Nutrition in Clinical Practice最新文献_第10页

Associations between malnutrition and dehydration among older adults: A cross-sectional observational study. 老年人营养不良与脱水之间的关系：一项横断面观察研究。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-11-27 DOI: 10.1002/ncp.11246

Cihan Heybeli, Ozcan Uzun, Lee Smith, Nicola Veronese, Masoud Rahmati, André Hajek, Pinar Soysal

{"title":"Associations between malnutrition and dehydration among older adults: A cross-sectional observational study.","authors":"Cihan Heybeli, Ozcan Uzun, Lee Smith, Nicola Veronese, Masoud Rahmati, André Hajek, Pinar Soysal","doi":"10.1002/ncp.11246","DOIUrl":"https://doi.org/10.1002/ncp.11246","url":null,"abstract":"Background: There is debate as to the association between dehydration and malnutrition. Thus, this study aimed to investigate the correlation between dehydration and malnutrition and their impact on geriatric syndromes.Methods: This cross-sectional study included older adults (≥60 years) who attended one outpatient geriatric clinic. Malnutrition was defined according to the Mini Nutritional Assessment (MNA) score (<17), and dehydration was based on a single calculation method (plasma osmolarity [Posm] > 295 mmol/L).Results: Among the 1409 patients studied, the prevalence of malnutrition and dehydration was 19% and 33%, respectively. The rate of malnutrition in the setting of dehydration was 18%, and the rate of dehydration in patients with malnutrition was 30% (P > 0.05). Polypharmacy, hypertension, diabetes mellitus, and higher body mass index (BMI) were associated solely with dehydration, whereas older age, a lower level of education, depression, and lower BMI were associated solely with malnutrition. Among patients with dehydration, there was a significant negative correlation between the MNA and Posm (P < 0.001, r = -0.20). Inversely, among patients without dehydration, the correlation was positive and significant (P < 0.001, r = 0.14).Conclusion: A negative correlation was found between the MNA score and Posm in patients with dehydration, whereas the correlation is positive among patients without dehydration. This inverse relationship between the MNA score and Posm in patients with different levels of hydration is one potential reason for the lack of a significant correlation between malnutrition and dehydration in previously reported studies. Different risk factors of malnutrition may predominate in settings of dehydration vs no dehydration.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Sarcopenia screening and clinical outcomes in surgical patients: A longitudinal study. 外科手术患者的 "肌肉疏松症 "筛查与临床疗效：纵向研究

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-11-23 DOI: 10.1002/ncp.11243

Micheli da Silva Tarnowski, Camila Ferri Burgel, Andressa Amaral Dariva, Isabela Canquerini Marques, Lana Porto Alves, Mileni V Beretta, Flávia Moraes Silva, Catarina B Andreatta Gottschall

{"title":"Sarcopenia screening and clinical outcomes in surgical patients: A longitudinal study.","authors":"Micheli da Silva Tarnowski, Camila Ferri Burgel, Andressa Amaral Dariva, Isabela Canquerini Marques, Lana Porto Alves, Mileni V Beretta, Flávia Moraes Silva, Catarina B Andreatta Gottschall","doi":"10.1002/ncp.11243","DOIUrl":"https://doi.org/10.1002/ncp.11243","url":null,"abstract":"Background: The SARC-CalF was developed as a screening tool for sarcopenia, but little is still known about its validity in surgical patients. Thus, this study aimed to assess the prognostic value of SARC-CalF in predicting clinical outcomes in patients admitted for any elective surgery in a hospital.Methods: Cohort study with prospective data collection of surgical patients ≥18 years of age screened for sarcopenia within 48 h of admission using the SARC-CalF (score ≥11 points classified patients at suggestive signs of sarcopenia). A standard questionnaire for sociodemographic and clinical data was filled and anthropometric data were measured. Clinical outcomes of interest comprised postoperative complications, length of postoperative hospital stay (LPHS), length of hospital stay (LOS), and in-hospital death.Results: Among the 303 patients admitted for elective surgery across various specialties (58.2 ± 14.6 years; 53.8% men) included, 21.5% presented suggestive signs of sarcopenia (SARC-CalF ≥11). LOS (16.0 [10.0-29.0] vs 13.5 [8.0-22.0] days; P < 0.05) and LPHS (6.0 [3.0-14.5] vs 5.0 [1.0-8.2] days; P < 0.05) were longer in patients with SARC-CalF ≥11 compared with those without this condition. The frequency of severe postoperative complications (23.1% vs 8.8%; P < 0.05) and the incidence of death (12.3% vs 2.9%; P < 0.05) were higher in patients with SARC-CalF ≥11. However, in the multivariate analyses, no association between SARC-CalF ≥11 and clinical outcomes was found.Conclusion: Signs of sarcopenia (SARC-CalF ≥11) were present in >20% of patients who were hospitalized for any elective surgery, but it was not an independent predictor of extended hospital stay, complications, and death.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Pediatric liver transplant for acute liver failure: Defining the standard nutrition and clinical evolution: An observational study. 小儿肝移植治疗急性肝功能衰竭：定义标准营养和临床演变：一项观察性研究。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-11-07 DOI: 10.1002/ncp.11242

Patrícia Zamberlan, Maria A C Bonfim, Uenis Tannuri, Werther B de Carvalho, Artur F Delgado

{"title":"Pediatric liver transplant for acute liver failure: Defining the standard nutrition and clinical evolution: An observational study.","authors":"Patrícia Zamberlan, Maria A C Bonfim, Uenis Tannuri, Werther B de Carvalho, Artur F Delgado","doi":"10.1002/ncp.11242","DOIUrl":"https://doi.org/10.1002/ncp.11242","url":null,"abstract":"Background: Pediatric acute liver failure (PALF) is a clinical diagnosis in which previously asymptomatic children exhibit a rapid loss of liver function.Objectives: To describe the clinical and nutrition conditions at admission and during hospitalization in patients with PALF who underwent liver transplantation (LT) at a referral center and establish a possible association between nutrition status and prognosis in this population.Methods: A prospective study was conducted on children underwent LT because of PALF. Nutrition assessment was performed at admission and repeated weekly until hospital discharge, and their relationships with clinical outcomes were tested.Results: The study population consisted of 23 patients with a median age of 60 months and, in most cases, the etiology of acute liver failure (ALF) was indeterminate (69.6%). The majority of the patients were well nourished according to the z score body mass index-for-age (82.6%) and z arm circumference-for-age (zAC/A) (82.6%). A decline in nutrition status was observed in 47.6% of the patients, as indicated by a decrease in zAC. Clinical and nutrition improvement was demonstrated by the progressive increase in zAC, serum albumin levels, and phase angle (PA) values and by the reduction in C-reactive protein levels. There was no statistically significant relationship between nutrition status and clinical outcomes.Conclusion: Most children and adolescents with ALF presented adequate nutrition status at the time of LT, and some patients worsened their nutrition status during hospitalization, suggesting that post-LT is a period of high nutrition risk, and early nutrition therapy (NT) must be a priority in these patients.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Peripheral parenteral nutrition: A retrospective observational study to evaluate utility and complications. 外周肠外营养：一项评估实用性和并发症的回顾性观察研究。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-28 DOI: 10.1002/ncp.11237

Emma Bidgood, Joanna Huang, Elise Murphy, Ralley Prentice, Beth Hede, David Russell

{"title":"Peripheral parenteral nutrition: A retrospective observational study to evaluate utility and complications.","authors":"Emma Bidgood, Joanna Huang, Elise Murphy, Ralley Prentice, Beth Hede, David Russell","doi":"10.1002/ncp.11237","DOIUrl":"https://doi.org/10.1002/ncp.11237","url":null,"abstract":"Background: Peripheral parenteral nutrition (PPN) provides an alternative nutrition support strategy to centrally administered PN for specific patients requiring short-term PN. Previous studies have demonstrated limited use of PPN and variable complication rates. This study aimed to evaluate PPN complications and usage at this center.Methods: This was a single-center retrospective observational study of all adult patients who received at least 1 day of PPN from June 2018 to December 2023. Demographic and clinical data were collected, including complications, indications for PN and reason for PPN, duration of therapy, reason for cessation of PPN, nutrition status, energy and protein provision, and central line insertion rates.Results: 381 patients were included, the median age was 62 (interquartile range = 28-74) years, and 235 were men (61.7%). The most common indication for PN was ileus (n = 153, 40%) followed by gastrointestinal obstruction (n = 93, 24%). The median time receiving PPN was 3 (2-4) days. Patients received a median of 65% (55%-75%) of energy and 58% (50%-69%) of protein requirements with PPN. Malnutrition was diagnosed in 47.5% (n = 181) of this cohort. Total complication rates were 8.7% (n = 33), with cannula infiltration being the most common complication (6.6%, n = 25). 213 (56%) patients proceeded to central line insertion.Conclusion: PPN proved to be a safe and effective therapy for short-term PN when managed by a nutrition support team. PPN has the potential to attenuate short-term nutrition deficits and prevent central venous access device insertion in selected patients, making it a valuable nutrition support therapy.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Comparing A-mode ultrasound and computed tomography for assessing cancer-related sarcopenia: A cross-sectional study. 比较 A 型超声波和计算机断层扫描评估癌症相关肌肉疏松症：横断面研究

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-28 DOI: 10.1002/ncp.11234

Iasmin M Sousa, Jarson P da Costa Pereira, Rodrigo A B Rüegg, Guilherme C F Calado, Jadson G Xavier, Nithaela A Bennemann, Maria K do Nascimento, Ana P T Fayh

{"title":"Comparing A-mode ultrasound and computed tomography for assessing cancer-related sarcopenia: A cross-sectional study.","authors":"Iasmin M Sousa, Jarson P da Costa Pereira, Rodrigo A B Rüegg, Guilherme C F Calado, Jadson G Xavier, Nithaela A Bennemann, Maria K do Nascimento, Ana P T Fayh","doi":"10.1002/ncp.11234","DOIUrl":"https://doi.org/10.1002/ncp.11234","url":null,"abstract":"Background: A-mode ultrasound (US) is a potential method for directly measuring muscle thickness in patients with cancer, but its utility remains underexplored. We aimed to evaluate the feasibility of using A-mode US to assess muscle thickness, compare it with computed tomography (CT)-derived results, and assess its ability to diagnose sarcopenia.Methods: A cross-sectional analysis was conducted with hospitalized patients with cancer. Muscle cross-sectional area (CSA) was derived from CT scans. Biceps muscle thickness (BMT) and thigh muscle thickness (TMT) by A-mode US were assessed. BMT + TMT were also combined as an additional phenotype. Muscle strength was assessed using handgrip strength (HGS) test. Sarcopenia was defined as low muscle mass (CT- and US-derived) + low HGS.Results: We included 120 patients (53.3% women, 45% older adults, and 85.8% with disease stages III-IV). TMT alone and the combined approach (BMT + TMT) were weak and positively correlated and significantly associated with muscle CSA, explaining 35% of CSA variability (R2 = 0.35). TMT individual and combined with BMT exhibited the highest accuracy for men (area under the curve >0.70). Sarcopenia diagnosed by BMT + TMT exhibited the highest frequency (34%) and moderate agreement with CT-derived sarcopenia (κ = 0.48).Conclusion: A-mode US has the potential to be a feasible tool for diagnosing sarcopenia in clinical practice at the bedside for patients with cancer despite the need for further improvements in the tool's accuracy. Our main findings suggest that combining measurements of BMT and TMT may enhance its clinical significance in diagnosing sarcopenia.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Impact of nutrition-related laboratory tests on mortality of patients who are critically ill using artificial intelligence: A focus on trace elements, vitamins, and cholesterol. 利用人工智能分析营养相关实验室检测对危重病人死亡率的影响：关注微量元素、维生素和胆固醇。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-25 DOI: 10.1002/ncp.11238

Dong Jin Park, Seung Min Baik, Hanyoung Lee, Hoonsung Park, Jae-Myeong Lee

{"title":"Impact of nutrition-related laboratory tests on mortality of patients who are critically ill using artificial intelligence: A focus on trace elements, vitamins, and cholesterol.","authors":"Dong Jin Park, Seung Min Baik, Hanyoung Lee, Hoonsung Park, Jae-Myeong Lee","doi":"10.1002/ncp.11238","DOIUrl":"https://doi.org/10.1002/ncp.11238","url":null,"abstract":"Background: This study aimed to understand the collective impact of trace elements, vitamins, cholesterol, and prealbumin on patient outcomes in the intensive care unit (ICU) using an advanced artificial intelligence (AI) model for mortality prediction.Methods: Data from ICU patients (December 2016 to December 2021), including serum levels of trace elements, vitamins, cholesterol, and prealbumin, were retrospectively analyzed using AI models. Models employed included category boosting (CatBoost), extreme gradient boosting (XGBoost), light gradient boosting machine (LGBM), and multilayer perceptron (MLP). Performance was evaluated using area under the receiver operating characteristic curve (AUROC), accuracy, precision, recall, and F1-score. The performance was evaluated using 10-fold crossvalidation. The SHapley Additive exPlanations (SHAP) method provided interpretability.Results: CatBoost emerged as the top-performing individual AI model with an AUROC of 0.756, closely followed by LGBM, MLP, and XGBoost. Furthermore, the ensemble model combining these four models achieved the highest AUROC of 0.776 and more balanced metrics, outperforming all models. SHAP analysis indicated significant influences of prealbumin, Acute Physiology and Chronic Health Evaluation II score, and age on predictions. Notably, the ratios of selenium to age and low-density lipoprotein to total cholesterol also had a notable impact on the models' output.Conclusion: The study underscores the critical role of nutrition-related parameters in ICU patient outcomes. Advanced AI models, particularly in an ensemble approach, demonstrated improved predictive accuracy. SHAP analysis offered insights into specific factors influencing patient survival, highlighting the need for broader consideration of these biomarkers in critical care management.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142504875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The use of parenteral nutrition in patients with inflammatory bowel disease: A detailed guide on the indications, risks, and benefits. 炎症性肠病患者肠外营养的使用：关于适应症、风险和益处的详细指南。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-06-23 DOI: 10.1002/ncp.11178

David Kohler, Hannah Freid, Jennifer Cholewka, Megan Miller, Stephanie L Gold

引用次数: 0

Utility of SARC-F for screening for sarcopenia in ulcerative colitis. SARC-F 在筛查溃疡性结肠炎患者肌少症方面的实用性。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-06-30 DOI: 10.1002/ncp.11185

Pardhu B Neelam, Vishal Sharma

引用次数: 0

When parenteral nutrition is the answer: The case of pediatric intestinal rehabilitation. 当肠外营养成为答案时：小儿肠道康复案例。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-07-03 DOI: 10.1002/ncp.11179

Tanyaporn K Kaenkumchorn, Olivia Lampone, Kayla Huebner, Jesse Cramer, Catherine Karls

引用次数: 0

Role of artificial intelligence in critical care nutrition support and research. 人工智能在重症监护营养支持和研究中的作用。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-07-28 DOI: 10.1002/ncp.11194

Hannah D Kittrell, Ahmed Shaikh, Peter A Adintori, Paul McCarthy, Roopa Kohli-Seth, Girish N Nadkarni, Ankit Sakhuja

{"title":"Role of artificial intelligence in critical care nutrition support and research.","authors":"Hannah D Kittrell, Ahmed Shaikh, Peter A Adintori, Paul McCarthy, Roopa Kohli-Seth, Girish N Nadkarni, Ankit Sakhuja","doi":"10.1002/ncp.11194","DOIUrl":"10.1002/ncp.11194","url":null,"abstract":"Nutrition plays a key role in the comprehensive care of critically ill patients. Determining optimal nutrition strategy, however, remains a subject of intense debate. Artificial intelligence (AI) applications are becoming increasingly common in medicine, and specifically in critical care, driven by the data-rich environment of intensive care units. In this review, we will examine the evidence regarding the application of AI in critical care nutrition. As of now, the use of AI in critical care nutrition is relatively limited, with its primary emphasis on malnutrition screening and tolerance of enteral nutrition. Despite the current scarcity of evidence, the potential for AI for more personalized nutrition management for critically ill patients is substantial. This stems from the ability of AI to integrate multiple data streams reflecting patients' changing needs while addressing inherent heterogeneity. The application of AI in critical care nutrition holds promise for optimizing patient outcomes through tailored and adaptive nutrition interventions. A successful implementation of AI, however, necessitates a multidisciplinary approach, coupled with careful consideration of challenges related to data management, financial aspects, and patient privacy.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":"1069-1080"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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