Journal of Parenteral and Enteral Nutrition最新文献

{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 4","pages":"544-556"},"PeriodicalIF":4.1,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148086660","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 4","pages":"486-498"},"PeriodicalIF":4.1,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148081581","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 3","pages":"357-358"},"PeriodicalIF":4.1,"publicationDate":"2026-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148080031","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":"2025 – 2026 ASPEN Abstract Review Committee","authors":"","doi":"10.1002/jpen.70043","DOIUrl":"10.1002/jpen.70043","url":null,"abstract":"<p>The American Society for Parenteral and Enteral Nutrition (ASPEN) Abstract Review Committee reviews, ranks and selects abstracts submitted for both oral and poster presentations at the annual ASPEN Nutrition Science & Practice Conference. Members of this committee are experts in the field and have the necessary skills to review and critically evaluate scientific and clinical research submitted in abstract form. Many of the submitted abstracts are eligible for ASPEN's prestigious abstract awards. Committee members may also serve as moderators in the oral paper sessions at the ASPEN Nutrition Science & Practice Conference. In compliance with accreditation standards, committee members complete conflicts of interest statements prior to participation and industry representatives and employees are not appointed to this committee.</p><p><b>The 2025 – 2026 ASPEN Abstract Review Committee</b></p><p><i>Co-Chairs: Hannah Piper and Jana Ponce</i></p><p><i>Parenteral Nutrition Therapy Group Leader:</i> Mireille Hamdan</p><p><i>Enteral Nutrition Therapy Group Leader:</i> April Church</p><p><i>Malnutrition and Nutrition Assessment Group Leader:</i> Leah Anderson</p><p><i>Critical Care and Critical Health Issues Group Leader:</i> Benjamin Hall</p><p><i>GI, Obesity, Metabolic, and Other Nutrition-Related Concepts Group Leader:</i> Lindsey Russell</p><p><i>Pediatric, Neonatal, Pregnancy, and Lactation Group Leader: Jessie Hulst</i></p><p><i>ASPEN Board liaison to the committee: Anne Tucker</i></p><p><b>At-Large Committee Members:</b></p><p>Andrew Adorno</p><p>Tahani Alrehaili</p><p>Elif Aysin</p><p>Sarita Bajpai</p><p>Lauren Beckman</p><p>Miss Zainab Bibi</p><p>Ashley Bocek</p><p>Rebecca Brody</p><p>Ann-Marie Brown</p><p>Cassie Brown</p><p>Lingtak-Neander Chan</p><p>Anisha Chhibber</p><p>Adeeti Chiplunker</p><p>Rekha Chirayath</p><p>Laura Cutten</p><p>Valentina Da Prat</p><p>Gabriela de Oliveira Lemos</p><p>Emily Diemer</p><p>Felecia Dispense</p><p>Angela DiTucci</p><p>Jithinraj Edakkanambeth Varayil</p><p>Gustave Horacio Falciglia</p><p>Kristy Feeney</p><p>Megan Follett</p><p>Laura Gearman</p><p>Amanda Gilhool</p><p>Allison Gomes</p><p>Mario Gomez Hernandez</p><p>Caran Graves</p><p>Shanna Hager</p><p>Sandra Hennessy</p><p>Maria Hetherton</p><p>Carol Ireton-Jones</p><p>Muna Islami</p><p>Hanan Ismail</p><p>Syed-Mohammed Jafri</p><p>Renuka Jayatissa</p><p>Lisa Kinder</p><p>Merin Kinikini</p><p>Mark Klang</p><p>Samuel Kocoshis</p><p>Catherine Larson-Nath</p><p>Ada Lin</p><p>Rachel Ludke</p><p>Kristen MacEachern</p><p>Diana Mager</p><p>Abigail Martin</p><p>Christine Meissner</p><p>Yolanda del Carmen Méndez Romero</p><p>Ranna Modir</p><p>Osman Mohamed Elfadil</p><p>Dawna Mughal</p><p>Samantha Mumford</p><p>Kristin Munroe</p><p>Aimuan Oreavbiere</p><p>Jessica Pollard</p><p>Emily Ryder</p><p>William San Pablo</p><p>Raul Sanchez Leon</p><p>Senthilkumar Sankararaman</p><p>Christine Scarcello</p><p>Parul Sharma</p><p>Agnieszka Sowa</p><p>Melissa Sy</p><p>Jessica ","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 S1","pages":"S333-S334"},"PeriodicalIF":4.1,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://aspenjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/jpen.70043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890913","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":"Harry M. Vars Award Candidates Abstracts","authors":"","doi":"10.1002/jpen.70046","DOIUrl":"10.1002/jpen.70046","url":null,"abstract":"<p>Sunday, February 15, 2026</p><p>Premier Paper Session and Vars Award Competition</p><p><b>Harry M. Vars Award Candidate</b></p><p>Nicole Gilbert, RD<sup>1</sup>; Laurie Lee, NP, MN, PhD (Epi)<sup>2</sup>; Dana Boctor, MSc, MD, FRCP(C)<sup>3</sup>; Tanis Fenton, PhD, RD, FDC<sup>3</sup></p><p><sup>1</sup>University of Calgary/Alberta Health Services, Calgary, Alberta; <sup>2</sup>Faculty of Nursing, University of Calgary, Calgary, Alberta; <sup>3</sup>University of Calgary, Calgary, Alberta</p><p><b>Financial Support:</b> This work was supported by the ASPEN Rhoads Research Foundation.</p><p><b>Background:</b> Enteral nutrition (EN) has been associated with better clinical outcomes in critically ill children. However, frequent feed interruptions are common, resulting in underfeeding. Traditionally, tube feeds are provided using hourly rate-based feeding goals. Volume-based feeding allows nurses to adjust feed rates to compensate for interruptions. This study examined the feasibility of conducting a randomized controlled trial (RCT) to evaluate volume-based EN (VBEN) in the pediatric intensive care unit (PICU) by assessing participant recruitment, enrollment and consent rates, protocol adherence and secondary clinical outcomes in order to inform the design of a future study.</p><p><b>Methods:</b> We conducted a parallel, partially blinded 1:1 randomized feasibility trial of children admitted to the Alberta Children's Hospital PICU from March to November 2024. Eligible children were 1 month to 18 years old, expected to remain in the PICU ≥ 48 hours, and require EN. Randomization was block-stratified by age and ventilator support. A deferred consent strategy was used to facilitate timely enrollment, randomization, and protocol initiation. After 24 hours of feed initiation and titration, participants received either the unit standard or intervention: Comparator (RBEN, unit standard): Nurses followed a fixed hourly feed rate with no adjustments for missed volumes. Intervention (VBEN): Nurses were provided a 24-hour target feed volume and instructed to adjust rates following interruptions, within a predefined maximum rate to avoid rapid infusions. Daily data was collected from enrollment to PICU discharge or 7 days of study protocol, whichever came first. Participants were analyzed according to the intention-to-treat principle.</p><p><b>Results:</b> A total of 436 children were screened for eligibility. Of these, 120 (28%) met the initial inclusion criteria. After applying exclusion criteria, 61 children (51%) remained eligible and 60 (98%) were successfully enrolled and randomized. One child was enrolled but never started on EN. Among 178 study days, five protocol violations occurred (2.8%); two due to incorrect study orders entered in the electronic medical system and three due to feed rates administered outside the VBEN protocol parameters. Notably, feed rates were never run above the maximum infusion rate. One child with an undiagnosed metabolic ","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 S1","pages":"S63-S70"},"PeriodicalIF":4.1,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://aspenjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/jpen.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146014202","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":"Poster Abstracts","authors":"","doi":"10.1002/jpen.70052","DOIUrl":"10.1002/jpen.70052","url":null,"abstract":"<p><b>P1–P38 Parenteral Nutrition Therapy</b></p><p><b>P39–P58 Enteral Nutrition Therapy</b></p><p><b>P59–P94 Malnutrition and Nutrition Assessment</b></p><p><b>P95–P117 Critical Care and Critical Health Issues</b></p><p><b>P118–P149 GI, Obesity, Metabolic, and Other Nutrition-Related Concepts</b></p><p><b>P150–P186 Pediatric, Neonatal, Pregnancy, and Lactation</b></p><p><b>Parenteral Nutrition Therapy</b></p><p>Amanda Scippa, RD, LDN, CNSC<sup>1</sup>; Natalie Chand, MS, RD, LDN, CNSC<sup>2</sup>; Jill Agin, RD, LD, CNSC<sup>3</sup></p><p><sup>1</sup>KabaFusion, Woburn, Massachusetts; <sup>2</sup>KabaFusion, Jersey City, New Jersey; <sup>3</sup>KabaFusion, Atlanta, Georgia</p><p><b>Financial Support:</b> None Reported.</p><p><b>Background:</b> Parenteral Nutrition (PN) formulations contain many sterile injectable drugs that are susceptible to shortages due to having few manufacturers with limited geographic diversity. In 2024, a hurricane damaged a manufacturing facility that produced a large quantity of Dextrose 70% (D70) and sterile water for the United States leading to nationwide shortages. Use of multichambered premixed parenteral nutrition (MPPN) may be explored during shortages. MPPN is a commercially available product containing amino acids, dextrose with electrolytes, and lipids in separate chambers. The seams are ruptured, allowing components to mix before administration. The purpose of this retrospective study is to determine the clinical impact of utilizing MPPN instead of custom PN during sterile water and dextrose 70% national shortages and to identify clinical factors associated with better tolerance of MPPN.</p><p><b>Methods:</b> To continue meeting patients’ nutrition needs, MPPN was utilized by KabaFusion in the home setting from October 22, 2024, through April 15, 2025. Registered Dietitians determined the type of MPPN for each patient based on laboratory values and patients’ current PN formulation. The following data was reviewed retrospectively: primary diagnosis for therapy, length of time on MPPN, hospitalizations and line infection after initiating MPPN, diet, tolerance of MPPN, ostomy or gastrostomy tube output, electrolyte stability at time of MPPN initiation, and patient feedback. Inclusion criteria included all patients that received MPPN during the specified time frame.</p><p><b>Results:</b> A total of 15 patients received three different types of MPPN. The breakdown of primary diagnoses is summarized in Table 1. The longest duration on MPPN was 151 days and the shortest was 6 days with an average of 47 days. One patient was hospitalized for electrolyte disturbances related to MPPN formulation. No line infections were reported from any patients while on MPPN. Patients were on the following diets: 60% solid food, 20% full liquids, 13% clear liquids, and 7% NPO. Ultimately, 80% tolerated MPPN while 20% did not tolerate MPPN and required transition back to custom PN. The patients that tolerated MPPN had less than two li","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 S1","pages":"S71-S332"},"PeriodicalIF":4.1,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://aspenjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/jpen.70052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121831","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":"Nutrition and Metabolism Research Oral Paper Session Abstracts","authors":"","doi":"10.1002/jpen.70047","DOIUrl":"10.1002/jpen.70047","url":null,"abstract":"<p>\u0000 \u0000 </p><p><b>Parenteral Nutrition Therapy</b></p><p>Jessica Younkman, RD, CNSC<sup>1</sup>; Christine Miller, PharmD<sup>1</sup>; Teri Burgess<sup>1</sup>; Rebecca Rand<sup>1</sup></p><p><sup>1</sup>Soleo Health, Frisco, Texas</p><p><b>Financial Support:</b> Authors of this abstract disclose the following concerning possible financial or personal relationships with commercial entities that may have a direct or indirect interest in the subject matter of this presentation: Nothing to disclose.</p><p><b>Background:</b> Providing home parenteral nutrition (HPN) therapy has become increasingly challenging. The National Home Infusion Association reported HPN costs rose 75.4% from 2016 to 2024 while monthly payments decreased by 5.47%. Additionally, between 2022 to 2024, the number of pharmacies that submitted claims for HPN decreased by almost 16%. This study aims to gain insights into the impact of reimbursement on the continuity of care and clinical management of HPN patients.</p><p><b>Methods:</b> A survey of home infusion providers assessed HPN service experiences and challenges. Distributed via direct contact and social media, it assessed patient volume, ingredient costs, insurance impacts, and declined referrals due to reimbursement. Conducted over five weeks (September-October 2024), a total of 29 surveys were completed. Respondents were mainly dietitians (90%).</p><p><b>Results:</b> Over half (52-55%) of the responding providers report they declined HPN referrals based on the payor's reimbursement rate (Figures 1 AND 2). During the survey period, 45% of providers transferred patients to other service providers within the prior three months due to poor reimbursement. Most providers (90%) feel PN ingredient costs have become more problematic in recent years, and 38% agreed this affects formulation decisions. One-third (35%) of providers agree that reimbursement affects the clinical management of patients. A smaller portion (13%) reported spending more time managing and adjusting HPN formulas when rates are low (Figure 2). Providers frequently restrict or remove PN components due to cost, with 54% doing so at least monthly and 12% as often as weekly. Many providers (87%) reported modifying or limiting certain PN ingredients due to cost or reimbursement, including switching to oral alternatives (if available), reducing the dose or frequency of ingredients, or removing the ingredient entirely from the HPN formulation. Vitamin C and selenium were the most affected – 65% and 52% of providers, respectively, reported removing or limiting their use. Specialty lipid and amino acid formulations, L-cysteine, and levocarnitine were not converted to oral due to lack of oral options or patient tolerability (Figure 3). With over half of the responding providers declining HPN referrals due to reimbursement rates, the results of this study uncover a barrier to the continuity of care for PN patients. Delays in transitioning patients from ","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 S1","pages":"S5-S62"},"PeriodicalIF":4.1,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://aspenjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/jpen.70047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146000447","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 3","pages":"421-429"},"PeriodicalIF":4.1,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148071917","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":"Introduction to Conference Abstracts","authors":"","doi":"10.1002/jpen.70042","DOIUrl":"10.1002/jpen.70042","url":null,"abstract":"<p>The American Society for Parenteral and Enteral Nutrition (ASPEN) is dedicated to improving patient care by advancing the science and practice of clinical nutrition and metabolism. Founded in 1975, ASPEN is an interprofessional organization whose members are involved in the provision of clinical nutrition therapies, including parenteral and enteral nutrition. With more than 6000 members from around the world, ASPEN is a community of dietitians, nurses, nurse practitioners, pharmacists, physicians, physician associates, researchers, scientists, students, and other health professionals from every facet of nutrition support clinical practice, research, and education.</p><p>ASPEN hosts an annual forum for clinical nutrition research and education, the ASPEN Nutrition Science &amp; Practice Conference. The ASPEN Abstract Review Committee reviewed all abstracts submitted for the conference and selected those published herein for presentation. Selected abstracts feature data relevant to clinical nutrition therapy and metabolic support, many of which were eligible for several of ASPEN's prestigious abstract awards.</p><p>The abstracts in this supplement have not been copyedited. Any errors contained within the abstracts are the sole responsibility of the authors. ASPEN does not assume liability for any errors herein. This content does not constitute medical or other professional advice. Please visit ASPEN's conference webpage for more information: https://www.nutritioncare.org/conference/.</p>","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 S1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://aspenjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/jpen.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890982","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16668,"journal":{"name":"Journal of Parenteral and Enteral Nutrition","volume":"50 S1","pages":"S1-S3"},"PeriodicalIF":4.1,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148074264","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}