Erkan Dogan, Nergiz Sevinc, Mehmet Ozdemir, Sadrettin Ekmen
{"title":"Aflatoxin M1 in breast milk: is it an etiological factor in prolonged breast milk jaundice?","authors":"Erkan Dogan, Nergiz Sevinc, Mehmet Ozdemir, Sadrettin Ekmen","doi":"10.20960/nh.06445","DOIUrl":"10.20960/nh.06445","url":null,"abstract":"<p><strong>Introduction: </strong>Background: it is known that aflatoxin M1 can be transmitted to newborns through breast milk and may cause serious health problems. We aimed to determine whether the presence of aflatoxin M1 in breast milk has a role in the etiology of prolonged breast milk jaundice in newborn. Methods: forty-one mothers of infants with prolonged breast milk jaundice and 38 age-matched mothers of healthy infants participated in the study. Aflatoxin M1 concentrations in breast milk were measured using a competitive ELISA method with Ridascreen commercial kits. Results: the median age was 37 days in the study group and 40 days in controls. No significant differences were observed between the groups in terms of sex, height or weight. Median aflatoxin M1 levels were significantly higher in the study group than in controls (6.2 vs 1.27 ng/l, p = 0.001). Although mean aspartate aminotransferase (AST), alanine aminotransferase (ALT) and gamma-glutamyl transferase (GGT) levels were higher in the study group, these differences were not statistically significant. None of the breast milk samples exceeded toxic limit of 50 ng/l. Furthermore, no significant correlations were identified between aflatoxin M1 concentrations and total bilirubin, direct bilirubin or indirect bilirubin values (p > 0.05). Conclusıons: our study data indicate that breast milk aflatoxin M1 concentrations were elevated in infants with prolonged breast milk jaundice compared to controls but remained within safe limits. The lack of association with bilirubin levels implies a limited clinical role for aflatoxin M1 in jaundice pathogenesis. Nonetheless, continued monitoring and larger studies are warranted to assess the long-term effects of early-life aflatoxin M1 exposure.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"985-990"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645955","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}
Cong Zhang, Bingzhu Hu, Jiaqi Wang, Yi Shi, Chenghong Li, Shi Chen
{"title":"Associations of \"Life's Essential 8\" and sleep apnea ‒ A cross-sectional study.","authors":"Cong Zhang, Bingzhu Hu, Jiaqi Wang, Yi Shi, Chenghong Li, Shi Chen","doi":"10.20960/nh.06221","DOIUrl":"10.20960/nh.06221","url":null,"abstract":"<p><strong>Introduction: </strong>Background: sleep apnea is a prevalent global health issue. The relationship between Life's Essential 8 (LE8) ‒a composite metric of cardiovascular health (CVH)‒ and sleep apnea remains inadequately explored. This study investigates their association among U.S. adults using NHANES data. Methods: we included 12,685 participants from NHANES (2005-2008). Sleep apnea was assessed via questionnaire (items SLQ060, SLQ070A). The LE8 score (range 0-100), derived from eight health metrics, was categorized into low (0-49), moderate (50-79), and high (80-100) CVH. Results: LE8 scores were significantly lower in adults with sleep apnea. Each unit increase in LE8 score correlated with a 4 % reduced odds of sleep apnea (OR 0.96, 95 % CI: 0.95-0.96). Those with high CVH had 76 % lower risk than the low-CV group (OR 0.24, 95 % CI: 0.15-0.38). Subgroup analyses suggested stronger protective associations in women, non-elderly adults (16-60 years), and low-income participants (PIR < 1.3). Conclusion: higher LE8 scores are strongly associated with reduced sleep apnea prevalence, particularly in specific demographic subgroups. Promoting optimal CVH may help mitigate the burden of sleep apnea.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1082-1089"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147513609","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}
Pierre Singer, Annika Reintam Blaser, Mette M Berger, Philip C Calder, Michael Casaer, Michael Hiesmayr, Kostantin Mayer, Juan Carlos Montejo González, Claude Pichard, Jean-Charles Preiser, Wojciech Szczeklik, Arthur R H van Zanten, Stephan C Bischoff
{"title":"[ESPEN practical and partially revised guideline: Clinical nutrition in the intensive care unit].","authors":"Pierre Singer, Annika Reintam Blaser, Mette M Berger, Philip C Calder, Michael Casaer, Michael Hiesmayr, Kostantin Mayer, Juan Carlos Montejo González, Claude Pichard, Jean-Charles Preiser, Wojciech Szczeklik, Arthur R H van Zanten, Stephan C Bischoff","doi":"10.20960/nh.06943","DOIUrl":"10.20960/nh.06943","url":null,"abstract":"<p><strong>Introduction: </strong>Following the new ESPEN Standard Operating Procedures, the previous 2019 guideline to provide best medical nutritional therapy to critically ill patients has been shortened and partially revised. Following this update, we propose this publication as a practical guideline based on the published scientific guideline, but shortened and illustrated by flow charts. The main goal of this practical guideline is to increase understanding and allow the practitioner to implement the Nutrition in the ICU guidelines. All the items discussed in the previous guidelines are included as well as special conditions.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1127-1151"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670197","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}
Luis Ángel Kong-Lozano, Franklin Alexis Tejada-Pacus, Lucero León-Namuche, Claudia L Saldaña-Arqueros
{"title":"[World Food Day and the need to clearly define healthy eating].","authors":"Luis Ángel Kong-Lozano, Franklin Alexis Tejada-Pacus, Lucero León-Namuche, Claudia L Saldaña-Arqueros","doi":"10.20960/nh.06331","DOIUrl":"10.20960/nh.06331","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1168-1169"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147777529","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}
Román Montaña Ramírez, Sergio Vladimir Flores, Ángel Roco Videla, Ana Nieves-Maríñez
{"title":"[Multiple linear regression: a key tool in health research].","authors":"Román Montaña Ramírez, Sergio Vladimir Flores, Ángel Roco Videla, Ana Nieves-Maríñez","doi":"10.20960/nh.06324","DOIUrl":"10.20960/nh.06324","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1166-1167"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645934","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":"Impact of multidimensional health management on postoperative nutrition and mobility in patients undergoing pancreatic tumor surgery.","authors":"Shanshan Zuo, Ruting Shen, Yang Yang, Zehua Zhao, Xiaoli Zhang, Renxuan Wang, Xinbo Wang, Yehua Xie","doi":"10.20960/nh.06546","DOIUrl":"10.20960/nh.06546","url":null,"abstract":"<p><strong>Introduction: </strong>Introduction: pancreatic tumors represent a malignant disease of the digestive system. Objective: to evaluate the effectiveness of a cross-dimensional integrated perioperative health management intervention on patients with pancreatic tumors. Methods: a cohort of 112 patients with pancreatic tumors who underwent surgery between January 2023 and April 2025 were selected and randomly assigned in equal numbers to a control group (n = 56) and an intervention group (n = 56) using the random number table method. The control group received routine postoperative management, whereas the intervention group received multidimensional, comprehensive health management. Results: compared with the control group, the intervention group exhibited shorter times to oral fluid intake, urethral catheter removal, first flatus, first defecation, and first ambulation (p < 0.05), whereas the time to gastric tube removal did not differ significantly between the groups (p > 0.05). Post-intervention levels of serum transferrin, albumin, and hemoglobin decreased in both groups compared with baseline values (p < 0.05); however, the reductions were less pronounced in the intervention group (p < 0.05). Scores on the Self-Rating Anxiety Scale and Self-Rating Depression Scale also decreased in both groups after the intervention (p < 0.05), with greater reductions observed in the intervention group (p < 0.05). The overall incidence of postoperative complications did not differ significantly between the groups (p > 0.05). Conclusion: the application of multidimensional health management strategy positively affects postoperative nutritional status and mobility in patients undergoing pancreatic tumor surgery.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1102-1109"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147931982","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":"Effect of nutritional nursing intervention on patients with acute ST-segment elevation myocardial infarction accompanied by iron deficiency.","authors":"Jinlan Wang, Min Tang, Dandan Sheng, Chuang Fang","doi":"10.20960/nh.06237","DOIUrl":"10.20960/nh.06237","url":null,"abstract":"<p><strong>Introduction: </strong>Introduction: we aimed to assess the effect of nutritional nursing intervention on patients with acute ST-segment elevation myocardial infarction (STEMI) accompanied by iron deficiency. Methods: this study comprised a prospective observational cohort phase and a nested randomized controlled trial (RCT) phase. In the prospective study phase, 200 patients with a first acute STEMI were consecutively enrolled, of whom 92 were subsequently diagnosed with iron deficiency. In the RCT phase, 90 patients were randomly assigned to conventional nursing, medical-therapy, or nursing intervention group for 12 weeks, with follow-up for six months. Results: after 12 weeks of intervention, the nursing intervention group had significantly higher scores on the eight-item Morisky Medication Adherence Scale than those of medical-therapy and conventional nursing groups (7.3 ± 0.8 vs 6.2 ± 1.0 vs 5.8 ± 1.1, p < 0.001). During the six-month follow-up, the rate of readmission for heart failure was significantly lower in the nursing intervention group than in medical-therapy and conventional nursing groups (6.7 % vs 23.3 % vs 26.7 %). Logistic regression analysis revealed that the risk of readmission reduced (odds ratio = 0.17, 95 % confidence interval: 0.03-0.85, p = 0.031). The left ventricular ejection fraction of the nursing intervention group improved the most (Δ = 7.4 %, p < 0.001), and the improvements in Six Minute Walk Distance (6MWD) test and Kansas City Cardiovascular Questionnaire (KCCQ) scores were also significantly higher than those in the other two groups (p < 0.001). Conclusion: nutritional nursing intervention effectively improved patients' medication compliance, reduced the risk of re-hospitalization for heart failure, and improved their quality of life.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1074-1081"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645948","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}
Aurora Páramo-Lira, Socorro Camarillo-Romero, José de Jesús Garduño-García, José Javier Reyes-Lagos
{"title":"[Authors´ response: \"Methodological considerations on the relationship between dietary patterns and autonomic activity\"].","authors":"Aurora Páramo-Lira, Socorro Camarillo-Romero, José de Jesús Garduño-García, José Javier Reyes-Lagos","doi":"10.20960/nh.06606","DOIUrl":"10.20960/nh.06606","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1179-1180"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147777354","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 interpretation of exercise addiction and sports supplement use].","authors":"Héctor Fuentes-Barria, Raúl Aguilera-Eguía","doi":"10.20960/nh.06588","DOIUrl":"10.20960/nh.06588","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"1177-1178"},"PeriodicalIF":1.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147777451","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}