Background: Enteral feeding (EF) is the delivery of liquid nutritional support through a tube for hospitalized patients with gastrointestinal dysfunction who are incapable of eating or unable to meet their nutritional requirements via the oral route. Hospitals’ reports indicate an increased interest and demand for blenderized tube feeding (BTF) as an alternative to commercial enteral formulas particularly in families of tube fed children. In particular, by increasing food sensitivity and more complex identification in children, BTF allows families to adjust their diet to their children's needs. This systematic review aimed to summarize the published evidence regarding BTF in pediatric patients. Methods: Literature search was conducted in four databases, including Scopus, PubMed, Science Direct, and Google Scholar, using multiple keywords, such as blenderized tube feeding, blended formula, homemade enteral nutrition, pediatric, and children. Out of 103 retrieved articles, 6 were selected and reviewed. Results: Six articles were eligible to be included in the current review. The results showed that calories were approximately 1kcal/g, protein 13 -22%, fat 30 - 34%, and carbohydrates intake 45-55% of total energy intake. Conclusions: The results indicated that BTF is acceptable and can be administered to children; however, due to concerns about calorie and macronutrients deficiency, it should be providing under the supervision of a nutritionist. BTFs are a good choice among children; since they can improve gastrointestinal symptoms and are a good option for families who use EF for their children at home. Most pediatric patients use BTFs as a portion of their EF, making it necessary that nutritionists and physicians expand their knowledge about BTFs to appropriately care for these pediatric patients.
{"title":"Blenderized Tube Feeding in Pediatric Patients: A Systematic review","authors":"Behnam Bahramian, S. Talebi, M. Rezaie","doi":"10.18502/ccb.v2i2.7396","DOIUrl":"https://doi.org/10.18502/ccb.v2i2.7396","url":null,"abstract":"Background: Enteral feeding (EF) is the delivery of liquid nutritional support through a tube for hospitalized patients with gastrointestinal dysfunction who are incapable of eating or unable to meet their nutritional requirements via the oral route. Hospitals’ reports indicate an increased interest and demand for blenderized tube feeding (BTF) as an alternative to commercial enteral formulas particularly in families of tube fed children. In particular, by increasing food sensitivity and more complex identification in children, BTF allows families to adjust their diet to their children's needs. This systematic review aimed to summarize the published evidence regarding BTF in pediatric patients. \u0000Methods: Literature search was conducted in four databases, including Scopus, PubMed, Science Direct, and Google Scholar, using multiple keywords, such as blenderized tube feeding, blended formula, homemade enteral nutrition, pediatric, and children. Out of 103 retrieved articles, 6 were selected and reviewed. \u0000Results: Six articles were eligible to be included in the current review. The results showed that calories were approximately 1kcal/g, protein 13 -22%, fat 30 - 34%, and carbohydrates intake 45-55% of total energy intake. \u0000Conclusions: The results indicated that BTF is acceptable and can be administered to children; however, due to concerns about calorie and macronutrients deficiency, it should be providing under the supervision of a nutritionist. BTFs are a good choice among children; since they can improve gastrointestinal symptoms and are a good option for families who use EF for their children at home. Most pediatric patients use BTFs as a portion of their EF, making it necessary that nutritionists and physicians expand their knowledge about BTFs to appropriately care for these pediatric patients.","PeriodicalId":138934,"journal":{"name":"Critical Comments in Biomedicine","volume":"507 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116195463","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}
Zohreh Shoyukhi, Arezoo Dehghani Mahmoodabadi, H. Dehghan
Background: Chronic obstructive pulmonary disease (COPD) is considered the fourth main cause of mortality worldwide, affecting 10% of adults aged up to 40 years. Due to the growing elderly population and smoking, the global burden of COPD is expected to increase in the general population. Telemedicine may help patients with COPD to decrease exacerbation episodes and the associated costs. Moreover, Telehomecare (THC) may be considered as an alternative to cut down hospitalization costs and increase the patients’ comfort. Objectives: This study explains the methodology of a systematic review and meta-analysis designed to evaluate the impact of THC interventions on the control and management of COPD and its complications. Methods: To review all published studies comparing THC interventions in controlling COPD and its complications, all studies published in PubMed, Google Scholar, Scopus, ISI Web of Science, Cochrane databases, HTA EED, DARE, Embase, SID, Magiran will be searched until the end of 2021. Randomized controlled trials (RCTs), cluster RCTs, controlled clinical trials comparing telehealth with standard monitoring of COPD patients were included. Independent reviewers will review the abstracts and full-texts of all relevant studies for eligibility, risk of bias, and data extraction using structured forms. The meta-analysis will be performed for adequately homogenous studies regarding their populations, interventions, and objectives. Conclusion: The results of this systematic review and meta-analysis will provide useful information on the impacts of THC on COPD control. The evidence provided by this systematic review can be helpful for clinical specialists, public health policymakers, and the general population.
背景:慢性阻塞性肺疾病(COPD)被认为是全球第四大死亡原因，影响10%的40岁以下成年人。由于老年人口和吸烟人数的增加，全球慢性阻塞性肺病负担预计将在普通人群中增加。远程医疗可以帮助慢性阻塞性肺病患者减少急性发作和相关费用。此外，远程家庭护理(THC)可以考虑作为一种替代方案，以减少住院费用和增加患者的舒适度。目的:本研究解释了一项系统综述和荟萃分析的方法，旨在评估四氢大麻酚干预对慢性阻塞性肺病及其并发症的控制和管理的影响。方法:检索PubMed、Google Scholar、Scopus、ISI Web of Science、Cochrane、HTA EED、DARE、Embase、SID、Magiran等数据库中发表的所有比较THC干预控制COPD及其并发症的已发表研究，检索时间截止到2021年底。包括随机对照试验(rct)、集群rct、对照临床试验，比较远程医疗与COPD患者的标准监测。独立审稿人将审查所有相关研究的摘要和全文的资格、偏倚风险和使用结构化表格的数据提取。荟萃分析将针对其人群、干预措施和目标进行充分的同质研究。结论:本系统综述和荟萃分析的结果将为四氢大麻酚对COPD控制的影响提供有用的信息。本系统综述提供的证据对临床专家、公共卫生政策制定者和一般人群都有帮助。
{"title":"Comparison of Telehomecare Interventions in Controlling Chronic Obstructive Pulmonary Disease (COPD): Protocol for a Systematic Review and Meta-analysis","authors":"Zohreh Shoyukhi, Arezoo Dehghani Mahmoodabadi, H. Dehghan","doi":"10.18502/ccb.v2i2.7395","DOIUrl":"https://doi.org/10.18502/ccb.v2i2.7395","url":null,"abstract":"Background: Chronic obstructive pulmonary disease (COPD) is considered the fourth main cause of mortality worldwide, affecting 10% of adults aged up to 40 years. Due to the growing elderly population and smoking, the global burden of COPD is expected to increase in the general population. Telemedicine may help patients with COPD to decrease exacerbation episodes and the associated costs. Moreover, Telehomecare (THC) may be considered as an alternative to cut down hospitalization costs and increase the patients’ comfort. \u0000Objectives: This study explains the methodology of a systematic review and meta-analysis designed to evaluate the impact of THC interventions on the control and management of COPD and its complications. \u0000Methods: To review all published studies comparing THC interventions in controlling COPD and its complications, all studies published in PubMed, Google Scholar, Scopus, ISI Web of Science, Cochrane databases, HTA EED, DARE, Embase, SID, Magiran will be searched until the end of 2021. Randomized controlled trials (RCTs), cluster RCTs, controlled clinical trials comparing telehealth with standard monitoring of COPD patients were included. Independent reviewers will review the abstracts and full-texts of all relevant studies for eligibility, risk of bias, and data extraction using structured forms. The meta-analysis will be performed for adequately homogenous studies regarding their populations, interventions, and objectives. \u0000Conclusion: The results of this systematic review and meta-analysis will provide useful information on the impacts of THC on COPD control. The evidence provided by this systematic review can be helpful for clinical specialists, public health policymakers, and the general population.","PeriodicalId":138934,"journal":{"name":"Critical Comments in Biomedicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121650906","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}
Background: Sampling methods are one of the main components of each research. Familiarity with a variety of sampling methods is essential for researchers. Objective: The main purpose of this study was to teach different probabilistic and non-probabilistic sampling methods to improve the knowledge of researchers in conducting more accurate research. Methods: In this tutorial article, useful information about each sampling method, as well as how to properly use each method and its strengths and weaknesses are provided. Results: Five cases of probabilistic sampling methods and four cases of non-probabilistic sampling methods that are common are mentioned. Probabilistic sampling included simple random sampling, stratified random sampling, cluster sampling, systematic random sampling, and multi-stage random sampling. In addition to introducing each method, its strengths and weaknesses are also mentioned. Conclusion: Probabilistic sampling methods despite limiting assumptions provide more reliable results. Therefore, if it is possible, researchers should use probabilistic sampling methods to increase the accuracy of the study.
{"title":"A beginner's Guide to Sampling Methods in Medical Research","authors":"Moslem Basti, F. Madadizadeh","doi":"10.18502/ccb.v2i2.7397","DOIUrl":"https://doi.org/10.18502/ccb.v2i2.7397","url":null,"abstract":"Background: Sampling methods are one of the main components of each research. Familiarity with a variety of sampling methods is essential for researchers. \u0000Objective: The main purpose of this study was to teach different probabilistic and non-probabilistic sampling methods to improve the knowledge of researchers in conducting more accurate research. \u0000Methods: In this tutorial article, useful information about each sampling method, as well as how to properly use each method and its strengths and weaknesses are provided. \u0000Results: Five cases of probabilistic sampling methods and four cases of non-probabilistic sampling methods that are common are mentioned. Probabilistic sampling included simple random sampling, stratified random sampling, cluster sampling, systematic random sampling, and multi-stage random sampling. In addition to introducing each method, its strengths and weaknesses are also mentioned. \u0000Conclusion: Probabilistic sampling methods despite limiting assumptions provide more reliable results. Therefore, if it is possible, researchers should use probabilistic sampling methods to increase the accuracy of the study.","PeriodicalId":138934,"journal":{"name":"Critical Comments in Biomedicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127028306","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":"Soybean Products Consumption in Chronic Kidney Disease: Cons and Pros","authors":"A. Amirinejad, E. Yuzbashian","doi":"10.18502/ccb.v2i2.7401","DOIUrl":"https://doi.org/10.18502/ccb.v2i2.7401","url":null,"abstract":"The article's abstract is not available. ","PeriodicalId":138934,"journal":{"name":"Critical Comments in Biomedicine","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126678069","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}
Shahab-Aldin Akbarian, M. Mohammadi, S. Beigrezaei
Background: It is suggested that palm oil consumption might increase chronic diseases including cardiovascular disease. Previous studies that investigated the effect of palm oil intake on anthropometric measures, blood glucose control, inflammation, and oxidative stress markers have led to inconsistent results. This is while no systematic review and meta-analysis has been performed to summarize the data in this regard. Objectives: The present study describes a protocol for a range of systematic reviews and meta-analyses to examine the effect of palm oil intake on body weight and fat, inflammatory markers, oxidative stress, liver enzymes, blood pressure, and blood glucose control indices. Methods: ISI web of science, EMBASE, MEDLINE, Scopus, and Google Scholar will be searched using medical subject heading (MeSH) and non-MeSH keywords. Controlled clinical trials will be selected based on predefined eligibility criteria. The intra-study risk of bias will be checked by using the Cochrane collaboration tool. Mean difference (MD) (the difference between mean change values in the intervention group/period and control group/period) and its corresponding standard deviation will be calculated to be used as effect size. A random-effects meta-analysis will be performed to pool the results. Subgroup analysis and meta-regression will be conducted to explore the possible sources of heterogeneity. Sensitivity analysis will be conducted by removing the studies one-by-one from the overall analyses. Publication bias will be assessed by inspecting funnel plots and asymmetry tests. Conclusion: The results of systematic reviews and meta-analyses might provide helpful data about the effects of palm oil consumption on different aspects of health among adults. The evidence provided by the results of systematic reviews can be useful for dietitians, clinicians, public health policy-makers, and the public.
背景:棕榈油消费可能会增加慢性疾病，包括心血管疾病。之前的研究调查了棕榈油摄入对人体测量、血糖控制、炎症和氧化应激指标的影响，结果并不一致。目前还没有进行系统回顾和荟萃分析来总结这方面的数据。目的:本研究描述了一系列系统综述和荟萃分析的方案，以检查棕榈油摄入对体重和脂肪、炎症标志物、氧化应激、肝酶、血压和血糖控制指标的影响。方法:使用医学主题词(MeSH)和非MeSH关键词对ISI web of science、EMBASE、MEDLINE、Scopus和谷歌Scholar进行检索。对照临床试验将根据预先确定的资格标准进行选择。研究内偏倚风险将通过Cochrane协作工具进行检查。计算平均差异(MD)(干预组/周期与对照组/周期的平均变化值之差)及其相应的标准差作为效应量。将进行随机效应荟萃分析以汇总结果。我们将进行亚组分析和元回归来探讨异质性的可能来源。敏感性分析将通过从总体分析中逐一删除研究来进行。发表偏倚将通过检查漏斗图和不对称检验来评估。结论:系统评价和荟萃分析的结果可能为棕榈油消费对成年人健康不同方面的影响提供有用的数据。系统评价结果提供的证据对营养师、临床医生、公共卫生决策者和公众都很有用。
{"title":"The Effect of Palm Oil on Health Outcomes: A Protocol for Systematic Reviews and Meta-analyses of Controlled Clinical Trials","authors":"Shahab-Aldin Akbarian, M. Mohammadi, S. Beigrezaei","doi":"10.18502/CCB.V1I2.4158","DOIUrl":"https://doi.org/10.18502/CCB.V1I2.4158","url":null,"abstract":"Background: It is suggested that palm oil consumption might increase chronic diseases including cardiovascular disease. Previous studies that investigated the effect of palm oil intake on anthropometric measures, blood glucose control, inflammation, and oxidative stress markers have led to inconsistent results. This is while no systematic review and meta-analysis has been performed to summarize the data in this regard. \u0000Objectives: The present study describes a protocol for a range of systematic reviews and meta-analyses to examine the effect of palm oil intake on body weight and fat, inflammatory markers, oxidative stress, liver enzymes, blood pressure, and blood glucose control indices. \u0000Methods: ISI web of science, EMBASE, MEDLINE, Scopus, and Google Scholar will be searched using medical subject heading (MeSH) and non-MeSH keywords. Controlled clinical trials will be selected based on predefined eligibility criteria. The intra-study risk of bias will be checked by using the Cochrane collaboration tool. Mean difference (MD) (the difference between mean change values in the intervention group/period and control group/period) and its corresponding standard deviation will be calculated to be used as effect size. A random-effects meta-analysis will be performed to pool the results. Subgroup analysis and meta-regression will be conducted to explore the possible sources of heterogeneity. Sensitivity analysis will be conducted by removing the studies one-by-one from the overall analyses. Publication bias will be assessed by inspecting funnel plots and asymmetry tests. \u0000Conclusion: The results of systematic reviews and meta-analyses might provide helpful data about the effects of palm oil consumption on different aspects of health among adults. The evidence provided by the results of systematic reviews can be useful for dietitians, clinicians, public health policy-makers, and the public.","PeriodicalId":138934,"journal":{"name":"Critical Comments in Biomedicine","volume":"28 11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131806321","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}
This article is a Letter to Editor and does not include an Abstract.
这篇文章是一封给编辑的信，不包括摘要。
{"title":"Vitamin D, Immunity and COVID-19 in Malaysia","authors":"Jan Mohamed, H. Jan.","doi":"10.18502/CCB.V1I2.4283","DOIUrl":"https://doi.org/10.18502/CCB.V1I2.4283","url":null,"abstract":"This article is a Letter to Editor and does not include an Abstract.","PeriodicalId":138934,"journal":{"name":"Critical Comments in Biomedicine","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122130609","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}
Background: One of the most common causes of mortality in critical patients admitted to the intensive care unit (ICU) is sepsis. In recent years, the administration of high doses of vitamin C and HAT (hydrocortisone, ascorbic acid and thiamine) therapy has attracted much attention in patients with sepsis. Objectives: The current article reviews the beneficial effects of HAT therapy in light of research conducted in this area. Methods: A general search for electronic databases was developed. The human studies of the influence of HAT therapy in critically ill patients were evaluated. Results: The results indicated that HAT therapy may improve clinical outcome in septic patients; however, widespread use of these therapeutic approaches in sepsis requires large clinical trials in order to more confidently recommend this therapeutic approach in septic patients admitted to intensive care units. Conclusions: HAT therapy may improve clinical outcome in septic critically ill patients.
{"title":"Is Vitamin C or HAT Therapy Effective in Treating Sepsis? A Mini Review","authors":"Kiumarth Amini, A. Sahebnasagh, M. Mojtahedzadeh","doi":"10.18502/ccb.v1i2.2893","DOIUrl":"https://doi.org/10.18502/ccb.v1i2.2893","url":null,"abstract":"Background: One of the most common causes of mortality in critical patients admitted to the intensive care unit (ICU) is sepsis. In recent years, the administration of high doses of vitamin C and HAT (hydrocortisone, ascorbic acid and thiamine) therapy has attracted much attention in patients with sepsis. \u0000Objectives: The current article reviews the beneficial effects of HAT therapy in light of research conducted in this area. Methods: A general search for electronic databases was developed. The human studies of the influence of HAT therapy in critically ill patients were evaluated. \u0000Results: The results indicated that HAT therapy may improve clinical outcome in septic patients; however, widespread use of these therapeutic approaches in sepsis requires large clinical trials in order to more confidently recommend this therapeutic approach in septic patients admitted to intensive care units. \u0000Conclusions: HAT therapy may improve clinical outcome in septic critically ill patients.","PeriodicalId":138934,"journal":{"name":"Critical Comments in Biomedicine","volume":"253 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122461767","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}
This article is a Letter to the Editor and does not include an Abstract.
这篇文章是一封给编辑的信，不包括摘要。
{"title":"Internet-Delivered Cognitive Behavioral Therapy for Major Depression and Anxiety Disorders","authors":"E. Hoseini, Forouzan Zare","doi":"10.18502/ccb.v1i2.2892","DOIUrl":"https://doi.org/10.18502/ccb.v1i2.2892","url":null,"abstract":"This article is a Letter to the Editor and does not include an Abstract.","PeriodicalId":138934,"journal":{"name":"Critical Comments in Biomedicine","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124360351","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}
This article is an Editorial and does not include an Abstract.
这篇文章是社论，不包括摘要。
{"title":"Editorial Letter","authors":"Amin Salehi-Abargouei","doi":"10.18502/ccb.v1i1.2867","DOIUrl":"https://doi.org/10.18502/ccb.v1i1.2867","url":null,"abstract":"This article is an Editorial and does not include an Abstract.","PeriodicalId":138934,"journal":{"name":"Critical Comments in Biomedicine","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132386120","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}
Background: Researchers should seek applicable solutions and appropriate opportunities to solve or ravage barriers and limitations that worsen diabetes self-management and outcomes. Objectives: The aim of this critical review and research synthesis was to explore whether the enhancement of nutritional literacy can optimize diabetes self-management and to identify barriers and limitations that obstacle diabetes self-management and to suggest the best available solutions and opportunities that were tailored to eliminate these barriers. Methods: Data sources were PubMed and Medline databases. Studies were authorized if they were in English, used an observational or interventional design and were tailored based on the individual's nutritional knowledge or literacy in diabetes management among patients with diabetes. Databases were searched from February 1988 to December 2018. In order to evaluate the studies' quality, the abstracts that met PICO criteria for qualitative studies underwent dual review for data extraction. A qualitative synthesis was also conducted and the GRADE criteria were used to evaluate the quality of studies. Results: A structured inventory consisted of six constructs (socioeconomic determinants, cultural determinants, education, access to health care services, family structure, and thoughts and personal practices) was designed based on the barriers and limitations. As a result, 151 solutions and opportunities were proposed. Most repeated solutions that were frequently suggested to eliminate the existing barriers, were: “The access to optimal nutrition and health literacy”, “Improved health care services”, “Health policies of governments”, “Sustainable lifestyle-based healthcare system”, “Proper implementation of nutritional intervention programs”, and “Comprehensive culturally sensitive diabetes education, and care programs”. Conclusion: Identification and classification barriers and limitations to obstacle diabetes self-management are critical advances in accomplishing the interventions that can improve optimal diabetes outcomes, for different diabetic societies. Well-designed nutrition literacy intervention programs and preventive procedures may ameliorate the health status in diabetic population.
{"title":"Barriers and Limitations to Obstacle Diabetes Self-Management with a Focus on Nutritional Literacy: Solutions and Opportunities. Critical Review and Research Synthesis","authors":"M. Mahmoodi, N. Khanjani","doi":"10.18502/ccb.v1i1.2870","DOIUrl":"https://doi.org/10.18502/ccb.v1i1.2870","url":null,"abstract":"Background: Researchers should seek applicable solutions and appropriate opportunities to solve or ravage barriers and limitations that worsen diabetes self-management and outcomes. \u0000Objectives: The aim of this critical review and research synthesis was to explore whether the enhancement of nutritional literacy can optimize diabetes self-management and to identify barriers and limitations that obstacle diabetes self-management and to suggest the best available solutions and opportunities that were tailored to eliminate these barriers. \u0000Methods: Data sources were PubMed and Medline databases. Studies were authorized if they were in English, used an observational or interventional design and were tailored based on the individual's nutritional knowledge or literacy in diabetes management among patients with diabetes. Databases were searched from February 1988 to December 2018. In order to evaluate the studies' quality, the abstracts that met PICO criteria for qualitative studies underwent dual review for data extraction. A qualitative synthesis was also conducted and the GRADE criteria were used to evaluate the quality of studies. \u0000Results: A structured inventory consisted of six constructs (socioeconomic determinants, cultural determinants, education, access to health care services, family structure, and thoughts and personal practices) was designed based on the barriers and limitations. As a result, 151 solutions and opportunities were proposed. Most repeated solutions that were frequently suggested to eliminate the existing barriers, were: “The access to optimal nutrition and health literacy”, “Improved health care services”, “Health policies of governments”, “Sustainable lifestyle-based healthcare system”, “Proper implementation of nutritional intervention programs”, and “Comprehensive culturally sensitive diabetes education, and care programs”. \u0000Conclusion: Identification and classification barriers and limitations to obstacle diabetes self-management are critical advances in accomplishing the interventions that can improve optimal diabetes outcomes, for different diabetic societies. Well-designed nutrition literacy intervention programs and preventive procedures may ameliorate the health status in diabetic population.","PeriodicalId":138934,"journal":{"name":"Critical Comments in Biomedicine","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117215320","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}
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