Clinical Nutrition Open Science最新文献

{"title":"Scientific basis of dietary inflammatory index (DII): A dietary tool to metabolic syndrome risk","authors":"Falak Zeb ,&nbsp;Tareq Osaili ,&nbsp;Huma Naqeeb ,&nbsp;MoezAllslam Ezzat Faris ,&nbsp;Leila Cheikh Ismail ,&nbsp;Reyad Shakir Obaid ,&nbsp;Farah Naja ,&nbsp;Hadia Radwan ,&nbsp;Hayder Hasan ,&nbsp;Mona Hashim ,&nbsp;Dimitrios Papandreou ,&nbsp;Ioannis Savvaidis ,&nbsp;Sharifa AlBlooshi ,&nbsp;Iftikhar Alam","doi":"10.1016/j.nutos.2025.04.002","DOIUrl":"10.1016/j.nutos.2025.04.002","url":null,"abstract":"<div><h3>Background and Aims</h3><div>The dietary inflammatory index (DII) is a tool that quantifies the inflammatory potential of an individual's diet, offering a scientific basis for personalized nutrition. The DII scores of foods and nutrients are based on their pro- or anti-inflammatory potential. DII is associated with metabolic diseases and health status but the results are inconsistent. Therefore this review was conducted to highlight the scientific basis of DII and its association with metabolic diseases.</div></div><div><h3>Methods</h3><div>We conducted independent literature research for this review between January 2006 and January 2025 utilizing scholarly databases such as PubMed, ScienceDirect, Google Scholar, and Web of Science.</div></div><div><h3>Results</h3><div>This review highlights the scientific basis of DII, focusing on its ability to capture the complex interactions between dietary patterns and health outcomes in various inflammatory and metabolic diseases. Moreover, the current review discusses the modification and interpretation of multiple types of DII over time. By calculating an individual's DII score, healthcare professionals can identify pro-inflammatory dietary patterns that may exacerbate chronic diseases with an inflammatory predisposing background, such as obesity, cardiovascular disease, diabetes, and cancer. This review also highlight the association of DII score with various inflammation-associated diseases and strengthen nutrition guidelines to promote anti-inflammatory dietary patterns.</div></div><div><h3>Conclusion</h3><div>The DII offers a valuable tool for healthcare professionals to integrate nutrition into patient care, promoting a more comprehensive disease prevention approach. Further research and validation will continue to refine and optimize the DII, enhancing its potential to transform the practices of clinical nutrition and improve patient outcomes.</div></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"61 ","pages":"Pages 138-161"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859255","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":"Is the acid load of the diet related to esophageal cancer? A case-control study","authors":"Omid Nikpayam ,&nbsp;Parmis Mirzaei ,&nbsp;Golbon Sohrab ,&nbsp;Amirmahdi Najfi ,&nbsp;Reza Eghdam Zamiri ,&nbsp;Alireza Ostadrahimi","doi":"10.1016/j.nutos.2025.03.011","DOIUrl":"10.1016/j.nutos.2025.03.011","url":null,"abstract":"<div><h3>Background</h3><div>Esophageal adenocarcinoma (EAC) is a prevalent type of cancer both globallyand in the northern regions of Iran. The relationship between dietary acid load (DAL) and EAC is not well established. Therefore, a study was conducted to investigate the association between DAL and EAC.</div></div><div><h3>Methods</h3><div>This case-control study involved 120 individuals with EAC as the case group and 240 individuals without a history of malignancy as the control group. Dietary intake was assessed using a valid food frequency questionnaire (FFQ), and the dietary acid load (DAL) was calculated using a valid formula. The association between DAL and EAC was evaluated using multivariate logistic regression analysis.</div></div><div><h3>Results</h3><div>The results of the current study indicate that, after adjusting for potential confounding factors, individuals with a higher potential renal acid load (PRAL) score in their diet have an elevated risk of developing EAC (OR: 2.3; 95%CI: 4.41–1.11; p:0.03). In contrast, there was no significant association between the net endogenous acid production (NEAP) index score and the risk of EAC (OR: 1.76; 95%CI: 0.9–3.24; p: 0.07).</div></div><div><h3>Conclusion</h3><div>The findings of the current study show that DAL has a direct and significant relationship with the risk of EAC.</div></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"61 ","pages":"Pages 190-199"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870471","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":"Enhancing enteral nutrition care: Innovating and validating a communication tool for healthcare networks","authors":"Kelly Cristina Uniat,&nbsp;Caroline Opolski Medeiros,&nbsp;Maria Eliana Madalozzo Schieferdecker","doi":"10.1016/j.nutos.2025.04.001","DOIUrl":"10.1016/j.nutos.2025.04.001","url":null,"abstract":"<div><h3>Background &amp; Aims</h3><div>The implementation of instruments for monitoring Enteral Nutrition is important for the continuity of treatment. The objective of this study was to develop and validate an instrument for communication between nutritionists at different points of care for enteral nutrition patients.</div></div><div><h3>Methods</h3><div>Double Diamond Co-Design Study. It was divided into the following steps: instrument development, applicability analysis, and content validation. Initially, bibliographic research of national and international technical documents was carried out to create the items. For applicability analysis, the instrument was operated by nutrition residents of primary, hospital, and clinical care. In content validation, the Content Validity Index (CVI) was analyzed by items and complete instruments, concerning the criteria: relevance and clarity. CVI score values equal to or greater than 0.80 were considered for clarity and relevance equal to or greater than 0.90.</div></div><div><h3>Results</h3><div>In the first step, the instrument presented 60 items and 7 categories. In the second step, with suggestions for modifications, 53 items and 7 categories remained. In the content validation, 23 nutritionists from Brazil participated, the Content Validity Index of the complete instrument showed clarity (0.932) and relevance (0.988) with scores above the established standards.</div></div><div><h3>Conclusion</h3><div>The validated instrument is considered clear, relevant, unprecedented, and low-cost, and can be used for the continuity of care for enteral nutrition patients at any point in the health network.</div></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"61 ","pages":"Pages 162-173"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859258","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":"Nutritional support practices among intensive care unit (ICU) patients, observational study","authors":"May Hamdan ,&nbsp;Fatima Al-Amouri ,&nbsp;Ayat Ali Abu-fara ,&nbsp;Mai Qasem Heih ,&nbsp;Fatima Ibrahim Manasrah ,&nbsp;Hanan Alaa Abu-shamsyh ,&nbsp;Manal Badrasawi","doi":"10.1016/j.nutos.2025.03.010","DOIUrl":"10.1016/j.nutos.2025.03.010","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Critically ill patients are at high risk of mortality, morbidity, and poor outcomes. Therefore, nutritional support is the standard care to avoid related complications and improve health outcomes. The aim of this study is to identify feeding practices among ICU patients, evaluate their nutritional adequacy, and assess the prevalence of malnutrition and its associated factors.</div></div><div><h3>Methods</h3><div>This observational study involved 106 ICU patients in three hospitals at Hebron/Palestine. An interview-based questionnaire was used to collect data related to sociodemographic, lifestyle, ICU-related data, medical history, clinical outcomes, physical examination, energy, and protein consumption. Malnutrition was evaluated using the malnutrition universal screening tool (MUST), and biochemical data were recruited from patients' medical records.</div></div><div><h3>Results</h3><div>Among study participants aged 18–99 years (63.69 ± 20.48), enteral feeding was the predominant route among 51.9 %, and nutritional support was initiated two days after ICU admission. In addition, 91.5 % and 67 % of patients failed to receive their nutritional requirements of energy and protein, respectively. The malnutrition universal screening tool revealed that 53.8 % of ICU patients were at low risk of malnutrition, 20.8 % were at medium risk, and 25.5 % were at high risk of malnutrition, while lower energy consumption contributed significantly to the higher risk of malnutrition among ICU patients.</div></div><div><h3>Conclusion</h3><div>The study found that enteral feeding is the main nutritional support in ICU patients, but energy and protein intake are insufficient. Despite early feeding, malnutrition rates are high and linked to lower calorie intake, emphasizing the need for better nutritional screening and interventions to improve patient outcomes.</div></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"61 ","pages":"Pages 129-137"},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859257","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":"The predictive power of postoperative complications and the agreement between PG-SGA SF and GLIM in identifying malnourishment in patients with pancreatic diseases before pancreatic surgery","authors":"Martina Petrolo ,&nbsp;Mia Solholt Godthaab Brath ,&nbsp;Randi Tobberup ,&nbsp;Sofie Ehlers ,&nbsp;Marie Njerve Olsen ,&nbsp;Elena Rangelova ,&nbsp;Lars Ellegård ,&nbsp;Folke Hammarqvist ,&nbsp;Henrik Højgaard Rasmussen","doi":"10.1016/j.nutos.2025.03.005","DOIUrl":"10.1016/j.nutos.2025.03.005","url":null,"abstract":"<div><h3>Background</h3><div>Patients with pancreatic diseases impose several nutritional challenges and identifying malnourished patients is important since malnutrition may increase the risk of postoperative complications.</div></div><div><h3>Aims</h3><div>To assess the agreement between Patient Generated-Subjective Global Assessment Short Form (PG-SGA SF) and Global Leadership Initiative on Malnutrition (GLIM) criteria in identifying malnutrition in patients with pancreatic diseases scheduled for elective surgery. To investigate whether there is an association between malnutrition and postoperative complications.</div></div><div><h3>Methods</h3><div>A secondary analysis of a prospective observational cross-sectional study in patients with pancreatic diseases undergoing pancreatic surgery from September 2017 to January 2018 at Karolinska University Hospital (Stockholm, Sweden). Nutritional screening was performed by PG-SGA SF and malnutrition diagnosis was defined by GLIM with and without prior screening.</div></div><div><h3>Results</h3><div>A total of 34 patients were included (16 men, 18 women), median age 70 (range 38–83) years, median BMI 24.4 (range 19.3–40.4) kg/m². Risk of malnutrition was detected in 14 patients (41 %) by PG-SGA SF. Malnutrition was detected in 9 patients (26 %) by GLIM with prior screening (GLIM + screening) and in 17 patients (50 %) by GLIM without prior screening (GLIM - screening). The agreement between PG-SGA SF and GLIM - screening was 62 %, the sensitivity 64 %, the specificity 60 %, and the Cohen's kappa was 0.235, <em>P</em>=0.08. GLIM - screening had a positive predictive value of 53 % and negative predictive value of 71 %. A total of 14 patients had postoperative complications. The GLIM - screening showed a RR of 1.40 (CI: 0.58–3.37) of postoperative complications when being malnourished. The GLIM + screening showed a RR of 1.66 (CI: 0.49–5.61) of postoperative complications when being malnourished.</div></div><div><h3>Conclusions</h3><div>This study showed that PG-SGA SF and GLIM had a slight to fair agreement in detecting malnutrition in patients undergoing pancreatic resection. No firm conclusions in predicting postoperative complications could be found.</div></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"61 ","pages":"Pages 96-107"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738247","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":"Early versus delayed enteral nutrition in critically ill children under 12 years of age: A systematic review and meta-analysis of randomised controlled trials","authors":"Marianne E. Visser ,&nbsp;Roselyn Chipojola ,&nbsp;Sarah Gordon ,&nbsp;Amanda Brand ,&nbsp;Nyanyiwe Mbeye ,&nbsp;Gertrude Kunje ,&nbsp;Talitha Mpando ,&nbsp;Suzgika Lakudzala ,&nbsp;Elodie Besnier ,&nbsp;Celeste E. Naude","doi":"10.1016/j.nutos.2025.03.004","DOIUrl":"10.1016/j.nutos.2025.03.004","url":null,"abstract":"<div><h3>Background &amp; aims</h3><div>Enteral nutrition (EN) is key to reducing malnutrition risk in critically ill children, with timing of EN initiation being an important consideration. This systematic review aimed to assess the effects of early enteral nutrition (EEN) compared to delayed enteral nutrition (DEN) in critically ill children as part of the Global Evidence, Local Adaptation (GELA) project.</div></div><div><h3>Methods</h3><div>We searched PubMed, Embase and two trial registries (January 2000–November 2023) and included randomised controlled trials (RCTs) comparing EEN (typically within 24–48 hours of admission) to DEN (typically &gt;48 hours of admission) in children aged one month to 12 years, and excluding studies in children with severe acute malnutrition, or conditions requiring long-term EN. Guided by Cochrane methods, we conducted random-effects meta-analyses to obtain pooled effect estimates for outcomes selected by the guideline development group, assessed risk of bias using Cochrane's Risk-of-Bias-2 tool and assessed certainty of the evidence using Grading of Recommendations, Assessment, Development and Evaluation (GRADE).</div></div><div><h3>Results</h3><div>Four RCTs randomising 899 children in critical care settings in India, Iran and USA were included. Overall risk of bias was assessed as ‘high risk’ or ‘some concerns’ for all outcomes. Low-certainty evidence suggests that EEN may reduce in-hospital mortality (absolute effect (AE) 53 fewer deaths per 1000, 95% CI -85 to -12, I²=0%, 3 RCTs, n=869) and length of hospital stay on average (mean difference (MD) -2.98 days, 95% CI -9.79 to 3.83, I²=0%, 2 RCTs, n=760) compared to DEN, and may result in little to no difference in nosocomial infections (wound and blood stream infections) (AE 5 fewer cases per 1000, 95% CI -52 to 52, I²=0%, 3 RCTs, n=869). Evidence is very uncertain about effects on length of paediatric intensive care unit stay, number of days on the ventilator, sepsis, ventilator-associated pneumonia, and time to wound healing.</div></div><div><h3>Conclusion</h3><div>EEN may reduce in-hospital mortality and length of hospital stay in critically ill children, but our confidence in the effect estimates is limited. More high-quality studies comparing EEN to DEN in relation to patient-relevant and clinically important outcomes in paediatric critical illness are needed.</div></div><div><h3>Prospective registration</h3><div>PROSPERO CRD42023487325.</div></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"61 ","pages":"Pages 108-128"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143746668","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":"Interruptions in administration of enteral feeding and automatic compensation: A post hoc analysis of the smART+ study","authors":"I. Kagan ,&nbsp;E. Robinson ,&nbsp;M. Hellerman Itshaki ,&nbsp;P. Singer","doi":"10.1016/j.nutos.2025.03.008","DOIUrl":"10.1016/j.nutos.2025.03.008","url":null,"abstract":"<div><h3>Rationale</h3><div>Multiple obstacles exist to achieve enteral feeding targets defined as patient-related (PR) or diagnostic/therapeutic related (DTR) interruptions. A new technology was developed to adapt and compensate enteral feeding according to gastric tolerance as well as DTR interruptions (1). In this post hoc analysis we evaluated PR or DTR interruptions as well as the compensation achieved by the platform.</div></div><div><h3>Methods</h3><div>The compensation related to PR or DTR was analyzed in 50 patients from the study group (1). A computerized analysis detected all the PR and DTR interruptions. Analysis used only those days with at least 12 hours of active system. Compensation was programmed to provide 100 % of the missing nutrition related to DTR interruptions and 50 % of the measured gastric active residual release (ARR).</div></div><div><h3>Results</h3><div>280 days were obtained with at least 12 hours of recording from the 313 hospitalization days. Interruptions occurred during 4.5 hours in mean. A total median of 75 min (19.5 % of the interruption time) was related to PR and a total median of 196 min (80.5 %) to DTR interruptions. However, the feeding efficacy remained very high (89,3 %) during the study period. Nutritional therapy close to 100 % of the target was obtained in 176 days out of the 280 investigated days.</div></div><div><h3>Conclusion</h3><div>Interruptions of enteral feeding were mainly related to DTR interventions, but the platform was able to fully compensate for them. The PR interruptions were only partially compensated. The smart + platform provides an effective tool to recognize feeding interruptions and to compensate them.</div></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"61 ","pages":"Pages 62-69"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697585","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":"Redefining reimbursement policies: A novel value framework for medical nutrition","authors":"Mohamed Nasser Farghaly ,&nbsp;Sara Al Dallal ,&nbsp;Katrina Hassan ,&nbsp;Sherif Adel Mahmoud ,&nbsp;Wafaa Ayesh ,&nbsp;Ahmed Maged Abdelmawla ,&nbsp;Magriet Raxworthy ,&nbsp;Sangam Mahagaonkar","doi":"10.1016/j.nutos.2025.03.007","DOIUrl":"10.1016/j.nutos.2025.03.007","url":null,"abstract":"<div><div>This study aims to review the medical nutrition reimbursement policies in Dubai to facilitate refining of the mandate for inclusion and insurance coverage of nutritional supplementation for specific disease conditions. This study was conducted in two phases, which included a targeted literature review to collect evidence on the use of medical nutrition in target populations (cancer patients, pediatric patients with food and cow milk protein allergy [CMPA], disease-related malnutrition [DRM], and epilepsy) in phase 1 and discussion among the experts from United Arab Emirates [UAE] to review and validate the findings from the literature review and discuss the readiness of Dubai Health Authority (DHA) sector in phase 2 for reimbursement of medical nutrition interventions. Currently, reimbursement for medical nutrition intervention in the private sector is provided on a case-by-case basis in Dubai. Based on the outcomes of pilot projects, the experts agreed to change the mandate for oncology patients and pediatric patients with CMPA. For epilepsy patients, experts advocated the necessity of defined guidelines and recommended the analysis of claims data and establishment of a task force. Effectively formulating guidelines on the use of medical nutrition and using cost-effectiveness models are required to encourage payers to invest in medical nutrition.</div></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"61 ","pages":"Pages 82-95"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705214","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":"Association of changes in the texture level of consumed food with nutritional and functional outcomes among older patients undergoing rehabilitation","authors":"Yukiko Sawa","doi":"10.1016/j.nutos.2025.03.006","DOIUrl":"10.1016/j.nutos.2025.03.006","url":null,"abstract":"<div><h3>Background &amp; aims</h3><div>Dysphagia is common in older patients, and texture-modified diets are used in its clinical management. However, texture-modified diets can cause malnutrition or poor functional recovery. This study aimed to examine the relationship of changes in the food texture level with nutritional improvement and functional recovery in older patients undergoing rehabilitation.</div></div><div><h3>Methods</h3><div>This single-center cross-sectional study included patients aged ≥65 years undergoing rehabilitation and on oral intake (International Dysphagia Diet Standardization Initiative framework level 3–6). We evaluated nutritional status using the Mini Nutritional Assessment Short Form and ADLs using the Functional Independence Measure (FIM). Patients were categorized into two groups: those with increased food texture levels were allocated to the increased food texture level (IF) group, and those with no texture level change or decreased level were assigned to the non-increased food texture level (NIF) group. The discharge outcomes were compared between the groups. Multivariate analyses were performed to determine the association between changes in the food texture level and nutritional improvement, FIM gain, and discharge to home.</div></div><div><h3>Results</h3><div>Among 203 patients (mean age, 86 years; 115 women), 57 (28.1%) and 146 (74.9%) patients were assigned to the IF and NIF groups, respectively. The IF group showed greater nutritional improvement (89.5% vs. 61.6%), greater FIM gain (median, 23 vs. 7.5), and a higher proportion of home discharges (64.9% vs. 39.7%) than did the NIF group. Multivariate analyses showed that an increase in the texture level of the consumed food was independently associated with nutritional improvement (odds ratio [OR] = 3.05, 95% confidence interval [CI] = 1.07 to 8.65) and FIM gain (partial regression coefficient [B] = 10.65, 95% CI = 6.19 to 15.11). The IF group had higher odds of home discharge (OR = 1.94, 95% CI = 0.92 to 4.11).</div></div><div><h3>Conclusions</h3><div>An increase in the texture level of consumed food may be associated with nutritional improvement, ADL recovery, and discharge to home.</div></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"61 ","pages":"Pages 44-53"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697689","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":"Estimation of body weight from selected body circumferences in the hospital setting","authors":"M.J.V. Parasvita ,&nbsp;V. Wijaya ,&nbsp;N. Budiman ,&nbsp;L. Wibowo ,&nbsp;W. Lukito","doi":"10.1016/j.nutos.2025.03.003","DOIUrl":"10.1016/j.nutos.2025.03.003","url":null,"abstract":"<div><h3>Background and Aims</h3><div>In hospital settings, body weight (BW) measurement can only sometimes be done, even though it is indispensable to justify nutritional and pharmacologic interventions. To be able to monitor the BW and define the dynamic of hospital malnutrition, it is pertinent to pursue an estimate of BW using the accessible body circumferences (BCs) variables, as described in the current study.</div></div><div><h3>Methods</h3><div>Four hundred seventy-seven patients (aged 17–76) were recruited. Only those who could stand up for measuring direct body weight (BW), height (H), and selected BCs were eligible for the study. Thirty-seven patients were excluded from the statistical analyses: 18 with significant edema, 16 with BW &gt; 110 kg (considered outliers), and three without BW data. A total of 440 patients (155 men and 285 women) were included in the final analyses. BW was measured using bioelectrical impedance SECA type 514, and BCs, namely mid-upper arm circumference (MUAC), abdominal circumference (AC), and calf circumference (CC), were measured using a SECA 201 non-elastic tape (SECA 201). We used hierarchical analyses to estimate BW (eBW) with gender and the existence of disease as control variables and BCs as predicted variables.</div></div><div><h3>Results</h3><div>After controlling for gender and disease, the regression model could predict 94.1% of BW variability (R²= 0.942) using a combination of 3 BCs as predicted variables, 89.0–93.3% (R²=0.891–0.933) of BW variability using a combination of 2 BCs; and 81.2–84.6% of BW variability (R² = 0.814–0.847) with single BC as predicted variables.</div></div><div><h3>Conclusions</h3><div>The best-fit model to estimate patients' BW used a combination of 3 BCs as predicted variables. Nevertheless, other models with the predictability of BW variability of at least 80% could be considered alternatives in developing countries and Asian people with diverse hospital capacities. Further study is needed to validate these BW prediction formulas in clinical practices and describe their variations against the actual BW values.</div></div>","PeriodicalId":36134,"journal":{"name":"Clinical Nutrition Open Science","volume":"61 ","pages":"Pages 70-81"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705215","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}