Nutricion hospitalaria最新文献

{"title":"Meta-analysis of eating speed and outcomes related to diabetes mellitus risk and glycemic control.","authors":"Mengmeng Sun, Yanmin Tao, Diwen Wan, Bing Cao, Xiaoli Liang, Xiangeng Zhang","doi":"10.20960/nh.06411","DOIUrl":"10.20960/nh.06411","url":null,"abstract":"<p><strong>Introduction: </strong>Introduction: this meta-analysis investigated the association between eating speed and the risk of diabetes, poor glycemic control and related biomarkers, including fasting blood glucose and glycated hemoglobin. Methods: meal speed was measured using subjective assessments (questionnaires and self-reports, in which participants rated their eating speed relative to others) and objective measurements (meal duration of less than 20 minutes was defined as fast eating). Two researchers independently screened studies, extracted data, and assessed quality. Stata 18. Results: the results showed that fast eaters had a 10 % higher diabetes mellitus prevalence 95 % CI (0.07, 0.13) and a higher risk of developing diabetes mellitus (OR = 49, 95 % CI [1.19, 1.88], p < 0.05). Fast eating was also linked to higher fasting glucose (MD = 0.04, 95 % CI [0.02, 0.06]) and glycated hemoglobin levels (MD = 0.03, 95 % CI [0.01, 0.05], p < 0.05). However, it was not linked to poor glycemic control (OR = 1.12, 95 % CI [0.97-1.31], p = 0.13). Conclusion: rapid eating is linked to elevated glycemic markers and a higher risk of diabetes mellitus, suggesting that adjusting the speed of eating may help control glycemia. Further studies are needed to confirm the causal relationship and explore the underlying mechanisms.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1110-1126"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147777530","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}

{"title":"Urinary urea, nitrogen balance and mortality in critically ill patients: a prospective cohort study.","authors":"Raquel Stocker Pérsico, Marina Verçoza Viana, Sérgio Henrique Loss, Ana Carolina Peçanha Antonio, Luciana Verçoza Viana","doi":"10.20960/nh.06780","DOIUrl":"10.20960/nh.06780","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1181-1182"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148259143","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}

{"title":"Insulin resistance risk in domestic workers: a sex-specific assessment using TyG, METS-IR, and SPISE indices in a large Mediterranean cohort.","authors":"Alberto Ramírez-Gallegos, Pedro Juan Tárraga López, José Ignacio Ramírez Manent, Andrea Del Amo Ríos, Irene Coll-Campayo, Miguel García-Samuelson, Ángel Arturo López González","doi":"10.20960/nh.06313","DOIUrl":"10.20960/nh.06313","url":null,"abstract":"<p><strong>Introduction: </strong>Introduction: insulin resistance is a key contributor to cardiometabolic diseases, yet it remains understudied among domestic workers. This study evaluates the usefulness of the TyG, METS-IR, and SPISE indices as non-invasive tools to estimate insulin resistance risk in this population. Objective: insulin resistance (IR) is a major precursor of type 2 diabetes and cardiovascular disease, yet its prevalence and associated factors remain underexplored in informal labor sectors. This study aimed to evaluate the prevalence of elevated IR scores using validated non-invasive indices (TyG, METS-IR, and SPISE) and their association with sociodemographic and lifestyle variables in a large cohort of Spanish female domestic workers. Methods: a cross-sectional analysis was conducted using health examination data from 6,321 adult female domestic workers in Spain. IR was assessed using three surrogate indices: the triglyceride-glucose index (TyG), the metabolic score for insulin resistance (METS-IR), and the single-point insulin sensitivity estimator (SPISE). Participants were classified into quartiles based on each index. Associations with age, smoking status, physical activity (IPAQ-SF), and adherence to the Mediterranean diet were evaluated using logistic regression models adjusted for potential confounders. Results: a high proportion of participants were in the highest-risk quartile for TyG (25.3 %), METS-IR (24.9 %), and the lowest-risk quartile for SPISE (26.8 %). Older age, smoking, low physical activity, and low Mediterranean diet adherence were significantly associated with unfavorable IR profiles across all three indices. Multivariate logistic regression showed that physical inactivity was strongly associated with high TyG (OR = 3.12), high METS-IR (OR = 3.28), and low SPISE (OR = 4.07) scores. The prevalence of high IR scores increased with age and was notably higher among smokers and individuals with poor dietary habits. Conclusions: this study reveals a concerning prevalence of elevated insulin resistance among female domestic workers in Spain and identifies modifiable lifestyle factors associated with metabolic risk. The use of simple, cost-effective indices such as TyG, METS-IR, and SPISE offers a valuable opportunity for early identification of cardiometabolic risk in underserved labour populations. Targeted interventions promoting physical activity, dietary improvement, and smoking cessation are urgently needed to reduce long-term health disparities in this occupational group.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1022-1030"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147284616","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}

{"title":"[Methodological considerations on the relationship between dietary patterns and autonomic activity].","authors":"Héctor Fuentes-Barria, Raúl Aguilera-Eguía","doi":"10.20960/nh.06553","DOIUrl":"10.20960/nh.06553","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1175-1176"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147513596","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}

{"title":"Preoperative immunonutritional support for gastric cancer patients with low muscle mass diagnosed based on computed tomography: a prospective study.","authors":"YiMei Ou, SanSan Ou, ZhenYuan Gao","doi":"10.20960/nh.06499","DOIUrl":"10.20960/nh.06499","url":null,"abstract":"<p><strong>Introduction: </strong>Background: to explore the impact of short-term oral immunonutritional support before surgery on the short-term clinical outcomes of gastric cancer patients with low muscle mass. Methods: in this prospective controlled trial, 164 patients with low muscle mass scheduled for gastric cancer resection were randomized 1:1 to either an immunonutrition group (IN, n = 82) receiving a specific immunomodulatory formula (Suyuansu) or a standard nutrition group (SN, n = 82) receiving an isocaloric/isointrogenous whole-protein formula (Nengquan) for seven days preoperatively. The primary endpoint was the incidence of Clavien-Dindo grade ≥ IIIa complications within 30 days. Results: the incidence of severe postoperative complications was significantly reduced in the IN group compared with the SN group (7.3 % [6/82] vs 18.3 % [15/82], p = 0.035). The postoperative recovery time of the IN group was significantly shorter than that of the SN group (median: 9.0 days vs 10.0 days, p = 0.038), and the postoperative systemic inflammatory response intensity (area under the curve [AUC] of C-reactive protein [CRP]) was significantly lower than that of the SN group (p < 0.001). There was no statistically significant difference in the incidence of infectious complications between the two groups (13.4 % vs 20.7 %, p = 0.213). Conclusion: for gastric cancer patients with low muscle mass, short-term oral immunonutritional support before surgery can significantly reduce the risk of severe postoperative complications, alleviate systemic inflammatory responses, and accelerate postoperative recovery. It is a valid perioperative management strategy.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"966-975"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645963","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}

{"title":"[Glycemic index and glycemic load of foods containing rice bran].","authors":"Jesús Gutiérrez-Trujillo, Javier Villanueva Sánchez, Víctor Eduardo Alcantar Rodríguez, Rubén Puga Díaz","doi":"10.20960/nh.06374","DOIUrl":"10.20960/nh.06374","url":null,"abstract":"<p><strong>Introduction: </strong>Introduction: glycemic index (GI) and glycemic load (GL) are useful tools to evaluate carbohydrate quality and their impact on postprandial glycemia. Rice bran, a by-product rich in fiber and bioactive compounds, has been proposed as a functional ingredient for developing healthier foods. Objective: to evaluate the GI and GL of two rice bran-based snacks (totopo and churro) in healthy adults. Methods: a four-stage, non-randomized controlled clinical trial was conducted in 8 healthy adult volunteers (3 men and 5 women). Three stages consisted of the administration of a reference solution (25 g of glucose in 250 ml of water), and in the fourth stage, rice bran-based foods were tested (totopo with 30 % SRB and churro with 32 % SRB). Venous blood samples were collected at 0, 15, 30, 45, 60, 90, and 120 minutes post-ingestion to calculate the incremental area under the curve and determine GI and GL. Results: proximate analysis revealed differences in composition, with higher fat content in churro. Mean values were: GI = 48.11 ± 32.1 and GL = 32.12 for totopos, GI = 55.43 ± 18.7 and GL = 18.70 for churros, both significantly lower than the reference food (GI = 100). Conclusions: rice bran-based foods showed a low GI, suggesting a favorable effect on postprandial glycemic response. However, GL differed between products, emphasizing the importance of food matrix and portion size.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1058-1063"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148352759","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}

{"title":"[Clarification regarding vitamin K in relation to the article \"Serum vitamin levels in critically ill patients and their relationship to prognosis\"].","authors":"Antonio Gutiérrez-Pizarraya, José Garnacho-Montero","doi":"10.20960/nh.06491","DOIUrl":"10.20960/nh.06491","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1173-1174"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147777357","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}

{"title":"[Relevance of correlation analysis in nutritional research: reflections from recent studies].","authors":"Román Montaña Ramírez, Sergio Vladimir Flores, Ángel Roco Videla, Ana Nieves-Maríñez","doi":"10.20960/nh.06310","DOIUrl":"10.20960/nh.06310","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1164-1165"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645965","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}

{"title":"[Health-related quality of life in outpatients with cancer and disease-related malnutrition undergoing medical nutritional therapy: Assessment using the AnyVida scale].","authors":"Irene Gonzalo Montesinos, Cristina García García, Javier Rodríguez-Moreno, María Del Mar Amaya Campos, Soraya Lanes Iglesias, María Del Carmen Fernández López, Blanca Alabadi, Antonio Jesús Martínez Ortega, Ana Castro Luna, Sagrario Gago Gago, Marcos Ruiz Soler, Rosalía Rioja Vázquez, Carmina Wanden-Berghe, Rocío Fernández Jiménez, Isabel María Vegas Aguilar, José Manuel García Almeida","doi":"10.20960/nh.06430","DOIUrl":"10.20960/nh.06430","url":null,"abstract":"<p><strong>Introduction: </strong>Introduction: health-related quality of life (HRQoL) provides a comprehensive perspective on the well-being of patients receiving oral nutritional supplementation (ONS). Objective: to develop and validate a short scale that can be implemented in clinical practice to measure the HRQoL of outpatients with cancer who present with disease-related malnutrition (DRM) and are receiving nutritional therapy with ONS. Methods: an extended version of a scale was developed in collaboration with a panel of experts and advisors. This version was validated within the framework of a prospective, multicenter pilot study conducted in seven Spanish hospitals, with the aim of obtaining a shorter version suitable for implementation in routine clinical practice. Results: first, an extended version of the scale was developed, consisting of 44 items and 15 health dimensions. Sixty-five patients evaluated in the Endocrinology and Nutrition Services, who were already receiving ONS treatment, were included. In the statistical analysis, the items that best correlated with HRQoL were extracted, allowing for the validation of the scale and the creation of a short version consisting of 14 questions. Conclusions: After analyzing the results, the preliminary analysis suggests that the proposed 14 item scale is reliable and has a coherent factor structure, which could be refined and validated in future phases with a larger sample, planned for a later stage of the research.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"956-965"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147932008","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}

{"title":"Preservation of muscle mass assessed by ultrasound during a meal replacement-based hypocaloric intervention in obese individuals: a real-world clinical trial.","authors":"Daniel de Luis, Olatz Izaola, David Primo, Daniel Rico Bigues, Juan José López Gomez","doi":"10.20960/nh.06455","DOIUrl":"10.20960/nh.06455","url":null,"abstract":"<p><strong>Introduction: </strong>Background: meal replacement (MR) diets involve substituting one or more regular meals with specially formulated nutritional products. This 12-week intervention aimed to assess the impact of a hypocaloric meal replacement on body weight and metabolic parameters, emphasizing muscle mass evaluation by ultrasound Methods: a real-world study was conducted using a MR diet protocol, one daily meal was replaced with a nutritional formula. Anthropometric and biochemical parameters were assessed at baseline and after 12 weeks, along with ultrasound-based measurements of the rectus femoris and gastrocnemius medialis muscles to monitor changes in muscle mass. Results: the study population had a mean age of 59.3 ± 9.1 years and included 18 males (28.1 %) and 46 females (71.9 %). After 12 weeks of intervention, significant reductions were observed in body weight, body mass index, fat mass, waist circumference, serum triglycerides, LDL cholesterol, fasting glucose, insulin, and HOMA-IR. Additionally, there was a notable decrease in the prevalence of metabolic syndrome, central obesity, hypertriglyceridemia, hypertension, and hyperglycemia. Ultrasound assessments revealed a significant increase in rectus femoris muscle area (RFMA) (4.40 ± 0.6 cm² to 5.86 ± 0.4 cm²; p = 0.04), and in rectus femoris muscle thickness (RFMT) (1.70 ± 0.3 cm to 2.32 ± 0.3 cm; p = 0.03), indicating a preserved or enhanced muscle morphology despite overall weight loss. Conclusions: this study shows that a structured MR program effectively reduces body weight and improves metabolic parameters in individuals with obesity. Notably, muscle mass -especially in the rectus femoris- was preserved or improved.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1031-1039"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148259092","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}