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Clinical Nutrition ESPEN

Joseph Anumu George, Ayorinde Adehin, Oluseye O Bolaji
BACKGROUND & AIMS: The process of grilling food items often generates polycyclic aromatic hydrocarbons which are established inducers of CYP1A2, a human drug metabolising enzyme, known to activate some procarcinogens. The impact of such induction on CYP1A2 metabolic phenotype has been the subject of some discordant findings. This study, while considering some limitations in previous study designs, evaluated the effect of CYP1A2 induction by the consumption of charbroiled meal on its metabolic phenotype...
October 2018: Clinical Nutrition ESPEN
Vanessa Amarante Carvalho, Patricia Ferreira do Prado Moreira, Neide Alessandra Périgo Nascimento, Audrey Andrade Bertolini, Levy Aragão, Maysa Seabra Cendoroglo
BACKGROUND & AIMS: The use of Bioimpedance (BIA) as a bedside method of evaluation of body composition increased in the last years. However there are still some questions about correct interpretation of the raw data, reactance and resistance, as measures of body composition. This study investigated the relationship of age, physical activity practice, Body Mass Index (BMI), 25-hydroxyvitamin D and serum lipoproteins in BIA data of resistance and reactance. METHODS: A transversal study was performed with elderly women who practiced regular physical activity (Group 1) and community dwelling elderly women (Group 2)...
October 2018: Clinical Nutrition ESPEN
Zeinab Bidel, Farshad Teymoori, Seyed Javad Davari, Milad Nazarzadeh
BACKGROUND & AIMS: High potato intake has been suggested as a risk factor for the development of type 2 diabetes. We aimed to investigate the association between potato consumption and risk of type 2 diabetes. METHODS: A systematic review was conducted on PubMed and Embase from the database commencement until September 2017 (updated by June 2018) following the MOOSE guidelines. The random effect model dose-response meta-analysis method of Greenland and Longneck was used to estimate the maximally adjusted log hazard ratio (HR) for a unit (serving per day) increment of potato consumption...
October 2018: Clinical Nutrition ESPEN
Ismail Mucahit Alptekin, Nevra Koc, Mehmet Gunduz, Funda Pinar Cakiroglu
BACKGROUND & AIMS: Phenylketonuria (PKU) has a very high prevalence throughout the world. Nowadays, number of studies about impact of this metabolic disease on patients increasing. The aim of our study is to examine PKU patients' quality of life according to PKU-QOL questionnaires. METHODS: Patients (n = 63) diagnosed with PKU were included this study; child (9-11 years (n = 20)), adolescent (12-15 years (n = 22)) and adult (18-35 years (n = 21)). PKU-QOL questionnaires (include 4 modules) developed for PKU patients were used...
October 2018: Clinical Nutrition ESPEN
R D Eveleens, K Gerasimidis, M Chourdakis, K Huysentruyt, B Koletzko, J M Hulst, K F M Joosten
BACKGROUND & AIMS: At the 38th annual ESPEN congress in The Hague, the Netherlands, the Special Interest Group (SIG) in Paediatrics presented data about current research activities in the field of paediatric nutrition which are performed worldwide and translated this to future research perspectives. METHODS: Extensive search of all registered observational and interventional clinical trials in the database using the search terms: children nutrition, paediatrics nutrition and children feeding...
October 2018: Clinical Nutrition ESPEN
Hyejeong Hong, Chakra Budhathoki, Jason E Farley
BACKGROUND & AIMS: Malnutrition is common in Sub-Saharan Africa, weakening the immune function of persons living with HIV infection (PLWH). Being malnourished at the initiation of antiretroviral therapy (ART) leads to higher risk of early mortality and reduced quality of life. Thus, introduction of protein-energy-fortified macronutrient supplements at ART initiation may improve HIV treatment outcomes. This review aimed to evaluate the effectiveness of macronutrient interventions. METHODS: This systematic review and meta-analysis included 15 studies conducted from 2000 to 2015 among Sub-Saharan African adults...
October 2018: Clinical Nutrition ESPEN
Stephanie Van Biervliet, Bruno Hauser, Stijn Verhulst, Hedwig Stepman, Joris Delanghe, Jean-Pol Warzee, Bruno Pot, Tom Vandewiele, Michael Wilschanski
BACKGROUND: A potential positive effect of probiotics in cystic fibrosis (CF) on fecal calprotectin (FCP), pulmonary exacerbations and weight has been described in small controlled trials. METHODS: A double-blind multicenter cross-over study (2 × 4 m) was performed looking at abdominal pain, nutritional status, pulmonary function, pulmonary exacerbation, FCP and lactulose/mannitol gut permeability test. Patients kept a diary with daily scoring of abdominal pain, stool frequency and consistency as well as treatment changes...
October 2018: Clinical Nutrition ESPEN
Satoru Kodama, Chika Horikawa, Kazuya Fujihara, Dai Ishii, Mariko Hatta, Yasunaga Takeda, Masaru Kitazawa, Yasuhiro Matsubayashi, Hitoshi Shimano, Kiminori Kato, Shiro Tanaka, Hirohito Sone
BACKGROUND & AIMS: High intake of fruit and vegetables is recommended for cardiovascular health. However, there have been persistent beliefs that fruits having high concentrations of fructose elevate the level of triglycerides (TG) in blood unlike vegetables. This meta-analysis aims to clarify the relationship between fruit intake and TG or hypertriglyceridemia. METHODS: Electronic literature searches were conducted for observational studies that investigated the relationship between fruit intake and hypertriglyceridemia or intervention studies that investigated the effect of increasing fruit intake on TG...
October 2018: Clinical Nutrition ESPEN
Nanna M L Rasmussen, Kerstin Belqaid, Kerstin Lugnet, Anni Linnet Nielsen, Henrik Højgaard Rasmussen, Anne Marie Beck
Malnutrition is common in older hospitalised patients. As the aetiology is multifactorial, nutritional care should involve a multidisciplinary team. However, the knowledge of the effectiveness of this strategy is limited. This systematic review aims at investigating the effectiveness of multidisciplinary nutritional support on mortality, readmissions and quality of life (QoL) in patients aged 65 years and above during hospitalisation and after discharge compared to usual practise. We conducted a series of systematic literature search from 2013 to 2017, with additional studies hand-searched from reference lists of retrieved publications...
October 2018: Clinical Nutrition ESPEN
H Friis, N S Range, J Changalucha, G PrayGod, K Jeremiah, D Faurholt-Jepsen, H B Krarup, A B Andersen, P Kæstel, S Filteau
BACKGROUND: There is little information about serum phosphate levels among patients with pulmonary tuberculosis (TB) and HIV infection. OBJECTIVE: We aimed to assess the role of TB, HIV, inflammation and other correlates on serum phosphate levels. METHODS: A cross-sectional study was conducted among TB patients and age- and sex-matched non-TB controls. Pulmonary TB patients were categorized as sputum -negative and -positive, based on culture...
October 2018: Clinical Nutrition ESPEN
Feza Kirbiyik, Emre Ozkan
BACKGROUND AND AIMS: Despite the identification of malnutrition and administration of nutrition therapy being increasingly recognised as integral to the treatment of cancer patients, this is not always translated into routine clinical practice. The aim of this study was to determine medical oncologists' awareness of, and ability to assess, nutritional status and when to initiate nutrition therapy, to identify their educational status concerning clinical nutrition and their perceived barriers to the routine use of nutrition therapy in their patients through a survey study...
October 2018: Clinical Nutrition ESPEN
Hanna Ræder, Christine Henriksen, Siv Kjølsrud Bøhn, Anne-Rikke O de Fey Vilbo, Hege Berg Henriksen, Ane Sørlie Kværner, Katrine Rolid, Ingvild Paur, Sigbjørn Smeland, Rune Blomhoff
BACKGROUND AND AIMS: Low fat-free mass (FFM) is associated with adverse outcomes in colorectal cancer (CRC) patients. Patient-Generated Subjective Global Assessment (PG-SGA) is a widely used tool developed to detect patients with malnutrition or at risk of malnutrition. The aim of this study was to investigate the agreement between PG-SGA category and FFM in patients with non-metastatic CRC. METHODS: Ninety-seven patients were included and categorized as well nourished (PG-SGA:A, n = 67) or malnourished (PG-SGA:B, n = 30)...
October 2018: Clinical Nutrition ESPEN
Robbert Bipat, Jerry R Toelsie
An elevated postprandial glucose (PPG) level in plasma or blood is a risk factor for chronic disorders like obesity, diabetes mellitus type II and related cardiovascular conditions. Therefore, it is important to identify mechanisms that increase the value of postprandial glucose PPG levels. Hence in the present study we investigated the time dependent effect of drinking water during a meal on the level of PPG. Thirty-five volunteers were randomly assigned to five groups. Group A was given a jelly filled doughnut and group B, C, D and E had a similar doughnut in combination with a bottle of water along with the doughnut, thirty minutes before, thirty minutes after, and a second doughnut with water thirty minutes after the first one, respectively...
October 2018: Clinical Nutrition ESPEN
Dalal A Bubshait, Dakheel A Al-Dakheel, Fawaz M Alanii
OBJECTIVE: The intent of this study was to test the effect of Top-D, a topical Vitamin D preparation, in delivering vitamin D. METHODS: Five hundred and fifty healthy patients, with vitamin D insufficiency and deficiency were recruited after written informed consent. Demographic data was recorded, adequate history and clinical examination was done to rule out any metabolic diseases. Complete blood picture, serum calcium, phosphorous, Parathormone and 25 Hydroxy-vitamin D3 (25OHD) was carried out before enrollment of the patients...
October 2018: Clinical Nutrition ESPEN
E O F Sally, L A Anjos, E G Ramos, V M Fonseca, B A M Silva, V Wahrlich
BACKGROUND & AIMS: In most clinical settings basal metabolic rate (BMR) is estimated by predictive equations (PE) but there is no specific algorithm for pregnant women. To this end, this study aimed to measure BMR (BMRm ) in single-fetus primigravida 63 adolescent pregnant women recruited from primary health care units from a tropical municipality in Brazil. Additionally, BMRm was compared with estimated BMR from internationally recommended PE for nonpregnant adolescents. METHODS: BMR was measured by indirect calorimetry early in the morning in the fasting pregnant adolescents in a quiet, noise and luminosity controlled room...
October 2018: Clinical Nutrition ESPEN
Camila de Souza Meirelles, Rosa Wanda Diez-Garcia
PURPOSE: and objective: The treatment side effects of patients undergoing haematopoietic stem cell transplantation can cause various eating difficulties. The objective of this study was to explore the significance of eating experiences and taste changes from the perspective of patients undergoing haematopoietic stem cell transplantation. METHOD: This was a qualitative, exploratory study based on semi-structured interviews applied during hospitalisation for haematopoietic stem cell transplantation...
October 2018: Clinical Nutrition ESPEN
Marianne Boll Kristensen, Karin B Dieperink, Henriette Knold Rossau, Cecilie Lindström Egholm, Lone Viggers, Birgitte Møllegaard Bertelsen, Ann-Dorthe Zwisler
BACKGROUND & AIMS: An unhealthy diet is a risk factor for ischemic heart disease (IHD) and therefore cardiac rehabilitation (CR) should include dietary interventions. In 2007, CR became a shared responsibility between Danish hospitals and municipalities. Later, a national clinical guideline including recommendations on dietary interventions was developed to facilitate implementation of CR. The aim of the present study is: 1) To describe provision of dietary interventions in CR for IHD patients in Denmark in 2013 and 2015 emphasizing differences between hospitals and municipalities, and 2) To evaluate the implementation of the national clinical guideline in clinical practice...
October 2018: Clinical Nutrition ESPEN
Patricia Bravo-José, Elena Moreno, Minerva Espert, María Romeu, Pilar Martínez, Concepción Navarro
BACKGROUND & AIMS: Sarcopenia is a syndrome characterised by a progressive and generalised loss of skeletal muscle mass and strength with a risk of adverse outcomes such as physical disability, poor quality of life and death. The main aim of the present study was to establish the prevalence of sarcopenia using EWGSOP-defined criteria in institutionalised older adult patients in long-term care institutions. A secondary purpose was to identify the risk factors that develop Sarcopenia in this population...
October 2018: Clinical Nutrition ESPEN
Anna Vittoria Mattioli, Coppi Francesca, Migaldi Mario, Farinetti Alberto
BACKGROUND AND AIMS: Fruit and vegetables are considered a very healthy diet useful in the prevention of cardiovascular disease. The present study aims to evaluate intake of fruit and vegetables in hypertensive women and its correlation with asymptomatic atherosclerosis. METHODS AND RESULTS: A group of 237 women with hypertension was evaluated. Fruit and vegetables consumption were assessed by a self-administered food frequency validated questionnaire completed by an interviewer administered 24 h diet recall...
October 2018: Clinical Nutrition ESPEN
James Tankel, Amir Dagan, Elena Vainberg, Elad Boaz, Liel Mogilevsky, Irit Hadas, Petachia Reissman, Menahem Ben Haim
BACKGROUND AND AIMS: Sarcopenia is the degenerative loss of skeletal muscle and has been associated with a variety of post-operative complications. We propose sarcopenia is associated with delayed gastric emptying (DGE) following elective pancreaticoduodenectomy (PD). METHODS: A retrospective analysis of a computerised database maintained in real time of all patients undergoing PD within our hepatobiliary unit was performed. The cross-sectional area of the psoas muscle at the upper border of L3 was calculated and corrected for patient height...
October 2018: Clinical Nutrition ESPEN
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