Robinson Ramírez-Vélez , Frank Carrera-Gil , Albeiro A. Dávila-Grisales , Mikel Izquierdo
{"title":"Handgrip strength during pregnancy: A first reference values based on nationally representative survey","authors":"Robinson Ramírez-Vélez , Frank Carrera-Gil , Albeiro A. Dávila-Grisales , Mikel Izquierdo","doi":"10.1016/j.clnesp.2025.03.003","DOIUrl":"10.1016/j.clnesp.2025.03.003","url":null,"abstract":"<div><h3>Background & aims</h3><div>Handgrip strength (HGS) using isometric dynamometry is a convenient and feasible noninvasive measure of physical strength, overall health, and nutritional status among people of all ages. While adult HGS norms have been published in many countries, no study has synthesized available data to produce representative norms during pregnancy. This study used data from an extensive national representative survey to generate gestational age-specific reference norms for HGS during pregnancy.</div></div><div><h3>Methods</h3><div>This cross-sectional study enrolled 1016 pregnant women aged 18–48 years old. HGS was measured using a hand dynamometer with an adjustable grip. Smoothed centile curves and tables for the 3rd, 10th, 25th, 50th, 75th, 90th, and 97th percentiles were calculated using lambda-mu-sigma (LMS) method to develop gestational age-specific norms for absolute HGS (in kilograms [kg]) and HGS normalized by height (Ht) in meters (m) squared (i.e., HGS/Ht<sup>2</sup> in kg/m<sup>2</sup>).</div></div><div><h3>Results</h3><div>We found no significant difference in absolute or normalized grip strength between trimesters and gestational weeks (<em>p</em> > 0.05). Median (P50), absolute and normalized HGS levels improved negligibly (equivalent to ∼0.3–1.4 kg for absolute HGS or ∼0.1–0.5 kg/m<sup>2</sup> for normalized HGS) throughout early pregnancy (1–4 weeks to 14–17 weeks) and peaked from gestational age 23–27 weeks (at 22.97 kg [absolute HGS] or 8.74 kg/m<sup>2</sup> [normalized HGS]) However, the gestational age-related decline in HGS levels was slightly smaller for young women than for women during middle adulthood.</div></div><div><h3>Conclusion</h3><div>This study provides the first national norms for pregnant women with HGS according to the gestational age. These norms are useful for health screening, monitoring, and surveillance, and for comparison with studies from other countries.</div></div>","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"67 ","pages":"Pages 166-173"},"PeriodicalIF":2.9,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sabrina Soares de S. Sousa, Erick Santos Nery, Fernando M.A. Giuffrida
{"title":"Low-carbohydrate diet in type 1 diabetes: A systematic review","authors":"Sabrina Soares de S. Sousa, Erick Santos Nery, Fernando M.A. Giuffrida","doi":"10.1016/j.clnesp.2025.03.009","DOIUrl":"10.1016/j.clnesp.2025.03.009","url":null,"abstract":"<div><h3>Background</h3><div>The treatment of type 1 diabetes mellitus (T1D) consists of applying insulins with different action profiles and ingesting known amounts of nutrients from the diet. Although there is no specific recommendation regarding the distribution of these macronutrients, low-carbohydrate (LC) diets seem to show promise in some types of diabetes, but their role in T1D is still controversial, given the potential glycemic improvement, but with the concurrent possibility of changes in other parameters such as lipids. This systematic review aimed to evaluate the metabolic effects of these diets on T1D.</div></div><div><h3>Methods</h3><div>A systematic review in PubMed, Embase, and Lilacs with publications from the last 10 years was used as a data source.</div></div><div><h3>Results</h3><div>Nine clinical trials were included. We have found LC diet to be associated with increased time in range in continuous glucose monitoring (+5.68 %, p = 0.01); decreased time below range (−0.53 %, p = 0.01 with 54 mg/dL threshold and −2.28 %; p = 0.01 with 70 mg/dL threshold), coefficient of variation (−5.51 %; p = 0.01), total insulin daily dose (−8.39 %; p = 0.01), and systolic blood pressure (−4.83 mmHg, p = 0.04).</div></div><div><h3>Conclusions</h3><div>LC diets show potential benefit in metabolic control of people living with T1D, warranting the design of future robust clinical trials.</div></div>","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"67 ","pages":"Pages 250-256"},"PeriodicalIF":2.9,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A retrospective review of zinc deficiency in children with ulcerative colitis on infliximab therapy","authors":"Sophie King , Emily O’Kearney , Kathleen McGrath","doi":"10.1016/j.clnesp.2025.01.011","DOIUrl":"10.1016/j.clnesp.2025.01.011","url":null,"abstract":"","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"66 ","pages":"Page 576"},"PeriodicalIF":2.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143621339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Peri-operative nutrition service review in sarcoma surgery of the pelvis, abdominal and retroperitoneum","authors":"Kathryn Cherry , Peter Lee , Sharon Carey","doi":"10.1016/j.clnesp.2025.01.005","DOIUrl":"10.1016/j.clnesp.2025.01.005","url":null,"abstract":"","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"66 ","pages":"Page 574"},"PeriodicalIF":2.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"To know is to (start to) understand: What’s important to parents of children with temporary feeding tubes and where do they find their support?","authors":"Claire Reilly , Jeanne Marshall , Rebecca Packer , Jasmine Foley , Nikhil Thapar","doi":"10.1016/j.clnesp.2025.01.010","DOIUrl":"10.1016/j.clnesp.2025.01.010","url":null,"abstract":"","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"66 ","pages":"Pages 575-576"},"PeriodicalIF":2.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143621338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Susannah King , Sarah Collins , Natalie Shalit , Eldho Paul , Andrea Elliott , Sushrut Patil , Ibolya Nyulasi
{"title":"Changes in energy expenditure and body composition following allogeneic stem cell transplant","authors":"Susannah King , Sarah Collins , Natalie Shalit , Eldho Paul , Andrea Elliott , Sushrut Patil , Ibolya Nyulasi","doi":"10.1016/j.clnesp.2025.01.015","DOIUrl":"10.1016/j.clnesp.2025.01.015","url":null,"abstract":"","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"66 ","pages":"Pages 577-578"},"PeriodicalIF":2.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth Viner Smith , Matthew Summers , Imogen Asser , Rhea Louis , Kylie Lange , Lee-anne Chapple
{"title":"Nutrition intake and recovery outcomes in critically ill patients requiring non-invasive forms of respiratory support","authors":"Elizabeth Viner Smith , Matthew Summers , Imogen Asser , Rhea Louis , Kylie Lange , Lee-anne Chapple","doi":"10.1016/j.clnesp.2025.01.009","DOIUrl":"10.1016/j.clnesp.2025.01.009","url":null,"abstract":"","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"66 ","pages":"Page 575"},"PeriodicalIF":2.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-stay neurosurgical patients are at an increased risk of nutritional inadequacy throughout hospitalisation","authors":"Dale Palmer , Suzie Ferrie","doi":"10.1016/j.clnesp.2025.01.016","DOIUrl":"10.1016/j.clnesp.2025.01.016","url":null,"abstract":"","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"66 ","pages":"Page 578"},"PeriodicalIF":2.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}