European Journal of Clinical Nutrition最新文献

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Protein-energetic malnutrition hinders malaria vaccine-derived cellular and class-switched antibody responses against the Plasmodium vivax circumsporozoite protein in mice. 蛋白质能量营养不良会阻碍小鼠体内针对间日疟原虫圆孢子虫蛋白的疟疾疫苗衍生细胞抗体和类别转换抗体反应。
IF 3.6 3区 医学
European Journal of Clinical Nutrition Pub Date : 2024-11-20 DOI: 10.1038/s41430-024-01545-2
Ana C M Faria, Ricardo A Fock, Irene S Soares, Eduardo L V Silveira
{"title":"Protein-energetic malnutrition hinders malaria vaccine-derived cellular and class-switched antibody responses against the Plasmodium vivax circumsporozoite protein in mice.","authors":"Ana C M Faria, Ricardo A Fock, Irene S Soares, Eduardo L V Silveira","doi":"10.1038/s41430-024-01545-2","DOIUrl":"https://doi.org/10.1038/s41430-024-01545-2","url":null,"abstract":"<p><p>Malaria continues to afflict hundreds of millions of lives annually, causing substantial fatalities despite available vaccines endorsed by the World Health Organization (WHO). However, these vaccines lack efficacy against Plasmodium vivax (Pv). Concomitantly, a considerable part of residents from several Pv-endemic areas face malnutrition, compromising their immunity to diseases, including malaria. Since our group developed an immunogenic yeast-expressing recombinant Pv circumsporozoite protein (yPvCSP-All<sub>CT</sub> epitopes) capable of protecting mice against lethal transgenic parasites, we investigated the influence of malnutrition on vaccine-derived responses in C57Bl/6 mice. Animals subjected to a protein-restricted diet presented protein-energetic malnutrition, diminished vaccine-specific IgG-secreting cells in the bone marrow, and reduced IgG and IgG1 serum titers compared to mice under a control diet. IgM titers remained consistent across groups, suggesting that the nutrition status may influence the antibody affinity maturation. These findings emphasize the pivotal role of proper nutrition in enhancing vaccination immunity against Pv malaria.</p>","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675480","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
Efficacy of probiotics or synbiotics supplementation on chemotherapy-induced complications and gut microbiota dysbiosis in gastrointestinal cancer: a systematic review and meta-analysis. 补充益生菌或合成益生菌对胃肠道癌症化疗引起的并发症和肠道微生物群失调的疗效:系统综述和荟萃分析。
IF 3.6 3区 医学
European Journal of Clinical Nutrition Pub Date : 2024-11-19 DOI: 10.1038/s41430-024-01542-5
Bei Yao, Wei Wei, Huiping Zhang
{"title":"Efficacy of probiotics or synbiotics supplementation on chemotherapy-induced complications and gut microbiota dysbiosis in gastrointestinal cancer: a systematic review and meta-analysis.","authors":"Bei Yao, Wei Wei, Huiping Zhang","doi":"10.1038/s41430-024-01542-5","DOIUrl":"https://doi.org/10.1038/s41430-024-01542-5","url":null,"abstract":"<p><p>This study aimed to systematically review the clinical efficacy of probiotics or synbiotics supplementation in the treatment of chemotherapy-induced complications and gut microbiota dysbiosis in patients with gastrointestinal cancer. A literature search was performed systematically using PubMed, Embase, Cochrane, Web of Science, Wanfang Data, and CNKI for randomized controlled trials of probiotics or synthetic supplementation on chemotherapy-induced complications and gut microbiota dysbiosis in gastrointestinal cancer up to December 2023. The outcome measures included chemotherapy-related complications and the the incidence of gut microbiotas. Fifteen studies were finally eligible for meta-analysis, involving 1356 patients. Meta-analysis results showed that the the incidence rates of chemotherapy-related complications such as nausea and vomiting [RR = 0.61, 95% CI (0.46,0.82), P = 0.0008] and diarrhea [RR = 0.47, 95% CI (0.32,0.68), P < 0.001] were significantly reduced after probiotic intervention. The number of intestinal flora changed significantly after intervention, such as bifidobacterium [SMD = 1.33, 95% CI (0.52,2.31), P = 0.001], Escherichia coli [SMD = -0.82, 95% CI (-1.26, -0.38), P = 0.0003], and the difference was statistically significant. Probiotics or synbiotics supplementation can reduce chemotherapy-induced complications in patients with gastrointestinal cancer and regulate the number of gut microbiotas to balance the intestinal microecology of the body.</p>","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675478","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
The causal relationships between iron status and sarcopenia in Europeans: a bidirectional two-sample Mendelian randomization study. 欧洲人铁质状况与肌肉疏松症之间的因果关系:一项双向双样本孟德尔随机研究。
IF 3.6 3区 医学
European Journal of Clinical Nutrition Pub Date : 2024-11-14 DOI: 10.1038/s41430-024-01531-8
Zhanhui Qiu, Chenyang Hou, Xiangsheng Xue, Yuchen Zhang, Yingyu Zhang, Jiujing Lin, Jia Li, Haoran Zhang, Yajun Liu, Qingzhi Hou
{"title":"The causal relationships between iron status and sarcopenia in Europeans: a bidirectional two-sample Mendelian randomization study.","authors":"Zhanhui Qiu, Chenyang Hou, Xiangsheng Xue, Yuchen Zhang, Yingyu Zhang, Jiujing Lin, Jia Li, Haoran Zhang, Yajun Liu, Qingzhi Hou","doi":"10.1038/s41430-024-01531-8","DOIUrl":"https://doi.org/10.1038/s41430-024-01531-8","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have indicated potential associations between metals, lifestyle factors, and sarcopenia. However, the specific causal relationships between iron status, lifestyle factors, and sarcopenia remain unclear. Therefore, we conducted a bidirectional two-sample Mendelian Randomization (MR) approach to investigate these relationships.</p><p><strong>Methods: </strong>The exposure variables included iron status, living alone, coffee intake, alcohol taken with meals, and moderate physical activity, while the outcome variable was sarcopenia, assessed by grip strength in both hands and usual walking pace. We employed the Weighted Median (WM), the Inverse Variance-Weighted (IVW), and other MR methods to explore these problems for analysis. Simultaneously, we conducted a bidirectional MR analysis to assess whether sarcopenia has a reverse causal relationship with internal iron status.</p><p><strong>Results: </strong>In our present research, we found serum iron (P = 0.033), ferritin (P = 0.001), transferrin saturation (P = 0.029) and coffee intake (P = 0.002) revealed a negative trend for sarcopenia, living alone (P = 0.022) and alcohol taken with meal (P = 0.006) showed a opposite trend for sarcopenia. Whereas sarcopenia showed negative trend for ferritin (P = 0.041) and transferrin saturation (P = 0.043), showed the opposite trend for transferrin (P = 0.021).</p><p><strong>Conclusion: </strong>Our study suggested that higher serum iron levels might reduce the risk of sarcopenia. Moreover, living alone and alcohol consumption might increase the sarcopenia risk, while coffee intake and moderate physical activity could reduce the sarcopenia risk.</p>","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616999","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
Intake of animal and plant proteins and risk of all-cause mortality in patients with type 2 diabetes: results from NHANES. 动物和植物蛋白摄入量与 2 型糖尿病患者的全因死亡风险:NHANES 的结果。
IF 3.6 3区 医学
European Journal of Clinical Nutrition Pub Date : 2024-11-14 DOI: 10.1038/s41430-024-01535-4
Ahmad Jayedi, Ali Gohari, Ali Najafi, Mahdieh-Sadat Zargar
{"title":"Intake of animal and plant proteins and risk of all-cause mortality in patients with type 2 diabetes: results from NHANES.","authors":"Ahmad Jayedi, Ali Gohari, Ali Najafi, Mahdieh-Sadat Zargar","doi":"10.1038/s41430-024-01535-4","DOIUrl":"https://doi.org/10.1038/s41430-024-01535-4","url":null,"abstract":"<p><strong>Background/objective: </strong>There is little and inconsistent data on the relationship between protein intake and mortality in patients with type 2 diabetes. Our goal was to look at the relationship between consuming plant- and animal-based proteins and the risk of all-cause death in patients with type 2 diabetes.</p><p><strong>Subjects/methods: </strong>We included 4646 patients with type 2 diabetes aged ≥20 years participating in continuous NHANES from 1999 to 2018. All-cause mortality was ascertained through linkage to National Death Index until December 31, 2019. Cox proportional hazard regression models were used to estimate multivariable-adjusted hazard ratios (HRs) and 95%CIs.</p><p><strong>Results: </strong>Over an average follow-up of nine years, 969 deaths took place. The multivariable-adjusted HRs of all-cause mortality across quartiles of plant protein intake, were, respectively, 1.00 (reference), 0.77 (95%CI: 0.65, 0.93), 0.79 (95%CI: 0.64, 0.97), and 0.73 (95%CI: 0.58, 0.93) (P<sub>trend</sub> = 0.022). Intake of animal protein was not linked to all-cause mortality. The HR was 0.94 (95%CI: 0.81, 1.08) for replacing 5% of energy from animal protein with plant protein. Intake of protein from individual animal- and plant-based foods was not related to the risk of all-cause mortality, nor was replacing 5% of energy intake from red meat protein with those from other foods.</p><p><strong>Conclusions: </strong>Among individuals with type 2 diabetes, a higher intake of plant protein is linked to a lower risk of death from all causes. Nevertheless, the results should be interpreted with caution because some subgroups did not show an inverse relationship, and observational studies have limitations.</p>","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616976","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
Longitudinal associations between dietary diversity and serum lipid markers in Japanese workers. 日本工人膳食多样性与血清脂质指标之间的纵向联系。
IF 3.6 3区 医学
European Journal of Clinical Nutrition Pub Date : 2024-11-13 DOI: 10.1038/s41430-024-01540-7
Thuy Thi Bui, Mariko Nakamoto, Kana Yamada, Akiko Nakamoto, Akiko Hata, Nanako Aki, Yosuke Shikama, Yukiko Bando, Takako Ichihara, Takako Minagawa, Ayako Tamura, Yumi Kuwamura, Makoto Funaki, Tohru Sakai
{"title":"Longitudinal associations between dietary diversity and serum lipid markers in Japanese workers.","authors":"Thuy Thi Bui, Mariko Nakamoto, Kana Yamada, Akiko Nakamoto, Akiko Hata, Nanako Aki, Yosuke Shikama, Yukiko Bando, Takako Ichihara, Takako Minagawa, Ayako Tamura, Yumi Kuwamura, Makoto Funaki, Tohru Sakai","doi":"10.1038/s41430-024-01540-7","DOIUrl":"https://doi.org/10.1038/s41430-024-01540-7","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to determine the longitudinal associations between dietary diversity score and serum lipid markers in a five-year follow-up period in Japanese workers.</p><p><strong>Methods: </strong>This study included 745 participants aged 20-60 years in 2012-2013 without dyslipidemia at baseline who participated at least once from 2013 to 2017. Dietary intake was assessed using a food frequency questionnaire, and dietary diversity score was determined using the Quantitative Index for Dietary Diversity. Principal component analysis was used to determine three dietary patterns: healthy, western, and sweetener. Lipid markers including total cholesterol, triglycerides, LDL-cholesterol, HDL-cholesterol, and non-HDL-cholesterol were measured. Generalized estimating equations were used for calculating the cumulative mean of lipid profiles in the follow-up period according to the dietary diversity score at baseline with control of confounding factors.</p><p><strong>Results: </strong>Higher dietary diversity score was inversely associated with serum concentrations of LDL cholesterol (p for trend = 0.028), triglycerides (p for trend = 0.029), and non-HDL cholesterol (p for trend = 0.026) in women. The associations except for the association with serum triglycerides were robust after additional adjustment for three dietary patterns (healthy, western, and sweetener). The association with serum triglycerides disappeared after additional adjustment for a healthy pattern. There was no significant association between dietary diversity and dyslipidemia in men in the follow-up period.</p><p><strong>Conclusions: </strong>This study suggests that dietary diversity is beneficial for lipid profiles in Japanese female workers.</p>","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616981","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
Relationship between HECTD4 gene variants, obesity, and coffee consumption. HECTD4 基因变异、肥胖与饮用咖啡之间的关系。
IF 3.6 3区 医学
European Journal of Clinical Nutrition Pub Date : 2024-11-09 DOI: 10.1038/s41430-024-01541-6
Min-Jeong Kim, Hyun-Seok Jin, Yong-Bin Eom
{"title":"Relationship between HECTD4 gene variants, obesity, and coffee consumption.","authors":"Min-Jeong Kim, Hyun-Seok Jin, Yong-Bin Eom","doi":"10.1038/s41430-024-01541-6","DOIUrl":"https://doi.org/10.1038/s41430-024-01541-6","url":null,"abstract":"<p><strong>Background: </strong>In genome-wide association studies, the HECT domain E3 ubiquitin-protein ligase 4 (HECTD4) gene was suggested to be associated with obesity-related traits and coffee consumption. However, the association of genetic variants between coffee consumption and obesity has not been tested in Koreans. Therefore, we investigated whether HECTD4 gene variants act as effect modifiers on the relationship between obesity and coffee.</p><p><strong>Methods: </strong>This study analyzed the correlation between coffee consumption and obesity among 58,698 individuals representing the Health Examinees. Participants were categorized into obese (BMI ≥ 25.0 kg/m<sup>2</sup>) and nonobese (18.5 ≤ BMI < 23.0 kg/m<sup>2</sup>). Food consumption was assessed by a food frequency questionnaire.</p><p><strong>Results: </strong>We identified four HECTD4 gene variants associated with obesity-related traits and coffee consumption based on Bonferroni-corrected significance level (p < 0.00014). Furthermore, multivariate logistic regression analysis confirmed that the impact of coffee consumption on obesity differed based on the HECTD4 rs2074356 genotypes. A positive correlation between obesity and coffee consumption was observed, with a more pronounced effect in individuals with the G allele (OR = 1.61 for 1 to <2 cups/day, p = 1.89 × 10<sup>-37</sup>; OR = 1.82 for ≥2 cups/day, p = 1.73 × 10<sup>-42</sup>) than in those with the A allele (OR = 1.47 for 1 to <2 cups/day, p = 7.41 × 10<sup>-17</sup>; OR = 1.45 for ≥2 cups/day, p = 7.24 × 10<sup>-11</sup>).</p><p><strong>Conclusion: </strong>Our findings suggest that the influence of coffee consumption on obesity may vary in Koreans depending on the HECTD4 gene variant.</p>","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616993","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
Adherence to the Mediterranean diet and risk of anxiety and depression in people with obesity: a cross-sectional analysis. 坚持地中海饮食与肥胖症患者患焦虑症和抑郁症的风险:横断面分析。
IF 3.6 3区 医学
European Journal of Clinical Nutrition Pub Date : 2024-11-08 DOI: 10.1038/s41430-024-01536-3
Francesca Menichetti, Alberto Battezzati, Simona Bertoli, Ramona De Amicis, Andrea Foppiani, Federica Sileo, Alessandro Leone
{"title":"Adherence to the Mediterranean diet and risk of anxiety and depression in people with obesity: a cross-sectional analysis.","authors":"Francesca Menichetti, Alberto Battezzati, Simona Bertoli, Ramona De Amicis, Andrea Foppiani, Federica Sileo, Alessandro Leone","doi":"10.1038/s41430-024-01536-3","DOIUrl":"https://doi.org/10.1038/s41430-024-01536-3","url":null,"abstract":"<p><strong>Background/objectives: </strong>Anxiety and depression are common mental disorders worldwide, in particular in people with obesity. Adherence to the Mediterranean diet has been found beneficial for the prevention of anxiety and depression in the general population. We aimed to evaluate this association in a large cohort of people with obesity.</p><p><strong>Subjects/methods: </strong>A cross-sectional study of 4957 patients with obesity (63.1% women, median age 49 years, IQR 40-58 years and BMI 33.6 kg/m<sup>2</sup>, IQR 31.6-36.9 kg/m<sup>2</sup>) was carried out. Clinical history, anthropometric measurements and lifestyle-related information were investigated. A 14-item MEDAS questionnaire was used to assess adherence to the Mediterranean diet. The 20-item STAI2 questionnaire and the 24-item QD questionnaire were used to assess the presence of anxious and depressive symptoms, respectively. Clinical cases of anxiety and depression were identified among patients with a physician-made diagnosis of anxiety and depression or with STAI2 and QD score ≥95th percentiles of reference population.</p><p><strong>Results: </strong>Overall, 11.9% of participants were positive for anxiety and 11% for depression. Multivariate linear regression models showed a decrease in STAI2 and QD scores of 0.18 points (95%CI: -0.33, -0.03) and 0.10 points (95%CI: -0.16, -0.03), respectively, for each 1-point increase in MEDAS score. The multivariate logistic regression model showed a 7% reduction in the odds of anxiety and depression for each 1-point MEDAS increase (OR = 0.93, 95%CI: 0.89, 0.99; OR = 0.93, 95%CI: 0.88, 0.98).</p><p><strong>Conclusions: </strong>Mediterranean diet is associated with a lower risk of anxiety and depression in people with obesity. Longitudinal studies are needed to determine causality.</p>","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616971","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
Correction: Is there dietary macronutrient malabsorption in children with environmental enteropathy? 更正:环境性肠病患儿是否存在膳食宏量营养素吸收不良?
IF 3.6 3区 医学
European Journal of Clinical Nutrition Pub Date : 2024-11-07 DOI: 10.1038/s41430-024-01538-1
Nirupama Shivakumar, Douglas J Morrison, Shalini G Hegde, Anura V Kurpad, Paul Kelly
{"title":"Correction: Is there dietary macronutrient malabsorption in children with environmental enteropathy?","authors":"Nirupama Shivakumar, Douglas J Morrison, Shalini G Hegde, Anura V Kurpad, Paul Kelly","doi":"10.1038/s41430-024-01538-1","DOIUrl":"https://doi.org/10.1038/s41430-024-01538-1","url":null,"abstract":"","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142602733","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
Caloric requirement targets for nutritional support in adult autoimmune encephalitis: a retrospective cohort study. 成人自身免疫性脑炎营养支持的热量需求目标:一项回顾性队列研究。
IF 3.6 3区 医学
European Journal of Clinical Nutrition Pub Date : 2024-11-07 DOI: 10.1038/s41430-024-01537-2
Jia-Qi Wang, Yin-Ping Li, Bo Yan, Jin-Mei Li
{"title":"Caloric requirement targets for nutritional support in adult autoimmune encephalitis: a retrospective cohort study.","authors":"Jia-Qi Wang, Yin-Ping Li, Bo Yan, Jin-Mei Li","doi":"10.1038/s41430-024-01537-2","DOIUrl":"10.1038/s41430-024-01537-2","url":null,"abstract":"<p><strong>Background: </strong>Autoimmune encephalitis (AE) is a severe neurological disease often accompanied by consciousness disturbances, severe swallowing difficulties, and gastrointestinal dysfunction, increasing the risk of malnutrition. However, the optimal caloric intake target during the acute phase of AE remains unclear.</p><p><strong>Objective: </strong>This study aims to evaluate the impact of caloric intake on short-term clinical outcomes in AE patients, specifically focusing on the improvement in Clinical Assessment Scale for Autoimmune Encephalitis (CASE) scores, to provide recommendations for nutritional support during the acute phase.</p><p><strong>Methods: </strong>A retrospective study analyzed clinical data from 128 adult AE patients requiring nutritional support, admitted to West China Hospital, Sichuan University, from January 2020 to January 2024. Patients were categorized into low-calorie intake (below 70% of requirements), standard-calorie intake (70-100% of requirements), and high-calorie intake (above 100% of requirements) groups. Multivariate linear and logistic regression models were used to quantify the associations.</p><p><strong>Results: </strong>Higher caloric intake was significantly associated with improved CASE scores (β = 8.58, SE = 3.75, 95% CI = 1.14 to 16.03, p = 0.02). Low caloric intake negatively impacted the improvement of CASE scores (p = 0.049), particularly in seizures and speech problems. The low-calorie intake group had significantly longer hospital stays and nutrition therapy durations (45.79 ± 30.98 days, p < 0.01; 40.39 ± 31.92 days, p = 0.02).</p><p><strong>Conclusions: </strong>Adequate caloric intake has a significant positive impact on the short-term clinical outcomes of AE patients, suggesting that meeting or exceeding caloric requirements may promote neurological recovery in AE patients. Future prospective studies are needed to validate these findings and further optimize nutritional support strategies.</p>","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590279","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
Reduced rank regression dietary patterns and dyslipidemia in Brazilian adolescents: results from the Study of Cardiovascular Risk in Adolescents (ERICA). 巴西青少年的降级回归饮食模式和血脂异常:青少年心血管风险研究(ERICA)的结果。
IF 3.6 3区 医学
European Journal of Clinical Nutrition Pub Date : 2024-11-07 DOI: 10.1038/s41430-024-01539-0
Mariane de Almeida Alves, Bernardo Paz Barboza, Anabelle Retondario, Liliana Paula Bricarello, Camila Tureck, Katia Vergetti Bloch, Francisco de Assis Guedes de Vasconcelos, Amanda de Moura Souza
{"title":"Reduced rank regression dietary patterns and dyslipidemia in Brazilian adolescents: results from the Study of Cardiovascular Risk in Adolescents (ERICA).","authors":"Mariane de Almeida Alves, Bernardo Paz Barboza, Anabelle Retondario, Liliana Paula Bricarello, Camila Tureck, Katia Vergetti Bloch, Francisco de Assis Guedes de Vasconcelos, Amanda de Moura Souza","doi":"10.1038/s41430-024-01539-0","DOIUrl":"https://doi.org/10.1038/s41430-024-01539-0","url":null,"abstract":"<p><strong>Background: </strong>Evidence on the harmful effects of diet on serum lipids in adolescence has not been consistent. The present study sought to establish which dietary patterns are associated with biomarkers of dyslipidemia.</p><p><strong>Methods: </strong>Data from 36,217 Brazilian adolescents participating in the Study of Cardiovascular Risk in Adolescents were evaluated. Dietary patterns were identified using the reduced rank regression analysis. Linear regression models were applied to verify the association between dietary pattern scores and the biomarkers of dyslipidemia.</p><p><strong>Results: </strong>The two first dietary patterns identified by reduced rank regression (RRR-DP1 and RRR-DP2) were kept for further analysis. The RRR-DP1 was highly and positively loaded for sweets and red meat and negatively loaded for beans, fruits, vegetables, and rice. The RRR-DP2 was positively loaded for beans and rice and negatively loaded for sugar-sweetened beverages, fruit juices, and sweets. Linear regression models estimated that one standard deviation (SD) increase in the RRR-DP1 score was only associated with a mean increase of 0.29 mg/dL in HDL-cholesterol (95% CI 0.06;0.53), while one SD increase in the RRR-DP2 score was associated with the lower mean of triglycerides (β = -2.24, 95% CI -3.57;-0.91), LDL-c (β = -0.82 95% CI -1.53;-0.12), and total cholesterol (β = -1.30 95% CI -1.94;-0.65).</p><p><strong>Conclusion: </strong>Higher adherence to the dietary patterns positively loaded for red meat and sweets was associated with increased HDL-c levels, while adherence to a more Brazilian traditional dietary pattern (RRR-DP2) was associated with a better lipids profile.</p>","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142602735","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}
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