Evaluation Of Nutritional Status Research Articles

Relationship Between Multimorbidity, Nutritional Status and Duration of ARV Treatment to Major Signs of HIV at RSUD Dr. Soetomo Surabaya

People living with HIV/AIDS (PLWHA) can have better health outcomes with early identification of the AIDS phase. In the first three years, PLWHA may progress to the AIDS stage. This cross-sectional study aimed to determine the relationship between multimorbidity, nutritional status and duration of Antiretroviral (ARV) treatment on major signs of PLWHA. This study was conducted in the Intermediate and Infectious Disease Treatment Unit (UPIPI) at regional public hospital (RSUD) Dr. Soetomo Surabaya from January to February 2023. As many as 52 PLWHA who started HIV treatment at RSUD Dr. Soetomo in 2020 to 2021 were sampled in this study, which was obtained from medical records. The dependent variable in this study was the major sign of HIV. Independent variables in this study were multimorbidity, nutritional status, and the duration of ARV treatment. This study found that 76.9% of PLWHA experienced major signs. Multimorbidity and duration of ARV treatment did not have an association with major signs of HIV (<em>p</em>-value > 0.05). Nutritional status has a significant association with major clinical symptoms of HIV (<em>p</em>-value < 0.05). PLWHA with underweight had higher odds of having a major sign (<em>p</em>-value = 0.017; PR = 1.507; 95% CI 1.131-2.008) than PLWHA with normal nutritional status. Thereby, it is hoped that the hospital will be assisted in determining health promotion needs such as screening and evaluation of nutritional status to monitor the nutritional status of patients, which will improve their health outcomes.

Evaluation and Comparison of Nutritional Status According to Area of Residence and Type of Institute, its Effect on Plaque and Gingival Status: A Comparative Longitudinal Study.

Schoolchildren constitute about 113.8 million (2000-2001 census) population of India and around 11,413,000 comprises schoolchildren in Rajasthan (2000-2001 census), with overall 2.4% children suffering from dietary inadequacies. In the causation of nutritional deficiency diseases, dietary inadequacies have been considered a predominant etiological factor. To overcome such dietary problems and initiate any programs for improvement in general and oral health status, the present study was undertaken in the form of a dietary record of five consecutive days among schoolchildren belonging to different geographical areas. To evaluate and compare nutritional status according to area of residence and type of institution and its possible effect on plaque and gingival status among 12-15-year-old schoolchildren of Jaipur. The list of schools was collected using simple random technique in both rural and urban areas of Jaipur city. Overall, four schools were drawn randomly from the selected area (two from government and two from private). In the urban area, nutrient scores (NS) were higher compared to rural areas, irrespective of the season. In contrast to this, plaque and gingival scores were higher in private schools of rural areas. There is a need for awareness regarding applied nutrition among schoolchildren, irrespective of the area. Gaur AG, Sharma M, Sharma R, et al. Evaluation and Comparison of Nutritional Status According to Area of Residence and Type of Institute, its Effect on Plaque and Gingival Status: A Comparative Longitudinal Study. Int J Clin Pediatr Dent 2023;16(S-3):S233-S239.

Analysis Of The Nutritional Status Of Pediatric Tuberculosis Patients After Treatment At The X General Hospital Center

Introduction: Indonesia is currently ranked 2nd in the country with the highest number of tuberculosis (TB) cases. TB disease in children cannot be separated from the role of nutritional status. Poor nutrition can cause immunological disorders and affect the disease healing process. Methodology: The research method used was cross-sectional which was carried out at Central General Hospital X in July 2019. A sample of 72 pediatric tuberculosis patients was taken using a simple random sampling technique. The data used is secondary data from medical records for the period January 2016-December 2018 to look at the characteristics of pediatric TB patients and analyze the evaluation of nutritional status after treatment. Data analysis used the non-parametric Wilcoxon test. Results: The highest age was in the 5-14 year category (51.4%). In the Wilcoxon test, a p-value of 0.000 (<0.05) was obtained, which stated that there was a significant difference between nutritional status before and after treatment. Conclusion: Compliance with pediatric TB patients in undergoing treatment will improve the patient’s nutritional status.

Vitamin B12, fatty acids EPA and DHA during pregnancy and lactation in women with a plant-based diet

Pregnancy and lactation represent a complex stage from a nutritional point of view, since energy, protein and micronutrient requirements increase during these stages. The literature describes that a well-planned plant-based diet can be sufficient in energy, macronutrients and micronutrients, with the exception of vitamin B12 and n3 polyunsaturated fatty acids, mainly EPA and DHA. During the last few years, adherence to this diet has increased rapidly in the population, so the main objective of this article is to review the current evidence on the intake and concentrations of vitamin B12, EPA and DHA during pregnancy and lactation in women following a plant-based diet. A literature search was performed in PubMed, Scopus, Web of Science and Ovid MedLine using free terms and MESH. Eleven articles were selected in this review. Well-planned vegetarian and vegan diets, with adequate supplementation of vitamin B12, EPA and DHA, are compatible during pregnancy and lactation, being a positive predictor of their content in breast milk. A similar situation was observed in plasma levels in women supplemented with B12. However, it is important to continue with research in this area that considers an adequate dietary anamnesis, integral evaluation of nutritional status, estimation of nutritional requirements and an individualized nutritional plan.

Evaluation of nutritional status of patients with gastrointestinal system tumours receiving chemo-radiotherapy

Evaluation of nutritional status of patients with gastrointestinal system tumours receiving chemo-radiotherapy

Evaluation of Nutritional Status of Children with Autism Spectrum Disorder Receiving Daytime Rehabilitation

Evaluation of Nutritional Status of Children with Autism Spectrum Disorder Receiving Daytime Rehabilitation

Evaluation of Nutritional Status in Cancer Patients Underwent Radiotherapy: The Results of Biochemical, Body Composition with Bioelectrical Impedance Analysis, Anthropometric Measurements, and Patient-Generated Subjective Global Assessment

Aim: This study aims to evaluate the nutritional status and the effect of radiotherapy (RT) on nutrition in all ambulatory cancer patients. Material and Method: In this prospective observational study 105 cancer patients with various diagnoses treated between 2013 and 2014 were evaluated. All patients were ≥18 years old and had Karnofsky Performance Status ≥70. Anthropometric measurements, body composition with bioelectric impedance, and patient-generated Subjective Global Assessment (PG-SGA) tools were used. The height, weight, body mass index (BMI), triceps skin fold thickness, mid-upper arm circumference, hemoglobin, and serum albumin levels were determined twice before and after RT. Additionally, nutrition-related symptoms and short-term weight loss results were determined by PG-SGA questionnaires. Results: The patients’ median age was 53 years (range, 18-82 years). At initial evaluation 74 patients were well nourished using the PG-SGA global rating. Malnutrition developed in totally 33 of these 74 patients after RT. The PG-SGA results after RT were significantly worse than before treatment. PG-SGA revealed no significant relationship between nutritional status prior to RT and the parameters including gender, age, mean weight, BMI, disease duration, pre-RT hemoglobin and albumin levels. Post-RT evaluation showed a significant relationship between deterioration (PG-SGA B-C) and mean weight, BMI, serum albumin, hemoglobin levels, and concomitant chemotherapy. Gastrointestinal and head and neck cancer patients had the most deterioration after RT. The patients' weight, BMI, fat-free mass, total body water, and the percentage weight loss at the end of RT were significantly lower than the initial assessment. Conclusion: It is considerable to use multiple tools for nutritional monitoring. Patients who received RT to the head and neck and upper abdomen region had a high risk of deterioration after treatment. These patients should be monitored carefully during all treatment periods.

Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study.

The percentage of older adults living alone is rapidly increasing, improving the health status and health-related quality of life (HRQoL) in this group is becoming a more significant public health issue. This study aimed to examine the changes in the HRQoL of older South Korean adults living alone and identify the factors that affect their HRQoL. A longitudinal study design was followed. Data were collected at baseline and 1-year follow-up. Participants consisting of 789 older adults living alone in S*City aged>65 years completed a cohort survey regarding health status and HRQoL from August 2018 to August 2019. Trained interviewers conducted face-to-face interviews with the participants using a validated questionnaire (physical health, mental health, social health, and HRQoL). Generalized estimating equations were used to assess the change in health status and the interaction effect of time and gender. Then, a stepwise multiple logistic regression analysis was performed to identify factors related to HRQoL. Time differences were observed in the subjective evaluation of health status (SEH), IPAQ scores, frailty, nutritional status, and depression. Gender differences were observed in the SEH, IPAQ, frailty, loneliness, depression, and social support. The interaction between time and gender was observed in the IPAQ and HRQoL. At baseline, SEH, depressive symptoms, gender, frailty, and age were associated with HRQoL. After one year, HRQoL was associated with SEH, frailty, depressive symptoms, cost of living, suicidal thoughts, gender, social support, loneliness, and suicide attempts. Our results highlight that HRQoL is associated with physical health, mental health, and social support. Future detailed studies are needed to determine whether governments and communities can prevent depression, loneliness, and suicidal thoughts through psychological support and provide economic support to improve the quality of life of older adults living alone.

Influence of dietary pattern on anti-tuberculosis treatment outcomes in persons with dysglycemia: a Peruvian prospective cohort study.

Dietary patterns (DPs) are associated with overall nutritional status and may alter the clinical prognosis of tuberculosis. This interaction can be further intricated by dysglycemia (i.e., diabetes or prediabetes). Here, we identified DPs that are more common with tuberculosis-dysglycemia and depicted their association with tuberculosis treatment outcomes. A prospective cohort study of persons with tuberculosis and their contacts was conducted in Peru. A food frequency questionnaire and a multidimensional systems biology-based analytical approach were employed to identify DPs associated with these clinical groups. Potential independent associations between clinical features and DPs were analyzed. Three major DPs were identified. TB-dysglycemia cases more often had a high intake of carbohydrates (DP1). Furthermore, DP1 was found to be associated with an increased risk of unfavorable TB outcomes independent of other factors, including dysglycemia. Our findings suggest that the evaluation of nutritional status through DPs in comorbidities such as dysglycemia is a fundamental action to predict TB treatment outcomes. The mechanisms underlying the association between high intake of carbohydrates, dysglycemia, and unfavorable tuberculosis treatment outcomes warrant further investigation.

Prior Evaluation of Nutritional Status and Mortality in Patients with Sepsis in South Korea.

Our objective was to determine whether nutritional status correlates with mortality in sepsis patients. Data from a nationwide registration database were utilized for this population-based cohort study. The study subjects comprised adults who received standard health examinations before being admitted to the hospital for sepsis and were diagnosed with sepsis between 2018 and 2020. Nutrition scores were evaluated using the Nutritional Lifestyle Assessment Tool in South Korea. Overall, 2482 patients with sepsis were included in this study. The 90-day and 1-year mortality rates in patients with sepsis were 26.8% (664/2482) and 34.2% (848/2482), respectively. In the covariate-adjusted multivariable logistic regression model, a 1-point increase in nutrition score was associated with a decrease in 90-day mortality in patients with sepsis (odds ratio [OR]: 0.98, 95% confidence interval [CI]: 0.97, 0.98; p = 0.025). In the covariate-adjusted multivariable Cox regression model, a 1-point increase in nutrition score was associated with a decrease in 1-year mortality in patients with sepsis (hazard ratio [H.R.]: 0.99, 95% CI: 0.98, 0.99; p = 0.035). Our results suggest that adequate dietary intake and healthy eating habits might protect against mortality among sepsis patients.

Prospective evaluation of body composition (BC) and nutritional status as predictors of treatment response in squamous cell carcinoma of head and neck (SCCHN) treated with immunotherapy (immuno-nutri study)

Prospective evaluation of body composition (BC) and nutritional status as predictors of treatment response in squamous cell carcinoma of head and neck (SCCHN) treated with immunotherapy (immuno-nutri study)

Perception of Nutrition in Adults with Sickle Cell Disease: Concept Elicitation of Nutritional Status and the Mini Nutrition Assessment

Introduction Sickle Cell Disease (SCD) is a genetic disorder that causes recurrent vaso-occlusive pain events, functional impairment, and nutritional deficiencies due to increased metabolic demands. Prior studies have highlighted nutritional issues in people with SCD, such as micronutrient and macronutrient deficiencies, low body mass index (BMI), and a recent rise in obese adults with SCD. In older adults in the general population, evaluation and management of nutritional status is essential since malnutrition can weaken the immune system and increase the risk of hospitalization and death. Despite the importance of nutrition, little is known about the best way to evaluate nutritional status in older adults with SCD. To identify a relevant yet efficient method to evaluate nutritional status, we conducted content elicitation interviews to describe how younger and older adults conceptualized nutrition. Based on the content of the interviews, we piloted a brief nutritional survey called the Mini Nutritional Assessment (MNA); a common nutritional measure in geriatric assessments. Methods As standard practice for concept elicitation, we conducted semi-structured interviews with adults SCD in 4 separate focus groups: two groups of young adults age 18-39 and two groups of older adults age ≥ 40 years. Participants were asked about their perception of the construct of nutrition as part of a longer concept elicitation interview assessing the content validity of the Sickle Cell Disease Functional Assessment (SCD-FA), which is the geriatric assessment for adults with SCD. After focus group transcripts were analyzed using rapid qualitative analysis, we administered the MNA to a separate cohort of adults with SCD, since its content on macronutrients and hydration was consistent with how adults with SCD conceptualized nutrition. The scores on the 6-item MNA-Short Form (MNA-SF) range from 0 to 14 with higher scores indicating better nutritional status. Scores 12-14 indicate a normal nutritional status, 8-11 indicate at risk for malnutrition, and 0-7 indicate a malnourished state. Results The 4 focus group interviews included 6 younger adults (age 18-39) and 8 older adults (age ≥ 40 years) with SCD. Participants were 57% females and 79% had severe SCD genotype (HbSS or HbSβnull-thalassemia). In the focus groups, participants described a healthy diet as one that included the major food groups, which were generally defined as protein, fruits and vegetables, and starches/carbs. The majority discussed the importance of adequate hydration to reduce the risk of pain crises. Additionally, participants reported trying to substitute water for soda, juice, and caffeine containing beverages. Many participants stated that a healthy diet involved limited processed foods and sugars. Despite knowledge of the characteristics of a “healthy” diet, some participants expressed difficulty maintaining this diet. Based on these qualitative results, we selected the MNA to evaluate nutrition since it included items on hydration and assessed intake of various food groups as described by focus group participants. We administered the MNA-SF to a cohort of 88 adults with SCD and 81 had complete data to score the MNA-SF. The mean score for the MNA-SF for all participants was 11.7 ± 1.8 (younger adults 11.6 ± 1.9 and older adults 11.9 ± 1.8; p= 0.44). The MNA-SF identified 40% (n=34) as being at risk of malnutrition [36% of older adults and 46% younger adults]. Two participants were identified as being malnourished (1 younger and 1 older adult). On remaining MNA items (Table 1), 25% of participants reported decreased food intake with 17% having only 1 meal/day. Most participants (85%) consumed ≥ 1 serving of protein/day and 75% had ≥ 2 servings of fruits or vegetables/day. Most participants (68%) drank > 5 cups of water/day. Results were similar for younger and older adults with SCD. Conclusion Data from the focus group interviews revealed that BMI and unintentional weight loss measures alone did not comprehensively capture how people with SCD perceived the concept of nutrition. Incorporating the MNA-SF enhanced measurement of the nutritional domain in the SCD-FA by capturing data on food intake and hydration. In future studies we will assess the construct validity of the full MNA in a larger sample to identify older adults with SCD who would benefit most from nutritional interventions.

Total Protein Intake in Patients with PKU: Adequacy Evaluation According to the European PKU Guidelines from 2017

In PKU, the protein requirements are contentious. In 2018, we evaluated the protein intake in patients with PKU. Ninety-nine early treated patients aged 19.3 ± 8.2 years (54% males) were studied. A total of 24 had hyperphenylalaninemia (HPA), 48 mild and 27 classical PKU. All had an annual nutritional status evaluation. A total of 83% were on diet therapy only, and 17% were on diet with tetrahydrobiopterin therapy. Anthropometry, metabolic control and nutritional intake [total protein (TP, g/kg), natural protein (NP, g/kg), protein equivalent from protein substitutes (PE, g/kg)] were collected. TP adequacy (TPA) was calculated as a % of WHO (2007) safe levels of protein intake. Results were compared with the European PKU Guidelines (EPG). The median % contribution NP of TP intake was 53% [31–100]. Most patients (78%) had a TP intake above the EPG recommendations. The median TPA was 171% [146–203], with 79% [51–165] from NP and 84% [0–109] from PE. A TPA of 100–140% was observed in 16 (16%) patients. Only n = 6 (6%) patients had a TPA < 100%. These results emphasize the heterogeneity of PKU. More research is needed to understand the necessity of a single protein recommendation for all, as a ‘one-size-fits-all’ solution might not be appropriate.

Relationship among Dietary Intake of Vitamin E, Lipid Peroxidation Markers, and C-Reactive Protein in Flu-Like Patients Diagnosed with COVID-19.

This research aimed to assess the intake of vitamin E and its relationship with lipid peroxidation markers and C-reactive protein levels in patients with flu symptoms and COVID-19 diagnosis. A cross-sectional study with 121 patients of both sexes assisted at two basic health units in the city of Teresina, Piauí, with COVID-19 diagnosis confirmed through real-time reverse transcription polymerase chain reaction, was performed between the 3rd and 7th days of flu symptoms. The global nutritional status and the measurement of waist circumference were assessed according to the World Health Organization recommendations. The dietary energy intake, macronutrients, and vitamin E consumption were assessed through the 24 hr food recall method. The malondialdehyde plasmatic concentration (MDA) was measured through the method of thiobarbituric acid-reactive substances. Myeloperoxidase (MPO) was assessed through the oxidation speed of the o-dianisidine substrate in the presence of hydrogen peroxide. C-reactive protein (CRP) levels were measured by a high-sensitivity immunoturbidimetry method. The most common symptoms reported by the participants were sore throat, fever, and cough. Regarding the global nutritional status evaluation, the majority of the sample had overweight. The dietary intake of vitamin E was 100% inadequate and presented a mild correlation (r = 0.197) with MDA, a redox status marker. No correlation was observed among MPO, CRP, and the dietary intake of vitamin E. The dietary intake of vitamin E was related to MDA as the marker of redox status.

Evaluation of Nutritional Status of Children with Thalassemia

Amaç: Araştırma 2-17 yaş arası talasemi tanılı çocukların beslenme durumunu incelemek amacıyla yapılmıştır. 
 Yöntem: Araştırma, 86 talasemi hastasından dahil edilme kriterlerini karşılayan ve gönüllü olan 2-17 yaş arası, talasemi tanısı alan 23 çocuk ile yürütülmüştür. Veriler çocukların sosyodemografik özellikleri, beslenme alışkanlıkları, antropometrik ölçümleri, biyokimyasal bulguları ve besin tüketim kaydı sorularından oluşan anket formu ile yüz yüze toplanmıştır. Araştırmadan elde edilen veriler SPSS 25,0 paket programı kullanılarak uygun istatistiki testler kullanılarak değerlendirilmiştir. 
 Bulgular: Katılımcıların %65,2’si kız ve %34,8’i erkek olup, ortalama yaş 10,3±5,2 yıl olarak saptanmıştır. Çalışmaya katılan çocukların tamamının (%100,0) hemoglobin ve hematokrit düzeyleri düşük, ferritin düzeyleri yüksekti. Talasemi hastası çocukların %52,2’si besin desteği kullandığını ve en çok kullandıkları üç besin desteğinin D vitamini (%52,2), folik asit (%26,1) ve çinko (%21,7) olduğu belirlenmiştir. Talasemi hastası kız çocuklarının yaklaşık yarısının enerji (%43,5) ve kalsiyum (%53,3) alımlarının yetersiz olduğu; erkek çocukların enerji (%50,0), folat, (%50,0), C vitamini (%37,5), kalsiyum (%37,5) ve magnezyum (%37,5) alımlarının yetersiz olduğu saptanmıştır. İki-10 yaş aralığındaki çocukların %30,0’unun folat, %40’ının kalsiyum alımlarının yetersiz olduğu saptanmıştır. Bunun yanı sıra, 11-17 yaş aralığındaki çocukların %53,8’inin C vitamini ve kalsiyum, %38,5’inin çinko alımlarının yetersiz olduğu saptanmıştır. 
 Sonuç: Talasemi hastası çocukların makro ve mikro besin ögelerini yetersiz aldığı saptanmıştır. Bu çalışma talasemi tanılı çocukların beslenme yetersizliği açısından risk altında olduğunu saptamak için beslenme izlemine ihtiyaçları olduğunu belirlemiştir. Gelecekteki çalışmalar, Türk talasemi hastası çocuklarda daha geniş örneklemde diyet kalitesi ve beslenme durumunun sağlık sonuçları üzerindeki etkisine doğrudan odaklanmalıdır.

Association of nutritional status and comorbidity with long-term survival among community-dwelling older males

BackgroundEstimates of survival in the older can be of benefit in various facets, particularly in medical and individual decision-making. We aim to validate the value of a combination of nutrition status evaluation and comorbidity assessment in predicting long-term survival among community-dwelling older.MethodsThe Charlson Comorbidity Index (CCI) was applied for comprehensive evaluation of comorbidities. Participants were classified into CCI score ≤ 2 and ≥ 3 subgroups. Nutritional status was assessed by using Mini Nutritional Assessment-Short Form (MNA-SF) and Geriatric Nutritional Risk Index (GNRI) evaluations. Mortality rates and survival curves over a 5-year period were compared among subgroups classified by CCI and/or MNA-SF/GNRI evaluations.ResultsA total of 1033 elderly male participants were enrolled in this study, with an average age of 79.44 ± 8.61 years. 108 deceased participants (10.5%) were identified during a follow-up of 5 years. Cox proportional hazards regression analysis showed that age, CCI, MNA-SF and GNRI were independent predictors of 5-year all-cause death in this cohort. Compared to those with normal nutrition status and CCI ≤ 2, the subgroup at risk of malnutrition and CCI ≥ 3 had a significantly higher 5-year all-cause mortality rate (HR = 4.671; 95% CI:2.613–8.351 for MNA-SF and HR = 7.268; 95% CI:3.401–15.530 for GNRI; P < 0.001 for both). Receiver operating characteristic curve analysis demonstrated that a combination of either MNA-SF or GNRI with CCI had significantly better performance than CCI, MNA-SF or GNRI alone in predicting all-cause death.ConclusionThe combination of nutritional assessment (MNA-SF or GNRI) with CCI can significantly improve the predictive accuracy of long-term mortality outcomes among community-dwelling older males.

Prediction of Grain Yield and Gluten Content in Winter Bread Wheat Based on Nutrient Content in Plant Parts during the Critical Cereal Window

Reliable prediction of winter bread wheat grain yield (GY) and its qualitative parameters (crude protein (CP) and wet gluten (GL) content, wet gluten yield (GLY)) requires evaluation of the plant nutritional status in the Critical Cereal Window (CCW). The reliability of the forecast depends on the dedicated plant characteristics and the correct selection of the diagnostic plant parts. This hypothesis was verified in a one-factor field experiment carried out in the 2013/2014, 2014/2015, and 2015/2016 growing seasons. The field experiment included applying 0, 40, 80, 120, 160, 200, and 240 kg N ha−1. The N, P, K, Ca, Mg, Fe, Mn, Zn, and Cu content in wheat was determined in two growth stages: (i) beginning of booting (BBCH 40) and (ii) full flowering (BBCH 65). The evaluated plant components included the leaves and stem for BBCH 40 and the flag leaf, leaves, stem, and ear of BBCH 65. Grain yields were very high, significantly responding to the increased rates of fertilizer nitrogen (Nf), with a maximum yield of 11.3 t ha−1 achieved in 2014 (N rate of 209 kg N ha−1), 13.7 t ha−1 in 2015, and 8.6 t ha−1 in 2016 (N rate of 240 kg N ha−1). The CP and GL content also increased linearly in accordance with the Nf rates. At the beginning of the booting stage, the GY forecast based on the content of nutrients in the leaves or the stem was 94%. Meanwhile, a slightly higher yield prediction was obtained for leaves during the full flowering stage (95%). The key nutrients comprised K, Ca, and Mn, accounting for 93% of the GY variability. The accuracy of the GL prognosis at BBCH 40, regardless of the plant part, exceeded 99%. Three nutrients, namely, P, Mg, and Zn, explained 98% of the GL variability, and the GLY forecast was high (97%). Both wheat traits depended on Zn, which buffered the action of N and Mg. At the full flowering stage, the highest, yet slightly weaker, predictions of GL and GLY were obtained for leaves (95% and 92%, respectively). At this stage of winter wheat growth, the significant role of Zn and K and the buffering effect of Cu on the action of both nutrients was apparent. The obtained results unequivocally confirm that the game for winter wheat grain yield occurs within the Critical Cereal Window. In addition, the end result depends on the plant’s N supply during this period and the nutritional status of other nutrients. Application of 40–80 kg N ha−1 fertilizer critically impacted the GY and technological quality. Moreover, micronutrients, including Zn and Cu, influence the GY, GL, and GLY considerably. At the beginning of the booting phase (BBCH 40), winter wheat leaves serve as a highly reliable plant component indicator for evaluating nutrient content and quantitative (GY, GLY) and qualitative (GL) characteristics of grain. Moreover, analysis conducted during BBCH 40 allows the farmer to correct the nutritional status of the wheat, taking into account N and other nutrients as necessary.

Nutrition in Surgery: An Orthopaedic Perspective.

➤ Malnutrition is common among subsets of patients undergoing orthopaedic surgery and is associated with an increased risk of postoperative complications.➤ Serum proteins, in particular, albumin, may be used in the evaluation of nutritional status.➤ Anthropometric measurements and surveys also play a role in the evaluation of nutritional status.➤ Increased energy and nutrient requirements due to surgical procedures necessitate increased caloric and protein intake in the perioperative period, which may be achieved through diet or supplementation.➤ Evidence supports the use of protein-calorie, amino acid, and immunonutrition supplements. Vitamin D supplementation is an area of further consideration.➤ Diet restriction, activity alterations, pharmacotherapy, and bariatric surgery are all safe, effective approaches to weight loss, although the optimal timing and magnitude of preoperative weight loss require further investigation.

Evaluation of Nutritional Status, Diet Quality and Use of Nutritional Ergogenic Aids in Athletes in Different Sports Branches

Amaç: Bu çalışmada farklı spor branşlarıyla uğraşan sporcularda beslenme durumu, diyet kalitesi ve besinsel ergojenik destek kullanımlarının değerlendirilmesi amaçlanmıştır. &#x0D; Materyal ve Yöntem: Bu çalışma farklı spor dallarıyla ilgilenen 125 sporcuda yürütülmüştür. Sporcuların genel ve demografik özellikleri, besinsel ergojenik destek kullanımı ile besinsel ergojenik destek ürünlerine yönelik tutumları sorgulanmıştır. Antropometrik ölçümleri ve 24 saatlik besin tüketim kaydı alınmıştır. Sporcuların diyet kalitesinin değerlendirilmesinde Sağlıklı Yeme İndeksi-2015 kullanılmıştır. &#x0D; Bulgular: Sporcuların yaş ortalaması 21.1±3.51 yıldır. Sporcular sırasıyla takım (%64,0), dövüş (%20,8), dayanıklılık (%10,4) ve kuvvet (%4,8) sporlarını tercih etmektedir. Sporcuların üçte biri (%36,0) besinsel ergojenik destek kullanmaktadır. Sporcularda en çok tercih edilen besinsel ergojenik destek ürünleri sırasıyla sporcu içecekleri (%19,2), proteinli süt/yoğurt (%17,6), sporcu barları (%12,8), kreatindir (%11,2). Takım sporlarında yer alan sporcuların günlük ortalama toplam enerji, posa ve karbonhidrat alım miktarları, kuvvet sporlarıyla ilgilenenlerin protein alım miktarı ve dövüş sporuyla ilgilenenlerin yağ alım miktarları en yüksek bulunmuştur (p&gt;0,05). Sporcuların sadece %2’sinin diyet kalitesinin iyi olduğu belirlenmiştir. &#x0D; Sonuç: Sporcuların branşlarına özgü bireysel düzeyde yeterli, dengeli ve diyet kalitesi yüksek ve gerektiğinde besinsel ergojenik destek ürünün de eklendiği beslenme programlarının düzenlenmesi gerekmektedir.

Highlighting the Use of the Hepatoprotective Nutritional Supplements among Patients with Chronic Diseases.

Cross-sectional studies, while not considered glamorous endeavors, are firmly anchored in data and statistics, providing essential insights about public health. The aim of the study is to see the frequency of hepatoprotective (HP) nutritional supplement consumption among patients with chronic diseases (other than chronic liver disorders) and analyzes the habits related to the consumption of nutritional supplements among these patients. A total of 954 patients, seeking medical prescriptions for chronic diseases under various payment arrangements (compensated, gratuity, or full payment) were carefully selected over a 12-month period from four private pharmaceutical facilities. We examined the frequency of HP consumption in relation with a number of prescribed medications for chronic conditions. All these patients were invited to complete a questionnaire about their supplement consumption habits and were provided the option to participate in a nutritional status assessment. One hundred ninety-five patients consented to participate in the survey, and 65 patients agreed to undergo a nutritional status evaluation. Of the 954 patients, 77.2% incorporate HP into their regimen. The most frequent consumption (83.33%) was recorded in a group with seven drugs, followed by a group with three drugs (82.84%). Women have a higher usage rate of HP (80.58%; 444 from 551) compared to men (62.60%; 293 from 383), and most of the patients (59.5%) used extracts of Silybum marianum L. In the survey, 64.61% of participants were using supplements, with most (59.52%) consuming HP. Only 32.54% of patients rely on recommendations from healthcare professionals. Of the patients who use supplements, 55.56% reported improvements in their health status. Furthermore, patients who integrate supplements into their daily routine tend to achieve better overall nutritional status.