Clinical Nutrition Open Science最新文献

{"title":"Erratum to previously published articles","authors":"","doi":"10.1016/j.nutos.2024.05.008","DOIUrl":"https://doi.org/10.1016/j.nutos.2024.05.008","url":null,"abstract":"","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"56 ","pages":"Page 2"},"PeriodicalIF":0.0,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667268524000445/pdfft?md5=0a65628dc60f3f865f88e89720c75e2f&pid=1-s2.0-S2667268524000445-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141239518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vitamin B12 levels in patients with oral mucosal diseases (OMD): A systematic review","authors":"Nadia Tiara Putri ,&nbsp;Nanan Nur'aeny ,&nbsp;Irna Sufiawati","doi":"10.1016/j.nutos.2024.05.011","DOIUrl":"https://doi.org/10.1016/j.nutos.2024.05.011","url":null,"abstract":"<div><h3>Background</h3><p>Changes in the oral mucosa occur in more than one-fourth of the population aged 17 and older and in one-tenth of children aged 2–17 years old, and consequence on the oral health-related quality of life. Oral mucosal diseases affect the oral cavity and vary greatly. OMDs have been reported to be associated with several factors, such as vitamin B12 deficiencies.</p></div><div><h3>Objective</h3><p>This systematic review aims to investigate the vitamin B12 serum levels in patients with OMD.</p></div><div><h3>Method</h3><p>This systematic review was conducted using the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) guidelines. Article searches with specific keywords were conducted through PubMed, Science Direct, and Ebscohost-CINAHL, published from 2018 to 2023. The search for articles was limited to human studies, cross-sectional and case-control designs<strong>,</strong> papers written in English, and the full-text availability. The risk assessment of bias uses tools from the National Heart, Lung, and Blood Institute (NHLBI).</p></div><div><h3>Results</h3><p>Twelve articles that meet the inclusion criteria were analyzed. The types of oral mucosal disease studied include atrophic glossitis (3 articles), OLP (2 articles), RAS (2 articles), OSF (2 articles), BMS (1 article), geographic tongue (1 article), and oral precancer (1 article). Vitamin B12 levels in OMD patients were significantly lower than healthy controls in 9 articles, while the levels were similar in 3 articles.</p></div><div><h3>Conclusion</h3><p>Patients with OMD have lower vitamin B12 levels than individuals without OMD.</p></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"56 ","pages":"Pages 37-48"},"PeriodicalIF":0.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667268524000470/pdfft?md5=c791a24b498e06dc587c1065982e3059&pid=1-s2.0-S2667268524000470-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141286157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Think Drink: Feasibility trial of a multicomponent hydration care intervention for people living with dementia in care homes","authors":"Glenda Anne Cook,&nbsp;Philip Hodgson,&nbsp;Vincent Deary","doi":"10.1016/j.nutos.2024.05.006","DOIUrl":"https://doi.org/10.1016/j.nutos.2024.05.006","url":null,"abstract":"<div><h3>Background and aim</h3><p>People with dementia, and particularly those living in care homes are at risk of suboptimal hydration and dehydration. Individual, contextual and staffing factors affect drinking behaviour in this population, hence multicomponent hydration care interventions have been promoted. The aim was to assess the feasibility and acceptability of a multicomponent Think Drink intervention for supporting hydration for people living with dementia in English care homes.</p></div><div><h3>Methods</h3><p>A cluster randomised controlled feasibility study compared 6 intervention care homes and 5 control homes, over 3-months. Data (fluid intake; admission to hospital/dehydration; falls; laxative use; urinary tract infection and upper respiratory tract infection) was collected from 50 residents living with dementia in the intervention group and 37 control group pre and post intervention. Post intervention, 45 care home staff took part in 9 individual and 17 small group interviews.</p></div><div><h3>Results</h3><p>Think Drink was feasible and acceptable to participating care home staff. The findings highlighted how Think Drink changed staff knowledge of hydration requirements and new hydration practices were implemented in care homes. No significant positive change in fluid intake was found in the intervention group in terms of mean and median fluid intake in previous seven days, and proportion of population achieving an intake greater than 1,600 mls per day. This could be attributed to improvement in recording fluid intake following the intervention.</p></div><div><h3>Conclusions</h3><p>Whilst Think Drink is acceptable to care home staff further research is required to address methodological issues in assessing efficacy in supporting fluid intake.</p></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"56 ","pages":"Pages 74-91"},"PeriodicalIF":0.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667268524000421/pdfft?md5=4f57ab3ce02e8d97f4d7d6c194998dc9&pid=1-s2.0-S2667268524000421-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141314196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietitians' experiences of nutrition assessment via TeleNutrition: “Video-calls are better than phone-calls, but it's probably difficult for patients to show their ankles on the screen”","authors":"Sandra Einarsson ,&nbsp;Lene Thoresen ,&nbsp;Randi Tobberup ,&nbsp;Global TeleNutrition Consortium (GTNC) ,&nbsp;Ingvild Paur","doi":"10.1016/j.nutos.2024.05.009","DOIUrl":"https://doi.org/10.1016/j.nutos.2024.05.009","url":null,"abstract":"<div><h3>Background &amp; Aims</h3><p>Nutrition assessment is integral to dietetic practice. TeleNutrition enabled dietitians to continue nutrition care provision during the COVID-19 pandemic but created challenges with undertaking nutrition assessment. The aim of the present study was to describe how dietitians in three Nordic countries perceived their nutrition assessment practice when physically distant from patients.</p></div><div><h3>Methods</h3><p>The present study is a sub-analysis from one research project undertaken by the Global TeleNutrition Consortium, GTNC. Data was generated from a digital survey of a convenience sample of dietitians in Denmark, Norway, and Sweden who had a minimum of one adult patient interaction per week, distributed through the dietetic professional and/or regulatory bodies of each country, as well as closed social networks. Data from free-text questions were assessed using thematic analysis where the construction of final themes were guided by the Technology Acceptance Model (TAM).</p></div><div><h3>Results</h3><p>In total, 146 dietitians participated in the study (Denmark 16%, Norway 34%, and Sweden 50%). The qualitative analysis of answers from 24 free-text questions resulted in four themes (key constructs) related to dietitians' experience of performing nutrition assessment using TeleNutrition: <em>Perceived usefulness, Perceived ease of use, Perceived barriers,</em> and <em>Perceived facilitators.</em> Each theme was divided into two to three sub-themes (explanatory dimensions).</p></div><div><h3>Conclusions</h3><p>To best support dietitians in the new era of healthcare digitalisation, internationally accepted standards or protocols for performing nutrition assessment using TeleNutrition ought to be established. This is especially critical for nutrition assessment measures that require physical examination.</p></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"56 ","pages":"Pages 11-25"},"PeriodicalIF":0.0,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667268524000457/pdfft?md5=c8cda1bcf14a17822ff07ca1176b8453&pid=1-s2.0-S2667268524000457-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141239516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Losing olfaction in COVID-19: Screening, training and effects on quality of life","authors":"E. Moussy ,&nbsp;A. Fournel ,&nbsp;D. Bellil ,&nbsp;C. Daudé ,&nbsp;J.L. Degraix ,&nbsp;L. Denoix ,&nbsp;F. Faure ,&nbsp;M. Fieux ,&nbsp;S. Idriss ,&nbsp;M. Richard ,&nbsp;M. Bensafi ,&nbsp;C. Ferdenzi","doi":"10.1016/j.nutos.2024.05.007","DOIUrl":"10.1016/j.nutos.2024.05.007","url":null,"abstract":"<div><h3>Background &amp; aims</h3><p>Olfactory disorders impact mental health, with adverse effects on quality of life, particularly in the area of eating. Despite their high prevalence in the population, olfactory disorders are poorly managed, with patients still lacking easy access to rapid diagnosis and treatment. In this context, the present study offers a new screening tool and compares the efficiency of different olfactory training protocols.</p></div><div><h3>Methods</h3><p>A screening test was set up and different olfactory training paradigms were compared for their effect on the recovery of the sense of smell on the one hand, and quality of life on the other. The study population was composed of post-COVID-19 dysosmic patients (with a loss of more than 6 weeks). Three training protocols were used, differing in terms of number of odors and in format (either lab-supplied odorant kits, or the use of odorants found at home). All three protocols were implemented over a 12-week period.</p></div><div><h3>Results</h3><p>The screening test distinguished dysosmics from normosmics with an accuracy of 73%. During training, 69% of patients completed the evaluation protocol and 77% of them performed more than half of the training sessions, resulting in a 53% completion rate. Olfactory performances improved significantly after training, irrespective of the training paradigm and 59% of patients displayed a clinically significant improvement of their sense of smell. These improvements were positively associated with assiduity along training. Finally, olfactory disorders negatively affected quality of life. After olfactory training, this overall negative impact on quality of life was reduced, especially with regard to the pleasure of eating.</p></div><div><h3>Conclusion</h3><p>This study introduces a new screening tool for olfactory deficits. It also provides important insights into the optimization of olfactory training protocols and their effects on quality of life, and on eating behavior in particular.</p></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"56 ","pages":"Pages 49-64"},"PeriodicalIF":0.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667268524000433/pdfft?md5=c057b2947b9ae3399e17e5d9ec551daf&pid=1-s2.0-S2667268524000433-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141138300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical practice guidelines for older adults living with overweight and obesity: A scoping review","authors":"Judi Porter ,&nbsp;Cadeyrn J. Gaskin","doi":"10.1016/j.nutos.2024.04.006","DOIUrl":"10.1016/j.nutos.2024.04.006","url":null,"abstract":"<div><h3>Background &amp; Aims</h3><p>Age-related changes in body composition and the apparent protective effects of being overweight suggest that specific guidance is required for the clinical management of overweight and obesity for older adults (≥65 years). This study aimed to synthesise content on older adults from clinical practice guidelines for the management of overweight and obesity in adults.</p></div><div><h3>Methods</h3><p>Twenty-three clinical practice guidelines on the management of overweight and obesity in the general adult population were identified from a recent scoping review. These guidelines were analysed for content relating to older adults. Data extraction focused on the assessment, diagnosis, and management of overweight and obesity in older adults, and specific guidance/recommendations on the management of overweight and obesity in older adults. Data were synthesised narratively.</p></div><div><h3>Results</h3><p>Of the 23 guidelines, nine included text specific for older adults. Of these guidelines, four contained cautions regarding relevance of body mass index (BMI) cutoffs for older adults, and an additional two guidelines contained statements that BMI is a poor predictor of mortality. Information on waist circumference was inconsistent across five guidelines. Five guidelines cautioned against pursuing weight loss goals with older adults. Age-related considerations for diet, exercise, use of pharmacological interventions for weight management, and bariatric surgery were identified in several guidelines. Guidance to encourage older adults to participate in diet and exercise interventions was the most common recommendation. Recommendations on pharmacological interventions for weight management and bariatric surgery were inconsistent.</p></div><div><h3>Conclusions</h3><p>Few guidelines incorporate content and recommendations for older adults, and there are inconsistencies between guidelines regarding the management of overweight and obesity. With evidence showing body composition and mortality risk associated with overweight change with age, there is a need to provide recommendations for older adults within clinical practice guidelines for the management of overweight and obesity.</p></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"56 ","pages":"Pages 26-36"},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667268524000354/pdfft?md5=d1402b3bed5947f32a73b3244a8a90aa&pid=1-s2.0-S2667268524000354-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141024252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Taste assessment as a part of geriatric nutritional care: Potential implications for clinical practice","authors":"Anna Rudzińska ,&nbsp;Joanna Czesak ,&nbsp;Wiktoria Wieczorek-Stawińska ,&nbsp;Jerzy Gąsowski ,&nbsp;Karolina Piotrowicz","doi":"10.1016/j.nutos.2024.05.005","DOIUrl":"10.1016/j.nutos.2024.05.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Aging is related to decrease in taste perception. As appetite is considered crucial for maintenance of proper nutritional status of older adults, its decrease during aging raises questions about its relation to gustatory functions and further prevention possibilities.</p></div><div><h3>Aim of the study</h3><p>The aim was to assess the characteristics and eating behaviors of the patients who reported a self-perceived reduction in taste perception in the context of appetite.</p></div><div><h3>Material and methods</h3><p>This semi-qualitative study was conducted between November 2021 and March 2022 in the Department of Internal Medicine and Geriatrics of the University Hospital in Krakow. Patients were assessed using an original appetite assessment scale, which allowed for an in-depth interview on areas related to the decline in gustatory function. Additionally, nutritional assessment was performed using Mini Nutritional Assessment and Council on Nutrition Appetite Questionnaire (CNAQ) and anthropometric measurements.</p></div><div><h3>Results</h3><p>The most common characteristics of patients with gustatory dysfunction were early satiety, decreased appetite in the three months prior to the study and polypharmacy. A significant difference was observed in the CNAQ scores between the group of patients with and without gustatory dysfunction.</p></div><div><h3>Conclusion</h3><p>Careful identification of patients presenting with gustatory dysfunction can provide an important cue for an individualised approach aimed at preventing malnutrition. In our work, we suggest the areas that can be addressed during a nutritional interview to enable the selection of an optimal approach.</p></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"55 ","pages":"Pages 274-283"},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266726852400041X/pdfft?md5=295ba4d9c3a5f3470d44a41f99b42b29&pid=1-s2.0-S266726852400041X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141030981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal follow-up of taste function and trigeminal perception in COVID-19 patients with olfactory dysfunction – The COVORTS study","authors":"Sanne Boesveldt ,&nbsp;Elbrich M. Postma ,&nbsp;Wilbert Boek ,&nbsp;Digna M.A. Kamalski ,&nbsp;Birgit van Dijk","doi":"10.1016/j.nutos.2024.05.003","DOIUrl":"https://doi.org/10.1016/j.nutos.2024.05.003","url":null,"abstract":"<div><h3>Background &amp; Aims</h3><p>Chemosensory dysfunction is one of the hallmarks of a COVID-19 infection. While most patients recover within a few weeks after infection, in 5–10% of the patients chemosensory dysfunction turns into a long-term problem. While olfactory loss has been extensively investigated, information regarding taste and trigeminal function has remained scarce. The COVORTS study was set up to assess the natural progression of olfactory, taste and trigeminal alterations in a prospective cohort of COVID-19 patients.</p></div><div><h3>Methods</h3><p>We included 76 patients aged between 18-60 years old with olfactory dysfunction (&gt;1 month) after a recent (&lt;3 months) confirmed COVID-19 infection, and followed them for a period of 6 months. At time of inclusion (T1), 3 months (T4) and 6 months (T7) later, psychophysical testing of gustatory function was conducted (Taste Strips). Questionnaires on taste and trigeminal ability, as well as at-home self-testing of taste and trigeminal perception were performed every month.</p></div><div><h3>Results</h3><p>We found that, subjectively, there was a large decline in taste and trigeminal functioning at baseline compared to before COVID-19 infection. Apart from salty taste, an improvement in taste and trigeminal functioning was seen over time, though not towards full recovery. The majority of patients had scores within the normative range on the Taste Strips at baseline; nonetheless, almost half of patients showed clinical improvement over time.</p></div><div><h3>Conclusions</h3><p>Although taste and trigeminal dysfunction appear less prominent than olfactory dysfunction after COVID-19 infection, patients can and do suffer from this over a prolonged period of time. Understanding the trajectory of symptom burden and recovery from post-COVID-19 condition is essential for policy making, therapeutic interventions, and providing appropriate care and (nutritional) advice to patients.</p></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"55 ","pages":"Pages 249-262"},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266726852400038X/pdfft?md5=2826c70aacee85608534caeb1f55008a&pid=1-s2.0-S266726852400038X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140950963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and reliability of an inexpensive caliper to assess triceps skinfolds in children and young adults with cerebral palsy","authors":"Anna Jesus ,&nbsp;Mark Conaway ,&nbsp;Jodi Darring ,&nbsp;Amy Shadron ,&nbsp;Valentina Intagliata ,&nbsp;Rebecca J. Scharf ,&nbsp;Richard Stevenson","doi":"10.1016/j.nutos.2024.05.001","DOIUrl":"10.1016/j.nutos.2024.05.001","url":null,"abstract":"<div><h3>Background &amp; aims</h3><p>To test the validity and reliability of an inexpensive caliper against the gold standard caliper for the measure of triceps skinfold thickness (TSF) in children with cerebral palsy (CP).</p></div><div><h3>Methods</h3><p>50 children with CP were recruited in an academic medical center clinic. Two providers measured TSF using both the Holtain and Slim Guide. The intraclass correlation coefficient was obtained. Duplicate measures were used to calculate the technical errors of measurement (TE) and the coefficient of variation (CV) between the same provider with different calipers and different providers with the same caliper.</p></div><div><h3>Results</h3><p>The correlation between the TSF measured using the Holtain versus the Slim Guide was 0.982 by provider 1 and 0.992 by provider 2. Intraobserver TE was 1.20 mm and 0.84 mm and CV was 9.7% and 7.1% for provider 1 and 2, respectively. Combining measurements of both observers, the TE and CV between calipers were 1.03 and 8.5%, respectively.</p></div><div><h3>Conclusion</h3><p>The Slim Guide provides measurements that are reliable and valid. The error between calipers is similar to inter-rater error in published studies using the gold standard, and differences are unlikely to impact clinical management. With an affordable caliper, skinfold measurements can become more widely utilized, enhancing clinical care and research.</p></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"56 ","pages":"Pages 3-10"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667268524000366/pdfft?md5=214ec89333c0d5574cd43fbf7d5db037&pid=1-s2.0-S2667268524000366-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141034698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cut-off values for an ultrasound-based muscle mass assessment at intensive care unit admission: A retrospective study","authors":"Nobuto Nakanishi ,&nbsp;Isao Miyajima ,&nbsp;Takeshi Saijo ,&nbsp;Takahiro Kudo ,&nbsp;Kohei Tanaka ,&nbsp;Yuta Arai ,&nbsp;Manabu Ishihara ,&nbsp;Kensuke Nakamura ,&nbsp;Joji Kotani","doi":"10.1016/j.nutos.2024.05.002","DOIUrl":"https://doi.org/10.1016/j.nutos.2024.05.002","url":null,"abstract":"<div><h3>Background and aims</h3><p>Muscle mass is an important component of nutritional status. At intensive care unit (ICU) admission, ultrasound is an important tool to assess the muscle mass, but there are currently no established cut-off values. Therefore, we retrospectively analyzed cut-off values for an ultrasound-based muscle mass assessment at ICU admission.</p></div><div><h3>Methods</h3><p>We retrospectively analyzed data collected in an observational study. These data included a muscle mass assessment of lower limb thickness and cross-sectional area (CSA), upper limb thickness and CSA, and diaphragm thickness at ICU admission. Skeletal muscle mass was calculated from computed tomography (CT) imaging of the third lumbar vertebra for comparison. Cut-off values were estimated from the relationship between the ultrasound-based muscle mass assessment and CT-derived skeletal muscle index at 7.0 kg/m² in males and 5.4 kg/m² in females.</p></div><div><h3>Results</h3><p>Lower limb, upper limb, and diaphragm assessments included 89, 52, and 79 patients, respectively. The age was 70 ± 13 years and body mass index was 22.2 ± 4.4 kg/m². Cut-off values were 22.5 mm (male) and 19.0 mm (female) for femoral thickness and 5.0 cm² (male) and 4.5 cm² (female) for rectus femoris CSA. Cut-off values were 26.9mm (male) and 20.6 mm (female) for upper limb thickness and 6.5 cm² (male) and 4.0 cm² (female) for biceps brachii CSA. Cut-off values were 1.8 mm (male) and 1.5 mm (female) for diaphragm.</p></div><div><h3>Conclusion</h3><p>We proposed cut-off values for ultrasound-based muscle mass assessment at ICU admission. Further studies are needed to validate these cut-off values.</p></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"55 ","pages":"Pages 263-273"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667268524000378/pdfft?md5=3784eebdf7655f190994a061508c62cc&pid=1-s2.0-S2667268524000378-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140950962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}