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https://www.readbyqxmd.com/read/29786877/morphomic-malnutrition-score-a-standardized-screening-tool-for-severe-malnutrition-in-adults
#1
Christopher Lee, Erica Raymond, Brian A Derstine, Joshua M Glazer, Rebecca Goulson, Avinash Rajasekaran, Jill Cherry-Bukowiec, Grace L Su, Stewart C Wang
BACKGROUND: Granular diagnostic criteria for adult malnutrition are lacking. OBJECTIVE: This study uses analytic morphomics to define the Morphomic Malnutrition Score (MMS), a robust screening tool for severe malnutrition. METHODS: The study population (n = 643) consisted of 2 cohorts: 1) 124 emergency department patients diagnosed with severe malnutrition by a registered dietitian (RD) and an available computed tomography (CT) scan within 2 days of RD evaluation, and 2) 519 adult kidney donor candidates to represent a healthy cohort...
May 22, 2018: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29783983/economic-evaluation-of-a-dietary-intervention-for-adults-with-major-depression-the-smiles-trial
#2
Mary Lou Chatterton, Cathrine Mihalopoulos, Adrienne O'Neil, Catherine Itsiopoulos, Rachelle Opie, David Castle, Sarah Dash, Laima Brazionis, Michael Berk, Felice Jacka
BACKGROUND: Recently, the efficacy of dietary improvement as a therapeutic intervention for moderate to severe depression was evaluated in a randomised controlled trial. The SMILES trial demonstrated a significant improvement in Montgomery-Åsberg Depression Rating Scale scores favouring the dietary support group compared with a control group over 12 weeks. We used data collected within the trial to evaluate the cost-effectiveness of this novel intervention. METHODS: In this prospective economic evaluation, sixty-seven adults meeting DSM-IV criteria for a major depressive episode and reporting poor dietary quality were randomised to either seven sessions with a dietitian for dietary support or to an intensity matched social support (befriending) control condition...
May 22, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29782665/dietitian-visits-were-a-safe-and-cost-effective-form-of-follow-up-care-for-children-with-celiac-disease
#3
Karolina Johansson, Elin Malmberg Hård Af Segerstad, Helena Mårtensson, Daniel Agardh
AIM: This study compared follow-up protocols for paediatric celiac disease led by either paediatricians or dieticians at Swedish university hospitals. METHODS: We followed 363 celiac disease patients under 18 years at the university hospitals in Malmö (n=140) and Lund (n=79) between 2011-2013 and after they merged to become Skåne (n=144) between 2014-2016. Both Lund and Malmö provided regular paediatrician follow-up visits, while Skåne provided mainly dietitian-led visits...
May 21, 2018: Acta Paediatrica
https://www.readbyqxmd.com/read/29779834/economic-evaluation-of-a-multi-disciplinary-community-based-intervention-programme-for-new-zealand-children-and-adolescents-with-obesity
#4
Yvonne C Anderson, William Leung, Cameron C Grant, Tami L Cave, José G B Derraik, Wayne S Cutfield, Nicola M Pereira, Paul L Hofman, Trudy A Sullivan
OBJECTIVE: To determine whether Whānau Pakari, a home-based, 12-month multi-disciplinary child obesity intervention programme was cost-effective when compared with the prior conventional hospital-based model of care. METHODS: Whānau Pakari trial participants were recruited January 2012-August 2014, and randomised to either a high-intensity intervention (weekly sessions for 12 months with home-based assessments and advice, n=100) or low-intensity control (home-based assessments and advice only, n=99)...
May 17, 2018: Obesity Research & Clinical Practice
https://www.readbyqxmd.com/read/29779812/evaluation-of-nutritional-care-of-hospitalized-children-in-a-tertiary-pediatric-hospital
#5
Caroline De Longueville, Martine Robert, Marjorie Debande, Sylviane Podlubnai, Sophie Defourny, Sid-Ali Namane, Aude Pace, Camille Brans, Elodie Cayrol, Philippe Goyens, Corinne De Laet
BACKGROUND AND AIMS: Hospitalized children are at risk of malnutrition. The aim of the present study was to evaluate a clinical practice in a tertiary hospital. The nutritional team developed a specific software for screening of malnutrition and risk of malnutrition (Evalnut) that provides also recommendations for the nutritional management of the patient. The data recorded into this program and the tool itself were analyzed and optimizations are highlighted. METHODS: A retrospective study analyzed the data collected in 2015 during 4931 consecutive hospitalizations (3984 children) at the University Children's Hospital Queen Fabiola...
June 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29779719/a-framework-for-ehealth-readiness-of-dietitians
#6
Kirsty Maunder, Karen Walton, Peter Williams, Maree Ferguson, Eleanor Beck
AIM: To develop a framework for assessing the eHealth readiness of dietitians. METHODS: Using an inductive approach, this research was divided into three stages: 1. a systematic literature review to identify models or frameworks on eHealth readiness; 2. data synthesis to identify eHealth readiness themes and develop a framework; and 3. semi-structured interviews with Australian nutrition informatics experts to gain consensus and validate the framework. RESULTS: Two hundred and forty one unique citations were identified, of which twenty four met the research criteria and were included in the review and subsequent synthesis...
July 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29775974/translation-and-cultural-adaptation-of-the-short-form-food-frequency-questionnaire-for-pregnancy-into-brazilian-portuguese
#7
Karina Tamy Kasawara, Daiane S M Paulino, Roberta Bgeginski, Chistine L Cleghorn, Michelle F Mottola, Fernanda Garanhani Surita
OBJECTIVE:  To translate and culturally adapt the short-form Food Frequency Questionnaire (SFFFQ) for pregnant women, which contains 24 questions, into Brazilian Portuguese. METHODS:  Description of the process of translation and cultural adaptation of the SFFFQ into Brazilian Portuguese. The present study followed the recommendation of the International Society for Pharmacoeconomics and Outcomes Research for translation and cultural adaptation with the following steps: 1) preparation; 2) first translation; 3) reconciliation; 4) back translation; 5) revision of back translation; 6) harmonization; 7) cognitive debriefing; 8) revision of debriefing results; 9) syntax and orthographic revision; and 10) final report...
May 18, 2018: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/29775238/comparison-of-creatinine-index-and-geriatric-nutritional-risk-index-for-nutritional-evaluation-of-patients-with-hemodialysis
#8
Wonsun Hwang, Mi Sook Cho, Ji Eun Oh, Ji Hyun Lee, Jong Cheol Jeong, Gyu-Tae Shin, Heungsoo Kim, Inwhee Park
INTRODUCTION: Malnutrition is prevalent in hemodialysis (HD) patients, and the risk of mortality is strongly correlated with malnutrition. Current methods of nutritional evaluation are mostly subjective, time-consuming, and cumbersome. Creatinine index (CI) and geriatric nutritional risk index (GNRI) are very simple and objective methods to assess the nutritional status of HD patients. The present study compares the performance of CI and GNRI as nutritional risk assessment tools. METHODS: Eighty-eight patients with end-stage renal disease on HD were recruited from a single tertiary center...
May 18, 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29767835/strategic-leadership-will-be-essential-for-dietitian-ehealth-readiness-a-qualitative-study-exploring-dietitian-perspectives-of-ehealth-readiness
#9
Kirsty Maunder, Karen Walton, Peter Williams, Maree Ferguson, Eleanor Beck
AIM: To explore dietitians' perspectives on the eHealth readiness of Australian dietitians, and to identify strategies to improve eHealth readiness of the profession. METHODS: Dietitians who met the criteria for nutrition informatics experts participated in semi-structured interviews between June 2016 and March 2017. The interviews were recorded and transcribed verbatim. Thematic analysis using coding was undertaken until consensus was reached by the researchers regarding key themes, topics and exemplar quotes...
May 16, 2018: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/29767834/nutrition-care-of-cancer-patients-a-survey-among-physicians-and-nurses
#10
N Erickson, K Paradies, D Buchholz, J Huebner
In order to quantify gaps in the provision of medical nutrition care in Germany and pinpoint specific areas of need, we collected data from patients, nurses and physicians. The results from the patient survey were published separately. A total of 506 participants from 69 certified centers answered the questions developed in cooperation with representatives from different professional groups (physicians, nurses and dietitians). Only about a third of participants reported that their institution provides structured pathways to nutritional counseling...
May 16, 2018: European Journal of Cancer Care
https://www.readbyqxmd.com/read/29767462/soluble-fiber-use-in-pediatric-short-bowel-syndrome-a-survey-on-prevailing-practices
#11
Meredith Linley Harvie, Margaret Alyssa Tucker Norris, Wednesday Marie A Sevilla
BACKGROUND: In pediatric short bowel syndrome (SBS), adding fiber to enteral feedings is 1 treatment method to manage increased stool output. However, there are no standardized recommendations on the use of fiber in this setting, including type, dosage, titration strategies, etc. OBJECTIVE: The aim of this study is to determine current prevailing practices on the use of fiber in the treatment of chronic high stool output in the pediatric SBS population. METHODS: An anonymous electronic survey with 13 questions was sent through health professional electronic mailing lists...
May 16, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29767219/alabama-children-s-body-mass-index-nutritional-attitudes-and-food-consumption-an-exploratory-analysis
#12
Vaughn Millner, Ryon C McDermott, Bernard H Eichold
OBJECTIVES: This study had three aims: assess the extent to which middle school children in southern Alabama were classified as overweight or obese; determine the magnitude of the relation between children's attitudes toward healthy eating and their actual dietary choices; and examine the role of race, sex, and ZIP codes on children's eating attitudes and behaviors. METHODS: Registered dietitians took height and weight measurements of middle school children in southern Alabama to establish body mass index (BMI)...
May 2018: Southern Medical Journal
https://www.readbyqxmd.com/read/29764525/development-of-understanding-of-dohad-concepts-in-students-during-undergraduate-health-professional-programs-in-japan-and-new-zealand
#13
M Oyamada, A Lim, R Dixon, C Wall, J Bay
Evidence in support of the Developmental Origins of Health and Disease (DOHaD) hypothesis has reached the level where it can appropriately be used to inform practice. DOHaD informed interventions supporting primary noncommunicable disease risk reduction should target the pre- and periconceptional periods, pregnancy, lactation, childhood and adolescence. Such interventions are dependent on a health workforce (including dietitians, nurses, midwives, doctors, and nutrition teachers), that has a deep understanding of DOHaD concepts...
May 16, 2018: Journal of Developmental Origins of Health and Disease
https://www.readbyqxmd.com/read/29764248/interprofessional-collaboration-and-the-care-and-management-of-type-2-diabetic-patients-in-the-middle-east-a-systematic-review
#14
J M Johnson, R Carragher
The World Health Organization has ranked the Middle East (ME) as the second most prevalent region globally for type 2 diabetes. Currently, treatment options initiated by physicians focus mainly on pharmaceuticals; however, lifestyle factors also have a tremendous impact on a patient's wellness or illness. A potential solution to this issue is to use an interprofessional team approach when caring for this patient population. The purpose of this systematic review is to look at the present literature involving the use of an interprofessional team approach to the care and maintenance of people with type 2 diabetes in the ME...
May 15, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29757885/maximizing-your-nutrition-minute-bridging-nutritional-gaps-across-the-life-span
#15
Wendy L Wright, Kathleen M Zelman
BACKGROUND AND PURPOSE: Poor diet quality has been associated with increased mortality and an increased risk of chronic disease. Given the shortfalls in the typical American diet and the prevalence of nutrition-related chronic disease among US adults, the need for nutrition education is paramount. Nurse practitioners (NPs) are well placed to provide basic nutrition counseling but often face challenges to making this a reality. In a typical office visit, the time available to discuss diet and nutrition can be as little as one minute or less...
March 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29757047/development-and-implementation-of-a-nutrition-knowledge-questionnaire-for-ultra-endurance-athletes
#16
Claire Blennerhassett, Lars R McNaughton, Lorcan Cronin, S Andy Sparks
The nutritional intake of ultra-endurance athletes is often poorly matched with the requirements of the sport. Nutrition knowledge is a mediating factor to food choice that could correct such imbalances. Therefore, the purpose of this study was to develop and validate a questionnaire to assess the nutrition knowledge of ultra-endurance athletes. Nutritional knowledge was assessed using a modified sports nutrition questionnaire (ULTRA-Q). Four independent assessors with specialist sports nutrition knowledge confirmed the content validity of the ULTRA-Q...
May 14, 2018: International Journal of Sport Nutrition and Exercise Metabolism
https://www.readbyqxmd.com/read/29756579/recent-changes-in-the-management-of-patients-with-food-allergy-in-a-tertiary-referral-centre-a-dietitian-s-perspective
#17
Rachel de Boer, Ruth Chalmers
It is has been suggested that the prevalence of food allergy has increased over the last few decades with estimates now suggesting between 3.9-8% of children are food allergic (Kattan, 2016). Studies also suggest that rates of food allergy resolution are slowing, meaning more children are remaining allergic for longer (Sicherer et al, 2014). The mainstay of food allergy management is dietary exclusion of known food allergen/s. Exclusion diets are frequently difficult for patients and their families to manage and the literature highlights that they impact negatively on quality of life (Valentine et al, 2011) ...
May 14, 2018: Current Pediatric Reviews
https://www.readbyqxmd.com/read/29739632/outcomes-and-factors-influencing-response-to-an-individualized-multidisciplinary-chronic-disease-management-program-for-hip-and-knee-osteoarthritis
#18
David P Gwynne-Jones, Andrew R Gray, Liam R Hutton, Kirsten M Stout, J Haxby Abbott
BACKGROUND: The objective of the study was to investigate the effectiveness of, and factors associated with, response to a chronic disease management program for patients with hip and knee osteoarthritis (OA). METHODS: Over a 2-year period (2012-2014), 218 patients (97 hip OA; 121 knee OA) were managed with an individualized program of interventions that could include education, physiotherapy, orthotics, occupational therapy, or dietitian referral. Changes in Oxford Hip Score or Oxford Knee Score and Short Form-12 (SF-12) Physical and Mental Component Summary Score (PCS, MCS) were analyzed by joint affected, both unadjusted, and gender and age adjusted...
April 16, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29733115/food-knowledge-and-psychological-state-predict-adherence-to-a-gluten-free-diet-in-a-survey-of-5310-australians-and-new-zealanders-with-coeliac-disease
#19
E P Halmos, M Deng, S R Knowles, K Sainsbury, B Mullan, J A Tye-Din
BACKGROUND: A gluten-free diet treats coeliac disease, but its efficacy depends on strict adherence. A variety of patient factors may influence adherence but have not been well described at a population level. AIM: To comprehensively assess the patient factors that influence gluten-free diet adherence in patients with coeliac disease. METHODS: Patients with coeliac disease completed an online survey comprising the validated Celiac Dietary Adherence Test in addition to data on demographics, details of diagnosis and management and assessment of diet knowledge, quality of life and psychological distress...
May 7, 2018: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/29732673/the-contested-space-the-impact-of-competency-based-education-and-accreditation-on-dietetic-practice-in-australia
#20
Susan Ash, Claire Palermo, Danielle Gallegos
AIM: Competency-based Education (CBE) has underpinned the education of dietitians in Australia since the first Competency Standards (CS) were published; however, little is known about how CBE has influenced dietetic practice. The aim of this paper is to explore how a CBE framework and the CS have influenced dietetic practice in Australia since 1990. METHODS: A qualitative investigation explored concepts of dietetic practice. Data analysed were original interviews previously undertaken with recent graduate dietitians during 1991 (n = 26), 1998 (n = 23) and 2007 (n = 19) and seven guided discussions with dietitians and employers (n = 28) conducted in 2014 to identify themes...
May 6, 2018: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
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