European Journal of Clinical Nutrition最新文献_第10页

Do we neglect nutrition in childhood interstitial lung disease? 我们是否忽视了儿童间质性肺病的营养问题？

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-08-06 DOI: 10.1038/s41430-024-01485-x

Nagehan Emiralioglu, Nural Kiper

引用次数: 0

The acute effects of variations in the flour composition of crackers on the glycemic index and glycemic responses in healthy adults 饼干的面粉成分变化对健康成年人血糖生成指数和血糖反应的急性影响。

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-08-05 DOI: 10.1038/s41430-024-01482-0

Emilia Papakonstantinou, Vasilis Alsab, Foteini Lympaki, Sofia Chanioti, Marianna Giannoglou, George Katsaros

{"title":"The acute effects of variations in the flour composition of crackers on the glycemic index and glycemic responses in healthy adults","authors":"Emilia Papakonstantinou, Vasilis Alsab, Foteini Lympaki, Sofia Chanioti, Marianna Giannoglou, George Katsaros","doi":"10.1038/s41430-024-01482-0","DOIUrl":"10.1038/s41430-024-01482-0","url":null,"abstract":"This study assessed the glycemic index (GI) and glycemic load (GL) of three crackers formulated with different flours: a control cracker (CC) made with conventional flour, one with 30% whole wheat flour substitution (WWC), and another with 30% sunflower seed flour substitution (SFC). This study aimed to explore the impact of these substitutions, which vary in protein and fiber content, on the glycemic responses compared to a reference glucose drink. In a randomized controlled, crossover design, 11 healthy participants (mean age 23.5 ± 1 years; 7 women; BMI 23 ± 1 kg/m2), consumed cracker meals (CC, WWC, and SFC) each providing 50 g of available carbohydrates, and a 50 g glucose reference in separate sessions. The SFC crackers provided low GI and GL values (GI: 53 on the glucose scale, GL: 6 per serving), whereas the WWC and CC crackers provided high GI (GI: 77 and 90 on the glucose scale, respectively) and medium GL values (11 and 12 per serving, respectively). Compared with the glucose reference and CC crackers, only SFC induced lower postprandial glucose concentrations, lower glucose excursions, and lower peak glucose values. All crackers were rated as enjoyable and associated with increased satiety. SFC moderated postprandial glycemic responses compared to CC and the reference (D-glucose), but not WWC. These effects may be attributed to the soluble fibers and protein content of the SFC. These findings suggest potential benefits for body weight management and glycemic control, warranting further investigation of the role of flour substitutions in healthy snack options. This trial has been registered at Clinicaltrials.gov (NCT05702372).","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":"78 12","pages":"1051-1057"},"PeriodicalIF":3.6,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893135","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

Association between coffee consumption and metabolic syndrome in Korean adults 韩国成年人饮用咖啡与代谢综合征之间的关系

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-08-02 DOI: 10.1038/s41430-024-01478-w

Sooyeun Choi, Youjin Je

{"title":"Association between coffee consumption and metabolic syndrome in Korean adults","authors":"Sooyeun Choi, Youjin Je","doi":"10.1038/s41430-024-01478-w","DOIUrl":"10.1038/s41430-024-01478-w","url":null,"abstract":"Studies examining the association between coffee consumption and metabolic syndrome (MetS), considering different coffee types, have reported inconsistent results. We investigated the relationship between coffee consumption and MetS, taking into account coffee types, using data from the Korea National Health and Nutrition Examination Survey conducted from 2016 to 2021 among 14,631 adults aged 19–64 years. We used a 24-h dietary recall method to assess diet, including the type and quantity of coffee consumed. Coffee was categorized into black coffee and coffee with sugar and/or cream (non-drinkers, ≤1, 2–3, and >3 cups/day). Multivariable logistic regression models were utilized to investigate the relationship between coffee consumption and MetS, defined by the harmonized criteria. After adjusting for potential covariates, for women, 2–3 cups/day of black coffee were inversely associated with MetS (OR = 0.66; 95% CI = 0.46–0.96). Three or fewer cups per day of black coffee were inversely associated with low high-density lipoprotein cholesterol (HDL-C) and elevated triglycerides in women. Coffee consumption was not significantly associated with MetS in men. Consumption of coffee with sugar and/or cream or more than three cups per day of coffee was not significantly associated with MetS overall. Our findings suggest that moderate of 2–3 cups/day of black coffee consumption is inversely associated with MetS in women, possibly due to its favorable impact on HDL-C and triglycerides. Further prospective studies examining the consumption of different coffee types in relation to MetS are warranted to offer definitive evidence.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":"78 10","pages":"905-915"},"PeriodicalIF":3.6,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141878535","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

Older adult women with chronic anorexia nervosa: heterogeneous adaptation to undernutrition over time 患有慢性神经性厌食症的老年妇女：随着时间的推移，对营养不良的适应情况各不相同。

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-07-30 DOI: 10.1038/s41430-024-01479-9

Natacha Germain, Aurélia Gay, Gwénaelle Belleton, Amira Hammour, Célia Boivin, Thierry Thomas, Catherine Massoubre, Bruno Estour, Bogdan Galusca

{"title":"Older adult women with chronic anorexia nervosa: heterogeneous adaptation to undernutrition over time","authors":"Natacha Germain, Aurélia Gay, Gwénaelle Belleton, Amira Hammour, Célia Boivin, Thierry Thomas, Catherine Massoubre, Bruno Estour, Bogdan Galusca","doi":"10.1038/s41430-024-01479-9","DOIUrl":"10.1038/s41430-024-01479-9","url":null,"abstract":"Anorexia nervosa (AN) in older adult women is primarily described through reviews or case reports focusing on psychiatric traits, with no comprehensive studies evaluating their complete nutritional and hormonal profiles. This study aimed to describe a group of women with anorexia nervosa aged above 35 years old (AN35), and compare them with young women with anorexia nervosa (ANY) and normal-weight control participants. Anthropometric, metabolic, nutritional, and psychiatric parameters were collected and compared among three groups of women: 50 AN35, 37 ANY, and 38 controls. AN35 exhibited a mean disease duration of 271 ± 19 months, with 94% chronic forms and 58% restrictive types. Despite having similar BMI as ANY, AN35 displayed more altered parameters, including higher liver enzymes (p = 0.007), free T3 (p = 0.0046) and leptin (p < 0.0001); and lower albumin (p = 0.0029), and white cells (p < 0.0001). AN35 showed significant heterogeneity in hormonal adaptation, such as free T3. Half of the patients aged above 51 years revealed high gonadotropin levels despite being undernourished. Additionally, AN35 groups presented with 50% of bones fractures, decreased T-scores under -2.5 (p < 0.0001 for femoral), and altered micro architectural HRPQT parameters compared to ANY. Anorexia nervosa in older adult women is predominantly chronic. Nutritional parameters changes with age suggests a significant heterogeneity and possible adaptation of energy balance and bodyweight set point for others. Complications may be severe, altering the quality of life, and sometimes potentially lethal. These findings highlight the potential adaptation of energy balance with age, and should assist clinicians in clinical practice.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":"78 10","pages":"855-863"},"PeriodicalIF":3.6,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855245","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

Dairy consumption and vitamin D concentration in adolescents with challenge-confirmed cow’s milk allergy during infancy 婴儿期经质疑证实对牛奶过敏的青少年的奶制品摄入量和维生素 D 含量

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-07-28 DOI: 10.1038/s41430-024-01477-x

Sonja Piippo, Helena Hauta-alus, Mirva Viljanen, Erkki Savilahti, Mikael Kuitunen

{"title":"Dairy consumption and vitamin D concentration in adolescents with challenge-confirmed cow’s milk allergy during infancy","authors":"Sonja Piippo, Helena Hauta-alus, Mirva Viljanen, Erkki Savilahti, Mikael Kuitunen","doi":"10.1038/s41430-024-01477-x","DOIUrl":"10.1038/s41430-024-01477-x","url":null,"abstract":"Milk is an important source of dietary calcium and, if fortified, vitamin D. Cow’s milk allergy (CMA) is treated with a milk elimination diet. Although most children become tolerant by age 3 years, some continue dairy avoidance. It remains unclear whether adolescents with a history of CMA adopt similar milk consumption as their peers. We assessed dairy consumption and concentration of serum 25-hydroxyvitamin D (25(OH)D) in adolescents with either confirmed CMA or a negative CMA challenge in infancy (CMA-refuted group) and age-matched controls. This study is based on a previously reported randomized controlled trial from 1999 to 2002 on the treatment effect of probiotics on atopic eczema in participants aged <12 months (n = 230) with data on CMA status. We followed up these participants, aged 15–18 years, in 2017 (n = 104). A 20-item food frequency questionnaire assessed dairy consumption. An automated immunoassay measured 25(OH)D concentration. Median dairy product consumption did not differ between adolescents with CMA (449 g/d, n = 40), the CMA-refuted group (566 g/d, n = 36), and controls (235 g/d, n = 51) (P = 0.117). Median 25(OH)D concentrations were 76.0, 79.3, and 80.8 nmol/l, respectively (P = 0.844). Among participants, 93% were vitamin D sufficient (25(OH)D ≥ 50 nmol/l), with no differences between groups (P = 0.914). Among adolescents with a history of CMA during infancy, our study found no reintroduction failure of milk and no difference in vitamin D insufficiency rate compared with peers. Current management of CMA seems to adequately minimize later nutritional disadvantages associated with a cow’s milk elimination diet.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":"78 10","pages":"897-904"},"PeriodicalIF":3.6,"publicationDate":"2024-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41430-024-01477-x.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141770495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nutritional ultrasound: above body mass index, two cases presentation 营养超声：高于体重指数，两个病例介绍。

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-07-27 DOI: 10.1038/s41430-024-01459-z

Santiago Gómez-Jordan, Juan Camilo Castellanos-de la Hoz, Sandra Saumett, Alejandra Molano, Eduardo Zúñiga-Rodríguez

引用次数: 0

Artificial intelligence chatbots for the nutrition management of diabetes and the metabolic syndrome 用于糖尿病和代谢综合征营养管理的人工智能聊天机器人。

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-07-26 DOI: 10.1038/s41430-024-01476-y

Farah Naja, Mandy Taktouk, Dana Matbouli, Sharfa Khaleel, Ayah Maher, Berna Uzun, Maryam Alameddine, Lara Nasreddine

{"title":"Artificial intelligence chatbots for the nutrition management of diabetes and the metabolic syndrome","authors":"Farah Naja, Mandy Taktouk, Dana Matbouli, Sharfa Khaleel, Ayah Maher, Berna Uzun, Maryam Alameddine, Lara Nasreddine","doi":"10.1038/s41430-024-01476-y","DOIUrl":"10.1038/s41430-024-01476-y","url":null,"abstract":"Recently, there has been a growing interest in exploring AI-driven chatbots, such as ChatGPT, as a resource for disease management and education. The study aims to evaluate ChatGPT’s accuracy and quality/clarity in providing nutritional management for Type 2 Diabetes (T2DM), the Metabolic syndrome (MetS) and its components, in accordance with the Academy of Nutrition and Dietetics’ guidelines. Three nutrition management-related domains were considered: (1) Dietary management, (2) Nutrition care process (NCP) and (3) Menu planning (1500 kcal). A total of 63 prompts were used. Two experienced dietitians evaluated the chatbot output’s concordance with the guidelines. Both dietitians provided similar assessments for most conditions examined in the study. Gaps in the ChatGPT-derived outputs were identified and included weight loss recommendations, energy deficit, anthropometric assessment, specific nutrients of concern and the adoption of specific dietary interventions. Gaps in physical activity recommendations were also observed, highlighting ChatGPT’s limitations in providing holistic lifestyle interventions. Within the NCP, the generated output provided incomplete examples of diagnostic documentation statements and had significant gaps in the monitoring and evaluation step. In the 1500 kcal one-day menus, the amounts of carbohydrates, fat, vitamin D and calcium were discordant with dietary recommendations. Regarding clarity, dietitians rated the output as either good or excellent. Although ChatGPT is an increasingly available resource for practitioners, users are encouraged to consider the gaps identified in this study in the dietary management of T2DM and the MetS.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":"78 10","pages":"887-896"},"PeriodicalIF":3.6,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41430-024-01476-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141765752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prediction of insulin resistance and elevated liver transaminases using serum uric acid and derived markers in children and adolescents 利用儿童和青少年的血清尿酸和衍生标记物预测胰岛素抵抗和肝脏转氨酶升高。

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-07-26 DOI: 10.1038/s41430-024-01475-z

Youngha Choi, Hyejin Yang, Soyoung Jeon, Kyoung Won Cho, Seo Jung Kim, Sujin Kim, Myeongseob Lee, Junghwan Suh, Hyun Wook Chae, Ho-Seong Kim, Kyungchul Song

{"title":"Prediction of insulin resistance and elevated liver transaminases using serum uric acid and derived markers in children and adolescents","authors":"Youngha Choi, Hyejin Yang, Soyoung Jeon, Kyoung Won Cho, Seo Jung Kim, Sujin Kim, Myeongseob Lee, Junghwan Suh, Hyun Wook Chae, Ho-Seong Kim, Kyungchul Song","doi":"10.1038/s41430-024-01475-z","DOIUrl":"10.1038/s41430-024-01475-z","url":null,"abstract":"To investigate the relationship of serum uric acid (Uacid) and derived parameters as predictors of insulin resistance (IR) and elevated liver transaminases in children and adolescents Data of 1648 participants aged 10–18 years was analyzed using nationwide survey. Logistic regression analysis was performed with IR and elevated liver transaminases as dependent variables, and odds ratios (ORs) and 95% confidence intervals (CIs) for tertiles 2 and 3 of each parameter in comparison to tertile 1, which served as the reference. Receiver operating characteristic (ROC) curves were generated to assess predictability of the parameters for IR and elevated liver transaminases. Hyperuricemia, IR, and elevated liver transaminases were significantly associated with each other. All Uacid and derived markers showed continuous increase in ORs and 95% CIs for IR and elevated liver transaminases across the tertiles of several biochemical and metabolic variables of interest (all p < 0.001), and were also significantly predictive in ROC curve. Overall, Uacid combined with obesity indices showed higher ORs and area under the curve (AUC) compared to Uacid alone. Uacid-body mass index (BMI) standard deviation score presented the largest AUC for IR. For elevated liver transaminases, Uacid-BMI and Uacid-waist-to-height ratio showed the largest AUC. Uacid combined with obesity indices are robust markers for prediction of IR and elevated liver transaminases in children and adolescents. Uacid and derived markers have potential as simple markers which do not require fasting for screening of IR and elevated liver transaminases in children and adolescents.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":"78 10","pages":"864-871"},"PeriodicalIF":3.6,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41430-024-01475-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141765851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lactobacillus rhamnosus GG as a probiotic for preterm infants: a strain specific systematic review and meta-analysis 鼠李糖乳杆菌 GG 作为早产儿益生菌：菌株特异性系统综述和荟萃分析。

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-07-26 DOI: 10.1038/s41430-024-01474-0

Anitha Ananthan, Haribalakrishna Balasubramanian, Chandra Rath, Saravanan Muthusamy, Shripada Rao, Sanjay Patole

{"title":"Lactobacillus rhamnosus GG as a probiotic for preterm infants: a strain specific systematic review and meta-analysis","authors":"Anitha Ananthan, Haribalakrishna Balasubramanian, Chandra Rath, Saravanan Muthusamy, Shripada Rao, Sanjay Patole","doi":"10.1038/s41430-024-01474-0","DOIUrl":"10.1038/s41430-024-01474-0","url":null,"abstract":"Lactobacillus rhamnosus GG (LGG) is a widely used and extensively researched probiotic. Probiotic effects are considered to be strain specific. We aimed to comprehensively assess the strain-specific effects of LGG in preterm infants. A systematic review of RCTs and non-RCTs to evaluate the effect of LGG in preterm infants. We followed the Cochrane methodology, and preferred reporting items for systematic reviews (PRISMA) statement for conducting and reporting this review. We searched the Cochrane central register of controlled trials, PubMed, EMBASE and CINAHL databases till December 2023. The review was registered in PROSPERO 2022 CRD42022324933. Meta-analysis of data from RCTs that used LGG as the sole probiotic showed significantly lower risk of NEC ≥Stage II [5 RCTs, n = 851, RR:0.50 (95% CI: 0.26, 0.93), P = 0.03] in the LGG group. There was no significant difference in the risk of LOS [7 RCTs, n = 1037, RR:1.08 (95% CI 0.84, 1.39), P = 0.55], mortality [3 RCTs, n = 207, RR: 0.99 (95% CI: 0.42, 2.33), P = 0.99], time to reach full feeds [2 RCTs, n = 19, SMD = 0.11 days (95% CI: −0.22, 0.45), P = 0.51] and duration of hospital stay [3 RCTs, n = 293, SMD: −0.14 days (95% CI: −0.37 to 0.09), P = 0.23]. Meta-analysis of data from non-RCTs showed no significant effect of LGG on NEC, LOS, and mortality. RCTs showed beneficial effects of LGG when used as the sole probiotic in reducing the risk of NEC, whereas observational studies did not. Strain-specific systematic review of LGG provides important data for guiding research and clinical practice.","PeriodicalId":11927,"journal":{"name":"European Journal of Clinical Nutrition","volume":"78 10","pages":"830-846"},"PeriodicalIF":3.6,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41430-024-01474-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141765849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction: Mediation effect of body mass index on the association between serum magnesium level and insulin resistance in children from Mexico City 更正：体重指数对墨西哥城儿童血清镁水平与胰岛素抵抗之间关系的调节作用。

IF 3.6 3区医学

European Journal of Clinical Nutrition Pub Date : 2024-07-17 DOI: 10.1038/s41430-024-01473-1

María Judith Rios-Lugo, Jesús Isimar Serafín-Fabián, Héctor Hernández-Mendoza, Miguel Klünder-Klünder, Miguel Cruz, Estefania Chavez-Prieto, Israel Martínez- Navarro, Jenny Vilchis-Gil, Miguel Vazquez-Moreno

引用次数: 0