{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T13:39:12Z","timestamp":1768225152604,"version":"3.49.0"},"reference-count":54,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T00:00:00Z","timestamp":1768089600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Italian Workers Compensation Authority","award":["BRIC 2022 ID 28"],"award-info":[{"award-number":["BRIC 2022 ID 28"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The agri-food supply chain is a relevant contributor to the Italian economy but shows a high incidence of occupational injuries and musculoskeletal disorders, such as lower back pain. Repetitive manual handling and biomechanical overload highlight the need for a prevention-oriented, system-level assessment. This protocol aims to implement a harmonized One Health approach procedure for the multidimensional evaluation of food supply chain workers in real-world settings. The protocol integrates bioelectrical impedance vector analysis (BIVA), nutritional parameters, quality-of-life and psychological measures, and assessments of systemic oxidative stress and systemic serotonin levels. Data from active workers will be compared with those from sedentary individuals. The study will evaluate whether BIVA profiles differ between these groups and examine how the additional indicators contribute to a multidimensional well-being framework. By operationalizing an integrated One Health approach that bridges nutritional, psychological, and biomarker domains, this protocol is designed to guide targeted preventive and educational strategies and inform evidence-based occupational and public health policies across the food supply chain. Trial registration: NCT06896877 (ClinicalTrials.gov), 26 March 2025.<\/jats:p>","DOI":"10.3390\/ijerph23010099","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T10:25:23Z","timestamp":1768213523000},"page":"99","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["One Health Approach to Nutritional Status and Well-Being in Food Supply Chain Workers: A Study Protocol"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0837-0594","authenticated-orcid":false,"given":"Mariacristina","family":"Siotto","sequence":"first","affiliation":[{"name":"IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8755-3144","authenticated-orcid":false,"given":"Carola","family":"Cocco","sequence":"additional","affiliation":[{"name":"IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Bertoncini","sequence":"additional","affiliation":[{"name":"IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3313-2312","authenticated-orcid":false,"given":"Alessandro","family":"Guerrini","sequence":"additional","affiliation":[{"name":"IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy"},{"name":"Department of Science and Technology for Sustainable Development and One Health, Universit\u00e0 Campus Bio-Medico di Roma, 00128 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3203-5360","authenticated-orcid":false,"given":"Valeria","family":"Habib","sequence":"additional","affiliation":[{"name":"IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika","family":"Antonacci","sequence":"additional","affiliation":[{"name":"IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabetta","family":"Ruco","sequence":"additional","affiliation":[{"name":"IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8123-9977","authenticated-orcid":false,"given":"Irene Giovanna","family":"Aprile","sequence":"additional","affiliation":[{"name":"IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,11]]},"reference":[{"key":"ref_1","unstructured":"ISMEA (Istituto di Servizi per il Mercato Agricolo Alimentare) (2024). 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