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Clinical Nutrition ESPEN

Nathan R Hendrickson, Natalie Glass, Jocelyn Compton, Brandon G Wilkinson, J Lawrence Marsh, Michael C Willey
INTRODUCTION: Malnutrition is a potentially modifiable risk factor associated with increased hospital charges, major wound complication, and fracture non-union after orthopaedic surgery. The goal of this study was to examine the relationship between three nutrition screening tools and postoperative complications in patients undergoing acute fracture fixation. METHODS: Patients aged 18 or older undergoing acute operative fracture fixation at a Level I academic trauma center were screened upon admission using a malnutrition screening questionnaire (MSQ), and classified as low-, moderate- or high risk...
February 2019: Clinical Nutrition ESPEN
Abril Jiménez-Cepeda, Giselle Dávila-Said, Arturo Orea-Tejeda, Dulce González-Islas, Marcela Elizondo-Montes, Guillermo Pérez-Cortes, Candace Keirns-Davies, Luis Felipe Castillo-Aguilar, Leslie Verdeja-Vendrell, Viridiana Peláez-Hernández, Rocío Nayelí Sánchez-Santillán
BACKGROUND & AIMS: The deterioration of pulmonary function has been associated with increased levels of systemic inflammation that can be stimulated by consumption of saturated fatty acids and trans fats. We hypothesized that fatty acids intake impact on pulmonary function. However, evidence about the impact of different types of fatty acids on pulmonary function in patients with chronic obstructive pulmonary disease (COPD) is limited and heterogeneous. The aim of this study was to evaluate the association between intake of fatty acids and pulmonary function in patients with COPD...
February 2019: Clinical Nutrition ESPEN
Carmen Rosenberger, Monica Rechsteiner, Rebekka Dietsche, Matthias Breidert
BACKGROUND AND AIMS: Elderly orthopaedic patients are potentially at a high nutritional risk. The reasons for this are numerous as i.e. reduced appetite, sensation of satiety after eating small amounts of food, multi-medication or immobility. This is in contrast to the increased energy and protein recommendations for geriatric orthopaedic patients. METHODS: Oral intake during hospitalization of more than 1000 geriatric orthopaedic patients aged over 80, with or without fracture, was recorded, calculated and then compared to energy and protein requirements by clinical dietitians according to international guidelines...
February 2019: Clinical Nutrition ESPEN
Nur Adilah Shuhada Abd Aziz, Nur Islami Mohd Fahmi Teng, Mazuin Kamarul Zaman
BACKGROUND & AIMS: Malnutrition is common among hospitalized elderly patients, and the prevalence is increasing not only in Malaysia but also in the rest of the world. The Geriatric Nutrition Risk Index (GNRI) and the Mini Nutritional Assessment (MNA) were developed to identify malnourished individuals among this group. The MNA was validated as a nutritional assessment tool for the elderly. The GNRI is simpler and more efficient than the MNA, but studies on the use of the GNRI and its validity among the Malaysian population are absent...
February 2019: Clinical Nutrition ESPEN
Michael Chourdakis, Maria G Grammatikopoulou, Kalliopi Anna Poulia, Marili Passakiotou, Zoe K Pafili, Emmanouil Bouras, Ioannis Doundoulakis, Ioannis Galitsianos, Theodora Lappa, Anestis Karakatsanis, Daren K Heyland
BACKGROUND & AIMS: Patients in the intensive care unit are experiencing an increased malnutrition risk. The NUTrition Risk in the Critically ill score (NUTRIC) is a validated tool for the identification of patients that will benefit the most, from nutritional intervention. The aim of the study was twofold, including: 1) to translate and adapt the NUTRIC score in the Greek language for more efficient and comprehensive use among clinicians, and 2) to assess its prognostic performance in a pilot sample...
February 2019: Clinical Nutrition ESPEN
Andrieli de Souza, Denise Johnsson Campos, Maria Eliana Madalozzo Schieferdecker, Vaneuza Araújo Moreira Funke, Regina Maria Vilela
BACKGROUND: Mortality among adult patients undergoing hematopoietic stem cell transplantation (HSCT) is high, especially within the first 100 days after the event. Therefore, identifying prognostic factors would be useful as screening tools to protect patients at risk throughout early intervention. In our previous work, the standardized phase angle (SPA) was explored as a useful indicator of survival and nutritional status among children and adolescent within the first 180 days after HSCT...
February 2019: Clinical Nutrition ESPEN
Mehrane Mehramiz, Sayyed Saeid Khayyatzadeh, Habibollah Esmaily, Faezeh Ghasemi, Kiana Sadeghi-Ardekani, Maryam Tayefi, Seyed Jamal Mirmousavi, Parichehr Hanachi, H Bahrami-Taghanaki, Saeed Eslami, Hasan Vatanparast, Gordon A Ferns, Majid Ghayour-Mobarhan, Amir Avan
BACKGROUND: Vitamin D deficiency is a global problem that may be improved by vitamin D supplementation; however, the individual's response to the intervention varies. We aimed to investigate possible genetic factors that may modify the impact of environmental exposure on vitamin D status. The candidate gene variant we investigated was the Gc gene-rs4588 polymorphism at the vitamin D receptor (DBP) locus. METHODS: A total of 619 healthy adolescent Iranian girls received 50000 IU of vitamin D3 weekly for 9 weeks...
February 2019: Clinical Nutrition ESPEN
Anne C Torbergsen, Leiv O Watne, Frede Frihagen, Torgeir B Wyller, Morten Mowè
BACKGROUND AND AIM: Hip fracture patients are at great risk of malnutrition, but documentation of the effect of nutrition supplementation in this group is sparse and inconclusive. The aim of this study was to examine if personalized nutrition advice combined with vitamin K1, Ca and vitamin D could improve bone turnover 4 months after hip fracture. DESIGN: This is a preplanned sub study of a randomized controlled trial of orthogeriatric care. The intervention group received orthogeriatric care, including nutrition advice and supplementation...
February 2019: Clinical Nutrition ESPEN
Lavanya Cherukuri, Gail Gewirtz, Kea Osea, John A Tayek
PURPOSE: To test the benefits of Vitamin A treatment in patients with sepsis on length of time in ICU, days on ventilator, days on intravenous blood pressure support and 28-day mortality. The trial was prospective, randomized and double-blind. As part of a larger sepsis trial, 63 patients with sepsis were randomized to receive either 100,000 IU of Vitamin A intramuscular or placebo over 7-days. Data analysis was by ANOVA with two tailed test and p < 0.05 as significant. RESULTS: The mean age was 51 ± 2 (mean ± SEM) with 54% female...
February 2019: Clinical Nutrition ESPEN
Noureddin Soltanian, Mohsen Janghorbani
BACKGROUND: Both flaxseed and psyllium have previously been shown to reduce constipation symptoms, weight, glycemic and lipid levels, and we postulate that treatment with flaxseed and psyllium may have similar benefits. OBJECTIVE: To compare constipation symptoms, weight, glycemia, and lipids in constipated patients with type 2 diabetes (T2D) who received baked flaxseed or psyllium versus those who received a placebo. METHODS: In a single-blinded, randomized controlled trial, 77 constipated patients with T2D were randomized into three groups...
February 2019: Clinical Nutrition ESPEN
V R Viraraghavan, Anju Seth, Satinder Aneja, Ritu Singh, Dinesh Dhanwal
BACKGROUND AND AIMS: Patients on long term anti-epileptic drug therapy are prone for Vitamin D deficiency for a myriad of reasons. The aim of this research was to study the effect of high dose vitamin D supplementation on vitamin D nutrition status of children newly started on anti-epileptic drug therapy. MATERIALS: This randomized controlled trial was conducted in a tertiary care Children's Hospital at New Delhi from November 2011 to March 2013. Eighty three children in the age group 5-10 years newly started on anti-epileptic drugs (AED) were randomized into two groups; group A - the intervention group, to whom 60,000 IU vitamin D3 was given orally/month under direct supervision along with AED for a period of 6 months, and group B- the control group, to whom AED without vitamin D3 was given...
February 2019: Clinical Nutrition ESPEN
Golbon Sohrab, Hanieh Roshan, Samira Ebrahimof, Omid Nikpayam, Giti Sotoudeh, Fereidoun Siasi
Pomegranate juice (PJ) has abundant anti-oxidative polyphenolic compounds which are assumed to have cardioprotective effects such as hypotensive properties. This study aimed to investigate the effects of PJ consumption on blood pressure and lipid profile F variables in patients with type 2 diabetes. Sixty subjects (30 in intervention group and 30 in control group) were recruited in this single-blind placebo-controlled randomized clinical trial. The volunteers were randomly assigned to one of two groups. Treatment group consumed 200 ml/day PJ for 6 weeks, while control group received no intervention...
February 2019: Clinical Nutrition ESPEN
Diana Cardenas, N E P Deutz
No abstract text is available yet for this article.
February 2019: Clinical Nutrition ESPEN
Levi Teigen
No abstract text is available yet for this article.
February 2019: Clinical Nutrition ESPEN
Kate Hamilton, Tim Crowe, Adam Testro
Short bowel syndrome (SBS) is defined as having less than 200 cm of functional small bowel. Malabsorptive diarrhoea and dehydration are difficult to manage despite medical therapy and dietary manipulations. Evidence shows that supplementing the diet with High Amylase Resistant Starch (HARS) can reduce diarrhoea from a number of causes including gastroenteritis. It is hypothesised HARS will decrease stool output via the production of short chain fatty acids and the resultant increased water reabsorption. This study aimed to determine if the addition of HARS can reduce diarrhoea in patients with SBS...
February 2019: Clinical Nutrition ESPEN
Mohammad Hossein Rouhani, Mojgan Mortazavi Najafabadi, Pamela J Surkan, Ahmad Esmaillzadeh, Awat Feizi, Leila Azadbakht
BACKGROUND: While evidence exists for an association between the dietary inflammatory index (DII) and cardiovascular diseases, the relation between DII and chronic kidney disease (CKD) is not known. OBJECTIVE: To examine the association between DII, renal function and progression of CKD. METHODS: In this cross-sectional study, dietary data from 221 subjects with diagnosed CKD were collected using a validated food frequency questionnaire. DII was calculated based on overall inflammatory effect scores...
February 2019: Clinical Nutrition ESPEN
Camila Maria de Melo, Mariana Pantaleão Del Re, Marcus Vinicius Lucio Dos Santos Quaresma, Hanna Karen Moreira Antunes, Sonia Maria Togeiro, Sandra Maria Lima Ribeiro, Sergio Tufik, Marco Tulio de Mello
PURPOSE: To determine the relationship between habitual food intake, resting energy expenditure and sleep pattern in obstructive sleep apnea (OSA) patients. METHODS: Forty-five OSA obese males were included in the study. All participants were submitted to nocturnal polysomnography, body composition measurements by plethysmography, resting energy expenditure (REE) analysis by indirect calorimetry and they filled in a 3-day food record. RESULTS: No differences in body composition, REE and food intake were found between the moderate and severe OSA groups...
February 2019: Clinical Nutrition ESPEN
Gonçalo Nunes, Tânia Meira, Marta Patita, Ana Teresa Barata, Carla Adriana Santos, Jorge Fonseca
BACKGROUND & AIMS: Malnutrition is common in patients eligible for percutaneous endoscopic gastrostomy (PEG). Feeding tube transparietal thickness (TT) may contribute to assess nutritional status. This study aims to: 1) Characterize TT in PEG patients. 2) Determine the association between TT and the currently used tools 3) Define TT best cut-offs to predict undernutrition 4) Assess the correlation between TT and survival. METHODS: Prospective cohort study including patients who underwent PEG...
February 2019: Clinical Nutrition ESPEN
Adriane M Machado, Nayara B M da Silva, José Benício P Chaves, Rita de Cássia G Alfenas
BACKGROUND & AIMS: Yacon root is a natural source of fructooligosaccharides (FOS), and it has been studied for its potential effect as a functional food. However, FOS in the in natura root are rapidly hydrolyzed. Thus, the use of dehydrated products such as flour ensures stability of FOS. The effect of chronic consumption of yacon flour on body composition, food intake and of biochemical variables concentration has not yet been evaluated in humans. Thus, we evaluated the effects of yacon flour consumption on these variables associated with excess body weight...
February 2019: Clinical Nutrition ESPEN
Sania Siddiqui, Hadzliana Zainal, Sabariah Noor Harun, Siti Maisharah Sheikh Ghadzi
BACKGROUND: The contribution of dietary factors in the development and progression of pre-diabetes has been increasingly recognized. However, due to high variability in dietary habits measurement of dietary intake remains one of the most challenging tasks in this population. Food frequency questionnaire (FFQ) which investigates usual dietary intake can be used to identify frequent consumption of foods such as dietary fat, fiber, grains that are linked to the risk of pre-diabetes. METHOD: This systematic review was conducted to identify and describe FFQs that measure dietary intake of pre-diabetic patients and to examine their relative validity and reliability...
February 2019: Clinical Nutrition ESPEN
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