Nutrition in Clinical Practice最新文献_第8页

What happened to my Index Medicus? 我的药典索引怎么了？

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-08-01 Epub Date: 2024-06-12 DOI: 10.1002/ncp.11173

Lillian Harvey Banchik, Brenda Gray

引用次数: 0

Evidence-based practice attitudes and nutrition support guideline knowledge between holders and nonholders of the Certified Nutrition Support Clinician credential. 营养支持临床医师资格证书持有者和非持有者的循证实践态度和营养支持指南知识。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-08-01 Epub Date: 2024-02-17 DOI: 10.1002/ncp.11136

Lea Steiner, Joachim Sackey, Deborah Cohen, Rebecca Brody

{"title":"Evidence-based practice attitudes and nutrition support guideline knowledge between holders and nonholders of the Certified Nutrition Support Clinician credential.","authors":"Lea Steiner, Joachim Sackey, Deborah Cohen, Rebecca Brody","doi":"10.1002/ncp.11136","DOIUrl":"10.1002/ncp.11136","url":null,"abstract":"Background: Clinical practice frequently changes, and professionals should stay abreast of evidence-based practice (EBP) guidelines. Negative attitudes towards EBP are a barrier to guideline adoption. This study explored EBP attitudes and knowledge of a complex nutrition support clinical case scenario of individuals holding or not holding the Certified Nutrition Support Clinician (CNSC) credential.Methods: This cross-sectional study used an online survey sent to American Society for Parenteral and Enteral Nutrition (ASPEN) members with and without the CNSC credential and all CNSC credential holders from the National Board of Nutrition Support Certification email list. The survey included the Evidence-Based Practice Attitude Scale Score (EBPAS-15) and eight knowledge questions using a nutrition support case scenario. An independent samples t test compared knowledge and EBPAS-15 total scores and subscores between CNSC holders and nonholders. Pearson correlation determined the correlation between knowledge and EBPAS-15 scores.Results: The response rate was 7.8% (N = 706). CNSC holders (n = 536) had significantly higher mean knowledge scores (4.7 ± 1.6 out of 8) than nonholders (n = 159, 4.1 ± 1.7) (P < 0.001). Total EBPAS-15 scores were not significantly different between CNSC holders (n = 542, 2.9 ± 0.4 out of 4) and nonholders (n = 164, 2.8 ± 0.7) (P = 0.434), and knowledge scores and total EBPAS-15 scores (P = 0.639) or subscores were not significantly correlated.Conclusions: Regardless of holding the CNSC credential, EBPAS-15 scores indicated respondents had positive EBP attitudes. CNSC holders had significantly higher knowledge scores of recent nutrition support EBP guidelines compared with non-CNSC credential holders. Positive EBP attitudes are a precursor to clinical decision-making, but future research should determine the use of guidelines in clinical practice.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139898180","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

Single-food elimination of cow's milk as a treatment for eosinophilic esophagitis in children aged 2-18 years: A review of the literature. 将不吃牛奶作为治疗 2-18 岁儿童嗜酸性粒细胞食管炎的方法：文献综述。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-08-01 Epub Date: 2024-01-30 DOI: 10.1002/ncp.11117

Julianna Grasso, Diane Rigassio Radler, Rena Zelig

引用次数: 0

Disordered eating behaviors in pediatric patients with inflammatory bowel disease in remission or mild-moderate disease activity. 缓解期或轻中度疾病活动期炎症性肠病患者的饮食紊乱行为。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-08-01 Epub Date: 2024-02-07 DOI: 10.1002/ncp.11131

Maggie Vickers, John Whitworth, Lybil Mendoza Alvarez, Michelle Bowden

{"title":"Disordered eating behaviors in pediatric patients with inflammatory bowel disease in remission or mild-moderate disease activity.","authors":"Maggie Vickers, John Whitworth, Lybil Mendoza Alvarez, Michelle Bowden","doi":"10.1002/ncp.11131","DOIUrl":"10.1002/ncp.11131","url":null,"abstract":"Background: Inflammatory bowel disease (IBD) is a chronic, autoimmune disorder that affects the gastrointestinal tract. Disordered eating describes irregular eating behaviors that may be a precursor to an eating disorder diagnosis. Higher rates of disordered eating have been described in chronic diseases. Screening for disordered eating is not performed in pediatric patients with IBD. The goal of this longitudinal study was to use the Eating Attitudes Test (EAT-26) to screen pediatric patients with IBD for disordered eating, estimate our population's prevalence, identify potential risk factors, and correlate positive EAT-26 screen results with evaluation in adolescent medicine clinic.Methods: Eighty patients with IBD between 10 and 21 years completed the EAT-26 questionnaire during gastroenterology clinic visit. Disease activity was measured using Pediatric Ulcerative Colitis Activity Index (PUCAI) and Pediatric Crohn's Disease Activity Index (PCDAI). Patients also rated their own disease activity on a numerical scale.Results: Five patients had a positive EAT-26 screen and were evaluated in the adolescent medicine clinic. One hundred percent of those who screened positive were diagnosed with a concomitant eating disorder once evaluated. Only 20% of those who screened positive had active IBD. Higher weight, body mass index, and patient perception of disease activity were associated with increased EAT-26 score.Conclusion: Pediatric patients with IBD are at risk for disordered eating, with a prevalence of 6% in our population, which is twice the prevalence of disordered eating in the general population. The EAT-26 questionnaire is a feasible tool to screen pediatric IBD patients for disordered eating.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703054","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

Response to "Nutrition autonomy in adult patients with ultrashort gut syndrome". 回应 "超短肠道综合征成年患者的营养自主权"。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-08-01 Epub Date: 2024-06-12 DOI: 10.1002/ncp.11175

Hilary Catron, David Mercer

引用次数: 0

Nutrition autonomy in adult patients with ultrashort gut syndrome. 超短肠道综合征成年患者的营养自主性。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-08-01 Epub Date: 2024-06-12 DOI: 10.1002/ncp.11174

Ruy J Cruz

引用次数: 0

Survey of nutrition screening practices in pediatric hospitals across the United States. 全美儿科医院营养筛查实践调查。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-07-24 DOI: 10.1002/ncp.11193

Coral Rudie, Sabrina Persaud, Bridget M Hron, Michelle Raymond, Susanna Y Huh

{"title":"Survey of nutrition screening practices in pediatric hospitals across the United States.","authors":"Coral Rudie, Sabrina Persaud, Bridget M Hron, Michelle Raymond, Susanna Y Huh","doi":"10.1002/ncp.11193","DOIUrl":"https://doi.org/10.1002/ncp.11193","url":null,"abstract":"Background: Nutrition screening on admission is critically important to systematically identify patients with undernutrition given the known relationship with deleterious clinical outcomes. Limited data exist regarding optimal processes and criteria for pediatric nutrition screening. Therefore, we sought to characterize nutrition screening practices in pediatric hospitals.Methods: A total of 365 inpatient pediatric hospitals in the United States were identified, eligible, and contacted. Eligible hospitals included general pediatric hospitals, adult hospitals with pediatric units, and specialty pediatric hospitals. One respondent at each eligible hospital was asked to complete a 33-question survey of admission nutrition screening practices.Results: Of 268 survey respondents, 37% represented pediatric units in adult hospitals, 35% general pediatric hospitals, and 28% pediatric specialty or psychiatric hospitals. A total of 98.5% endorsed the existence of a screening process on admission. Anthropometrics (eg, body mass index z score, 84%) and nutrition status (eg, change in intake, 67%) were the most common screening criteria applied. A nutrition screening instrument was used in 37% of institutions, and only 31% of institutions reported using pediatric-specific screening instruments. Pediatric units within adult hospitals were 1.38 times more likely to use a screening instrument validated in any population. Barriers to nutrition screening included the lack of a standard screening procedure and insufficient staff to conduct screening. Fifty-four percent of respondents reported a desire to change their hospital's nutrition screening process.Conclusion: Most pediatric hospitals screen for nutrition risk on admission. However, methods and criteria varied widely across pediatric hospitals, highlighting the importance of standardized best practices.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141760027","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

Preoperative body composition measured by bioelectrical impedance analysis can predict pancreatic fistula after pancreatic surgery. 通过生物电阻抗分析测量的术前身体成分可预测胰腺手术后的胰瘘。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-07-15 DOI: 10.1002/ncp.11192

Qianwen Jin, Jun Zhang, Jiabin Jin, Jiaqiang Zhang, Si Fei, Yang Liu, Zhiwei Xu, Yongmei Shi

{"title":"Preoperative body composition measured by bioelectrical impedance analysis can predict pancreatic fistula after pancreatic surgery.","authors":"Qianwen Jin, Jun Zhang, Jiabin Jin, Jiaqiang Zhang, Si Fei, Yang Liu, Zhiwei Xu, Yongmei Shi","doi":"10.1002/ncp.11192","DOIUrl":"https://doi.org/10.1002/ncp.11192","url":null,"abstract":"Background: Postoperative pancreatic fistula (POPF) remains one of the most severe complications after pancreatic surgery. The methods for predicting pancreatic fistula are limited. We aimed to investigate the predictive value of body composition parameters measured by preoperative bioelectrical impedance analysis (BIA) on the development of POPF.Methods: A total of 168 consecutive patients undergoing pancreatic surgery from March 2022 to December 2022 at our institution were included in the study and randomly assigned at a 3:2 ratio to the training group and the validation group. All data, including previously reported risk factors for POPF and parameters measured by BIA, were collected. Risk factors were analyzed by univariable and multivariable logistic regression analysis. A prediction model was established to predict the development of POPF based on these parameters.Results: POPF occurred in 41 of 168 (24.4%) patients. In the training group of 101 enrolled patients, visceral fat area (VFA) (odds ratio [OR] = 1.077, P = 0.001) and fat mass index (FMI) (OR = 0.628, P = 0.027) were found to be independently associated with POPF according to multivariable analysis. A prediction model including VFA and FMI was established to predict the development of POPF with an area under the receiver operating characteristic curve (AUC) of 0.753. The efficacy of the prediction model was also confirmed in the internal validation group (AUC 0.785, 95% CI 0.659-0.911).Conclusions: Preoperative assessment of body fat distribution by BIA can predict the risk of POPF after pancreatic surgery.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620523","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

YouTube as a possible learning platform for patients and their family caregivers for gastrostomy tube feeding: A cross-sectional study. 将YouTube作为胃造瘘管喂养患者及其家庭护理人员的学习平台：横断面研究。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-07-03 DOI: 10.1002/ncp.11186

Hyeon Sik Chu, Hanyi Lee

{"title":"YouTube as a possible learning platform for patients and their family caregivers for gastrostomy tube feeding: A cross-sectional study.","authors":"Hyeon Sik Chu, Hanyi Lee","doi":"10.1002/ncp.11186","DOIUrl":"https://doi.org/10.1002/ncp.11186","url":null,"abstract":"Background: Many patients and family caregivers have informational needs, especially regarding gastrostomy care and home gastrostomy tube feeding. YouTube is a potential accessible option for educational resources concerning these topics.Methods: This study aimed to explore the educational quality and content of informational YouTube videos. We used \"gastrostomy,\" \"G-tube,\" \"enteral feeding,\" and \"enteral nutrition,\" as search keywords on YouTube on October 3, 2021. A total of 229 videos were evaluated using the global quality scale (GQS) and modified DISCERN scoring system. Variables extracted from the videos included general features, video parameters, and content themes.Results: The GQS and modified DISCERN scores were 3.31 ± 0.90 and 2.63 ± 1.23, respectively. There were educational quality and differences among videos uploaded by various agencies. Frequent video content themes included \"cleaning and dressing a gastrostomy tube,\" \"bolus method,\" and \"replacing a balloon-type of gastrostomy tube.\"Conclusion: Results showed that YouTube can be a supplemental educational resource for people requiring gastrostomy care and for their caregivers. However, given the open-access nature of YouTube, healthcare professionals' guidance is needed for video selection. Healthcare professionals should know and use specific, reliable resources to effectively guide and educate patients with gastrostomy and their caregivers, enhancing their self-management skills and knowledge.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141492881","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

Exploring the intersections of frailty, sarcopenia, and cachexia with malnutrition. 探索虚弱、肌肉疏松症和恶病质与营养不良的交集。

IF 2.1 4区医学

Nutrition in Clinical Practice Pub Date : 2024-06-27 DOI: 10.1002/ncp.11180

Gordon L Jensen, Tommy Cederholm

{"title":"Exploring the intersections of frailty, sarcopenia, and cachexia with malnutrition.","authors":"Gordon L Jensen, Tommy Cederholm","doi":"10.1002/ncp.11180","DOIUrl":"https://doi.org/10.1002/ncp.11180","url":null,"abstract":"This review examines our current understanding of consensus definitions for frailty, sarcopenia, and cachexia and their perceived overlap with malnutrition. Patients with these syndromes will often meet the criteria for malnutrition. It is common for these overlap syndromes to be misapplied by practitioners, and confusion has been further exacerbated by the lack of a common malnutrition language. To address the latter concern, we recommend using either the standalone Global Leadership Initiative in Malnutrition (GLIM) framework or the GLIM consensus criteria integrated with other accepted approaches as dictated by preference and available resources. Established care standards should guide the recognition and treatment of malnutrition to promote optimal clinical outcomes and quality of life. The effectiveness of nutrition interventions may be reduced in settings of severe acute inflammation and in end-stage disease that is associated with cachexia. However, such interventions may still assist patients to tolerate treatments that target the underlying etiology for an overlap syndrome, and they may help to improve select clinical outcomes and quality of life. Recent, large, well-designed randomized controlled trials have demonstrated the compelling positive clinical effects of medical nutrition therapy. The application of concurrent malnutrition risk screening and assessment is therefore a high priority. The necessity to deliver specific interventions that target the underlying mechanisms of these overlap syndromes and also diagnose and address malnutrition is paramount. It must be highlighted that securing beneficial outcomes for frailty, sarcopenia, and cachexia will also require nonnutrition interventions, like comprehensive care plans, pharmacologic agents, and prescribed exercise.","PeriodicalId":19354,"journal":{"name":"Nutrition in Clinical Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141469764","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