Nutritional Evaluation Research Articles

Nutritional Value Evaluation and Processing Technology of Feed and Nutrition Regulation Measures for Ruminants

In the context of modern livestock farming, particularly in the ruminant industry, feed is a crucial factor that affects both the efficiency of production and animal health [...]

The multiple facets of cow’s milk allergy

Cow’s milk allergy (CMA) is one of the most common food allergies in early childhood. CMA has varied presentations and multiple facets. A detailed clinical history is key for classification. In IgE-mediated CMA skin prick testing and serum specific IgE testing are useful in the diagnosis, but an oral food challenge (OFC) may still be necessary if there is doubt or to assess tolerance. Non-IgE-mediated CMA presentations include food protein-induced allergic proctocolitis (FPIAP), food protein-induced enterocolitis syndrome (FPIES), and eosinophilic esophagitis (EoE). The diagnosis of FPIAP and FPIES is based on the clinical history. An esophageal biopsy is required for the diagnosis of EoE. Atopy patch testing, IgG or IgG4 testing are not helpful in any CMA evaluation. Children with CMA (except those with FPIAP) are at risk for poor growth and a nutritional evaluation should be part of routine care. Extensively hydrolyzed formulas are the recommended first choice alternative formula for CMA. For IgE-mediated CMA, alternative approaches to traditional strict avoidance include oral immunotherapy (OIT) and omalizumab (both as monotherapy and as an adjunct to OIT). Multiple international guidelines have addressed evaluation and management of CMA providing key information, support and guidance for clinicians in daily practice.

PP200 Topic: AS18–Nutrition Support/Fluids: NUTRITION EVALUATION AND SUPPORT WITH HUMAN MILK IN CRITICALLY ILL INFANTS ADMITTED TO PICU

PP200 Topic: AS18–Nutrition Support/Fluids: NUTRITION EVALUATION AND SUPPORT WITH HUMAN MILK IN CRITICALLY ILL INFANTS ADMITTED TO PICU

Effects of different drying methods on the nutritional components, microstructure, and metabolomic profile of Spirulina maxima

Spirulina maxima (S. maxima) is considered a potential solution to address the issue of human food security. In this study, three drying methods were employed: spray drying (SD), freeze drying (FD), and vacuum drying (VD), to process fresh S. maxima (FS). A comprehensive nutritional evaluation was conducted using principal component analysis and cluster analysis, along with an untargeted metabolomics study. The results indicated that after SD, FD, and VD treatments, the phycocyanin content decreased by 23 %, 9 %, and 80 %, respectively, compared to that of the FS. The polysaccharide content also significantly decreased by 36 %, 33 %, and 67 %, respectively. Comprehensive analysis showed that SD resulted in the least loss of nutritional indicators in S. maxima. Further metabolomics analysis revealed that prolonged exposure to high temperatures can lead to metabolic disruptions in 2-oxocarboxylic acid metabolism, purine metabolism, amino acid biosynthesis, and starch and sucrose metabolism. Additionally, the levels of coproporphyrin I and coproporphyrin III increased which ultimately led to a decrease in chlorophyll and phycocyanin contents. Therefore, VD resulted in the poorest quality of S. maxima. This study provided a theoretical basis for the quality assessment of S. maxima in response to drying.

Hip fracture in elderly: malnutrition and health outcomes. A systematic review and meta-analysis

Abstract Background Hip fracture is a common condition among elderly and one of the leading causes of disability. Malnutrition is widely present in older patients and has been identified in several studies as an important and modifiable prognostic factor for several medical conditions, including hip fracture. The aim of the present study is to evaluate the association between malnutrition, assessed by validated tools, and selected health outcomes for different follow-up intervals from hip fracture, in particular: mortality, changes in mobility/living arrangements and postoperative delirium. Methods A literature search on PubMed, Web of Science and Scopus databases up to September 2023, was conducted to identify all studies involving older subjects that reported an association between MNA/GNRI/PNI/CONUT score and health outcome after hip fracture. Meta-analysis was performed by a random-effects model using risk values (RR/OR/HR) extracted from 14 eligible selected studies. Results Malnutrition significantly increased the risk of any adverse outcome by 70% at 1 month, and up to 250% at 1 year, showing an increasing trend with longer follow-up periods. One month after hip fracture, malnutrition significantly increased the risk of postoperative delirium by 275% (OR = 2.75; 95% CI 1.80-4.18; p ≤ 0.05), mortality by 342% (OR = 3.42; 95% CI 2.14-5.48; p ≤ 0.05) and mortality hazard risk by 351% (HR = 3.51; 95% CI 1.63-7.55; p ≤ 0.05). One year after hip fracture, malnutrition significantly increased the risk of transfer to more supported living arrangements by 218% (OR = 2.18; 95% CI 1.58-3.01; p ≤ 0.05), declined mobility by 41% (OR = 1.41; 95% CI 1.14-1.75; p ≤ 0.05), mortality by 368% (OR = 3.68; 95% CI 3.00-4.52; p ≤ 0.05) and mortality hazard risk by 234% (HR = 2.34; 95% CI 1.91-2.87; p ≤ 0.05). Conclusions These findings underscore that malnutrition worsens outcomes after hip fracture in elderly, emphasizing the importance of nutritional assessment to mitigate potential adverse consequences. Key messages • The results of the present study underscore that malnutrition increases the risk of death and worsens mobility and independence after hip fracture in older adults. • Routine nutritional status evaluation could prove beneficial in the management of hip fracture older patients in order to prevent potential adverse outcomes.

Evaluation of Phosphorus and Sulphur Nutrition on Phosphorus Fractionation in Groundnut Cultivation on Inceptisols of Raigarh, Chhattisgarh, India

Evaluation of Phosphorus and Sulphur Nutrition on Phosphorus Fractionation in Groundnut Cultivation on Inceptisols of Raigarh, Chhattisgarh, India

Improving the nutritional evaluation in head neck cancer patients using bioelectrical impedance analysis: Not only the phase angle matters.

Malnutrition and sarcopenia are highly prevalent in patients with head neck cancer (HNC). An accurate early diagnosis is necessary for starting nutritional support, as both are clearly associated with clinical outcomes and mortality. We aimed to evaluate the applicability and accuracy of body composition analysis using electrical bioimpedance vectorial analysis (BIVA) for diagnosing malnutrition and sarcopenia in patients with HNC cancer undergoing systemic treatment with chemotherapy or radiotherapy. Cross-sectional, observational study that included 509 HNC patients. A comprehensive nutritional evaluation that included BIVA was performed. The prevalence of malnutrition was higher in patients that received treatment with chemotherapy (59.2% vs. 40.8%, P<0.001); increased mortality was observed in malnourished patients (33.3% vs. 20.1%; P<0.001); ECOG status (1-4) was also worse in malnourished patients (59.2% vs. 22.8% P<0.001). Body cell mass (BCM) and fat mass were the most significantly associated parameters with malnutrition [OR 0.88 (0.84-0.93) and 0.98 (0.95-1.01), respectively]; BCM and fat free mass index (FFMI) were associated with several aspects including (1) the patient-generated subjective global assessment [OR 0.93 (0.84-0.98) and 0.86 (0.76-0.97), respectively], (2) the presence of sarcopenia [OR 0.81 (0.76-0.87) and 0.78 (0.66-0.92), respectively]. A BCM index (BCMI)<7.8 in combination with other parameters including FFMI and BCM accurately predicted patients with malnutrition [accuracy 95% CI: 0.803 (0.763-0.839); kappa index: 0.486; AUC: 0.618 (P<0.01)]. A BCMI cutoff of 7.6 was enough for identifying males with malnutrition (P<0.001), while it should be combined with other parameters in females. Body composition parameters determined by BIVA accurately identify patients with HNC and malnutrition. Phase angle, but other parameters including BCMI, FFMI and BCM provide significant information about nutritional status in patients with HNC.

Investigating the complex relationship and influencing factors of frailty on nutritional status in maintenance hemodialysis patients.

Given the high prevalence and significant challenges of frailty, a state of increased vulnerability to adverse health outcomes, among maintenance hemodialysis (MHD) patients, this cross-sectional study aimed to investigate its prevalence and explore its association with nutritional status and other relevant factors. The study involved 290 MHD patients with an average age of 52.98 ± 13.65 years. Frailty assessments, nutritional evaluations, and medical status measurements were performed. Data analysis involved descriptive statistics, correlation analyses, and multivariate logistic regression. Among the patients, 70.3% were identified with frailty (16.9% frail, 53.4% pre-frail). Frailty was more prevalent in female patients compared to males and correlated positively with age, marital status, caregiving needs, comorbidities, dialysis duration, and higher nutritional risk scores. Negative correlations were observed with serum albumin, hemoglobin, body weight, and height. A significant prevalence of frailty was found in MHD patients, with notable associations to various demographic, clinical, and nutritional factors.

Optimization of Exocrine Pancreatic Insufficiency in Pancreatic Adenocarcinoma Patients.

This study explores the optimization of exocrine pancreatic insufficiency (EPI) management in pancreatic adenocarcinoma patients, focusing on the scientific advancements and technological interventions available to improve patient outcomes, including oral pancreatic enzyme replacement therapy (PERT) and immobilized lipase cartridge (RELiZORB®). This was a prospective Institutional Review Board (IRB)-approved study from October 2019 through to August 2021 at the Louisville Medical Center in collaboration with Norton Healthcare and the University of Louisville Division of Surgical Oncology. Patients with a diagnosis of pancreatic adenocarcinoma (Stage 2 or 3) who underwent oncologic surgical resection were included in this study. Patients were contacted at pre-defined intervals (prior to surgery, before hospital discharge, and 2, 4, 6, and 12 weeks after surgery) to complete nutrition evaluation, EPI assessment, and quality of life questionnaires to identify the severity and frequency of gastrointestinal (GI) symptoms. EPI symptoms were reported in 28 of the 35 total patients studied (80%). Jejunostomy tubes were placed during oncologic surgery in 25 of the 35 total patients studied (71%), and 12 of the 25 patients with a jejunostomy tube utilized enzyme cartridges to manage EPI symptoms while on supplemental tube feeding (48%). EPI symptoms were reported in 8 of the 10 patients without a feeding tube (80%), and their EPI symptoms were managed with PERT alone. EPI interventions, both oral PERT and immobilized cartridges, were associated with a decrease in EPI symptoms after surgery and improved quality of life (QOL). Overall, early optimization of EPI is crucial to enhance overall patient care, return to oncology therapy after surgery, and improve quality of life in pancreatic adenocarcinoma patients.

Could Snacks Based on Lupin Be a Nutritious Treat? A Point of View.

This viewpoint article presents an opinion about snacks made with lupin species. The nutritional quality of cereal-based snacks increased significantly when lupin was added. For instance, the protein and fibre content of lupin snacks could be as high as 55.7% and 8.3% respectively, soluble fibre as high as 61.2% of total fibre, and protein digestibility close to that of casein. As for sensory evaluation, some lupin snacks were ranked even better than controls. Moreover, some lupin snacks had similar or improved rheological behaviour with respect to controls. For instance, expansion indices of 11 versus 3 for controls. In summary, by adjusting formula and processing conditions, it is possible to obtain, at the same time, a healthy and tasty snack with very good machinability and rheological behaviour. This could improve the image and concept of snacks by providing an excellent opportunity for improving the diet quality of habitual consumers of snacks. This point of view also provides suggestions for improving the nutritional, rheological, and sensory evaluation of lupin snacks.

Preparation and nutritional evaluation of a mixed chicken and fish burger with fat replacement by passion fruit peel flour

Preparation and nutritional evaluation of a mixed chicken and fish burger with fat replacement by passion fruit peel flour

Nutritional evaluation in cancer surgery pre-admission: A protocol for identifying patients in need of perioperative nutritional intervention

Nutritional evaluation in cancer surgery pre-admission: A protocol for identifying patients in need of perioperative nutritional intervention

Malnutrition in adult patients treated with venoarterial extracorporeal membrane oxygenation: A descriptive cohort study

ObjectiveTo evaluate malnutrition and its association with outcomes in adult patients requiring venoarterial (VA) extracorporeal membrane oxygenation (ECMO). MethodsPatients cannulated for VA ECMO between January 1, 2020, and January 1, 2023, were screened. Patients on ECMO for <48 hours or without a nutritional evaluation were excluded. Demographic and anthropometric data were collected retrospectively. Malnutrition assessments were conducted using the Global Leadership Initiative on Malnutrition framework. Outcomes analyzed were duration of ECMO and in-hospital mortality. Patients were stratified by admission and discharge nutritional status for analysis. Baseline characteristics were controlled for with propensity score matching. ResultsData from 197 patients was analyzed. The cohort was 68% male. The median duration of ECMO was 139.5 hours (interquartile range [IQR], 94.8-257 hours), and mortality was 35%. Thirty-three patients presented with malnutrition, and 61 developed hospital-acquired malnutrition, for an incidence of 47.7%. Malnutrition at any point was associated with longer duration of ECMO (median, 180 hours [IQR, 107.8-335.8 hours] vs 120 hours [IQR, 90-185.8 hours]; P < .001). Patients with hospital-acquired malnutrition required a 50% longer duration of ECMO (median, 182.5 hours [IQR, 101.5-367 hours] vs 123 hours [IQR, 90.8-211.5 hours]; P < .001). Preexisting malnutrition was associated with a nonsignificant increase in mortality (48.2% vs 32.9%; P = .13), which was similar after 3:1 propensity score matching (43.3% vs 35.4%; P = .44). ConclusionsIn adult patients, malnutrition appears to be associated with prolonged duration of VA ECMO. Adequately powered studies are needed to further investigate the relationship between malnutrition and mortality.

Nutritional status and metabolic evaluation in a group of elderly patients with type 2 diabetes and chronic kidney disease.

Nutritional status and metabolic evaluation in a group of elderly patients with type 2 diabetes and chronic kidney disease.

Development and sensory evaluation of Moringa oleifera–enriched snack bar for micronutrients deficiency in adolescents

Background: This study aimed to assess the sensitivity, texture, and nutritional quality of Moringa-enriched wheat bars to improve the nutritional status of the adolescent population. Moringa, which has gained a nutraceutical perspective from various pieces of research, is being incorporated into food product development. Moringa leaves from the “miracle tree,” a habitat of origin from South Asia, are enriched with macro- and micronutrients that combat both malnutrition and hidden hunger (micronutrient deficiency). The phytochemical properties of Moringa leaves, such as their antidiabetic, anticancer, antiulcer, antimicrobial, and antioxidant properties, make them a superfood. Purpose: This study aimed to develop a snack bar incorporating Moringa flour that aligns with adolescents’ snacking preferences while also providing an adequate supply of iron. Materials and Methods: Moringa leaves were processed using the conventional method to obtain sieved, coarse Moringa leaf flour. Moringa oleifera snack bars were prepared at concentrations of 15% (M1), 10% (M2), and 5% (M3). The snack bar that shows high acceptability was subjected to nutritional evaluation to determine the specific iron content. Results: Organoleptic evaluation of M3, M2, and M1 by 24 semitrained personnel identified M3, at a 5% concentration, as the most acceptable. The nutritionally analyzed M3 M. oleifera snack bar contained protein (12.1 g), fiber (9.18 g), iron (10.1 g), magnesium (112 mg), calcium (345 mg), zinc (19.4 mg), and a good source of energy (447 kcal). Discussion: Moringa, as a nutraceutical agent, in addition to its average dietary value utilized in nutritional snack bar development, aids in health promotion and disease prevention among adolescents with unhealthy food habits, such as consuming junk food. Conclusion: The M. oleifera snack bar supplies the recommended dietary allowance of micronutrients and macronutrients and contains antioxidants, such as flavonoids.

Associations Between Physical Activity, Systemic Inflammation, and Hospital Admissions in Adults With Heart Failure

Purpose: Among individuals with diagnosed heart failure (HF), the impact of physical activity on systemic inflammation and risk of hospital admissions remains unclear. Therefore, the purpose of this study was to examine the associations between physical activity and (1) systemic inflammation measured through C-reactive protein (CRP) levels and (2) frequency of hospital admissions in those with HF. Methods: We used data from the National Health and Nutrition Evaluation Survey in this observational cross-sectional study to include 377 community-dwelling adults with HF. Demographic, clinical, and functional variables were extracted from the data and included in the regression models as covariates during analysis. Associations between activity and hospital admissions were examined using Poisson regression. Multivariable logistic regression analysis was used for association between CRP and physical activity. Results: We found a direct linear relationship between CRP levels and hospital admissions, with higher levels of CRP significantly associated with greater number of hospital admissions in HF (incidence rate ratio [IRR] = 1.18, P &lt; .001). Similarly, participating in vigorous activity was significantly associated with decreased expected rate of hospital admissions (IRR = 0.38, P = .013 (C.I. = 0.18–0.80) and with a significant decrease in the CRP levels (B = −0.44, P = .018 (C.I. = −0.80 to −0.83). Conclusion: To the best of our knowledge, this is the first study using population-level data to examine the association between physical activity level, systemic inflammation, and hospitalizations in individuals with HF. The findings of this study demonstrate that irrespective of sex, engagement in physical activity at higher intensity levels is strongly associated with favorable health outcomes in older adults with HF.

Evaluation of Nutrition, Pressure Ulcer and Fall Risk Status and Related Factors in Individuals Receiving Home Health Care Services

Objective: In this study, the aim is to evaluate the factors associated with nutrition, pressure ulcers, and fall risks in individuals receiving home health care. Methods: A retrospective study was designed by examining the files of the patients registered in the Home Health Care. Mini Nutritional Assessment Short Form, Modified Norton Scale and Itaki Fall Risk Scale scores were recorded. Results: The study included 334 patients. 197 (59%) of them were female and the mean age was 74.15±16.12 (min: 18, max: 101). The most common chronic diseases was hypertension (HT) (n=167, 50%), whereas the two most common comorbidities were DM and HT (n=77,23.1%). Patients receiving home health care were found to be at risk for malnutrition, pressure ulcers and falls. Being semi-bedridden and wheelchair bound were found to be predictors for the risk of developing pressure ulcers according to regression analysis results. Also it was identified that the age and dependency levels of the patients receiving home health care explained 12% of the falling behaviours of the older people. Conclusion: Necessary warnings should be given at every visit, so that receiving home health care should not be neglected in terms of risks and preventive measures should be taken for this patient group.

Gender Differences in the Relationship between Forearm Length and Height across Different Age Groups: A Correlation and Regression Analysis

Abstract Introduction: Forearm length (FrL) and height (Ht) are important anthropometric measurements used in clinical practice and research. This study aimed to investigate the correlation and regression between FrL and Ht in males and females across different age groups. Materials and Methods: Participants aged 18 to under 23 years were recruited, and FrL and Ht were measured using standardised techniques. Pearson’s correlation coefficient and regression analysis were used to analyse the data. Results: The correlation analysis revealed a moderate-to-strong positive correlation between FrL and Ht in males across all age groups, with correlation coefficients ranging from 0.318 to 0.866. In females, the correlation was weaker, ranging from 0.123 to 0.561. Regression equations were derived to estimate FrL from Ht, showing that Ht explains a larger proportion of the variability in FrL in males compared to females. These findings suggest that FrL can be used as a predictor of Ht, particularly in males, but caution is advised when applying this relationship to females. These results have implications for growth assessment and nutritional status evaluation in clinical practice, especially in populations, where direct measurement of Ht may be challenging. Conclusion: The study provides insights into the relationship between FrL and Ht, with implications for Ht estimation and growth assessment in clinical practice. Further research is needed to validate these findings in larger populations.

Nutritional evaluation of an aqueous-processed canola protein concentrate in diets of Atlantic Salmon Salmo salar at different life stages

A novel aqueous processing method was applied on canola defatted meal to produce a protein concentrate (>76 % crude protein, dry matter basis). This aqueous-processed canola protein concentrate (ACPC) was evaluated in three experiments with Atlantic salmon. The objectives were to (1) estimate the nutrient digestibility of ACPC in juvenile fish, (2) appraise its nutrient digestibility in post-smolt salmon, and (3) evaluate the long-term effect of ACPC on growth, survival, nutrient utilization, body composition, fillet pigmentation and gut histology of post-smolt salmon. In the first study, one Reference and one test diet, which was a blend of 70 % Reference and 30 % ACPC (70:30 ratio), were fed to juvenile salmon (57 ± 7 g) and feces were collected using settling columns. In the second study, post-smolt salmon (228 ± 4 g) were fed one Reference and three test diets, which consisted of three Reference to ACPC ratios: 90:10, 80:20 and 70:30. Feces were collected by manual stripping. The long-term study (168 days) was designed as a 2 × 4 full factorial analysis with two types of formula (Americas, with processed animal proteins (PAPs), and Europe, without PAPs) and four inclusion levels of ACPC (0, 10, 15, 20 %) fed to post-smolt Atlantic salmon (228 ± 5 g). Fish were bulk weighed every 28 or 56 days. Distal intestine and fillet were sampled (10 fish/tank) at the end for histological examination and color measurement, respectively. All diets (43–49 % crude protein, 18–25 % crude lipid depending on studies) were extruded and fed to apparent satiation. The apparent digestibility coefficients (ADCs) of ACPC protein in juvenile and post-smolt salmon were 89 % and ≥ 94 %, respectively. The essential amino acids ADCs in juvenile and post-smolt salmon were 83–99 % and 91–99 %, respectively. ACPC protein digestibility was not significantly affected by its inclusion level (P = 0.470). In the third experiment, growth (TGC: 0.143–0.160) and feed intake (668–780 g/fish) were not significantly affected by ACPC inclusion (P ≥ 0.10). Feed conversion ratios varied between 1.04 and 1.08. An unexpected occurrence of disease caused 1.6 % mortality over three weeks during the 24-week long-term study and survival was significantly higher in salmon fed ACPC-containing diets (P < 0.001). ACPC inclusion significantly increased fillet redness (P < 0.001) and increased villus length of distal intestine (P < 0.001). In conclusion, ACPC was a safe and nutritive protein alternative in salmon diets, regardless of inclusion level.

Deep learning enabled in vitro predicting biological tissue thickness using force measurement device

Accurate perception of biological tissues (BT) thickness is essential for preliminary evaluation of medical diagnosis and animal nutrition. However, traditional thickness measuring approaches of BT require complex operation, high-cost, and trigger biological stress response. Herein this study, an novel in vitro BT thickness measuring approach integrated with force test system (FST) and the discrete multiwavelet transform convolutional neural network (DMWA-CNN) prediction model based on deep learning are proposed. Simultaneously, several comprehensive experiments and model comparisons are conducted to demonstrate the superiority of the proposed approach. By establishing a DMWA-CNN demonstrates higher estimation accuracy than other traditional algorithm, achieving 100 % accuracy for artificial BT. Moreover, the experimental results indicate that proposed approach is robust to elastic modulus variation (E), external load variation (F), and small thickness differences (Ts). In addition, four kinds of the pork’ thickness are experimentally measured, and the accuracy value is not less than 98.2 %. The thickness of BT determined using the FST and DMWA-CNN algorithm demonstrate potential application in the biomechanical parameter prediction.