Nutricion hospitalaria最新文献_第10页

Decision tree model development and in silico validation for avoidable hospital readmissions at 30 days in a pediatric population. 针对儿科人群 30 天内可避免的再住院情况开发决策树模型并进行硅验证。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-09-19 DOI: 10.20960/nh.05277

Nayara Cristina Silva, Laurence Rodrigues do Amaral, Matheus de Souza Gomes, Pedro Luiz Lima Bertarini, Marcelo Keese Albertini, André Ricardo Backes, Geórgia das Graças Pena

{"title":"Decision tree model development and in silico validation for avoidable hospital readmissions at 30 days in a pediatric population.","authors":"Nayara Cristina Silva, Laurence Rodrigues do Amaral, Matheus de Souza Gomes, Pedro Luiz Lima Bertarini, Marcelo Keese Albertini, André Ricardo Backes, Geórgia das Graças Pena","doi":"10.20960/nh.05277","DOIUrl":"https://doi.org/10.20960/nh.05277","url":null,"abstract":"Background and objective: identifying patients at high risk of avoidable readmission remains a challenge for healthcare professionals. Despite the recent interest in Machine Learning in this topic, studies are scarce and commonly using only black box algorithms. The aim of our study was to develop and validate in silico an interpretable predictive model using a decision tree inference to identify pediatric patients at risk of 30-day potentially avoidable readmissions.Methods: a retrospective cohort study was conducted with all patients under 18 years admitted to a tertiary university hospital. Demographic, clinical and nutritional data were collected from electronic databases. The outcome was the potentially avoidable 30-day readmissions. The J48 algorithm was used to develop the best-fit trees capable of classifying the outcome efficiently. Leave-one-out cross-validation was applied and we computed the area under the receiver operating curve (AUC).Results: the most important attributes of the model were C-reactive protein, hemoglobin and sodium levels, besides nutritional monitoring. We obtained an AUC of 0.65 and accuracy of 63.3 % for the full training and leave-one-out cross-validation.Conclusion: our model allows the identification of 30-day potentially avoidable readmissions through practical indicators facilitating timely interventions by the medical team, and might contribute to reduce this outcome.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142292340","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

Nutritional status, COVID-19 prognosis and hemodialysis patients. 营养状况、COVID-19 预后和血液透析患者。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-08-29 DOI: 10.20960/nh.05287

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

[Overweight and obesity in children aged 5-11 years in Mexico - Why is necessary an interdisciplinary approach?] [墨西哥 5-11 岁儿童的超重和肥胖--为什么需要跨学科方法？］

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-08-29 DOI: 10.20960/nh.04807

Martín Gildardo García Alvarado, Luis Humberto Ruiz García, Julio Alfonso Piña López

{"title":"[Overweight and obesity in children aged 5-11 years in Mexico - Why is necessary an interdisciplinary approach?]","authors":"Martín Gildardo García Alvarado, Luis Humberto Ruiz García, Julio Alfonso Piña López","doi":"10.20960/nh.04807","DOIUrl":"10.20960/nh.04807","url":null,"abstract":"Introduction: Introduction: overweight and obesity in children are serious public health problems in Mexico. Objective: to analyze the behavior of the prevalence of overweight and obesity in children from 5 to 11 years of age and to present projections on the prevalence for the period 2022-2026. Methodology: ecological and retrospective study whose units of analysis were groups of children of Mexico with overweight and obesity in the period 1999-2021, according to information collected from six National Health and Nutrition Surveys. For the projections the classical method of least squares was used, for a trend analysis of both conditions for the period 2022-2026. Results: overweight in girls and obesity in boys shows a high prevalence in the period 1999-2021, even though the trend analysis for the period 2022-2026 shows a slight decrease in overweight for the group of boys and a slight increase in overweight for girls, as well in obesity for both groups. Conclusions: due to the high prevalence of overweight and obesity in children from 5 to 11 years of age in Mexico, an interdisciplinary approach is required to identify which dimensions (biochemical, psychological, interpersonal and social) participate in the problem, considering three environments contributing for psychological and social development of children, the ecological-social, the family and the school.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"775-780"},"PeriodicalIF":2.5,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141534959","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

Comparison of two isocaloric parenteral nutrition regimens with different protein content - A propensity-score matched comparative study. 两种蛋白质含量不同的等热量肠外营养方案的比较--倾向分数匹配比较研究。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-08-29 DOI: 10.20960/nh.05062

Javier Mateu-de Antonio, Marta de Antonio-Cuscó

{"title":"Comparison of two isocaloric parenteral nutrition regimens with different protein content - A propensity-score matched comparative study.","authors":"Javier Mateu-de Antonio, Marta de Antonio-Cuscó","doi":"10.20960/nh.05062","DOIUrl":"10.20960/nh.05062","url":null,"abstract":"Introduction: Objective: this study aimed to assess the effects of two isocaloric parenteral nutrition (PN) regimens with different protein content and non-protein calorie to nitrogen ratio (NPCNR) on the evolution of nutritional parameters and outcomes in adult inpatients. Methods: this was a retrospective quasi-experimental study performed in a 400-bed tertiary hospital. Adult inpatients were initially eligible if they had received ≥ 4 days of PN with NPCNR ≥ 100 or ≤ 90 in a period of three years. Patients were propensity-score matched to adjust for differences, resulting in two final cohorts: Cohort \"Medium-P\" included patients receiving PN with NCPCNR ≥ 100 and cohort \"High-P\", receiving PN with NCPCNR ≤ 90. The main variables were differences in plasma albumin, prealbumin, cholesterol, and lymphocyte count, days requiring PN, length of stay, and mortality at 90 days. Results: 202 patients were finally recruited and divided into the two equal cohorts. Patients were mainly male (122; 60.4 %), surgical (149; 73.8 %), critically ill (100; 49.5 %), with high nutritional risk (141; 69.8 %) and with a neoplasm (145; 71.8 %). PN provided 25 kcal/kg/day, but protein intake was 0.25 g/kg/day higher in the \"High-P\" cohort. Baseline characteristics and biochemistry were not different between the two cohorts. The \"High-P\" cohort presented a smaller difference at the end of PN for lymphocytes, more days with hyperglycaemia, and more days requiring PN. The rest of variables did not differ. Conclusions: high doses of protein (lower NPCNR) did not present advantages compared to medium doses of protein (higher NPCNR) when providing isocaloric PN in adult inpatients.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"766-774"},"PeriodicalIF":2.5,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141534963","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

Determination of inflammation by TNF-alpha and IL-10 levels in obese children and adolescents. 通过 TNF-α 和 IL-10 水平确定肥胖儿童和青少年的炎症情况。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-08-29 DOI: 10.20960/nh.05064

Ali Gul, Resul Yilmaz

{"title":"Determination of inflammation by TNF-alpha and IL-10 levels in obese children and adolescents.","authors":"Ali Gul, Resul Yilmaz","doi":"10.20960/nh.05064","DOIUrl":"10.20960/nh.05064","url":null,"abstract":"Introduction: Background: childhood obesity is one of the major health problem worldwide. Obesity is associated with low-level chronic inflammation resulting from inflammatory cytokine release in white adipose tissue. We aim to specify inflammatory markers tumor necrosis factor-alpha (TNF-alpha) and interleukin-10 (IL-10) in children and adolescents to determine their relationship with obesity. Materials and methods: forty obese patients and 46 controls were included in the study from the pediatric clinic. Blood samples from the study group were centrifuged, and the sera were stored at -80 °C after separation. Serum levels of TNF-alpha and IL-10 were determined using Human ELISA kits for TNF-alpha and IL-10. Results: serum samples from 86 children, including 45 girls (52.3 %) in the study group, were analyzed for TNF-alpha and IL-10 levels. TNF-alpha levels in the obese and control groups were 1.04 ± 0.79 and 0.60 ± 0.72 pg/ml, respectively (p = 0.010). Also, IL-10 levels in the obese and control groups were 0.76 ± 0.62 and 1.54 ± 0.71 pg/ml, respectively (p < 0.001). Gender was not identified as a factor for serum TNF-alpha and IL-10 levels (p = 0.281 and p = 0.477, respectively). Moreover, white blood cell (WBC) and serum C-reactive protein (CRP) levels were higher in the obese patient group than in the control group (p = 0.002 and p = 0.010, respectively). Conclusion: TNF-alpha levels were higher than control in obese patients and it was important in terms of showing that obesity triggers inflammation in the body. IL-10 levels, which inhibit inflammation, were lower in obese patients than controls.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"788-792"},"PeriodicalIF":2.5,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141534964","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 a 6-week dietary and lifestyle modification intervention on food cravings and eating behaviors in women. 为期 6 周的饮食和生活方式调整干预对女性食物渴望和饮食行为的影响。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-08-29 DOI: 10.20960/nh.04943

Pınar Hamurcu, Seminur Barlak

{"title":"Impact of a 6-week dietary and lifestyle modification intervention on food cravings and eating behaviors in women.","authors":"Pınar Hamurcu, Seminur Barlak","doi":"10.20960/nh.04943","DOIUrl":"10.20960/nh.04943","url":null,"abstract":"Introduction: Introduction: the multifaceted nature of food craving mirrors the complexity underlying the development of eating disorders. Objectives: the study aimed to investigate the impact of a 6-week dietary and lifestyle intervention on food cravings, eating behaviors, and changes in physical and biochemical measures among women. Methods: this study constitutes a behavior modification investigation involving a cohort of 35 female participants who sought consultation at a private nutrition counseling facility. At first, anthropometric and biochemical data were recorded; Information Form, Food Craving Questionnaire-Trait Scale (FCQ-T), Three-Factor Eating Scale (TFEQ-R21) were applied and 3-Day Food Consumption Records were taken. After 6 weeks of dietitian follow-up, the data collection tools were repeated and the individuals were compared with the baseline. Results: after 6-week follow-up, according to the examination of the food consumption records, differences in daily energy, fat, monounsaturated fatty acid, fibre, vitamin E, potassium, magnesium, iron intake levels were found significant (p < 0.05). Differences in body weight, body mass index (BMI), waist/height ratio, fat mass, fat ratio and fasting glucose, HbA1c, total cholesterol, triglyceride, LDL, AST, TSH, free T3, free T4 levels were found significant (p < 0.05). According to the FCQ-T evaluation; differences in total and nine sub-dimension scores of the scale were found significant (p < 0.001). According to the TFEQ-R21 evaluation; differences in cognitive restraint, emotional eating and uncontrolled eating scores were found significant (p < 0.05). Conclusions: a successful 6-week dietary and lifestyle intervention with improvement in anthropometric measurements and biochemical parameters is effective in reducing food cravings and regulating eating behaviours.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"879-888"},"PeriodicalIF":2.5,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141534967","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

Attitudinal factors associated with protein sufficiency in Chilean vegan university students - A pilot study. 与智利素食大学生蛋白质充足性相关的态度因素--一项试点研究。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-08-29 DOI: 10.20960/nh.04878

Vesna Kovacic, Camila Sanhueza, Beatriz Hinostroza, Juan Cabezas, Marcell Leonario-Rodríguez

{"title":"Attitudinal factors associated with protein sufficiency in Chilean vegan university students - A pilot study.","authors":"Vesna Kovacic, Camila Sanhueza, Beatriz Hinostroza, Juan Cabezas, Marcell Leonario-Rodríguez","doi":"10.20960/nh.04878","DOIUrl":"10.20960/nh.04878","url":null,"abstract":"Introduction: Introduction: vegan diets are currently an essential topic of discussion because they are recognized as a prototype of a healthy diet but are also associated with deficits in the intake of critical nutrients such as protein. Evaluating the factors that influence the deficit in their intake in vulnerable populations such as university students represents an important topic of interest, considering that this is one of the groups where veganism is most popular. Given this, the present study aimed to determine the degree of protein sufficiency and its associated factors in a sample of Chilean vegan university students. Materials and methods: an exploratory cross-sectional study was conducted on 114 vegan university students who responded to an online survey on academic, attitudinal, clinical, dietary, and sociodemographic variables. Protein intake was calculated, and based on self-reported weight, daily protein adequacy was calculated according to the recommendation of 0.9 g/kg/day. Finally, the association between protein adequacy and previously consulted variables was calculated by determining the odds ratios. Results: only 53.5 % had adequate daily protein intake, which was associated with the length of time respondents had been vegan (OR, 2.86; 95 % CI, 1.07 to 7.34; p < 0.05), use of supplements (OR, 5.24; 95 % CI, 1.17 to 25.2; p < 0.05), and the frequency with which they ate lunch at home (OR, 87.7; 95 % CI, 24.1 to 304; p = 0.000). Conclusion: there needs to be more protein adequacy in the assessed sample. Protein adequacy is associated with the length of time on the vegan diet, frequency of eating lunch away from home, and use of supplements regularly.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"843-849"},"PeriodicalIF":2.5,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140158663","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

Effects of COVID-19 lockdown on children´s sleep quality, physical activity, screen time, and diet. COVID-19 封锁对儿童睡眠质量、体育活动、屏幕时间和饮食的影响。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-08-29 DOI: 10.20960/nh.05051

Roberto López-Iracheta, Nerea Martín Calvo, Laura Moreno-Galarraga, José Manuel Moreno Villares

{"title":"Effects of COVID-19 lockdown on children´s sleep quality, physical activity, screen time, and diet.","authors":"Roberto López-Iracheta, Nerea Martín Calvo, Laura Moreno-Galarraga, José Manuel Moreno Villares","doi":"10.20960/nh.05051","DOIUrl":"10.20960/nh.05051","url":null,"abstract":"Introduction: Background: this study aimed to assess how the COVID-19 lockdown (March to June 2020) affected children's sleep quality, physical activity, screen time, and nutrition. Material and methods: the survey consisted of 479 children from the SENDO project, a pediatric cohort in Spain, aged 4-5 years. The BEAR questionnaire was used to evaluate sleep quality. Hierarchical models with two-level clustering were used to account for intra-cluster correlation between siblings, and the difference regression method was used to study the association between changes in screen consumption and physical activity and changes in sleep quality. Results: the results showed an increase in the consumption of homemade pastries and snacks. Sleep quality worsened significantly during confinement, with a mean score on the BEAR scale of 0.52 before, 1.43 during, and 1.07 after confinement. Although sleep quality improved significantly after the end of confinement, it remained worse than before. The average daily screen time increased from 1.13 hours before confinement to 2.65 hours during confinement. Physical activity decreased during confinement, with the mean number of hours per day decreasing from 1.27 to 0.79. Children who spent more time on screens during confinement had worse sleep quality, as indicated by their higher scores on the BEAR scale. We used the difference regression method to identify a statistically significant association between the increased screen time for leisure hours and the worsening of children's sleep quality during confinement. Conclusion: we observed a significant relationship between confinement and reduced sleep quality. Although the end of the lockdown led to a slight improvement, the average BEAR scale score remained higher post-confinement, suggesting that the consequences of the lockdown may persist over time.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"781-787"},"PeriodicalIF":2.5,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141534965","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

[Pregnancy after bariatric surgery: blowing hot and cold]. [减肥手术后的妊娠：忽冷忽热]。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-08-29 DOI: 10.20960/nh.05418

Irene González Navarro, Andrés Jiménez Sánchez

引用次数: 0

Validity of bioelectric impedance analysis for body composition assessment in interstitial lung disease patients. 生物电阻抗分析用于间质性肺病患者身体成分评估的有效性。

IF 2.5 4区医学

Nutricion hospitalaria Pub Date : 2024-08-29 DOI: 10.20960/nh.04882

Gabriela Rosaura García Del Valle-Alegría, Iván Armando Osuna-Padilla, Ana Lucía Gómez-Rodríguez, Aime Alarcón-Dionet, Zobeida Rodriguez-Díaz, Ivette Buendía-Roldán

{"title":"Validity of bioelectric impedance analysis for body composition assessment in interstitial lung disease patients.","authors":"Gabriela Rosaura García Del Valle-Alegría, Iván Armando Osuna-Padilla, Ana Lucía Gómez-Rodríguez, Aime Alarcón-Dionet, Zobeida Rodriguez-Díaz, Ivette Buendía-Roldán","doi":"10.20960/nh.04882","DOIUrl":"10.20960/nh.04882","url":null,"abstract":"Introduction: Background: changes in body composition (BC) are common in interstitial lung disease, which leads to an increased risk of complications and infections, and are associated with poor quality of life and worse outcomes. BC assessment is important to identify malnutrition and sarcopenia. However, gold-standard techniques are not available in all clinical settings. Aims: this study aimed to evaluate the agreement and reliability of body composition estimated by bioelectric impedance analysis (BIA) and measured using dual-energy X-ray absorptiometry (DEXA) in women with interstitial lung disease. Methods: this is a cross-sectional study. BC (fat mass and appendicular skeletal muscle mass) were assessed using BIA multifrequency and DEXA in standardized conditions. Agreement and reliability between techniques were evaluated using Bland-Altman plots and the intraclass correlation coefficient (ICC). Results: a total of 50 women were evaluated. No differences were observed for FM (BIA, 25.8 ± 10.2 kg and DEXA, 26.3 ± 10.0 kg, p = 0.77) and ASMM (BIA, 14.1 ± 2.7 kg and DEXA, 13.9 ± 2.3 kg, p = 0.83). Based on ICC, good reliability was observed for FM (ICC, 0.98) and ASMM (ICC, 0.93). Conclusion: BC estimated by BIA showed good agreement and reliability with DEXA measurements. In the absence of this method, BIA can replace the DEXA technique for body composition assessment.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"810-814"},"PeriodicalIF":2.5,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140158665","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