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Adult malnutrition

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https://www.readbyqxmd.com/read/28524930/nutrition-support-in-hospitalised-adults-at-nutritional-risk
#1
REVIEW
Joshua Feinberg, Emil Eik Nielsen, Steven Kwasi Korang, Kirstine Halberg Engell, Marie Skøtt Nielsen, Kang Zhang, Maria Didriksen, Lisbeth Lund, Niklas Lindahl, Sara Hallum, Ning Liang, Wenjing Xiong, Xuemei Yang, Pernille Brunsgaard, Alexandre Garioud, Sanam Safi, Jane Lindschou, Jens Kondrup, Christian Gluud, Janus C Jakobsen
BACKGROUND: The prevalence of disease-related malnutrition in Western European hospitals is estimated to be about 30%. There is no consensus whether poor nutritional status causes poorer clinical outcome or if it is merely associated with it. The intention with all forms of nutrition support is to increase uptake of essential nutrients and improve clinical outcome. Previous reviews have shown conflicting results with regard to the effects of nutrition support. OBJECTIVES: To assess the benefits and harms of nutrition support versus no intervention, treatment as usual, or placebo in hospitalised adults at nutritional risk...
May 19, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28524384/patient-reported-dietetic-care-post-hospital-for-free-living-patients-a-canadian-malnutrition-task-force-study
#2
H Keller, H Payette, M Laporte, P Bernier, J Allard, D Duerksen, L Gramlich, K Jeejeebhoy
BACKGROUND: Transitions out of hospital can influence recovery. Ideally, malnourished patients should be followed by someone with nutrition expertise, specifically a dietitian, post discharge from hospital. Predictors of dietetic care post discharge are currently unknown. The present study aimed to determine the patient factors independently associated with 30-days post hospital discharge dietetic care for free-living patients who transitioned to the community. METHODOLOGY: Nine hundred and twenty-two medical or surgical adult patients were recruited in 16 acute care hospitals in eight Canadian provinces on admission...
May 19, 2017: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/28514987/a-systematic-review-of-the-prevalence-and-predictors-of-the-double-burden-of-malnutrition-within-households
#3
Satoko Kosaka, Masahiro Umezaki
Recently, increasing attention has been paid to the emergence of the double burden of malnutrition within households. We provide an overview of the literature regarding this phenomenon by reviewing previous studies of the prevalence of double-burden households and associated factors together with the research methods used. Studies were identified from the electronic databases PubMed and Web of Science, using the same search terms for both. A total of thirty-five articles met the eligibility criteria, and 367 sets of prevalence data were extracted...
May 18, 2017: British Journal of Nutrition
https://www.readbyqxmd.com/read/28506216/nutritional-determinants-of-frailty-in-older-adults-a-systematic-review
#4
Laura Lorenzo-López, Ana Maseda, Carmen de Labra, Laura Regueiro-Folgueira, José L Rodríguez-Villamil, José C Millán-Calenti
BACKGROUND: Frailty is a geriatric syndrome that affects multiple domains of human functioning. A variety of problems contributes to the development of this syndrome; poor nutritional status is an important determinant of this condition. The purpose of this systematic review was to examine recent evidence regarding the association between nutritional status and frailty syndrome in older adults. METHODS: PubMed, Web of Science, and Scopus electronic databases were searched using specific key words, for observational papers that were published during the period from 2005 to February 2017 and that studied the association or relationship between nutritional status and frailty in older adults...
May 15, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28504497/liver-disease-and-dyslipidemia-as-a-manifestation-of-lysosomal-acid-lipase-deficiency-lal-d-clinical-and-diagnostic-aspects-and-a-new-treatment-an-update
#5
Luisa Bay, Cristina Canero Velasco, Mirta Ciocca, Andrea Cotti, Miriam Cuarterolo, Alejandro Fainboim, Eduardo Fassio, Marcela Galoppo, Federico Pinero, Paula Rozenfeld
Lysosomal acid lipase deficiency (LAL-D) is still a little recognized genetic disease with significant morbidity and mortality in children and adults. This document provides guidance on when to suspect LAL-D and how to diagnose it. It is recommended to add lysosomal acid lipase deficiency to the List of differential diagnoses of sepsis, oncological diseases, storage diseases, persistent diarrhea, chronic malnutrition, and hemophagocytic lymphohistiocytosis. It should also be considered in young patients with dyslipidemia and atherosclerosis as well as diseases associated with fatty liver and/or hepatomegaly...
June 1, 2017: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/28499361/dietary-diversity-scores-an-indicator-of-micronutrient-inadequacy-instead-of-obesity-for-chinese-children
#6
Wenzhi Zhao, Kai Yu, Shengjie Tan, Yingdong Zheng, Ai Zhao, Peiyu Wang, Yumei Zhang
BACKGROUND: Micronutrient malnutrition affects the well-being of both adults and children. Dietary diversity score (DDS) is a useful evaluation index with a relatively well-developed guideline by FAO. It's meaningful to assess and predict inadequate micronutrient intakes using DDS in Chinese children, after ruling out the risk of obesity coming with more dietary diversity. METHODS: Data for evaluation were extracted from the Nutrition Study of Preschool Children and School Children, which is a cross-sectional study covering 8 cities of China, including 1694 children in kindergartens and primary schools...
May 12, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28498058/endoscopic-endonasal-resection-of-the-odontoid-process-clinical-outcomes-in-34-adults
#7
Nathan T Zwagerman, Matthew J Tormenti, Zachary J Tempel, Eric W Wang, Carl H Snyderman, Juan C Fernandez-Miranda, Paul A Gardner
OBJECTIVE Treatment of odontoid disease from a ventral corridor has consisted of a transoral approach. More recently, the endoscopic endonasal approach (EEA) has been used to access odontoid pathology. METHODS A retrospective review was conducted of patients who underwent an EEA for odontoid pathology from 2004 to 2013. During our analysis, the mean follow-up duration was 42.6 months (range 1-80 months). Patient outcomes, complications, and postoperative swallowing function were assessed either by clinic visit or phone contact...
May 12, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28476323/the-malnutrition-screening-tool-in-geriatric-rehabilitation-a-comparison-of-validity-when-completed-by-health-professionals-with-and-without-malnutrition-screening-training-has-implications-for-practice
#8
Skye Marshall, Adrienne Young, Elizabeth Isenring
BACKGROUND: The validity of the Malnutrition Screening Tool (MST) in geriatric rehabilitation has been evaluated in a research environment but not in professional practice. OBJECTIVE: In older adults admitted to rehabilitation, this study was undertaken to compare the MST scoring agreement (inter-rater reliability) between health professionals with and without malnutrition risk and screening training; to evaluate the concurrent validity of the MST completed by the trained and untrained health professionals compared to the International Classification of Diseases, Tenth Revision, Australian Modification using different MST score cutoffs; and to determine whether patient characteristics were associated with MST scoring accuracy when completed by health professionals without malnutrition risk and screening training...
May 2, 2017: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/28469357/healthcare-maintenance-in-elderly-patients-with-inflammatory-bowel-disease
#9
REVIEW
Manish P Shrestha, Joannie Ruel, Sasha Taleban
The increasing number of older patients (age ≥60 years) with inflammatory bowel disease (IBD) highlights the importance of healthcare maintenance in this vulnerable population. Older IBD patients are more susceptible and have higher rates of many disease- and treatment-related adverse effects. Compared to younger IBD patients, older patients are at increased risk for infection, malignancy, bone disease, eye disease, malnutrition and thrombotic complications. Preventive strategies in the elderly differ from those in younger adults and are imperative...
2017: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
https://www.readbyqxmd.com/read/28468890/protein-intakes-are-associated-with-reduced-length-of-stay-a-comparison-between-enhanced-recovery-after-surgery-eras-and-conventional-care-after-elective-colorectal-surgery
#10
Sophia E Yeung, Leslee Hilkewich, Chelsia Gillis, John A Heine, Tanis R Fenton
Background: Protein can modulate the surgical stress response and postoperative catabolism. Enhanced Recovery After Surgery (ERAS) protocols are evidence-based care bundles that reduce morbidity.Objective: In this study, we compared protein adequacy as well as energy intakes, gut function, clinical outcomes, and how well nutritional variables predict length of hospital stay (LOS) in patients receiving ERAS protocols and conventional care.Design: We conducted a prospective cohort study in adult elective colorectal resection patients after conventional (n = 46) and ERAS (n = 69) care...
May 3, 2017: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28465243/integrated-analysis-of-genome-wide-dna-methylation-and-gene-expression-data-provide-a-regulatory-network-in-intrauterine-growth-restriction
#11
Ying-Xue Ding, Hong Cui
Intrauterine growth restriction (IUGR), a serious complication of perinatal period, results in metabolic and brain disorders. However, the exact cause of IUGR remains unclear. Recently, some evidences indicated that epigenetic modification plays an important role in IUGR. Hence, in this study the methylation status and gene expression profiles of IUGR were compared to investigate the changes in epigenetic regulation and gene expression induced by IUGR. DNA samples extracted from blood samples of infants with IUGR and controls appropriate for gestational age (AGA) were analyzed with Illumina Human Methylation 450k array to identify differences in genome-wide DNA methylation, and results were verified by Mass ARRAY...
April 29, 2017: Life Sciences
https://www.readbyqxmd.com/read/28459649/a-necessary-evil-patients-experiences-receiving-tube-feeding-in-acute-care
#12
Cara Green, Virginia Vandall-Walker
BACKGROUND: Tube feeding (TF) is frequently prescribed for adults admitted to acute care facilities to prevent or ameliorate malnutrition, yet little is known about patients' needs and experiences with receiving this therapy. Patients' perspectives regarding the factors influencing their experiences, as well as their information and support needs, are required to inform healthcare providers' (HCPs') patient-centered practices. METHODS: Based on an interpretive description qualitative approach, 12 unstructured face-to-face interviews were conducted with participants admitted to acute care hospitals in Northwestern Ontario, Canada...
April 1, 2017: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/28456537/quality-of-life-functional-impairment-and-social-factors-as-determinants-of-nutritional-status-in-older-adults-the-verisa%C3%A3-de-study
#13
Ana Maseda, Clara Diego-Diez, Laura Lorenzo-López, Rocío López-López, Laura Regueiro-Folgueira, José C Millán-Calenti
BACKGROUND & AIMS: Malnutrition is an important and growing health problem in elderly people. The main aim of this research was to examine the relationship between socio-demographic factors, social resources, functional status and quality of life and malnutrition or risk of malnutrition in elders. METHODS: A cross-sectional study was conducted with a representative sample of 749 community-dwelling elders aged 65 years and over. A comprehensive assessment was carried out, including the collection of socio-demographic factors, social resources by the Older Americans Resources and Services Scale, nutritional status by the Mini-Nutritional Assessment-Short Form, functional status by the Lawton's instrumental activities of daily living scale and quality of life by the World Health Organizations's Quality of Life measure-brief version (WHOQOL-BREF)...
April 15, 2017: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/28453068/-obesity-risk-in-preschoolers-beneficiaries-of-food-aid-programs
#14
Edna M Gamboa-Delgado, Teresita González de Cossío, Arantxa Colchero-Aragonés
Objective To review the evidence regarding the potential impact of food programs on the risk of obesity in beneficiary children. Methods The search was conducted in databases using terms in Spanish and English. Those items that included the variable of interest, cross sectional studies, cohort or community trials were selected. Results Food assistance programs could contribute to increased obesity rates in the target population due to the availability and easier access to food with high energy content, either through the delivery of provisions or cash...
August 2016: Revista de Salud Pública
https://www.readbyqxmd.com/read/28443064/loss-of-vagal-sensitivity-to-cholecystokinin-in-rats-born-with-intrauterine-growth-retardation-and-consequence-on-food-intake
#15
Marième Ndjim, Camille Poinsignon, Patricia Parnet, Gwenola Le Dréan
Perinatal malnutrition is associated with low birth weight and an increased risk of developing metabolic syndrome in adulthood. Modification of food intake (FI) regulation was observed in adult rats born with intrauterine growth retardation induced by maternal dietary protein restriction during gestation and maintained restricted until weaning. Gastrointestinal peptides and particularly cholecystokinin (CCK) play a major role in short-term regulation of FI by relaying digestive signals to the hindbrain via the vagal afferent nerve (VAN)...
2017: Frontiers in Endocrinology
https://www.readbyqxmd.com/read/28438035/dual-burden-of-malnutrition-among-adolescents-of-smallholder-coffee-farming-households-of-jimma-zone-southwest-ethiopia
#16
Kalkidan Hassen, Getu Gizaw, Tefera Belachew
BACKGROUND: Substantial evidence is emerging on the coexistence of double burden of malnutrition on adolescents of low-income countries, shaping the health challenges of upcoming adult generation for the worst. Whether nutritional status markers of adolescents in the cash crop setting are at par with economic gains remain uncertain so far. Thus, we investigated the nutritional outcomes of adolescents and its determinants in coffee farming households. METHODS: The survey was carried out in 3 top coffee-producing districts of Jimma Zone, Ethiopia...
January 1, 2017: Food and Nutrition Bulletin
https://www.readbyqxmd.com/read/28436099/review-of-nutrition-guidelines-relevant-for-adolescents-in-low-and-middle-income-countries
#17
REVIEW
Zohra S Lassi, Tarab Mansoor, Rehana A Salam, Shereen Z Bhutta, Jai K Das, Zulfiqar A Bhutta
The economic and social well-being of any country will one day depend on its current adolescent population. To provide a good foundation for healthy adolescent development, healthy diet, along with physical activity and adequate nutrients, is necessary. Therefore, addressing the nutrition needs of adolescents could be an important step toward breaking the vicious cycle of intergenerational malnutrition, chronic diseases, and poverty. These problems could be addressed with timely recognition and appropriately delivered interventions...
April 2017: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/28435086/toxigenic-clostridium-difficile-colonization-among-hospitalised-adults-risk-factors-and-impact-on-survival
#18
Laura Behar, David Chadwick, Angela Dunne, Christopher I Jones, Claire Proctor, Chakravarthi Rajkumar, Paula Sharratt, Philip Stanley, Angela Whiley, Mark Wilks, Martin J Llewelyn
OBJECTIVES: To establish risk factors for Clostridium difficile colonization among hospitalized patients in England. METHODS: Patients admitted to elderly medicine wards at three acute hospitals in England were recruited to a prospective observational study. Participants were asked to provide a stool sample as soon as possible after enrolment and then weekly during their hospital stay. Samples were cultured for C. difficile before ribotyping and toxin detection by PCR...
April 21, 2017: Journal of Infection
https://www.readbyqxmd.com/read/28421797/malnutrition-in-hospitalized-patients-results-from-la-rioja
#19
Ángela Martín Palmero, Andra Serrano Pérez, Mª José Chinchetru Ranedo, Alejandro Cámara Balda, Mª Ángeles Martínez de Salinas Santamarí, Gonzalo Villar García, Mª Del Mar Marín Lizárraga
BACKGROUND: There is a high malnutrition prevalence in hospitalized patients. AIM: To determine the malnutrition prevalence in hospitalized patients of La Rioja Community (Spain) when evaluated with different screening/ evaluation tools and its relationship with hospital stay and mortality. METHODS: Cross sectional observational study of hospitalized adult patients (age > 18 years old) from medical and surgical departments that underwent within 72 h of their admission a nutritional screening with Malnutrition Universal Screening Tool (MUST), Nutritional Risk Screening (NRS) 2002, Controlling Nutritional Status (CONUT) y Subjective Global Assessment (SGA)...
March 30, 2017: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
https://www.readbyqxmd.com/read/28416434/malnutrition-diagnosis-during-adult-inpatient-hospitalizations-analysis-of-a-multi-institutional-collaborative-database-of-academic-medical%C3%A2-centers
#20
Conrad M Tobert, Sarah L Mott, Kenneth G Nepple
BACKGROUND: Malnutrition is a significant problem for hospitalized patients. However, the true prevalence of reported malnutrition diagnosis in real-world clinical practice is largely unknown. Using a large collaborative multi-institutional database, the rate of malnutrition diagnosis was assessed and used to assess institutional variables associated with higher rates of malnutrition diagnosis. OBJECTIVE: The aim of this study was to define the prevalence of malnutrition diagnosis reported among inpatient hospitalizations...
March 1, 2017: Journal of the Academy of Nutrition and Dietetics
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