{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:37:05Z","timestamp":1785418625315,"version":"3.56.0"},"reference-count":52,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100016242","name":"Norwegian Childhood Cancer Society","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100016242","id-type":"DOI","asserted-by":"crossref"}]},{"id":[{"id":"https:\/\/ror.org\/05ag13b38","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: This study describes body composition, bone mineral density (BMD), and dietary intake in pediatric patients undergoing allogeneic hematopoietic stem cell transplantation compared to healthy children. Methods: In this prospective observational study, dual-energy X-ray absorptiometry was used to assess appendicular lean mass index (ALMI), fat mass index (FMI), fat mass percentage (FM%), and BMD, and a 4-day dietary record was used to assess dietary intake at 3 months and 1 year post-transplant. Healthy children were assessed once by the same methods. Results: We included 28 patients (mean 10.3 years, SD 4.0) and 50 healthy children (mean 10.0 years, SD 3.6). At 1 year, median Z-scores were lower for ALMI (\u22121.34 vs. 0.40, p &lt; 0.001), higher for FMI (0.34 vs. \u22120.33, p &lt; 0.012) and FM% (0.59 vs. \u22120.98, p &lt; 0.001), lower for BMD total body less head (\u22121.0 vs. 0.3, p = 0.006), but similar for BMD spine compared to healthy children. At 1 year, 9\/15 (60%) had ALMI Z-score \u2264 \u22121, 6\/15 (40%) had FMI Z-score \u2265 1, 5\/15 (33%) had FM% Z-score \u2265 1, and 8\/18 (53%) had BMD total body less head Z-score \u2264 \u22121, and 3\/15 (20%) had BMD spine Z-score \u2264 \u22121. Dietary intake improved, and at 1 year, energy and protein intakes were comparable, fat, calcium, and vitamin D intakes were higher, but fiber intake remained lower in patients than in healthy children. Conclusions: Patients had a more unfavorable body composition and bone health. Dietary intake improved from 3 months to 1 year post-transplant. However, the results indicate a need for nutritional follow-up, particularly targeting protein, fat, fiber, calcium, and vitamin D.<\/jats:p>","DOI":"10.3390\/nu18132193","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T10:43:11Z","timestamp":1783334591000},"page":"2193","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Body Composition, Bone Health, and Dietary Intake in Children After Allogeneic Hematopoietic Stem Cell Transplantation"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0248-0672","authenticated-orcid":false,"given":"Janne Anita","family":"Kvammen","sequence":"first","affiliation":[{"name":"Department of Pediatric Medicine, Oslo University Hospital, 0424 Oslo, Norway"},{"name":"Department of Nutrition, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, 0317 Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rut Anne","family":"Thomassen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Medicine, Oslo University Hospital, 0424 Oslo, Norway"},{"name":"Department of Nutrition, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, 0317 Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3407-3657","authenticated-orcid":false,"given":"Kristin","family":"Godang","sequence":"additional","affiliation":[{"name":"Section of Specialized Endocrinology, Department of Endocrinology, Oslo University Hospital, 0424 Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5848-4501","authenticated-orcid":false,"given":"Jochen","family":"Buechner","sequence":"additional","affiliation":[{"name":"Department of Pediatric Hematology and Oncology, Oslo University Hospital, 0424 Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"Bollerslev","sequence":"additional","affiliation":[{"name":"Section of Specialized Endocrinology, Department of Endocrinology, Oslo University Hospital, 0424 Oslo, Norway"},{"name":"Faculty of Medicine, University of Oslo, 0372 Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beint Sigmund","family":"Bentsen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Medicine, Oslo University Hospital, 0424 Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Grete","family":"Bechensteen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Hematology and Oncology, Oslo University Hospital, 0424 Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Henriksen","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, 0317 Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1016\/j.bbmt.2020.03.002","article-title":"Indications for Hematopoietic Cell Transplantation and Immune Effector Cell Therapy: Guidelines from the American Society for Transplantation and Cellular Therapy","volume":"26","author":"Kanate","year":"2020","journal-title":"Biol. Blood Marrow Transplant."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1016\/j.bbmt.2016.01.023","article-title":"Late Effects Surveillance Recommendations among Survivors of Childhood Hematopoietic Cell Transplantation: A Children\u2019s Oncology Group Report","volume":"22","author":"Chow","year":"2016","journal-title":"Biol. Blood Marrow Transplant."},{"key":"ref_3","unstructured":"World Cancer Research Fund International (2018). Diet, Nutrition, Physical Activity and Cancer: A Global Perspective, World Cancer Research Fund International. Continuous Update Project Expert Report."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e28193","DOI":"10.1002\/pbc.28193","article-title":"Nutritional concerns of survivors of childhood cancer: A \u201cFirst World\u201d perspective","volume":"67","author":"Cohen","year":"2020","journal-title":"Pediatr. Blood Cancer"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1007\/s10555-020-09852-3","article-title":"What are the effects of exercise training in childhood cancer survivors? A systematic review","volume":"39","author":"Morales","year":"2020","journal-title":"Cancer Metastasis Rev."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.3390\/nu16091315","article-title":"The Role of Diet in the Cardiovascular Health of Childhood Cancer Survivors-A Systematic Review","volume":"16","author":"Li","year":"2024","journal-title":"Nutrients"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1016\/S2213-8587(21)00173-X","article-title":"Bone mineral density surveillance for childhood, adolescent, and young adult cancer survivors: Evidence-based recommendations from the International Late Effects of Childhood Cancer Guideline Harmonization Group","volume":"9","author":"Mulder","year":"2021","journal-title":"Lancet Diabetes Endocrinol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1007\/s40279-020-01267-y","article-title":"Association Between Muscular Strength and Bone Health from Children to Young Adults: A Systematic Review and Meta-analysis","volume":"50","year":"2020","journal-title":"Sports Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1002\/ncp.11018","article-title":"Nutrition management of pediatric patients undergoing hematopoietic stem cell transplantation: Guidelines, gaps, and research","volume":"38","author":"Hillman","year":"2023","journal-title":"Nutr. Clin. Pract."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1017\/S0954422419000131","article-title":"Food habits during treatment of childhood cancer: A critical review","volume":"32","author":"Marcil","year":"2019","journal-title":"Nutr. Res. Rev."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"243.e1","DOI":"10.1016\/j.jtct.2023.10.026","article-title":"Impact of Hematopoietic Cell Transplantation on Cardiovascular Risk Factors and Insulin Sensitivity","volume":"30","author":"Ketterl","year":"2024","journal-title":"Transplant. Cell. Ther."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.metabol.2019.153949","article-title":"Metabolic implications of low muscle mass in the pediatric population: A critical review","volume":"99","author":"Orsso","year":"2019","journal-title":"Metabolism"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/S2213-8587(22)00286-8","article-title":"Risk and determinants of low and very low bone mineral density and fractures in a national cohort of Dutch adult childhood cancer survivors (DCCSS-LATER): A cross-sectional study","volume":"11","author":"Pluimakers","year":"2023","journal-title":"Lancet Diabetes Endocrinol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"106653","DOI":"10.1016\/j.clnu.2026.106653","article-title":"The association between micronutrient status and clinical outcomes in children with cancer undergoing treatment: A systematic review and meta-analysis","volume":"61","author":"AbuSalameh","year":"2026","journal-title":"Clin. Nutr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.clnesp.2019.04.006","article-title":"Nutritional status of children and adolescents with cancer in Scotland: A prospective cohort study","volume":"32","author":"Paciarotti","year":"2019","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.clnu.2014.01.013","article-title":"Changes in nutritional status in childhood cancer patients: A prospective cohort study","volume":"34","author":"Brinksma","year":"2015","journal-title":"Clin. Nutr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"342","DOI":"10.3945\/ajcn.111.026005","article-title":"Effect of titrated parenteral nutrition on body composition after allogeneic hematopoietic stem cell transplantation in children: A double-blind, randomized, multicenter trial","volume":"95","author":"Sharma","year":"2012","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2156","DOI":"10.1002\/jcsm.13563","article-title":"Co-morbid sarcopenia and low bone mineral density in young paediatric cancer survivors","volume":"15","author":"Ness","year":"2024","journal-title":"J. Cachexia Sarcopenia Muscle"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1007\/s00198-015-3440-3","article-title":"The National Osteoporosis Foundation\u2019s position statement on peak bone mass development and lifestyle factors: A systematic review and implementation recommendations","volume":"27","author":"Weaver","year":"2016","journal-title":"Osteoporos. Int."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"e2024066081","DOI":"10.1542\/peds.2024-066081","article-title":"Bone Mineral Density in Survivors of Childhood Cancer: A Meta-Analysis","volume":"154","author":"Velentza","year":"2024","journal-title":"Pediatrics"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1097\/MPG.0000000000003592","article-title":"Impact of Allogeneic Hematopoietic Stem Cell Transplantation on Nutritional Status and Intake in Children","volume":"75","author":"Kvammen","year":"2022","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1002\/jpn3.70028","article-title":"Vitamin D status in children undergoing allogeneic hematopoietic stem cell transplantation: A prospective exploratory study","volume":"80","author":"Kvammen","year":"2025","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"220","DOI":"10.3109\/03014460.2012.759276","article-title":"Growth references for 0-19 year-old Norwegian children for length\/height, weight, body mass index and head circumference","volume":"40","author":"Juliusson","year":"2013","journal-title":"Ann. Hum. Biol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1097\/MPG.0000000000003437","article-title":"A Practical Approach to Identifying Pediatric Disease-Associated Undernutrition: A Position Statement from the ESPGHAN Special Interest Group on Clinical Malnutrition","volume":"74","author":"Hulst","year":"2022","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/j.jocd.2019.07.001","article-title":"Executive Summary of the 2019 ISCD Position Development Conference on Monitoring Treatment, DXA Cross-calibration and Least Significant Change, Spinal Cord Injury, Peri-prosthetic and Orthopedic Bone Health, Transgender Medicine, and Pediatrics","volume":"22","author":"Shuhart","year":"2019","journal-title":"J. Clin. Densitom."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.jocd.2013.08.019","article-title":"National Health and Nutrition Examination Survey whole-body dual-energy X-ray absorptiometry reference data for GE Lunar systems","volume":"17","author":"Fan","year":"2014","journal-title":"J. Clin. Densitom."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.jocd.2019.02.002","article-title":"Reference Centiles for the Evaluation of Nutritional Status in Children using Body Fat Percentage, Fat Mass and Lean Body Mass Index","volume":"23","author":"Duran","year":"2020","journal-title":"J. Clin. Densitom."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s00247-020-04756-4","article-title":"Dual-energy X-ray absorptiometry bone densitometry in pediatrics: A practical review and update","volume":"51","author":"Khalatbari","year":"2021","journal-title":"Pediatr. Radiol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e12695","DOI":"10.1111\/ijpo.12695","article-title":"Reference charts for body composition parameters by dual-energy X-ray absorptiometry in European children and adolescents aged 6 to 18\u2009years-Results from the Austrian LEAD (Lung, hEart, sociAl, boDy) cohort","volume":"16","author":"Ofenheimer","year":"2021","journal-title":"Pediatr. Obes."},{"key":"ref_30","unstructured":"Willett, W. (2013). 24-Hour Recall and Diet Record Methods. Nutritional Epidemiology, Oxford University Press. [3rd ed.]."},{"key":"ref_31","unstructured":"(2009). Pictorial Booklet of Portion Sizes [Norwegian: Bildehefte Med Porsjonsst\u00f8rrelser], Norwegian Directorate of Health."},{"key":"ref_32","unstructured":"(2018). The Norwegian Food Composition Table, University of Oslo. Available online: www.matvaretabellen.no."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Blomhoff, R., Andersen, R., Arnesen, E.K., Christensen, J.J., Eneroth, H., Erkkola, M., Gudanaviciene, I., Halld\u00f3rsson, \u00de.I., H\u00f8yer-Lund, A., and Lemming, E.W. (2023). Nordic Nutrition Recommendations 2023, Nordic Council of Ministers.","DOI":"10.6027\/nord2023-003"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1725","DOI":"10.1016\/j.bbmt.2011.10.006","article-title":"NCI, NHLBI\/PBMTC First International Conference on Late Effects after Pediatric Hematopoietic Cell Transplantation: Endocrine Challenges\u2014Thyroid Dysfunction, Growth Impairment, Bone Health, & Reproductive Risks","volume":"17","author":"Dvorak","year":"2011","journal-title":"Biol. Blood Marrow Transplant."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"109","DOI":"10.6065\/apem.2346046.023","article-title":"Long-term endocrine sequelae after hematopoietic stem cell transplantation in children and adolescents","volume":"29","author":"Hwang","year":"2024","journal-title":"Ann. Pediatr. Endocrinol. Metab."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"e13844","DOI":"10.1111\/petr.13844","article-title":"Pediatric hematopoietic cell transplantation: Longitudinal trends in body mass index and outcomes","volume":"24","author":"Dang","year":"2020","journal-title":"Pediatr. Transplant."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.1016\/S0140-6736(22)02471-0","article-title":"Specific causes of excess late mortality and association with modifiable risk factors among survivors of childhood cancer: A report from the Childhood Cancer Survivor Study cohort","volume":"401","author":"Dixon","year":"2023","journal-title":"Lancet"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Diesch-Furlanetto, T., Gabriel, M., Zajac-Spychala, O., Cattoni, A., Hoeben, B.A.W., and Balduzzi, A. (2021). Late Effects After Haematopoietic Stem Cell Transplantation in ALL, Long-Term Follow-Up and Transition: A Step Into Adult Life. Front. Pediatr., 9.","DOI":"10.3389\/fped.2021.773895"},{"key":"ref_39","first-page":"193","article-title":"Skeletal muscle health in childhood cancer survivors: A systematic review and meta-analysis","volume":"34","author":"Markarian","year":"2026","journal-title":"Support. Care Cancer"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e70097","DOI":"10.1002\/1545-5017.70097","article-title":"Changes in Body Composition in Children and Young People Undergoing Treatment for Acute Lymphoblastic Leukemia: A Systematic Review and Meta-Analysis","volume":"73","author":"Zahed","year":"2026","journal-title":"Pediatr. Blood Cancer"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Schab, M., and Skoczen, S. (2024). Nutritional status, body composition and diet quality in children with cancer. Front. Oncol., 14.","DOI":"10.3389\/fonc.2024.1389657"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1210\/jc.2005-1927","article-title":"Prospective study of changes in bone mineral density and turnover in children after hematopoietic cell transplantation","volume":"91","author":"Petryk","year":"2006","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1038\/s41409-024-02243-0","article-title":"Prevalence of osteoporosis among patients after stem cell transplantation: A systematic review and meta-analysis","volume":"59","author":"Yang","year":"2024","journal-title":"Bone Marrow Transplant."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1111\/j.1399-3046.2012.01780.x","article-title":"Changes in biomarkers of bone resorption over the first six months after pediatric hematopoietic cell transplantation","volume":"16","author":"Polgreen","year":"2012","journal-title":"Pediatr. Transplant."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.clnesp.2021.05.023","article-title":"Food preferences and aversions of patients undergoing chemotherapy, radiotherapy and\/or hematopoietic stem cell transplantation","volume":"44","author":"Hinkelmann","year":"2021","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.clnesp.2024.06.012","article-title":"Protein intake and requirements in children and adolescents undergoing Hematopoietic Stem Cell Transplant (HSCT): An international benchmarking survey and a scoping review","volume":"63","author":"Liu","year":"2024","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"den Hartog, E., van Tongeren, J., van Dalen, E.C., van den Brink, M., Verwaaijen, E.J., and Tissing, W.J.E. (2025). Protein supplementation in pediatric oncology: A systematic review revealing a lack of evidence and insights from other chronically and critically ill children. Front. Pediatr., 13.","DOI":"10.3389\/fped.2025.1724658"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Yang, B., Tang, C., Shi, Z., and Gao, L. (2023). Association of Macronutrients Intake with Body Composition and Sarcopenic Obesity in Children and Adolescents: A Population-Based Analysis of the National Health and Nutrition Examination Survey (NHANES) 2011\u20132018. Nutrients, 15.","DOI":"10.3390\/nu15102307"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1002\/ncp.11285","article-title":"Understanding how foods and enteral feedings influence the gut microbiome","volume":"40","author":"Cresci","year":"2025","journal-title":"Nutr. Clin. Pract."},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Biagi, E., Zama, D., Rampelli, S., Turroni, S., Brigidi, P., Consolandi, C., Severgnini, M., Picotti, E., Gasperini, P., and Merli, P. (2019). Early gut microbiota signature of aGvHD in children given allogeneic hematopoietic cell transplantation for hematological disorders. BMC Med. Genom., 12.","DOI":"10.1186\/s12920-019-0494-7"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1056\/NEJMoa1900623","article-title":"Microbiota as Predictor of Mortality in Allogeneic Hematopoietic-Cell Transplantation","volume":"382","author":"Peled","year":"2020","journal-title":"N. Engl. J. Med."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Pedersen, L.L., S\u00f8rum, M.E., Nissen, A., Gerbek, T., Kok, K., S\u00f8rensen, K., Fridh, M.K., M\u00f8lgaard, C., and M\u00fcller, K.G. (2025). Dietary Micronutrient Intake in Long-Term Survivors of Pediatric Hematopoietic Stem Cell Transplantation. Nutrients, 17.","DOI":"10.3390\/nu17101663"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/13\/2193\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T04:41:57Z","timestamp":1783485717000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/13\/2193"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,6]]},"references-count":52,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["nu18132193"],"URL":"https:\/\/doi.org\/10.3390\/nu18132193","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,6]]}}}