{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:05:28Z","timestamp":1790672728927,"version":"4.1.0"},"reference-count":56,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:00:00Z","timestamp":1790380800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Union\u2013NextGenerationEU","award":["PE00000003"],"award-info":[{"award-number":["PE00000003"]}],"id":[{"id":"https:\/\/ror.org\/019w4f821","id-type":"ROR","asserted-by":"crossref"}]},{"award":["PE00000003"],"award-info":[{"award-number":["PE00000003"]}],"id":[{"id":"https:\/\/ror.org\/019w4f821","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Although aquatic foods are recognized for their nutritional value and relatively low environmental impact, their role in healthy and sustainable dietary patterns remains poorly characterized, particularly regarding canned fish products. This study aimed to evaluate the impact of increasing fresh and\/or canned fish consumption within two healthy and sustainable dietary patterns representative of the Italian context, one EAT-Lancet-based (MED_EAT-IT) and one based on Italian Food-Based Dietary Guidelines (FBDGs). Methods: Three alternative scenarios were generated for each baseline dietary pattern by increasing fish intake from three to four servings\/week, replacing poultry, while varying fresh fish and canned tuna contributions. Nutrient intakes, nutritional adequacy, and environmental impact indicators were compared across scenarios. Results: Replacing poultry with fresh fish generally improved the nutrient profile of the MED_EAT-IT pattern, increasing EPA+DHA (+14%), vitamin B12 (+11%), and vitamin D (+12%) intakes while slightly reducing cholesterol. These improvements were less evident in the FBDGs pattern, likely due to its fixed portion-based structure. Compared with fresh fish, substituting canned tuna resulted in slightly lower intakes of selected micronutrients and cholesterol, while nutritional adequacy was maintained for most nutrients. Carbon and water footprints were largely unchanged, with modest reductions observed as fish intake increased, particularly when canned tuna was included (up to \u22126.2% CF and \u22125.5% WF). Conclusions: These findings suggest that increasing fresh and canned fish consumption within optimized dietary patterns may improve micronutrient intake while maintaining, or slightly reducing, environmental impact, supporting the promotion of aquatic foods, including shelf-stable products, in healthy and sustainable diets.<\/jats:p>","DOI":"10.3390\/nu18193182","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T11:35:59Z","timestamp":1790595359000},"page":"3182","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fish Consumption and Sustainability: A Modeling Study Evaluating the Effects of Fish and Canned Fish Consumption on Nutritional Adequacy and Selected Metrics of Environmental Impact"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7915-7585","authenticated-orcid":false,"given":"Ellis","family":"Bianchi","sequence":"first","affiliation":[{"name":"Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Universit\u00e0 Degli Studi di Milano, 20133 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"data-curation","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"visualization","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8693-9577","authenticated-orcid":false,"given":"Massimiliano","family":"Tucci","sequence":"additional","affiliation":[{"name":"Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Universit\u00e0 Degli Studi di Milano, 20133 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"methodology","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"visualization","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7486-5598","authenticated-orcid":false,"given":"Alberto","family":"Dolci","sequence":"additional","affiliation":[{"name":"Bolton Food Research & Innovation Center, The Westgate, Singapore 608531, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"supervision","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7562-377X","authenticated-orcid":false,"given":"Cristian","family":"Del Bo\u2019","sequence":"additional","affiliation":[{"name":"Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Universit\u00e0 Degli Studi di Milano, 20133 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"methodology","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8298-926X","authenticated-orcid":false,"given":"Daniela","family":"Martini","sequence":"additional","affiliation":[{"name":"Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Universit\u00e0 Degli Studi di Milano, 20133 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"methodology","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9204-7257","authenticated-orcid":false,"given":"Patrizia","family":"Riso","sequence":"additional","affiliation":[{"name":"Division of Human Nutrition, Department of Food, Environmental and Nutritional Sciences (DeFENS), Universit\u00e0 Degli Studi di Milano, 20133 Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"funding-acquisition","vocabulary":"credit"},{"role":"project-administration","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2204","DOI":"10.1016\/S0140-6736(24)00685-8","article-title":"Burden of Disease Scenarios for 204 Countries and Territories, 2022\u20132050: A Forecasting Analysis for the Global Burden of Disease Study 2021","volume":"403","author":"Vollset","year":"2024","journal-title":"Lancet"},{"key":"ref_2","unstructured":"(2025, August 06). The State of the World\u2019s Land and Water Resources for Food and Agriculture 2021\u2014Systems at Breaking Point. Available online: https:\/\/openknowledge.fao.org\/items\/ff3cfcc4-e895-4df0-a925-c8ce240004ab."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1038\/s43016-021-00225-9","article-title":"Food Systems Are Responsible for a Third of Global Anthropogenic GHG Emissions","volume":"2","author":"Crippa","year":"2021","journal-title":"Nat. Food"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1038\/s41586-018-0594-0","article-title":"Options for Keeping the Food System within Environmental Limits","volume":"562","author":"Springmann","year":"2018","journal-title":"Nature"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/S0140-6736(18)31788-4","article-title":"Food in the Anthropocene: The EAT\u2013Lancet Commission on Healthy Diets from Sustainable Food Systems","volume":"393","author":"Willett","year":"2019","journal-title":"Lancet"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Perrone, P., Landriani, L., Patalano, R., Meccariello, R., and D\u2019Angelo, S. (2025). The Mediterranean Diet as a Model of Sustainability: Evidence-Based Insights into Health, Environment, and Culture. Int. J. Environ. Res. Public Health, 22.","DOI":"10.3390\/ijerph22111658"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.1016\/S0140-6736(25)01201-2","article-title":"The EAT\u2013Lancet Commission on Healthy, Sustainable, and Just Food Systems","volume":"406","author":"Thilsted","year":"2025","journal-title":"Lancet"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1016\/j.ajcnut.2024.01.014","article-title":"Impact of Consuming an Environmentally Protective Diet on Micronutrients: A Systematic Literature Review","volume":"119","author":"Leonard","year":"2024","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/j.tjnut.2022.10.016","article-title":"Friend or Foe? The Role of Animal-Source Foods in Healthy and Environmentally Sustainable Diets","volume":"153","author":"Beal","year":"2023","journal-title":"J. Nutr."},{"key":"ref_10","unstructured":"(2025, August 06). Contribution of Terrestrial Animal Source Food to Healthy Diets for Improved Nutrition and Health Outcomes. Available online: https:\/\/openknowledge.fao.org\/items\/aee31ec6-7641-47ea-80f5-8de49e87e708."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1038\/s41586-021-03889-2","article-title":"Environmental Performance of Blue Foods","volume":"597","author":"Gephart","year":"2021","journal-title":"Nature"},{"key":"ref_12","unstructured":"(2025, August 06). The Role of Aquatic Foods in Sustainable Healthy Diets|UN-Nutrition: The United Nations Inter-Agency Coordination Mechanism for Nutrition. Available online: https:\/\/www.unnutrition.org\/news\/role-aquatic-foods-sustainable-healthy-diets."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1038\/s43247-022-00516-4","article-title":"Assessing Seafood Nutritional Diversity Together with Climate Impacts Informs More Comprehensive Dietary Advice","volume":"3","author":"Bianchi","year":"2022","journal-title":"Commun. Earth Environ."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1038\/s41586-021-03917-1","article-title":"Aquatic Foods to Nourish Nations","volume":"598","author":"Golden","year":"2021","journal-title":"Nature"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1080\/09637486.2026.2658821","article-title":"Environmental Burden of Fish in Healthy and Sustainable Diets","volume":"77","author":"Dolci","year":"2026","journal-title":"Int. J. Food Sci. Nutr."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1038\/s41586-019-1592-6","article-title":"Harnessing Global Fisheries to Tackle Micronutrient Deficiencies","volume":"574","author":"Hicks","year":"2019","journal-title":"Nature"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1038\/s41586-023-05737-x","article-title":"Four Ways Blue Foods Can Help Achieve Food System Ambitions across Nations","volume":"616","author":"Crona","year":"2023","journal-title":"Nature"},{"key":"ref_18","unstructured":"Ritchie, H., and Roser, M. (2025, August 06). Fish and Overfishing. Our World Data 2021. Available online: https:\/\/ourworldindata.org\/fish-and-overfishing."},{"key":"ref_19","unstructured":"FAO (2024). The State of World Fisheries and Aquaculture 2024, FAO."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"103863","DOI":"10.1016\/j.numecd.2025.103863","article-title":"The Italian IV SCAI Dietary Survey: Main Results on Food Consumption","volume":"35","author":"Mistura","year":"2025","journal-title":"Nutr. Metab. Cardiovasc. Dis."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"102964","DOI":"10.1016\/j.gloenvcha.2025.102964","article-title":"Environmental Impacts and Food Loss and Waste in the U.S. Aquatic Food System","volume":"90","author":"Love","year":"2025","journal-title":"Glob. Environ. Change"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Pais-Costa, A.J., Marques, A., Oliveira, H., Gon\u00e7alves, A., Camacho, C., Augusto, H.C., and Nunes, M.L. (2025). New Perspectives on Canned Fish Quality and Safety on the Road to Sustainability. Foods, 14.","DOI":"10.3390\/foods14010099"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.marpol.2014.10.005","article-title":"Diversifying the Use of Tuna to Improve Food Security and Public Health in Pacific Island Countries and Territories","volume":"51","author":"Bell","year":"2015","journal-title":"Mar. Policy"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.appet.2012.06.009","article-title":"Knowledge and Barriers Relating to Fish Consumption in Older Australians","volume":"59","author":"Grieger","year":"2012","journal-title":"Appetite"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"100637","DOI":"10.1016\/j.gfs.2022.100637","article-title":"The Vital Roles of Blue Foods in the Global Food System","volume":"33","author":"Tigchelaar","year":"2022","journal-title":"Glob. Food Secur."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"100765","DOI":"10.1016\/j.crfs.2024.100765","article-title":"The MED_EAT-IT Approach: A Modelling Study to Develop Feasible, Sustainable and Nutritionally Targeted Dietary Patterns Based on the Planetary Health Diet","volume":"8","author":"Tucci","year":"2024","journal-title":"Curr. Res. Food Sci."},{"key":"ref_27","unstructured":"European Food Safety Authority (EFSA) (2017). Dietary Reference Values for Nutrients Summary Report, European Food Safety Authority (EFSA)."},{"key":"ref_28","unstructured":"SINU (2024). LARN\u2014Livelli Di Assunzione Di Rifeirimento Di Nutrienti Ed Energia, Biomedia. [5th ed.]."},{"key":"ref_29","unstructured":"Gnagnarella, P., Salvini, S., and Parpinel, M. (2022). Food Composition Database for Epidemiological Studies in Italy 2022, European Institute of Oncology (IEO)."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1038\/s41597-021-00909-8","article-title":"A Multilevel Carbon and Water Footprint Dataset of Food Commodities","volume":"8","author":"Petersson","year":"2021","journal-title":"Sci. Data"},{"key":"ref_31","unstructured":"(2025, September 04). EFSA Food Consumption Data|EFSA. Available online: https:\/\/www.efsa.europa.eu\/en\/data-report\/food-consumption-data."},{"key":"ref_32","unstructured":"(2024, November 06). CREA Linee Guida Per Una Sana Alimentazione, Available online: https:\/\/www.crea.gov.it\/web\/alimenti-e-nutrizione\/-\/linee-guida-per-una-sana-alimentazione-2018."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/j.jclepro.2019.04.229","article-title":"Combined Climate and Nutritional Performance of Seafoods","volume":"230","author":"Bergman","year":"2019","journal-title":"J. Clean. Prod."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"100391","DOI":"10.1016\/j.advnut.2025.100391","article-title":"Seafood and Neurocognitive Development in Children: A Systematic Review","volume":"16","author":"Spill","year":"2025","journal-title":"Adv. Nutr."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"2001","DOI":"10.3390\/nu7032001","article-title":"Fish Intake during Pregnancy and Foetal Neurodevelopment\u2014A Systematic Review of the Evidence","volume":"7","author":"Starling","year":"2015","journal-title":"Nutrients"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"632","DOI":"10.14283\/jpad.2024.57","article-title":"Fish and Shellfish Consumption, Cognitive Health and Mortality from Alzheimer\u2019s Disease among US Adults Aged 60 and Older","volume":"11","author":"Sun","year":"2024","journal-title":"J. Prev. Alzheimers Dis."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Thielecke, F., and Blannin, A. (2020). Omega-3 Fatty Acids for Sport Performance\u2014Are They Equally Beneficial for Athletes and Amateurs? A Narrative Review. Nutrients, 12.","DOI":"10.3390\/nu12123712"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"EFSA Panel on Nutrition, Novel Foods and Food Allergens (NDA), Turck, D., Castenmiller, J., de Henauw, S., Hirsch-Ernst, K., Kearney, J., Knutsen, H.K., Maciuk, A., Mangelsdorf, I., and McArdle, H.J. (2019). Dietary Reference Values for Sodium. EFSA J., 17, e05778.","DOI":"10.2903\/j.efsa.2019.5779"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1007\/s11883-025-01363-2","article-title":"N-3 Fatty Acids (EPA and DHA) and Cardiovascular Health\u2014Updated Review of Mechanisms and Clinical Outcomes","volume":"27","author":"Djuricic","year":"2025","journal-title":"Curr. Atheroscler. Rep."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"3866","DOI":"10.1080\/10408398.2026.2615693","article-title":"Role of the EPA: DHA Dosing Ratio in Omega-3 Supplements on Blood Fatty Acid Profiles and Inflammation: A Systematic Review and Meta-Analysis","volume":"66","author":"Khabir","year":"2026","journal-title":"Crit. Rev. Food Sci. Nutr."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"e025071","DOI":"10.1161\/JAHA.121.025071","article-title":"Omega-3 Polyunsaturated Fatty Acids Intake and Blood Pressure: A Dose-Response Meta-Analysis of Randomized Controlled Trials","volume":"11","author":"Zhang","year":"2022","journal-title":"J. Am. Heart Assoc."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/j.mayocp.2020.08.034","article-title":"Effect of Omega-3 Dosage on Cardiovascular Outcomes","volume":"96","author":"Bernasconi","year":"2021","journal-title":"Mayo Clin. Proc."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1024\/0300-9831\/a000733","article-title":"Sources of Vitamin D for Humans","volume":"92","author":"Benedik","year":"2022","journal-title":"Int. J. Vitam. Nutr. Res."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1038\/s41538-025-00460-5","article-title":"Vitamin D: Recent Advances, Associated Factors, and Its Role in Combating Non-Communicable Diseases","volume":"9","author":"Deepika","year":"2025","journal-title":"npj Sci. Food"},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Saponaro, F., Saba, A., and Zucchi, R. (2020). An Update on Vitamin D Metabolism. Int. J. Mol. Sci., 21.","DOI":"10.3390\/ijms21186573"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1126\/science.aaq0216","article-title":"Reducing Food\u2019s Environmental Impacts through Producers and Consumers","volume":"360","author":"Poore","year":"2018","journal-title":"Science"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"014005","DOI":"10.1088\/1748-9326\/9\/1\/014005","article-title":"Freshwater Savings from Marine Protein Consumption","volume":"9","author":"Gephart","year":"2014","journal-title":"Environ. Res. Lett."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Servusova, E., and Piskata, Z. (2021). Identification of Selected Tuna Species in Commercial Products. Molecules, 26.","DOI":"10.3390\/molecules26041137"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"2218","DOI":"10.1073\/pnas.1909726116","article-title":"Effective Fisheries Management Instrumental in Improving Fish Stock Status","volume":"117","author":"Hilborn","year":"2020","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_50","unstructured":"FAO, and WHO (2024). Joint FAO\/WHO Expert Consultation on the Risks and Benefits of Fish Consumption, WHO."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"EFSA Scientific Committee (2015). Statement on the Benefits of Fish\/Seafood Consumption Compared to the Risks of Methylmercury in Fish\/Seafood. EFSA J., 13, 3982.","DOI":"10.2903\/j.efsa.2015.3982"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.tifs.2020.02.033","article-title":"Fish Consumption and Multiple Health Outcomes: Umbrella Review","volume":"99","author":"Li","year":"2020","journal-title":"Trends Food Sci. Technol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"7479","DOI":"10.1080\/10408398.2021.1915240","article-title":"Human Health Risk\u2013Benefit Assessment of Fish and Other Seafood: A Scoping Review","volume":"62","author":"Thomsen","year":"2022","journal-title":"Crit. Rev. Food Sci. Nutr."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"152","DOI":"10.21037\/atm-22-6515","article-title":"Fish Consumption in Multiple Health Outcomes: An Umbrella Review of Meta-Analyses of Observational and Clinical Studies","volume":"11","author":"Zhao","year":"2023","journal-title":"Ann. Transl. Med."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Cabral, C.D.S., Monteiro, L.C., Maciel Pereira, T.A., Da Costa J\u00fanior, W.A., Oliveira, I.A.D.S., Canela, T.A., Bernardi, J.V.E., Pestana, I.A., and Almeida, R.D. (2025). A Novel Approach to Estimate Mercury Exposure Risks Through Fish Consumption Based on the Selenium\u2013Mercury Molar Ratio. Toxics, 13.","DOI":"10.3390\/toxics13080621"},{"key":"ref_56","unstructured":"(2012). EFSA Panel on Contaminants in the Food Chain (CONTAM). Scientific Opinion on the Risk for Public Health Related to the Presence of Mercury and Methylmercury in Food. EFSA J., 10, 2985."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/19\/3182\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T08:23:17Z","timestamp":1790670197000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/19\/3182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,26]]},"references-count":56,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2026,10]]}},"alternative-id":["nu18193182"],"URL":"https:\/\/doi.org\/10.3390\/nu18193182","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,26]]}}}