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Nutrition And Dietician

Judy Schoeman, Elena J Ladas, Paul C Rogers, Suvekshya Aryal, Mariana Kruger
Background: Up to 50% of children diagnosed with cancer in low- and middle-income countries are malnourished, which likely affects survival. Subjects and methods: An online survey to paediatric oncology units (POUs) in Africa was done regarding nutritional assessment and care. Results: Sixty-six surveys were received from POUs in 31 countries. Only 44.4% had a dedicated dietician for nutritional assessment and support; 29.6% undertook routine nutritional assessment during treatment...
November 30, 2018: Journal of Tropical Pediatrics
Elisabeth Stamm, Anne Kouadio, Esther Guex, Pedro Marques-Vidal
Malnutrition is a common but underestimated condition in the hospital setting. Malnutrition increases in-hospital mortality and complications, and treatment costs. Simple screening tools such as the mini-nutritional assessment and the nutritional risk score allow identifying patients at risk of malnutrition and starting management. Malnutrition management is a multidisciplinary issue including dieticians, physiatrists, nurses, caregivers and doctors. Meal fractioning and oral nutritional supplements (ONS) should be provided...
November 21, 2018: Revue Médicale Suisse
M N van Doorn-van Atten, A Haveman-Nies, P Pilichowski, R Roca, J H M de Vries, C P G M de Groot
BACKGROUND: A good nutritional status is key for maintaining health and quality of life in older adults. In the Netherlands, 11 to 35% of the community-dwelling elderly are undernourished. Undernutrition or the risk of it should be signalled as soon as possible to be able to intervene at an early stage. However, in the context of an ageing population health care resources are scarce, evoking interest in health enabling technologies such as telemonitoring. This article describes the design of an intervention study focussing at telemonitoring and improving nutritional status of community-dwelling elderly...
November 16, 2018: BMC Geriatrics
Inessa Normatov, Shiran Kaplan, Ruba K Azzam
More than one-half of children with chronic liver disease suffer from malnutrition, which leads not only to a poor quality of life and even possibly catastrophic complications, but also to poor outcomes after a liver transplantation. These children have increased metabolic demands but often decreased intake with malabsorption and altered nutrient utilization, all of which make it difficult to keep up with nutritional demands. Assessment of a patient's nutritional status should be timely, and it should be performed routinely and proactively...
November 1, 2018: Pediatric Annals
Jeanne H M de Vries, Milou Dijkhuizen, Petra Tap, Ben J M Witteman
BACKGROUND: The inflammatory bowel disease (IBD) is a chronic lifelong inflammation that may affect the entire gastro-intestinal tract in Crohn's disease and the colon in ulcerative colitis (UC). Diet plays an important role in IBD patients and many of them follow strict diet restriction in order to reduce complaints and prolong remission intervals. The aim of this study was to assess dietary beliefs, dietary behaviour and nutrition knowledge in Dutch adults with IBD to enable considering the patient's perspective on dietary advice...
November 2, 2018: Digestive Diseases
Estelle Guerdoux-Ninot, Nicolas Flori, Chloé Janiszewski, Arnaud Vaillé, Hélène de Forges, Bruno Raynard, Vickie E Baracos, Simon Thezenas, Pierre Senesse
BACKGROUND & AIMS: Energy intake and food ingesta are central in nutritional screening and assessment. Cancer patients are at nutritional risk of losing weight, and clinicians need quick and easy tools to identify patients for nutritional support. This study aimed to evaluate the feasibility and the accuracy of a Visual/Verbal Analogue Scale of food ingesta (ingesta-VVAS) to assess energy food intake and nutritional risk in medical oncology patients. METHODS: Dieticians administered prospectively the ingesta-VVAS in 1762 medical oncology patients...
June 30, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
Mélissa Roy, Julie A Perry, Karen M Cross
The objective of this article is to convey the importance of nutrition in plastic surgery, to offer possible outpatient nutritional interventions within the surgical care setting, and to guide the plastic surgeon in integrating nutrition as a key practice enhancement strategy for the care of wound patients and beyond. The impact of nutritional status on surgical outcomes is well recognized. Malnutrition is very frequent among the hospitalized patient population and up to 1 in 4 plastic surgery outpatient is at risk for malnutrition...
August 2018: Plastic and Reconstructive Surgery. Global Open
Regina Wierzejska, Mirosław Jarosz, Michał Bachanek, Włodzimierz Sawicki
INTRODUCTION: Vitamin D plays a crucial role in the development of healthy fetal bone tissue. Analysis of fetal bone parameters versus maternal vitamin D status is necessary to shed some light on the matter. The aim of the study was to investigate the relationship between maternal and cord vitamin D concentrations and other factors which might affect fetal bone development and femur length. MATERIAL AND METHODS: The study included 94 term pregnancies, delivered at the Department of Obstetrics, Gynecology and Oncology, Medical University of Warsaw...
October 12, 2018: Journal of Maternal-fetal & Neonatal Medicine
Hardip Malhi
The term malnutrition refers to both undernutrition and overnutrition. In healthcare, it most often refers to undernutrition, in particular disease-related malnutrition, which can be a result or a cause of an illness. The reasons for malnutrition are multifactorial, and its consequences may include an increased risk of pressure ulcers, reduced mobility and psychological effects such as depression. It is essential that nurses prioritise the nutritional care of all patients and identify those at risk of malnutrition using accurate and reliable nutrition screening tools...
October 4, 2018: Nursing Standard
Afton M Koball, Dylan J Jester, Marisa A Pruitt, Rebecca V Cripe, Jill J Henschied, Sarah Domoff
BACKGROUND: Support after bariatric surgery is critical. Access to bariatric support groups is sometimes challenging, leading people to seek support on social media platforms like Facebook. Given the ubiquity of recommendations solicited and provided on Facebook regarding nutrition and bariatric surgery, understanding the content and accuracy of these posts is important. OBJECTIVES: The primary aim of the present study was to describe the content of nutrition-related information sought on bariatric Facebook support groups/pages...
August 28, 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Mai Ohkubo, Takayuki Ueda, Hiroki Sugito, Akira Watanabe, Fumi Seshima, Toshiyuki Morioka, Yasutomo Yajima
A working group established at Tokyo Dental College Suidobashi Hospital considered how to manage patients experiencing difficulties with food intake during the process of dental treatment. This resulted in the opening of an in-hospital booth dedicated to providing advice on such problems. A survey was performed to determine the number of patients utilizing this facility and the department which they were attending with the aim of investigating factors involved in eating-related problems. The results revealed that patients were being referred to the booth from the departments of dental prosthetics, conservative dentistry, oral and maxillofacial surgery (by both dentists and dietitians), oral implantation, and orthodontics...
2018: Bulletin of Tokyo Dental College
Jamie F Chriqui, Rebecca M Schermbeck, Julien Leider
BACKGROUND: More than 3.6 million children are served daily by the Child and Adult Care Food Program (CACFP)-participating child day care centers. This study provides a nationwide assessment of center-level responsibilities for menu, meal/snack preparation, meal preparer training, and food and beverage (F&B) purchasing. METHODS: A nationally representative survey of 5483 CACFP child day care centers was conducted between August 22, 2017, and September 30, 2017...
August 2018: Childhood Obesity
Jane Andreasen, Lise Noerregaard Soendergaard, Mette Holst
Background: Medical patients are particularly at risk of developing complications during and after hospitalization, due to impaired nutritional intake, physical inactivity, or immobilization. Evaluations of implementation studies on health-promoting interventions for medical patients in hospitals are scarce. The aim of this study was to identify factors affecting the adherence of patients and staff to an integrated physical activity and nutritional intervention on a medical ward. Methods: Two focus group interviews were conducted: one with patients and another with staff...
2018: Patient Preference and Adherence
Branko Gabrovec, Gregor Veninšek, Luz López Samaniego, Ana Maria Carriazo, Eleftheria Antoniadou, Marjetka Jelenc
BACKGROUND AND PURPOSE: There is sufficient evidence that nutrition and frailty status are related. In order to deliver quality management of frail and pre-frail patients, clinicians and dieticians should understand the role of nutrition in the concept of frailty. This study examines the role of nutrition in ageing in general, malnutrition and the risk of frailty, individual nutritional factors as the risk factors of frailty and lastly nutritional interventions that have a significant role in frailty...
October 2018: European Journal of Internal Medicine
Christopher S King, A Whitney Brown, Shambhu Aryal, Kareem Ahmad, Scott Donaldson
Cystic fibrosis (CF) is a multiorgan, genetic disease resulting from dysfunction of the CF transmembrane conductance regulator. The primary clinical manifestations are bronchiectasis, chronic pulmonary infections with recurrent exacerbations, and pancreatic insufficiency. Advances in CF care have led to improved survival, with more than one-half of those affected being adults. As a result, adult pulmonary and critical care physicians increasingly will be involved in the care of these patients. Patients with CF are at risk for numerous conditions that require ICU admission, including respiratory failure, massive hemoptysis, pneumothorax, hepatic failure, and bowel obstruction...
August 2, 2018: Chest
Małgorzata Kluch, Małgorzata Górska-Ciebiada, Katarzyna Łokieć
Due to the increasing number of patients suffering from cardiovascular diseases, the number of patients started on anticoagulants is also rising. Diet is a modifiable factor of effective treatment. It is of particular importance due to the strong correlation of anticoagulants with vitamin K, other diet components and drug-food interactions in long-term treatment. Chronic treatment with anticoagulants may precipitate a number of adverse reactions, and following an appropriate diet may minimise the side effects of drugs that alter blood coagulation...
July 30, 2018: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Cora F Jonkers, Maarten R Soeters
Patients with a positive undernutrition screening score stay in hospital 1.4 days longer, with more associated complications and costs. A paper elsewhere in this journal describes the implementation of a novel in-hospital meal service resulting in improved protein and energy intake. Patient satisfaction was maintained and to some extent improved. However, the paper shows the difficulty of improving food intake in hospitalized patients. This may be due to factors such as illness-induced anorexia, poor nurse and physician nutritional awareness, and lack of a clear financial incentive...
July 13, 2018: Nederlands Tijdschrift Voor Geneeskunde
Harm H J van Noort, Roelof G A Ettema, Hester Vermeulen, Getty Huisman-de Waal
AIMS AND OBJECTIVES: To evaluate the effects of preoperative nutritional support using a regular diet for undernourished surgical patients at the outpatient clinic. BACKGROUND: Undernutrition (or malnutrition) in surgical patients has severe consequences, that is, more complications, longer hospital stay and decreased quality of life. While systematic reviews show the effects of oral nutritional supplements (ONS), enteral and parenteral nutrition in surgical patients, the effects of normal foods and regular diets remain unclear...
July 24, 2018: Journal of Clinical Nursing
J Th C M de Kruif, M B Scholtens, J van der Rijt, M R de Boer, M M G A van den Berg, Y C de Vries, R M Winkels, M Visser, E Kampman, M J Westerman
PURPOSE: Dutch Health care professionals (HCPs) provide little information concerning health risks associated with weight gain during chemotherapy for breast cancer. Women with breast cancer have specified the need for more information on nutrition and physical activity to deal with weight gain. The aims of this study were to assess the perceptions of Dutch HCPs on weight gain during chemotherapy and in addition evaluate whether and what kind of information on dietary intake and physical activity HCPs provide to prevent/treat weight gain during (neo)adjuvant chemotherapy...
July 19, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Lisa Farndon, John Stephenson, Oliver Binns-Hall, Kayleigh Knight, Sally Fowler-Davis
Background: Peripheral arterial disease affects the lower limb and is associated with diabetes, high cholesterol, smoking and obesity. It increases the risk of cardiovascular morbidity and mortality. It can be symptomatic causing intermittent claudication, but often there are few clinical signs. Podiatrists are able to detect the presence of peripheral arterial disease as part of their lower limb assessment and are well placed to give advice on lifestyle changes to help reduce disease progression...
2018: Journal of Foot and Ankle Research
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