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The Association Between Baseline Vitamin D Level and Clinical Outcomes in Patients With COVID-19 COVID-19 患者基线维生素 D 水平与临床结果之间的关系
IF 0.5 4区 医学 Q4 Nursing Pub Date : 2023-11-16 DOI: 10.1097/tin.0000000000000364
Fatemeh Chichagi, A. Hadadi, Sina Kazemian, M. Pazoki, Samira Kafan, Hedieh Moradi Tabriz
Our study aimed to understand the link between baseline vitamin D levels at admission and in-hospital clinical outcome and 7-month all-cause mortality in patients hospitalized with COVID-19. Sixty-three percent of 636 Iranian patients had insufficient 25(OH)vitamin D baseline levels (<30 ng/mL) on admission. All patients were followed for 7 months on average. Insufficient baseline levels of vitamin D were associated with an increased risk of in-hospital mortality (P = .022), 7-month all-cause mortality (P = .047), and multiple-organ damage (P = .035) in patients with COVID-19. No association between other in-hospital complications and 25(OH)vitamin D levels was found.
我们的研究旨在了解 COVID-19 住院患者入院时的维生素 D 基线水平与院内临床结果和 7 个月全因死亡率之间的联系。在 636 名伊朗患者中,63% 的患者入院时 25(OH)vitamin D 基线水平不足(<30 ng/mL)。所有患者平均接受了 7 个月的随访。维生素 D 基线水平不足与 COVID-19 患者院内死亡率(P = .022)、7 个月全因死亡率(P = .047)和多器官损伤(P = .035)风险增加有关。其他院内并发症与 25(OH)vitamin D 水平之间没有关联。
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引用次数: 0
From the Editor's Desk 从编辑部
4区 医学 Q4 Nursing Pub Date : 2023-10-01 DOI: 10.1097/tin.0000000000000358
The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.
作者已披露,她与任何与本文有关的商业公司没有重大关系或经济利益。
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引用次数: 0
Investigation of the Relationship Between Disease Severity and Nutritional Status in Male Outpatients With COPD Through Subjective Global Assessment 通过主观整体评价探讨男性慢性阻塞性肺病门诊患者疾病严重程度与营养状况的关系
4区 医学 Q4 Nursing Pub Date : 2023-10-01 DOI: 10.1097/tin.0000000000000320
Elif Adanur Uzunlar, Hilal Yildiran, Nurdan Kokturk, Hatice Kilic, H. Canan Hasanoglu
We aimed to investigate the relationship between disease severity and nutrition status through subjective global assessment (SGA) in men with chronic obstructive pulmonary disease (COPD). A total of 80 stable male subjects with COPD (20 in each group) were included in the study according to the Global Initiative for Chronic Obstructive Lung Disease 2011 classification (A, B, C, and D). Nutritional assessment was performed using SGA as the gold standard. It was determined that 55.6% of the patients with severe malnutrition were in group D. SGA appears to represent a useful method for identifying ambulatory patients in need of comprehensive nutrition assessment and support.
我们旨在通过主观整体评估(SGA)研究慢性阻塞性肺疾病(COPD)男性患者疾病严重程度与营养状况之间的关系。根据2011年全球慢性阻塞性肺疾病倡议分类(A、B、C和D),共纳入80名稳定的COPD男性受试者(每组20人)。以SGA为金标准进行营养评估。结果表明,55.6%的严重营养不良患者属于d组。SGA似乎是识别需要综合营养评估和支持的门诊患者的有效方法。
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引用次数: 0
The Association Between Serum Levels of Selenium With Inflammatory and Immunity Factors, and Mortality Rate in Patients Diagnosed With COVID-19 COVID-19患者血清硒水平与炎症和免疫因子及死亡率的关系
4区 医学 Q4 Nursing Pub Date : 2023-10-01 DOI: 10.1097/tin.0000000000000346
Parisa Keshani, Amirhossein Hassani, Maryam Arab-Moorchegani, Zohre Foroozanfar, Fateme Parvizi, Yasaman Khadem, Navid Omidifar, Mohammad Ali Davarpanah, Hassan Joulaei
Due to the potential role of selenium in enhancing the immune system, a cross-sectional study was conducted to investigate the association between selenium serum levels, mortality rate, and inflammatory and immunity factors in patients diagnosed with COVID-19. A total 179 patients (60.3% male) with COVID-19 were enrolled into this study. The serum level of selenium was significantly correlated with white blood cell count, neutrophils, lymphocytes, and erythrocyte sedimentation rate in patients with COVID-19. No significant association was seen between serum selenium levels and IL-6, IFN-γ, and mortality rate.
鉴于硒在增强免疫系统方面的潜在作用,我们开展了一项横断面研究,探讨了COVID-19患者血清硒水平、死亡率以及炎症和免疫因素之间的关系。本研究共纳入179例COVID-19患者(男性60.3%)。血清硒水平与COVID-19患者白细胞计数、中性粒细胞、淋巴细胞和红细胞沉降率显著相关。血清硒水平与IL-6、IFN-γ和死亡率之间无显著相关性。
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引用次数: 0
Sports Nutrition Knowledge and Breakfast Beliefs and Habits in Regularly Exercising Adults 成人运动营养知识与早餐信念及习惯
4区 医学 Q4 Nursing Pub Date : 2023-10-01 DOI: 10.1097/tin.0000000000000310
Angela R. Hillman, Rachel Green
This study investigated the sports nutrition knowledge and breakfast consumption habits and beliefs in adults who regularly exercise. Participants (N = 404) identifying as athletes (n = 47), former athletes (n = 65), and nonathletes (n = 292) completed a survey. Sports nutrition knowledge was inadequate (52% correct); former athletes scored better than nonathletes (62% vs 49%). The Internet was the primary source of information (35%); 4% of participants consulted registered dietitians. Approximately 40% of participants do not eat before exercise and those who do consume fruit/fruit juice or meal replacement bars. This study indicates a need for more accessible and reliable nutrition information for exercisers.
本研究调查了经常运动的成年人的运动营养知识和早餐消费习惯及信念。参与者(N = 404)分别为运动员(N = 47)、前运动员(N = 65)和非运动员(N = 292),完成了一项调查。运动营养知识不足(正确率52%);前运动员比非运动员得分更高(62%比49%)。互联网是主要的信息来源(35%);4%的参与者咨询了注册营养师。大约40%的参与者在运动前不吃东西,而那些吃水果/果汁或代餐棒的人。这项研究表明,需要为锻炼者提供更容易获取和可靠的营养信息。
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引用次数: 0
Impact of Early Nutrition on the Gut Microbiome 早期营养对肠道微生物群的影响
4区 医学 Q4 Nursing Pub Date : 2023-10-01 DOI: 10.1097/tin.0000000000000321
Ana Abad-Jorge, Jill E. Comess
The gut microbiome develops in prenatal life and progresses through infancy and childhood. Identified factors that impact the quantity, quality, and diversity of the early gut microbiome include mode of delivery, early diet, environmental exposures, disease conditions, and treatment. Optimal gut health in childhood is impacted by microbiome stability and diversity. This narrative review provides an overview of the important factors including genetic, epigenetic, nutritional, and environmental exposures, playing a foundational role in establishing the early gut microbiome during the critical first “1000 days” of human life and its impact on pediatric obesity, allergy, and gastrointestinal disease.
肠道微生物组在产前发育,并在婴儿期和儿童期发展。已确定的影响早期肠道微生物群数量、质量和多样性的因素包括分娩方式、早期饮食、环境暴露、疾病状况和治疗。儿童最佳肠道健康受到微生物组稳定性和多样性的影响。这篇叙述性综述概述了重要因素,包括遗传、表观遗传、营养和环境暴露,在人类生命最初关键的“1000天”中建立早期肠道微生物群及其对儿童肥胖、过敏和胃肠道疾病的影响中发挥基础作用。
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引用次数: 0
Prevalence and Recognition of Malnutrition in Elderly Patients Admitted to a University Hospital in Jeddah, Saudi Arabia 沙特阿拉伯吉达一所大学医院老年患者营养不良的患病率和认知度
4区 医学 Q4 Nursing Pub Date : 2023-10-01 DOI: 10.1097/tin.0000000000000344
Rouba Khalil Naaman, Manar Abduljalil Bakhsh, Rawan Khalid Alsherebi, Reema Mansour Sultan
This study aimed to investigate the prevalence and associated predictors of malnutrition and to assess the ability of nurses to recognize malnutrition among elderly hospitalized patients in King Abdulaziz University Hospital, Jeddah, Saudi Arabia. A total of 100 patients 60 years or older were recruited. Nurses were asked whether they considered patients as malnourished or not and their answers were then compared with the Mini Nutritional Assessment-Short Form (MNA-SF) scores for the same patients. According to the MNA-SF, 27% and 48% of the patients were malnourished and at risk of malnutrition, respectively. Only 11% of the patients with poor nutritional status were recognized by the nurses.
本研究旨在调查沙特阿拉伯吉达阿卜杜勒阿齐兹国王大学医院老年住院患者营养不良的患病率和相关预测因素,并评估护士识别营养不良的能力。总共招募了100名60岁及以上的患者。护士被问及他们是否认为病人营养不良,然后他们的回答与同一病人的迷你营养评估-简短表格(MNA-SF)得分进行比较。根据MNA-SF,分别有27%和48%的患者营养不良和有营养不良风险。只有11%的营养状况不佳的患者被护士认可。
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引用次数: 0
Evaluation of the Effectiveness of Using Handgrip Strength in Determining Malnutrition in Adolescents 用握力测定青少年营养不良的有效性评价
4区 医学 Q4 Nursing Pub Date : 2023-10-01 DOI: 10.1097/tin.0000000000000329
Gökcen Doğan, Nurcan Yabanci Ayhan, Ceyda Tuna Kirsaçlioğlu, Zarife Kuloğlu, Aydan Kansu
We aimed to evaluate the effectiveness of using handgrip strength (HGS) in determining malnutrition in adolescents. Sixty-two participants (10–18 years of age), 33 malnourished and 29 healthy participants, were recruited. A questionnaire was administered, and anthropometric parameters and HGS were measured. Dominant HGS was different in children with (11.6 ± 5.8 nkgF) or without (21.6 ± 5.7 kgF) malnutrition ( P < .001). Body mass index, triceps/biceps skinfold, neck/waist/wrist circumferences, and arm muscle area were correlated with HGS. According to receiver operating characteristic analysis, dominant (area under the curve [AUC]: 85.9%), and nondominant HGSs (AUC: 83.9%) were possible predictors for malnutrition. HGS may be used as a tool for malnutrition assessment in adolescents.
我们的目的是评估使用握力(HGS)来确定青少年营养不良的有效性。招募了62名参与者(10-18岁),33名营养不良参与者和29名健康参与者。进行问卷调查,测量人体测量参数和HGS。营养不良组(11.6±5.8 kgF)和非营养不良组(21.6±5.7 kgF) HGS的显性差异有统计学意义(P <措施)。体重指数、肱三头肌/肱二头肌皮褶、颈/腰/腕围和手臂肌肉面积与HGS相关。根据受试者工作特征分析,显性hgs(曲线下面积[AUC]: 85.9%)和非显性hgs (AUC: 83.9%)可能是营养不良的预测因子。HGS可作为青少年营养不良评估的工具。
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引用次数: 0
Vitamin D Concentrations in Pediatric Patients With COVID-19 COVID-19儿童患者的维生素D浓度
4区 医学 Q4 Nursing Pub Date : 2023-10-01 DOI: 10.1097/tin.0000000000000351
Yildiz Ekemen Keles, Dilek Yilmaz Ciftdoğan, Ayfer Colak, Ahu Kara Aksay, Aslihan Sahin, Gulnihan Ustundag, Nisel Yilmaz
This study was conducted on 98 children with confirmed COVID-19 and 2112 patients in a healthy control group. Serum vitamin D levels were significantly lower in the patients with confirmed COVID-19 than in the control group (10.9 ng/dL vs 16.1 ng/dL; P < .001). Almost 65% of patients with inadequate serum vitamin D levels had symptomatic COVID-19, and 30% of patients with adequate vitamin D levels had symptomatic COVID-19 ( P = .043). In the logistic model, inadequate vitamin D status was associated with symptomatic COVID-19 compared with asymptomatic COVID-19 (odds ratio = 4032; 95% confidence interval, 1.036-17.776; P = .045).
本研究对98例确诊的COVID-19儿童和2112例健康对照组进行了研究。确诊COVID-19患者血清维生素D水平显著低于对照组(10.9 ng/dL vs 16.1 ng/dL;P & lt;措施)。近65%血清维生素D水平不足的患者出现症状性COVID-19, 30%维生素D水平充足的患者出现症状性COVID-19 (P = 0.043)。在logistic模型中,与无症状的COVID-19相比,维生素D不足与症状性COVID-19相关(优势比= 4032;95%置信区间为1.036-17.776;P = .045)。
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引用次数: 0
Nutritional Status of Moroccan Pediatric Patients With Celiac Disease 摩洛哥小儿乳糜泻患者的营养状况
4区 医学 Q4 Nursing Pub Date : 2023-10-01 DOI: 10.1097/tin.0000000000000319
Morad Guennouni, Aicha Bourrahouat, Brahim Admou, Noureddine Elkhoudri, Moulay Yassine Belghali, Rabiy El Qadiry, Abderraouf Hilali
We aimed to assess the nutritional status at diagnosis and during the follow-up of gluten free diet (GFD) therapy among 127 children with celiac disease (CD) in comparison with 127 controls. The median body mass index of children with CD was significantly lower than that of controls. At the time of diagnosis, children with CD had a significantly higher rate of undernutrition, with underweight (37.8%), height insufficiency (54.3%), and thinness (22%). During GFD follow-up, we noticed a significant decrease in thinness ( P = .047) and a moderate increase in obesity. This emphasizes the role of the dietitian in implementing a nutritionally balanced diet.
我们的目的是评估127名乳糜泻(CD)患儿在诊断时和随访期间的营养状况,并与127名对照组进行比较。乳糜泻患儿的中位体重指数明显低于对照组。在诊断时,乳糜泻儿童的营养不良发生率明显较高,体重不足(37.8%),身高不足(54.3%)和消瘦(22%)。在GFD随访期间,我们注意到瘦度明显下降(P = 0.047),肥胖适度增加。这强调了营养师在实现营养均衡饮食中的作用。
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引用次数: 0
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Topics in Clinical Nutrition
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