Nutricion hospitalaria最新文献

{"title":"[Improving the adequacy of clinical practice].","authors":"Irene Bretón Lesmes","doi":"10.20960/nh.05769","DOIUrl":"10.20960/nh.05769","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"27-29"},"PeriodicalIF":2.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503012","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":"[The adequacy of clinical practice in Nutrition].","authors":"Irene Bretón Lesmes","doi":"10.20960/nh.05770","DOIUrl":"10.20960/nh.05770","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"30-32"},"PeriodicalIF":2.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503050","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":"[Association between sociodemographic variables, healthy habits and stress with vascular age and SCORE2].","authors":"Ángel Arturo López González, Emilio Martínez-Almoyna Rifá, Hernán Paublini, Cristina Martorrel Sánchez, Pedro Juan Tárraga López, José Ignacio Ramírez-Manent","doi":"10.20960/nh.05629","DOIUrl":"https://doi.org/10.20960/nh.05629","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiovascular diseases are a global public health concern due to their high morbidity, mortality, and prevalence. Numerous scales based on different risk factors have been used to assess cardiovascular risk (CVR). The aim of this study is to evaluate how various sociodemographic variables, healthy habits, and stress are associated with the values of two CVR scales.</p><p><strong>Materials and methods: </strong>a descriptive cross-sectional study was conducted with 22,976 Spanish workers, analyzing the association between sociodemographic variables (age, gender, socioeconomic status), healthy habits (smoking, alcohol consumption, adherence to the Mediterranean diet, and physical activity), and stress with two CVR scales: vascular age (VA) and the Systematic Coronary Risk Evaluation-2 (SCORE2).</p><p><strong>Results: </strong>all the scales analyzed show an association with elevated VA and SCORE2 values. The variables with the strongest associations (highest odds ratios) are age, type of occupation, and smoking.</p><p><strong>Conclusions: </strong>the profile of individuals most at risk of having high VA and SCORE2 values is a male over 50 years old, belonging to lower socioeconomic strata (manual laborer), a smoker, a regular alcohol consumer, sedentary, with low adherence to the Mediterranean diet, and high stress levels.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597440","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":"Prevalence of malnutrition in patients with Alzheimer's disease - A systematic review. The call for consistent nutritional assessment methods.","authors":"Alicja Zarnowska, Magdalena Milewska, Gabriela Rokicka, Karolina Kacprzyk, Mariusz Panczyk, Marcin Folwarski, Dorota Szostak-Węgierek","doi":"10.20960/nh.05611","DOIUrl":"https://doi.org/10.20960/nh.05611","url":null,"abstract":"<p><strong>Objectives: </strong>epidemiological data show growing numbers of patients with Alzheimer´s disease. Cognitive decline and progressive swallowing impairment lead to a significant deterioration of the nutrition status in this population. Early detection and treatment of malnutrition is important for the prognosis of the disease.</p><p><strong>Method: </strong>a systematic review was conducted. Four databases such as Cochrane, PubMed, Embase and Web of Science were searched by two independent researchers. The inclusion criteria encompass adult patients with diagnosed Alzheimer's disease, studies with screening tools for nutritional assessment such as Mini-Nutritional Assessment and body mass index. Patients without diagnosis or with possible or probable Alzheimer's disease were excluded. Finally, 36 studies with 5293 participants were included to the systematic review. PRISMA protocol was followed when writing this article. Critical Appraisal tools for use in JBI Systematic Reviews were used for quality assessment.</p><p><strong>Results: </strong>36 studies were included in this systematic review. More than half of the respondents were from Europe. According to MNA 33.97 % of participants were at risk of malnutrition, 3.74 % malnourished and more than 62 % had proper nutritional status. According to the BMI, nearly 50 % of patients were overweight or obese, 4.22 % had BMI < BMI < 18,49 kg/m2. Risk of malnutrition and malnutrition was diagnosed in 53.8 % and 8.2 % of patients assessed with Mini-Nutritional Assessment - Short Form.</p><p><strong>Conclusion: </strong>the risk of malnutrition in AD is high, however, significant differences between studies can be observed due to methodological differences. Large epidemiological studies are needed with unified nutritional assessment methods for patients with Alzheimer's disease.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597448","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":"Evaluation of adherence to the Mediterranean diet after a nutritional dietary intervention from primary care.","authors":"Carmen Celada Roldán, Jaime López Díez, Faustino Rider, María Ángeles Cerezuela Abarca, Almudena Tárraga Marcos, Pedro Juan Tárraga López","doi":"10.20960/nh.04786","DOIUrl":"https://doi.org/10.20960/nh.04786","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;currently there are changes in lifestyle that have been modifying the nutritional culture, moving away from the Mediterranean diet (DMed) and acquiring a more sedentary lifestyle, a fact that has contributed to a significant increase in risk factors. (CVRF) such as obesity and type 2 diabetes mellitus (DM2), and consequently to a global increase in metabolic syndrome (MS) and cardiovascular diseases (CVD), which in the 21st century reinforces being the first cause of morbidity and mortality To reduce this pandemic, a multidisciplinary approach is required focused on the application of primary and secondary prevention strategies for modifiable CVRFs, focused on nutritional promotion and education through the promotion of a healthier lifestyle and diet from childhood, as the one that encompasses the MedD. This dietary pattern, together with physical exercise, has been shown to contribute to the primary and secondary prevention of DM2 and coexisting CVRF.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;to determine the initial adherence to the DMed in patients with poorly controlled type 2 diabetes and to analyze the effects of a nutritional educational intervention from Primary Care on glycemic control and the degree of adherence to the Mediterranean diet post-intervention and their relationship.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Material and methods: &lt;/strong&gt;descriptive observational study and quasi-experimental analytical study (before-after) in 93 patients diagnosed with type 2 diabetes mellitus with poor glycemic control (A1c ≥ 7 %), carried out in various health centers in Albacete and Cuenca between 2018 and 2019, in which the relationship between adherence to MedDM and CVRF is evaluated, before and after an educational intervention on MedDM. They are administered a data collection sheet that includes a MedD adherence survey (MEDAS-14) at baseline and at 6 months, after completing an education on MedD in Primary Care (PC) medical and nursing consultations). The pre- and post-intervention variables were analyzed: age groups, sex, years of evolution of DM2, body mass index (BMI), as well as basal glycemia (GB) and glycosylated hemoglobin (A1c). The main variable \"MEDAS-14\" is related to the rest of the variables.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;both poor glycemic control and having a high BMI are related to low adherence to the Mediterranean diet. Pre-intervention the score of the survey of adherence to the Mediterranean diet was relatively low (7.44 ± 0.22 points), being in women (7.66 points) than in men (7.1 points). Despite the high consumption of olive oil, a large number of processed products are consumed (sweetened beverages, butter, commercial confectionery), with a low consumption of fruit, fish and nuts. The high levels of basal glycemia are also related to the low adherence to the Mediterranean diet (p &lt; 0.04), as well as the increase in glycosylated hemoglobin (p &lt; 0.06). Post-intervention, adherence to the DMED increased by 1.09 ±","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597445","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":"Usefulness of the Mini-Nutritional Assessment in screening for sarcopenia in a sample of institutionalized older persons - A cross-sectional study.","authors":"Ashuin Kammar-García, Esmeralda Garza-Santiago, Javier Mancilla-Galindo, Orietta Lizet Segura-Badilla, Martín Lazcano-Hernández, Obdulia Vera-López, Addi Rhode Navarro-Cruz","doi":"10.20960/nh.05491","DOIUrl":"https://doi.org/10.20960/nh.05491","url":null,"abstract":"<p><strong>Background: </strong>sarcopenia is a disease associated with muscle changes during aging, and its detection remains a challenge outside specialized clinical units.</p><p><strong>Objective: </strong>to evaluate the utility of the Mini-Nutritional Assessment (MNA) in detecting sarcopenia in institutionalized older persons.</p><p><strong>Materials and methods: </strong>we conducted a cross-sectional study in adults aged 55 and older from Puebla. We administered both the short form (SF) and the complete form (LF) of the MNA. We diagnosed sarcopenia according to EWGSOP2 criteria. We plotted the points obtained from MNA-SF and MNA on a ROC curve. We evaluated the odds ratio (OR) for presenting sarcopenia based on the recommended cutoff points using logistic regression models adjusted for age and sex.</p><p><strong>Results: </strong>the study included 162 participants, with 64.1 % of them being women, and the mean age was 69.8 years (SD: 5). The mean scores of MNA-SF and MNA-LF were 12.17 (SD: 1.78), and 25.1 (SD: 2.83), respectively. The prevalence of sarcopenia was 20.4 %. The AUC of MNA-SF was 0.68 (95 % CI: 0.58-0.78), and for MNA-LF, 0.60 (95 % CI: 0.49-0.71). The OR for presenting sarcopenia with MNA-SF < 12 was OR = 2.87 (95 % CI: 1.31-6.29) and, after adjustment for age and sex, OR = 2.47 (95 % CI: 1.10-5.54).</p><p><strong>Conclusions: </strong>according to AUC, MNA-SF may help detect sarcopenia in institutionalized older persons, while MNA-LF may have reduced utility in practice.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597383","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":"[Importance of recovery heart rate after exercise in overweight and/or obese children].","authors":"Héctor Fuentes-Barría, Raúl Aguilera-Eguía, Lissé Chiquinquirá Angarita-Dávila, Olga Patricia López-Soto","doi":"10.20960/nh.05366","DOIUrl":"https://doi.org/10.20960/nh.05366","url":null,"abstract":"","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597442","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":"[WHO guidance on non-nutritive sweeteners - A critical analysis].","authors":"David Fernando López-Daza, Ricardo Merchán-Chaverra, Yeny Cuéllar-Fernández, María Camila Gómez-Univio, Daniela Beatriz Ardila-Mendoza, María Cristina Posada-Álvarez, Patricia Savino-Lloreda","doi":"10.20960/nh.05728","DOIUrl":"https://doi.org/10.20960/nh.05728","url":null,"abstract":"<p><p>The use of non-sugar sweeteners (NSS) has gained prominence as an alternative to reduce free sugar consumption, aligning with global efforts to combat the growing prevalence of non-communicable diseases (NCDs). By providing sweetness without caloric energy, NSS are viewed as potential tools in addressing diet-related health challenges. However, their long-term effects on health remain contentious, especially within the medical community. In 2023, the World Health Organization (WHO) released guidelines evaluating the role of NSS in promoting healthy eating, preventing weight gain, and mitigating NCDs. While some studies highlight benefits, such as lower body weight and reduced energy intake, the evidence is inconclusive. Observational research predominantly raises concerns about potential risks associated with NSS, but these studies face limitations, including biases and confounding variables that hinder causal conclusions. This analysis underscores the urgent need for comprehensive, high-quality research to clarify the risks and benefits of NSS. Current evidence is limited in scope and fails to address critical knowledge gaps, particularly regarding their long-term implications for the general population and individuals with NCDs. Expanding the scientific understanding of NSS is essential to inform public health recommendations and clinical guidelines effectively.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597443","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":"Influence of handgrip strength on postoperative complications and survival in primary liver cancer patients.","authors":"Chunlei Li, Yajun Chen, Hongmei Wu, Yaqi Zeng, Yueying Li, Jie Dong, Yujie Wang, Tianqiang Song","doi":"10.20960/nh.05564","DOIUrl":"https://doi.org/10.20960/nh.05564","url":null,"abstract":"<p><strong>Objectives: </strong>the impact of handgrip strength (HGS) on postoperative complications and long-term survival following hepatectomy in patients with primary liver cancer (PLC) remains unclear. This study aimed to evaluate the influence of HGS on postoperative complications and overall survival in patients with PLC.</p><p><strong>Methods: </strong>in total, 298 patients with PLC who underwent liver resection were included in the prospective cohort study. Baseline, surgical, and histopathological factors were analyzed using univariate and multivariate analyses to identify risk factors for postoperative complications and mortality.</p><p><strong>Results: </strong>the incidence of major postoperative complications was 40.3 % and 24.6 % in the low and high HGS groups, respectively. During the median follow-up period of 28.8 months, 57 patients (19.1 %) died. patients with low HGS demonstrated a significantly shorter median overall survival compared to those with high HGS (p < 0.001). Short-term analysis revealed that low HGS (p = 0.022) and intraoperative blood loss (≥ 200 ml) (p < 0.001) were independently associated with postoperative complications. Furthermore, low HGS was identified as an independent predictor of poor overall survival in long-term survival analysis (p = 0.005).</p><p><strong>Conclusions: </strong>preoperative HGS emerged as an independent factor for postoperative complications and a prognostic indicator of poor long-term outcomes in patients with PLC.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597447","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":"Healthy nutrition in primary care: instrument on the knowledge, perception, and sugary product consumption in the adult population.","authors":"Miriam Mohatar-Barba, Elisabet Fernádez-Gómez, María López-Olivares, Trinidad Luque-Vara, Marta López-Bueno, Carmen Enrique-Mirón","doi":"10.20960/nh.05429","DOIUrl":"https://doi.org/10.20960/nh.05429","url":null,"abstract":"<p><strong>Introduction: </strong>it is necessary to develop an instrument that enables identifying unhealthy eating habits, and to know those erroneous concepts that the adult population may have in relation to sugary products to be able to design and implement appropriate nutritional education strategies for this population sector.</p><p><strong>Aim: </strong>to perform the content validation of a questionnaire to determine the level of knowledge, perception, and habits of sugary product consumption in the adult population through expert judgement.</p><p><strong>Methods: </strong>it is a content and psychometric validation study, carried out between September and October of the last year, in which 13 experts participated, who assessed each one of the instrument's items. Fleiss' kappa coefficient was used with the aim of measuring the degree of agreement. A pre-test was performed with 237 participants to measure the degree of comprehensibility of the instrument.</p><p><strong>Results: </strong>the strength of agreement reached for the dimensions of knowledge and opinion regarding sugary product consumption was almost perfect, and substantial for behaviour with respect to said products. The strength of agreement fluctuated between moderate and almost perfect for each pair of experts. The characteristics of sufficiency and relevance obtained the highest scores using Fleiss' according to the degree of overall agreement between experts. The new version of the questionnaire achieved a high degree of comprehensibility.</p><p><strong>Conclusions: </strong>the results suggest that the instrument is valid and can be applied in future studies to evaluate knowledge, perceptions and habits about sugary products in the adult population, thus contributing to the prevention of chronic diseases and the promotion of a better quality of life.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597446","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}