Nutricion hospitalaria最新文献

{"title":"[The NOA project (Oncological Nutrition in Andalucía) in clinical practice: results 6 months after project completion].","authors":"Francisco J Vílchez-López, María González-Pacheco, María Del Mar Roca-Rodríguez, Marina Martín-Zamorano, Lucía Gutierrez-Bayard, Julio Calvete-Cándenas, María Teresa Muñoz-Lucero, Pedro Pablo García-Luna","doi":"10.20960/nh.05423","DOIUrl":"10.20960/nh.05423","url":null,"abstract":"<p><strong>Introduction: </strong>Introduction: the NOA project analyses the nutritional care of cancer patients in different centres in Andalusia, establishes areas for improvement (phases 1 and 2) and evaluates its implementation during a period of 6 months (phase 3). The results of the different phases have been previously published. Objectives: to evaluate the degree of implementation of the different measures in clinical practice 6 months after the end of the project (12 months after the start of the project) in the Hospital Puerta del Mar (Cádiz). Methods: prospective evaluation of the percentage of patients with nutritional screening, during hospitalisation and in outpatient clinics of Medical Oncology and Radiation Oncology, of the participation of members of the Nutrition Unit in oncology committees and of the assessment of the patients presented at these sessions. Results: during the duration of the project we observed a progressive increase in the percentage of patients with nutritional screening (both in hospitalised patients and in outpatients), a regular incorporation of members of the Nutrition Unit in tumour committees and an increase in the number of patients undergoing nutritional assessment and intervention. These results have been maintained after the end of the project. Conclusions: the implementation of these measures has resulted in a change in the usual clinical practice in the nutritional care of cancer patients and an increase in the detection of patients in need of nutritional intervention.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"3-9"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079823","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":"[Erythrocyte and dietary omega-3 fatty acid profile in overweight and obese pregnant women].","authors":"Maria Fernanda Salomón Benitez, Ana Karely Lazcano Verduzco, Paulina Peña Medina, Elisa María Barrón Cabrera, Erika Martínez-López, Gustavo Gerardo Mendoza Medina, Elvira Ríos Leal, Fred Morgan Ortiz, Kenia Yaretzy Osuna Espinoza, Ignacio Osuna Ramírez","doi":"10.20960/nh.05332","DOIUrl":"10.20960/nh.05332","url":null,"abstract":"<p><strong>Introduction: </strong>Introduction: docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) play an important role in fetal growth and development. In Mexico, 76.8 % of women of reproductive age are overweight and obese, which is associated with the development of gestational complications. EPA and DHA fatty acids have an anti-inflammatory effect, reducing the risk of developing complications. Objective: to evaluate the erythrocyte and dietary profile of omega-3 fatty acids in overweight and obese pregnant women. Materials and methods: a prospective, cross-sectional, comparative and observational study in pregnant women with less than 14 weeks of gestation. Dietary intake of omega-3 fatty acids was evaluated by dietary diary; and levels of omega-3 fatty acids in erythrocyte membranes were evaluated by gas chromatography. Results: the mean dietary intake of EPA and DHA fatty acids was 0.027 g and 0.095 g, respectively. The erythrocyte profile was 2.90 for EPA and 1.50 DHA, no differences between normal and overweight women was found. Conclusion: the dietary intake and erythrocyte profile of omega-3 of pregnant women is lower than the reference parameters, with no significant differences between normal and overweight women.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"67-72"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605354","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":"Associations between dietary intake and sarcopenia: a Mendelian randomization study.","authors":"Nana Zhao, Yunfei Lu, Junjie Liu","doi":"10.20960/nh.05487","DOIUrl":"10.20960/nh.05487","url":null,"abstract":"<p><strong>Introduction: </strong>Background: sarcopenia, typified by the progressive diminution of skeletal muscle mass and functionality, represents a substantial public health challenge, particularly among the geriatric population. Dietary intake, as a modifiable determinant, has elicited considerable interest due to its prospective role in preventing and alleviating sarcopenia. Methods: this investigation employed Mendelian randomization (MR) analysis, a robust statistical method, to investigate the causal associations between dietary consumption and sarcopenia-associated phenotypes, including appendicular lean mass (ALM), hand grip strength, and walking pace. Genetic variants extracted from the extensive UK Biobank cohort served as instrumental variables for a comprehensive set of 26 dietary elements. Results: our MR analysis unveiled that the ingestion of oily fish and cheese was significantly correlated with augmented ALM, diminished risk of low hand grip strength, and enhanced walking pace. In addition, cooked vegetables, fresh fruit, dried fruit, cereal, and raw vegetables were protective of one or both of the sarcopenia-associated phenotypes. These findings were robust to potential confounding influences owing to the sophisticated MR design. Conclusions: our results underscore that specific dietary constituents play a pivotal protective role against sarcopenia, underscoring the necessity for tailored nutritional strategies to bolster muscle health in the elderly. Further investigations are requisite to corroborate these findings across heterogeneous populations and to unravel the underlying biological mechanisms.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"48-56"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471154","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":"Nutritional fulfillment behavior of pregnant women based on the health belief model theory in Indonesia.","authors":"Aria Aulia Nastiti, Mira Triharini, Nofinda Widya Sari, Ni Ketut Alit Armini, Nursalam Nursalam, Sandeep Poddar","doi":"10.20960/nh.05022","DOIUrl":"10.20960/nh.05022","url":null,"abstract":"<p><strong>Introduction: </strong>Introduction: malnutrition in pregnant women will cause impaired fetal development, premature delivery, impaired baby growth, and the risk of causing chronic disease. The Health Belief Model is used and has an important role in directing pregnant women to engage in preventive health behavior, namely preventing malnutrition. Objective: this study aims to analyze the factors related to the nutritional fulfillment behavior of pregnant women based on the theory of the health belief model. Methods: this research used correlational design with a cross-sectional approach. The total sample is 164 pregnant women. The variables were perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, self-efficacy, and behavior of fulfilling the nutritional needs. Data were collected using a questionnaire and analyzed using Spearman's rho with a p-value ≤ 0.05. Result: factors related to the behavior of fulfilling nutritional needs of pregnant women are, perceived benefits (p = 0.021), perceived barriers (p = 0.034) and cues to action (p = 0.032). Meanwhile, perceived susceptibility, perceived severity, and self-efficacy do not correlate with the nutritional fulfillment behavior of pregnant women. Conclusion: factors related to the behavior of fulfilling nutritional needs are perceived benefits, perceived barriers, and cues to action. Future research is expected to develop a health belief model factor for intervention to improve behavior in fulfilling nutritional needs in pregnant women.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"73-79"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818773","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":"[Validation of the Garaulet Emotional Intake Questionnaire in students of the Universidad Nacional de Colombia].","authors":"Gabriel José Ayala Carrascal, María Paula Blanco Bustos, Laura Valentina López Rodríguez, Andrés Sebastián Villa Garzón, Jonathan Alexander Cortés Vásquez, Ismena Mockus","doi":"10.20960/nh.05188","DOIUrl":"10.20960/nh.05188","url":null,"abstract":"<p><strong>Introduction: </strong>Introduction: the emotional state influences the selection of foods that an individual consumes. In Colombia, no tool allows to detect the people most susceptible to develop emotional intake. Objective: to validate the Emotional Intake Questionnaire-Garaulet in a student population of the National University of Colombia. Methods: a cross-sectional descriptive observational study was conducted with a convenience sample of students in all the University's campuses in two stages employing the Spanish and the Colombian questionnaires through e-mail. Two questions were included in the survey, to assess the emotions of sadness and anxiety; a linearity relationship was established with the cut-off scores to maintain proportionality and preserve the dimensions of the study phenomenon. Results: in phase 1, 1177 subjects participated, and in phase 2, 831 subjects participated. Of these, 63.6 % and 52.8 % were emotional and very emotional eaters in the Colombian and Spanish versions, respectively. Taking the total amount of people, 22.3 % were emotional and very emotional eaters with body mass index > 25 kg/m². In addition, 4.7 % had an eating disorder and 14.2 % had a psychiatric disorder. Finally, sensitivity, specificity, and positive and negative predictive values were 99.0 %, 49.3 %, 89.9 % and 91.2 %, respectively. Conclusions: the Colombian version of the Emotional Eating Questionnaire demonstrates acceptable validity and reliability compared to the Spanish version. A high prevalence of emotional eaters was observed in the university population, which could be detected early through the use of this questionnaire. Suffering from this disorder is a risk factor for developing obesity and other metabolic diseases in the future.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"80-88"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847194","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":"[Response to the Letter to the Editor: \"The importance of social determinants in the detection of depressive symptoms and their relationship to tap water consumption\"].","authors":"María-Reyes Pérez-Fernández, María-Milagros Fernández-Varela, Natalia Fariñas-Valiña, Juan-Imeldo Rodríguez-Garrido, Miriam Vázquez-Campo","doi":"10.20960/nh.05555","DOIUrl":"10.20960/nh.05555","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"195-196"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818759","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":"Role of artificial intelligence in predicting disease-related malnutrition - A narrative review.","authors":"Daniel de Luis Román, Juan José López Gómez, David Emilio Barajas Galindo, Cristina García García","doi":"10.20960/nh.05672","DOIUrl":"10.20960/nh.05672","url":null,"abstract":"<p><strong>Introduction: </strong>Background: disease-related malnutrition (DRM) affects 30-50 % of hospitalized patients and is often underdiagnosed, increasing risks of complications and healthcare costs. Traditional DRM detection has relied on manual methods that lack accuracy and efficiency. Objective: this narrative review explores how artificial intelligence (AI), specifically machine learning (ML) and deep learning (DL), can transform the prediction and management of DRM in clinical settings. Methods: we examine widely used ML and DL models, assessing their clinical applicability, advantages, and limitations. The integration of these models into electronic health record systems allows for automated risk detection and optimizes real-time patient management. Results: ML and DL models show significant potential for accurate assessment of nutritional status and prediction of complications in patients with DRM. These models facilitate improved clinical decision-making and more efficient resource management, although their implementation faces challenges related to the need for large volumes of standardized data and integration with existing systems. Conclusion: AI offers promising prospects for proactive DRM management, highlighting the need for interdisciplinary collaboration to overcome existing barriers and maximize its positive impact on patient care.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"173-183"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052749","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 nutritional risk assessment on the prognosis of trauma patients.","authors":"Fei Li, Haiyang Guan, Ying Liu","doi":"10.20960/nh.05464","DOIUrl":"10.20960/nh.05464","url":null,"abstract":"<p><strong>Introduction: </strong>Background: malnutrition negatively impacts trauma prognosis, and this study aimed to evaluate the Nutrition Risk Index (NRI) as a prognostic factor alongside other variables such as comorbidities and the Barthel Index (BI). Objective: to evaluate the NRI as a prognostic factor while considering other variables, including nutritional parameters, comorbidities, and the Barthel Index. Although mortality was the primary outcome, we will clarify this to avoid any confusion. Methods: a cohort of 80 Chinese trauma patients, aged 30-69 years, was analyzed through prospective data collection at admission and post-discharge, covering mortality, nutritional factors, and prognostic indicators. The average observation period was 5.83 months, with an average admission age of 45.6 years. Results: this study examined the relationship between nutritional parameters, trauma, and their effects on mortality and survival. The 6-month survival rate was 93 %, and a correlation was noted between mortality risk and patients with Nutritional Risk Index (NRI) scores greater than 96. However, those with severe risk (NRI < 83.5) did not show a significant association with mortality, possibly due to a small sample size (n = 4), suggesting the need for larger studies to further explore this relationship. The Cox proportional hazard analysis identified older age, lower NRI scores, and specific comorbidities like ischemic heart disease, chronic kidney disease, and hypertension as significant mortality risk factors. Additionally, types of fractures, particularly radius and ulna and vertebral fractures, were linked to higher mortality. Lower Barthel Index scores at admission and discharge were significant predictors of mortality; however, deceased patients often had higher BI scores, indicating that a low BI cannot be universally regarded as a risk factor. Conclusion: overall, the findings emphasize that older age, lower NRI scores, and comorbidities are critical predictors of mortality in trauma patients, while the relationship between the Barthel Index and outcomes requires further clarification.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"97-104"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687773","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":"[Hospital malnutrition in Argentina: prevalence and nutritional risk prediction in hospitalized adults according to six nutritional screening tools (AANEP-2 Study)].","authors":"Maria Luisa Deforel, Silvina Salinas, Yanina Zwenger, Romina Barritta, Marina Khoury, Mario Perman","doi":"10.20960/nh.05065","DOIUrl":"10.20960/nh.05065","url":null,"abstract":"<p><strong>Introduction: </strong>Introduction: nutritional screening (NS) is crucial for early detection of malnutrition (MN) and prediction of \"nutritional risk\". Objectives: to establish the prevalence of hospital malnutrition by Subjective Global Assessment (SGA) and evaluate the agreement of NS tools and their ability to predict mortality (M), infectious (IC) and non-infectious complications, and prolonged stay (> 11 days). Methods: a multicenter, prospective, observational study was conducted. Nutritional status was assessed with SGA and simultaneously measured with Malnutrition Screening Tool (MST), Short Nutritional Assessment Questionnaire (SNAQ), Malnutrition Universal Screening Tool (MUST), Nutrition Risk Screening (NRS-2002), and Mini Nutritional Assessment Short Form (MNA-SF). All methods were classified into three categories for equivalence with SGA. Kappa was used to assess agreement and logistic regression, sensitivity, specificity, and area under the ROC curve for predictive ability. Results: a total of 1546 patients from 64 hospitals in Argentina were included, 52.6 % male, median age 58 years. According to SGA, hospital malnutrition prevalence was 48.06 % (95 % CI 45.57; 50.55), with 37 % moderately malnourished (B) and 11 % severely malnourished (C). MST showed the best agreement with SGA (k 0.41), and among methods, MST with SNAQ (k 0.52). Adverse outcomes were associated with MN by any method. SGA, MNA-SF, and NRS-2002 had the best predictive ability (ROC area 0.74 to 0.72 for M). IC were the hardest to predict (maximum ROC area 0.62). Sensitivities ranged from 60 to 96 %, and specificities were above 90 % for MN by SGA. Conclusions: variations in predictive ability among NS methods do not affect their clinical applicability.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"265-274"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503011","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":"[Childhood obesity in Mexico: Where are we and where are we headed?]","authors":"Martín Gildardo García Alvarado, Julio Alfonso Piña López","doi":"10.20960/nh.05534","DOIUrl":"10.20960/nh.05534","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":"194"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605342","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}