Clinical Science of Nutrition最新文献

{"title":"Retrospective evaluation of the effect of nutritional status of patients with left ventricular assist device on clinical results in the postoperative period","authors":"Aykan Gulleroglu, Helin Sahinturk, Ozgur Ersoy, B. Bektas, E. Gedik, A. Sezgin, P. Zeyneloğlu","doi":"10.5152/CLINSCINUTR.2019.28","DOIUrl":"https://doi.org/10.5152/CLINSCINUTR.2019.28","url":null,"abstract":"","PeriodicalId":225536,"journal":{"name":"Clinical Science of Nutrition","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122106931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical evaluation of the effectiveness of different nutritional support techniques in the intensive care unit","authors":"O. A. Cetinkaya, S. U. Celik, Pinar Sonyurek Ari, S. Demirer","doi":"10.5152/CLINSCINUTR.2019.43","DOIUrl":"https://doi.org/10.5152/CLINSCINUTR.2019.43","url":null,"abstract":"","PeriodicalId":225536,"journal":{"name":"Clinical Science of Nutrition","volume":"328 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115874267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of inflammation with nutritional status, lean body mass, and physical activity in non-dialysis-dependent chronic kidney disease","authors":"A. Aksoy, T. Akpınar, A. Yildiz, S. Akgul, E. Torun, F. Oguz, H. Yazıcı, N. Erten, C. Taşçıoğlu, B. Saka","doi":"10.5152/CLINSCINUTR.2019.40","DOIUrl":"https://doi.org/10.5152/CLINSCINUTR.2019.40","url":null,"abstract":"Objective: Patients with chronic kidney disease (CKD) are susceptible to systemic inflammation and nutritional disorders, which are associated with morbidity and mortality. The aim of the present study was to evaluate the relationship between nutritional status, lean body mass, physical activity, and systemic inflammation in patients with stage 3-5 non-dialysis-dependent CKD. Methods: A total of 55 predialysis patients with CKD were included in this cross-sectional study. Patients were divided into two groups according to the Subjective Global Assessment: 35 with normal nutritional status (NN) and 20 with malnutrition (MN). Anthropometric measurements, fat-free mass, muscle strength, physical activity, biochemical parameters, and serum cytokine levels of the patients were compared. Results: Patients with CKD and malnutrition (CKD-MN) had higher serum phosphate, interleukin (IL)-6, IL-10, and tumor necrosis factor (TNF)-α levels and lower serum albumin levels and blood lymphocyte counts than those with CKD-NN independent from glomerular filtration rate. Regression analysis showed a relationship between MN and serum phosphate level, blood lymphocyte count, and serum IL-6 and TNF-α levels. Muscle strength and gait speed showed a positive relationship with nutritional status and negative relationship with inflammation. Conclusion: An increased inflammatory environment in patients with non-dialysis-dependent CKD was significantly associated with MN and decreased physical activity. An increased serum phosphate level appears to contribute to this MN-inflammation environment.","PeriodicalId":225536,"journal":{"name":"Clinical Science of Nutrition","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131103287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of the nutritional status with the nutritional risk screening-2002 in surgical patients: Single-center, descriptive study","authors":"Y. Mirza, N. T. Özer, H. Şahin, K. Gundogan","doi":"10.5152/CLINSCINUTR.2019.55","DOIUrl":"https://doi.org/10.5152/CLINSCINUTR.2019.55","url":null,"abstract":"Objective: Malnutrition is common among surgical patients. It decreases surgical treatment, leads to poor clinical outcome, and especially substantially affects morbidity and mortality. This study aimed to assess nutritional risk in surgical patients. Methods: This study was prospectively conducted in general surgery clinic. Patients aged above 18 years or more were included. Post-admission, data collection also included information on nutritional support and diagnosis of patients. A nutritional risk screening system (NRS-2002) was applied to all patients, and it was weekly repeated in patients with hospital stays more than one week. Results: We enrolled 624 patients. Among them, 296 were male (47.4%), and 328 were female (52.6%). The mean age was 53.13±16.63 years. The route for nutrition was oral in 59.6% and enteral/parenteral in 4.8%. However, 35.6% of the patients received no nutritional support. Nutritional risk was recorded for 304 patients (73.4%) in first week and 46 patients (22.1%) in second week. Nutritional risk increased with age (p<0.05). There was nutritional risk in 193 patients (62.7%) with major abdominal surgery and 50 patients (46.7%) with hypertension. Additionally, there was nutritional risk in 162 patients (54.9%) who received oral diet. Conclusions: Nutritional risk in the first week was very high in the patients. High nutritional risk was related to age, major abdominal surgery, and hypertension.","PeriodicalId":225536,"journal":{"name":"Clinical Science of Nutrition","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130587961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determination of the patients and management of their nutritional therapies with a new algorithm and a new multidisciplinary team for dysphagia","authors":"I. Gomceli, A. Cekin, F. Toraman, H. Eyigor, A. Yaman, Ş. Kati, M. Filiz, F. Harmandar, Y. Gömceli, H. Hekim, Nilhan Orman, Filiz Ozcan, Melike Yildiz, Ilyas Pakirci","doi":"10.5152/CLINSCINUTR.2019.46","DOIUrl":"https://doi.org/10.5152/CLINSCINUTR.2019.46","url":null,"abstract":"Many studies have shown that the nutritional status of patients significantly affects the prognosis of treatment. The term dysphagia is used to describe swallowing disorders in clinical trials. This is the most difficult group about the ways in which nutritional treatment should be given to the patients who have functional gastrointestinal system but have the risk of aspiration due to dysphagia and blurred consciousness. A new algorithm has been developed to help clinicians make nutritional treatment decisions in this patient group in accordance with the experience of the Dysphagia Unit operating in our hospital since May 2017. The basic objective of the algorithm is to supply all nutritional needs of patients with dysphagia by minimal invasive procedures, minimal risk of infection, and minimal complication.","PeriodicalId":225536,"journal":{"name":"Clinical Science of Nutrition","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131373120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enteral nutrition; uncomplicated? Can we achieve the target?","authors":"P. Tasar, H. Turkan, Z. Gezer, D. Kerimoglu, A. Koç, S. Kılıçturgay","doi":"10.5152/CLINSCINUTR.2019.76","DOIUrl":"https://doi.org/10.5152/CLINSCINUTR.2019.76","url":null,"abstract":"Objective: Enteral nutrition (EN) is safe, well tolerated and efficient nutritional support for patients with functional gastrointestinal (GI) tract. The major problems of EN are intolerance of the nutrition products and problems of achieving the targeted dose. This is a prospective observational study investigating the nutrition related problems, solutions to those problems, and the time for achieving the targeted dose in patients who received EN in our inpatient clinic and intensive care unit. Methods: This prospective study was made between 11/01/2015-11/01/2016. This study evaluated patients demographic findings, nutrition status, daily calculated calories (25 kcal/kg/day), daily calculated protein dose (1.5 gr/kg/day), daily delivered calories, daily delivered protein dose, whether or not additional parenteral nutrition applied, biochemical parameters (blood sugar, Na, K, Ca, Mg, cholesterol, liver function tests, urea, CRP, albumin, prealbumin), intolerance issues, complications and EN termination reasons. Results: Considering 2258 patients hospitalized during this period, a total of 70 patients (3.1%) were applied EN (Female/Male: 30/40, The mean age of the patients was 60±16.5 years). The average application time is 11.5 (2-42) days. Among these patients, 26 had an NRS-2002 score ≥3, and only 6 had a BMI<18.8. The rate of calorie and protein application was lower than the calculated, respectively, 37.14% and 52.8% of the cases. It was observed that 40.54% of total malignant patients were subjected to immunonutrition. There were GI tract related problems in 20 patients. Diarrhea was the most important problem during enteral support. Oral supplementation intolerance problem was observed in 20% of the population. Hyperglycemia was detected in 35.7% of the patients, and more than half of them were between 200-300 mg/dL levels. Almost 53% of the patients had malignancy, however, only 5 of them had prescription for oral supplementation during discharge. Conclusion: EN was performed less than required with inaccurate calories and protein intake, and immunonutrition protocols in malignant patients are not properly complied and oral supplement prescription for those patients is rarely given after hospital discharge. Additionally, product intolerance is seriously frequent, and product and dosage changes should be done more actively.","PeriodicalId":225536,"journal":{"name":"Clinical Science of Nutrition","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131212312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current approach to perioperative nutrition in the ERAS age","authors":"R. Gundogdu","doi":"10.5152/CLINSCINUTR.2019.79","DOIUrl":"https://doi.org/10.5152/CLINSCINUTR.2019.79","url":null,"abstract":"","PeriodicalId":225536,"journal":{"name":"Clinical Science of Nutrition","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126491419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of feeding interruption for enteral nutrition in intensive care unit patients","authors":"S. Kıter, H. Atalay, S. Seri̇n, D. Özateş, H. Sungurtekin","doi":"10.1016/J.CLNU.2018.06.1231","DOIUrl":"https://doi.org/10.1016/J.CLNU.2018.06.1231","url":null,"abstract":"","PeriodicalId":225536,"journal":{"name":"Clinical Science of Nutrition","volume":"254 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115492596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Selected Abstracts for Oral Presentation and Poster Presentation","authors":"","doi":"10.5152/clinscinutr.2021.080321","DOIUrl":"https://doi.org/10.5152/clinscinutr.2021.080321","url":null,"abstract":"","PeriodicalId":225536,"journal":{"name":"Clinical Science of Nutrition","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116539746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}