Nutricion hospitalaria最新文献

{"title":"[Nutritional risk assessment by STAMP according to type of congenital heart disease in pediatric patients admitted to a reference hospital].","authors":"José de Jesús Vargas Lares, Lisset Del Carmen López Segovia, Jonathan Antonio Casillas Moreno, Juan Carlos Barrera de León","doi":"10.20960/nh.05421","DOIUrl":"https://doi.org/10.20960/nh.05421","url":null,"abstract":"<p><strong>Introduction: </strong>patients with congenital heart disease are considered to be at high nutritional risk due to alterations in the metabolism of the underlying pathology and extracardiac factors. The STAMP (Screening Tool for the Assessment of Malnutrition in Paediatrics) is the only tool validated in our country in a pediatric population for nutritional screening.</p><p><strong>Objective: </strong>to evaluate nutritional risk by STAMP screening in pediatric patients according to type of congenital heart disease.</p><p><strong>Material and methods: </strong>an analytical cross-sectional study in 2023 in a pediatric reference hospital. Nutritional status was determined by Z scores based on WHO 2006/CDC 2000 child growth standards. The STAMP questionnaire was administered to establish nutritional risk. Inferential statistics with the Chi-squared and Mann-Whitney U-test were used. Spearman's correlation coefficient was used. Analyses were carried out using the SPSS V25 statistical package.</p><p><strong>Results: </strong>113 patients were included, male (n = 57, 50.4 %) and female (n = 56, 49.6 %). The most common age group was that of infants (n = 47, 45 %). Acute or chronic nutritional status impairment affected n = 50 (44.3 %) subjects. Cyanogenous congenital heart diseases had a greater impact on weight, height, average arm circumference and height/age, WBC/age indices. Two nutritional risk groups were established by STAMP: intermediate risk, n = 74 (65.5 %), and high risk, n = 39 (34.5 %). The greatest impact on anthropometric parameters was associated with elevated risk by STAMP, p = 0.000. The type of congenital heart disease was not associated with a greater increase in nutritional risk by STAMP (p = 0.76). There was no correlation of STAMP score with biochemical parameters.</p><p><strong>Conclusion: </strong>patients with congenital heart disease will have an intermediate risk per STAMP. The type of congenital heart disease is not related to a greater increase in nutritional risk due to STAMP.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687771","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":"https://doi.org/10.20960/nh.05464","url":null,"abstract":"<p><strong>Background: </strong>malnutrition negatively impacts trauma prognosis, and this study aimed to evaluate the NRI as a prognostic factor alongside other variables such as comorbidities and the Barthel Index (BI).</p><p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-12","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":"Consumption of ultra-processed foods raises the possibility of cardiovascular disease - A meta-analysis.","authors":"Jiaxin You, Jinjie Hou, Xiaoran Xie, Rong Xu","doi":"10.20960/nh.05325","DOIUrl":"https://doi.org/10.20960/nh.05325","url":null,"abstract":"<p><strong>Aim: </strong>the purpose of this study was to assess the connection among ultra-processed food consumption and the likelihood of cardiovascular disease, with the intention of establishing a basis for future research.</p><p><strong>Methods: </strong>this meta-analysis adheres to the reporting principles recommended in the PRISMA framework. PubMed, Embase, and Web of Science bibliographic databases were searched in January 2023.</p><p><strong>Results: </strong>ten observational studies were identified from 1,079 records retrieved by searching various relevant electronic bibliographic databases, and two additional observational studies were identified from references within one of the retrieved records; leading to the inclusion of a total of twelve observational studies. The data were combined, utilizing random effects models as well as relative risk ratios. Consuming a higher quantity of ultra-processed foods was found to be correlated with a 31 % elevated likelihood of mortality due to cardiovascular disease, in comparison to individuals who abstained from consuming any ultra-processed foods. Furthermore, an association has been seen between increased consumption of ultra-processed food and an elevated likelihood of acquiring hypertension, coronary heart disease, and cerebrovascular disorders.</p><p><strong>Conclusion: </strong>consuming a significant quantity of ultra-processed meals increases the likelihood of developing cardiovascular disease or experiencing mortality associated with cardiovascular disease.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687757","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 body mass index, muscle-to-fat ratio, and handgrip strength-to-BMI ratio with physical fitness in children from North Macedonia.","authors":"Arijana Llagjeviq-Govori, Seryozha Gontarev, Agon Saiti, Slavica Novacevska, Jana Karsakovska Dimitrievska, Vlatko Nedelkovski","doi":"10.20960/nh.05417","DOIUrl":"https://doi.org/10.20960/nh.05417","url":null,"abstract":"<p><strong>Background: </strong>this cross-sectional study, conducted on a convenience sample of 2197 Macedonian primary school children, aimed to examine how certain anthropometric indices (body mass index (BMI), muscle-fat ratio (MFR), hand grip strength-BMI ratio) are related to the physical fitness of individuals.</p><p><strong>Methods: </strong>the sample was split into two groups based on gender: 1096 boys and 1101 girls (average age 8.1 ± 1.3 years). Data on anthropometric measurements (BMI, MFR) were taken and the physical fitness was measured with the following tests: sit and reach, handgrip strength, standing long jump, sit-ups 30 sec., shuttle run 4 x 10 m, and 20 meters shuttle-run test (20-mSRT).</p><p><strong>Results: </strong>the findings from the study indicate that children with normal weight exhibit superior levels of cardiorespiratory, muscular, and motor fitness in comparison to those who are categorized as obese, irrespective of gender. Both muscle‑to‑fat ratio (MFR), and grip strength-to-BMI ratio showed correlation with most fitness tests. Grip strength-to-BMI ratio showed a positive correlation with the results of the handgrip test in boys and girls.</p><p><strong>Conclusion: </strong>in this population, BMI, MFR, and handgrip strength-to-BMI ratio can serve as indicators of health and physical fitness.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605383","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":"Triponderal Mass Index rather than Body Mass Index in discriminating high adiposity in Brazilian children and adolescents.","authors":"Fabio Ued, Murilo Jose Silveira Castro, Laura Ruy Bardi, Luiz Del Ciampo, Edson Zangiacomi Martinez, Ivan Savioli Ferraz, Andrea Aparecida Contini, Elza Mello, Carlos Alberto Nogueira-de-Almeida","doi":"10.20960/nh.05432","DOIUrl":"https://doi.org/10.20960/nh.05432","url":null,"abstract":"<p><strong>Introduction: </strong>body mass index (BMI) is used worldwide to track excess weight; however, it has limitations in predicting body fat percentage (BF%). Triponderal mass index (TMI) has been studied as an alternative indicator to predict BF%.</p><p><strong>Objective: </strong>to compare BMI and TMI as predictors of BF% and develop TMI cutoff points for screening high adiposity in Brazilian children and adolescentes.</p><p><strong>Methods: </strong>a cross-sectional and multicenter study conducted with 226 individuals aged 5 to 17 years from two municipalities in the Southeast and South regions of Brazil. BF% was assessed by bioimpedancemetry. The association between BMI and TMI with BF% was assessed using generalized additive models. ROC curve analyzes were performed to verify the accuracy of BMI and TMI in detecting high adiposity. The areas under the curve (AUC) of BMI and TMI were compared using non-parametric analysis. The TMI cutoff points were obtained using Youden's J index.</p><p><strong>Results: </strong>bioimpedancemetry detected high BF% in 54.1 % (95 % confidence interval [CI], 44.8-63.2) of boys and 63.5 % (95 % CI, 54.5-71.9) of girls. TMI was able to predict BF% better than BMI in males, presenting a higher R-square (0.737 versus 0.646, respectively). The TMI presented AUC significantly greater than BMI to indicate high adiposity in the entire population (p = 0.007) and in females (p = 0.014). TMI cutoff points for different age groups and sex were presented.</p><p><strong>Conclusion: </strong>TMI proved to be a better predictor of excess body fat than BMI in Brazilian children and adolescents.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605398","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":"https://doi.org/10.20960/nh.05534","url":null,"abstract":"","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-05","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}

{"title":"[Features of crossover designs].","authors":"Joaquín González Aroca","doi":"10.20960/nh.05542","DOIUrl":"https://doi.org/10.20960/nh.05542","url":null,"abstract":"","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605357","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":"[Effectiveness of the administration of a dietary supplement (oral urea) for the treatment of hyponatremia in SIADH].","authors":"Ángel Martínez González, Manuella González Nunes, José Llópiz Castedo, Pedro Rodeiro Escobar, Joana Isabel Silva Sousa, Julia Rodríguez Pulian, Camila Sieiro Peña, Thalia Chantal Rodríguez Castiñeira","doi":"10.20960/nh.05516","DOIUrl":"https://doi.org/10.20960/nh.05516","url":null,"abstract":"<p><strong>Background and objectives: </strong>the most common cause of hyponatraemia in hospital settings is the syndrome of inappropriate antidiuretic hormone secretion (SIADH). This study compares the efficacy and safety of urea versus fluid restriction in the treatment of hyponatraemia caused by SIADH.</p><p><strong>Material and methods: </strong>an observational cohort study was conducted with 212 patients suffering from hyponatremia (Na+ < 135 mmol/L) due to SIADH at the Complejo Hospitalario Universitario de Pontevedra between January 2015 and May 2022. Of these, 112 patients received urea (15 g/day) and 100 were treated with fluid restriction (1 liter/day). The primary objective was to normalize sodium levels (Na ≥ 135 mmol/L).</p><p><strong>Results: </strong>urea was significantly more effective than fluid restriction. Sodium levels increased from 126.35 to 133.9 mmol/L with urea, compared to an increase from 126.44 to 130.5 mmol/L with fluid restriction (p < 0.001). Sodium normalization was achieved in an average of 6 days with urea, compared to 8 days with fluid restriction (p = 0.04). At discharge, 59.8 % of patients treated with urea reached normal sodium levels, compared to 42 % in the fluid restriction group (p = 0.007). The 60-day mortality rate was lower in the urea group (16.1 %) compared to the fluid restriction group (32.8 %) (p < 0.007).</p><p><strong>Conclusion: </strong>urea is more effective than fluid restriction in normalizing sodium levels, with a better safety profile and lower 60-day mortality.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605350","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":"[Roles within domestic environments in Chile: the \"food gatekeeper\"].","authors":"Carolina Franch Maggiolo, Lorena Rodríguez Osiac, Paula Hernández Hirsch, Isabel Pemjean Contreras","doi":"10.20960/nh.05520","DOIUrl":"https://doi.org/10.20960/nh.05520","url":null,"abstract":"","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605367","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":"Genetic variability and linkage disequilibrium in DCN, a gene associated with metabolic syndrome.","authors":"Sergio Vladimir Flores, Ángel Roco-Videla","doi":"10.20960/nh.05433","DOIUrl":"https://doi.org/10.20960/nh.05433","url":null,"abstract":"","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605393","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}