Nutricion hospitalaria最新文献

{"title":"Association between Dietary Inflammatory Index and IL-17A level in a Mexican cross-sectional study.","authors":"Mariela Vega-Cárdenas, Maribel Barragán, Margarita Terán-García, Juan Manuel Vargas-Morales, Diana Patricia Portales-Pérez, Celia Aradillas-García","doi":"10.20960/nh.05344","DOIUrl":"https://doi.org/10.20960/nh.05344","url":null,"abstract":"<p><strong>Introduction: </strong>the Dietary Inflammatory Index (DII) provides a quantitative means for assessing the role of diet in relation to health outcomes.</p><p><strong>Objetive: </strong>this study aimed to assess the association between the inflammatory potential of diet, as measured by the DII and IL-17A levels in young adults.</p><p><strong>Methods: </strong>a cross-sectional study was conducted on 69 adults between 18-35 y of age in San Luis Potosi, Mexico. Fasting blood samples were collected to analyze lipid profile, glucose homeostasis, and IL-17A. Dietary intake was assessed using a 24-hour recall. DII scores were calculated from 19 available food parameters. Univariate linear regression models were estimated to evaluate the possible dependence of IL-17A levels (dependent variables) on some potential explicative variables such as anthropometric, clinical, biochemical, and dietary variables.</p><p><strong>Results: </strong>there was a high inflammatory potential, with a mean DII score of +1.04 (range: -2.19 to +2.78). The DII was not associated with BMI, IL-17A levels or cardiometabolic risk factors.</p><p><strong>Conclusion: </strong>the study shows that the diets of healthy college-aged Mexican adults had a high inflammatory potential.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503055","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":"[Heart rate in community programs: is it sufficient as a physical fitness indicator?]","authors":"Héctor Fuentes-Barría, Raúl Aguilera Eguía, Lissé Chiquinquirá Angarita Dávila, Miguel Alarcón-Rivera, Cristian Salazar-Orellana, Juan Maureira-Sánchez, Eduardo Guzmán-Muñoz","doi":"10.20960/nh.05648","DOIUrl":"https://doi.org/10.20960/nh.05648","url":null,"abstract":"","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079904","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":"Exploring limitations in autonomic function and its impact on central obesity.","authors":"Héctor Fuentes-Barría, Raúl Aguilera Eguía, Miguel Alarcón-Rivera, Cristian Salazar-Orellana, Lissé Chiquinquirá Angarita Dávila, Diana Marcela Rojas Gómez, Olga Patricia López Soto","doi":"10.20960/nh.05655","DOIUrl":"https://doi.org/10.20960/nh.05655","url":null,"abstract":"","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080414","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":"[How to choose a research design?]","authors":"Joaquín González Aroca","doi":"10.20960/nh.05626","DOIUrl":"https://doi.org/10.20960/nh.05626","url":null,"abstract":"","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080306","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":"Chromium-free parenteral nutrition and its effects on chromium levels in very low birth weight infants.","authors":"María Tejedor Mestre, Susanne Vetter-Laracy, Pilar Cobo, Josep Miquel Bauçà, Juan Robles, Francisca Forteza, Eva Beltrán","doi":"10.20960/nh.05609","DOIUrl":"https://doi.org/10.20960/nh.05609","url":null,"abstract":"<p><strong>Background: </strong>as chromium (Cr) is known to contaminate components of parenteral nutrition (PN), Cr-free PN is recommended for preterm infants. Exposure to Cr by PN in preterm infants is scarcely investigated.</p><p><strong>Objective: </strong>to describe Cr levels in plasma (Crp) and urine (Cru) during the first month of life in premature newborns ≤ 1500 g of birthweight (BW) receiving PN, and to evaluate the impact on postnatal clinical parameters.</p><p><strong>Methods: </strong>a prospective observational study. Cr-free PN was administered at day 1 of life and continued until full enteral feeding with fortified breastmilk began. Crp levels at day 15 and 30 and Cru at day 30 of life were assessed according to demographic factors, biochemical markers and postnatal morbidity.</p><p><strong>Results: </strong>97 infants had a median gestational age (GA) of 29.9 weeks, and a median BW of 1205 g. Median Crp remained at 1.0 µg/L at 15 and 30 days (IQR 0.7-1.4 and 0.7-1.3, respectively). Premature babies < 26 weeks had a significantly higher Crp at one month than the remainder (p = 0.043) and higher Cr elimination in the urine (p = 0.026). Crp increased with prolonged PN (p < 0.001), even after adjusting for gestational age (p = 0.001). Laboratory parameters were not influenced by Crp or Cru, nor was morbidity.</p><p><strong>Conclusion: </strong>Crp increases with days of PN even when a trace mineral supplement without Cr is used, and the level reached persists during the first month of life with the introduction of Cr-supplemented breastmilk feeding. No relation to morbidity was observed.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080387","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":"Evaluating sarcopenia and nutritional status in outpatients with liver cirrhosis: concordance of diagnostic methods.","authors":"Marina Demas Rezende Gischewski, Fernanda Lívia Cavalcante Araujo, Aryana Isabelle De Almeida Neves Siqueira, Alina Joana da Silva Wallraf, João Araújo Barros Neto, Nassib Bezerra Bueno Nassib, Juliana Célia de Farias Santos, Fabiana Andréa Moura","doi":"10.20960/nh.05585","DOIUrl":"https://doi.org/10.20960/nh.05585","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>malnutrition and sarcopenia are prevalent in individuals with cirrhosis, but their diagnosis remains challenging due to limited access to suitable methods across different levels of healthcare. This study aimed to identify the most effective method for diagnosing sarcopenia in outpatients with liver cirrhosis and to evaluate the concordance between subjective and objective diagnostic methods.</p><p><strong>Patients and methods: </strong>patients aged ≥ 18 years with a diagnosis of cirrhosis (regardless of etiology) under outpatient care were included. Exclusion criteria were: a) neoplasia, b) acute liver failure, c) pregnancy/lactation, d) HIV infection, e) special situations requiring liver transplantation, and f) history of organ failure. Nutritional and sarcopenia assessments used subjective methods, including the Royal Free Hospital-Nutritional Prioritizing Tool (RFH-NPT), SARC-F, SARC-Calf, and RFH-Global Assessment (RFH-GA); and objective methods, including anthropometry, handgrip strength (HGS), the sit-and-stand test (15s), and appendicular skeletal muscle mass index (ASMI) by Dual-Energy X-ray Absorptiometry (DXA). Concordance between ASMI and traditional methods was analyzed. Significance was set at p < 0.05.</p><p><strong>Results: </strong>a total of 45 patients were analyzed, with alcoholic liver disease being the most frequent etiology (44.4 %). The sit-and-stand test (15s) combined with muscle depletion by DXA diagnosed the most cases of sarcopenia (42.2 %). Moderate agreement was found between muscle depletion and isolated calf circumference (CC) (κ = 0.581; p < 0.001).</p><p><strong>Conclusions: </strong>our study suggests excluding SARC-F and SARC-CalF from sarcopenia screening in outpatients with cirrhosis. While ASMI remains the most reliable diagnostic method, CC may serve as a feasible alternative when DXA is unavailable.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080392","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":"Micronutrients adequacy according to six diet quality indices in the \"Seguimiento Universidad de Navarra\" cohort.","authors":"Itziar Zazpe, Susana Santiago, María Barbería-Latasa, Maira Bes-Rastrollo, Carmen de la Fuente-Arrillaga, Miguel Ángel Martínez González","doi":"10.20960/nh.05411","DOIUrl":"https://doi.org/10.20960/nh.05411","url":null,"abstract":"<p><strong>Objectives: </strong>diet quality indices (DQI) tend to relate positively to micronutrient intake. Our aim was to investigate the association between six DQIs and inadequate intake for 19 micronutrients in the SUN (\"Seguimiento Universidad de Navarra\") cohort.</p><p><strong>Methods: </strong>we assessed 16,768 participants (59.3 % women, 37.8 years for mean age). Diet quality was evaluated using Dietary Approaches to Stop Hypertension (DASH); Mediterranean Diet Adherence Screener (MEDAS); Alternate Healthy Eating Index (AHEI-2010); Food-Based Global Diet Quality Score (GDQS); Alternative Mediterranean Diet Score (aMED) and Mediterranean Diet Score (MDS). Logistic regression analyses were conducted to estimate the probability of failing to meet Estimate Average Requirement (EAR) for either ≥ 3 or ≥ 6 micronutrients.</p><p><strong>Results: </strong>overall, the lower and higher prevalence of inadequacy in fifth quintiles was for vitamins A, C, B1, B2, B3, B6, for Fe, P and Cr, and for vitamins E and D, respectively. In the multivariable adjusted model, the OR for failing to meet ≥ 3 DRI for the highest versus the lowest quintiles of DASH, MEDAS, AHEI-2010, GDQS, aMED and MDS were: 0.03 (95 % CI, 0.02 to 0.03), 0.06 (95 % CI, 0.05 to 0.07), 0.10 (95 % CI, 0.09 to 0.12), 0.05 (95 % CI, 0.04 to 0.06), 0.03 (95 % CI, 0.03 to 0.04), and 0.03 (95 % CI, 0.03 to 0.04), respectively.</p><p><strong>Conclusions: </strong>adherence to six DQIs showed inverse associations with micronutrient inadequacy. Food-based DQIs could be a useful prevention tool. GDQS and MEDAS do not require deriving nutrient intake data, particularly MEDAS, which is even easier and quicker to fill out.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080525","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":"https://doi.org/10.20960/nh.05672","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-09","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":"[Editor's corner. Year of transition].","authors":"José Manuel Moreno Villares, Gabriel Olveira","doi":"10.20960/nh.05703","DOIUrl":"https://doi.org/10.20960/nh.05703","url":null,"abstract":"","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052615","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":"[Tolvaptan versus fluid restriction in the treatment of hyponatremia due to inappropriate antidiuretic hormone secretion: efficacy and safety analysis in a cohort study].","authors":"Ángel Martínez González, Manuella González Nunes, Pedro Rodeiro Escobar, José Llópiz Castedo, Raquel Ruades Patiño, Joana Isabel Silva Sousa, Julia Rodríguez Pulian, Camila Sieiro Peña, Thalía Chantal Rodríguez Castiñeira, María Inmaculada Martínez González","doi":"10.20960/nh.05558","DOIUrl":"https://doi.org/10.20960/nh.05558","url":null,"abstract":"<p><strong>Background and objectives: </strong>hyponatremia is a common in older and hospitalized patients, often caused by the syndrome of inappropriate antidiuretic hormone secretion (SIADH). This study compares the efficacy and safety of tolvaptan versus fluid restriction in patients with hyponatremia and SIADH.</p><p><strong>Materials and methods: </strong>an observational cohort study was conducted with 186 patients with hyponatremia (Na+ < 135 mmol/L) due to SIADH, treated at the Hospital Universitario de Pontevedra between 2015 and 2022. Of these, 86 were treated with tolvaptan (mean dose of 7.5 mg) and 100 with fluid restriction (1 liter of fluids per day). The primary endpoint was the normalization of sodium levels (Na ≥ 135 mmol/L).</p><p><strong>Results: </strong>tolvaptan was more effective than fluid restriction in correcting hyponatremia, increasing plasma sodium from 125.09 to 135.69 mmol/L in 4 days, compared to an increase from 126.44 to 130.5 mmol/L in 8 days with fluid restriction (p < 0.001). Mortality at 60 days was lower in the tolvaptan group (12.8 % vs. 32.8 %, p < 0.003). However, tolvaptan showed higher risks of sodium overcorrection (10.46 %) and polyuria (5.81 %), while fluid restriction was associated with greater dehydration, headache, and cramps.</p><p><strong>Conclusion: </strong>tolvaptan corrects hyponatremia more quickly and effectively than fluid restriction, although with a higher risk of overcorrection and polyuria, and is associated with lower 60-day mortality.</p>","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052497","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}