Current Opinion in Clinical Nutrition and Metabolic Care最新文献_第3页

Searching for defining adequate protein intake in ICU patients: is intention to treat analysis the best? 寻找ICU患者足够蛋白质摄入量的定义：意向治疗分析是最好的吗？

IF 3.5 3区医学

Current Opinion in Clinical Nutrition and Metabolic Care Pub Date : 2025-09-01 Epub Date: 2025-07-11 DOI: 10.1097/MCO.0000000000001145

Eric Fontaine

引用次数: 0

What is the value of anthropometry for estimating muscle mass? 人体测量法在估计肌肉质量方面的价值是什么？

IF 3.5 3区医学

Current Opinion in Clinical Nutrition and Metabolic Care Pub Date : 2025-09-01 Epub Date: 2025-07-04 DOI: 10.1097/MCO.0000000000001143

Camila Kümmel Duarte, Luciana de Abreu Silva

{"title":"What is the value of anthropometry for estimating muscle mass?","authors":"Camila Kümmel Duarte, Luciana de Abreu Silva","doi":"10.1097/MCO.0000000000001143","DOIUrl":"10.1097/MCO.0000000000001143","url":null,"abstract":"Purpose of review: Skeletal muscle mass is essential for mobility, physical performance, and disease prevention, serving as a predictor of morbidity and mortality, particularly in sarcopenia. Muscle mass decreases with age and is associated with adverse clinical outcomes. Accurate assessment is crucial in clinical practice but presents challenges.Recent findings: Imaging methods like MRI, DXA, computed tomography (CT), ultrasound, and other techniques like bioelectrical impedance analysis (BIA) are effective but have limitations such as cost, accessibility, and operator dependency. Anthropometric measures - such as calf circumference, mid-upper arm circumference (MUAC), forearm, and thigh circumference - are simple, low-cost alternatives that correlate well with muscle mass, though they can be influenced by factors like age, sex, and body fat. Adjusted measures using skinfold thickness improve accuracy but are less reliable in older adults. Prediction equations based on anthropometry can estimate total muscle mass but must be validated for specific populations. In complex cases like obesity or malnutrition, equations that incorporate biochemical markers or dynamometry may enhance precision.Summary: Overall, selecting the appropriate muscle mass assessment method requires consideration of population characteristics, available resources, and proper professional training to ensure accurate and clinically useful results.","PeriodicalId":10962,"journal":{"name":"Current Opinion in Clinical Nutrition and Metabolic Care","volume":" ","pages":"403-407"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144625517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How to feed patients with small intestinal dysmotility. 小肠运动障碍患者如何喂养。

IF 3.5 3区医学

Current Opinion in Clinical Nutrition and Metabolic Care Pub Date : 2025-09-01 Epub Date: 2025-06-23 DOI: 10.1097/MCO.0000000000001139

Thomas Edward Conley, Emily Creed, Simon Lal

{"title":"How to feed patients with small intestinal dysmotility.","authors":"Thomas Edward Conley, Emily Creed, Simon Lal","doi":"10.1097/MCO.0000000000001139","DOIUrl":"10.1097/MCO.0000000000001139","url":null,"abstract":"Purpose of review: Chronic small intestinal dysmotility is associated with a spectrum of malnutrition, varying in severity from mild nutritional compromise to intestinal failure requiring parenteral nutrition. Feeding patients with chronic small intestinal dysmotility is one of the most complex challenges in contemporary clinical gastroenterology. This review is timely due to rising diagnostic uncertainty reflected in increasing referrals for parenteral nutrition, and the growing awareness of overlapping high symptom burden but non-intestinal failure inducing disorders.Recent findings: Whilst the pragmatic classification into chronic intestinal pseudo-obstruction (CIPO) and non-CIPO subtypes may help avoid unnecessary invasive investigations and provides insight into nutritional trajectory, this evolving approach requires careful navigation of the emerging diagnostic grey zone that encompasses highly symptomatic disorders of gut-brain interaction, disordered eating, and opioid-related bowel dysfunction that can result in pain/intolerance on small intestinal feeding. Feeding strategies must be tailored to phenotype and symptom burden, with enteral support prioritised wherever possible and parenteral nutrition reserved for clear cases of intestinal failure and/or for a temporising period of time when there is life-threatening nutritional risk. Effective management depends on early multidisciplinary input, optimisation of pharmacotherapy, and psychological assessment to guide appropriate nutritional therapies.Summary: Individualised feeding strategies must weigh the risks of malnutrition against those associated with parenteral support, while also addressing symptom severity and maintaining oversight of the broader psychosocial context. This review reinforces the importance of early multidisciplinary team engagement, considered therapeutic approaches, and nuanced clinical reasoning in managing patients with chronic small intestinal dysmotility.","PeriodicalId":10962,"journal":{"name":"Current Opinion in Clinical Nutrition and Metabolic Care","volume":" ","pages":"427-432"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nutrition in inflammatory bowel disease: new trends. 炎症性肠病的营养：新趋势。

IF 3.5 3区医学

Current Opinion in Clinical Nutrition and Metabolic Care Pub Date : 2025-09-01 Epub Date: 2025-07-07 DOI: 10.1097/MCO.0000000000001140

Nathan Kuk, Chu K Yao, Ashish R Srinivasan, Abhinav Vasudevan

{"title":"Nutrition in inflammatory bowel disease: new trends.","authors":"Nathan Kuk, Chu K Yao, Ashish R Srinivasan, Abhinav Vasudevan","doi":"10.1097/MCO.0000000000001140","DOIUrl":"10.1097/MCO.0000000000001140","url":null,"abstract":"Purpose of review: This review examines the latest evidence and highlights the importance of personalized dietary therapies to augment conventional medical treatments in the treatment of inflammatory bowel disease.Recent findings: Diversity in the maternal diet may reduce the risk of development of ulcerative colitis in utero, while a diverse diet during childhood may reduce the risk of future inflammatory bowel disease. During adulthood, the Mediterranean diet (MED) and Diet A Stop Hypertension may reduce the risk of developing inflammatory bowel disease, with some evidence to support that anthocyanin intake is a beneficial component of the diet. For dietary therapy for the maintenance of remission in Crohn's disease, it appears that the MED and simple carbohydrate diet and variations of this diet may be beneficial, although more trials are needed to confirm this.Summary: the role of diet in preventing inflammatory bowel disease and treating symptoms continues to evolve and dietary changes may be considered in addition to medical therapy in the treatment of inflammatory bowel disease.","PeriodicalId":10962,"journal":{"name":"Current Opinion in Clinical Nutrition and Metabolic Care","volume":" ","pages":"410-421"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144625514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Key considerations for who, when, why, and how to screen for malnutrition. 谁、何时、为何以及如何筛查营养不良的关键考虑因素。

IF 3.5 3区医学

Current Opinion in Clinical Nutrition and Metabolic Care Pub Date : 2025-09-01 Epub Date: 2025-07-07 DOI: 10.1097/MCO.0000000000001144

Ingvild Paur, Inger Ottestad

{"title":"Key considerations for who, when, why, and how to screen for malnutrition.","authors":"Ingvild Paur, Inger Ottestad","doi":"10.1097/MCO.0000000000001144","DOIUrl":"10.1097/MCO.0000000000001144","url":null,"abstract":"Purpose of review: Confusion and disagreement about malnutrition screening, how, when, why, who to screen, and which screening tool to use, have persisted since the Global Leadership Initiative on Malnutrition (GLIM) established the malnutrition diagnosis in 2019. In this review, we discuss the purpose of malnutrition screening, presents recent validations of screening tools and how the choice of tools affects malnutrition prevalence within the GLIM framework.Recent findings: The screening for malnutrition should consider the results of recent validations of screening tools against the GLIM criteria, which reveal variations based on the specific tool, the population, and the setting. Likewise, the prevalence of malnutrition varies with the population and setting, and even how screening tools are applied in the process. Currently, all screening tools exclude patients who meet the GLIM criteria for a malnutrition diagnosis, but the extent of exclusion varies.Summary: In this review, we summarize recent prevalence and validation studies on screening tools related to GLIM. We argue that screening tools should align with GLIM malnutrition diagnosis criteria, need to be validated against GLIM, and discuss the requirement that a positive screening result is mandatory for a malnutrition diagnosis.","PeriodicalId":10962,"journal":{"name":"Current Opinion in Clinical Nutrition and Metabolic Care","volume":" ","pages":"388-395"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144625513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing body composition and energy expenditure in ICU. 评估ICU患者的身体成分和能量消耗。

IF 3.5 3区医学

Current Opinion in Clinical Nutrition and Metabolic Care Pub Date : 2025-09-01 Epub Date: 2025-07-11 DOI: 10.1097/MCO.0000000000001146

Pierre Singer, Michal Slevin Kish

{"title":"Assessing body composition and energy expenditure in ICU.","authors":"Pierre Singer, Michal Slevin Kish","doi":"10.1097/MCO.0000000000001146","DOIUrl":"10.1097/MCO.0000000000001146","url":null,"abstract":"Purpose of review: The \"One Size fits All\" nutritional approach, mainly using the patient's weight, has been challenged by recent progress allowing healthcare professionals to better define energy needs and determine body composition.Recent findings: The Global Leadership Initiative on Malnutrition (GLIM) assessment has been recognized as a reliable tool for diagnosing malnutrition in the ICU. Complementing this approach, advancements in techniques for evaluating lean muscle mass, such as dual-energy biomarkers and computed tomography (CT), have improved the accuracy of muscle mass determination. When conducted by experienced practitioners, ultrasound offers a fast, reliable, and reproducible method for assessing muscle mass. Additionally, bioelectrical impedance analysis (BIA) has benefited from technological and methodological improvements, allowing the use of body cell mass as a guide for protein administration. Energy expenditure is most accurately measured using indirect calorimetry, which should be performed regularly due to day-to-day fluctuations and prevent the risks of overfeeding or underfeeding.Summary: All these progresses are paving the way to precision nutrition in intensive care, determining more accurately the energy needs and adapting the macronutrient administration according to body composition and not anymore by kilogram weight.","PeriodicalId":10962,"journal":{"name":"Current Opinion in Clinical Nutrition and Metabolic Care","volume":" ","pages":"396-402"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144625511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Editorial: Medical nutrition in gastrointestinal diseases. 社论：胃肠道疾病的医学营养。

IF 3.5 3区医学

Current Opinion in Clinical Nutrition and Metabolic Care Pub Date : 2025-09-01 Epub Date: 2025-08-07 DOI: 10.1097/MCO.0000000000001147

K A Tappenden, André Van Gossum

引用次数: 0

[ 18 F]FDG-PET/CT imaging in assessing cancer-induced cachexia. [18F]FDG-PET/CT成像评估癌症诱导恶病质。

IF 3.5 3区医学

Current Opinion in Clinical Nutrition and Metabolic Care Pub Date : 2025-09-01 Epub Date: 2025-07-11 DOI: 10.1097/MCO.0000000000001149

Armin Frille, Daria Ferrara

{"title":"[ 18 F]FDG-PET/CT imaging in assessing cancer-induced cachexia.","authors":"Armin Frille, Daria Ferrara","doi":"10.1097/MCO.0000000000001149","DOIUrl":"10.1097/MCO.0000000000001149","url":null,"abstract":"Purpose of review: Cachexia, and cancer-induced cachexia in particular, pose a significant clinical challenge, given its complex etiology, late diagnosis and limited treatment options available today. With advances in precision oncology and systemic metabolic assessment, this review explores the potential of [ 18 F]fluorodeoxyglucose positron emission tomography combined with computed tomography ([ 18 F]FDG-PET/CT) - already integral to cancer patient management - to assess cachexia-related metabolic alterations beyond tumor detection.Recent findings: Growing evidence suggests that [ 18 F]FDG-PET/CT can capture early metabolic dysfunction in cachexia-affected tissues (e.g., muscle, adipose tissue, liver and heart), often preceding overt weight loss. These metabolic shifts may serve as novel biomarkers for early identification and monitoring. Integrating PET-derived data with automated CT-based body composition analysis could provide a more holistic view of systemic metabolic derangements. However, current evidence relies largely on retrospective or heterogeneous studies.Summary: Prospective trials in well defined patient populations are needed to validate PET/CT imaging for the management of patients with cachexia. If proven effective, this approach could expand the role of PET/CT from tumor-centric imaging to a broader metabolic assessment platform, thus, enhancing supportive care in oncology.","PeriodicalId":10962,"journal":{"name":"Current Opinion in Clinical Nutrition and Metabolic Care","volume":" ","pages":"373-378"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144625510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advancing dietary behaviour change in older adults through digital technologies: emerging tools and behavioural mechanisms. 通过数字技术促进老年人饮食行为改变：新兴工具和行为机制。

IF 3.5 3区医学

Current Opinion in Clinical Nutrition and Metabolic Care Pub Date : 2025-08-04 DOI: 10.1097/MCO.0000000000001156

Kimberly Mei Yi Low, Shahmir H Ali

{"title":"Advancing dietary behaviour change in older adults through digital technologies: emerging tools and behavioural mechanisms.","authors":"Kimberly Mei Yi Low, Shahmir H Ali","doi":"10.1097/MCO.0000000000001156","DOIUrl":"https://doi.org/10.1097/MCO.0000000000001156","url":null,"abstract":"Purpose of review: Poor diet drives cardiovascular and other chronic diseases in older adults, yet behaviour change remains challenging due to physical, cognitive, and social barriers. Despite growing digital health solutions, older adults are often overlooked. This review examines recent innovations aimed at supporting dietary change in this population amid rapid technological advances.Recent findings: Case studies of six novel digital tools were examined: smart TVs, mobile apps, augmented reality (AR), chatbots, assistive robotics, and intelligent voice assistants. These tools employed a wide range of behaviour change techniques such as tailored feedback, habit formation, goal setting, self-monitoring, and social support. Smart TVs and apps improved nutrition literacy through familiar interfaces and gamification. AR tools enhanced portion control and food decision-making. Socially assistive robots provided interactive, social mealtime support, while chatbots and intelligent voice assistants used Artificial Intelligence to deliver personalized, conversational guidance. Despite these advances, challenges remain around usability, trust, and sustained engagement.Summary: Digital tools offer promising, personalized support for dietary change in older adults. However, most work remains in its early stages. Realizing broader impact will require co-designed, culturally relevant solutions, real-world testing, and strategies for scale-up that ensure accessibility, trust, and sustained engagement.","PeriodicalId":10962,"journal":{"name":"Current Opinion in Clinical Nutrition and Metabolic Care","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Calorie counting vs. minute counting; does nutrient timing matter for weight-loss? 卡路里计数vs分钟计数；营养时间对减肥有影响吗？

IF 3 3区医学

Current Opinion in Clinical Nutrition and Metabolic Care Pub Date : 2025-07-01 Epub Date: 2025-05-21 DOI: 10.1097/MCO.0000000000001135

Kostas Tsintzas, James A Betts

引用次数: 0