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Adult malnutrition

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https://www.readbyqxmd.com/read/29443044/scanning-skeletal-remains-for-bone-mineral-density-in-forensic-contexts
#1
Amanda R Hale, Ann H Ross
The purpose of this paper is to introduce a promising, novel method to aid in the assessment of bone quality in forensically relevant skeletal remains. BMD is an important component of bone's nutritional status and in skeletal remains of both juveniles and adults, and it can provide information about bone quality. For adults remains, it can provide information on pathological conditions or when bone insufficiency may have occurred. In juveniles, it provides a useful metric to elucidate cases of fatal starvation or neglect, which are generally difficult to identify...
January 29, 2018: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29428438/no-obesity-paradox-in-pediatric-patients-with-dilated-cardiomyopathy
#2
Chesney D Castleberry, John L Jefferies, Ling Shi, James D Wilkinson, Jeffrey A Towbin, Ryan W Harrison, Joseph W Rossano, Elfriede Pahl, Teresa M Lee, Linda J Addonizio, Melanie D Everitt, Justin Godown, Joseph Mahgerefteh, Paolo Rusconi, Charles E Canter, Steven D Colan, Paul F Kantor, Hiedy Razoky, Steven E Lipshultz, Tracie L Miller
OBJECTIVES: This study aimed to examine the role of nutrition in pediatric dilated cardiomyopathy (DCM). BACKGROUND: In adults with DCM, malnutrition is associated with mortality, whereas obesity is associated with survival. METHODS: The National Heart, Lung, and Blood Institute-funded Pediatric Cardiomyopathy Registry was used to identify patients with DCM and categorized by anthropometric measurements: malnourished (MN) (body mass index [BMI] <5% for ≥2 years or weight-for-length <5% for <2 years), obesity (BMI >95% for age ≥2 years or weight-for-length >95% for <2 years), or normal bodyweight (NB)...
February 1, 2018: JACC. Heart Failure
https://www.readbyqxmd.com/read/29427194/the-relationship-between-nutritional-status-and-handgrip-strength-in-adult-cancer-patients-a-cross-sectional-study
#3
Şenay Burçin Alkan, Mehmet Artaç, Neslişah Rakıcıoğlu
PURPOSE: Malnutrition is a common complication in head, neck and lung cancer patients, particularly in cases of gastrointestinal system (GIS) cancer. Therefore, an assessment of malnutrition is crucial for early nutritional interventions. It was conducted as a cross-sectional study to evaluate nutritional status of adult cancer patients. METHODS: The nutritional status of 104 cancer patients (52 GIS and 52 non-GIS cancer cases) using a Patient-Generated Subjective Global Assessment (PG-SGA), handgrip strength, certain anthropometric measurements and food consumption in and outside of the hospital were assessed...
February 9, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29424753/ce-malnutrition-in-older-adults
#4
Ann Reed Mangels
An evidence-based review of risk factors, assessment, and intervention. ABSTRACT: Older adults are at risk for compromised nutritional status because of physical changes associated with aging, as well as cognitive, psychological, and social factors such as dementia, depression, isolation, and limited income. Malnutrition negatively affects quality of life, increases health care costs, and increases the risk of short-term mortality. Nurses and other members of interdisciplinary health care teams play important roles in preventing malnutrition in community-dwelling older adults and in older adults in long-term care settings...
February 8, 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29416323/nutritional-variables-predict-chances-of-returning-home-and-activities-of-daily-living-in-post-acute-geriatric-care
#5
Keisuke Maeda, Takayuki Koga, Junji Akagi
Background: Little is known about the association between malnutrition and the chances of returning home from post-acute facilities in older adult patients. This study aimed to understand whether malnutrition and malnutrition-related factors would be determinants for returning home and activities of daily living (ADL) at discharge after post-acute care. Methods: Patients aged ≥65 years living at home before the onset of an acute disease and admitted to a post-acute ward were enrolled (n=207) in this prospective observational study...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29416148/assessment-of-malnutrition-and-enteral-feeding-practices-in-the-critically-ill-a-single-centre-observational-study
#6
Prashant P Verghese, Ashu Sara Mathai, Valsamma Abraham, Paramdeep Kaur
Background and Aims: Early identification of malnutrition among hospitalised patients is essential to institute appropriate patient-specific nutritional strategies. This study was conducted to evaluate the nutritional status of medical patients at admission to the adult intensive care unit (ICU) and to identify factors which prevent attainment of daily feeding goals in them. Methods: This was a 1 year prospective, observational study on 200 medical adult ICU patients...
January 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/29415828/sporulated-bacillus-as-alternative-treatment-for-diarrhea-of-hospitalized-adult-patients-under-enteral-nutrition-a-pilot-randomized-controlled-study
#7
Gustavo Gomes de Castro Soares, Carlos Hespanha Marinho, Regiane Pitol, Camila Andretta, Edinaldo Oliveira, Cristina Martins, Miguel Carlos Riella
BACKGROUND & AIMS: Among hospitalized patients receiving enteral nutrition (EN), malnutrition and antibiotic use are some of the most common causes of diarrhea. Prebiotics and probiotics agents have been used for treatment of diarrhea in such patients. The aim of this study was to assess the efficacy of a sporulated Bacillus strain (Bacillus cereus A 05), compared to a control group using a prebiotic (soluble fiber), in reducing diarrhea in patients receiving EN and antibiotic therapy...
December 2017: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29405148/fasciolopsiasis-in-children-clinical-sociodemographic-profile-and-outcome
#8
Kumar Saurabh, Shilpi Ranjan
PURPOSE: To describe the clinical and sociodemographic profile of fasciolopsiasis in children. MATERIALS AND METHODS: A chart review of 56 children presenting with the passage of adult Fasciolopsis buski per stool from February 2015 to January 2016 was done for their clinical profile and risk factors for acquiring fasciolopsiasis in the Paediatric Unit of a medical college of Northern India. RESULTS: The mean age of presentation was 8.2 years (2-14 years age group)...
October 2017: Indian Journal of Medical Microbiology
https://www.readbyqxmd.com/read/29398570/reliability-of-patient-led-screening-with-the-malnutrition-screening-tool-agreement-between-patient-and-health-care-professional-scores-in-the-cancer-care-ambulatory-setting
#9
Alexandra Di Bella, Claire Blake, Adrienne Young, Anita Pelecanos, Teresa Brown
BACKGROUND: The prevalence of malnutrition in patients with cancer is reported as high as 60% to 80%, and malnutrition is associated with lower survival, reduced response to treatment, and poorer functional status. The Malnutrition Screening Tool (MST) is a validated tool when administered by health care professionals; however, it has not been evaluated for patient-led screening. OBJECTIVES: This study aims to assess the reliability of patient-led MST screening through assessment of inter-rater reliability between patient-led and dietitian-researcher-led screening and intra-rater reliability between an initial and a repeat patient screening...
February 1, 2018: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/29397529/protein-energy-malnutrition-exacerbates-stroke-induced-forelimb-abnormalities-and-dampens-neuroinflammation
#10
Mariam Alaverdashvili, Sally Caine, Xue Li, Mark J Hackett, Michael P Bradley, Helen Nichol, Phyllis G Paterson
Protein-energy malnutrition (PEM) pre-existing at stroke onset is believed to worsen functional outcome, yet the underlying mechanisms are not fully understood. Since brain inflammation is an important modulator of neurological recovery after stroke, we explored the impact of PEM on neuroinflammation in the acute period in relation to stroke-initiated sensori-motor abnormalities. Adult rats were fed a low-protein (LP) or normal protein (NP) diet for 28 days before inducing photothrombotic stroke (St) in the forelimb region of the motor cortex or sham surgery; the diets continued for 3 days after the stroke...
February 3, 2018: Translational Stroke Research
https://www.readbyqxmd.com/read/29396234/nutritional-management-of-older-adults-with-gastrointestinal-cancers-an-international-society-of-geriatric-oncology-siog-review-paper
#11
REVIEW
Anna Rachelle Mislang, Samantha Di Donato, Joleen Hubbard, Lalit Krishna, Giuseppe Mottino, Federico Bozzetti, Laura Biganzoli
Malnutrition is one of the most common physical manifestations of gastrointestinal (GI) cancers and is often under-diagnosed and under-treated. Like cancers, malnutrition occurs more commonly in older adults, with potential negative consequences to quality of life, functional status, tolerance to treatment, and prognosis. Nutritional assessment and management require a proactive and systematic, multi-disciplinary approach. Early assessment, detection, and prompt intervention of cancer-associated malnutrition and cachexia are equally essential to achieve better quality nutritional care for older oncology patients...
January 22, 2018: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/29380845/occurrence-of-malnutrition-and-associated-factors-in-community-dwelling-older-adults-those-with-a-recent-diagnosis-of-cancer-are-at-higher-risk
#12
C Van Den Broeke, T De Burghgraeve, M Ummels, N Gescher, L Deckx, V Tjan-Heijnen, F Buntinx, M van den Akker
OBJECTIVES: In older adults, nutritional health is essential for good quality of life and living independently at home. Especially in cancer patients, malnutrition is common and known to complicate treatment. This study aims to evaluate the nutritional status and its associated factors in community-dwelling older adults with and without cancer. DESIGN: This is an observational study. SETTING: This study focuses on older community-dwelling people...
2018: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29371099/pleiotropic-and-novel-phenotypes-in-the-drosophila-gut-caused-by-mutation-of-drop-dead
#13
Sean Conway, Christine L Sansone, Anika Benske, Kaitlin Kentala, Johan Billen, Jozef Vanden Broeck, Edward M Blumenthal
Normal gut function is vital for animal survival, and deviations from such function can contribute to malnutrition, inflammation, increased susceptibility to pathogens, diabetes, neurodegenerative diseases, and cancer. In the fruit fly Drosophila melanogaster, mutation of the gene drop-dead (drd) results in defective gut function, as measured by enlargement of the crop and reduced food movement through the gut, and drd mutation also causes the unrelated phenotypes of neurodegeneration, early adult lethality and female sterility...
January 22, 2018: Journal of Insect Physiology
https://www.readbyqxmd.com/read/29363454/effect-of-health-care-on-quality-of-life-among-human-immunodeficiency-virus-infected-adults-with-and-without-visceral-leishmaniasis-in-northwest-ethiopia-a-longitudinal-follow-up-study
#14
Mekuriaw Alemayehu, Mamo Wubshet, Nebiyu Mesfin, Abebaw Gebayehu
There has been a scarcity of data on the effect of health care on the quality of life (QoL) of human immunodeficiency virus (HIV)- and visceral leishmaniasis (VL)- coinfected patients over time. We sought to assess the change that health care brings about in the QoL of HIV patients with and without VL and its predictors in 6 months. A total of 465 HIV patients without VL and 125 HIV-VL-coinfected patients were enrolled in the longitudinal follow-up study from October 2015 to September 2016. Data on QoL at baseline and in 6 months were collected by trained nurses through face-to-face interviews using a short Amharic version of World Health Organization QoL instrument for HIV clients...
January 22, 2018: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29360778/effects-of-substitution-and-adding-of-carbohydrate-and-fat-to-whey-protein-on-energy-intake-appetite-gastric-emptying-glucose-insulin-ghrelin-cck-and-glp-1-in-healthy-older-men-a-randomized-controlled-trial
#15
Caroline Giezenaar, Yonta van der Burgh, Kylie Lange, Seva Hatzinikolas, Trygve Hausken, Karen L Jones, Michael Horowitz, Ian Chapman, Stijn Soenen
Protein-rich supplements are used widely for the management of malnutrition in the elderly. We reported previously that the suppression of energy intake by whey protein is less in older than younger adults. The aim was to determine the effects of substitution, and adding of carbohydrate and fat to whey protein, on ad libitum energy intake from a buffet meal (180-210 min), gastric emptying (3D-ultrasonography), plasma gut hormone concentrations (0-180 min) and appetite (visual analogue scales), in healthy older men...
January 23, 2018: Nutrients
https://www.readbyqxmd.com/read/29360158/characteristics-and-outcomes-of-adult-inpatients-with-malnutrition
#16
Michael T Vest, Mia A Papas, Mary Shapero, Patty McGraw, Amanda Capizzi, Claudine Jurkovitz
BACKGROUND: The diagnosis of malnutrition remains controversial. Furthermore, it is unknown if physician diagnosis of malnutrition impacts outcomes. We sought to compare outcomes of patients with physician diagnosed malnutrition to patients recognized as malnourished by registered dietitians (RDs), but not physicians, and to describe the impact of each of 6 criteria on the diagnosis of malnutrition. METHODS: We conducted a retrospective cohort study of adult patients identified as meeting criteria for malnutrition...
December 27, 2017: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29351894/the-use-of-technology-in-identifying-hospital-malnutrition-scoping-review
#17
REVIEW
Dino Trtovac, Joon Lee
BACKGROUND: Malnutrition is a condition most commonly arising from the inadequate consumption of nutrients necessary to maintain physiological health and is associated with the development of cardiovascular disease, osteoporosis, and sarcopenia. Malnutrition occurring in the hospital setting is caused by insufficient monitoring, identification, and assessment efforts. Furthermore, the ability of health care workers to identify and recognize malnourished patients is suboptimal. Therefore, interventions focusing on the identification and treatment of malnutrition are valuable, as they reduce the risks and rates of malnutrition within hospitals...
January 19, 2018: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29345106/national-study-of-the-nutritional-status-of-korean-older-adults-with-dementia-who-are-living-in-long-term-care-settings
#18
Myonghwa Park, Jun-Ah Song, Mihyun Lee, Hyun Jeong, Soyeun Lim, Haejung Lee, Chun-Gill Kim, Jeong S Kim, Kyung S Kim, Young W Lee, Young M Lim, Young S Park, Jong C Yoon, Ki W Kim, Gwi-Ryung S Hong
AIM: To evaluate the nutritional status of older adults with dementia who were living in long-term care settings. METHODS: As a secondary analysis, this study used the data from the Nationwide Survey on Dementia Care in Korea that was conducted between December 1, 2010, and August 31, 2011, which surveyed 3472 older adults with dementia, aged ≥60 years (mean age: 81.24 years), who were residing in 248 randomly selected long-term care settings in South Korea...
January 17, 2018: Japan Journal of Nursing Science: JJNS
https://www.readbyqxmd.com/read/29342203/biological-pathways-underlying-the-association-of-red-cell-distribution-width-and-adverse-clinical-outcome-results-of-a-prospective-cohort-study
#19
Giedre Zurauskaite, Marc Meier, Alaadin Voegeli, Daniel Koch, Sebastian Haubitz, Alexander Kutz, Luca Bernasconi, Andreas Huber, Mario Bargetzi, Beat Mueller, Philipp Schuetz
BACKGROUND: Red cell distribution width (RDW) predicts disease outcome in several patient populations, but its prognostic value in addition to other disease parameters in unselected medical inpatients remains unclear. Our aim was to investigate the association of admission RDW levels and mortality adjusted for several disease pathways in unselected medical patients from a previous multicenter study. METHODS: We included consecutive adult, medical patients at the time point of hospital admission through the emergency department into this observational, cohort study...
2018: PloS One
https://www.readbyqxmd.com/read/29332407/nutritional-deficiency-during-colonoscopy-preparation-the-forgotten-iatrogeny
#20
Gonçalo Nunes, Ana Teresa Barata, Carla Adriana Santos, Marta Patita, Jorge Fonseca
BACKGROUND AND AIMS: Bowel preparation for colonoscopy induces a semi-fasting state, with a potential negative impact on fragile patients. The present study aims to quantify nutritional deficiency during colonoscopy preparation. METHODS: This was an observational and cross-sectional study. A convenience sample was obtained that included adults that underwent colonoscopy after bowel preparation with Klean-Prep® according to the center protocol. Anthropometric evaluation was performed and nutritional deficiency was calculated via the quantification of energy and protein intake during the 48 hours prior to the examination which was compared with the individuals' needs...
January 15, 2018: Revista Española de Enfermedades Digestivas
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