Nutricion hospitalaria最新文献

Introduction:

Introduction: Background and aims: there is a need for a kidney-specific nutritional screening tool for patients with renal failure. It was planned to perform the validity and reliability of the Renal Inpatient Nutrition Screening Tool screening tool developed for renal patients in Turkey. Methods: the validity and reliability of the Renal Inpatient Nutrition Screening Tool were investigated by comparing it with the Malnutrition Universal Screening Tool and the Subjective Global Assessment for assessing malnutrition in 153 adult patients newly admitted to the nephrology unit. Nutritional status was assessed using anthropometric measurements and nurse opinion was assessed using a questionnaire. Results: the Renal Inpatient Nutrition Screening Tool was found to be more sensitive than the Malnutrition Universal Screening Tool in identifying increased malnutrition risks and providing dietary guidance. Cramer V coefficient was 0.238 between the Malnutrition Universal Screening Tool and the Renal Inpatient Nutrition Screening Tool, and 0.137 between the Subjective Global Assessment and the Renal Inpatient Nutrition Screening Tool, indicating the compatibility of the Renal Inpatient Nutrition Screening Tool with the variables in the Malnutrition Universal Screening Tool screening tool. A significant positive moderate correlation was observed between the total number of red boxes in the Renal Inpatient Nutrition Screening Tool and the total score of Malnutrition Universal Screening Tool (p < 0.05; r = 0.404). Conclusions: the Renal Inpatient Nutrition Screening Tool is a valid and reliable tool for assessing malnutrition risks in renal patients in Turkey, particularly when used by experienced specialist nurses in nephrology units.

Introduction: Introduction: advanced glycation end-products contribute to oxidative stress and inflammation, which are linked to chronic diseases like cardiovascular disease and type-2 diabetes. Objectives: the aim of this study is to explore the relationship between adherence to the Mediterranean diet and cardiovascular risk, focusing on the influence of advanced glycation end-products assessed through skin autofluorescence analysis. Methods: anthropometric measurements including waist circumference, hip circumference, height, and body weight were recorded for 200 healthy individuals. Body mass index, waist-to-hip ratio, and waist-to-height ratio were calculated based on these measurements. Levels of advanced glycation end-products were assessed using the AGE Reader, while adherence to the Mediterranean diet was evaluated using the Mediterranean Diet Adherence Scale. Results: a significant negative correlation was found between high adherence to the Mediterranean diet and levels of advanced glycation end-products (p < 0.05). Conversely, advanced glycation end-product levels showed significant positive correlations with age, body weight, body mass index, waist circumference, hip circumference, and waist-to-height ratio (p < 0.05). Conclusion: this study demonstrates that individuals who adhere closely to the Mediterranean diet exhibit lower levels of advanced glycation end-products, which are established risk factors for cardiovascular disease.

Introduction: Objective: this study aimed to explore the association between the Alternative Healthy Eating Index (AHEI) and both osteoporosis and muscle mass among U.S. adults aged 50 years and older, using data from the National Health and Nutrition Examination Survey (NHANES). Methods: data from 9,466 participants were analyzed to examine the association between AHEI and osteoporosis, defined as a bone mineral density (BMD) T-score ≤ -2.5. Another 2,233 participants were included to evaluate the association between AHEI and muscle mass, measured by appendicular lean mass index (ALMI). Weighted multivariable logistic and linear regression analyses, restricted cubic spline (RCS) models, and subgroup analyses were conducted to investigate the relationships of AHEI with both outcomes. Results: compared with the lowest AHEI tertile (Q1), the highest tertile (Q3) was significantly associated with both a lower prevalence of osteoporosis (OR  =  0.55, 95 % CI: 0.38-0.80; p  =  0.002) and a reduced ALMI (β = -0.18, 95 % CI: -0.34 to -0.01; p = 0.039). The RCS analysis observed no significant nonlinear association, and subgroup analyses showed consistency across different population groups. Conclusion: a higher AHEI is significantly associated with a lower prevalence of osteoporosis and a lower ALMI among middle-aged and older U.S. adults, underscoring the necessity of developing more precise and personalized dietary interventions aimed at delaying age-related decline in both skeletal and muscular systems.

Introduction: Introduction: type 1 diabetes (T1D) is a chronic disease whose proper nutritional and physical management can help prevent and manage complications. Objective: to assess the knowledge, influence, and behavior regarding eating habits and physical activity in children and adolescents with T1D, in relation to international guidelines, in order to identify areas for improvement. Methods: an electronic questionnaire was administered to 177 individuals aged 3 to 20 years during September and October 2023. The survey collected information on knowledge, influences, and behaviors related to diet and physical activity. Results: a total of 43.0 % consume vegetables daily, while 6.0 % never do. About 48.3 % eat fruits two or more times per day. A 6.0 % do not know how to count carbohydrates, and 15.0 % do not do so for every meal. To treat hypoglycemia, 62.0 % use juice or soft drinks, and 10.0 % rely on whatever food is available. Over 75.0 % reported modifying their dietary habits after diagnosis. Regarding physical activity, 51.0 % maintained their previous activity levels, and 22.0 % increased them. Identified barriers included a lack of knowledge about T1D and how to exercise properly. Conclusion: the results highlight the need for educational interventions targeting patients, families, and healthcare professionals to promote adherence to nutritional and physical activity recommendations, thereby improving disease control and preventing complications.

Introduction: Background and objective: polypharmacy is prevalent among patients undergoing hemodialysis (HD). This study aimed to determine the prevalence of polypharmacy and to define drug consumption according to pharmacotherapeutic classification, as well as to assess its association with clinical and nutritional outcomes in HD patients. Patients and methods: a cross-sectional, retrospective study in 96 prevalent patients on HD over a two-year period. Sociodemographic, clinical, nutritional, and laboratory data, as well as drug consumption, were collected. Polypharmacy was defined as the use of ≥ 4 drugs/day. Protein-energy wasting syndrome (PEW) was assessed using the malnutrition-inflammation score (MIS ≥ 5), and comorbidity was evaluated with the Charlson Comorbidity Index (CCI). Results: the prevalence of polypharmacy was 60.4 % (n = 58). Patients with polypharmacy had a higher body mass index and transferrin saturation but lower serum creatinine and HDL-cholesterol levels compared to those with low drug consumption (p < 0.05). Additionally, patients with polypharmacy had higher PEW and CCI score (> 3 points). Overall, the most used medications were intravenous iron-sucrose (90.6 %), erythropoiesis-stimulating agents (65.6 %), antihypertensives (58.0 %), and vitamin D (43.7 %). PEW was present in 34.8 % of patients, with a higher prevalence in the polypharmacy group (21.7 %). Conclusions: polypharmacy is highly prevalent among older adults on HD and is associated with higher comorbidity and nutritional risk. These findings highlight the need for a comprehensive and interdisciplinary approach to optimize the rational use of medications and improve the management of pluripathological patients undergoing HD.

Introduction: Objective: this study aimed to explore the preoperative and intraoperative factors that influence the complete recovery of gastrointestinal function after liver transplantation and provide a reference for early enteral nutrition care assessment, care and intervention. Methods: a retrospective analysis of 254 patients with first-time liver transplants (January 2022 to March 2023) was conducted. Patients were categorised into two groups based on the duration of gastrointestinal function recovery: ≤ 7 days and > 7 days. Clinical parameters were compared, and multi-factor logistic regression was used to analyse influencing factors. Results: the increase in the model for end-stage liver disease score, ascites volume, intraoperative bleeding and hepatic portal blockage time were preoperative and intraoperative risk factors for the delayed recovery of gastrointestinal function after liver transplantation. Conclusion: if preoperative liver function is improved sufficiently, intraoperative bleeding minimised and haemodynamic stability maintained, the occurrence of delayed recovery in gastrointestinal function early after liver transplantation may be effectively reduced.

Introduction: Introduction and objective: the prevalence of diet-related health alterations is constantly increasing, while the majority of dietary guidelines are focused on food and dietary patterns, without considering sociocultural and sustainability aspects. The objective of the current article was to define a novel integrative dietary guideline, including concepts that have not been considered previously. Methodology: the Delphi method was used with a panel of 11 expert dietitian-nutritionists selected by the Spanish Society of Nutrition (SEÑ), evaluated based on their academic background, scientific experience, and outreach activities. The work was structured into successive phases of development, collaborative review, and content consensus between 2021 and 2023. Results: the "House of Healthy Habits-SEÑ" is presented as an informative tool regarding diet-related healthy lifestyles that complements the dietary guidelines already existing in Spain. This tool provides the necessary information, in a simple and grouped manner, to help the adult general population gain knowledge regarding healthy dietary habits from a holistic point of view. Conclusions: the "House of Healthy Habits-SEÑ" is a guide that encompasses aspects related to diet and lifestyle, and is a very suitable tool to be used by different population groups for the prevention and/or treatment of diet-related metabolic disturbances.

Introduction: Introduction: pellagra is a disease caused by a deficiency of niacin (vitamin B3) or tryptophan, its precursor. Case report: we present the case of a 67-year-old Costa Rican male patient, alcoholic and homeless, with chronic ulcers on the lower limbs, photosensitive dermatitis, gait disturbance, mild cognitive impairment, and dysthymia. A diagnosis of pellagra was made based on clinical findings, which was later confirmed by a positive response to vitamin supplementation. Discussion: a review of pellagra, a condition that is increasingly underdiagnosed, was conducted; in this case, it presented with 2 of the 3 classic manifestations described in the literature.

Introduction: Background: breast cancer patients present a high prevalence of other chronic diseases and metabolic alterations, including overweight at diagnosis of cancer. This risk also increases after oncology treatment and is a current concern for Latin American countries. Currently, the use of different criteria to identify cardiometabolic risk has been widely applied, considering anthropometric, biochemical and clinical parameters. Additionally, the development of validated screening tools, such as the FINDRISC and LA-FINDRISC, has been considered useful for clinicians to assess metabolic risk in different populations. Objective: the present study aims to evaluate the effectiveness of the FINDRISC and LA-FINDRISC questionnaires to identify cardiometabolic risk in young women with breast cancer. Material and methods: a total of 52 participants were included. Results: a sensitivity of 83 % and specificity of 89 % were found for FINDRISC, and a sensitivity of 91 % and specificity of 74 % for LA-FINDRISC to detect alterations in glucose metabolism. Conclusions: both questionnaires showed lower sensitivity than the international standard criteria for metabolic syndrome, which consider biochemical parameters to assess metabolic alterations. However, these tools and anthropometric measures are useful and easy to apply for clinicians to identify, prevent and treat potential comorbidities associated to cardiometabolic risk in young women with breast cancer.