journal
https://read.qxmd.com/read/38522023/clinical-application-of-real-time-continuous-glucose-monitoring-system-during-postoperative-enteral-nutrition-therapy-in-esophageal-cancer-patients
#1
JOURNAL ARTICLE
Ranran Zhang, Ying Wu, Rui Xv, Wei Wang, Lei Zhang, Ansheng Wang, Min Li, Wei Jiang, Guoxi Jin, Xiaolei Hu
BACKGROUND: Enteral nutrition (EN) support therapy increases the risk of abnormal blood glucose (BG). The aim of this study is to evaluate the clinical value of a real-time continuous glucose monitoring (rt-CGM) system in BG monitoring during postoperative EN support therapy in patients with esophageal cancer. METHODS: Patients without diabetes mellitus (DM) with esophageal cancer who planned to receive postoperative EN were enrolled. With the self-monitoring of BG value as the reference BG, the accuracy of rt-CGM was evaluated by the mean absolute relative difference (MARD) value, correlation efficient, agreement analysis, and Parkes and Clarke error grid plot...
March 24, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38506319/knowledge-and-clinical-practice-of-aspen-registered-dietitian-nutritionist-members-regarding-blenderized-tube-feedings
#2
JOURNAL ARTICLE
Terry Brown, Teresa Johnson, Allison Gomes, Hamed Samavat, Laura Byham-Gray
BACKGROUND: Blenderized tube feedings (BTFs) are used by patients/caregivers who report improvements in gastrointestinal tolerance compared with standard commercial feedings. Despite positive outcomes, registered dietitian nutritionists or international equivalents (RDN/Is) hesitate to recommend BTFs. We aimed to determine if an association exists between dietitian characteristics and willingness to recommend BTFs. METHODS: A BTF-specific survey (N = 157) assessed for validity and reliability was administered to the American Society for Parenteral and Enteral Nutrition (ASPEN) RDN/I members...
March 20, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38505875/dietary-therapies-for-adult-and-pediatric-inflammatory-bowel-disease
#3
REVIEW
Jessica Deas, Neha D Shah, Gauree G Konijeti, Abigail Lundin, Olivia Lanser, Pooja Magavi, Sabina Ali
Diet is an environmental exposure implicated in the development of inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC). Dietary therapy is also a tool for management of these conditions. Nutrition therapy for IBD has been shown to reduce intestinal inflammation, promote healing, and alleviate symptoms, as well as improve patients' nutrition status. Although the mechanisms of action of most nutrition therapies for IBD are not well understood, the diets are theorized to eliminate triggers for gut dysbiosis and mucosal immune dysfunction associated with the typical Western diet...
March 20, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38493301/association-of-in-line-digestive-enzyme-cartridge-with-enteral-feeds-on-improvement-in-anthropometrics-among-pediatric-patients-with-cystic-fibrosis
#4
JOURNAL ARTICLE
Samarth Shrivastava, Karyn Shaw, MinJae Lee, Patricia Reitich, Stacie Hunter, Mary Klosterman, Meghana Sathe
BACKGROUND: Approximately 85% of patients with cystic fibrosis (CF) have exocrine pancreatic insufficiency (EPI) with 10% requiring supplemental nighttime enteral tube feedings. Administration of pancreatic enzyme replacement therapy (PERT) with nighttime feedings is fraught with challenges. RELiZORB (Alcresta Therapeutics, Inc), an in-line lipase cartridge, delivers PERT continuously with enteral feedings. Outcomes related to the use of this in-line lipase cartridge are lesser known...
March 16, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38491970/assessment-of-the-risk-of-contamination-of-enteral-nutrition-bottles-based-on-the-simulation-of-home-use-conditions-and-hygiene-procedures
#5
JOURNAL ARTICLE
Isabela T F da Silva, Caroline O Medeiros, Jaqueline Leobet, Márcia R Beux, Estela I Rabito, Schaina A P Etgeton, Lize S Fiori
BACKGROUND: Home-prepared enteral formulations are supplied to patients through enteral nutrition bottles, via a gravity bag or other container, which may be inadequately sanitized and reused more times than recommended by the manufacturer. Such procedures increase the risk of contamination and can compromise the patient's clinical outcome. In light of this, the present study aimed to assess the risk of contamination of enteral nutrition bottles by simulating home use conditions and hygiene procedures...
March 16, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38491966/teduglutide-improves-liver-chemistries-in-short-bowel-syndrome-associated-intestinal-failure-post-hoc-analysis
#6
JOURNAL ARTICLE
Dejan Micic, Ian Robinson, Tanya Kidd, Brian Terreri, Bram P Raphael
BACKGROUND: Chronic hepatic complications are common in patients with short bowel syndrome-associated intestinal failure (SBS-IF). Teduglutide, a glucagon-like peptide-2 analogue, demonstrated efficacy in reducing parenteral nutrition and/or intravenous fluid dependence among patients with SBS-IF in phase 3 clinical studies. METHODS: This was a post hoc analysis of pooled data from two separate randomized, double-blind, placebo-controlled, multinational phase 3 clinical studies...
March 16, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38460962/value-of-the-modified-patient-generated-subjective-global-assessment-in-indicating-the-need-for-nutrition-intervention-and-predicting-overall-survival-in-patients-with-malignant-tumors-in-at-least-two-organs
#7
JOURNAL ARTICLE
Feifei Chong, Zhenyu Huo, Liangyu Yin, Jie Liu, Na Li, Jing Guo, Yang Fan, Mengyuan Zhang, Ling Zhang, Xin Lin, Junqiang Chen, Chunling Zhou, Suyi Li, Fuxiang Zhou, Qinghua Yao, Zengqing Guo, Min Weng, Ming Liu, Tao Li, Zengning Li, Jiuwei Cui, Wei Li, Hanping Shi, Wei Guo, Hongxia Xu
BACKGROUND: Although the Patient-Generated Subjective Global Assessment (PG-SGA) is a reference standard used to assess a patient's nutrition status, it is cumbersome to administer. The aim of the present study was to estimate the value of a simpler and easier-to-use modified PG-SGA (mPG-SGA) to evaluate the nutrition status and need for intervention in patients with malignant tumors present in at least two organs. METHODS: A total of 591 patients (343 male and 248 female) were included from the INSCOC study...
March 9, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38445969/agreement-and-diagnostic-differences-among-three-definitions-of-sarcopenia-in-patients-with-chronic-hepatitis-c
#8
JOURNAL ARTICLE
Thais Pontello de Vries, Aline Marcos Pires, Kiara Gonçalves Dias Diniz, Anna Luiza Soares Chagas, Diego Alves Vieira, Adriana Maria Kakehasi, Vivian Marques Miguel Suen, Tatiana Bering, Enrico Antonio Colosimo, Gifone Aguiar Rocha, Kátia de Paula Farah, Luciana Diniz Silva
BACKGROUND: There is neither a gold standard definition nor a universal consensus to diagnose sarcopenia in patients with chronic hepatitis C. Thus, we aimed to compare the prevalence of sarcopenia and the agreement and discrepancies between European Working Group on Sarcopenia in Older People (EWGSOP1), EWGSOP2, and Foundation for the National Institutes of Health Biomarkers Consortium Sarcopenia Project (FNIH) definitions in chronic hepatitis C. METHODS: Dual-energy x-ray absorptiometry was used to assess muscle mass by quantifying appendicular lean mass (ALM) adjusted for squared height (ALM/ht2 ) or for body mass index (ALMBMI )...
March 6, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38443160/prevalence-of-low-calf-circumference-in-hospitalized-patients-classified-by-raw-or-body-mass-index-adjusted-values
#9
JOURNAL ARTICLE
Iasmin M de Sousa, Ana Paula Trussardi Fayh, Maria Cristina Gonzalez, Flávia M Silva
BACKGROUND: Adiposity can influence the estimation of muscle mass using calf circumference (CC) and underestimate the frequency of low CC. An adjustment for CC using body mass index (BMI) was proposed to reduce this effect. We aimed to compare the low CC frequency in hospitalized patients when considering raw and BMI-adjusted values and explore data by sex, age, and race (white and non-white). METHODS: Secondary analysis from two cohort studies conducted with adult hospitalized patients using BMI and CC data collected in the first 72 h after hospital admission...
March 5, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38375866/nutrition-and-outcomes-in-venovenous-extracorporeal-membrane-oxygenation-an-observational-cohort-study
#10
JOURNAL ARTICLE
Stacy Pelekhaty, Julie Gessler, Siddhartha Dante, Nicholas Rector, Samuel Galvagno, Stephen Stachnik, Joseph Rabin, Ali Tabatabai
BACKGROUND: Overfeeding and underfeeding are associated with negative outcomes during critical illness. The purpose of this retrospective study was to assess the association between nutrition intake and outcomes for patients receiving venovenous (VV) extracorporeal membrane oxygenation (ECMO). METHODS: Adults who received VV ECMO August 2017 to June 2020 were screened. Patients with <3 ECMO nutrition support days were excluded. Age, sex, height, weight, ideal body weight (IBW), body mass index, sequential organ failure assessment score, respiratory ECMO survival prediction score, energy, and protein goals were collected...
February 20, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38372592/completion-of-a-nutrition-focused-physical-exam-with-hospitalized-adults-and-pediatric-patients-secondary-analysis-of-a-prospective-cohort-study
#11
JOURNAL ARTICLE
Elizabeth Yakes Jimenez, Erin Lamers-Johnson, Julie M Long, Beth A Mordarski, Xingya Ma, Alison Steiber
BACKGROUND: Nutrition-Focused Physical Exam (NFPE) feasibility is not well-studied. We describe registered dietitian nutritionist (RDN)-reported NFPE completion for hospitalized adult and pediatric patients overall and by assessment parameters. METHODS: Trained RDNs systematically conducted NFPEs for hospitalized adult and pediatric patients during the Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition Indicators to diagnose Malnutrition multisite cohort study (ClinicalTrials...
February 19, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38366972/evidence-based-practice-attitudes-and-nutrition-support-guideline-knowledge-between-holders-and-nonholders-of-the-certified-nutrition-support-clinician-credential
#12
JOURNAL ARTICLE
Lea Steiner, Joachim Sackey, Deborah Cohen, Rebecca Brody
BACKGROUND: Clinical practice frequently changes, and professionals should stay abreast of evidence-based practice (EBP) guidelines. Negative attitudes towards EBP are a barrier to guideline adoption. This study explored EBP attitudes and knowledge of a complex nutrition support clinical case scenario of individuals holding or not holding the Certified Nutrition Support Clinician (CNSC) credential. METHODS: This cross-sectional study used an online survey sent to American Society for Parenteral and Enteral Nutrition (ASPEN) members with and without the CNSC credential and all CNSC credential holders from the National Board of Nutrition Support Certification email list...
February 17, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38357829/nutrition-therapy-in-critically-ill-patients-with-severe-acute-pancreatitis
#13
REVIEW
Jia-Kui Sun, Cheng Lv, Lin Gao, Wenjian Mao, Weiqin Li, Lu Ke
A significant proportion of patients (10%-20%) with acute pancreatitis develop severe acute pancreatitis characterized by pancreatic necrosis, systemic inflammation, and organ failure, commonly requiring intensive care unit (ICU) admission. In this specific population, nutrition therapy is more challenging than that in the general ICU population, primarily because of inevitable gastrointestinal involvement by pancreatic inflammation. In this review, we discussed several key aspects of nutrition therapy in this population, including key pathophysiology that may impede nutrition therapy, the timing and implementation of enteral nutrition and parenteral nutrition, the importance of specific nutrient supplements, and the long-term outcomes that may be addressed by nutrition therapy...
February 15, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38326229/disordered-eating-behaviors-in-pediatric-patients-with-inflammatory-bowel-disease-in-remission-or-mild-moderate-disease-activity
#14
JOURNAL ARTICLE
Maggie Vickers, John Whitworth, Lybil Mendoza Alvarez, Michelle Bowden
BACKGROUND: Inflammatory bowel disease (IBD) is a chronic, autoimmune disorder that affects the gastrointestinal tract. Disordered eating describes irregular eating behaviors that may be a precursor to an eating disorder diagnosis. Higher rates of disordered eating have been described in chronic diseases. Screening for disordered eating is not performed in pediatric patients with IBD. The goal of this longitudinal study was to use the Eating Attitudes Test (EAT-26) to screen pediatric patients with IBD for disordered eating, estimate our population's prevalence, identify potential risk factors, and correlate positive EAT-26 screen results with evaluation in adolescent medicine clinic...
February 7, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38321633/high-prevalence-of-muscle-weakness-and-probable-sarcopenia-in-patients-with-inflammatory-bowel-disease
#15
JOURNAL ARTICLE
Ilkay Ergenc, Chasan Ismail Basa, Alper Uzum, Sevval Sahin, Haluk Tarık Kani, Rahmi Aslan, Aslı Tufan, Özgür Kasımay, Özlen Atuğ, Yeşim Özen Alahdab
BACKGROUND: This study aimed to determine the prevalence of probable sarcopenia and sarcopenia in patients with inflammatory bowel disease (IBD) by using the European Working Group on Sarcopenia in Older People (EWGSOP2) diagnostic criteria. METHODS: Sarcopenia was assessed by using the sequential four-step algorithm. (1) Find: Sarcopenia risk by simple clinical symptom index (strength, assistance walking, rise from a chair, climb stairs, and falls [SARC-F questionnaire])...
February 6, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38317615/response-to-optimal-energy-provision-early-in-icu-stay-for-critically-ill-patients-receiving-parenteral-nutrition-a-commentary
#16
LETTER
Ahmed Nagy, Justin Delic, James M Hollands, Song Oh, Stacy Pasciolla, Laura Pontiggia, Diana Solomon, Angela L Bingham
No abstract text is available yet for this article.
February 6, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38317583/-optimal-energy-provision-early-in-icu-stay-for-critically-ill-patients-receiving-parenteral-nutrition-a-commentary
#17
LETTER
Joel Stefani, Sérgio Renato da Rosa Decker, Sergio Henrique Loss
No abstract text is available yet for this article.
February 5, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38316566/global-leadership-initiative-on-malnutrition-criteria-in-older-adults-who-are-institutionalized-agreement-with-the-subjective-global-assessment-and-its-impact-on-5-year-mortality
#18
JOURNAL ARTICLE
Guilherme F Graciano, Isabella R Souza, Maria Isabel T D Correia, Lucilene R Anastácio, Bárbara C Santos
BACKGROUND: This study aimed to assess the prevalence of malnutrition according to Subjective Global Assessment (SGA), Mini Nutritional Assessment-Full Form (MNA-FF), and different combinations of the Global Leadership Initiative on Malnutrition (GLIM) criteria in older adults who are institutionalized, and the impact of malnutrition on 5-year mortality. METHODS: Nutrition status was assessed by the SGA, MNA-FF, and 15 GLIM criteria combinations. The Katz scale was used to assess the level of dependence...
February 5, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38290801/single-food-elimination-of-cow-s-milk-as-a-treatment-for-eosinophilic-esophagitis-in-children-aged-2-18-years-a-review-of-the-literature
#19
JOURNAL ARTICLE
Julianna Grasso, Diane Rigassio Radler, Rena Zelig
Cow's milk elimination (CME) is an established treatment, similar to other forms of diet therapy, for eosinophilic esophagitis (EoE). However, there is limited research to support its efficacy as a primary treatment. This review evaluated studies published in the past 10 years that assessed the outcomes after CME on histologic remission, clinical findings, and quality of life (QoL) in children aged 2-18 years with EoE. The evidence demonstrated that CME was effective at achieving histologic remission of disease in 50%-65% of children...
January 30, 2024: Nutrition in Clinical Practice
https://read.qxmd.com/read/38282189/a-longitudinal-study-to-determine-if-all-critically-ill-patients-should-be-considered-at-nutrition-risk-or-is-there-a-highly-accurate-screening-tool-to-be-adopted
#20
JOURNAL ARTICLE
Elisa L Razzera, Danielle S J Milanez, Flávia M Silva
BACKGROUND: Nutrition risk is prevalent in intensive care unit (ICU) settings and related to poor prognoses. We aimed to evaluate the concurrent and predictive validity of different nutrition risk screening tools in the ICU. METHODS: Data were collected between 2019 and 2022 in six ICUs (n = 450). Nutrition risk was evaluated by modified Nutrition Risk in Critically ill (mNUTRIC), Nutritional Risk Screening (NRS-2002), Malnutrition Screening Tool (MST), Malnutrition Universal Screening Tool (MUST), and Nutritional Risk in Emergency (NRE-2017)...
January 28, 2024: Nutrition in Clinical Practice
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