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One Health Approach to Nutritional Status and Well-Being in Food Supply Chain Workers: A Study Protocol
Mariacristina Siotto1, Carola Cocco1, Chiara Bertoncini1
1IRCCS Fondazione Don Carlo Gnocchi, 50143 Florence, Italy.
International Journal of Environmental Research and Public Health
|January 28, 2026
Summary
This study introduces a One Health approach to assess agri-food workers
Area of Science:
- Occupational Health
- Public Health
- Nutritional Science
Background:
- The Italian agri-food sector faces significant economic contributions alongside high rates of occupational injuries and musculoskeletal disorders.
- Repetitive manual handling and biomechanical overload necessitate a system-level, prevention-focused assessment strategy.
- Existing assessments often lack a holistic view of worker well-being within the supply chain.
Purpose of the Study:
- To implement a harmonized One Health approach for the multidimensional evaluation of food supply chain workers.
- To integrate bioelectrical impedance vector analysis (BIVA), nutritional, psychological, and biomarker data for a comprehensive worker assessment.
- To compare health profiles of active workers with sedentary individuals and inform preventive strategies.
Main Methods:
- Utilizing bioelectrical impedance vector analysis (BIVA) for body composition assessment.
- Incorporating nutritional parameters, quality-of-life surveys, and psychological measures.
- Measuring systemic oxidative stress and serotonin levels to evaluate overall health status.
- Comparing data from active agri-food workers against a control group of sedentary individuals.
Main Results:
- The study aims to identify differences in BIVA profiles between active workers and sedentary individuals.
- It will examine how nutritional, psychological, and biomarker indicators correlate with worker well-being.
- Expected findings will highlight specific risk factors and protective elements within the agri-food work environment.
Conclusions:
- An integrated One Health approach can provide a multidimensional framework for assessing food supply chain worker health.
- This protocol facilitates the development of targeted preventive and educational strategies.
- Findings will inform evidence-based occupational and public health policies to improve worker well-being in the agri-food sector.
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