{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:58:19Z","timestamp":1785430699563,"version":"3.56.0"},"reference-count":42,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"unspecified","delay-in-days":99,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1368980026102444_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to develop and validate a questionnaire assessing the nutrition knowledge (NK) of Italian adult women regarding the relationship between diet, lifestyle and bone health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102444_as2\">\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A thirty-item questionnaire in Italian was developed by experts based on a literature review. Participants completed the questionnaire twice, with a 2\u20134 week gap between the two administrations. During the initial administration, weight and height were recorded using a mechanical scale and a stadiometer, while bone mineral density (BMD) of the lumbar spine (L1-L4), femoral neck and total femur were assessed via dual-energy X-ray absorptiometry (DXA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102444_as3\">\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Centre for Metabolic Bone Diseases at the Parma University Hospital, from January 2022 to June 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102444_as4\">\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Women aged 45\u201375 years old, native Italian speakers, undergoing DXA at the Centre participated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102444_as5\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The sample included 295 women with a median age of 63 years (interquartile range 11\u00b75). The questionnaire demonstrated good internal consistency (Cronbach\u2019s alpha = 0\u00b7698) and high temporal stability (R = 0\u00b7810,\n                      <jats:italic>P<\/jats:italic>\n                      = 0\u00b7002), effectively differentiating between individuals with and without a nutritional background. Regression analysis indicated negative associations between NK score and age (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      1 = \u20130\u00b7130,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0\u00b7001) and BMI (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      1 = \u20130\u00b7193,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0\u00b7001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026102444_as6\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The NutriBone questionnaire is a valid and reliable tool for evaluating NK related to bone health in Italian adult women undergoing DXA, with potential for future research applications.<\/jats:p>\n                  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