Journal of Parenteral and Enteral Nutrition最新文献

{"title":"Association between blood phosphorus level and clinical outcomes in critically ill patients: A systematic review and meta-analysis","authors":"Pardis Irandoost PhD,&nbsp;Mohammad Mostafa Ansari MD,&nbsp;Mohammad Niakan Lahiji FCCM,&nbsp;Sepide Talebi PhD,&nbsp;Kimia Torabinasab MS,&nbsp;Samira Pourmoradian PhD,&nbsp;Marziyeh Ashoori PhD,&nbsp;Maryam Milanifard PhD,&nbsp;Omid Moradi Moghaddam FCCM","doi":"10.1002/jpen.70115","DOIUrl":"10.1002/jpen.70115","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Phosphorus is essential for biological functions and disturbances in its levels can cause phosphorus imbalance, which has ben linked to important clinical outcomes. The study aims to investigate the relationship between blood phosphorus levels and key outcomes, including mortality, intensive care unit stay, and mechanical ventilation duration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This systematic review and meta-analysis was conducted in accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. A comprehensive search was performed in PubMed, Web of Science, Scopus, and Embase up to October 2024. Studies involving adult intensive care unit patients with reported blood phosphorus levels and associated clinical outcomes were included. Risk of bias was assessed using the ROBINS-I tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>A total of 43 observational studies were included. Hypophosphatemia was not significantly linked to intensive care unit or hospital mortality but was associated with prolonged intensive care unit stay (+1.53 days), and mechanical ventilation duration (+1.54 days). Hyperphosphatemia was significantly associated with increased intensive care unit mortality (RR: 1.21, 95% CI: 1.13, 1.29; <i>P</i> &lt; 0.001; <i>n</i> = 13) and hospital mortality (RR: 2.10, 95% CI: 1.49, 2.95; <i>P</i> &lt; 0.001; <i>n</i> = 8), longer intensive care unit stay (+0.80 days), and extended mechanical ventilation (+4.23 days). Potential sources of heterogeneity included the use of renal replacement therapy among patients in the intensive care unit length of stay analysis and the timing of phosphorus measurement in the intensive care unit mortality analysis in hypophosphatemia. Also, patients receiving renal replacement therapy emerged as a potential source of heterogeneity in the analysis of hospital mortality in hyperphosphatemia. The evidence quality was low to very low, with high heterogeneity across studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Pooled heterogeneous data from available low-quality evidence suggests an association of phosphate abnormalities with longer duration of mechanical ventilation, increased intensive care unit and hospital stays, and hyperphosphatemia with mortality. These findings could underline the need for regular phosphorus monitoring and targeted interventions in the intensive care unit.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 6","pages":"767-780"},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371756","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}

{"title":"GLIM criteria for the diagnosis of malnutrition in patients with cirrhosis: A narrative review","authors":"Bárbara Chaves Santos PhD,&nbsp;Ana Teresa Limon-Miro PhD,&nbsp;Puneeta Tandon MD MSc,&nbsp;Maria Isabel Toulson Davisson Correia MD PhD,&nbsp;Carla M. Prado PhD RD,&nbsp;Maria Cristina Gonzalez MD PhD,&nbsp;Lucilene Rezende Anastácio PhD","doi":"10.1002/jpen.70095","DOIUrl":"10.1002/jpen.70095","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This narrative review aims to describe and discuss the validity of the Global Leadership Initiative on Malnutrition (GLIM) criteria in patients with cirrhosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The literature search was performed in PubMed and EMBASE between May and August 2024 and updated in January 2025, including original studies published in English in which patients with cirrhosis were assessed according to the GLIM framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventeen studies with data from 4275 patients were included. There were substantial differences in the use of the GLIM criteria among studies. Overall, the prevalence of malnutrition by the GLIM framework when all the criteria were considered ranged between 21% and 65.1% and was frequently lower when compared to the prevalence by other tools. Sensitivity and specificity of the GLIM criteria in comparison to standard tools were tested in four studies, and none achieved the minimum requirements to determine adequate concurrent validity. In contrast, the diagnosis of malnutrition by the framework demonstrated adequate predictive validity in six studies (HR/OR 2.1–7.2).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In patients with cirrhosis, the prevalence of malnutrition is generally lower when assessed using the GLIM criteria compared with standard tools. Evidence on concurrent validity is currently limited, with existing studies showing insufficient sensitivity and specificity in relation to the Subjective Global Assessment. However, malnutrition defined by GLIM independently predicts adverse clinical outcomes in this population. Future research should focus on the current gaps and on the adequate use of the criteria to strengthen their clinical applicability in nutritional assessment and management of cirrhosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 6","pages":"781-793"},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jpen.70095","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147795317","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}

{"title":"The association between nutritional intakes and growth trajectories among infants with congenital diaphragmatic hernia: A retrospective cohort study","authors":"Grisell Villarreal MD, MSc,&nbsp;Matías Luco MD,&nbsp;Valeria De Toro MD, MSc","doi":"10.1002/jpen.70111","DOIUrl":"10.1002/jpen.70111","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Congenital diaphragmatic hernia is a critical neonatal condition frequently associated with growth impairment. Nutritional strategies to support adequate growth remain poorly defined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the association between caloric and protein intake, timing of parenteral and enteral nutrition, and changes in anthropometric <i>z</i>-scores during neonatal hospitalization in infants with congenital diaphragmatic hernia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective cohort study including infants with congenital diaphragmatic hernia who underwent surgical repair at a single center between 2018 and 2023. Data were collected from birth to discharge or 12th week of hospitalization. Weekly deltas in anthropometric <i>z</i>-scores—weight-for-age, length-for-age, and head circumference-for-age—were calculated. Daily caloric and protein intakes were estimated and averaged weekly; timing of parenteral and enteral nutrition and disease-related factors were obtained and associations with anthropometric <i>z</i>-score deltas were analyzed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 117 infants were included. Overall, 65% experienced <i>z</i>-score declines ≥0.8 across all anthropometric <i>z</i>-scores. Receiver operating characteristic (ROC) curve analysis identified a caloric intake of 113 kcal/kg/day as predictive of positive weight-for-age <i>z</i>-score deltas (area under curve 0.67) with improved specificity at 118 kcal/kg/day. In multivariable linear mixed-effects model, higher caloric intake (<i>p</i> &lt; 0.001) and longer duration of mechanical ventilation (<i>p</i> = 0.01) were independently associated with positive weekly weight-for-age <i>z</i>-score deltas. Additionally, higher caloric intake was independently associated with positive weekly head circumference-for-age <i>z</i>-score deltas (<i>p</i> = 0.02).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Growth impairment during hospitalization was highly prevalent among infants with congenital diaphragmatic hernia. A caloric intake of at least 113 kcal/kg/day, with an optimal threshold near 118 kcal/kg/day, may help prevent further deterioration in weight status.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 6","pages":"864-872"},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148153095","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}

{"title":"Oral and dental status in children with intestinal failure: A descriptive cross-sectional study","authors":"Anat Guz-Mark MD,&nbsp;Dror S. Shouval MD,&nbsp;Raanan Shamir MD,&nbsp;Esti Davidovich DMD","doi":"10.1002/jpen.70113","DOIUrl":"10.1002/jpen.70113","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children with intestinal failure often experience feeding difficulties and complex daily care needs, yet their oral and dental health remains underexplored. We aimed to describe oral and dental health characteristics in pediatric intestinal failure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted in 2024 at a tertiary pediatric Intestinal Failure and Rehabilitation Clinic. Clinical data, parenteral support, feeding characteristics, and oral hygiene habits were assessed. A pediatric dentist evaluated dental status, including plaque, gingival inflammation, calculus, caries experience, and enamel hypoplasia, using clinical examination and intraoral scans.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study included 22 patients (45.5% females, median age 7.2 [IQR 4.9–12.4] years). Intestinal failure etiologies included short bowel syndrome (50%), congenital enteropathies (27.3%), and dysmotility (22.7%). Most patients (72.7%) required daily parenteral support, over a median of 10.5 h/day. Restricted oral intake was noted in 11/22 (50%) patients. Only 18.2% brushed their teeth twice daily, whereas 54.5% reported no regular daily brushing. Dental calculus was present in 14/22 (63.6%) patients. Patients had clinically meaningfully higher plaque, gingival, and calculus scores than normal reference values. Lower tooth-brushing frequency was associated with worse plaque and gingival scores. No significant association was found with restricted eating or parenteral support. Dental caries affected 4/22 (18.2%) patients, and enamel hypoplasia was observed in 8/12 (66.7%) children over six years, often involving all permanent first molars.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Children with intestinal failure frequently exhibit poor oral hygiene, gingival inflammation, dental calculus, and enamel defects. Oral hygiene counseling, nutritional rehabilitation, and dental follow-up should be integrated into their multidisciplinary care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 6","pages":"873-880"},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jpen.70113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214211","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}

{"title":"Association between iron supplementation during pregnancy and delivery mode on double burden of malnutrition in South Asia: A cross-sectional survey study","authors":"Maliha Mahazabin MSc,&nbsp;Sumaya Sultana MSc,&nbsp;Ijaj Ahmed MSc,&nbsp;Md. Shoebuj Zaman MSc,&nbsp;Tohora Safa MSc,&nbsp;Murfia Rahman Muna MSc,&nbsp;Nahid Hasan Monna BSc,&nbsp;Farhan Fuad MSc,&nbsp;Khondokar Naymul Islam MSc","doi":"10.1002/jpen.70102","DOIUrl":"10.1002/jpen.70102","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>South Asia is witnessing a rise in obesity among reproductive-aged women, and the repercussions of this condition extend to their offspring. Our research aims to assess the impact of caesarean section and iron supplementation during pregnancy on different forms of double burden of malnutrition among mother-child dyads in South Asia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This study utilized cross-sectional survey data from 116,547 non-pregnant women having at least one child from Bangladesh, Nepal, Pakistan, India, and the Maldives who completed a Demographic and Health Survey from 2016–2022. A descriptive, bivariate, log-binomial regression model and population attributable fraction for analysis were also employed, with a 5% significance level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Mothers who underwent caesarean delivery demonstrated a 53%, 42%, and 50% increased likelihood of being overweight/obese with stunted child, with wasted child, and with underweight child, respectively, in comparison to those who experienced vaginal delivery. Caesarean delivery without iron supplementation exhibited the highest individual risk across all categories: adjusted prevalence ratio (aPR) of 1.68 (95% CI: 1.48, 1.90) for stunted children of overweight mothers, aPR of 1.65 (95% CI: 1.39, 1.96) for wasted children of overweight mothers, and aPR of 1.79 (95% CI: 1.55, 2.06) for underweight children of overweight mothers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Positive population attributable fraction of the exposure highlights that the prevalence of double burden of malnutrition would be higher in the presence of caesarean delivery. Policymakers should promote awareness initiatives regarding the risk of caesarean delivery and the necessity of iron supplementation during pregnancy in South Asia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 6","pages":"855-863"},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147849285","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}

{"title":"JPEN Journal Club 99. ICEMAN analyses","authors":"Ronald L. Koretz MD","doi":"10.1002/jpen.70072","DOIUrl":"10.1002/jpen.70072","url":null,"abstract":"","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 6","pages":"891-893"},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147477661","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}

{"title":"Clinical value of nutrition screening tools in mechanically ventilated critically ill children: Clinical application considerations","authors":"Zhichao Zhao MM,&nbsp;Ting Shen MD","doi":"10.1002/jpen.70094","DOIUrl":"10.1002/jpen.70094","url":null,"abstract":"","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 6","pages":"765-766"},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147795302","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}

{"title":"Association between swallowing function and Short Physical Performance Battery score in hospitalized adults with heart failure: A retrospective cohort study","authors":"Koji Matsuo BSc,&nbsp;Kei Yoneki PhD,&nbsp;Kazuhiro Mibu MS,&nbsp;Kikka Kobayashi MS,&nbsp;Daiki Onoda MS,&nbsp;Hiroaki Tatsuki MS,&nbsp;Seiji Tamiya PhD","doi":"10.1002/jpen.70109","DOIUrl":"10.1002/jpen.70109","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dysphagia is a common complication in acute heart failure, and approximately 20% of patients develop new-onset dysphagia during hospitalization. Although dysphagia has been associated with worse prognosis, most studies rely on subjective scales, and objective assessment in heart failure remains insufficiently standardized. We examined whether ultrasonographic swallowing function at admission was associated with physical function at discharge and prognosis in patients with acute heart failure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We retrospectively studied 166 patients aged ≥65 years emergently admitted for acute heart failure to Sagamihara Kyodo Hospital between August 2021 and December 2022. Ultrasonographic swallowing function was assessed using maximal hyoid displacement, geniohyoid muscle area, and geniohyoid muscle echogenicity at admission. Outcomes were Short Physical Performance Battery at discharge and a 1-year composite of all-cause death or heart failure-related unplanned readmission.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Median age was 82 years and 46% were women. In adjusted linear regression models, greater maximal hyoid displacement (<i>β</i> = 0.19; <i>P</i> &lt; 0.001), larger geniohyoid muscle area (<i>β</i> = 0.04; <i>P</i> = 0.02), and lower geniohyoid muscle echogenicity (<i>β</i> = −0.08; <i>P</i> = 0.01) were associated with higher Short Physical Performance Battery scores at discharge. Over a follow-up period, 55 patients had the composite endpoint. In the multivariate Cox proportional hazards model, lower maximal hyoid displacement, smaller geniohyoid muscle area, and higher geniohyoid muscle echogenicity were associated with worse prognosis (<i>P</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Ultrasonographic swallowing function was associated with discharge physical function and 1-year prognosis in older patients with acute heart failure.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 6","pages":"816-822"},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148102499","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}

{"title":"Associations between ICU survival and self-perceived appetite, smell, and taste relative to general ward patients: A prospective study","authors":"Max Melchers MD,&nbsp;Julia C. J. Loenen MSc,&nbsp;Elbrich M. Wempe MD,&nbsp;Arthur R. H. van Zanten MD, PhD,&nbsp;Imre W. K. Kouw PhD","doi":"10.1002/jpen.70119","DOIUrl":"10.1002/jpen.70119","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Post-intensive care unit (ICU) patients frequently fail to meet nutritional requirements during recovery on the hospital ward. Alterations in appetite, smell and taste perception in ICU survivors remain poorly understood. This study compared appetite and sensory perceptions between ICU survivors and general ward patients and assessed relationships with nutritional goal achievement during hospitalization and early recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this single-center, observational prospective cohort study, 50 post-ICU patients (ICU stay ≥48 h) and 50 acutely admitted general ward patients were enrolled (June 2023–February 2024). Appetite, taste and smell perception were the primary outcome parameters and were assessed within 24 h of ward admission, after 7 days or at discharge, and at 6 weeks using visual analog scales. Multivariable linear regression and mixed-effect models analyzed associations between post-ICU status and outcome parameters at ward admission and during follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>No differences in appetite, taste, or smell were observed between post-ICU and general ward patients at ward admission or during follow-up (all <i>P</i> &gt; 0.05). Post-ICU showed significant improvements in appetite, taste, and smell within 6 weeks (<i>P</i> &lt; 0.001, <i>P</i> = 0.01, and <i>P</i> = 0.02, respectively), in contrast to general ward patients (all <i>P</i> &gt; 0.05). Post-ICU patients achieved lower energy (48% ± 28% vs 72% ± 33%, <i>P</i> = 0.00) and protein adequacy (46% ± 29% vs 72% ± 39%, <i>P</i> = 0.00) versus general ward patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We observed no differences in appetite, smell, or taste between post-ICU and general ward patients at ward admission or during recovery. Post-ICU achieved lower energy and protein adequacy by oral intake but barriers of reduced intake remain to be further investigated.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 6","pages":"805-815"},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jpen.70119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148400370","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}

{"title":"Amino acid strategy in early postoperative parenteral nutrition","authors":"Jiaqi Shen BM,&nbsp;Fangfang Huang MM","doi":"10.1002/jpen.70092","DOIUrl":"10.1002/jpen.70092","url":null,"abstract":"","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 6","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147795257","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}