{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:21:51Z","timestamp":1787026911714,"version":"build-2736575974"},"reference-count":56,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The Natural Science Foundation of Medical and Industrial Cross Joint of Liaoning Province","award":["2022-YGJC-54"],"award-info":[{"award-number":["2022-YGJC-54"]}]},{"name":"The Tree Planting Program of Shengjing Hospital","award":["M1595"],"award-info":[{"award-number":["M1595"]}]},{"name":"Chronic Disease Management Research Project of National Health Commission Capacity Building and Continuing Education Center","award":["GWJJMB202510022196"],"award-info":[{"award-number":["GWJJMB202510022196"]}]},{"name":"National High-Level Talent Program","award":["V025\/MV025"],"award-info":[{"award-number":["V025\/MV025"]}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:p>\n                    Colorectal cancer (CRC) is the third most common cancer and the second leading cause of cancer-related deaths; it mostly arises from adenomatous and serrated polyps. The role of dietary patterns in the colorectal polyp-to-carcinoma sequence has attracted considerable attention. Diets high in vegetables, fruits, and fibres, as reflected in\n                    <jats:italic>a priori<\/jats:italic>\n                    healthy diet indices, such as the Mediterranean diet score or empirically derived prudent dietary patterns, are consistently associated with a reduced risk of polyp occurrence, and CRC. Conversely, unhealthy diets rich in red and processed meats, refined carbohydrates, and fats are associated with increased polyp occurrence and CRC risk. Epidemiological findings are consistent with mechanism-based indices, such as the Dietary Inflammatory Index. However, evidence linking dietary patterns to polyp recurrence remains comparatively limited. Taken together, the available literature suggests associations between dietary patterns and the polyp-to-carcinoma sequence and supports the rationale for the evaluation of dietary modification as a potentially preventive approach. Because most evidence is observational, well-designed prospective studies, preregistered long-term dietary intervention trials, and mechanistic investigations are needed to clarify causality and to quantify potential effects.\n                  <\/jats:p>","DOI":"10.3389\/fnut.2026.1791951","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T04:25:22Z","timestamp":1775795122000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["A review of dietary patterns and the colorectal polyp-to-carcinoma sequence: polyp occurrence, polyp recurrence, and colorectal cancer"],"prefix":"10.3389","volume":"13","author":[{"given":"Changwei","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Shengjing Hospital of China Medical University","place":["Shenyang, Liaoning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beibei","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shengjing Hospital of China Medical University","place":["Shenyang, Liaoning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shengjing Hospital of China Medical University","place":["Shenyang, Liaoning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shengjing Hospital of China Medical University","place":["Shenyang, Liaoning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ailing","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shengjing Hospital of China Medical University","place":["Shenyang, Liaoning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tongxuan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shengjing Hospital of China Medical University","place":["Shenyang, Liaoning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jintao","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shengjing Hospital of China Medical University","place":["Shenyang, Liaoning, China"]},{"name":"Engineering Research Center of Ministry of Education for Minimally Invasive Gastrointestinal Endoscopic Techniques, Shengjing Hospital of China Medical University","place":["Shenyang, Liaoning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siyu","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Shengjing Hospital of China Medical University","place":["Shenyang, Liaoning, China"]},{"name":"Engineering Research Center of Ministry of Education for Minimally Invasive Gastrointestinal Endoscopic Techniques, Shengjing Hospital of China Medical University","place":["Shenyang, Liaoning, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1038\/s41575-019-0189-8","article-title":"Global burden of colorectal cancer: emerging trends, risk factors and prevention strategies","volume":"16","author":"Keum","year":"2019","journal-title":"Nat Rev Gastroenterol Hepatol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1186\/s13020-024-01019-4","article-title":"Shen-Bai-Jie-Du decoction suppresses the progression of colorectal adenoma to carcinoma through regulating gut microbiota and short-chain fatty acids","volume":"19","author":"Huang","year":"2024","journal-title":"Chin Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1016\/j.giec.2021.12.008","article-title":"Risk factors for colorectal polyps and cancer","volume":"32","author":"Sninsky","year":"2022","journal-title":"Gastrointest Endosc Clin North Am"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1515\/jtim-2023-0119","article-title":"Association of life's essential 8 with prevalence and all-cause mortality of chronic kidney disease among US adults: results from the National Health and nutrition examination survey (2015-2018)","volume":"12","author":"Chen","year":"2025","journal-title":"J Transl Intern Med"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1016\/j.ajcnut.2024.10.003","article-title":"Adulthood dietary and lifestyle patterns and risk of breast cancer: global Cancer update Programme (CUP global) systematic literature review","volume":"121","author":"Konieczna","year":"2025","journal-title":"Am J Clin Nutr"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1097\/eus.0000000000000163","article-title":"Efficacy and diagnostic yield of 19G versus 22G fine needle biopsy needles in EUS-guided liver biopsy: a systematic review and meta-analysis","volume":"14","author":"Kalsi","year":"2025","journal-title":"Endosc Ultrasound"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2617","DOI":"10.3748\/wjg.v24.i24.2617","article-title":"Mediterranean dietary components are inversely associated with advanced colorectal polyps: a case-control study","volume":"24","author":"Fliss-Isakov","year":"2018","journal-title":"World J Gastroenterol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"2443","DOI":"10.1093\/jn\/137.11.2443","article-title":"Adherence to the USDA food guide, DASH eating plan, and Mediterranean dietary pattern reduces risk of colorectal adenoma","volume":"137","author":"Dixon","year":"2007","journal-title":"J Nutr"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1093\/jnci\/djac221","article-title":"Ultra-processed food consumption and risk of colorectal cancer precursors: results from 3 prospective cohorts","volume":"115","author":"Hang","year":"2023","journal-title":"J Natl Cancer Inst"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1053\/j.gastro.2016.09.003","article-title":"Lifestyle risk factors for serrated colorectal polyps: a systematic review and Meta-analysis","volume":"152","author":"Bailie","year":"2017","journal-title":"Gastroenterology"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1017\/S0007114525103747","article-title":"Dietary pattern and lifestyle risk factors for sessile serrated precursors to colorectal cancer","volume":"134","author":"van der Pols","year":"2025","journal-title":"Br J Nutr"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1002\/ijc.33974","article-title":"Healthy lifestyle and the risk of conventional adenomas and serrated polyps: findings from a large colonoscopy screening population","volume":"151","author":"Li","year":"2022","journal-title":"Int J Cancer"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"147","DOI":"10.3390\/nu16010147","article-title":"Comparing the associations of dietary patterns identified through principal component analysis and cluster analysis with colorectal cancer risk: a large case-control study in China","volume":"16","author":"Ma","year":"2023","journal-title":"Nutrients"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1900","DOI":"10.1080\/01635581.2023.2261651","article-title":"Dietary inflammatory potential and the risk of serrated and adenomatous colorectal polyps","volume":"75","author":"Sung","year":"2023","journal-title":"Nutr Cancer"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"4067","DOI":"10.3390\/nu15184067","article-title":"Association between dietary inflammatory index and risk of colorectal adenomatous polyps in Kashgar prefecture of Xinjiang, China","volume":"15","author":"He","year":"2023","journal-title":"Nutrients"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1080\/01635581.2017.1263752","article-title":"Dietary inflammatory index and risk of colorectal adenoma recurrence: a pooled analysis","volume":"69","author":"Sardo Molmenti","year":"2017","journal-title":"Nutr Cancer"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1260","DOI":"10.1158\/1055-9965.EPI-23-0143","article-title":"Associations of dietary patterns with colorectal adenomas in the prostate, lung, colorectal, and ovarian Cancer cohort","volume":"32","author":"Nepal","year":"2023","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"827","DOI":"10.1016\/j.chom.2023.04.007","article-title":"Association of distinct microbial signatures with premalignant colorectal adenomas","volume":"31","author":"Lee","year":"2023","journal-title":"Cell Host Microbe"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1423","DOI":"10.1053\/j.gastro.2021.07.008","article-title":"The sulfur microbial diet is associated with increased risk of early-onset colorectal Cancer precursors","volume":"161","author":"Nguyen","year":"2021","journal-title":"Gastroenterology"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"3187","DOI":"10.1007\/s00394-024-03499-4","article-title":"Association of late eating with colorectal adenomas: a cross-sectional study","volume":"63","author":"Adnan","year":"2024","journal-title":"Eur J Nutr"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1097\/00008469-200502000-00004","article-title":"Dietary patterns and the risk of colorectal adenoma recurrence in a European intervention trial","volume":"14","author":"Cottet","year":"2005","journal-title":"Eur J Cancer Prev"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1207\/s15327914nc4902_3","article-title":"Dietary habits and growth and recurrence of colorectal adenomas: results from a three-year endoscopic follow-up study","volume":"49","author":"Almendingen","year":"2004","journal-title":"Nutr Cancer"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1745","DOI":"10.1158\/1055-9965.EPI-07-0127","article-title":"The polyp prevention trial continued follow-up study: no effect of a low-fat, high-fiber, high-fruit, and -vegetable diet on adenoma recurrence eight years after randomization","volume":"16","author":"Lanza","year":"2007","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1149","DOI":"10.1056\/NEJM200004203421601","article-title":"Lack of effect of a low-fat, high-fiber diet on the recurrence of colorectal adenomas. Polyp prevention trial study group","volume":"342","author":"Schatzkin","year":"2000","journal-title":"N Engl J Med"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"576","DOI":"10.1093\/aje\/kwp169","article-title":"The effect of strict adherence to a high-fiber, high-fruit and -vegetable, and low-fat eating pattern on adenoma recurrence","volume":"170","author":"Sansbury","year":"2009","journal-title":"Am J Epidemiol"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1007\/s10654-019-00549-8","article-title":"Mediterranean diet adherence and risk of colorectal cancer: the prospective Netherlands cohort study","volume":"35","author":"Schulpen","year":"2020","journal-title":"Eur J Epidemiol"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"4427","DOI":"10.1158\/0008-5472.CAN-18-0155","article-title":"Cancer-specific and general nutritional scores and Cancer risk: results from the prospective NutriNet-sant\u00e9 cohort","volume":"78","author":"Lavalette","year":"2018","journal-title":"Cancer Res"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"999","DOI":"10.1016\/j.ajcnut.2025.02.021","article-title":"Dietary patterns and colorectal cancer risk: global Cancer update Programme (CUP global) systematic literature review","volume":"121","author":"Chu","year":"2025","journal-title":"Am J Clin Nutr"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1093\/ajcn\/nqy171","article-title":"Recommendation-based dietary indexes and risk of colorectal cancer in the nurses\u2019 health study and health professionals follow-up study","volume":"108","author":"Petimar","year":"2018","journal-title":"Am J Clin Nutr"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1053\/j.gastro.2017.04.004","article-title":"High-quality diets associate with reduced risk of colorectal Cancer: analyses of diet quality indexes in the multiethnic cohort","volume":"153","author":"Park","year":"2017","journal-title":"Gastroenterology"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1007\/s10654-013-9795-x","article-title":"Mediterranean diet and colorectal cancer risk: results from a European cohort","volume":"28","author":"Bamia","year":"2013","journal-title":"Eur J Epidemiol"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"1786","DOI":"10.1093\/ije\/dyx155","article-title":"The Mediterranean diet and risk of colorectal cancer in the UK Women\u2019s Cohort Study","volume":"46","author":"Jones","year":"2017","journal-title":"Int J Epidemiol"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1093\/aje\/kwn097","article-title":"Index-based dietary patterns and risk of colorectal cancer: the NIH-AARP diet and health study","volume":"168","author":"Reedy","year":"2008","journal-title":"Am J Epidemiol"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1093\/ije\/dyz118","article-title":"Adherence to dietary recommendations and colorectal cancer risk: results from two prospective cohort studies","volume":"49","author":"Nguyen","year":"2020","journal-title":"Int J Epidemiol"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"794","DOI":"10.3945\/ajcn.113.063602","article-title":"Comparison of 4 established DASH diet indexes: examining associations of index scores and colorectal cancer","volume":"98","author":"Miller","year":"2013","journal-title":"Am J Clin Nutr"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1093\/aje\/kwv304","article-title":"Diet quality and colorectal Cancer risk in the women\u2019s health initiative observational study","volume":"184","author":"Vargas","year":"2016","journal-title":"Am J Epidemiol"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"1056","DOI":"10.14309\/ajg.0000000000002826","article-title":"Ultra-processed food consumption and gastrointestinal cancer risk: a systematic review and meta-analysis","volume":"119","author":"Meine","year":"2024","journal-title":"Am J Gastroenterol"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1158\/1055-9965.EPI-16-0428","article-title":"Adherence to the WCRF\/AICR dietary recommendations for Cancer prevention and risk of Cancer in elderly from Europe and the United States: a Meta-analysis within the CHANCES project","volume":"26","author":"Jankovic","year":"2017","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"1003","DOI":"10.1093\/ajcn\/80.4.1003","article-title":"Dietary patterns associated with colon and rectal cancer: results from the dietary patterns and Cancer (DIETSCAN) project","volume":"80","author":"Dixon","year":"2004","journal-title":"Am J Clin Nutr"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"1511","DOI":"10.1038\/sj.bjc.6604678","article-title":"Prospective study of dietary patterns and colorectal cancer among Singapore Chinese","volume":"99","author":"Butler","year":"2008","journal-title":"Br J Cancer"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"1944","DOI":"10.1053\/j.gastro.2017.02.015","article-title":"Dietary patterns and risk of colorectal Cancer: analysis by tumor location and molecular subtypes","volume":"152","author":"Mehta","year":"2017","journal-title":"Gastroenterology"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1007\/s10552-018-1030-3","article-title":"Dietary patterns and prostate cancer risk in Japanese: the Japan public health center-based prospective study (JPHC study)","volume":"29","author":"Shin","year":"2018","journal-title":"Cancer Causes Control"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1007\/s10552-014-0375-5","article-title":"Dietary patterns and colorectal cancer risk in Japan: the Ohsaki cohort study","volume":"25","author":"Kumagai","year":"2014","journal-title":"Cancer Causes Control"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"778","DOI":"10.1016\/j.annonc.2021.03.200","article-title":"Prospective evaluation of dietary and lifestyle pattern indices with risk of colorectal cancer in a cohort of younger women","volume":"32","author":"Yue","year":"2021","journal-title":"Ann Oncol"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1093\/ajcn\/nqy093","article-title":"Association of dietary insulinemic potential and colorectal cancer risk in men and women","volume":"108","author":"Tabung","year":"2018","journal-title":"Am J Clin Nutr"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1001\/jamaoncol.2017.4844","article-title":"Association of Dietary Inflammatory Potential with Colorectal Cancer Risk in men and women","volume":"4","author":"Tabung","year":"2018","journal-title":"JAMA Oncol"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"pkaa009","DOI":"10.1093\/jncics\/pkaa009","article-title":"Associations of novel dietary and lifestyle inflammation scores with incident colorectal Cancer in the NIH-AARP diet and health study","volume":"4","author":"Byrd","year":"2020","journal-title":"JNCI Cancer Spectr"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"e2134308","DOI":"10.1001\/jamanetworkopen.2021.34308","article-title":"Association between the sulfur microbial diet and risk of colorectal cancer","volume":"4","author":"Wang","year":"2021","journal-title":"JAMA Netw Open"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1186\/s12937-025-01202-9","article-title":"Dietary inflammatory index and the risk of colorectal adenomas and cancer: a systematic review and dose-response meta-analysis","volume":"24","author":"Wu","year":"2025","journal-title":"Nutr J"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1159\/000543921","article-title":"Colorectal cancer: epidemiology, risk factors, and public health strategies","volume":"106","author":"Matsuda","year":"2025","journal-title":"Digestion"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1097\/eus.0000000000000057","article-title":"New-onset diabetes is a predictive risk factor for pancreatic lesions in high-risk individuals: an observational cohort study","volume":"13","author":"Baydogan","year":"2024","journal-title":"Endosc Ultrasound"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1007\/s00394-024-03513-9","article-title":"Association of dietary patterns derived by reduced-rank regression with colorectal cancer risk and mortality","volume":"64","author":"Abebe","year":"2024","journal-title":"Eur J Nutr"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"685","DOI":"10.1158\/1055-9965.EPI-11-1205","article-title":"Aromatic DNA adducts and risk of gastrointestinal cancers: a case-cohort study within the EPIC-Spain","volume":"21","author":"Agudo","year":"2012","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1007\/s12602-022-09916-6","article-title":"Effect of a diet supplemented with sphingomyelin and probiotics on Colon Cancer development in mice","volume":"14","author":"Marzo","year":"2022","journal-title":"Probiotics Antimicrob Proteins"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1186\/s12916-023-02934-3","article-title":"Association of Mediterranean diet with survival after breast cancer diagnosis in women from nine European countries: results from the EPIC cohort study","volume":"21","author":"Castro-Espin","year":"2023","journal-title":"BMC Med"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"e991","DOI":"10.1093\/nutrit\/nuae090","article-title":"Difference in gastrointestinal Cancer risk and mortality by dietary pattern analysis: a systematic review and Meta-analysis","volume":"83","author":"Abebe","year":"2025","journal-title":"Nutr Rev"}],"container-title":["Frontiers in Nutrition"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnut.2026.1791951\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T04:25:23Z","timestamp":1775795123000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnut.2026.1791951\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,10]]},"references-count":56,"alternative-id":["10.3389\/fnut.2026.1791951"],"URL":"https:\/\/doi.org\/10.3389\/fnut.2026.1791951","relation":{},"ISSN":["2296-861X"],"issn-type":[{"value":"2296-861X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,10]]},"article-number":"1791951"}}