Nutritional Management Research Articles

Nutrition and behavioral health in cystic fibrosis: Eating and body image.

People with CF (pwCF) are at high risk for malnutrition, making nutritional management a critical aspect of CF care. Over the past several decades, optimal nutritional status for pwCF has been defined by body mass index (BMI) based on evidence linking suboptimal BMI to decreased lung function and life expectancy, although more recent changes in CF care may also bring changes to how nutritional health is defined. The historical focus on weight, BMI, and nutrition as key parts of multidisciplinary CF care starting at an early age places pwCF at increased risk for body image concerns and disordered eating. The landscape of CF care is evolving with the approval of highly effective modulator therapies (HEMT) and resulting improvements in growth; however, issues related to body image and eating remain important to consider, especially as past difficulties gaining weight may shift to discomfort with one's weight gain and/or physical appearance. This review aims to describe how body image concerns and disordered eating occur in pwCF across the lifespan; to discuss evidence-based approaches to addressing these concerns; and to identify future directions for research and clinical practice in assessing and treating eating disorders and body image concerns in this population.

Implementation of Binaan Inovatif Sehat Mandiri Aktif (BIMA): A Community Resilience Program for COVID-19 at Griya Lare Utami Bantul

Introduction: Resilience is the key to overcoming the significant challenges of pandemics or large-scale disasters. Methods: A cross-sectional study design was performed in the study report. The BIMA program implementation lasted from June to November 2022 at Griya Lare Utami, Bantul. DIY, through integrated community services (BIMA): Training (B: Building/Binaan): training for cadres to screen potential health problems, Innovative Activities (I: Inovatif): valid information literacy (anti-hoax) for families and Canva training for youth organizations, Independent of Menu (M: Mandiri menu): Independently develops menus, practical locally available for Small and Medium Enterprise (SME), and Active (A: Aktif); counseling actions, competitions to make fish products, and poster designs, and evaluation of activities for community society. Results: The BIMA program involved 172 people from health cadres (n=12), Youth Organizations (n=24), Innovative Families (n=12), and Small and Medium Enterprises (SME) (n=11), with community members (n=113). The results showed significant differences after the program in cadre roles (p=0.01), Canva training (p=0.01), innovation family training (p=0.04), and knowledge of balanced nutrition (p=0.002). Meanwhile, there was no significant difference in the respondents' understanding regarding the development of local food products after participating in the activity (p=0.082). These results indicate that the BIMA program succeeded in increasing the knowledge and skills of the respondents. Conclusion: The BIMA Program has effectively enhanced the roles of health workers, health literacy, and nutrition management. However, it requires further advancement in the development of local products. It is recommended that the initiative persists with activities aimed at extensive community empowerment, incorporating collaboration with pertinent sectors.

Productivity and profitability of sesame (Sesamum indicum)- chickpea (Cicer arietinum) organic cropping system as influenced by nutrition and planting geometry

An experiment was conducted during 2021–22 and 2022–23 at the research farm of Punjab Agricultural University, Ludhiana, Punjab to optimize organic nutrition and planting geometry for improved productivity and profitability of sesame (Sesamum indicum L.)-chickpea (Cicer arietinum L.) organic cropping system. The experiment was conducted in a split-plot design (SPD) with three organic nutrition management practices in main plots, viz. Application of farmyard manure (FYM) to supply recommended doses of nitrogen (RDN) i.e. 52.5 kg/ha for sesame and 15 kg/ha for chickpea; Application of FYM to supply RDN + natural farming concoctions (NFCs) i.e. beejamrit, ghanjeevamrit and jeevamrit; and Control i.e. without application of FYM and NFCs. In sub-plots, four planting geometries were evaluated for sesame (30 cm × 15 cm, 45 cm × 10 cm, 60 cm × 10 cm, and paired rows) and chickpea (30 cm × 10 cm, 45 cm × 7 cm, 60 cm × 7 cm, and bed planting). Application of FYM significantly improved growth, yield attributes and seed yield of sesame and chickpea compared to the control, whereas the addition of NFCs along with FYM did not further enhance these parameters significantly during both the years. Paired row sowing followed by (fb) bed formation led to notably higher seed yield in sesame, while chickpea sown at 30 cm × 10 cm spacing achieved the highest seed yield, statistically equivalent to sowing at 45 cm × 7 cm and bed planting. The most productive system, recorded a sesame equivalent yield of 18.1 q/ha, net returns of ₹1,06,224/ha, and a benefit cost (B:C) ratio of 1.51, achieved through paired row sowing of sesame and bed planting of chickpea. Conclusively, the optimized organic nutrition and planting geometry significantly enhanced the productivity and profitability of the sesame-chickpea cropping system, with paired row sowing and bed planting emerging as the most effective strategies.

Soil properties, tomato (Solanum lycopersicum) yield and monetary returns under different nutrient management practices

The experiment was conducted during 2019 and 2020 at research farm of Tamil Nadu Agricultural University, Coimbatore, Tamil Nadu to study the effect of different manures proportion along with reduced fertilizers rate application on performance of tomato (Solanum lycopersicum L.) yield, produce quality and soil fertility indicators. Experiment was laid out in randomized block design (RBD) comprised of 6 treatments, viz. T1, 100% organic; T2, 75% organic + 3% Panchagavya spray + azophos @3 kg; T3, 100% inorganic recommended dose of fertilizer (RDF) alone; T4, State recommendation; T5, 50% organic + 50% inorganic; and T6, 75% organic + 25% inorganic. The results of two years mean showed that the soil quality indicators like SOC (8.12 g/kg), mineral N (266 kg/ha), available P (22.1 kg/ha), exchangeable K (482 kg/ha), microbial biomass carbon (256 mg/kg), dehydrogenase (35.8 μg TPF/g/ day), alkaline phosphatase (475 μg PNP/g/soil/h), bacteria (38.4 CFU × 106/g soil), fungi (15.0 CFU × 103/g soil) and actinobacteria population (10.3 CFU × 105/g soil) were better under 75% organic + 25% organic. Tomato yield was at par with 100% organic. On the basis of the above results, the tomato yield can be enhanced by about 99% and 150% in terms of production and monetary efficiency by the adoption of integrated nutrition management (INM) of organic (75%) and inorganic fertilizers (25%). Thus, the results suggest that the 75% organic + 25% inorganic could be adopted to get maximum benefits in terms of yield, fruit quality, soil fertility and fertilizer savings.

Nutritional Management and Physical Activity in the Treatment of Sarcopenic Obesity: A Review of the Literature.

The prevalence of sarcopenic obesity among adults aged ≥65 years is increasing worldwide. It is a condition that describes the concomitant presence of sarcopenia and obesity, but it appears to be associated with greater increases in the risks for disability, morbidity, and mortality than the two conditions combined. The current review aims to summarize the available literature data on the effectiveness of lifestyle modification for the management of this high-risk geriatric syndrome. We conducted a comprehensive search across multiple databases, including PubMed, Scopus, Web of Science, and Cochrane Library, for publications published from January 1950 to June 2024. The detection of early preventive and therapeutic approaches to combat sarcopenic obesity is essential for healthy aging. There is ample evidence that suggests that poor dietary habits and physical inactivity are the main reasons for the development of sarcopenic obesity and should thus be the main targets for intervention. In the absence of effective pharmacological interventions, the best effect on sarcopenic obesity is achieved by combination with proper dietary intervention and regular physical activity according to the individual's health condition. Further research is needed to discover the most effective strategy for the prevention and treatment of sarcopenic obesity, as well as potential pharmacological options to improve muscle mass and function in older populations with physical restrictions.

Analysis of postoperative weight loss associated with prognosis after sublobar resections for lung cancer.

Sublobar resections for lung cancer are increasing worldwide. However, the prognostic significance of weight loss after sublobar resection remains unclear. We aimed to investigate the prognostic significance of weight loss after sublobar resection for lung cancer. Patients who underwent sublobar resection for non-small cell lung cancer between January 2016 and June 2021 were analysed. The percentage weight change at 3, 6, and 12months postoperatively was determined based on the preoperative weight. Patients were divided into two groups: those with or without weight loss ≥ 5%, referring to the diagnostic criteria for frailty, to assess prognosis. Subsequently, the prognosis-related timing of weight loss ≥ 5% and its risk factors were analyzed. We reviewed 147 patients; 39 (26.5%) showed weight loss ≥ 5% within 1-year post-surgery. A total of 32 patients (21.8%) died, 13 from primary lung cancer and 19 from non-lung cancer causes. Cancer recurrence occurred in 22 patients (15.0%). Weight loss ≥ 5% within 1-year post-surgery was a poor prognostic factor for overall and recurrence-free survival (log-rank; p = 0.014 and 0.018, respectively). Additionally, weight loss ≥ 5% at 6-12months postoperatively was associated with poor overall and recurrence-free survival (p < 0.05, both). In the multivariable analysis, an age-adjusted Charlson comorbidity index ≥ 4 was a predictive factor for weight loss ≥ 5% at 6-12months postoperatively (odds ratio, 3.920; p = 0.023). Weight loss ≥ 5% at 6-12months postoperatively was associated with poor prognosis. Long-term nutritional management is important in the treatment plan of sublobar resection in high-risk patients.

Precise nutrition in the metabolic and nutritional management of bariatric surgery: a systematic review

Introduction: Obesity is a chronic relapsing disease characterized by abnormal or excessive adiposity with health risks. Any nutritional intervention in patients who are candidates for or have already undergone bariatric surgery must be based on a detailed nutritional assessment, including an assessment of personal values, preferences, and social determinants of eating habits. Objective: It was to carry out a systematic review to explore and present nutritional importance before, during, and after bariatric surgery. Methods: The PRISMA Platform systematic review rules were followed. The research was carried out from September to October 2023 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: 122 articles were found. A total of 43 articles were evaluated in full and 34 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 22 studies with a high risk of bias and 26 studies that did not meet GRADE and AMSTAR-2. Most studies showed homogeneity in their results, with X2=64.5%&gt;50%. It was concluded that enteral nutrition strategies could represent a possible alternative to other methodologies, especially when it is recommended to improve patient adherence to the diet prescribed before bariatric surgery. Weight loss induced by the ketogenic diet before bariatric surgery has beneficial effects in reducing liver volume, metabolic profile, and intra- and postoperative complications. Knowledge of the type of bariatric surgery performed and an understanding of its anatomy and physiology help provide optimal care to patients, especially nutritional complications. Nutritional deficiencies and metabolic disorders result from “malabsorption” procedures, such as RYGB. It is essential to immediately administer thiamine. Dextrose should be avoided in intravenous hydration until thiamine is adequately replaced. For all bariatric patients, a protein intake of 60-70 g/d and multivitamin with iron and vitamin B12 supplementation is recommended. Daily calcium and vitamin D supplementation is also encouraged. Additionally, serum micronutrient levels should be monitored regularly and additional supplemental measures prescribed as indicated.

The reduction in macrosomia prevalence over a decade following the intensive intervention programs

ObjectiveTo assess changes in macrosomia prevalence following a two-stage lifestyle intervention program. MethodsThe study collected annual delivery data from singleton pregnant women at the Beijing Obstetrics and Gynecology Hospital in Beijing, China (2014–2023). The first intervention stage involved nutritional assessment and lifestyle management in pregnancy, and maternal weight and fetal growth monitoring were added in the second stage, with intensive management as necessary. Pre-intervention births (2014–2016) served as controls. The change in macrosomia and low birth weight prevalence following the intervention was assessed by an interrupted time series analysis. ResultsAmong 126,824 pregnant women, macrosomia prevalence decreased from 7.11 % to 4.15 % over ten years, with an accelerated decrease post-intervention (p for slope = 0.050 and 0.004 for the first and second stages), primarily contributed by the reduction in excessive gestational weight gain (adjusted population attributable risk = 28.6 %, p for Granger cause = 0.0001). The change in the increasing rate of low-birth-weight prevalence was non-significant. ConclusionsMacrosomia prevalence significantly decreased over a decade following the intensive intervention programs.

Recycling plant nutrients in mixing several organic to serve hydroponic cultivation of vegetables and herbs, enhancing circulatory economy

Abstract Urine, rich in Nitrogen (N), Phosphorus (P), and Potassium (K), shows promise as a nutrient solution for cultivation, benefiting both nutrition and waste management. This study focuses on producing plant nutrients from human urine using biochar to absorb urine, soybeans meal residue, biogas waste, and fish heads &amp; bones. These nutrients were evaluated against Vietnamese standards (TCVN). The nutrient solutions were tested on green mustard and Gynostemma pentaphyllum in a hydroponic system. Results indicated that the nutrient solution from desorbed human urine reached a maximum solute concentration of 2343.3 ppm after 15 days, surpassing other materials. Though slightly lower in total nitrogen compared to fish heads &amp; bones (68.2 mg/l vs 69.5 mg/l), urine nutrients had higher total P2O5 and available potassium (171.8 mg/l and 592.5 mg/l, respectively). The urine solution performed comparably to soybeans meal residue and the inorganic Hoagland solution. Green mustard treated with urine solution had the best dry content, vitamin C, and low heavy metals. For Gynostemma pentaphyllum, the urine solution yielded the highest saponins, flavonoids, and minerals. Economic analysis of hydroponic models using urine solution showed significant promise, indicating its viability in hydroponics.

World Allergy Organization (WAO) Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guidelines update – XVI - Nutritional management of cow's milk allergy

Cow's milk allergy (CMA) is one of the most common presentations of food allergy in early childhood. Management of CMA involves individualized avoidance of cow's milk and other mammalian milk and foods containing these. Optimal elimination of cow's milk avoidance includes: label reading; information about safe and nutritious substitute foods; appropriate choice of infant formula or a plant-based food; establishing tolerance to baked milk and monitoring nutritional intake and growth. Substitute formulas are divided into soy formula (not hydrolyzed), milk-based extensively hydrolyzed formulas, rice based extensive, and partially hydrolyzed formulas and amino acid-based formulas. The use of other mammalian milks is not recommended for the management of cow's milk allergy due to a high level of cross-reactivity and nutritional concerns. For toddlers who are eating well, children, and adults, a suitable plant-based beverage may be a suitable alternative to a specialized formula, following careful nutritional considerations. Families need to be instructed on finding suitable nutritious foods and how to prepare suitable meals at home. Individuals with CMA also need to know how to identify and treat acute severe reactions.

Jejunostomy feeding plus oral feeding versus intravenous nutrition plus oral feeding after esophageal cancer resection: a comparative retrospective cohort study.

There are multiple choices for the nutritional management mode after esophageal cancer surgery. Currently, there is still controversy regarding which nutritional management mode has an impact on the postoperative recovery and overall survival (OS) of patients. This study aims to compare the differences between two commonly used clinical nutritional management modes: jejunostomy feeding plus oral intake (JF plus OI) and intravenous nutrition plus oral intake (IN plus OI), in terms of short-term efficacy and 3-year OS, in order to further explore the optimal mode of enteral nutrition management after esophageal cancer surgery. We evaluated esophageal cancer patients who underwent radical surgery at Union Hospital of Fujian Medical University between January 1, 2010 and January 1, 2020. The purpose of this analysis was to compare the perioperative complications, Nutritional Risk Screening 2002 (NRS2002) nutritional scores at 1 week, 2 weeks, 1 month, and 3 months after surgery, as well as the 3-year OS rates, between two different nutritional management approaches: JF plus OI and IN plus OI following esophageal cancer surgery. Among the 822 patients included, 668 and 154 patients belonged to JF plus OI and IN plus OI groups, respectively. After propensity score matching, 149 patients per group were evaluated. The amount of gastric drainage fluid was higher in the IN plus OI group (P<0.05), and the incidence of postoperative gastrointestinal emptying disorder and intestinal obstruction was significantly higher in the JF plus OI group (P<0.05). The IN plus OI group had a higher incidence of perioperative hypoproteinemia (P<0.05), and a higher risk of malnutrition in 2 weeks after surgery (P<0.05). The 3-year OS was not significantly different (P>0.05). JF plus OI may be the preferable nutritional management approach after esophageal cancer resection as it can potentially reduce perioperative nutritional deficiency. However, attention should be paid to the risk of gastrointestinal emptying and intestinal obstruction associated with JF.

Interventions to reduce sedentary behaviour in adults with type 2 diabetes: A systematic review and meta-analysis.

Treatment and management of Type 2 Diabetes (T2D) includes physical activity, nutrition, and pharmacological management. Recently, the importance of reducing and breaking up sedentary behaviour has become recognized. This review aimed to summarize and synthesize the effectiveness of interventions in reducing and/or breaking up sedentary behaviour and cardiometabolic biomarkers in adults with T2D. A study protocol was preregistered on PROSPERO (CRD42022357281) and a database search (PubMed, EMBASE, Scopus, Web of Science, PsycINFO, SPORTDiscus, CINAHL, and Cochrane Library) was conducted on 16/09/2022 and updated on 03/01/2024. This review followed PRISMA guidelines and study quality was assessed with the Cochrane risk of Bias Tools. Twenty-eight articles were included in the review. The meta-analysis of short-term (Range: 3 hours- 4 days) sedentary behaviour interventions found significant improvement in continuous interstitial glucose measured for 24 hours after the sedentary behaviour intervention compared to control (SMD:-0.819,95%CI:-1.255,-0.383,p<0.001). Similarly, there was a significant improvement in postprandial interstitial glucose after the sedentary behaviour intervention compared to control (SMD:-0.347,95%CI:-0.584,-0.110,p = 0.004). Ten out of eleven longer-term (Range: 5 weeks- 3 years) sedentary behaviour interventions improved at least one measure of sedentary behaviour compared to control. Eight out of eight longer-term sedentary behaviour interventions improved at least one cardiometabolic biomarker compared to control. Reducing sedentary behaviour, independent of physical activity, can improve glycemic control in adults with T2D. Further, sedentary behaviour may be a feasible/ sustainable behaviour change.

Effects of different levels of irrigation suppression and fertigation on potato yield

With the limitation in the availability of water for agriculture and the high costs of fertilizers, it is necessary to adopt strategies for water and nutritional management of agricultural crops. The objective of this study was to evaluate the morphological and physiological characteristics and productivity of potato under the influence of suppression of irrigation and fertigation in Jaboticabal, SP, Brazil. The experiment was carried out in randomized blocks, conducted in the field, using a 3 x 2 factorial scheme. Different times of irrigation suppression were studied at 80, 90 and 100 days after planting, along with forms of fertigation, following the rate of crop absorption and equivalent fertigation. The imposition of irrigation suppression at 100 days, linked to fertigation following the rate of crop absorption, showed a positive effect on the aerial fresh mass of the potato variety studied, especially promoting the increase in productivity, which was 47.82 t ha-1, and efficiency in water use, which was 10.53 kg of tubers per cubic meter of water. This observation indicates that the application of fertilizers, in sync with the needs of the crop, can improve the efficiency of water use and increase productivity. These findings highlight the importance of integrated strategies to optimize potato cultivation and make it more resistant to adversity, seeking a more sustainable and productive agriculture.

Applying the 2022 ASPEN adult nutrition support guidelines in a 2024 ICU.

An update to the American Society for Parenteral and Enteral Nutrition guidelines for nutrition provision in critically ill adults was published in 2022. In contrast to the previous set of guidelines published in 2016, the revised guidelines selected only studies meeting specific criteria for scientific rigor and only considered publications reflecting more modern intensive care unit (ICU) practices (studies between January 1, 2001, and July 15, 2020). No consensus recommendations were included. Although these methods limited the number of recommendations made and the applicability to current ICU practices, important implications for patient care were evaluated and acknowledged. The literature supporting guideline recommendations that impact parenteral nutrition management is summarized in this review, along with key studies published after the guidelines were revised. Considerations for practical application of this evidence, along with limitations and future guideline directions, are also described.

Role of artificial intelligence in critical care nutrition support and research.

Nutrition plays a key role in the comprehensive care of critically ill patients. Determining optimal nutrition strategy, however, remains a subject of intense debate. Artificial intelligence (AI) applications are becoming increasingly common in medicine, and specifically in critical care, driven by the data-rich environment of intensive care units. In this review, we will examine the evidence regarding the application of AI in critical care nutrition. As of now, the use of AI in critical care nutrition is relatively limited, with its primary emphasis on malnutrition screening and tolerance of enteral nutrition. Despite the current scarcity of evidence, the potential for AI for more personalized nutrition management for critically ill patients is substantial. This stems from the ability of AI to integrate multiple data streams reflecting patients' changing needs while addressing inherent heterogeneity. The application of AI in critical care nutrition holds promise for optimizing patient outcomes through tailored and adaptive nutrition interventions. A successful implementation of AI, however, necessitates a multidisciplinary approach, coupled with careful consideration of challenges related to data management, financial aspects, and patient privacy.

Artificial intelligence chatbots for the nutrition management of diabetes and the metabolic syndrome.

Recently, there has been a growing interest in exploring AI-driven chatbots, such as ChatGPT, as a resource for disease management and education. The study aims to evaluate ChatGPT's accuracy and quality/clarity in providing nutritional management for Type 2 Diabetes (T2DM), the Metabolic syndrome (MetS) and its components, in accordance with the Academy of Nutrition and Dietetics' guidelines. Three nutrition management-related domains were considered: (1) Dietary management, (2) Nutrition care process (NCP) and (3) Menu planning (1500 kcal). A total of 63 prompts were used. Two experienced dietitians evaluated the chatbot output's concordance with the guidelines. Both dietitians provided similar assessments for most conditions examined in the study. Gaps in the ChatGPT-derived outputs were identified and included weight loss recommendations, energy deficit, anthropometric assessment, specific nutrients of concern and the adoption of specific dietary interventions. Gaps in physical activity recommendations were also observed, highlighting ChatGPT's limitations in providing holistic lifestyle interventions. Within the NCP, the generated output provided incomplete examples of diagnostic documentation statements and had significant gaps in the monitoring and evaluation step. In the 1500 kcal one-day menus, the amounts of carbohydrates, fat, vitamin D and calcium were discordant with dietary recommendations. Regarding clarity, dietitians rated the output as either good or excellent. Although ChatGPT is an increasingly available resource for practitioners, users are encouraged to consider the gaps identified in this study in the dietary management of T2DM and the MetS.

Importance of Energy, Dietary Protein Sources, and Amino Acid Composition in the Regulation of Metabolism: An Indissoluble Dynamic Combination for Life.

This paper aims to present a unique perspective that emphasizes the intricate interplay between energy, dietary proteins, and amino acid composition, underscoring their mutual dependence for health-related considerations. Energy and protein synthesis are fundamental to biological processes, crucial for the sustenance of life and the growth of organisms. We explore the intricate relationship between energy metabolism, protein synthesis, regulatory mechanisms, protein sources, amino acid availability, and autophagy in order to elucidate how these elements collectively maintain cellular homeostasis. We underscore the vital role this dynamic interplay has in preserving cell life. A deeper understanding of the link between energy and protein synthesis is essential to comprehend fundamental cellular processes. This insight could have a wide-ranging impact in several medical fields, such as nutrition, metabolism, and disease management.

The evolution of nutritional care in preterm infants with a focus on the extreme preterm infant.

The evolution of nutritional care in preterm infants, particularly those classified as extremely preterm, has undergone significant advancements in recent years. These infants, born at less than 28 weeks of gestation, face unique challenges related to their elevated nutrient requirements, underdeveloped organ systems and minimal reserves, posing a need for timely and specialised nutritional strategies. Historically, the nutritional management of preterm infants focussed on short-term goals to promote survival. In recent years, the focus has shifted to the quality of nutrient provision to optimise neurodevelopment and longer-term health outcomes. This review highlights the shift from a generalised nutritional approach to a robust, evidence-based approach for preterm infants, acknowledging the intricate interplay between nutrition, holistic care and developmental outcomes. As neonatal care continues to evolve, ongoing research will refine nutritional interventions, optimise growth and enhance the long-term health outcomes of these vulnerable infants.

Precision Nutrition Management in Continuous Care: Leveraging AI for User-Reported Dietary Data Analysis.

A As health technology advances, this study aims to develop an innovative nutritional intake management system that integrates artificial intelligence technology and social media software to achieve precise analysis of patient-generated data and comprehensive management in continuous care. Our system is built on the Line Bot platform, allowing users to easily and intuitively obtain detailed analyses of their individual nutritional intake by reporting dietary information. While users report their dietary habits through the Line Bot, our AI model conducts real-time analysis of nutrient intake, providing personalized nutritional recommendations. This instantaneous feedback not only enhances user engagement in nutritional management but also aids in establishing healthy habits. Additionally, through integration with social media software, our system facilitates information sharing and community support among users, promoting the exchange of nutritional knowledge and mutual assistance. This study further explores the specific needs of patients with chronic diseases, collecting individual data on chronic conditions and total nutritional intake. Based on the nutritional intake guidelines proposed by the Health Promotion Administration in Taiwan, more precise nutritional management recommendations are provided to meet the unique health needs of each patient. This study introduces a comprehensive, patient-generated data-based approach for precision nutrition management in continuous care. By integrating artificial intelligence, social media software, and data analysis, our system not only offers effective tools for monitoring and managing patients' nutritional intake but also fosters interaction and support among patients, driving the implementation of continuous care practices.

Relationship between Body Condition and Colostrum Production in Crossbred Friesian Holstein Dairy Cattle: A Case Study at KUD Anjasmoro Dairy Farm

This study aims to evaluate the relationship between the body condition of crossbred Friesian Holstein (PFH) dairy cattle and colostrum production, focusing on Body Condition Score (BCS) and vital statistics such as chest circumference, body length, and height. The research was conducted at the KUD Anjasmoro dairy farm in the Wonosalam District of Jombang from November 2022 to April 2023. A case study method was used by observing 42 PFH cows during lactation periods 1 to 5. The results show that BCS and vital statistics have a strong relationship with colostrum production. The analysis indicates that colostrum production increases with increasing BCS and vital statistics. Although the relationship between body length and colostrum production is not significant, body height has a significant influence on colostrum production. In conclusion, proper nutrition and care management can increase colostrum production in dairy cows, which will positively impact overall dairy farm productivity.