{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:57:52Z","timestamp":1792292272608,"version":"4.4.0"},"reference-count":60,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2021,5,22]],"date-time":"2021-05-22T00:00:00Z","timestamp":1621641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Crowdfunding project PRECIPITA","award":["https:\/\/www.precipita.es\/proyectos\/Composicion-de-la-leche-materna-prematuridad-y-parametros-maternos"],"award-info":[{"award-number":["https:\/\/www.precipita.es\/proyectos\/Composicion-de-la-leche-materna-prematuridad-y-parametros-maternos"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>The first month of lactation is a vulnerable nutritional period for the mother. Our aims were (1) to evaluate the nutritional status of breastfeeding women in the first month of lactation, and (2) to explore different aspects of nutrition and lifestyle through a multidimensional approach. A total of 30 healthy breastfeeding women were enrolled in this study. Dietary pattern was assessed through a 72-hour dietary recall questionnaire (days 7 and 28 postpartum) and data were compared with Dietary Recommendation Values (DRV), and through the Adherence to Healthy Food Pyramid (HFP) questionnaire (day 28). Anthropometric parameters were evaluated by bioimpedance. Using factor analysis, nutritional dimensions were extracted, and linear regression models were used to analyze the association between anthropometric parameters and dimensions. Compared to the DRV, women showed insufficient energy, water, vitamin D, and potassium intake and excessive proteins, vitamins B1, B2, B3, B6, B12, and iron intake. We observed a moderate adherence to the HFP, with women being high in the fruits, vegetables, and oil categories, and low adherence to the physical activity, dairy products, and hydration categories. The nutritional dimension, including the HFP categories of physical activity, hydration, and animal protein intake together, was negatively associated with body weight (\u03b2 = \u22123.7 \u00b1 1.7; p-value = 0.047). In conclusion, during the first month postpartum, breastfeeding women exhibited several nutritional imbalances and poor physical activity negatively influencing anthropometric parameters. We propose a multidimensional approach to assess the nutritional status of breastfeeding women as a tool to detect specific deficiencies, allowing for personalized counseling.<\/jats:p>","DOI":"10.3390\/nu13061766","type":"journal-article","created":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T00:01:20Z","timestamp":1621814480000},"page":"1766","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Multidimensional Approach to Assess Nutrition and Lifestyle in Breastfeeding Women during the First Month of Lactation"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7744-9330","authenticated-orcid":false,"given":"Andrea","family":"Gila-D\u00edaz","sequence":"first","affiliation":[{"name":"Department of Physiology, Faculty of Medicine, Universidad Aut\u00f3noma de Madrid, C\/Arzobispo Morcillo 2, 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuria","family":"D\u00edaz-Rullo Alc\u00e1ntara","sequence":"additional","affiliation":[{"name":"Department of Physiology, Faculty of Medicine, Universidad Aut\u00f3noma de Madrid, C\/Arzobispo Morcillo 2, 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria","family":"Herranz Carrillo","sequence":"additional","affiliation":[{"name":"Division of Neonatology Hospital Cl\u00ednico San Carlos, Instituto de Investigaci\u00f3n Sanitaria del Hospital Cl\u00ednico San Carlos (IdISSC), C\/Profesor Martin Lagos s\/n, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6919-8479","authenticated-orcid":false,"given":"Pratibha","family":"Singh","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline avenue, Boston, MA 02215, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia M.","family":"Arribas","sequence":"additional","affiliation":[{"name":"Department of Physiology, Faculty of Medicine, Universidad Aut\u00f3noma de Madrid, C\/Arzobispo Morcillo 2, 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7442-1586","authenticated-orcid":false,"given":"David","family":"Ramiro-Cortijo","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline avenue, Boston, MA 02215, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,5,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"110933","DOI":"10.1016\/j.mce.2020.110933","article-title":"Pregnancy-induced adaptation of central sensitivity to leptin and insulin","volume":"516","author":"Aung","year":"2020","journal-title":"Mol. Cell. Endocrinol."},{"key":"ref_2","first-page":"347.e1","article-title":"En representaci\u00f3n del Comit\u00e9 de Lactancia Materna de la Asociaci\u00f3n Espa\u00f1ola de Pediatr\u00eda. The importance of maternal nutrition during breastfeeding: Do breastfeeding mothers need nutritional supplements?","volume":"84","author":"Segura","year":"2016","journal-title":"An. Pediatr."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1159\/000345165","article-title":"Global Burden of Maternal and Child Undernutrition and Micronutrient Deficiencies","volume":"61","author":"Ahmed","year":"2012","journal-title":"Ann. Nutr. Metab."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.pcl.2012.10.008","article-title":"Nutritional Management of the Breastfeeding Dyad","volume":"60","author":"Valentine","year":"2013","journal-title":"Pediatr. Clin. N. Am."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1159\/000365792","article-title":"Multiple Micronutrient Supplementation during Pregnancy and Lactation in Low-to-Middle-Income Developing Country Settings: Impact on Pregnancy Outcomes","volume":"65","author":"Salam","year":"2014","journal-title":"Ann. Nutr. Metab."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1186\/s13006-018-0175-8","article-title":"Fish intake reflects on DHA level in breast milk among lactating women in Latvia","volume":"13","author":"Aumeistere","year":"2018","journal-title":"Int. Breastfeed. J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1097\/MPG.0000000000002375","article-title":"A Randomized Trial of Maternal Docosahexaenoic Acid Supplementation to Reduce Inflammation in Extremely Preterm Infants","volume":"69","author":"Valentine","year":"2019","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_8","unstructured":"Early Nutrition (2021, April 09). Long-Term Effects of Early Nutrition on Later Health. Available online: http:\/\/www.project-earlynutrition.eu\/eneu\/."},{"key":"ref_9","first-page":"4003","article-title":"Optimal nutrition in lactating women and its effect on later health of offspring: A systematic review of current evidence and recommendations (EarlyNutrition project)","volume":"57","author":"Brands","year":"2016","journal-title":"Crit. Rev. Food Sci. Nutr."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1159\/000332062","article-title":"Critical Micronutrients in Pregnancy, Lactation, and Infancy: Considerations on Vitamin D, Folic Acid, and Iron, and Priorities for Future Research","volume":"59","author":"Hermoso","year":"2011","journal-title":"Ann. Nutr. Metab."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1159\/000496471","article-title":"Nutrition During Pregnancy, Lactation and Early Childhood and its Implications for Maternal and Long-Term Child Health: The Early Nutrition Project Recommendations","volume":"74","author":"Koletzko","year":"2019","journal-title":"Ann. Nutr. Metab."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1016\/j.mcna.2016.06.004","article-title":"Nutrition Recommendations in Pregnancy and Lactation","volume":"100","author":"Kominiarek","year":"2016","journal-title":"Med. Clin. N. Am."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2274","DOI":"10.1017\/S1368980011002515","article-title":"Mediterranean diet pyramid today. Science and cultural updates","volume":"14","author":"Berry","year":"2011","journal-title":"Public Health Nutr."},{"key":"ref_14","first-page":"959","article-title":"Design and development of an instrument to measure overall lifestyle habits for epidemiological research: The Mediterranean Lifestyle (MEDLIFE) index","volume":"18","author":"Casasnovas","year":"2014","journal-title":"Public Health Nutr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"330S","DOI":"10.3945\/an.113.005389","article-title":"Mediterranean Diet and Cardiovascular Health: Teachings of the PREDIMED Study","volume":"5","author":"Ros","year":"2014","journal-title":"Adv. Nutr."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1161\/CIRCRESAHA.118.313348","article-title":"The Mediterranean Diet and Cardiovascular Health","volume":"124","author":"Gea","year":"2019","journal-title":"Circ. Res."},{"key":"ref_17","first-page":"1225","article-title":"Does maternal diet during pregnancy and lactation affect outcomes in offspring? A systematic review of food-based approaches","volume":"30","author":"Netting","year":"2014","journal-title":"Nutrients"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Jard\u00ed, C., Aparicio, E., Bedmar, C., Aranda, N., Abajo, S., March, G., Basora, J., and Arija, V. (2019). The ECLIPSES Study Group Food Consumption during Pregnancy and Post-Partum. ECLIPSES Study. Nutrients, 11.","DOI":"10.3390\/nu11102447"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Gila-D\u00edaz, A., Arribas, S.M., De Pablo, \u00c1.L.L., L\u00f3pez-Gim\u00e9nez, M.R., Phuthong, S., and Ramiro-Cortijo, D. (2020). Development and Validation of a Questionnaire to Assess Adherence to the Healthy Food Pyramid in Spanish Adults. Nutrients, 12.","DOI":"10.3390\/nu12061656"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Whitton, C., Ho, J.C.Y., Tay, Z., Rebello, S.A., Lu, Y., Ong, C.N., and Van Dam, R.M. (2017). Relative Validity and Reproducibility of a Food Frequency Questionnaire for Assessing Dietary Intakes in a Multi-Ethnic Asian Population Using 24-h Dietary Recalls and Biomarkers. Nutrients, 9.","DOI":"10.3390\/nu9101059"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Jacques, S., Lemieux, S., Lamarche, B., Laram\u00e9e, C., Corneau, L., Lapointe, A., Tessier-Grenier, M., and Robitaille, J. (2016). Development of a Web-Based 24-h Dietary Recall for a French-Canadian Population. Nutrients, 8.","DOI":"10.3390\/nu8110724"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Savard, C., Lemieux, S., Lafreni\u00e8re, J., Laram\u00e9e, C., Robitaille, J., and Morisset, A.-S. (2018). Validation of a self-administered web-based 24-hour dietary recall among pregnant women. BMC Pregnancy Childbirth, 18.","DOI":"10.1186\/s12884-018-1741-1"},{"key":"ref_23","unstructured":"G\u00f3mez Candela, C., Loria Kohen, V., and Lourengo Nogueira, T. (2008). Guia Visual de Alimentos y Raciones, Editores M\u00e9dicos S.A. (EDIMSA). [1st ed.]."},{"key":"ref_24","unstructured":"Natalben (2021, January 15). Natalben Lactancia. Complemento Alimenticio para Cubrir los Requerimientos Nutricionales de la Madre. Available online: https:\/\/www.natalben.com\/natalben-lactancia."},{"key":"ref_25","unstructured":"EFSA (2021, January 15). European Food Safety Authority: Dietary Reference Values for the UE. Available online: https:\/\/efsa.gitlab.io\/multimedia\/drvs\/index.htm."},{"key":"ref_26","unstructured":"Moreiras Tuni, O., Carbajal, A., Cabrera Forneiro, L., and Cuadrado Vives, C. (2010). Tablas de Composici\u00f3n de Alimentos: Gu\u00eda de Pr\u00e1cticas, Ediciones Piramide. [19th ed.]."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"116","DOI":"10.4067\/S0370-41061998000300007","article-title":"Variaciones en la composici\u00f3n nutricional de la leche materna. Algunos aspectos de importancia cl\u00ednica","volume":"69","author":"Mena","year":"1998","journal-title":"Rev. Chil. Pediatr."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"4739","DOI":"10.3390\/nu7064739","article-title":"Energy Intake, Profile, and Dietary Sources in the Spanish Population: Findings of the ANIBES Study","volume":"7","author":"Ruiz","year":"2015","journal-title":"Nutrients"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Ruiz, E., \u00c1vila, J.M., Valero, T., Del Pozo, S., Rodriguez, P., Aranceta-Bartrina, J., Gil, \u00c1., Gonz\u00e1lez-Gross, M., Ortega, R.M., and Serra-Majem, L. (2016). Macronutrient Distribution and Dietary Sources in the Spanish Population: Findings from the ANIBES Study. Nutrients, 8.","DOI":"10.3390\/nu8030177"},{"key":"ref_30","unstructured":"Hernandez, A.G., and Salas-Salvado, J. (2015). The Spanish Federation of Societies of Nutrition, Food and Dietetics (FESNAD). Consenso Sobre las Grasas y Aceites en la Alimentacion de la Poblacion Espa\u00f1ola Adulta, FESNAD. [1st ed.]."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Simopoulos, A.P. (2016). An Increase in the Omega-6\/Omega-3 Fatty Acid Ratio Increases the Risk for Obesity. Nutrients, 8.","DOI":"10.3390\/nu8030128"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Zhou, Y., Zhu, X., Qin, Y., Li, Y., Zhang, M., Liu, W., Huang, H., and Xu, Y. (2019). Association between total water intake and dietary intake of pregnant and breastfeeding women in China: A cross-sectional survey. BMC Pregnancy Childbirth, 19.","DOI":"10.1186\/s12884-019-2301-z"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/S0022-3476(85)80288-2","article-title":"Effect of supplemental fluids on human milk production","volume":"106","author":"Dusdieker","year":"1985","journal-title":"J. Pediatr."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Ndikom, C.M., Fawole, B., and Ilesanmi, R.E. (2014). Extra fluids for breastfeeding mothers for increasing milk production. Cochrane Database Syst. Rev., CD008758.","DOI":"10.1002\/14651858.CD008758.pub2"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.pcl.2012.10.002","article-title":"Human Milk Composition: Nutrients and bioactive factors","volume":"60","author":"Ballard","year":"2013","journal-title":"Pediatr. Clin. N. Am."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"517S","DOI":"10.1093\/ajcn\/59.2.517S","article-title":"Maternal vitamin A status and its importance in infancy and early childhood","volume":"59","author":"Underwood","year":"1994","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Marangoni, F., Cetin, I., Verduci, E., Canzone, G., Giovannini, M., Scollo, P., Corsello, G., and Poli, A. (2016). Maternal Diet and Nutrient Requirements in Pregnancy and Breastfeeding. An Italian Consensus Document. Nutrients, 8.","DOI":"10.3390\/nu8100629"},{"key":"ref_38","first-page":"962","article-title":"Milk and dairy products as vehicle for calcium and vitamin D: role of calcium enriched milks","volume":"36","author":"Huertas","year":"2019","journal-title":"Nutr. Hosp."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/s13006-017-0105-1","article-title":"Breastfeeding woman are at higher risk of vitamin D deficiency than non-breastfeeding women\u2014insights from the German VitaMinFemin study","volume":"12","author":"Gellert","year":"2016","journal-title":"Int. Breastfeed. J."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"107","DOI":"10.3945\/ajcn.115.115105","article-title":"Vitamin D content in human breast milk: A 9-mo follow-up study","volume":"103","author":"Streym","year":"2015","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Pilz, S., Zittermann, A., Obeid, R., Hahn, A., Pludowski, P., Trummer, C., Lerchbaum, E., P\u00e9rez-L\u00f3pez, F.R., Karras, S.N., and M\u00e4rz, W. (2018). The Role of Vitamin D in Fertility and during Pregnancy and Lactation: A Review of Clinical Data. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15102241"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1023\/A:1026388522182","article-title":"Maternal Folate Status and Lactation","volume":"2","author":"Green","year":"1997","journal-title":"J. Mammary Gland. Biol. Neoplasia"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"3920","DOI":"10.3390\/nu5103920","article-title":"Nutrient Intake Values for Folate during Pregnancy and Lactation Vary Widely around the World","volume":"5","author":"Stamm","year":"2013","journal-title":"Nutrients"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1590\/1984-0462\/;2017;35;2;00015","article-title":"Vitamin E in Human Milk and Its Relation to the Nutritional Requirement of the Term Newborn","volume":"35","author":"Silva","year":"2017","journal-title":"Rev. Paul. Pediatr."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Cormick, G., and Beliz\u00e1n, J.M. (2019). Calcium Intake and Health. Nutrients, 11.","DOI":"10.3390\/nu11071606"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1244","DOI":"10.1093\/ajcn\/67.6.1244","article-title":"Effects of calcium supplementation and lactation on iron status","volume":"67","author":"Kalkwarf","year":"1998","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"450","DOI":"10.3945\/ajcn.2010.29217","article-title":"Effect of calcium supplementation in pregnancy on maternal bone outcomes in women with a low calcium intake","volume":"92","author":"Jarjou","year":"2010","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Stone, M.S., Martyn, L., and Weaver, C.M. (2016). Potassium Intake, Bioavailability, Hypertension, and Glucose Control. Nutrients, 8.","DOI":"10.3390\/nu8070444"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"2097","DOI":"10.3390\/nu4122097","article-title":"Food Sources of Energy and Nutrients among Adults in the US: NHANES 2003\u20132006","volume":"4","author":"Keast","year":"2012","journal-title":"Nutrients"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.jtemb.2016.11.006","article-title":"Association between iron level, glucose impairment and increased DNA damage during pregnancy","volume":"43","author":"Zein","year":"2017","journal-title":"J. Trace Elements Med. Biol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"611929","DOI":"10.3389\/fendo.2020.611929","article-title":"Nutrition and Metabolic Adaptations in Physiological and Complicated Pregnancy: Focus on Obesity and Gestational Diabetes","volume":"11","author":"Parrettini","year":"2020","journal-title":"Front. Endocrinol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1089\/jwh.2010.2248","article-title":"Maternal Prepregnancy Body Mass Index and Initiation and Duration of Breastfeeding: A Review of the Literature","volume":"20","author":"Wojcicki","year":"2011","journal-title":"J. Women\u2019s Health"},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Bzikowska-Jura, A., Czerwonogrodzka-Senczyna, A., Ol\u0119dzka, G., Szostak-W\u0119gierek, D., Weker, H., and Weso\u0142owska, A. (2018). Maternal Nutrition and Body Composition During Breastfeeding: Association with Human Milk Composition. Nutrients, 10.","DOI":"10.3390\/nu10101379"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1038\/ijo.2013.132","article-title":"The relationship between breastfeeding and postpartum weight change\u2014a systematic review and critical evaluation","volume":"38","author":"Neville","year":"2013","journal-title":"Int. J. Obes."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Tahir, M.J., Haapala, J.L., Foster, L.P., Duncan, K.M., Teague, A.M., Kharbanda, E.O., McGovern, P.M., Whitaker, K.M., Rasmussen, K.M., and Fields, D.A. (2019). Association of Full Breastfeeding Duration with Postpartum Weight Retention in a Cohort of Predominantly Breastfeeding Women. Nutrients, 11.","DOI":"10.3390\/nu11040938"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1089\/jwh.2018.7393","article-title":"Breastfeeding Greater Than 6 Months Is Associated with Smaller Maternal Waist Circumference Up to One Decade After Delivery","volume":"28","author":"Snyder","year":"2019","journal-title":"J. Women\u2019s Health"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1089\/bfm.2020.0144","article-title":"Full Breastfeeding Modifies Anthropometric and Body Composition Indicators in Nursing Mothers","volume":"16","author":"Arreola","year":"2021","journal-title":"Breastfeed. Med."},{"key":"ref_58","first-page":"919","article-title":"Relationship of body composition measured by DEXA with lifestyle and satisfaction with body image in university students","volume":"36","year":"2019","journal-title":"Nutr. Hosp."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"k1274","DOI":"10.1136\/bmj.k1274","article-title":"Is BMI the best measure of obesity?","volume":"360","author":"Adab","year":"2018","journal-title":"BMJ"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1038\/ejcn.2013.203","article-title":"Comparison of various surrogate obesity indicators as predictors of cardiovascular mortality in four European populations","volume":"67","author":"Song","year":"2013","journal-title":"Eur. J. Clin. Nutr."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/13\/6\/1766\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:05:57Z","timestamp":1760162757000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/13\/6\/1766"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,22]]},"references-count":60,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2021,6]]}},"alternative-id":["nu13061766"],"URL":"https:\/\/doi.org\/10.3390\/nu13061766","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,22]]}}}