{"title":"Dietary patterns and fasting behaviors in Huntington's disease population: A cross-sectional survey study.","authors":"Russell G Wells, Lee E Neilson, Amie L Hiller","doi":"10.1177/02601060251378785","DOIUrl":"https://doi.org/10.1177/02601060251378785","url":null,"abstract":"<p><p>BackgroundLifestyle factors, including dietary fasting and structured eating habits, may influence neurodegenerative processes in Huntington's disease (HD), yet little is known about dietary behaviors in this population.AimEvaluate the frequency of fasting habits, identify meal timing characteristics, and explore dietary composition choices in individuals with or at-risk for HD.MethodsAn electronic survey was distributed within the HD community. Responses were collected for one year and statistically analyzed.ResultsAmong 116 respondents, 42% reported practicing a fasting protocol, with 36% sustaining it for over a year and 40% applying it as a weight loss strategy. The most common type was daily 16:8 fasting. Mediterranean, low-carbohydrate, and vegetarian diets were the most frequently adopted structured dietary patterns.ConclusionsFasting and structured eating habits are common in the HD community, suggesting dietary interventions may be feasible and relevant. Future studies are needed to evaluate their safety and effects in HD.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251378785"},"PeriodicalIF":1.4,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashlea Braun, Dorsa Hosseininasab, Sarah Corcoran, Tyler Godsey, Edralin Lucas, Melinda McCann, Gerwald Koehler, Sam R Emerson
{"title":"Fiber for improvement of behavior, eating, and risk: Protocol for a randomized controlled trial examining a behavioral intervention focused on facilitating improved dietary fiber consumption, eating behavior, and cardiometabolic risk in adults with obesity.","authors":"Ashlea Braun, Dorsa Hosseininasab, Sarah Corcoran, Tyler Godsey, Edralin Lucas, Melinda McCann, Gerwald Koehler, Sam R Emerson","doi":"10.1177/02601060251375130","DOIUrl":"https://doi.org/10.1177/02601060251375130","url":null,"abstract":"<p><p><b>Background:</b> Despite a long-standing appreciation for the benefits of dietary fiber consumption, there is a lack of interventions focused exclusively on improving dietary fiber intake. <b>Aim:</b> The aim of this study is to determine the effects of an intervention focused singularly on improving dietary fiber on weight, eating behavior, and markers of cardiometabolic risk. <b>Methods:</b> This pilot study will employ a three-arm, factorial design to examine effects of a novel dietary fiber-focused intervention: Fiber for Improvement of Behavior, Eating, and Risk (FIBER), compared to standard weight loss education alone or in combination with FIBER. FIBER is 3 months long, including group-based educational sessions and remote counseling using motivational interviewing. Intervention content is focused on dietary fiber. This includes what dietary fiber is, where to find it, why to consume it, and how to consume it via theory-driven behavior change techniques and strategies (e.g. observational learning). Adults consuming ≤25 g of dietary fiber/day and a body mass index ≥30 kg/m<sup>2</sup> will be recruited using online advertisements. Participants will complete in-person data collection visits at baseline and 1 and 2 years post-FIBER to measure body mass (primary outcome), blood lipids, dietary fiber intake, behavior and cognitive measures, stool samples, and body composition (secondary outcomes). One remote data collection session will occur directly after FIBER to assess dietary fiber intake and behavior and cognitive measures. <b>Summary:</b> This study will provide data regarding effects of a dietary fiber-focused intervention on diet and eating-related behavior, body weight, and cardiometabolic risk factors in adults with obesity.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251375130"},"PeriodicalIF":1.4,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carla McGq Campos, Mariano Gallo Ruelas, Giovanna Hs da Silva, Fernanda R de Lima, Daniele F Holanda
{"title":"Effect of Moro orange juice extract supplementation in weight management in adults: A systematic review and meta-analysis.","authors":"Carla McGq Campos, Mariano Gallo Ruelas, Giovanna Hs da Silva, Fernanda R de Lima, Daniele F Holanda","doi":"10.1177/02601060251374379","DOIUrl":"https://doi.org/10.1177/02601060251374379","url":null,"abstract":"<p><p>Background and purposeOverweight and obesity are critical public health issues linked to chronic diseases such as type 2 diabetes and cardiovascular conditions. Moro orange juice extract has emerged as an alternative for promoting weight loss and improving body composition among overweight adults. Therefore, we conducted a systematic review and meta-analysis to evaluate its effectiveness and potential role in obesity management.AimTo evaluate the effectiveness of Moro orange juice extract supplementation on weight-related outcomes in overweight and obese adults.MethodsWe systematically searched PubMed, Embase, and Cochrane for randomized controlled trials (RCTs) comparing Moro orange juice extract with placebo in overweight adults. Our primary outcomes were changes in body weight and body mass index (BMI). Secondary outcomes included waist circumference, fat mass, and lean mass.ResultsThree RCTs involving 252 participants were included in our analysis. The extract significantly reduced body weight (mean difference (MD) -2.08 kg; 95% confidence interval (CI) -3.50, -0.67; <i>I</i><sup>2</sup> = 0%; <i>p</i> < 0.01) and fat mass (MD -1.53 kg; 95% CI -2.92, -0.15; <i>I</i><sup>2 </sup>= 0%; <i>p</i> = 0.03), the pooled analysis of waist circumference presented heterogeneous point estimates (MD -3.25 kg; 95% CI -6.44, -0.07; <i>I</i><sup>2</sup> = 99%; <i>p</i> = 0.05). No significant effects were observed on lean mass.ConclusionMoro orange juice extract may result in weight and fat mass reduction in overweight and obese adults. However, additional research is needed to determine the optimal dosage, duration of supplementation, and underlying mechanisms.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251374379"},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yenni E Cedillo, Douglas R Moellering, Maria De Luca
{"title":"The mediating role of syndecan-4 in the negative association of healthy eating index with body mass index and android percent fat in premenopausal women.","authors":"Yenni E Cedillo, Douglas R Moellering, Maria De Luca","doi":"10.1177/02601060251378557","DOIUrl":"10.1177/02601060251378557","url":null,"abstract":"<p><p><b>Background:</b> Diet quality has been implicated in the development of abdominal obesity. Yet, the molecular components involved in this relationship remain largely unknown. <b>Aim:</b> This pilot study examined whether syndecan-4 (SDC4) may serve as a molecular link between diet quality and abdominal obesity. <b>Methods:</b> Serum SDC4 levels were measured in 41 women (aged 21-45) who self-identified as African American or European American. Diet quality was assessed using the healthy eating index (HEI) score derived from a food frequency questionnaire, while android percent fat was measured using dual-energy X-ray absorptiometry. Regression and mediation analyses were performed to examine the data. <b>Results:</b> Significant (<i>p</i> < 0.05) negative correlations were observed between HEI scores and both body mass index (BMI) and android percent fat. SDC4 emerged as a significant predictor of HEI and mediated the negative associations of HEI with BMI and android percent fat, independent of race and age. <b>Conclusion:</b> Our findings suggest that SDC4 may play a key mechanistic role in linking adherence to dietary recommendations with reductions in android adiposity.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251378557"},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ratchanok Phonyiam, Chiao-Hsin Teng, Yamnia Cortés, Catherine Sullivan, Aunchalee Palmquist, Eric A Hodges, Marianne Baernholdt
{"title":"Breastfeeding barriers and facilitators in Thai postpartum women with type 2 diabetes mellitus.","authors":"Ratchanok Phonyiam, Chiao-Hsin Teng, Yamnia Cortés, Catherine Sullivan, Aunchalee Palmquist, Eric A Hodges, Marianne Baernholdt","doi":"10.1177/02601060251371840","DOIUrl":"https://doi.org/10.1177/02601060251371840","url":null,"abstract":"<p><p>BackgroundBreastfeeding positively influences glucose regulation in postpartum women with diabetes.AimThis study aimed to describe breastfeeding barriers and facilitators in postpartum women with type 2 diabetes mellitus (T2DM).MethodsThis qualitative analysis utilized data from a parent study with a convergent parallel mixed-methods design. We interviewed postpartum women with T2DM and extracted fasting plasma glucose levels from medical records taken at 4 to 6 weeks after childbirth.ResultsEight postpartum women with T2DM participated. Those who exclusively breastfed had normal fasting plasma glucose levels. Six themes emerged as breastfeeding barriers and facilitators across individual, interpersonal, and societal levels. Individual barriers included low milk production, dietary cravings, and emotional challenges of first-time motherhood. Interpersonal barriers involved lactation issues, baby conditions, and mother-baby separation post-birth. Societal barriers included short maternal leave, workplace difficulties with pumping, baby's location, and healthcare costs. Individual facilitators included breastfeeding intention and dietary practices to boost milk. Interpersonal facilitators were understanding baby cues and family support. Societal facilitators were involved in Thai postpartum traditions, health literacy, and lactation rooms in hospitals.ConclusionsOur findings highlighted the importance of identifying women's barriers and facilitators in breastfeeding, addressing physical and emotional challenges, and conducting lactation assessments. The study emphasized the need for increased workplace support for ongoing breastfeeding and individualized support that considers cultural beliefs and hospital practices.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251371840"},"PeriodicalIF":1.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elaine Cristina de Lara Spada, Daniela de Souza Vial Dahmer, Adriene de Moura Barboza, Wéliton Barreto da Silva, Edgar Willibaldo Allebrandt Neto, Mariana Favero Boaventura, Claudia Marlise Balbinotti Andrade, Ailton José Terezo, Carla Grazieli Azevedo da Silva, Márcia Queiroz Latorraca, Suelem Aparecida de França Lemes
{"title":"β-carotene and fatty acid composition of <i>Attalea phalerata</i> oil and its effect on metabolism as the sole source of vitamin A precursors in deficient rats.","authors":"Elaine Cristina de Lara Spada, Daniela de Souza Vial Dahmer, Adriene de Moura Barboza, Wéliton Barreto da Silva, Edgar Willibaldo Allebrandt Neto, Mariana Favero Boaventura, Claudia Marlise Balbinotti Andrade, Ailton José Terezo, Carla Grazieli Azevedo da Silva, Márcia Queiroz Latorraca, Suelem Aparecida de França Lemes","doi":"10.1177/02601060251375505","DOIUrl":"https://doi.org/10.1177/02601060251375505","url":null,"abstract":"<p><p><b>Background:</b> The fruit of <i>Attalea phalerata</i> has high nutritional value, including carotenoids and unsaturated fatty acids, in its pulp. <b>Aim:</b> To evaluate the effects of <i>A. phaler</i>ata pulp oil as a source of vitamin A in animals with deficiency. <b>Methods:</b> Male Wistar rats, 21days old (∼60 g) were divided into three groups: Control Group(C): received AIN-93G diet for 75 days; <i>A. phalerata</i> oil group (AO): received AIN-93G diet without vitamin-A for 45 days followed by a diet containing <i>A. phalerata</i> oil for 30 days, β-carotene (BC) group: received AIN-93G diet without vitamin-A for 45 days followed by a diet containing synthetic β-carotene for 30 days. <b>Results:</b> β-carotene concentration (308.1 µg/mL) and fatty acid profile (48.59% of oleic acid) were quantified in oil by high-performance liquid chromatography. Groups AO and BC had a corneal tissue weight 92% higher than the C. The conjunctival weight was 89% higher in the AO group and 98% higher in the BC group versus the C group. Urea levels were 17% higher in the AO group compared to the BC group. The concentration of carbonyl proteins in the liver of the AO group was 233% higher than that of the C group. The BC group showed levels of carbonylated proteins lower than the AO group and equal to the controls. <b>Conclusion:</b> <i>A. phalerata</i> pulp oil may be an effective source of β-carotene for recovering animals with vitamin A deficiency; nonetheless, recovery with <i>A. phalerata</i> oil was not sufficient to improve the oxidative damage caused by 45 days of nutritional insult.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251375505"},"PeriodicalIF":1.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ponts'o Maraceline Khoabane, Mpati Evelyn Fosa, Rose Kokui Dufe Turkson
{"title":"Prevalence of Mercury aka. \"Sekete\" consumption during pregnancy and its effect on nutrition: A cross-sectional study.","authors":"Ponts'o Maraceline Khoabane, Mpati Evelyn Fosa, Rose Kokui Dufe Turkson","doi":"10.1177/02601060251377508","DOIUrl":"https://doi.org/10.1177/02601060251377508","url":null,"abstract":"<p><p>BackgroundConsumption of mercury during pregnancy is detrimental to life and results in neurodevelopmental delays, foetal development, premature birth, low birth weight, and spontaneous miscarriages. Socio-cultural norms and practices play a critical role in shaping dietary habits and food choices among pregnant women.AimTo assess the prevalence of mercury consumption, its socio-cultural drivers, and its nutritional implications among pregnant women in urban Mafeteng District, Lesotho.MethodUsing a cross-sectional design, quantitative and qualitative approaches, the study sampled 72 participants (50 pregnant women and 22 traditional healers), drawn from an estimated population of 16,682 using Epi Info software. Data was analyzed using SPSS version 20.ResultsThe mean age of pregnant women was 25 years (± 4.7 SD), more than 60% had a high school education, and more than 62% were not married. 48% reported obtaining mercury from the local chemist, with over 60% consuming it for more than 2 months. Mercury was consumed by 36% to reduce pain during childbirth, 24% to protect their unborn child against witchcraft, 28% a cultural practice. Among traditional healers, 95% were males, with a mean age of 34 years (± 12.4 SD). Of these 38% administered mercury to counter witchcraft, 53% to reduce labor pain, and ensure safe and timely delivery.ConclusionA high prevalence of mercury consumption among pregnant women existed and was largely influenced by socio-cultural norms and beliefs. Duration of exposure to mercury could affect early fetal development. Furthermore, side effects like nausea and vomiting may compromise maternal nutrition, adding to health risks during pregnancy. Need for urgent public health interventions to address these cultural practices and prevent mercury exposure.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251377508"},"PeriodicalIF":1.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Miznah Hizam AlShammary, Norah Mohammed Alyahya, Eman M Alanazi, Abdullah Aldaeej, Aljouharah Mohammed Alanazi, Walaa Hassan, Tamer Farag, Sager Mohammed Alanazi, Hamad Mohammed Al Otaibi, Salem Albagmi, Wejdan M Arif, Amal Mubarak Bakhshwain, Afnan Fahd Almuhanna, Fahad Alanezi
{"title":"Investigating patients' perceptions of ChatGPT as a health information resource: A qualitative study.","authors":"Miznah Hizam AlShammary, Norah Mohammed Alyahya, Eman M Alanazi, Abdullah Aldaeej, Aljouharah Mohammed Alanazi, Walaa Hassan, Tamer Farag, Sager Mohammed Alanazi, Hamad Mohammed Al Otaibi, Salem Albagmi, Wejdan M Arif, Amal Mubarak Bakhshwain, Afnan Fahd Almuhanna, Fahad Alanezi","doi":"10.1177/02601060251376091","DOIUrl":"https://doi.org/10.1177/02601060251376091","url":null,"abstract":"<p><p>BackgroundThe rapid adoption of artificial intelligence-powered tools like ChatGPT has introduced new avenues for patients to access health information independently. Understanding how patients perceive and engage with such tools is essential to evaluating their trustworthiness, usability, and potential impact on health decision-making.AimThe purpose of this study is to investigate the facilitators and barriers of using ChatGPT as a health information resource for patients' health management.MethodsA qualitative research design was adopted in this study. The participants included outpatients at a public hospital. Participants interacted with ChatGPT (version 3.5) for at least 15 min daily over 2 weeks to explore health-related topics before participating in semi-structured interviews. A total of 28 outpatients participated in the interviews.ResultsThe findings from this study have indicated both positive and negative aspects of ChatGPT as a health information resource. Among the 28 participants, the most frequently reported facilitators included improved health literacy (reported by 26 participants, 92.9%), effectiveness and efficiency (24 participants, 85.7%), cost-effectiveness (23 participants, 82.1%), accessibility (17 participants, 60.7%), empowerment (13 participants, 46.4%), and anonymity (11 participants, 39.3%). Reported barriers included lack of personalized information (15 participants, 53.6%), limited reliability (9 participants, 32.1%), restricted diagnostic capability (6 participants, 21.4%), lack of human interaction (14 participants, 50%), privacy concerns (4 participants, 14.3%), legal and ethical issues (9 participants, 32.1%), and lack of emotional support (3 participants, 10.7%).ConclusionAlthough ChatGPT has significant benefits of being used as a health information resource, to arrive at specific conclusions, there is a need to extend these kinds of studies across the regions to assess the impact of ChatGPT on different populations for promoting health literacy.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251376091"},"PeriodicalIF":1.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"School-based Adolescent Nutrition Education Project (ANEP): A pre-post experimental study protocol developed for implementation in District Rawalpindi, Pakistan.","authors":"Humaira Mahmood, Babar Tasneem Shaikh","doi":"10.1177/02601060251377590","DOIUrl":"https://doi.org/10.1177/02601060251377590","url":null,"abstract":"<p><p>BackgroundAdolescents in Pakistan, comprising 22% of the population, face increasing risks of non-communicable diseases (NCDs) due to unhealthy lifestyles, with low physical activity and poor dietary habits being prevalent. Given the rising burden of metabolic syndrome and lifestyle-related illnesses, targeted interventions are crucial to promoting healthier behaviors and preventing long-term health complications.AimThe study aims to assess a structured nutrition education intervention, grounded in the social-ecological model (SEM), improves dietary behaviors among school adolescents. The hypothesis suggests that implementing SEM-based interventions will lead to measurable improvements in students' dietary choices.MethodsA pre-post experimental study will be conducted over 8 to 10 months. A total of 180 students from grades 6 to 8 will be recruited. The intervention includes teacher training, parental engagement, student counseling, and digital support. Dietary behaviors will be assessed using the diet quality questionnaire (DQQ) before and after the intervention. Statistical analyses, including paired <i>t</i>-tests and regression models, will evaluate changes in dietary choices.SummaryThe study is expected to demonstrate significant improvements in students' dietary habits and knowledge. Findings will provide evidence for integrating nutrition education into school curricula, informing policy recommendations for both public and private institutions. This research aims to offer an evidence-based model for school-based nutrition interventions, contributing to long-term adolescent health and policy development.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251377590"},"PeriodicalIF":1.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145054860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manpreet S Mundi, Osman Mohamed Elfadil, Ryan T Hurt, Katherine O'Donnell, Chanelle N Hager, Sara L Bonnes, Bradley R Salonen
{"title":"Use of telemedicine to provide initial home parenteral nutrition training during COVID-19 pandemic: A case series.","authors":"Manpreet S Mundi, Osman Mohamed Elfadil, Ryan T Hurt, Katherine O'Donnell, Chanelle N Hager, Sara L Bonnes, Bradley R Salonen","doi":"10.1177/02601060251374384","DOIUrl":"https://doi.org/10.1177/02601060251374384","url":null,"abstract":"<p><p>BackgroundCoronavirus Disease 2019 (COVID-19) has led to dramatic changes including social distancing, closure of schools, travel bans, and issues of stay-at-home orders. The health-care field has been transformed with elective procedures and on-site visits being deferred. Telemedicine has emerged as a novel mechanism to continue to provide care. However, there remains a paucity of data regarding its efficacy in nutrition support, especially in patients with chronic intestinal failure (CIF).ObjectiveDescribe the utilization of telehealth in the routine management of CIF, particularly in the initiation and training of home parenteral nutrition (HPN).MethodsA case series presenting our experience with the use of telemedicine to provide training for HPN for three patients. The manuscript describes the utility of telehealth in providing remote and adequate training for patients commenced on HPN during COVID-19 pandemic.ResultsSince the onset of the COVID-19 pandemic, we have successfully provided virtual training to three patients, including two who were noted to be severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positive and one patient who could not be transferred to our facility for training. For SARS-CoV-2 positive patients, the risk of transmission to nursing staff with 8-10 h of face-to-face training in two cases was felt to be too significant for in-person training. We determined that the best option would be to stabilize parenteral nutrition in the hospital and perform virtual training. Although virtual training was successfully performed, it was felt that training in this manner took much longer, required frequent adjustment of the tablet device to ensure patient remained in field of view, and made it difficult to connect with the patient emotionally.ConclusionsTelemedicine has significantly improved care provided during COVID-19 as a modality for effective training on HPN, while in-person communication was significantly limited due to the pandemic. However, when possible, it should be used in a manner that complements but does not supplant standard care.</p>","PeriodicalId":19352,"journal":{"name":"Nutrition and health","volume":" ","pages":"2601060251374384"},"PeriodicalIF":1.4,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}