During pregnancy, reactive oxygen species (ROS) may physiologically increase due to changes and growth of mother and fetal tissues. Consequently, oxidative stress (OS) may occur and be involved in the onset of pregnancy and newborn complications. Among exogenous antioxidant sources, diet is a cost-effective prevention strategy supporting the health of mothers and newborns; however, there is still a lack of nutritional education during pregnancy interviews. This review aims to systematically summarize the knowledge on the association between OS and diet during pregnancy. Four electronic databases (PubMed Central, EMBASE, Web of Science, and Food Science and Technology Abstracts) were searched on 22 December 2022. Among 4162 records, 13 original articles were finally included. Overall, 80% of the studies considered dietary patterns as exposure and 60% of them assessed the association with malondialdehyde levels in blood and urine. Three studies analyzed the influence of daily intakes of fruit and vegetables on different OS biomarkers (malondialdehyde, nitric oxide and 8-hydroxy-2′-deoxyguanosine). Among studies exploring dietary fat intakes (39%), 80% focused on polyunsaturated fatty acids, finding a positive association with glutathione peroxidase, biopirryn and isoprostane levels, respectively. Four studies analyzed vitamin intakes and 50% of them in association with 8-hydroxy-2′-deoxyguanosine.

Background: Vitamin D intake and synthesis are essential. Vitamin D deficiency is increasing across all age groups, raising concerns regarding public health. Serum 25(OH)D is measured to define vitamin D deficiency. However, its quantification in non-invasively collected biological matrices is still poorly studied. This study aimed to assess 25(OH)D levels in unconventional matrices using cost-effective analytical methods. Methods: Serum, urine, and saliva were collected from 62 healthy, non-smoking volunteers, 25–44 years of age. Biological samples were analysed using the Enzyme-Linked Immunosorbent Assay (ELISA). The serum was additionally analysed via the chemiluminescent microparticle immunoassay (CMIA), which was used as a benchmark. Results: We observed a linear correlation (Pearson r = 0.44; p = 0.05) between the benchmark and ELISA-measured 25(OH)D urinary levels. After stratification by sex, the correlation was stronger and significant only in females (Pearson r = 0.62; p = 0.04). Salivary 25(OH)D levels did not correlate with serum levels for both ELISA and CMIA measures. Subjects with a CMIA serum-based deficiency showed lower urinary 25(OH)D levels (p = 0.04). Conclusion: Our study opens up the possibility of using urinary 25(OH)D levels as a proxy measurement of vitamin D. Such an approach may allow future investigations on the association between environmental factors and vitamin D assessed in non-invasively collected biological matrices via cost-effective analytical methods.

End-of-life tyre (ELT) management is still a hot topic due to implications for sustainability and human health. This review aims to summarise the findings concerning the chemicals’ bio-accessibility/availability from the granular tyre-derived infill material used in sport surfaces. We included 14 original research articles and 5 reports (grey literature). The results included the analysis concerning volatile organic compounds (VOCs), polycyclic aromatic hydrocarbons (PAHs), phthalates, metal(loid)s and other substances. The release of some dangerous chemicals was demonstrated, even though results must be considered critically. However, the chemicals’ bioaccessibility shows a highly nuanced picture and is not, per se, sufficient to determine the risk for the exposed subjects. The lack of bioavailability and epidemiological studies analysing the exposures in real scenarios resulted in one of the main issues concerning a proper evaluation of the potential risks for human health.

: According to the WHO guidelines, to counteract the excessive weight gain during pregnancy and to mitigate the increase in oxidative stress (OS) which naturally increases during pregnancy, a healthy lifestyle and a correct diet are crucial as preventive measures to promote health. The MaNu project was conceived precisely to control these factors through dietary counselling. We expect that pregnant women who voluntarily undergo an educational program consisting of specific and accurate dietary advice will be able to emphasize weight control and contain the increase in OS. Our randomized controlled trial (RCT) has a parallel group design and takes place in the Obstetrics and Clinical Nutrition Departments of Michele and Pietro Ferrero Hospital (Verduno, north-western Italy), where physiological pregnant women are enrolled between 12-17 gestational weeks (GWs). The educational intervention takes place between 12-24 GWs. Dietary habits were collected with a questionnaire and urine samples were analysed to quantify the OS using 15-F2t-isoprostane, malondialdehyde and total antioxidant power. The descriptive analyses are based on paired t-tests. Preliminary analyses on 76 women who completed two out of three time points (T0 and T1) indicate that, of women who received the intervention, 35% experienced excessive weight gain (based on guidelines), compared to 39% shown by controls. Following the counselling, the 15-F2t-isoprostane decreased significantly (mean T0=5.1 ng/ml vs. mean T1=3.5 ng/ml, p = 0.02). Concerning nutrient intake, a statistically significant reduction in sugar consumption has been found in the intervention group (mean T0=92.2 g vs. mean T1=83.3 g, p = 0.03). Conversely, no correlations have been detected between OS and the main pro and anti-oxidant macronutrients. Although promising, our findings need further verification since the RCT is still ongoing, and it is imperative to attain the anticipated sample size before drawing any definitive conclusions. Key messages: • Dietary counselling during pregnancy should be implemented as a preventive strategy used to counteract potential pregnancy complications and ensure the well-being of both the mother and the baby. • Healthy diet is essential to control the increase in oxidative stress levels during pregnancy and to prevent excessive weight gain, factors that can lead to the onset of pregnancy complications.

Air pollution represents a public health threat; it is co-responsible for millions of premature deaths annually and economic losses. Mega-events create abrupt changes in air pollution providing quasi-experimental settings to investigate related health impacts. This systematic review synthesizes the evidence on air pollution level changes during mega-events and associated short-term health effects, including mortality, hospitalizations and early biological responses. A literature search was conducted in PubMed, Embase, Scopus and Web of Science up to 7 April 2025. Study quality was evaluated using the EPHPP Quality Assessment Tool for Quantitative Studies. Thirty-one studies met the inclusion criteria. Mega-events without effective air pollution control measures were associated with increased pollutant levels and higher risks of respiratory and cardiovascular morbidity. Biomarker studies demonstrated rapid and reversible changes in oxidative stress and inflammatory biomarkers in response to short-term variations in air pollution. Instead, significant reductions in air pollution during mega-events were observed upon emission control measures. The evidence is predominantly from Asian countries, no Europe/Africa studies and only one from North America, limiting generalizability. Findings indicate that mega-events may influence air quality which affects human health, reinforcing the value of temporary emission control measures strategies for future mega-events. The systematic review was registered with Prospero (CRD420251032553).

Background: Diet during pregnancy plays a crucial role in promoting healthy dietary behaviours and positive maternal and child health outcomes. However, evidence regarding the factors associated with healthy dietary behaviours among pregnant women is limited. The SaperePer study aims to assess the dietary behaviours of pregnant women and identify the sociodemographic, lifestyle, and health-related factors that influence their choices. Methods: This cross-sectional analysis included 1254 pregnant women recruited from two Northern Italian centres (Turin and Cuneo). Dietary behaviour was assessed using a questionnaire, which generated a diet-related scores. Associations between these scores and participants’ characteristics were investigated using multivariable regression models. Results: Overall, participants reported relatively favourable dietary habits and a low prevalence of risky behaviours. Higher socioeconomic position was found to be one of the strongest contributing factors to dietary behaviour (medium vs. low β (95% CI) = 1.18 (0.93, 1.42); high vs. low β (95% CI) = 1.57 (1.10, 2.04), both p < 0.001). Higher dietary behaviour scores were positively associated with older maternal age, moderate physical activity, and better perceived physical and psychological health, whereas smoking and alcohol consumption were associated with lower scores. Conclusions: Dietary behaviour during pregnancy appears to be shaped by a complex interplay of socioeconomic, behavioural, and health-related factors rather than by nutritional knowledge alone. These findings highlight the need for tailored interventions that address the social and contextual features of dietary behaviour to encourage healthier habits during pregnancy.