging webinar series this quarter, bringing together members and global partners to share diverse perspectives on nutrition in practice.   Dr Ebiambu Agwara  delivered a compelling presentation in collaboration with one of our new partner organisations in Ghana, where an NNEdPro–IANE awardee is actively advancing community-based nutrition initiatives. Her talk explored gaps and opportunities in the nutritional management of hypertension in Ghana and similar West African contexts.   Dr Timothy Eden  also presented on The Changing Landscape of Bowel Cancer in the UK, examining how nutrition can play a preventative and therapeutic role in cancer care.   Rounding out the quarter, Dr Dionysia Lyra  shared insights from her research at the International Centre for Biosaline Agriculture in Dubai, highlighting halophytes — salt-tolerant edible plants — and their potential as functional foods in sustainable nutrition systems.   IANE webinars remain a cornerstone of our knowledge exchange efforts, bridging theory and practice across global regions. Spotlight on the 11th International Summit and Satellite Events   The countdown is on! The 11th International Summit on Food, Nutrition and Health  returns this December, bringing together thought leaders, innovators, and practitioners to advance nutrition knowledge and equity on a global scale.   Registration is now open for the Main Summit, all Satellite Events, and a series of Masterclasses. Satellite events are free to attend with limited in-person spaces. Don’t miss the chance to be part of this global journey! Bern Satellite Event on Nutrition in Population Health   10 July 2025 | 09:00–12:00 CEST In-person & Virtual | Free to attend Hosted in collaboration with Bern University of Applied Science, this event focuses on applying nutrition research to population-level health strategies, with cross-cutting themes in health equity and systems thinking. Biel/Bienne Culinary Masterclass   10 July 2025 | 14:30–18:30 CEST In-person only | Ticketed   This hands-on culinary masterclass explores sensory education and plant-forward menu innovation in Biel/Bienne, Switzerland. Masterclass Kuala Lumpur Satellite Event: Nutrition, Disease Prevention & Systems Thinking   28 July 2025 | 14:00-17:00 MYT In-person & Virtual | Free to attend This session highlights interdisciplinary approaches to preventing non-communicable diseases through nutrition and systems-based solutions in the Malaysian context. New Delhi Satellite Event: Masterclasses on Nutrition-Sensitive Policy   6–7 August 2025 In-person only | Ticketed  Held at and in collaboration with Shiv Nadar University, this two-day masterclass series focuses on policy-level approaches to nutrition resilience in India and the wider South Asian region. Ulster Satellite Event: Precision Nutrition   5 November 2025 | 09:00–17:00 GMT In-person & Virtual | Free to attend   Replacing the annual NICHE symposium, this event hosted in Northern Ireland delves into the science and practical application of precision nutrition strategies. Belem Satellite Event on Food Security & Sustainability   24 November 2025 | 18:00–22:00 GMT-3 In-person & Virtual | Free to attend   Hosted in Brazil, this event addresses nutrition's role in shaping food systems and promoting sustainability, especially in the context of climate and equity. Main Summit: Dundee & St Andrews, Scotland   10–13 December 2025 In-person & Virtual | Ticketed   Join us in Scotland for the full Summit experience:   10 December: Pre-Summit Symposium & Opening Reception at the James Hutton Institute (Dundee)   11–12 December: Main Summit at Dundee and Angus College, plus the Gala Tartan Dinner on the evening of the 11th   13 December: Global Youth Essay Competition & Festival of Ideas  at St Leonards School (St Andrews)   Note:  IANE members receive a 30% discount on Main Summit registration. Join IANE today  to claim your discount! St Andrews Satellite Event on Medical Nutrition Education   13 December 2025 | 14:30–17:00 GMT In-person & Virtual | Free to attend   Concluding the Summit, this dedicated session explores innovations in medical nutrition education and clinical learning, hosted by the University of St Andrews. SHARE YOUR CAREER OPPORTUNITIES WITH A GLOBAL NETWORK We are pleased to invite you to showcase career and academic opportunities on the International Academy of Nutrition Educators (IANE) portal .   IANE is a global, membership-based academy run by the NNEdPro Global Institute, dedicated to capacity building and professional development in nutrition education, research, and practice. Our platform connects professionals, students, and institutions across six continents.   You are welcome to submit listings including: 🔹 PhD opportunities 🔹 Academic or clinical job openings 🔹 Research or teaching placements 🔹 Internships and fellowships   📢 For a limited time, posting opportunities on our portal is completely free – helping you reach a wide, international audience of nutrition, health, and education professionals.   👉 Submit your opportunities here .   Take advantage of this unique opportunity to connect with a global talent pool! If you have any questions or need assistance, feel free to reach out to us. 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. SHOWCASE YOUR RESEARCH WITH THE IKANN REGISTRY Are you conducting research in food, nutrition, sustainable agriculture, or health?   Register your study on the iKANN Independent Research Registry  to boost its visibility, uphold transparency, and connect with a global community of researchers.   Whether your project is ongoing or already completed, registering helps ensure quality, ethical standards, and long-term impact.   Bonus:  Registered researchers receive 20% off article processing charges in BMJ Nutrition, Prevention & Health and 20% off IANE membership.   👉 Submit or update your research today 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 Hindu 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: Holly Giles Speakers: Dr Timothy Eden Panellists: Prof Sumantra, Sarah Armes Reviewers: Sarah Armes, Sarah Anderson What is early-onset bowel cancer? Early-onset colorectal cancer (CRC) refers to bowel cancer first presenting in adults under the age of 50. These are caused by growth abnormalities in the lining of the colon or rectum. There are differences in the clinicopathological features in younger patients. Symptoms of bowel cancer can include unintentional weight loss, bleeding, and changes in stool habits. It is the fourth most common cancer in the UK, with almost 44,000 people being diagnosed each year. Does bowel cancer only affect older adults? There is a changing landscape surrounding bowel cancer, as whilst 90% of bowel cancer diagnoses are in adults aged over 50, the proportion of younger adults being diagnosed is rising annually. Cancer Research UK reports that incidents of early-onset CRC have risen by more than 50% since the early 1990s, with an increase of 3.6% each year in the last decade. Why are the levels of early-onset bowel cancer increasing? A common misconception is that the rise is due to the widespread application of bowel cancer screening. However, this is targeted at 50-74 year olds, meaning this is not thought to be the reason. It is also noted that screening uptake is affected by socioeconomic factors, meaning there is a need for increased awareness and education about bowel cancer and its symptoms. Addressing socioeconomic factors is crucial for equitable outcomes for all. Instead, it is attributed to the “birth-cohort effect”, where each generation born since 1970 has encountered unique lifestyle and environment factors such as antibiotic use in childhood, fructose intake, microplastics, sedentary lifestyles, and pollution. New research also suggests that early childhood bacterial toxin exposure, which causes a DNA mutation in the gut, increases the risk of early-onset bowel cancer. How does diet modify bowel cancer risk? It is known that obesity and dietary factors, such as red/processed meat and fibre intake, are significantly linked to bowel cancer risk. Numerous meta-analyses have shown that red and processed meat consumption are associated with a significant increase in colorectal cancer risk. Fortunately, the trend indicates a decrease in the consumption of red meat and processed meat among adults aged 18 to 64. However, 43% of adults still consume more than the recommended guidelines (<70 g/day). Fibre is a critical modifiable risk factor, as it dilutes carcinogens in the gut lining and enhances short-chain fatty acid production, which has anti-inflammatory and antineoplastic properties. The recommended intake of fibre is 30g per day, but the average consumption is 18-20g per day. Only 9% of adults in the UK are estimated to reach the recommendations. Alcohol is a group 1 carcinogen for colorectal cancer with a dose-dependent relationship. Microbiome dysbiosis is increasingly recognised as a contributor to carcinogens. This is influenced by high alcohol consumption, low fibre intake, and consumption of red meat. Research is still ongoing in this area to understand the contribution of the microbiome to the progression of tumour growth. How does obesity link to bowel cancer? Obesity is directly linked to colorectal cancer risk. Men who were obese in early life had a 39% higher risk of developing colorectal cancer in adulthood. In women, this same lifestyle factor was associated with a 19% risk. This is due to multiple mechanisms, including abnormal lipid metabolism, adipokines, hormones, insulin resistance, and alterations to the gut microbiome. Obesity also increases the risk of late diagnosis, due to a slow-growing tumour of 3-6 years, meaning that the condition is more established prior to diagnosis. What therapeutic role can nutrition have for bowel cancer? There is a role for prebiotics in promoting the growth of short-chain fatty acids, which enhances the barrier function and reduces inflammation within the gut. There is a need for further research to determine the therapeutic effect of pre- and probiotics at this stage. Overall, the prevalence of early-onset colorectal cancer is on the rise. Nutrition plays a crucial role in prevention by reducing the risk of colorectal cancer: this includes minimising red meat and alcohol consumption, while boosting our fibre intake and microbiome health. More research is needed to understand the role of pre- and probiotics from a therapeutic perspective, which may lead to the potential for personalised treatment based on microbiome profiles.

Author: Holly Giles Speaker: Dionysia Angeliki Lyra Panellists: Sumantra (Shumone) Ray, Meis Moukayed, Yasmin Haddad, Sarah Armes Reviewers: Sarah Armes & Sarah Anderson What are halophytes, and why are we studying them? Halophytes are highly salt-tolerant plants, representing around 1% of the world’s flora. There are 1560 halophyte plant species, including trees, shrubs, seasonal plants, and more. These crops offer a wide range of uses: food, oil production, ornamental, skincare products, forage, phytoremediation, fuel wood production, and medicinal. This is particularly important in the context of climate change, which is causing sea levels to rise and leading to seawater intrusion into freshwater sources. As a result, the salinity of groundwater is increasing. Recent data estimate that over 30% of groundwater resources in the Middle East and North Africa region are saline, rising to 70% in the Gulf Cooperation Council (GCC) countries. This indicates a significant availability of saline water that could be further explored for potential use in agriculture. What halophytes do we currently eat? Some of the most well-known halophytes are quinoa, sea fennel, and samphire. Quinoa is a facultative halophyte and can grow in saline environments, with some varieties even thriving under such conditions. While these plants are already valued in coastal communities, increasing awareness of their potential in the context of the climate crisis highlights their wider relevance. Their notable nutritional properties (shown in the image below) further support their potential as valuable alternative crops. What health benefits are associated with halophytes? Halophytic plants can play a significant role as “functional foods”, which are defined as unprocessed foods with proven health benefits beyond their nutritional value based on the USDA definition. The exact benefits of halophytic foods depend on the plant species, but this highlights their nutritional potential. A lot of the emphasis in this area has focused on antioxidants. What is the Nature-based Solutions (NbS) project implemented in the United Arab Emirates? The aim of the project was “to focus on the protection, restoration and management of coastal ecosystems as a key nature-based solution approach to strength climate change mitigation, enhance biodiversity, and open up benefits for society through opportunities that unlock blended finance to support ecosystem protection, Blue Carbon, ecotourism, and food security”. This focused on two main halophyte species ( Salicornia sinus-persica  and Arthrocaulon macrostachyum ), including an exploration of the palatability of these products. The study showed that different growth locations significantly influenced the flavonoid, polyphenol, triterpenoid, and vitamin C content. When brought inside to grow in low-saline water, these levels were lower for all plants. This shows that the external soil, water, and climatic conditions create a specific environment that might trigger the plant to deploy strategies against salinity stress, which influences the composition of the soil as a sequence. The benefits of these crops, methods for cooking them, and information about their benefits for the climate are highlighted in the online halophyte guide . What is the halophytic kitchen lab program? The Halophytic Kitchen Lab Program aims to increase public awareness of halophytes and their potential nutritional benefits. This includes an education session to address food security challenges in hot and arid environments, a desert farm tour where halophytic crops are cultivated, cooking halophytes with a chef using the foraged halophytes and a nutritionist who provides information on the nutritional benefits of the halophytes and their dishes. Click here  for more information. What is the takeaway message? The webinar highlighted the huge culinary and commercial potential of halophytes as functional foods and potent nutritional powerhouses that could provide potential options to reduce agricultural pressure on freshwater resources and mitigate the impacts of rising salinity due to climate change. The Halophytic Kitchen Lab Program aims to increase awareness of these foods and their adoption into the diet and cultural landscape of hot and arid countries. References Al-Tamimi, M., Green, S., Abou Dahr, W., Al-Muaini, A., Lyra, D., Ammar, K., Dawoud, M., Kenyon, P., Kemp, P., Kennedy, L. and Clothier, B. (2023) Salt dynamics, leaching requirements, and leaching fractions during irrigation of a halophyte with different saline waters.  Soil Research ,  62 (1). Al-Tamimi, M., Green, S., Abou Dahr, W., Al-Muaini, A., Lyra, D., Ammar, K., Dawoud, M., Kenyon, P., Kemp, P., Kennedy, L. and McLachlan, A. (2023) Drainage, salt-leaching impacts, and the growth of Salicornia bigelovii  irrigated with different saline waters.  Agricultural Water Management ,  289 , p.108512. Barreira, L., Resek, E., Rodrigues, M.J., Rocha, M.I., Pereira, H., Bandarra, N., da Silva, M.M., Varela, J. and Custódio, L., 2017. Halophytes: Gourmet food with nutritional health benefits? Journal of Food Composition and Analysis ,  59 , pp.35-42. Castañeda-Loaiza, V., Oliveira, M., Santos, T., Schüler, L., Lima, A.R., Gama, F., Salazar, M., Neng, N.R., Nogueira, J.M.F., Varela, J. and Barreira, L., 2020. Wild vs cultivated halophytes: Nutritional and functional differences.  Food Chemistry ,  333 , p.127536. Christiansen, A.H., Lyra, D.A. and Jørgensen, H. (2021) Increasing the value of Salicornia bigelovii  green biomass grown in a desert environment through biorefining.  Industrial Crops and Products ,  160 , p.113105. https://doi.org/10.1016/j.indcrop.2020.113105 Custodio, L., Garcia-Caparros, P., Pereira, C.G. and Castelo-Branco, P., 2022. Halophyte plants as potential sources of anticancer agents: a comprehensive review.  Pharmaceutics ,  14 (11), p.2406. ElNaker, N.A., Yousef, A.F. and Yousef, L.F., 2020. A review of Arthrocnemum (Arthrocaulon) macrostachyum  chemical content and bioactivity.  Phytochemistry Reviews ,  19 , pp.1427-1448. Ksouri, R., Ksouri, W.M., Jallali, I., Debez, A., Magné, C., Hiroko, I. and Abdelly, C., 2012. Medicinal halophytes: potent source of health promoting biomolecules with medical, nutraceutical and food applications.  Critical reviews in biotechnology ,  32 (4), pp.289-326. Lopes, M., Sanches-Silva, A., Castilho, M., Cavaleiro, C. and Ramos, F., 2023. Halophytes as source of bioactive phenolic compounds and their potential applications.  Critical Reviews in Food Science and Nutrition ,  63 (8), pp.1078-1101. Lyra, D., Raman, A., Hozayen, A., Zaaboul, R., Abou-Zaid, F.O., El-Naggar, A., Mansoor, S., Mahmoudi, H., Ammar, K. (2022) Evaluation of Salicornia bigelovii Germplasm for Food Use in Egypt and the United Arab Emirates based on Agronomic Traits and Nutritional Composition. Plants, 11, 2653. https://doi.org/10.3390/plants11192653 Lyra, D., Ismail, S., Rahman, K., and Brown, J. J. (2016) Evaluating the growth performance of eleven Salicornia bigelovii  populations under full strength seawater irrigation. Australian Journal of Crop Science (IF:1.02) https://doi.org/10.21475/ajcs.2016.10.10.p7258 Lyra, D.A., Lampakis, E., Al Muhairi, M., Tarsh, F.M.B., Dawoud, M.A.H., Al Khawaldeh, B., Moukayed, M., Plewa, J., Cobre, L., Al Masjedi, O.S. and Al Marzouqi, K.M. (2021) From Desert Farm to Fork: Value Chain Development for Innovative Salicornia-Based Food Products in the United Arab Emirates. In  Future of Sustainable Agriculture in Saline Environments  (pp. 181-200). CRC Press. Lyra D.A., Ismail S., Brown J.J. (2020) Crop Potential of Six S alicornia bigelovii  Populations Under Two Salinity Water Treatments Cultivated in a Desert Environment: A Field Study. In: Emerging Research in Alternative Crops , Editors: Hirich A., Choukr-Allah R., Ragab R. Environment & Policy, vol 58. Springer, Cham. https://doi.org/10.1007/978-3-319-90472-6_14 Lyra D., Al-Shihi R.M.S., Nuqui R., Robertson S.Μ., Christiansen A., Ramachandran S., Ismail S., A. M. Al-Zaabi (2019) Multidisciplinary studies on a pilot coastal desert modular farm growing Salicornia bigelovii in United Arab Emirates. In: Ecophysiology and utilization of halophytes under changing environment, Editor: Mirza Hasanuzzaman. Springer Japan  https://doi.org/10.1007/978-981-13-3762-8_16   Mohammed, H.A., Emwas, A.H. and Khan, R.A., 2023. Salt-tolerant plants, halophytes, as renewable natural resources for cancer prevention and treatment: roles of phenolics and flavonoids in immunomodulation and suppression of oxidative stress towards cancer management.  International Journal of Molecular Sciences ,  24 (6), p.5171. Panta, S., Flowers, T., Lane, P., Doyle, R., Haros, G., & Shabala, S. (2014). Halophyte agriculture: success stories. Environmental and Experimental Botany , 107 , 71–83. https://doi.org/10.1016/j.envexpbot.2014.05.006 Panth, N., Park, S.H., Kim, H.J., Kim, D.H. & Oak, M.H. (2016). Protective effect of Salicornia europaea  extracts on high salt intake-induced vascular dysfunction and hypertension.  International Journal of Molecular Sciences ,  17 (7), p.1176. Robertson S. M., Lyra D., Mateo-Sagasta J., Ismail S. and Akhtar M.J.U. 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On 30th April 2025, the Annual NNEdPro-IANE Awards Symposium took place at the historic Selwyn College, Cambridge, with simultaneous online participation, to honour excellence and innovation in nutrition education and practice. Organised by the NNEdPro Global Institute for Food, Nutrition & Health and the International Academy of Nutrition Educators (IANE) , in partnership with BMJ Nutrition, Prevention & Health (BMJ NPH) and supported by The International Food and Nutrition Trust (TIFN) , the event brought together educators, professionals, students, and thought leaders from across the globe. A Warm Welcome and Opening Remarks The event opened with a warm welcome from Professors Sumantra Ray and Pauline Douglas , who reflected on the growing momentum in the global nutrition education landscape and emphasised the pivotal role of NNEdPro-IANE in nurturing emerging talent and innovation. Their opening was followed by remarks from Prof Suzanne Piscopo Joint Honorary President of NNEdPro-IANE, who praised the community’s continued engagement and global collaboration. Celebrating Dedication and Impact in Nutrition Education The NNEdPro-IANE Awards Symposium is an opportunity to celebrate individual and institutional achievements and a moment to recognise the broader progress in nutrition education and public health. This year, a new category – the Medical Nutrition Education Award – was introduced, further expanding the platform for acknowledging transformative contributions in the field of medical nutrition. Awards were presented across two major groups: open categories recognising all contributors to the field, and member-exclusive categories celebrating exceptional involvement within the IANE network. The 2025 Award Categories Open Categories: Medical Nutrition Education Award (new in 2025) Outstanding Achievement Award NNEdPro-IANE Fellowship BMJ NPH Paper of the Year Member-Only Categories: Associate Member of the Year Professional Member of the Year Administrative Member of the Year Faculty Member of the Year Student Member of the Year Essay Competition Winner (Summer School & Foundation Certificate) Each award was a testament to excellence, impact, and commitment across various levels of professional and academic practice. Spotlight on the 2025 Award Recipients A standout moment of the event was the presentation of the Outstanding Achievement Award to multiple members of the NICHE B Vitamins Research Group at Ulster University. Professors Helene McNulty and Mary Ward , alongside Drs Catherine Hughes , Leane Hoey , Aoife Caffrey , Michelle Clements , Bethany Duffy , Ryan Barlow , and Shane Gordon , were honoured for their groundbreaking contributions to research, education, and policy in micronutrient health and public nutrition. In the newly introduced Medical Nutrition Education Award category, Imperial College London was awarded first place for its leadership in embedding nutrition education within clinical training. The award was accepted by Dr Richard Pinder and Dr Christopher James Harvey on behalf of the institution’s School of Public Health. Queen Mary University of London received second place in recognition of collaborative curriculum development efforts within their medical programme, with Dr Jenny Blythe and Dr Safiya Virji accepting the award on behalf of their institution. Two distinguished leaders were inducted into the NNEdPro-IANE Fellowship, recognising their leadership, mentorship, and long-standing service to the profession: Dr Glenys Jones (Association for Nutrition), and Professor Fiona McCullough (University of Nottingham) Celebrating Our Community: IANE Member Awards Among this year’s community-focused awards: Affiliate Member of the Year : Dr Suvetha Manoharan (NNEdPro) Associate Member of the Year : Ana Ines Estevez Magnasco (University of Bonn) Professional Member of the Year : Prince Ishmael Dimah (Healthplus Africa Care) Administrative Members of the Year : 2024 Summit Organising Committee (NNEdPro) Dr Suvetha Manoharan also achieved top honours in the Summer School Essay Competition , with Gerald Cheruiyot and Eoin Ryan placing as the first and second runners-up respectively – a demonstration of the growing talent within our educational programmes. Looking Ahead: Innovation, Inclusion, and Impact The 2025 Awards Symposium served as a powerful reminder of the transformative potential of nutrition education – not just as a discipline, but as a catalyst for global health improvement. Across diverse sectors and regions, the NNEdPro-IANE community continues to champion evidence-based practice, cross-sector collaboration, and leadership in both local and international contexts. As we look to the future, the achievements of this year’s awardees inspire us to continue fostering inclusive, impactful, and innovative approaches to nutrition and health education. Congratulations to all our winners and nominees! Their work represents the spirit of collaboration, evidence-based practice, and excellence that defines the NNEdPro-IANE network. Full List of 2025 NNEdPro-IANE Winners Affiliate Member of the Year Dr Suvetha Manoharan | NNEdPro Associate Member of the Year Ana Ines Estevez Magnasco | University of Bonn Professional Member of the Year Prince Ishmael Dimah| Healthplus Africa Care Administrative Members of the Year 2024 Summit Organising Committee | NNEdPro NNEdPro-IANE Fellowship Dr Glenys Jones | Association for Nutrition (AfN) NNEdPro-IANE Fellowship Prof Fiona McCollough | University of Nottingham Summer School Essay Competition Winner: Dr Suvetha Manoharan | NNEdPro 1st Runner Up:   Gerald Cheruiyot 2nd Runner Up: Eoin Ryan Outstanding Achievement Award Ulster University's NICHE B Vitamins Group Prof Helene McNulty  Prof Mary Ward Dr Catherine Hughes Dr Leane Hoey Dr Aoife Caffrey Dr Michelle Clements Dr Bethany Duffy Dr Ryan Barlow Dr Shane Gordon Medical Nutrition Education Award   Winner: Imperial College London (Accepted by Dr Richard Pinder and Dr Christopher James Harvey) 2nd Place: Queen Mary University of London (Accepted by Dr Jenny Blythe and Dr Safiya Virji) 3rd Place: University of Bristol (Accepted by Prof Trevor Thompson) BMJ Paper of the Year Award Winner:  Paper titled ‘ Effects of vitamin D and L-cysteine cosupplementation on circulating bioavailable and total 25-hydroxy-vitamin D, the free/total testosterone ratio and inflammatory biomarkers in healthy vitamin D-deficient African Americans: a placebo-controlled double-blind clinical trial: BMJ Nutrition, Prevention & Health 2024;7 ’ Sushil K Jain, Jeffrey Justin Margret, Alonzo Zachary, Marissa M Lally, John A Vanchiere, Maroun J Mhanna, Runhua Shi, Steven N Levine 2nd place:  Paper titled ‘ Prescribing practices in the treatment of wasting: secondary analysis from a randomised trial: BMJ Nutrition, Prevention & Health 2024;7 ’ Susan M Rattigan, Kyra H Grantz, Kerstin Hanson, Celine Langendorf, Fatou Berthé, Rebecca Grais, Sheila Isanaka   For more information abou t our awards, events, and upcoming initiatives, visit NNEdPro Global Institute  or join the International Academy of Nutrition Educators (IANE) today. View the full photo album here .

Guidelines & practical strategies in nutrition and preventative practices Author: Holly Giles Speakers: Dr Ebiambu Agwara Panellists: Professor Sumantra Ray, Wanja Nyaga, Sarah Armes Reviewers: Sarah Anderson, Sarah Armes Introduction to cardiovascular disease (CVD) Cardiovascular disease (CVD) is the leading cause of death worldwide and is associated with substantial morbidity, loss of quality-adjusted life years (QALYs), and significant economic burden on healthcare systems. The primary modifiable risk factors for CVD include hypertension, tobacco use, type 2 diabetes mellitus, dyslipidaemia, unhealthy dietary patterns, and sedentary behaviour. These risk factors often coexist and interact synergistically, accelerating the progression of atherosclerosis and other cardiovascular pathologies. Primary prevention strategies, such as early lifestyle modification, regular screening of cardiometabolic markers (e.g., blood pressure, lipid profile, glucose levels), and community-level health promotion, are crucial to reducing the incidence and prevalence of CVD. Other preventative strategies include stress management and patient education, which empower patients with information about CVD risk factors and lifestyle changes. This can support long-term behavioural change. How do diet and lifestyle influence our CVD risk? Diet and lifestyle are fundamental determinants of cardiovascular health and play a key role in both the development and prevention of CVD. Evidence-based dietary patterns such as the Mediterranean diet, the Dietary Approaches to Stop Hypertension (DASH) diet, and plant-based diets have been consistently associated with reduced CVD risk. These diets emphasise the intake of dietary fibre, unsaturated fats (particularly omega-3 fatty acids), whole grains, fruits, vegetables, legumes, and plant-based proteins, while limiting saturated fats, trans fats, added sugars, and excessive sodium. Current clinical guidelines for CVD prevention strongly advocate for the adoption of a heart-healthy lifestyle. This includes maintaining a balanced diet, engaging in regular physical activity (at least 150 minutes of moderate-intensity exercise per week), abstaining from tobacco use, and moderating alcohol intake. These lifestyle modifications are considered the first-line strategy in primary prevention and are most effective when paired with regular health monitoring, such as assessments of blood pressure, lipid profiles, blood glucose, and body weight. While lifestyle changes are often prioritised before initiating pharmacological therapy, medication may be required for individuals with established risk factors or those who do not achieve target health outcomes through lifestyle modification alone (as illustrated below). What are Diet Quality scores? Diet quality scores are standardised tools used to evaluate overall dietary patterns in relation to established nutritional guidelines and health outcomes, such as CVD risk. These scoring systems quantify how closely an individual’s diet aligns with evidence-based dietary recommendations, thereby offering a practical method for assessing nutritional adequacy and identifying areas for improvement. Clinically, diet quality scores enable healthcare professionals to systematically assess a patient’s dietary habits, tailor dietary advice, and monitor changes over time. This facilitates personalised nutrition counselling and supports long-term behavioural change by providing measurable feedback. Commonly used diet quality indices include the Mediterranean Diet Score, Healthy Eating Index (HEI), and DASH score. For example, adherence to the Mediterranean diet, as measured by its respective score, has been consistently associated with reduced CVD incidence, improved cardiovascular health, and greater longevity. How Is CVD Risk Assessed? Cardiovascular disease (CVD) risk scores are tools used by clinicians to estimate a patient’s likelihood of experiencing a cardiovascular event, typically over a 10-year period. These tools guide clinical decision-making by helping to stratify patients into risk categories (low, moderate, or high), which can inform recommendations for lifestyle modification and/or pharmacological intervention. While different regions use various models, all aim to predict CVD risk based on clinical and demographic factors. Commonly used risk prediction models include the Framingham Risk Score, QRISK3 (UK), ASCVD Pooled Cohort Equations (US), and SCORE2 (Europe). These models incorporate variables such as age, sex, smoking status, systolic blood pressure, total and HDL cholesterol, diabetes status, and sometimes additional clinical or socioeconomic variables. The benefits and drawbacks associated with each of these scoring systems are detailed in the image below. Typically, traditional risk scores overemphasise cholesterol and blood pressure, while underestimating the effect of lifestyle and diet on CVD risk. Most of these studies were completed with patients from Europe and America, meaning it is unknown how representative the models are in other contexts, such as in low-income countries. Scoring systems and research need to integrate a wide range of individuals to enable accurate scoring for all populations. We need newer risk assessment tools that can integrate lifestyle variables, tailored to the population to which they are applied. This can be achieved using machine learning and AI to refine risk assessments and include lifestyle factors more precisely. These emerging tools offer new opportunities for personalised medicine for CVD prevention. References World Health Organization (2023) Cardiovascular diseases (CVDs). Available at: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds) (Accessed: 8 May 2025). Piepoli, M.F. et al. (2016) ‘2016 European Guidelines on cardiovascular disease prevention in clinical practice’, European Heart Journal, 37(29), pp. 2315–2381. https://doi.org/10.1093/eurheartj/ehw106 . Estruch, R. et al. (2018) ‘Primary prevention of cardiovascular disease with a Mediterranean diet supplemented with extra-virgin olive oil or nuts’, New England Journal of Medicine, 378(25), pp. e34. https://doi.org/10.1056/NEJMoa1800389 . U.S. Department of Health and Human Services and U.S. Department of Agriculture (2020) Dietary Guidelines for Americans 2020–2025. 9th edn. Available at: https://www.dietaryguidelines.gov/ (Accessed: 8 May 2025). Appel, L.J. et al. (1997) ‘A clinical trial of the effects of dietary patterns on blood pressure’, New England Journal of Medicine, 336(16), pp. 1117–1124. https://doi.org/10.1056/NEJM199704173361601 . Chiuve, S.E. et al. (2012) ‘Alternative dietary indices both strongly predict risk of chronic disease’, The Journal of Nutrition, 142(6), pp. 1009–1018. https://doi.org/10.3945/jn.111.157222 . Schwingshackl, L. and Hoffmann, G. (2015) ‘Diet quality as assessed by the Healthy Eating Index, the Alternative Healthy Eating Index, the Dietary Approaches to Stop Hypertension score, and health outcomes’, The American Journal of Clinical Nutrition, 102(4), pp. 959–970. https://doi.org/10.3945/ajcn.115.114306 . Goff, D.C. et al. (2014) ‘2013 ACC/AHA guideline on the assessment of cardiovascular risk’, Circulation, 129(25_suppl_2), pp. S49–S73. https://doi.org/10.1161/01.cir.0000437741.48606.98 . Hippisley-Cox, J. et al. (2008) ‘Predicting cardiovascular risk in England and Wales: prospective derivation and validation of QRISK2’, BMJ, 336(7659), pp. 1475–1482. https://doi.org/10.1136/bmj.39609.449676.25 . Topol, E.J. (2019) Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. New York: Basic Books. Goldstein, B.A., Navar, A.M. and Carter, R.E. (2017) ‘Moving beyond regression techniques in cardiovascular risk prediction: applying machine learning to address analytic challenges’, European Heart Journal, 38(23), pp. 1805–1814. https://doi.org/10.1093/eurheartj/ehw302 .

Author: Janice Man   Editors:  Dr Jenneffer Tibaes, Dr Ramya Rajaram, Sarah Anderson, Sarah Armes  Acknowledgements: NNEdPro Global Institute for Food, Nutrition and Health; International Academy of Nutrition Educators (IANE); BMJ Nutrition, Prevention & Health; Authors of the Article – Chiara Nava, Enrica Lupo, Gianluca Lista. Premature birth is associated with long-term brain development challenges, as the preterm brain is very vulnerable during the early postnatal period. Proper nutrition, especially from breast milk, plays a critical role in promoting brain development and may improve cognitive outcomes later in life. However,  because breast milk alone does not fully meet the nutritional needs of preterm infants, specialised formulas and fortifiers are often used. The effects of these interventions on brain development remain unclear. Ongoing research investigates the effect of specific dietary components, such as prebiotics, fats, and vitamins, on brain development and long-term neurological health.  This study by Nava et al. (2024) examines the impact of prematurity on brain development, focusing on the risks of short-term injuries and long-term neurodevelopmental impairments, particularly in infants born before 28 weeks of gestation. It emphasises the crucial role of nutrition during the "first thousand days" (from conception to age 2), a critical period for brain growth. The study highlights how undernutrition, especially in infants with very low birth weight, can hinder brain development and lead to delays in brain maturation. The goal is to review recent research on how early nutrition influences the development and long-term outcomes of the preterm brain.  Key Findings   Human Milk (HM) : HM is the gold standard for infant nutrition and is linked to better brain development and cognitive outcomes in term infants. These benefits are attributed to both its nutrient content and the mother-child interaction it promotes. HM intake during NICU hospitalisation is associated with better brain development among preterm infants, as shown on MRI scans. However, findings are inconsistent across studies due to methodological issues.  HM Fortification : Since HM alone does not fulfil the nutritional requirements of most preterm infants, cow’s milk-based fortifiers are commonly used and help support growth (weight, length, head size). However, current evidence does not confirm their effect on long-term brain development, highlighting the need for better-designed studies.  Preterm Formula : Nutrient-enriched formulas for preterm infants (with added nutrients like LCPUFAs, choline, and sphingolipids) have been linked to improved brain structure, growth, and cognitive outcomes in early studies. However, more recent trials have shown mixed or no significant effects, likely due to differences in timing, nutrient composition, and study populations.  Key Nutrients (e.g., DHA, HMOs) : Certain nutrients, such as DHA, show promise in improving white matter development and reducing brain injuries when given early, while others, like HMOs, have shown benefits on growth and immune health but lack direct clinical evidence of cognitive benefits. More research is needed to clarify their roles in neurodevelopment.  Nutritional intake – Implications    Recent research suggests that higher caloric and fat intake during the first two weeks of life in preterm infants is associated with reduced brain damage and improved brain development. This early nutritional support is linked to healthier brain structure and better overall development by 18 months of age. For infants who already have brain injuries, a diet rich in energy and protein may help support their growth and recovery. Overall, early nutrition is crucial for both preventing and addressing neurological complications in preterm infants.  Conclusion   As advancements in neonatology have improved the survival rates of premature infants, there is a growing focus on preventing long-term neurological issues, particularly through early nutrition. Breast milk is the ideal source of nutrition, promoting brain development and better cognitive outcomes in childhood. In cases where breast milk is unavailable, specially formulated preterm formulas enriched with essential nutrients may offer benefits. Ongoing research is needed to fully understand how specific nutrients affect the development of preterm infants' brains and their long-term health.  For more details, read the full study here .   References   Nava, C., Lupo, E., & Lista, G. (2025). Preterm nutrition and brain development. BMJ Nutrition, Prevention & Health. https://doi.org/10.1136/bmjnph-2023-000749

Written by: Wanja Nyaga  Reviewed by:  Sarah Anderson On the morning of 6 May 2025, Professor Sumantra Ray  (Chief Scientist, NNEdPro Global Institute for Food, Nutrition and Health ) appeared on the Times Radio Breakfast Show  for a live interview discussing the UK’s upcoming legislation on novel foods. The segment, which aired shortly after 7.35am, focused on the implications of gene-edited foods for food security, nutrition, and consumer health. This article summarises the key points raised in the discussion and explores the broader context of gene editing in the UK. Following this policy announcement, t he UK government is set to implement legislation permitting the development and sale of gene-edited foods, potentially introducing novel produce such as longer-lasting strawberries and non-browning bananas to supermarket shelves. This policy shift necessitates a clear understanding of gene editing and its implications for nutrition and consumer health.   Gene editing, as explained by Professor Ray, involves precise modifications to an organism's endogenous DNA, contrasting with traditional genetic modification (GM), which introduces exogenous genetic material. This distinction is critical for scientific accuracy and public communication.   Gene-edited crops, as discussed by Professor David Hughes (Food Marketing, Imperial College London ), present opportunities for enhanced nutritional profiles (e.g. increased vitamin content), improved agronomic traits (e.g. pest and drought resistance), and extended shelf life, potentially contributing to more sustainable food systems.   However, consumer perception remains a key consideration. Professor Hughes highlighted potential consumer apprehension regarding food manipulation, and the absence of mandatory labelling raises transparency concerns. Effective communication strategies are, therefore, crucial to fostering public trust and informed decision-making.   Professor Ray emphasised the necessity of rigorous scientific evaluation of gene-edited foods. While the technology offers potential benefits for food security and nutrient density, robust, long-term studies are needed. These should include interventional and observational human trials to assess potential unintended effects on food composition and long-term health outcomes. Increased investment in nutrition research is essential to address these knowledge gaps.   The implementation of this legislation will occur in stages, contingent on the adoption of the internal market framework by devolved UK governments. Experts advocate for comprehensive consultation between policymakers, regulators, scientists, and the public to ensure a balanced approach that integrates scientific evidence with societal concerns.   Gene editing may prove a valuable tool for enhancing food systems in the face of climate change and food insecurity. However, realising its benefits relies on robust scientific investigation, transparent communication, and public engagement.

Author: Sarah Anderson Reviewers: Shumone Ray and Matheus Abrantes As we near the end of the first quarter of 2025, we take a moment to reflect on the incredible year of progress, collaboration, and impact that 2024 had at NNEdPro. From groundbreaking research to transformative events, 2024 was filled with milestones that advanced our mission to democratise and decolonise food and nutrition.   Our efforts were made possible through the generosity of our supporters, and with continued funding, we can build on this momentum to drive even greater change. Looking ahead, we are excited to share our plans for 2025, including our flagship events and new initiatives to foster global dialogue and action in nutrition science.   Read on to discover our highlights from the past year and opportunities to get involved in shaping the future of nutrition equity. 2024 HIGHLIGHTS NNEdPro Summer School 2024 Our annual Summer School in Cambridge brought together participants from across the globe for an intensive week of learning, collaboration, and skill development. Due to demand, our Summer School was held twice in 2024, in April and September.   With expert-led sessions on the latest nutrition science and policy advancements, the programmes equipped attendees with the tools to drive meaningful change in their regions. Awards Symposium 2024 On 25th September 2024, the NNEdPro-IANE Awards Symposium brought together leading voices in nutrition education at Wolfson College, Cambridge.   This prestigious event, held in partnership with BMJ NPH and supported by The International Food and Nutrition Trust (TIFN), recognised outstanding contributions from faculty, professionals, and students driving innovation in nutrition education and public health.   Read the blog here . NNEdPro-IANE 10th International Summit on Food, Nutrition, and Health 17 to 20 December 2024 marked the milestone 10th edition of our annual Summit, held in India under the theme 'Democratising and Decolonising Food and Nutrition: From Science to Society'. The event featured renowned speakers, interactive panels, and collaborative discussions that fostered new partnerships and actionable solutions.   A key highlight was our exploration of sustainable food systems and equitable nutrition policies, made possible through the support of our sponsors and partners. The success of this Summit underscores the power of collective action and the need for continued funding to expand our impact in 2025. You can find all the details here . BMJ Nutrition, Prevention & Health Contributions Throughout 2024, our work featured prominently in the BMJ Nutrition, Prevention & Health journal, with several key publications addressing critical issues in global nutrition. These contributions have helped shape the scientific discourse on food security, sustainable diets, and health equity, reinforcing our role as thought leaders in the field. 2024 Impact Report We’re excited to share our 2024 Impact Report, showcasing our mission, milestones, and global impact in advancing nutrition education and research.   This report highlights how we bridge critical gaps in nutrition education, our alignment with global goals, key achievements, case studies of real-world impact, and our vision for the future.   Explore how NNEdPro is driving change worldwide! 2025: HIGHLIGHTS (SO FAR!) UK MTK IN ACTION On 5th and 7th February, The Mobile Teaching Kitchen (MTK), in partnership with St Davids Centre (St Andrews) and and Angus Climate Hub (Arbroath) respectively, delivered Culinary Nutrition Education Workshops led by our Scottish MTK Champions for members of the public.   The workshops focused on plant-centric culinary nutrition with an emphasis on education. Information on the ingredients, nutritional value, potential healthier replacement options, do's and don'ts was covered.   Workshop attendees learnt to cook healthy, nutritious and innovative Scottish and South Asian cuisine and are now able to pass on this diet and culinary advice to friends, family and customers in the workplace and community. GREETINGS FROM ICELAND In late February, NNEdPro had the privilege of meeting with faculty members from the University of Iceland , where we shared insights on our Independent Research Registry for Food, Nutrition, and Health .   Our discussions focused on the importance of evidence-based research, fostering global collaboration, and advancing the future of nutrition science.   We explored opportunities to integrate Icelandic perspectives into our work, recognising the country's unique contributions to sustainable food systems, public health, and nutritional research.   As we continue to strengthen these partnerships, we look forward to collaborating at the  11th International Summit  in December, bringing together diverse voices to drive impactful research and innovation in food, nutrition, and health.   Stay tuned for more updates as we expand our global network for meaningful collaboration! BUILDING BRIDGES: NNEDPRO'S VISIT TO MALTA In early March, Professor Shumone Ray represented NNEdPro at the University of Malta  as a Visiting Professor, marking an exciting milestone— Malta becomes the 28th country where NNEdPro has been invited to deliver talks !   During the visit, Professor Ray delivered two public lectures, led two interactive workshops, and engaged in high-level discussions with university and healthcare leadership.   The visit was hosted by our Honorary Joint President, P rofessor Suzanne Piscopo , who also serves as the President of the SNEB Foundation .   We are delighted that these events have solidified a new strategic partnership with Malta, strengthening global collaborations and securing their participation in our December Summit.   Stay tuned for more updates as we continue expanding our international impact! THE NEWLY ESTABLISHED Forum for Democratising Food and Nutrition A Knowledge & Advocacy Initiative In response to the growing need for inclusive discussions in nutrition and as a direct outcome of the 2024 Summit , we have launched a dedicated Forum to bring together voices from diverse backgrounds.   This initiative aims to foster dialogue, drive research, and shape policy recommendations that challenge existing inequities and pave the way for a fairer food and health landscape.   As part of our ongoing commitment to ending malnutrition in all its forms, we are actively engaging with key global initiatives under the UN Decade of Action on Nutrition  (2016–2025). This includes registering our Nutrition Accountability Framework commitments  for N4G Paris in the Global Nutrition Report .  This milestone reinforces our dedication to driving meaningful change in global nutrition.   We extend our heartfelt thanks to the NNEdPro members who have already contributed to this important initiative. Your support is helping to build a stronger, more inclusive platform for change.   If you share our vision for a more equitable food and nutrition system, we invite you to consider supporting this initiative through our crowdfunding campaign . Every contribution helps us drive meaningful impact. INTRODUCING The Roundtable of Patrons   Within our Roundtable of Patrons, you can see the different levels of patronage available, as well as the different initiatives that you are able to Support.   Your support is not just a donation; it's an investment in a healthier, more equitable world. Together, we can turn the tide against malnutrition and build a future where everyone has the opportunity to thrive. Join us in this vital mission. EXCITING NEWS: Professor Sumantra Ray Appointed Honorary Visiting Professor at King’s College London! We are delighted to share that Professor Sumantra Ray has been appointed as an Honorary Visiting Professor  in Population Health Sciences within the Faculty of Life Sciences & Medicine at King’s College London (KCL) . He will be working closely with Professor Mariam Molokhia, Professor Seeromanie Harding, and other esteemed colleagues at KCL.   This appointment marks a significant step as NNEdPro and KCL embark on a strategic collaborative partnership, beginning with shared PhD studentships and the advancement of the ESRC Doctoral Training Programme at KCL. Looking ahead, we aim to develop joint projects that drive impactful research, education, and policy advancements in food, nutrition, and health.   This partnership strengthens our shared commitment to translating cutting-edge evidence into real-world solutions for population health. Stay tuned for more updates as we embark on this exciting journey! JOIN US AT OUR UPCOMING EVENTS The NNEdPro-IANE Awards Symposium 2025 Nominations are now open for the 2025 NNEdPro-IANE Awards ! These prestigious awards honor exceptional contributions to nutrition education, research, and professional excellence.   This year, we are proud to introduce the  Medical Nutrition Education Award , recognising excellence in nutrition teaching and curriculum development within UK-based institutions.   Key Dates Nomination Deadline: 1 April 2025 Awards Symposium: 30 April 2025 (Selwyn College, Cambridge & Online)   Award Categories Medical Nutrition Education Award Outstanding Achievement Award NNEdPro-IANE Fellowship And more!   Celebrate the leaders and innovators shaping the future of nutrition. NNEdPro-IANE Cambridge Summer School 2025: A Foundation Certificate in Applied Human Nutrition Building on the success of previous years, our upcoming Summer School will offer an enhanced programme designed to equip participants with cutting-edge knowledge and practical skills in nutrition science and policy.   We invite researchers, practitioners, and policymakers to join us in Cambridge for this transformative experience. Next Cohort: 28 to 30 April 2025 NNEdPro-IANE 11th International Summit on Food, Nutrition, and Health We are proud to announce the 11th International Summit, set to take place from 10 to 13 December 2025  in Scotland, UK .   Theme:   "Target 2030: Food and Nutrition Policy – From Human to Planetary Health"   This summit will bring together global thought leaders, policymakers, researchers, and industry experts to explore transformative policies and solutions for a healthier and more sustainable future.   Why Attend?   Engage with leading experts in food, nutrition, and public health Explore cutting-edge research and policy developments Network with a global community of changemakers Contribute to shaping the future of nutrition and planetary health   Be part of this impactful event by supporting our mission to advance nutrition and health worldwide. 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. A HEARTFELT THANK YOU We extend our deepest gratitude to our partners, supporters, and attendees who contributed to our success in 2024.   Your engagement and funding enabled us to expand our reach, support new research, and host impactful events shaping nutrition and health policy discussions. BE AWARE The official websites of NNEdPro Global Institute and its subsidiaries are listed below. Please note that any other websites with similar names which do not conform to these URLs are not run by us and do not represent our organisation: www.nnedpro.org.uk vle.nnedpro.org.uk www.iane.online www.createacademy.online www.mtki.org www.ikann.global Anna Edesia, named after "Annapurna" (the Hindu 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 .

Contributors: Sucheta Mitra, Roshni Kumar, Dr Sofia Cavalleri, Sarah Anderson, and Prof Sumantra Ray The 9th Annual International Summit on Nutrition and Health, hosted by NNEdPro Global Institute for Food, Nutrition and Health and the International Academy of Nutrition Educators (IANE) in partnership with the BMJ NPH Nutrition Prevention and Health, took place virtually, focusing on ‘Sustainable Resourcing for All In Food & Nutrition Security: Creative Solutions for Healthy & Resilient Populations’. Last year marked the 15th anniversary of NNEdPro Global Institute and the 5th anniversary of BMJ NPH and IANE. Amidst global challenges like climate change, economic instability, and population growth, the summit brought together leading experts, policymakers, and innovators to explore sustainable strategies for ensuring food and nutrition security for all through a multistakeholder approach. Emphasising Innovation and Resilience The summit underscored the need for innovative approaches to resource management that promote health and resilience across diverse populations. By examining best practices, emerging technologies, and community-driven initiatives, participants aimed to identify and advocate for solutions that address immediate nutritional needs and contribute to long-term sustainability and equity in agri-food systems. The discussions highlighted the importance of interdisciplinary collaboration and integrating scientific research with practical, on-the-ground efforts to build robust, resilient, and adaptable agri-food systems. A Platform for Exchange and Collaboration This summit served as a platform for exchanging ideas, sharing scalable practice models, and forging new multistakeholder partnerships. It highlighted the critical role of sustainable resourcing in achieving global health goals and ensuring every individual, regardless of socio-economic status, has access to nutritious, safe, and sufficient food. The proceedings reflect a collective commitment to advancing food and nutrition security through creative, evidence-based solutions that support healthy and resilient communities worldwide. Summit Format and Structure The summit, an annual scientific event, brought together professionals, educators, students, and researchers from around the globe to showcase leading research and build alliances to implement innovative solutions addressing complex nutrition and health challenges. The summit was held online and it consisted of seven live satellite events leading up to the main event on July 15th, 2023. The three core themes explored were: 1. Social Sustainability: Healthy and resilient populations, just and equitable food systems, food sovereignty. 2. Environmental Sustainability: Food and nutrition security. 3. Economic Sustainability: Circular just economic models and creative solutions for sustainable resourcing. Regional Network satellite events: Some of the discussions which took place at various regional network satellite events are outlined below. Australia and New Zealand (ANZ) Network The ANZ network showcased the OzHarvest Nourish Programme during their regional network satellite event. Dr. Breanna Lepre, from the UQ Centre for Community Health and Wellbeing and NNEdPro Global Institute for Food, Nutrition and Health, presented this transformative programme, which offers a free, hospitality-focused pathway to employment for young Australians aged 16-25, who face barriers to education and training. The programme, spanning 18 weeks, has successfully created a safe and inclusive learning environment, improved food literacy and security, reduced social isolation, and instilled greater hope for the future among participants. The discussion highlighted the need for additional resourcing and increased investments to maximise the programme's impact and ensure its sustainability. India and South Asia Network The India and South Asia network focused on creating nutrition and economic sustainability through innovative food delivery solutions. Their presentation highlighted a project with the food delivery app Swiggy, aimed at overcoming challenges in reaching people across Kolkata with the Mobile Teaching Kitchen (MTK) mobile unit. As a strategy to scale up their micro-enterprise into a sustainable venture, they plan to register on the Swiggy platform. This digital growth strategy provides a creative and economically sustainable solution to expand their reach and impact, ensuring that more people have access to nutritious food. Europe Regional Network The Europe network's satellite event featured speakers Dr Berta Valente from the Institute of Public Health of the University of Porto (ISPUP) and Dr. Ingrid Fromm from Bern University of Applied Sciences, who addressed the complex relationship between climate change and agriculture. Their presentation highlighted the significant impacts of climate change on food availability, global food security, infrastructure, logistics, and food prices. They discussed pathways to resilience, including climate-smart agriculture, reducing emissions, increasing intersectoral action, and addressing socio-economic inequalities. An example of intersectoral action included collaborative efforts across different sectors to implement sustainable agricultural practices and policies that mitigate the adverse effects of climate change on food systems. UK and Ireland Regional Network The UK and Ireland network focused on the sustainability dimensions of the Mediterranean diet and its relationship with mental well-being. Dr. Fotini Tsofliou from Bournemouth University and Dr. Kathy Martyn from Brighton University presented their pilot digital survey, MeDWellS, which investigates adherence to a Mediterranean-style diet and its correlation with perceived mental well-being. The study aims to measure diet quality, self-reported mental well-being, perceived stress, and physical activity levels among higher education participants in the UK, with results to be showcased in November 2023. Additionally, Dr. Martyn discussed embedding nutrition in medical and nursing education through the NUTCAP project, which aims to improve nutritional care in hospitals by enhancing collaboration between nurses and dietitians, identifying gaps in nutrition knowledge, and implementing cost-effective solutions to improve patient care. Canada Regional Network The Canada Regional Network featured Dr. Leah Gramlich, Professor of Medicine at the University of Alberta, who presented on ‘Creating Alliances Nationally for Policy to Address Disease-Related Malnutrition (CAN Dream)’. This initiative, part of the CNS-CMTF, aligns with the United Nations Decade of Action on Nutrition by promoting policy advancements to tackle Disease-Related Malnutrition (DRM). Dr. Gramlich emphasised the importance of policy-based approaches to prevent, detect, and treat DRM, which affects both adults and children across various care settings. The CAN Dream commitment by the Canadian Nutrition Society (CNS) and the Canadian Malnutrition Task Force (CMTF) aims to establish evidence-based practices and advocate for policies to mitigate the negative impacts of DRM. Future steps include creating mechanisms for international registration of CAN Dream, completing a systematic review, and establishing a global Expert Advisory Group. United States Network The United States Network focused on the ‘MTK – US Micro Pilot: Cultivating Resilient Urban Communities through Plant-Powered Food Solutions’. Speakers Rebecca Johnson, Culinary Lead at Plant Powered Metro NY, and Jen Shamro, Coordinator at NNEdPro Global Institute for Food, Nutrition and Health, discussed the MTK pilot project and community workshops. These workshops explore perceptions of plant-based foods, such as the texture of a spinach cutlet versus chicken, and the role of spices in enhancing natural flavours. The project also includes sharing personal health stories from community champions, who are experienced home cooks. The initiative aims to recreate healthier versions of familiar dishes, build cultural understanding of ingredient preparation, and foster excitement among participants. The rewarding feedback loop created by the community’s enthusiasm highlights the project's positive impact. Summit Day Highlights: Social Sustainability: Building Equitable Food Systems The summit highlighted efforts to build just and equitable food systems aimed at reducing disparities in food access and enhancing community health and resilience. Discussions centered on innovative approaches to resource management and community engagement, integrating scientific research with practical efforts. Key projects like the PAHADIYA SAMRIDHI initiative in Jharkhand underscored the importance of intersectional interventions to address complex issues of nutrition and food insecurity. Additionally, gastrodiplomacy was showcased as a means to promote cultural understanding, support local economies, and preserve culinary heritage. Environmental Sustainability: Ensuring Long-term Food Security Environmental sustainability discussions at the summit emphasised the creation of resilient food systems that preserve natural resources and mitigate environmental impact. Strategies highlighted included reducing waste, minimizing greenhouse gas emissions, and promoting biodiversity while supporting healthy diets and equitable food distribution. Initiatives like the ‘ZERO TO HERO’ programme, which empowers communities to adopt sustainable food practices, were also discussed as pivotal in achieving sustainable food security. Economic Sustainability: Innovative Resourcing and Solutions The summit addressed the economic aspects of sustaining nutrition services amidst financial challenges. It emphasised the need for innovative financing solutions and efficient resource management strategies to improve health outcomes, reduce healthcare costs, and ensure universal access to nutrition services. Discussions also focused on enhancing nutrition education for healthcare professionals and leveraging public-private partnerships and social impact bonds to support sustainable nutrition initiatives. NNEdPro’s Global Strategy on Sustainable Resourcing highlighted efforts to empower local champions and tailor interventions to address disparities in nutrition and health effectively. Conclusion: A Collective Commitment to Sustainable Solutions The 9th Annual International Summit on Nutrition and Health highlighted the critical need for sustainable resourcing in food and nutrition security. Through interdisciplinary collaboration and creative approaches, the summit underscored the potential to transform food systems, promoting health and resilience globally. The proceedings from this event will be published in the BMJ NPH (Nutrition, Prevention and Health) and will reflect a collective commitment to advancing sustainable, equitable, and resilient food systems that support healthy communities worldwide. COMING NEXT The 10th International Summit on Food, Nutrition and Health. Join us in December 2024 in India for this event that aims to foster global collaboration by integrating diverse perspectives into food and nutrition research, education, practice, and policy. The Summit will highlight the importance of inclusive dialogue, particularly on contributions from historically underrepresented communities. It will explore ways to bridge the gap between traditional knowledge and contemporary science. Learn more .

Authors:  Helena Trigueiro, Halima Jama, Haiza Ahmad, Sarah Dalzell, Sumantra Ray   Reviewer and Editor : Ramya Rajaram   Copyeditor : Veronica Funk  Key Acknowledgements : Shailaja Fennel, Siti Rohaiza Binti Ahmad and Anne Cunningham; Support from the University of Cambridge, ASEAN Secretariat and Universiti Brunei Darussalam   Special Acknowledgement for Funding in Part : Mary Lim (NNEdPro Southeast Asia)          Brunei, like many nations, faces the challenge of meeting the nutritional needs of its population while navigating complex food systems. The nation presently heavily relies on imported food, necessitating the formulation of a comprehensive strategy. Aligned with this imperative is the government's Wawasan 2035 plan, which endeavours to not only diversify the economy but also to channel investments into the realms of agriculture and the agri-food sector. A judicious exploration of global research, notably delving into the scholarly contributions of Thompson and Scoones (2009), may furnish a nuanced roadmap for comprehending the intricate dynamics of Brunei's agri-food systems.     Upon scrutinising available data, discerning patterns come to light, particularly in the realm of adolescent nutrition, which evoke a sense of concern. The prevalence of gender disparities, coupled with an absence of critical data pertaining to micronutrients, accentuates the imperative for precisely targeted interventions. The resolution of these challenges necessitates a thoughtfully nuanced approach, one that considers the multifaceted nature of the issues at hand.     Figure 1 World Health Organization - Noncommunicable Diseases (NCD) Brunei Country Profiles, 2019. (World Health Organization 2019)       Interventions encompass a spectrum of strategies aimed at addressing population health challenges. This includes low agency/nudge interventions, exemplified by initiatives like salt reduction programs, which reformulate foods to reduce salt intake or employ mass media campaigns to encourage behavioral changes. While these interventions may be perceived as limiting free choice, there exists potential synergy in combining approaches, especially in addressing complex issues such as childhood obesity (Adams, Mytton et al., 2016). In response to the prevalence of ultra-processed food and beverages, Adams, Hofman et al. (2020) emphasize the necessity of simultaneously altering supply and demand at all levels of the food system, alongside structural interventions to enhance access to convenient, palatable, and affordable minimally processed foods. Positioned as a wealthier nation within the ASEAN region, Brunei has the opportunity to pioneer the integration of these public health approaches, effectively combating the double burden of malnutrition it confronts.   Another pivotal intervention involves enhancing nutrition education for healthcare practitioners. Despite doctors having limited influence over the diverse causes of diet-related diseases, an inadequately trained medical workforce is recognized as a structural contributor to diet-related diseases (Morris, 2014). Nutrition care, defined as health professionals' practices aimed at improving patients' nutritional behaviour and subsequent health (Ball et al., 2010), directly aligns with health care and population health systems (Willet et al., 2019). However, medical students and, subsequently, physicians are often trained to prioritize scientific evidence in pharmaceutical decision-making and clinical guidelines, overlooking the significance of nutritional interventions and guidelines in clinical nutrition (Womersley & Ripullone, 2017). In Brunei, where aspiring medical students first complete a Bachelor of Health Science Medicine (BHSc) degree at the University Brunei Darussalam before refining their clinical skills at partner universities globally (Rajam et al., 2021), the initial years of the BHSc program present a unique opportunity to enhance nutrition education for future physicians. This is especially relevant given their heightened exposure to their own cultural culinary habits.   Moreover, by establishing academic partnerships with medical faculties worldwide, Brunei can adopt and showcase global models, positioning itself as a noteworthy example within the ASEAN region for teaching nutrition to medical students. Nutrition education for trained professionals is indispensable, warranting targeted interventions at both regional and national levels.   In the broader context of public health, a systems framework is imperative for comprehending and addressing malnutrition. The three-tiered approach of primary, secondary, and tertiary prevention requires a well-coordinated effort. Regular surveys, robust screening mechanisms, and a clear delineation of responsibilities for risk assessment and management are crucial components in this holistic endeavour.       Vision for the Future        The Sustainable Development Goals (SDGs) serve as a guiding beacon for integrated thinking and sustainability. Aligning Vision 2035 with environmental dimensions is crucial, especially concerning Brunei's goal to enhance food security and regional cooperation. Recognizing the untapped potential of Brunei's biodiversity can further this goal.        Trends of rising obesity and unhealthy diets across the life-course are concerning. In particular, dietary habits of Brunei’s children and adolescents characterized by high intakes of SSBs, salty, fried snacks and low intakes of nutritious foods (e.g. fruits, vegetables, legumes, and nuts) are contributing to the nation’s current and future burden of malnutrition and NCDs. Knowledge and awareness are not sufficient to improve diets, as globalisation and the desire for convenient, fast food continues to promote obesogenic food environments and consumption of unhealthy diets.  The approaching demographic shift to an ageing population is also a reminder that the future costs of NCDs are likely to continue to rise.         Emphasis on earlier prevention of malnutrition is essential. Requiring a better, more integrated understanding of socio-ecological determinants of food, nutrition and health, as well as the underpinning biological mechanisms that may increase risk in Brunei across all its varied contexts, ethnicities and age groups. If prioritised, developing food, health and social welfare systems that work together to identify and address nutrition inequities will ensure the realisation of Vision 2035 for all in Brunei Darussalam.       Key Takeaways for a Healthy Future       I.  National Diet and Nutrition Surveillance for Comprehensive Risk Assessment and Progress Monitoring   a. Implement a dynamic programme for ongoing assessment of dietary intakes and nutritional status.   b. Ensure the regular availability of nationally representative estimates every three years to facilitate tracking.   c. Enhance the utilisation of nutritional biomarkers for more thorough and nuanced assessments.   II. Interdisciplinary Research for Evaluating Agri-food Systems and Food Environments   a. Encourage interdisciplinary research spanning agriculture, nutrition, health, and social sciences.   b. Update national dietary guidelines to incorporate considerations of ecological sustainability.   III. Emphasis on Child and Adolescent Health:   a. Integrate food and nutrition components into existing health initiatives targeted at adolescents.   b. Conduct research to comprehend the factors driving obesity, particularly among boys.   c. Introduce sustainability-focused food and health initiatives within schools and universities.   IV. Monitoring and Evaluation:   a. Designate clear responsibilities for the assessment and management of risks.   b. Scrutinise policies through a double-duty action lens, addressing the challenges posed by the double burden of malnutrition.       In conclusion, this article underscores the critical role of education, emphasising the need for nutrition-focused training for healthcare practitioners and medical students. By weaving together local cultural nuances and global best practices, Brunei has the potential to shape a healthcare landscape that goes beyond treating diseases to preventing malnutrition and fostering long-term well-being.     Looking ahead, the vision extends beyond immediate interventions. Aligning with the Sustainable Development Goals and Vision 2035, the emphasis shifts towards sustainable practices, biodiversity utilisation, and an integrated approach to address the rising challenges of obesity and unhealthy diets. 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Over an eventful fortnight in August 2019 NNEdPro shared learnings and knowledge from our mobile teaching kitchen microenterprise model in 3 regions: Kolkata, Sanghol and Delhi. The purpose was to consolidate, collaborate, spread awareness and extend the reach of the project so it can be adapted to other regions. We conducted field visits, engaged in meetings and organised two extensive workshops to develop a novel theory of change in combating malnutrition in India proactively considering both agriculture as well as healthy systems. Thank you to efforts from our team in India and the UK including Professor Sumantra Ray and Jørgen Torgerstuen Johnsen from the NNEdPro Global Centre who travelled to three cities in India to conduct the biannual workshops of the NNEdPro Regional Network in India; the newly formed ‘Bhavishya Shakti’ cooperative society; the Inner Wheel; Remedy Clinic Study Group; Cordia College in Sanghol, Punjab, and the Cambridge University TIGR2ESS (Transforming India’s Green Revolution-2 for Empowerment and Sustainable Supplies) Programme. highlights from Kolkata Our journey started and ended in the City of Joy, Kolkata. We spent time with our collaborators from the Inner Wheel and our NNEdPro Kolkata team and Debashis Chakraborty and Sanchita Banerjee- the India team’s data and nutrition specialists-to map out the field visits to come to two of Kolkata's many slums; RG Kar and Chetla. Background Launched in 2018, the Mobile Teaching Kitchen (MTK) project not only stops at empowering mothers with skills and knowledge on cooking healthy, sustainable and nourishing meals but is a uniquely innovative project in that it builds capacity by empowering them with transferable skills to provide knowledge to pass onto others within their community and beyond. creating grassroots leaders: How our model breaks barriers & crosses socio-economic boundaries through food, nutrition & community The MTK meals are made using locally available ingredients which are nutritionally balanced, affordable and turned into tasty and appealing . A range of meals are taught through a “See one, Do one, Teach One” model, providing education using a more traditional story-telling or practical method that circumvents literacy barriers . The skilled and knowledgeable mothers transfer learning to their family, friends and throughout neighbourhoods crossing socioeconomic boundaries. Why we developed into a micro-enterprise model Six months after the initial launch the sentiment of the vast majority of the mothers were that they were emotionally invested in the initiative and wished to invest their full attention and energy into making the Mobile Teaching Kitchens initiative more sustainable and successful. This would not be possible for our mothers without a sustainable source of livelihood. Recognising the engagement and enthusiasm of the women and mothers involved, the project developed into the current micro-enterprise model. The mothers now don't just cook but are building the skills and capacity to sell the food they create, as well as playing the role of educators by providing awareness and education to Kolkata's city workers who are increasingly reliant on fast food leading to unhealthy diet and lifestyle. One group of mothers hope that they'll be able to run the MTK at one of the biggest festivals in the east of India, Durga Puja. The team led two-days of workshops in Kolkata around the Mobile Teaching Kitchen initiative. The first of which included a demo observation followed by a formal reception for stakeholders that ranged from TIGR2ESS members to organisations with an interest in nutritional work and research to politicians. Delegates engaged in an intensive group discussion around their observations of the Mobile Teaching Kitchen demo and further discussion sought to improve our implementation and evaluation methods for effectiveness, with focus on both qualitative and quantitative data collected, as well as financial sustainability data. The second day introduced a new template for the Mobile Teaching Kitchen for the participants observation and they had the opportunity to taste the new template menu, where a new millet-based recipe was introduced, in addition to the original template used as a role model for other templates with regards to nutritional content. The United Decade of Action on Nutrition (2016-2025) and the Decade of Family Farming (2019-2028) was also presented and discussed on how to best utilise the decades to intensify the nutritional work and to engage and extract commitments from government representatives. highlights from Sanghol, Punjab Sanghol in Punjab was our second stop and we are proud to be able to co-operate with the team at the Lord Rana Edu City to take activities forward there as they are looking into methods of adapting the Mobile Teaching Kitchen model for a rural and agricultural setting. Lord Rana, Urmil Verma and the Cordia Campus hosted a workshop on their facilities at Cordia College, part of The Lord Rana Edu City, founded and funded by the Lord Rana Foundation Charitable Trust, UK. focus groups, workshops & field visits We attended a focus group with TIGR2ESS researchers from Panjab University and the University of Cambridge in a village called Fategarh Sahib, close to Sanghol to find out their thoughts around nutrition and diet and how they think malnutrition effects them individually and as a community, as well as their ideas for solutions to malnutrition. With the Sanghol team, we held a workshop where the Mobile Teaching Kitchen was presented and the attendees had the chance to observe the model’s “See one, Do one, Teach one” in practice in one of the kitchen facilities at Cordia campus. The feedback from the attendees was very positive with comments such as “Good efforts, taste is very good” and “Amazing initiative. Keep it up!” and an overall average score of 4.8 out of 5 in food appearance, taste, nutritional value, novelty and hygiene. We went on a field trip to Mehar Baba Charitable Trust centre for empowering women through skills upgradation. Here we were invited to observe the centre in use and to discuss how we can implement nutritional knowledge training at the centre and further cooperation with the mobile teaching kitchen initiative. In the news Thank you to the regional and national media who covered our efforts and we look forward to collaborating with other organisations in the near future to take this initiative forward. HIGHLIGHTS FROM Delhi In India’s capital Delhi, NNEdPro held meetings with government bodies of NITI Aayog and media stakeholders, with a focus on how the Mobile Teaching Kitchen can help tackle malnutrition issues and sharing learnings from the initiative thus far. NITI Aayog is a policy think tank of the Government of India and was established with the aim of achieving the Sustainable Development Goals and to enhance cooperative federalism by fostering the involvement of State Government of India in the economic policy-making process using a bottom-up approach. They were very interested in the initiative and how it could be adapted on a larger scale in India. We hope that following the sharing of insights and discussions, for further interesting developments from this meeting. During a full day meeting with Transforming India’s (ever)Green Revolution-2 by Research and Empowerment for Sustainable food Supplies ( TIGR2ESS ) Flagship Project 6 (FP-6) group, the Mobile Teaching Kitchen was a key topics. FP-6 wishes to impact wellbeing in rural and urban communities through key determinants of populations health and resilience which include heredity, environment, diet, lifestyle and socioeconomic factors. It wishes to focus on education and empowerment as important components that can define theories of change to improve lives and livelihoods. It is hoped this will lead to better nutrition, health and economic outcomes. FP-6 explores the relationship between these factors through assessing needs and piloting innovative intervention models (2). After an extended presentation and discussion sessions among the FP-6 members the FP-6 theory of changes was laid down on paper and presented later at the Kolkata workshop. In Delhi we were also invited to meet with the Deputy Director (and other colleagues) from the All India Institute of Medical Sciences (AIIMS) to explore action research possibilities to incorporate millet based and high nutrient value templates into patient meals. We left India full of hope, promising conversations that we will be taking forward, and look forward to witnessing the growth of the Mobile Teaching Kitchen initiative. Our belief is the programme has potential to be adapted now not only across other parts of India but also across the globe focusing on marginalised communities in both developing and developed countries using a model of high nutritional value culinary education and enterprise for empowerment of communities across the socioeconomic spectrum! For further information about Mobile Teaching Kitchens., please contact us at info@nnedpro.org.uk . To contact the Mobile Teaching Kitchen team in India, please contact Sanchita Banerjee . Written by Jørgen Torgerstuen Johnsen, edited by Sanchita Banerjee, Michel Mc Girr, Sumantra (Shumone) Ray & Ananya Ria Roy

Authors : Dr Dominic Crocombe & Dr Rajna Golubic  Reviewers and Editors : Ramya Rajaram, Sumantra Ray  Copyediting: Veronica Funk  Diet is a key factor in the development, progression, and outcomes of many chronic diseases. Since its inception, NNEdPro Global Institute for Food, Nutrition and Health (NNEdPro Global Institute) has supported the research, development, and implementation of safe, effective and sustainable dietary interventions, including for type 2 diabetes mellitus (T2D). There is particularly good clinical evidence to support energy restricted diets to induce weight loss and subsequent remission of T2D (1,2), especially for low and/or very low calorie diets following the success of the DiRECT trial in the UK (3). In recent years, the body of evidence for low carbohydrate diets (LCDs) to achieve the same goals has also grown. NNEdPro Global Institute is proud to have contributed research on this topic and has published a number of scientific papers, including in our journal, BMJ Nutrition, Prevention and Health (4–7). In 2020, we published the clinical outcomes of an innovative NHS primary care service in which a LCD approach was offered to patients with T2D under the clinical supervision of Dr David Unwin at the Norwood Surgery (4). This initial paper reported the outcomes of 128 patients with T2D (27% of the total practice population who had T2D) who had been counselled and supported to follow a LCD over an average of 23 months. Significant improvements in body weight, glycaemic control, other cardiometabolic markers, and reduced the need for T2D medications were demonstrated. Remarkably, the rate of drug-free T2D remission, which is of utmost importance to long-term health outcomes (8), was 46%. Encouragingly, positive results were seen across a wide range of patients, including those of older age (>65 years), those with long-standing T2D (>6 years since diagnosis), and those with high baseline HbA1c. We also observed a significant improvement in lipid profile in this cohort, which predominantly comprised overweight or obese adults. However, we are aware of the emerging evidence of differential lipid responses to LCD according to adiposity. This phenomenon is termed the “lean mass hyper-responder phenotype” whereby consumption of LCD is associated with an elevated low density lipoprotein cholesterol in those with normal body weight but not in those with elevated body weight (9). Further studies from the Norwood Surgery cohort have suggested an improvement in renal function with a LCD, despite some concerns that a LCD may be detrimental to kidney health (10), and that patients in their first year of T2D diagnosis were particularly likely to achieve remission (5). It is worth noting that all results from the Norwood Surgery to date have come from retrospective clinical service evaluation/audit, and all patients had opted for the LCD intervention without randomisation or a formal control group. There are limitations to this research, especially in comparison to formal interventional trials, but the results are insightful, remarkable in their impact (both clinically and financially), and they make a compelling case for the potential of LCD interventions in routine clinical practice. Furthermore, the mechanisms that make clinical trials superior in the hierarchy of evidence, namely control groups, randomisation, and blinding, are notoriously difficult to implement in dietary intervention trials. We have commented further on the utility of both clinical audit and science-led research for dietary interventions elsewhere (6). In recent years, several more studies have reported in favour of LCDs in T2D. These include population-level studies (11), clinical trials (12–14), and systematic reviews and meta-analyses of existing evidence, amongst which is evidence of a dose-response relationship between reducing carbohydrate intake and positive outcomes (15–18). Others have highlighted how the quality of carbohydrates  eaten, and indeed the quality of the overall diet , are also important considerations (11,19). Other points worth noting include a recent clinical trial of vegetarian and vegan LCDs in patients with T2D, which demonstrated effectiveness in clinical parameters, and a potentially favourable impact on greenhouse gas emissions for vegan LCDs (13). Finally, the LCD approach for T2D and other metabolic conditions has been demonstrated to be beneficial when provided via novel care models, including large scale telemedicine services (20,21). Important issues still open to debate include the definition of low (and/or very low) carbohydrate diets or ketogenic diets, the physiological effects of LCDs independent of weight loss, and the best strategies for implementation and long-term maintenance. In summary, we at NNEdPro Global Institute celebrate the growing acceptance that T2D remission is possible through dietary modification. Low and very low-calorie diets have a robust evidence base for this indication. The evidence base for LCDs is growing and this should be considered another valid option that is offered to patients with T2D. Modern healthcare systems would be of greater benefit to patients with T2D for expanding their nutrition and dietetics workforces. This, in addition to better nutrition education and training for all healthcare professionals providing care to patients with T2D is strongly recommended.   References 1. Taylor R, Ramachandran A, Yancy WS, Forouhi NG. Nutritional basis of type 2 diabetes remission. BMJ. 2021 Jul 7;374:n1449. 2. Churuangsuk C, Hall J, Reynolds A, Griffin SJ, Combet E, Lean MEJ. Diets for weight management in adults with type 2 diabetes: an umbrella review of published meta-analyses and systematic review of trials of diets for diabetes remission. Diabetologia. 2022 Jan 1;65(1):14–36. 3. Lean ME, Leslie WS, Barnes AC, Brosnahan N, Thom G, McCombie L, et al. Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial. The Lancet. 2018 Feb 10;391(10120):541–51. 4. Unwin D, Khalid AA, Unwin J, Crocombe D, Delon C, Martyn K, et al. Insights from a general practice service evaluation supporting a lower carbohydrate diet in patients with type 2 diabetes mellitus and prediabetes: a secondary analysis of routine clinic data including HbA1c, weight and prescribing over 6 years. BMJ Nutrition, Prevention & Health [Internet]. 2020 Dec 1 [cited 2024 Jan 20];3(2). Available from: https://nutrition.bmj.com/content/3/2/285 5. Unwin D, Delon C, Unwin J, Tobin S, Taylor R. What predicts drug-free type 2 diabetes remission? Insights from an 8-year general practice service evaluation of a lower carbohydrate diet with weight loss. BMJ Nutrition, Prevention & Health [Internet]. 2023 Jun 1 [cited 2024 Jan 20];6(1). Available from: https://nutrition.bmj.com/content/6/1/46 6. McAuliffe S, Unwin D, Bradfield J, Ray S, Martyn K. Bridging the gap between science-led research and evaluation of clinical practice: the role of service innovation audits and case studies. BMJ Nutrition, Prevention & Health [Internet]. 2021 Jun 1 [cited 2024 Jan 20];4(1). Available from: https://nutrition.bmj.com/content/4/1/350 7. Cupit C, Redman E. Supporting people to implement a reduced carbohydrate diet: a qualitative study in family practice. BMJ Nutrition, Prevention & Health [Internet]. 2021 Jun 1 [cited 2024 Jan 20];4(1). Available from: https://nutrition.bmj.com/content/4/1/226 8. Gregg EW, Chen H, Bancks MP, Manalac R, Maruthur N, Munshi M, et al. Impact of remission from type 2 diabetes on long-term health outcomes: findings from the Look AHEAD study. Diabetologia [Internet]. 2024 Jan 18 [cited 2024 Jan 20]; Available from: https://doi.org/10.1007/s00125-023-06048-6 9.  Soto-Mota A, Flores-Jurado Y, Norwitz NG, Feldman D, Pereira MA, Danaei G, et al. Increased LDL-cholesterol on a low-carbohydrate diet in adults with normal but not high body weight: a meta-analysis. The American Journal of Clinical Nutrition. 2024 Jan;S0002916524000091. 10. Unwin D, Unwin J, Crocombe D, Delon C, Guess N, Wong C. Renal function in patients following a low carbohydrate diet for type 2 diabetes: a review of the literature and analysis of routine clinical data from a primary care service over 7 years. Current Opinion in Endocrinology, Diabetes and Obesity. 2021 Oct;28(5):469. 11. Hu Y, Liu G, Yu E, Wang B, Wittenbecher C, Manson JE, et al. Low-Carbohydrate Diet Scores and Mortality Among Adults With Incident Type 2 Diabetes. Diabetes Care. 2023 Feb 14;46(4):874–84. 12. Gram-Kampmann EM, Hansen CD, Hugger MB, Jensen JM, Brønd JC, Hermann AP, et al. Effects of a 6-month, low-carbohydrate diet on glycaemic control, body composition, and cardiovascular risk factors in patients with type 2 diabetes: An open-label randomized controlled trial. Diabetes, Obesity and Metabolism. 2022;24(4):693–703. 13. Jenkins DJ, Jones PJ, Abdullah MM, Lamarche B, Faulkner D, Patel D, et al. Low-carbohydrate vegan diets in diabetes for weight loss and sustainability: a randomized controlled trial. The American Journal of Clinical Nutrition. 2022 Nov 1;116(5):1240–50. 14. Durrer C, McKelvey S, Singer J, Batterham AM, Johnson JD, Gudmundson K, et al. A randomized controlled trial of pharmacist-led therapeutic carbohydrate and energy restriction in type 2 diabetes. Nat Commun. 2021 Sep 10;12(1):5367. 15. Soltani S, Jayedi A, Abdollahi S, Vasmehjani AA, Meshkini F, Shab-Bidar S. Effect of carbohydrate restriction on body weight in overweight and obese adults: a systematic review and dose–response meta-analysis of 110 randomized controlled trials. Frontiers in Nutrition [Internet]. 2023 [cited 2024 Jan 20];10. Available from: https://www.frontiersin.org/articles/10.3389/fnut.2023.1287987 16.         Nicholas AP, Soto-Mota A, Lambert H, Collins AL. Restricting carbohydrates and calories in the treatment of type 2 diabetes: a systematic review of the effectiveness of ‘low-carbohydrate’ interventions with differing energy levels. Journal of Nutritional Science. 2021 Jan;10:e76. 17. Goldenberg JZ, Day A, Brinkworth GD, Sato J, Yamada S, Jönsson T, et al. Efficacy and safety of low and very low carbohydrate diets for type 2 diabetes remission: systematic review and meta-analysis of published and unpublished randomized trial data. BMJ. 2021 Jan 13;372:m4743. 18. Jayedi A, Zeraattalab-Motlagh S, Jabbarzadeh B, Hosseini Y, Jibril AT, Shahinfar H, et al. Dose-dependent effect of carbohydrate restriction for type 2 diabetes management: a systematic review and dose-response meta-analysis of randomized controlled trials. The American Journal of Clinical Nutrition. 2022 Jul 1;116(1):40–56. 19. Hou W, Han T, Sun X, Chen Y, Xu J, Wang Y, et al. Relationship Between Carbohydrate Intake (Quantity, Quality, and Time Eaten) and Mortality (Total, Cardiovascular, and Diabetes): Assessment of 2003–2014 National Health and Nutrition Examination Survey Participants. Diabetes Care. 2022 Sep 29;45(12):3024–31. 20. Athinarayanan SJ, Adams RN, Hallberg SJ, McKenzie AL, Bhanpuri NH, Campbell WW, et al. Long-Term Effects of a Novel Continuous Remote Care Intervention Including Nutritional Ketosis for the Management of Type 2 Diabetes: A 2-Year Non-randomized Clinical Trial. Frontiers in Endocrinology [Internet]. 2019 [cited 2024 Jan 20];10. Available from: https://www.frontiersin.org/articles/10.3389/fendo.2019.00348 21. Saslow LR, Summers C, Aikens JE, Unwin DJ. Outcomes of a Digitally Delivered Low-Carbohydrate Type 2 Diabetes Self-Management Program: 1-Year Results of a Single-Arm Longitudinal Study. JMIR Diabetes. 2018 Aug 3;3(3):e9333.