Nutrition in Clinical Practice最新文献_第2页

Manganese restriction in parenteral nutrition for preterm neonates: A pilot randomized controlled trial. 锰限制在早产儿肠外营养：一项随机对照试验。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2025-08-01 Epub Date: 2025-02-18 DOI: 10.1002/ncp.11281

Jason B Sauberan, Anup C Katheria

{"title":"Manganese restriction in parenteral nutrition for preterm neonates: A pilot randomized controlled trial.","authors":"Jason B Sauberan, Anup C Katheria","doi":"10.1002/ncp.11281","DOIUrl":"10.1002/ncp.11281","url":null,"abstract":"Background: Manganese (Mn) is present in many parenteral nutrition (PN) ingredients, presumably as a contaminant during ingredient manufacturing. Exposure to Mn in PN may have negative health consequences in preterm neonates. The purpose of this study was to test the feasibility and safety of not adding supplemental Mn to PN prepared for extremely preterm and very preterm neonates compared with standard Mn supplementation.Methods: Neonates <32 weeks' gestational age were randomized on postnatal day 1 to receive test PN prepared without adding Mn or standard PN prepared with Mn 5 mcg/kg/day using a commercially available neonatal multitrace element product. Randomization assignment was blinded to the clinical team. Whole blood Mn levels were measured at baseline, 2 weeks, and 8 weeks postnatal age. Growth parameters and nutrition intake were also collected.Results: Twenty-six participants were enrolled and nineteen completed the trial. The median duration of PN was 11 days in the no Mn group and 12 days in the standard Mn group. Whole blood Mn levels were not significantly different between the two groups at any time point. Growth and nutrition outcomes were also not significantly different between the two groups.Conclusions: The provision of no-added-Mn PN in routine care was feasible and did not alter Mn blood levels or growth in the first 8 weeks of postnatal age compared with standard PN.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":"901-908"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449600","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

Tackling disease-related malnutrition in resource-limited settings: An international position paper based on expert consensus. 在资源有限的情况下处理与疾病有关的营养不良：一份基于专家共识的国际立场文件。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2025-08-01 Epub Date: 2025-05-30 DOI: 10.1002/ncp.11310

Diana Cardenas, Ines Ribeiro Ferreira, Maria Isabel Toulson Davisson Correia, Mario Barbagallo, Simon Lal, Rocco Barazzoni, Filomena Gomes

{"title":"Tackling disease-related malnutrition in resource-limited settings: An international position paper based on expert consensus.","authors":"Diana Cardenas, Ines Ribeiro Ferreira, Maria Isabel Toulson Davisson Correia, Mario Barbagallo, Simon Lal, Rocco Barazzoni, Filomena Gomes","doi":"10.1002/ncp.11310","DOIUrl":"10.1002/ncp.11310","url":null,"abstract":"Background: Considering the challenges of providing nutrition care in resource-limited settings (RLSs), the International Working Group for Patients' Right to Nutrition Care (WG) organized an expert meeting to propose recommendations and strategies to promote access to nutrition care and address disease-related malnutrition (DRM).Methods: An online survey was developed to assess barriers to providing nutrition care in RLSs and was completed by 58 respondents from low- and middle-income countries between July and August 2024. During the European Society for Clinical Nutrition and Metabolism (ESPEN) Congress in Milan on September 9, 2024, a panel of 30 experts discussed the results of the survey and built consensus statements aimed at defining strategies and recommendations required to address barriers to accessing disease-related nutrition care in RLSs.Results: The survey and expert consensus panel opinions indicated that there are barriers to delivering quality nutrition care in these settings including low or a lack of medical awareness, patient and family knowledge about DRM and its impact, nutrition risk screening and care implementation, reimbursement, medical devices, adapted diets, nutrition protocols, and access to home medical and nutrition therapy. Gaps identified included (1) epidemiological data and evidence for best practices; (2) education, training, and capacity building; and (3) strengthening health systems.Conclusion: Tackling DRM in RLSs is challenging because of the high burden of DRM and the fact that current guidelines from high-income countries may not be fully applicable. The WG recommend a three-step strategy to promote access to nutrition care.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":"762-769"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12242108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nutrition management of a patient following emergent pneumonectomy due to chest wall trauma. 一例胸壁创伤急诊全肺切除术后患者的营养管理。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2025-08-01 Epub Date: 2025-03-18 DOI: 10.1002/ncp.11291

Stacy Pelekhaty, Rebecca Brody

{"title":"Nutrition management of a patient following emergent pneumonectomy due to chest wall trauma.","authors":"Stacy Pelekhaty, Rebecca Brody","doi":"10.1002/ncp.11291","DOIUrl":"10.1002/ncp.11291","url":null,"abstract":"Emergent total pneumonectomy is a rare surgical intervention for patients with severe chest trauma. Patients who survive the immediate postoperative period experience prolonged, complex hospitalizations. The purpose of this case study is to review the nutrition care provided to a patient who survived total pneumonectomy and the supporting evidence. John Doe (JD) is a man aged 28 years who presented to a level I trauma center with penetrating chest trauma. He required multiple operative interventions, resulting in a partial right and total left pneumonectomy. JD's hospitalization was complicated by prolonged use of extracorporeal membrane oxygenation (ECMO) and continuous renal replacement therapy (CRRT). His surgical course and gastric feeding intolerance hampered enteral nutrition adequacy, and parenteral nutrition support was initiated on hospital day 17. Tolerance to enteral nutrition improved after jejunal access was obtained, and the patient transitioned to total enteral nutrition support. As a result of inflammatory metabolic changes and nutrition delivery challenges for the first 2 weeks of hospitalization, JD developed malnutrition. His nutrition care was further complicated by copper and carnitine deficiencies, which have been described in patients requiring ECMO and CRRT. Patients who require emergent total pneumonectomy following traumatic chest injuries will likely require complex hospital care, including extracorporeal organ support. These patients present unique nutrition challenges; however, given the relative infrequency of the intervention, there is limited research to guide clinical practice. Additional research on nutrition interventions in this population is warranted.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":"973-981"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658054","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

Applying ethical principles: Closing practice gaps between the literature and actual clinical practice. 应用伦理原则：缩小文献与实际临床实践之间的实践差距。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2025-08-01 Epub Date: 2025-05-02 DOI: 10.1002/ncp.11311

Alison Evans

引用次数: 0

Collecting dietary data for clinical studies: Insights from a trial of liberalized diets during neutropenia. 为临床研究收集饮食数据：中性粒细胞减少症期间自由饮食试验的见解。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2025-08-01 Epub Date: 2025-05-02 DOI: 10.1002/ncp.11312

Shubham Kumar, Nosaibah Razaqi, Rachana Mehta, Ranjana Sah

引用次数: 0

Narrative review of micronutrients and fatty acids in bronchopulmonary dysplasia. 支气管肺发育不良中微量营养素和脂肪酸的叙述性综述。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2025-08-01 Epub Date: 2025-06-01 DOI: 10.1002/ncp.11327

Jennifer Curtiss, Audrey N Miller

引用次数: 0

Nutrition management of the postoperative lung transplant recipient. 肺移植术后受者的营养管理。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2025-08-01 Epub Date: 2025-06-13 DOI: 10.1002/ncp.11325

Bridget Doyle, Bhanupriya Sirandas

引用次数: 0

Effect of vitamin D supplementation on incidence of bronchopulmonary dysplasia among preterm infants up to 36 weeks' gestational age. 维生素D补充对妊娠36周以下早产儿支气管肺发育不良发生率的影响

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2025-08-01 Epub Date: 2025-05-28 DOI: 10.1002/ncp.11323

Tara Rebele, Corey Hawes, Stephani Johnson, Melanie Newkirk

{"title":"Effect of vitamin D supplementation on incidence of bronchopulmonary dysplasia among preterm infants up to 36 weeks' gestational age.","authors":"Tara Rebele, Corey Hawes, Stephani Johnson, Melanie Newkirk","doi":"10.1002/ncp.11323","DOIUrl":"10.1002/ncp.11323","url":null,"abstract":"Preterm infants, especially those born at a younger gestational age (GA), are at risk for developing bronchopulmonary dysplasia (BPD), which can lead to longer hospitalizations, chronic pulmonary morbidity, and mortality. Vitamin D plays a role in lung and immune system development, and deficiency at birth is associated with a greater incidence of BPD among preterm infants. The purpose of this literature review was to determine the impact of vitamin D supplementation on BPD incidence among preterm infants born ≤36 weeks GA. A literature search of the PubMed, CINAHL, SCOPUS, and Google Scholar databases was conducted searching for clinical studies published since 2014 that evaluated the effect of vitamin D supplementation on BPD incidence among preterm infants ≤36 weeks GA. We identified and reviewed six clinical studies published between 2014 and 2023, including a total of 545 preterm infants born 25-34 weeks GA. Vitamin D supplementation between 800-1000 IU/day was safe and effective in significantly improving vitamin D status and significantly reducing vitamin D deficiency; however, positive findings regarding the influence of vitamin D supplementation in reducing the incidence of BPD were not consistent. More research is needed in the form of well-designed RCTs investigating the effect of vitamin D supplemented at 800-1000 IU compared with the standard 400 IU dose on the incidence of BPD as the primary outcome.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":"843-852"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12242094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breathing and balance: Clinical insights and management strategies of respiratory acid-base disorders. 呼吸与平衡：呼吸酸碱失调的临床观察与治疗策略。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2025-08-01 Epub Date: 2025-06-08 DOI: 10.1002/ncp.11328

Anne M Tucker, Tami N Johnson

引用次数: 0

Biological sex and age-associated changes in muscle and brain health in Chronic Obstructive Pulmonary Disease: A large cross-sectional study. 慢性阻塞性肺疾病患者肌肉和大脑健康的生理性别和年龄相关变化：一项大型横断面研究

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2025-08-01 Epub Date: 2025-06-16 DOI: 10.1002/ncp.11333

Minchae C Kang, Nicolaas E P Deutz, Krista L Haines, Mariëlle P K J Engelen

{"title":"Biological sex and age-associated changes in muscle and brain health in Chronic Obstructive Pulmonary Disease: A large cross-sectional study.","authors":"Minchae C Kang, Nicolaas E P Deutz, Krista L Haines, Mariëlle P K J Engelen","doi":"10.1002/ncp.11333","DOIUrl":"10.1002/ncp.11333","url":null,"abstract":"Background: Biological sex plays a role in systemic features of patients with Chronic Obstructive Pulmonary Disease (COPD). We investigated whether male and female COPD patients show distinct trajectories in muscle and brain health decline during aging.Methods: In total 228 patients (age >50 years) with stable COPD (GOLD: II-IV) were stratified into four groups based on their sex and age (50-70 years vs ≥70 years). Body composition (DXA), muscle strength (dynamometry), cognitive function and well-being (assessments and questionnaires), and risk factors of poor systemic health were analyzed in these groups.Results: Body weight and lean mass remain unchanged with aging. The ≥70 years males showed higher visceral adipose tissue and lower muscle strength whereas females showed lower fat mass and fat-free mass index, and worse cognitive performance compared with their younger counterparts (P < 0.04). In males, lower physical activity was associated with higher visceral adipose tissue and lower muscle function, whereas poor cognition was associated with low O2 saturation. In females, lower muscle function was associated with higher age, dyspnea and lower caloric intake and physical activity, whereas mood disturbance and poor cognition were associated with smoking pack years (P < 0.05).Conclusion: Aging in male COPD patients is characterized by metabolic syndrome features and muscle weakness whereas aging in female COPD patients is associated with weight loss, sarcopenia, and cognitive decline. The observed systemic changes were influenced by different combinations of risk factors in male and female COPD patients. Our findings indicate that sex-specific therapies need to be considered when treating older patients with COPD.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":" ","pages":"853-869"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12242101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0