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Advancements in the application of semi-solidified feeding in enteral nutrition for critically-ill patients: a comprehensive review. 半固化喂养在危重病人肠内营养中的应用进展综述
IF 2.5 4区 医学 Q3 BUSINESS Pub Date : 2024-12-13 DOI: 10.20960/nh.05399
Qi Liu, Yi Zheng, Kunpeng Wang, Jihong Zhong, Xiao Yu

Enteral nutrition represents the primary modality of nutritional support for critically ill patients. However, challenges such as gastroesophageal reflux, diarrhea, and abdominal distension often manifest during its administration. Enteral nutrition semi-solidified feeding has emerged as a promising alternative, demonstrating notable efficacy. This study systematically explores the literature on semi-solidified enteral nutrition, discussing its conceptual framework, classifications, relative merits, and drawbacks compared to traditional enteral nutrition. Additionally, it illustrates clinical application and associated complications, offering valuable insights for the implementation of semi-solidified enteral nutrition in critically ill patients.

肠内营养是危重病人营养支持的主要方式。然而,挑战,如胃食管反流,腹泻,腹胀往往表现在其施用期间。肠内营养半固化喂养已成为一种有希望的替代方法,显示出显着的疗效。本研究系统地梳理了半固化肠内营养的相关文献,讨论了半固化肠内营养的概念框架、分类、相对优点以及与传统肠内营养相比的不足。此外,它还说明了临床应用和相关并发症,为在危重患者中实施半固化肠内营养提供了有价值的见解。
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引用次数: 0
Foods fortified with vitamin D. Mith or reality? 富含维生素D.史密斯的食物还是现实?
IF 2.5 4区 医学 Q3 BUSINESS Pub Date : 2024-12-13 DOI: 10.20960/nh.05580
Teodoro Durá-Travé
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引用次数: 0
Assessment of mindfulness in addressing emotional eating and perceived stress among children aged 9-11 years. 9-11岁儿童情绪性进食和感知压力的正念评估。
IF 2.5 4区 医学 Q3 BUSINESS Pub Date : 2024-12-13 DOI: 10.20960/nh.05222
Hilal Doğan Güney, Pınar Göbel

Introduction: there is a paucity of studies in the literature examining the relationship between children, mindfulness and diet. In this context, this study was designed to assess emotional eating and perceived stressful situations with mindfulness in children.

Methods: this study was conducted with the participation of 349 children (128 boys, 221 girls) aged 9-11 living in the Karabük province. The study collected data on the participants' sociodemographic information, anthropometric measurements, number of main meals and snacks consumed per day, meal-skipping status, reasons for skipping meals, dietary motivations, and their scores on the Mindfulness Scale for Children (BAU-MSC), the Emotional Eating Scale for Children and Adolescents (EES-C), and the Perceived Stress Scale in Children (8-11 years) (PSS-C).

Results: 58.17 % of the participants had 2 main meals, 30.2 % had 3 or more main meals; 37.5 % consumed 1 snack, 31.5 % consumed 2 snacks. A positive, weakly statistically significant relationship was detected between age and body weight and height. A positive, weakly statistically significant relationship was detected between age and EES-C, anxiety-anger-disappointment subscales and PSS-C scores (r = 0.161; r = 0.178; r = 0.250; p = 0.003; p = 0.001; p = 0.000).

Conclusion: future studies with larger samples are needed to better understand the relationship between mindfulness and emotional eating and perceived stress situations in children.

引言:文献中关于儿童、正念和饮食之间关系的研究很少。在此背景下,本研究旨在评估儿童的情绪进食和正念感知压力情况。方法:本研究在karab k省349名9-11岁儿童(128名男孩,221名女孩)的参与下进行。研究收集了参与者的社会人口学信息、人体测量数据、每天消耗的主餐和零食数量、不吃饭状况、不吃饭的原因、饮食动机以及他们在儿童正念量表(BAU-MSC)、儿童和青少年情绪饮食量表(EES-C)和儿童感知压力量表(PSS-C)中的得分。结果:58.17%的参与者有2顿主餐,30.2%的参与者有3顿及以上的主餐;37.5%的人吃一种零食,31.5%的人吃两种零食。年龄与体重和身高之间存在微弱的统计学显著正相关。年龄与EES-C、焦虑-愤怒-失望分量表和PSS-C得分呈显著正相关(r = 0.161;R = 0.178;R = 0.250;P = 0.003;P = 0.001;P = 0.000)。结论:未来需要更大样本的研究来更好地理解正念与情绪化饮食和儿童感知压力情况之间的关系。
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引用次数: 0
Change in leisure-time physical activity and perception of weight gain during the COVID-19 pandemic: results from the ELSA-Brasil Cohort. COVID-19大流行期间休闲时间身体活动的变化和体重增加的感知:来自elsa -巴西队列的结果
IF 2.5 4区 医学 Q3 BUSINESS Pub Date : 2024-12-13 DOI: 10.20960/nh.05294
Haysla Xavier Martins, Jordana Herzog Siqueira, Carla Moronari de Oliveira Aprelini, Sheila Maria Alvim de Matos, Taísa Sabrina Silva Pereira, Maria Del Carmen Bisi Molina

Objective: this study aimed to identify the association between changes in Leisure-Time Physical Activity (LTPA) and Perceived Weight Gain (PWG) during the COVID-19 pandemic among participants enrolled in the Longitudinal Study of Adult Health (ELSA-Brasil).

Methods: an observational longitudinal study utilizing data from the ELSA-Brasil, Wave 3 - W3 (2017-2019), and Wave-COVID - WC (July/2020 to February/2021). LTPA was assessed using the International Physical Activity Questionnaire, collected at both time points, while PWG was evaluated through a questionnaire in WC. Statistical analyses were performed using the SPSS 21.0, with significance set at p < 0.05.

Results: among 4402 adults (57.8 % women), after adjusting for potential confounding variables, individuals who reduced their LTPA levels to the extent of changing their classification were more likely to experience PWG - specifically, those who were moderately active in W3 and became sedentary in WC (OR = 1.5 [95 % CI, 1.2-1.9]) or had low LTPA in WC (OR = 1.6 [95 % CI, 1.2-2.1]), and those who were highly active in W3 and presented a low level of LTPA in WC (OR = 2.3 [95 % CI, 1.05-5.4]).

Conclusion: our findings suggest that individuals who engaged in LTPA (moderately and highly levels) during W3 but transitioned to insufficiently active or sedentary lifestyles during the WC, were more likely to experience PWG.

目的:本研究旨在确定在COVID-19大流行期间,参加成人健康纵向研究(ELSA-Brasil)的参与者的闲暇时间体育活动(LTPA)和感知体重增加(PWG)之间的关系。方法:这是一项观察性纵向研究,利用了ELSA-Brasil第3波-W3(2017-2019年)和COVID-WC波(2020年7月至2021年2月)的数据。LTPA通过在两个时间点收集的国际体育活动问卷进行评估,而PWG则通过WC的问卷进行评估。结果显示:在 4402 名成年人(57.8% 为女性)中,在对潜在的混杂变量进行调整后,LTPA 水平降低到改变分类程度的人更有可能出现 PWG--特别是那些在 W3 中活动适度而在 WC 中变得久坐不动的人(OR = 1.结论:我们的研究结果表明,在 W3 期间参与 LTPA(中度和高度水平),但在 WC 期间转变为不够活跃或久坐的生活方式的个体更有可能经历 PWG。
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引用次数: 0
[Effects of intermittent fasting and sports performance: a narrative review]. [间歇性禁食对运动表现的影响:一项叙述性回顾]。
IF 2.5 4区 医学 Q3 BUSINESS Pub Date : 2024-12-13 DOI: 10.20960/nh.05415
Daniel Pejenaute-Larráyoz, Francisco Corbi, Sergi Matas

Recently, fasted exercise has generated interest for its potential to stimulate metabolic and performance adaptations. The present study aims to analyze the effects of fasting and fasted training on performance and metabolism, acutely and chronically. The databases Medline (PubMed), Physiotherapy Evidence Database (PEDro), Cochrane, and Google Scholar were searched. In total, 767 studies were identified. Of those, 51 studies were finally included. Acutely, exercise on fasting promotes fat oxidation at low and moderate intensities, while protein catabolism is not increased. Performance is not affected in efforts lower than 1 hour. Chronically, fasting generates greater efficiency in fat metabolism and the ability to regulate blood glucose in the long term, although it has not been possible to determine whether these findings improve sports performance. More research is needed in elite athletes, with high training loads and with a periodized approach to fasting.

最近,禁食运动因其刺激代谢和性能适应的潜力而引起了人们的兴趣。本研究旨在分析禁食和禁食训练对运动表现和代谢的影响,包括急性和慢性。检索Medline (PubMed)、物理治疗证据数据库(PEDro)、Cochrane和谷歌Scholar等数据库。总共确定了767项研究。其中,最终纳入了51项研究。剧烈地,禁食运动促进低强度和中等强度的脂肪氧化,而蛋白质分解代谢不增加。低于1小时的努力不影响性能。从长期来看,禁食能提高脂肪代谢效率和调节血糖的能力,尽管还不能确定这些发现是否能提高运动表现。需要对高训练负荷和定期禁食的精英运动员进行更多的研究。
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引用次数: 0
Phase angle as a prognostic factor in patients with cancer: a systematic review of the existing evidence via a meta-analysis. 相位角作为癌症患者的预后因素:通过荟萃分析对现有证据进行系统回顾。
IF 2.5 4区 医学 Q3 BUSINESS Pub Date : 2024-12-13 DOI: 10.20960/nh.05517
Qianran Kong, Lijuan Tian, Yihan Wang, Min Yu

Background: the phase angle (PA) is expressed via bioelectrical impedance and an indicator of cell membrane health, integrity, hydration, and nutritional status. The associations between PA and cancer survival are inconsistent and unclear. This study aimed to assess PA's role as a prognostic marker of cancer survival.

Methods: we searched PubMed and EMBASE to identify all relevant studies up to December 2023. A meta-analysis was performed to clarify PA's prognostic role for cancer patients.

Results: a total of 30 studies covering 6587 participants were included in this study. There was a significant prognostic role for PA in the context of cancer patients' survival (HR = 0.73; 95 % CI, 0.66-0.81, p < 0.0001, I2 = 0.0 %). Patients with low PA values were 27 % less likely to survive than patients with high values. Our subgroup analyses showed that geographical population (American: HR = 0.66, 95 % CI: 0.55-0.79, I2 = 0.0 %; European: HR = 0.63, 95 % CI: 0.47-0.84, I2 = 23.2 %; Asian: HR = 0.48, 95 % CI: 0.31-0.74), the type of cancer (head and neck, colorectal, lung, or pancreatic cancer), and type of therapy (palliative vs. non-palliative treatment) did not change the prognostic value.

Conclusions: the findings highlight the potential of PA to be a non-invasive, cost-effective prognostic tool in oncological care.

背景:相位角(PA)通过生物电阻抗表示,是细胞膜健康、完整性、水合和营养状况的指标。PA 与癌症存活率之间的关联并不一致,也不清楚。本研究旨在评估 PA 作为癌症生存预后指标的作用。方法:我们检索了 PubMed 和 EMBASE,以确定截至 2023 年 12 月的所有相关研究。结果:本研究共纳入了 30 项研究,涉及 6587 名参与者。PA对癌症患者的生存有明显的预后作用(HR = 0.73; 95 % CI, 0.66-0.81, p < 0.0001, I2 = 0.0 %)。PA值低的患者存活率比PA值高的患者低27%。我们的亚组分析表明,地域人群(美国人、加拿大人、澳大利亚人和新西兰人)的PA值越低,存活率越高:HR=0.66,95% CI:0.55-0.79,I2=0.0%;欧洲人:HR=0.63,95% CI:0.47-0.84,I2=23.2%;亚洲人:HR=0.48,95% CI:0.31-0.74)、癌症类型(头颈癌、结直肠癌、肺癌或胰腺癌)和治疗类型(姑息治疗与非姑息治疗)均无变化。结论:研究结果凸显了 PA 在肿瘤治疗中作为一种无创、经济有效的预后工具的潜力。
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引用次数: 0
[Intersectionality as a tool in the field of nutrition]. [交叉性作为营养领域的工具]。
IF 2.5 4区 医学 Q3 BUSINESS Pub Date : 2024-12-13 DOI: 10.20960/nh.05598
Ángel Roco-Videla, Eduardo Leiva-Pinto
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引用次数: 0
Reproducibility and transparency in systematic reviews. 系统评价的可重复性和透明度。
IF 2.5 4区 医学 Q3 BUSINESS Pub Date : 2024-12-13 DOI: 10.20960/nh.05590
Joaquín González Aroca
{"title":"Reproducibility and transparency in systematic reviews.","authors":"Joaquín González Aroca","doi":"10.20960/nh.05590","DOIUrl":"https://doi.org/10.20960/nh.05590","url":null,"abstract":"","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
NHANES data analysis of the cardiometabolic index in relation to lumbar spine bone mineral density. NHANES数据分析心脏代谢指数与腰椎骨矿物质密度的关系。
IF 2.5 4区 医学 Q3 BUSINESS Pub Date : 2024-12-13 DOI: 10.20960/nh.05548
Rui Zhu, Chao-Ren Deng, Shao-Ping Wu

Objective: to investigate the correlation between cardiometabolic index (CMI) and lumbar spine bone mineral density (LSBMD) in U.S. adults.

Methods: the study selected eligible participants from the National Health and Nutrition Examination Survey (NHANES) database from 2011 to 2018. After adjusting for age, gender, race/ethnicity, body mass index (BMI), liver function markers, kidney function markers, blood routine indicators, metabolic markers, and chronic disease status, a logistic regression model combined with a restricted cubic spline model, smooth curve fitting, and threshold effect analysis was used to examine the association between CMI and LSBMD. Subgroup analysis was performed to verify the robustness of the results.

Result: among the 3,885 participants, for each unit increase in CMI, LSBMD decreased by 0.011 g/cm². Additionally, a turning point was identified at CMI = 0.797. When CMI was below 0.797, LSBMD decreased as CMI increased, showing a strong negative correlation (β = -0.077, 95 % CI: -0.097 to -0.058, p < 0.001). However, beyond this threshold, the relationship between CMI and LSBMD was no longer significant. Subgroup analysis revealed that the negative correlation between CMI and BMD was consistent across most subgroups (such as gender, BMI, hypertension, and high cholesterol), but instability was observed in subgroups such as individuals aged 51-59, Mexican Americans, non-Hispanic Blacks, and those with diabetes.

Conclusion: there exists a non-linear inverse correlation with CMI and LSBMD, showing that CMI could be a potential contributing factor for decreased bone mineral density, with a more pronounced effect within a specific range.

目的:探讨美国成人心脏代谢指数(CMI)与腰椎骨密度(LSBMD)的相关性。方法:研究从2011年至2018年国家健康与营养检查调查(NHANES)数据库中选择符合条件的参与者。在调整了年龄、性别、种族/民族、体重指数(BMI)、肝功能指标、肾功能指标、血常规指标、代谢指标和慢性疾病状态等因素后,采用logistic回归模型结合受限三次样条模型、平滑曲线拟合和阈值效应分析来检验CMI与LSBMD之间的关系。进行亚组分析以验证结果的稳健性。结果:在3885名参与者中,CMI每增加一个单位,LSBMD降低0.011 g/cm²。此外,在CMI = 0.797处发现了一个转折点。当CMI < 0.797时,LSBMD随CMI的升高而降低,呈较强的负相关(β = -0.077, 95% CI: -0.097 ~ -0.058, p < 0.001)。然而,超过这个阈值,CMI和LSBMD之间的关系不再显著。亚组分析显示,CMI和BMD之间的负相关在大多数亚组(如性别、BMI、高血压和高胆固醇)中是一致的,但在51-59岁、墨西哥裔美国人、非西班牙裔黑人和糖尿病患者等亚组中观察到不稳定。结论:CMI与LSBMD呈非线性负相关,说明CMI可能是导致骨密度降低的潜在因素,且在一定范围内作用更为显著。
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引用次数: 0
[Nutrition practice in type 2 diabetes: construction, validity and reliability of a scale]. 2型糖尿病患者的营养实践:量表的编制、效度和信度。
IF 2.5 4区 医学 Q3 BUSINESS Pub Date : 2024-11-22 DOI: 10.20960/nh.05147
Marcela Bañuelos Fonseca, Lilia Susana Gallardo Vidal, Iris Pineda Mujica, Adriana Jheny Rodríguez Méndez, Prishila Danae Reyes Chávez, Quintero Valdez Quintero Valdez

.

Background: diabetes is a complex disease that requires multiple strategies for glycemic control. The most challenging part is acquiring healthy eating practices. What is needed is to keep patients well informed and involved with their disease; for this, standardized, reliable instruments are required that allow evaluating the dietary practices in this population.

Objective: to build and to validate a highly reliable evaluation scale of feeding habits in patients with diabetes type 2.

Methodology: a cross-sectional design for the construction and validation of an evaluation scale for feeding habits in diabetes 2 patients. There were listed 63 questions subjected to review and statistics analysis that reduced it into a 30 ítems scale that was applied to 495 diabetes 2 patients in a first level attention clinic. There were used exploratory factorial analysis, sphericity Bartlett test, KMO, total variance explained, Spearman's r-test and Cronbach's alpha.

Results: a final version was obtained containing 30 ítems distributed in 8 dimensions with 3 response options on the Likert scale, with a Cronbach's alpha of 0.811. The exploratory factor analysis showed factor loads > 0.30. The total explained variance threw eight principal components; the KMO test = 0.833, Bartlett's test of sphericity, p = 0.000.

Conclusion: the scale to evaluate eating practices in patients with type 2 diabetes has the validity and high reliability to be able to apply it to this population.

.背景:糖尿病是一种复杂的疾病,需要采取多种策略控制血糖。最具挑战性的部分是获得健康的饮食习惯。我们需要让患者充分了解并参与到他们的疾病中来;为此,我们需要标准化、可靠的工具来评估这一人群的饮食习惯。方法:采用横断面设计,构建并验证糖尿病 2 型患者饮食习惯评估量表。方法:采用横断面设计,构建并验证 2 型糖尿病患者进食习惯评估量表。对列出的 63 个问题进行审查和统计分析,将其缩减为 30 个项目的量表,并应用于一家一级护理诊所的 495 名 2 型糖尿病患者。结果:最终版本包含 30 个项目,分布在 8 个维度上,在李克特量表上有 3 个回答选项,Cronbach's alpha 为 0.811。探索性因子分析显示因子载荷大于 0.30。结论:评价 2 型糖尿病患者饮食习惯的量表具有有效性和高可靠性,可用于该人群。
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