Nutricion hospitalaria最新文献

Do nutritional assessment scores have a relationship with transthyretin levels? 营养评估分数与转甲状腺素水平有关系吗？

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-12-19 DOI: 10.20960/nh.05284

Marcela Almeida Linden, Renata Germano Borges de Oliveira Nascimento Freitas, Lidiane Oliveira de Souza Teles, André Moreno Morcillo, Matthew Thomas Ferreira, Roberto Jose Negrão Nogueira

{"title":"Do nutritional assessment scores have a relationship with transthyretin levels?","authors":"Marcela Almeida Linden, Renata Germano Borges de Oliveira Nascimento Freitas, Lidiane Oliveira de Souza Teles, André Moreno Morcillo, Matthew Thomas Ferreira, Roberto Jose Negrão Nogueira","doi":"10.20960/nh.05284","DOIUrl":"10.20960/nh.05284","url":null,"abstract":"Introduction: Background and aims: nutritional screening tools assess factors like weight loss, BMI, food intake, and disease severity to determine a patient's nutritional risk and needed care. Plasma transthyretin is a practical measurement used to assess nutritional evolution due to its rapid response to food intake. This study examines the relationship between nutritional scores, transthyretin protein levels, and the possibility of death. Methods: the sample consisted of 302 patients hospitalized in the wards or intensive care unit of a public teaching hospital, using parenteral nutrition as the primary source of nutrition. Five nutritional screening tools were applied, and patient charts were verified for transthyretin levels. Results: from the sample, 260 were adults, and 42 were children, with a mean age of 48.3 years. When evaluating the patient's outcome in relation to the scores, the Malnutrition Universal Screening Tool proved to be better at predicting death (p-value = 0.02). None of the scores were related to transthyretin levels, showing that lower transthyretin values did not influence nutritional risk. Conclusion: we believe early identification of nutritional risk through nutritional scores is necessary for better nutritional monitoring to minimize unfavorable outcomes. This study corroborates the more recent concept that transthyretin is not useful for determining unfavorable outcomes in hospitalized patients with a severe inflammatory process. In clinical practice, identifying a patient at nutritional risk according to the Malnutrition Universal Screening Tool and promoting adequate nutritional monitoring may reduce mortality.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1246-1252"},"PeriodicalIF":2.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605388","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

Weight-adjusted waist index predicts metabolic syndrome in Caucasian patients with obesity. 体重调整后的腰围指数可预测白种人肥胖症患者的代谢综合征。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-12-19 DOI: 10.20960/nh.05234

Daniel de Luis Román, David Primo, Olatz Izaola Jáuregui, Daniel Rico Bigues, Juan José López Gómez

{"title":"Weight-adjusted waist index predicts metabolic syndrome in Caucasian patients with obesity.","authors":"Daniel de Luis Román, David Primo, Olatz Izaola Jáuregui, Daniel Rico Bigues, Juan José López Gómez","doi":"10.20960/nh.05234","DOIUrl":"10.20960/nh.05234","url":null,"abstract":"Introduction: Background and aims: the usefulness of the weight-adjusted waist index (WWI) among persons with metabolic syndrome (MS) has not been previously evaluated. The objective of this study was to evaluate the ability of WWI to predict MS in a Caucasian population with obesity. Methods: we conducted a cross sectional study in 2162 Caucasian patients with obesity. Anthropometric data (weight, height, body mass index [BMI], waist circumference, [WWI]), bioimpedanciometer parameters (total fat mass [FM], skeletal muscle mass [SMM] and skeletal muscle mass index [SMMi]), blood pressure, presence of MS and biochemical parameters were recorded and compared by tertiles of WWI. Results: a total of 1,176 subjects had MS (54.4 %) and 986 did not show MS (45.6 %). Compared with the lowest WWI category Q1 (< 11.24 cm/√kg), the prevalence of MS increased in the logistic regression model adjusted by sex and age in the Q3 group (OR = 2.53, 95 % CI = 1.71-3.23; p = 0.001). In addition, the prevalence of MS was higher in the Q3 group than in Q2 (OR = 1.65, 95 % CI = 1.25-2.17; p = 0.005). Finally, the prevalence of MS in Q2 was higher than in the Q1 group (OR = 1.21, 95 % CI = 1.06-3.11; p = 0.01). The area under the curve (AUC) to assess the ability of WWI to identify MS showed values of 0.811 (0.687-0.871; p = 0.001). The cut-off point according to the Youden index was 11.59, with sensitivity and specificity of 70 % and 93.4 %, respectively. Conclusion: we described a good accuracy of WWI to identify MS an independent association between WWI in Caucasian patients with obesity.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1217-1223"},"PeriodicalIF":2.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292346","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

[Review and update of the SENPE-SEDOM-SEEN consensus document on the coding of hospital malnutrition]. [审查和更新 SENPE-SEDOM-SEEN 关于医院营养不良编码的共识文件]。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-12-19 DOI: 10.20960/nh.05419

José A Irles-Rocamora, José Joaquín Alfaro-Martínez, Paula Asensio Villahoz, María Dolores Ballesteros Pomar, Rosa Burgos Peláez, Celia Gallego Díaz, Tomás Martín Folgueras, Viviana Pulgar Perera, Cristina Velasco Gimeno, Ana Zugasti Murillo, Ángel Luis Abad-González, Julia Álvarez Hernández

{"title":"[Review and update of the SENPE-SEDOM-SEEN consensus document on the coding of hospital malnutrition].","authors":"José A Irles-Rocamora, José Joaquín Alfaro-Martínez, Paula Asensio Villahoz, María Dolores Ballesteros Pomar, Rosa Burgos Peláez, Celia Gallego Díaz, Tomás Martín Folgueras, Viviana Pulgar Perera, Cristina Velasco Gimeno, Ana Zugasti Murillo, Ángel Luis Abad-González, Julia Álvarez Hernández","doi":"10.20960/nh.05419","DOIUrl":"10.20960/nh.05419","url":null,"abstract":"Introduction: The concept of \"disease related malnutrition\" (DRM) is far from the concept of malnutrition classically diagnosed in public health, which is determined by socio-demographic factors. In 2008, the Spanish Society of Clinical Nutrition and Metabolism (SENPE) and the Spanish Society of Medical Documentation (SEDOM) published a consensus defining more precisely the types of malnutrition seen in hospitals and their corresponding coding. Changes in the International Classification of Diseases (ICD) and the evolution of clinical information have made it necessary to revise and update this consensus in order to establish new criteria to guide the recording and coding of diagnoses of malnutrition in the field of hospital care, thus facilitating the work of both clinicians and coders and improving the visibility of DRE, by adapting from the clinical diagnoses of undernutrition based on the GLIM criteria (Global Leadership Initiative on Malnutrition) proposed by the scientific societies to the current codes proposed by ICD-10-ES. This document reflects the new consensus of the SENPE, SEEN and SEDOM societies, and refers to the coding of DRE, other nutritional diagnoses and medical nutritional treatment procedures, sets out the coding criteria and proposes suggestions to improve coding at the hospital level.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1307-1314"},"PeriodicalIF":2.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605364","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

[Metabolic, clinical and body composition changes in Mexican adults undergoing bariatric surgery]. [接受减肥手术的墨西哥成年人的代谢、临床和身体成分变化]。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-12-19 DOI: 10.20960/nh.05214

Tania Rivera-Carranza, Angélica León-Téllez Girón, Martín E Rojano-Rodríguez, Luz Sujey Romero-Loera, Eduardo Zúñiga-León

{"title":"[Metabolic, clinical and body composition changes in Mexican adults undergoing bariatric surgery].","authors":"Tania Rivera-Carranza, Angélica León-Téllez Girón, Martín E Rojano-Rodríguez, Luz Sujey Romero-Loera, Eduardo Zúñiga-León","doi":"10.20960/nh.05214","DOIUrl":"10.20960/nh.05214","url":null,"abstract":"Introduction: Background: morbid obesity is a major public health problem that is increasing. Currently, there are a limited number of studies carried out in the Mexican population that describe the effects of bariatric surgery. Objective: to establish in obese people who undergoing weight loss surgery, the metabolic and body composition difference before and after bariatric surgery. Material and methods: an observational, analytical, and longitudinal study was carried out in 50 patients with morbid obesity who underwent laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). Body composition and metabolic markers in blood were measured. Differences in the metabolic profile before and after surgery were analyzed in the entire study group and a subanalysis was performed by bariatric surgical technique. It was also determined the percentage of remission of comorbidities. Results: after the intervention, there is a significant decrease in all metabolic and body composition markers, except HDL cholesterol, which showed a tendency to increase without being significant. Women with LRYGB have a greater decrease in fat-free mass. LRYGB decreased the prevalence of fatty liver, gastroesophageal reflux, insulin resistance, and hypercholesterolemia more, while LSG decreased the prevalence of hypertension, osteoarthritis, hypothyroidism, and hypertriglyceridemia more. Conclusion: bariatric surgery induces metabolic changes that could contribute to improving comorbidities associated with obesity. In general, metabolic improvement is greater in LRYGB compared to LSG.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1209-1216"},"PeriodicalIF":2.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292336","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

[Dietitian-nutritionist intern resident (D-NIR) - A need light years away from occurring in Spain]. [营养师-营养实习生（D-NIR）--这种需求在西班牙远未出现]。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-12-19 DOI: 10.20960/nh.05368

Néstor Benítez-Brito, Berta Pinto Robayna

{"title":"[Dietitian-nutritionist intern resident (D-NIR) - A need light years away from occurring in Spain].","authors":"Néstor Benítez-Brito, Berta Pinto Robayna","doi":"10.20960/nh.05368","DOIUrl":"10.20960/nh.05368","url":null,"abstract":"Introduction: The dietitian-nutritionist (D-N) is a health professional with a university degree in human nutrition and dietetics in charge of the correct nutrition according to the physiological and pathological needs of people, as stated in the Law on the Regulation of Healthcare Professions since 2003. Various national and international societies, supported by numerous studies, point to the need to incorporate the D-N in the National Health System (NHS) to improve healthcare in the context of multidisciplinary teams. However, despite the importance of the functions of the D-N within the NHS portfolio, and unlike the rest of the health professions, there are many regions in Spain that still do not have the figure of this professional. Likewise, there is no specific system of Specialized Health Care Training (SHCT) for this professional, which is a need that impedes his or her own official training and specialization. Therefore, the creation of an SHCT for the dietitian-nutritionist intern resident (D-NIR) is proposed with the aim of improving their comprehensive training, competencies and responsibilities, thus improving the quality of care in the NHS in the context of multidisciplinary teams.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1300-1306"},"PeriodicalIF":2.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471151","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

Adherence to the Mediterranean diet and risk of stroke in a Chilean population: a case-control study. 在智利人群中坚持地中海饮食与中风风险：一项病例对照研究。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-12-19 DOI: 10.20960/nh.05110

Lorena Hoffmeister, Patricia Caro, Pablo Lavados

{"title":"Adherence to the Mediterranean diet and risk of stroke in a Chilean population: a case-control study.","authors":"Lorena Hoffmeister, Patricia Caro, Pablo Lavados","doi":"10.20960/nh.05110","DOIUrl":"10.20960/nh.05110","url":null,"abstract":"Introduction: Introduction: Ñuble is the region of Chile with the highest stroke incidence rates in the country. The aim was to estimate the association between adherence to the MED diet and the first ischemic stroke in adult patients living in the Ñuble region. Methods: a case-control hospital-based study. The cases (n = 89) were patients with first ischemic stroke, and controls (n = 178) were admitted to the same hospital during the same month the cases were recruited. We selected two controls for one case and paired them for sex and age (± 5 years). We used the food frequency questionnaire and the adherence Mediterranean diet questionnaire. A descriptive analysis of the variables and a conditional logistic regression to determine the association between variables. Results: 71 % of the sample was ≥ 65 years old and 64 % were male. Cases smoked (11.2 %), consumed at least one drink per month (41.6 %), and had a diagnosis of hypertension (76.4 %) more frequently than controls. In the model adjusted for all variables, it is observed that those who are in quartile 2 of adherence (6-7 points) are 42 % less likely to have a cerebral infarction compared to those who have a lower score (p < 0.005). Conclusions: our findings suggest that moderate adherence to a Mediterranean diet, defined by the PREDIMED score and adjustment for other variables, reduces the probability to first ischemic stroke.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1258-1264"},"PeriodicalIF":2.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142505008","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

[Omega-3 and preterm birth: Deciphering the pieces of the puzzle for its prevention]. [欧米茄-3 与早产：破解预防早产之谜]。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-12-19 DOI: 10.20960/nh.05422

Indalecio Gustavo Martínez Velasco, Mariana Aranzazú Guillén González, Román Jiménez López, Oliver Arciniega Mancilla

引用次数: 0

[Radiological versus endoscopic gastrostomy in patients with amyotrophic lateral sclerosis]. [肌萎缩性脊髓侧索硬化症患者的放射学胃造口术与内窥镜胃造口术]。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-12-19 DOI: 10.20960/nh.05190

María José Vallejo Herrera, Verónica Vallejo Herrera, Arturo Del Toro Ortega, María José Tapia Guerrero

{"title":"[Radiological versus endoscopic gastrostomy in patients with amyotrophic lateral sclerosis].","authors":"María José Vallejo Herrera, Verónica Vallejo Herrera, Arturo Del Toro Ortega, María José Tapia Guerrero","doi":"10.20960/nh.05190","DOIUrl":"10.20960/nh.05190","url":null,"abstract":"Introduction: IIntroduction: patients with amyotrophic lateral sclerosis (ALS) require nutritional support, in most cases with enteral nutrition through gastrostomy, either endoscopic (PEG) or radiological (PRG). Objectives: to analyze the characteristics of patients with ALS at the time of PEG/PRG placement, and to compare the efficacy and safety of PRG versus PEG. Methods: a retrospective descriptive study. All patients with ALS who required gastrostomy in the last 3 years (2021-2023) in our hospital were recruited (4 PEG and 6 PRG). Demographic and nutritional parameters were analyzed. Results: ten patients were included, with an average age of 57 years. All patients presented with dysphagia and received oral or tube supplements prior to gastrostomy placement. The average duration of enteral nutrition was approximately 50 months, with a mortality rate of 30 % at 12 months after gastrostomy. The success rate of PEG and PRG was similar, with no complications. All patients developed deterioration of respiratory function, even after nutritional support. Conclusion: gastrostomy should be indicated as soon as a patient is at risk of aspiration pneumonia or when weight loss begins. Although the nutritional benefit of gastrostomy is well established, there is currently a delay between diagnosis and placement of approximately 4 years. PRG appears to be safer than PEG in patients with ALS and respiratory failure.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1160-1164"},"PeriodicalIF":2.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292337","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

[About obesity in Mexican children]. [墨西哥儿童肥胖症]。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-12-19 DOI: 10.20960/nh.05462

Norma Cipatli Ayuzo-Del Valle, Perla Pérez Treviño, Regina Maria Murillo-Torres, Adriana Heredia Luna, Lorena Ojeda

引用次数: 0

Differences in the cluster of depressive symptomatology among bariatric surgery candidates, long-term bariatric surgery patients, and subjects with a major depressive disorder without obesity. 减肥手术候选者、长期减肥手术患者和无肥胖症的重度抑郁症患者抑郁症状群组的差异。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-12-19 DOI: 10.20960/nh.05196

Joana Nicolau, Pilar Sanchís, Luisa Ayala, Salvador Pascual, María Isabel Tamayo Pozo, Andrés Cifuentes, Lluís Masmiquel

{"title":"Differences in the cluster of depressive symptomatology among bariatric surgery candidates, long-term bariatric surgery patients, and subjects with a major depressive disorder without obesity.","authors":"Joana Nicolau, Pilar Sanchís, Luisa Ayala, Salvador Pascual, María Isabel Tamayo Pozo, Andrés Cifuentes, Lluís Masmiquel","doi":"10.20960/nh.05196","DOIUrl":"10.20960/nh.05196","url":null,"abstract":"Introduction: Introduction: depression is more frequent among people with obesity (PwO) compared to the general population. Depression seems to improve after bariatric surgery (BS) at short term, but data are inconclusive at long term. Besides, it is not known whether depressive symptoms among PwO are similar to those people with a major depression without obesity. Objectives: we aimed to study whether there are differences regarding depressive symptomatology among subjects seeking BS or patients after BS in the long-term compared with subjects with MDD. Methods: the Beck Depression Inventory (BDI) was administered to three groups: 52 patients seeking BS (OB), 135 patients with a BS with a minimum follow-up of 18 months (BS) and 45 subjects with a MDD (MDD). Results: the MDD obtained the higher score with the BDI whether compared to the OB (18.9 ± 12.7 vs 14.2 ± 6.9; p = 0.01) or the BS (18.9 ± 12.7 vs 8.1 ± 8; p < 0.0001). Also, BS presented a lower BDI than the OB (8.1 ± 8 vs 14.2 ± 6.9; p < 0.0001). The MDD scored higher in the psychological domain than patients in the OB (9.9 ± 7.5 vs 5.7 ± 5.1; p < 0.0001) as well as in the BS (9.9 ± 7.5 vs 3.1 ± 3; p < 0.0001). There was a negative correlation between a greater score in the somatic domain and %EPP (p = 0.04). Conclusions: at long term, depressive symptomatology among subjects with a BS remained lower compared to PwO seeking BS.PwO presented a different cluster of depression compared to individuals with a MDD. BS reduces the somatic depressive cluster at long term, although its presence is associated to a lesser weight loss.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1202-1208"},"PeriodicalIF":2.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142505009","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