Annals of Nutrition and Metabolism最新文献

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Brain-Derived Neurotrophic Factor Is Related with Sarcopenia in Patients with Disease-Related Malnutrition. 脑源性神经营养因子与疾病相关性营养不良患者肌肉减少症相关
IF 2.9 3区 医学
Annals of Nutrition and Metabolism Pub Date : 2025-01-01 Epub Date: 2025-05-26 DOI: 10.1159/000546418
Daniel de Luis, David Primo, Olatz Izaola, Juan José López Gómez
{"title":"Brain-Derived Neurotrophic Factor Is Related with Sarcopenia in Patients with Disease-Related Malnutrition.","authors":"Daniel de Luis, David Primo, Olatz Izaola, Juan José López Gómez","doi":"10.1159/000546418","DOIUrl":"10.1159/000546418","url":null,"abstract":"<p><strong>Introduction: </strong>Sarcopenia is a condition characterized by muscle mass loss. Some investigations have demonstrated the role of brain-derived neurotrophic factor (BDNF) as a protector against the presence of sarcopenia in patients with chronic kidney disease. We aimed to explore the role of circulating BDNF in the development of sarcopenia among individuals with disease-related malnutrition (DRM).</p><p><strong>Materials and methods: </strong>A total of 160 patients diagnosed with DRM according to the Global Leadership Initiative on Malnutrition (GLIM) criteria were enrolled. Anthropometric data, muscle mass assessed via ultrasound at the rectus femoris quadriceps (RFQ) level, bioelectrical impedance analysis (skeletal muscle mass [SMM], appendicular skeletal muscle mass [aSMM], and appendicular skeletal muscle mass index [aSMMI]), handgrip strength, biochemical parameters, dietary intake, and circulating levels of BDNF were measured.</p><p><strong>Results: </strong>A total of 55 patients (34.4%) were classified as sarcopenic, while 105 patients (65.6%) were classified as non-sarcopenic. Phase angle (-0.6 ± 0.2°; p = 0.01), reactance (-5.8 ± 2.1 Ohms; p = 0.03), SMM (-3.3 ± 0.2 kg; p = 0.04), aSMM (-2.1 ± 0.3 kg; p = 0.03), aSMMI (-0.8 ± 0.2 kg; p = 0.03), dominant muscle area (-0.7 ± 0.2 cm2; p = 0.04), and dominant Y-axis thickness (-0.4 ± 0.1 cm; p = 0.03) were worse in patients with sarcopenia. Muscle strength was higher in non-sarcopenic patients (8.5 ± 1.2 kg; p = 0.01). Circulating BDNF levels were significantly higher in non-sarcopenic patients compared to sarcopenic patients (94.7 ± 3.9 ng/mL; p = 0.01). Logistic regression analysis indicated a reduced risk of sarcopenia (OR = 0.16, 95% CI = 0.11-0.43; p = 0.03) in patients with higher BDNF levels, after adjusting for body mass index, gender, energy intake, and age.</p><p><strong>Conclusion: </strong>Our study identified an association between low serum BDNF levels and sarcopenia in patients with DRM.</p>","PeriodicalId":8269,"journal":{"name":"Annals of Nutrition and Metabolism","volume":" ","pages":"268-275"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complementary Food and Obesity. 辅食与肥胖。
IF 3.2 3区 医学
Annals of Nutrition and Metabolism Pub Date : 2025-01-01 Epub Date: 2025-01-20 DOI: 10.1159/000542373
Luis Moreno
{"title":"Complementary Food and Obesity.","authors":"Luis Moreno","doi":"10.1159/000542373","DOIUrl":"10.1159/000542373","url":null,"abstract":"<p><strong>Background: </strong>Early infant feeding is essential for children's development and future health, particularly in preventing obesity, which is the most common nutrition-related disorder in children worldwide.</p><p><strong>Summary: </strong>Obesity, characterized by excess body fat and numerous complications, arises from a combination of genetic susceptibility and an obesogenic environment, including lifestyle behaviors related to energy balance. Eating habits start to be shaped early in life, making the introduction of solid foods a critical period. Given the high prevalence of obesity, its long-term health consequences, and social implications, prevention is crucial. This narrative review aimed to identify factors related to the introduction of solid foods that influence obesity and suggest feeding strategies to prevent it. Tracking studies indicate that overweight and obesity during childhood often persist into adulthood, with associated complications such as hyperglycemia, dyslipidemia, hypertension, and nonalcoholic fatty liver disease. Complementary feeding involves introducing solid foods besides breast milk or formula. The timing and content of complementary feeding are crucial in influencing obesity risk. Introduction of solid foods before 4 months is associated with higher BMI in childhood. The method of introducing complementary feeding, such as baby-led weaning, has been proposed to predict later obesity risk, though findings are currently inconclusive. Parental feeding practices and socioeconomic factors significantly influence complementary feeding and obesity risk. Early prevention programs, especially those involving parental education on responsive feeding and diet, are promising for reducing obesity risk. Future programs should incorporate parents' perceptions and motivations to improve intervention effectiveness.</p>","PeriodicalId":8269,"journal":{"name":"Annals of Nutrition and Metabolism","volume":" ","pages":"8-19"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the Metabolic Link between Malnutrition and Sarcopenia in Gastrointestinal Malignancies. 探讨胃肠道恶性肿瘤中营养不良与肌肉减少症之间的代谢联系。
IF 3.2 3区 医学
Annals of Nutrition and Metabolism Pub Date : 2025-01-01 Epub Date: 2025-01-14 DOI: 10.1159/000543412
Suriyaraj Shanmugasundharam Prema, Deepankumar Shanmugamprema
{"title":"Exploring the Metabolic Link between Malnutrition and Sarcopenia in Gastrointestinal Malignancies.","authors":"Suriyaraj Shanmugasundharam Prema, Deepankumar Shanmugamprema","doi":"10.1159/000543412","DOIUrl":"10.1159/000543412","url":null,"abstract":"","PeriodicalId":8269,"journal":{"name":"Annals of Nutrition and Metabolism","volume":" ","pages":"160-162"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Feeding Practices in the Introduction of Complementary Feeding and Implications for Future Healthy Eating. 引入辅食的喂养方法及其对未来健康饮食的影响。
IF 3.2 3区 医学
Annals of Nutrition and Metabolism Pub Date : 2025-01-01 Epub Date: 2025-03-20 DOI: 10.1159/000543126
Elvira Verduci, Giulia Fiore, Marta Agostinelli, Gianvincenzo Zuccotti
{"title":"Feeding Practices in the Introduction of Complementary Feeding and Implications for Future Healthy Eating.","authors":"Elvira Verduci, Giulia Fiore, Marta Agostinelli, Gianvincenzo Zuccotti","doi":"10.1159/000543126","DOIUrl":"10.1159/000543126","url":null,"abstract":"<p><strong>Background: </strong>Complementary feeding (CF) is the process of introducing foods that starts when breast milk or formula alone can no longer meet infant's nutritional requirements. Nevertheless, the goal of introducing solid foods is to supplement, not replace, human milk or infant formula. The timing of introduction of CF is a pivotal issue in paediatrics.</p><p><strong>Summary: </strong>According to the World Health organization (WHO), ideally CF begins at 6 months of age and continues until 23 months, although breastfeeding may extend beyond this period. In low-resource setting areas due to food and water hygiene issues and less availability of complementary foods (CFs) with good nutritional quality, early CF represents a harm. In the meantime, the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and European Food Safety Authority (EFSA) recommend that CF should start between 17 and 26 weeks of age. This indication is provided because an early introduction of CFs before 4 months has harming results for both renal and gastrointestinal function and is inadequate with respect to neurodevelopmental skills. The concern about late introduction after 6 months mainly arises from inadequacy of breast milk in providing critical nutrients, particularly iron. Moreover, accumulating evidence suggests a potential higher risk of food allergies (i.e., peanut) when delaying exposure to allergens, rather than preventing their occurrence.</p>","PeriodicalId":8269,"journal":{"name":"Annals of Nutrition and Metabolism","volume":" ","pages":"44-55"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143668896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Nutritional Therapy during Intensive Care Unit Admission on Post-Intensive Care Syndrome in Patients with COVID-19. 入住重症监护室期间的营养疗法对重症监护后综合征患者的影响 COVID-19。
IF 3.2 3区 医学
Annals of Nutrition and Metabolism Pub Date : 2025-01-01 Epub Date: 2024-11-04 DOI: 10.1159/000542298
Shinya Suganuma, Kensuke Nakamura, Hideaki Kato, Muneaki Hemmi, Keiichiro Kawabata, Mariko Hosozawa, Yoko Muto, Miyuki Hori, Arisa Iba, Tomohiro Asahi, Akira Kawauchi, Shigeki Fujitani, Junji Hatakeyama, Taku Oshima, Kohei Ota, Hiroshi Kamijo, Hiroyasu Iso
{"title":"Impact of Nutritional Therapy during Intensive Care Unit Admission on Post-Intensive Care Syndrome in Patients with COVID-19.","authors":"Shinya Suganuma, Kensuke Nakamura, Hideaki Kato, Muneaki Hemmi, Keiichiro Kawabata, Mariko Hosozawa, Yoko Muto, Miyuki Hori, Arisa Iba, Tomohiro Asahi, Akira Kawauchi, Shigeki Fujitani, Junji Hatakeyama, Taku Oshima, Kohei Ota, Hiroshi Kamijo, Hiroyasu Iso","doi":"10.1159/000542298","DOIUrl":"10.1159/000542298","url":null,"abstract":"<p><strong>Introduction: </strong>Nutritional therapy is an important component of intensive care. We investigated the associations of nutritional therapy in the acute phase of severe COVID-19 with the long-term outcomes of post-intensive care syndrome (PICS) and post-COVID-19 conditions.</p><p><strong>Methods: </strong>A questionnaire on the health status after COVID-19 was sent to patients 1 year after infection and PICS was evaluated. Total energy and protein intakes during the first week after admission to the intensive care unit (ICU) were calculated. The primary endpoint was a decrease in quality of life (QOL) defined by EuroQol5-dimensions 5-level (EQ5D5L) <0.8. A multivariable regression analysis was used to examine.</p><p><strong>Results: </strong>A total of 220 ICU patients were included in this study. Median total energy and protein intakes were 65.1 kcal/kg/week and 3.3 g/kg/week, respectively. Total energy and protein intakes were associated with EQ5D5L scores (energy: unit odds ratio 0.98 [0.97-0.99], p value <0.01; protein: unit odds ratio 0.72 [0.59-0.87], p value <0.01). Insufficient total energy and protein intakes were associated with malaise, arthralgia, myalgia, palpitations, sleep disturbance, and muscle weakness.</p><p><strong>Conclusions: </strong>Poor nutrition during the first week after ICU admission was associated with a decreased QOL 1 year after. These nutrition shortages were also associated with an increased risk of developing PICS, post-COVID-19 conditions, which may contribute to decreased QOL.</p><p><strong>Introduction: </strong>Nutritional therapy is an important component of intensive care. We investigated the associations of nutritional therapy in the acute phase of severe COVID-19 with the long-term outcomes of post-intensive care syndrome (PICS) and post-COVID-19 conditions.</p><p><strong>Methods: </strong>A questionnaire on the health status after COVID-19 was sent to patients 1 year after infection and PICS was evaluated. Total energy and protein intakes during the first week after admission to the intensive care unit (ICU) were calculated. The primary endpoint was a decrease in quality of life (QOL) defined by EuroQol5-dimensions 5-level (EQ5D5L) <0.8. A multivariable regression analysis was used to examine.</p><p><strong>Results: </strong>A total of 220 ICU patients were included in this study. Median total energy and protein intakes were 65.1 kcal/kg/week and 3.3 g/kg/week, respectively. Total energy and protein intakes were associated with EQ5D5L scores (energy: unit odds ratio 0.98 [0.97-0.99], p value <0.01; protein: unit odds ratio 0.72 [0.59-0.87], p value <0.01). Insufficient total energy and protein intakes were associated with malaise, arthralgia, myalgia, palpitations, sleep disturbance, and muscle weakness.</p><p><strong>Conclusions: </strong>Poor nutrition during the first week after ICU admission was associated with a decreased QOL 1 year after. These nutrition shortages were also associat","PeriodicalId":8269,"journal":{"name":"Annals of Nutrition and Metabolism","volume":" ","pages":"41-50"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11797927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142574997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevention of Food Allergy: Harmonizing Perspectives from the East and West. 食物过敏的预防:东西方观点的协调。
IF 3.2 3区 医学
Annals of Nutrition and Metabolism Pub Date : 2025-01-01 Epub Date: 2025-04-30 DOI: 10.1159/000543617
Agnes Sze-Yin Leung, Gary Wing-Kin Wong
{"title":"Prevention of Food Allergy: Harmonizing Perspectives from the East and West.","authors":"Agnes Sze-Yin Leung, Gary Wing-Kin Wong","doi":"10.1159/000543617","DOIUrl":"10.1159/000543617","url":null,"abstract":"<p><strong>Background: </strong>The global epidemiology of food allergies and anaphylaxis exhibits complex, heterogeneous patterns. While food allergy prevalence has stabilized in Western countries, anaphylaxis incidence continues to rise. In developing regions, data are limited, but urban centers show increasing food allergy prevalence, contrasting with lower rates in rural areas. These disparities likely stem from differences in environmental factors and urbanization levels across the globe. Furthermore, the dominant food allergens vary significantly by regions. Peanuts and tree nuts are the primary triggers in the USA and Europe, whereas eggs, milk, and shellfish are more common in Asia and Latin America.</p><p><strong>Summary: </strong>In this upcoming review, we will delve into the recommendations for preventing food allergies across Eastern and Western regions. These regional differences in allergen profiles and dietary patterns underscore the need for tailored food allergy prevention strategies. Current prevention guidelines focus on the timing and route of allergen exposure in early life. In high-prevalence regions, early oral exposure is recommended to promote oral tolerance and reduce allergy risk. Conversely, in lower-prevalence areas, non-delayed introduction of allergenic solids is preferred. Moreover, early skin exposure may increase allergy risk, and the role of early, whole-body use of specialized emollients requires further study. Proactive treatment of atopic dermatitis may reduce the incidence of food allergies in infants. Adapting prevention approaches to local contexts and continuously updating guidelines based on emerging evidence is crucial to comprehensively addressing the global burden of food allergies.</p>","PeriodicalId":8269,"journal":{"name":"Annals of Nutrition and Metabolism","volume":" ","pages":"20-33"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12060815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Dietary Phosphate Load on Urinary Supersaturation and Phosphate Metabolism in Non-Stone-Forming Asian Individuals. 膳食磷酸盐负荷对亚洲非结石形成个体尿过饱和和磷酸盐代谢的影响。
IF 3.2 3区 医学
Annals of Nutrition and Metabolism Pub Date : 2025-01-01 Epub Date: 2024-12-11 DOI: 10.1159/000543068
Xuezhu Li, Weichen Zhang, Tao Huang, Yingjie Chen, Jiaolun Li, Feng Ding, Wenji Wang
{"title":"The Effect of Dietary Phosphate Load on Urinary Supersaturation and Phosphate Metabolism in Non-Stone-Forming Asian Individuals.","authors":"Xuezhu Li, Weichen Zhang, Tao Huang, Yingjie Chen, Jiaolun Li, Feng Ding, Wenji Wang","doi":"10.1159/000543068","DOIUrl":"10.1159/000543068","url":null,"abstract":"<p><strong>Introduction: </strong>Phosphate ion is common in the core of urinary stones and may initiate stone formation. However, the precise role of phosphate in the initiation of stone formation remains obscure. We assessed the effects of dietary phosphate load on urinary stone risk and phosphate metabolism.</p><p><strong>Methods: </strong>Ten non-stone-forming healthy volunteers completed this randomized, crossover study. Each subject was provided a high- or low-phosphate diet for 3 days. After a 2-day equilibration period with a moderate-phosphate diet, the participants received a low- or high-phosphate diet for another 3 days. Serum, fecal, and 24-h urine samples were collected at the end of each intervention.</p><p><strong>Results: </strong>High dietary phosphate load increased urinary phosphate excretion, and low dietary phosphate decreased urinary phosphate excretion. In addition, urine pH was lower and supersaturation (SS) index of uric acid (UA) was higher after a high-phosphate diet. There was no significant difference in the SS index for calcium oxalate, brushite and hydroxyapatite, or 24-h urinary citrate between the high and the low dietary phosphate. Also, no significant change was observed in fecal phosphate excretion after a high- or low-phosphate diet. The serum phosphate level increased after a high-phosphate diet, but there was no difference in serum phosphate between low-phosphate and moderate-phosphate diets.</p><p><strong>Conclusion: </strong>High dietary phosphate load led to higher urinary phosphate excretion, a higher SS index of UA, and lower urine pH. Stone formers should be advised to limit the intake of high-phosphate source diet, including high-protein diets and phosphate-based food additives.</p>","PeriodicalId":8269,"journal":{"name":"Annals of Nutrition and Metabolism","volume":" ","pages":"97-104"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142811975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Supplements in Oncology: Uses, Hurdles, Guidance, and Future Perspectives. 肿瘤学补品:用途、障碍、指导和未来展望。
IF 3.2 3区 医学
Annals of Nutrition and Metabolism Pub Date : 2025-01-01 Epub Date: 2025-01-08 DOI: 10.1159/000543257
Luca Scafuri, Carlo Buonerba, Anna Rita Amato, Antonio Verde, Vittorino Montanaro, Vincenzo Marotta, Vittorio Riccio, Federica Fortino, Giuseppe Di Lorenzo
{"title":"Supplements in Oncology: Uses, Hurdles, Guidance, and Future Perspectives.","authors":"Luca Scafuri, Carlo Buonerba, Anna Rita Amato, Antonio Verde, Vittorino Montanaro, Vincenzo Marotta, Vittorio Riccio, Federica Fortino, Giuseppe Di Lorenzo","doi":"10.1159/000543257","DOIUrl":"10.1159/000543257","url":null,"abstract":"","PeriodicalId":8269,"journal":{"name":"Annals of Nutrition and Metabolism","volume":" ","pages":"119-122"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complementary Feeding and Future Health: The Importance of Tailored Evidence-Based Recommendations. 补充喂养与未来健康:有针对性的循证建议的重要性。
IF 3.2 3区 医学
Annals of Nutrition and Metabolism Pub Date : 2025-01-01 Epub Date: 2025-03-20 DOI: 10.1159/000542370
Raanan Shamir
{"title":"Complementary Feeding and Future Health: The Importance of Tailored Evidence-Based Recommendations.","authors":"Raanan Shamir","doi":"10.1159/000542370","DOIUrl":"10.1159/000542370","url":null,"abstract":"","PeriodicalId":8269,"journal":{"name":"Annals of Nutrition and Metabolism","volume":" ","pages":"5-7"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143668893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stored Energy and Recovery: A Key Factor in Post-Stroke Sarcopenia Management. 储存能量与恢复:中风后肌肉疏松症治疗的关键因素
IF 3.2 3区 医学
Annals of Nutrition and Metabolism Pub Date : 2025-01-01 Epub Date: 2024-11-07 DOI: 10.1159/000541795
Fumihiko Nagano, Yoshihiro Yoshimura, Ayaka Matsumoto, Yoichi Sato, Takafumi Abe, Sayuri Shimazu, Ai Shiraishi, Takahiro Bise, Yoshifumi Kido, Takenori Hamada, Kenichiro Maekawa, Kouki Yoneda, Kota Hori
{"title":"Stored Energy and Recovery: A Key Factor in Post-Stroke Sarcopenia Management.","authors":"Fumihiko Nagano, Yoshihiro Yoshimura, Ayaka Matsumoto, Yoichi Sato, Takafumi Abe, Sayuri Shimazu, Ai Shiraishi, Takahiro Bise, Yoshifumi Kido, Takenori Hamada, Kenichiro Maekawa, Kouki Yoneda, Kota Hori","doi":"10.1159/000541795","DOIUrl":"10.1159/000541795","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to determine the effects of Stored Energy on changes in body weight (BW) and skeletal muscle mass (SMM) in patients with post-acute stroke and sarcopenia.</p><p><strong>Methods: </strong>This retrospective cohort study included patients with stroke and sarcopenia consecutively admitted to a Japanese rehabilitation hospital between 2015 and 2022. Sarcopenia was diagnosed based on the Asian Working Group for Sarcopenia in 2019 criteria. Total Stored Energy (kcal) was defined as total energy intake minus total energy requirements during hospitalization, and energy requirements were estimated as actual BW (kg) × 30 (kcal/day). Multiple regression analysis was used to adjust for the effects of confounders and to analyze the association between Total Stored Energy divided by length of hospital stay (= Stored Energy) and changes in BW and SMM during hospitalization.</p><p><strong>Results: </strong>Of the total 556 patients, 193 patients (mean age, 80 years; 43% male) were analyzed. The median (IQR) Total Stored Energy was -1,544 (-18,524, 16,566) kcal and Stored Energy was -23 (-169, 165) kcal/day; 90 patients had Stored Energy >0. Multiple linear regression analysis showed that Stored Energy was independently and positively associated with BW gain (β = 0.412, p < 0.001) and SMM gain (β = 0.263, p < 0.001).</p><p><strong>Conclusion: </strong>Stored Energy has a positive impact on BW and SMM in patients with post-acute stroke and sarcopenia.</p>","PeriodicalId":8269,"journal":{"name":"Annals of Nutrition and Metabolism","volume":" ","pages":"88-96"},"PeriodicalIF":3.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142602893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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