Nutrition Therapy Research Articles

How to change artificial hydration and nutrition therapy toward the end stage of cancer, which has been provided in parallel with cancer treatment?

How to change artificial hydration and nutrition therapy toward the end stage of cancer, which has been provided in parallel with cancer treatment?

Comparison of achieving calorie and protein targets with nutritional therapy in patients with and without diabetes mellitus

Comparison of achieving calorie and protein targets with nutritional therapy in patients with and without diabetes mellitus

How to implement quality indicators in nutritional therapy in a nutrology service

How to implement quality indicators in nutritional therapy in a nutrology service

Risk Factors for Infusions, Emergency Room Visits and Hospitalizations for Hyperemesis Gravidarum: New Data and Literature Review.

Few factors have been identified that increase the risk of visits (hospital emergency room or inpatient stays) due to hyperemesis gravidarum (HG). The purpose of this study is to understand trends in HG management and identify variables increasing visit frequency so that strategies may be developed to reduce hospital utilization. An online survey was posted on the Hyperemesis Education and Research Foundation website and social media between June 2022 and May 2023. Participants had previous or current severe pregnancy nausea and vomiting. Respondents were asked about themselves and their HG experience, including weight loss, medications, infusion care, and visit frequency. Odds ratios, p-values, and 95% confidence intervals were calculated via MedCalc to analyze the significance of each factor, and Spearman rank correlations were analyzed via SPSS for associations of ondansetron usage with visits and weight loss. Microsoft Excel and SPSS were used to calculate treatment and visit frequencies. Survey data from 1220 respondents who reported a current or prior pregnancy with HG were included in this study. Respondents were primarily White, from the US, and had at least one visit due to HG. Participants with a visit were significantly more likely to be a person of color (POC), unable to work, have no children, and lose over 15 pounds (6.8 kg). Those who took medications as prescribed had fewer visits. No medication combination or dose was found to be significantly more effective in preventing weight loss or repeat hospital visits. Risk factors predicting visits included POC, not having children, being too sick to work, and having extreme weight loss. Utilization of medication and nutritional therapies is inconsistent and inadequate in this population, which may increase visit frequency.

A Center for Nutrition Care to Provide Renal Nutrition Therapy to Patients with CKD

A Center for Nutrition Care to Provide Renal Nutrition Therapy to Patients with CKD

Quality indicators in enteral nutritional therapy in critically ill patients: Results at a Public Hospital in Northeastern Brazil

Quality indicators in enteral nutritional therapy in critically ill patients: Results at a Public Hospital in Northeastern Brazil

Admission lipase levels predict outcomes and response to nutritional therapy among patients at nutritional risk

Admission lipase levels predict outcomes and response to nutritional therapy among patients at nutritional risk

Outpatient Intensive Nutrition Therapy Improves Survival and Frailty in Males With Alcohol-related ACLF - Randomized Controlled Trial

Background and AimsImprovement in the nutritional status of Acute on Chronic Liver Failure(ACLF) patients may lead to reduction in morbidity and mortality. This study assessed the impact of dietician supported outpatient intensive nutrition therapy(OINT) on survival and frailty in patients with alcohol related ACLF Methods70 patients with alcohol related ACLF(Asia Pacific Association for the Study of the Liver, APASL-criteria) and frailty were randomized 1:1 to receive standard medical therapy(SMT) plus OINT(intervention) versus SMT(control) alone. The primary outcome was an improvement in survival at 3 months. Secondary outcome measures included improvement in frailty, prognostic scores and hospitalization. ResultsThere was a significant improvement in overall survival in the OINT group as compared to SMT after 3 months of follow up, 91.4% (Standard error (SE): 4.7%) vs. 57.1% (SE: 8.4%), P<.00). On cox regression model, inclusion in the intervention arm, baseline Skeletal Muscle Index(SMI), and Asia Pacific Association for the Study of the Liver ACLF Research Consortium(AARC score) were independent predictors of survival (P<.05). The Liver frailty index(LFI) score also significantly improved in the OINT as compared to SMT, Δ-0.93 -(0.71-1.13) vs. Δ -0.33 -(0.44-0.72)(P<.00). The disease severity including MELD, MELD-Na, and AARC score showed a significant improvement in the OINT group as compared to the SMT group(P<.05). The patients in OINT group had lesser number of hospitalizations 6(17%) versus 16(45.7%)(P=.01) as compared to SMT group. ConclusionOutpatient intensive nutrition therapy significantly improves survival, frailty and disease severity with a reduction in number of hospitalizations and supports the key role of nutrition in treatment of alcohol related ACLF patients.

Sex differences in clinical presentation, treatment response, and side effects of nutritional therapy among patients at nutritional risk - a secondary analysis of the randomized clinical trial effort

Sex differences in clinical presentation, treatment response, and side effects of nutritional therapy among patients at nutritional risk - a secondary analysis of the randomized clinical trial effort

Medical Nutrition Therapy: Coding, Coverage, and Payment.

Medical Nutrition Therapy: Coding, Coverage, and Payment.

Effect of exclusive enteral nutrition on gut microbiota in Malaysian children with Crohn’s disease

Abstract Paediatric Crohn’s disease (pCD), once primarily observed in Western countries, is now experiencing a global increase in incidence rates. Southeast Asian nations, including Malaysia, are now witnessing a gradual increase in incidence of pCD. In addition to clinical symptoms, children with Crohn’s disease (CD) also have mental and emotional impairments. Children with CD experience gut microbiota dysbiosis. Exclusive enteral nutrition (EEN) is the recommended first line treatment for mild-to-moderate pCD due to its multifaceted disease-modulating effects, including positive re-modulation of the diseased gut microbiota. However, there exists a critical knowledge gap regarding the understanding of gut microbiota dynamics in individuals with CD treated with EEN, particularly in Southeast Asian regions like Malaysia. This study aimed to fill this void by investigating the gut microbiota profile of Malaysian children with CD, making it the first of its kind in Malaysia. Using targeted 16S ribosomal DNA (16S rDNA) next-generation sequencing, the study identified a microbiota profile dominated by Fusobacterium nucleatum, Haemophilus parainfluenzae, Fusobacterium mortiferum, Acidaminococcus, and Monoglobus among patients with pCD, with the latter three being newly identified in relation to pCD. Following successful EEN treatment, enrichment was observed in bacterial groups such as Lachnoclostridium, Parabacteroides, and Eubacterium fissicatena group. The groups of Clostridium sensu stricto 13 subterminale, Acetivibrio ethanolgignens group, and Robinsoniella peoriensis, which have not been previously associated with pCD, were also found to be increased following EEN treatment. While some similarities with previous literature were noted, Malaysians with pCD treated with EEN exhibited several novel bacterial groups associated both during disease and treatment. This study sheds light on the interplay between gut microbiota and pCD pathology, emphasising the versatility of nutritional therapy approaches in diverse populations. Further research in this area holds promise for refining treatment strategies and improving outcomes for pCD individuals, not only in Malaysia but globally.

Correlation between early enteral nutritional therapy, nutritional status and length of hospital stay

Correlation between early enteral nutritional therapy, nutritional status and length of hospital stay

Enhancing sepsis therapy: the evolving role of enteral nutrition.

Sepsis is a life-threatening organ dysfunction syndrome caused by a dysregulated response to infection in the body. Effective treatment of sepsis poses a significant challenge in today's clinical field. In recent years, enteral nutrition has garnered significant attention as an essential supportive therapeutic strategy. Serving as a means to provide ample nutritional support directly through the gastrointestinal tract, enteral nutrition not only addresses the nutritional depletion caused by the disease but also holds potential advantages in regulating immune function, maintaining intestinal mucosal barrier integrity, and promoting tissue repair. This article delves into the latest advancements of enteral nutrition in the treatment of sepsis, with a particular focus on its application effectiveness in clinical practice, potential mechanisms, and challenges faced. By examining relevant basic and clinical research, the aim is to provide a deeper understanding of nutritional therapy for sepsis patients and offer valuable insights for future research and clinical practice.

Effects of nutritional therapy on weight loss and muscle strength in patients suffering from pancreatic adenocarcinoma. Preliminary data

Effects of nutritional therapy on weight loss and muscle strength in patients suffering from pancreatic adenocarcinoma. Preliminary data

-Kampo Medicine for Nutritional Therapy in Clinical Practice:

-Kampo Medicine for Nutritional Therapy in Clinical Practice:

Complications in patients receiving parenteral nutrition therapy: 7-years’ experience

Complications in patients receiving parenteral nutrition therapy: 7-years’ experience

The impact of oral nutritional therapy on reducing hospital costs

The impact of oral nutritional therapy on reducing hospital costs

Hospital readmission among patients with enteral nutritional therapy: Who are they and what are the reasons?

Hospital readmission among patients with enteral nutritional therapy: Who are they and what are the reasons?

Achieving The Nutritional Goal Of Burn Patients In A Referral Hospital In The Northern Region Of Brazil

Background: Burns represent a significant health challenge, not only due to the pain and suffering they cause, but also due to metabolic complications. Oral nutritional therapy is a powerful tool in the recovery of these patients, as the burn requires double the energy demands. Therefore, achieving the nutritional goal in burn patients should be considered a priority in clinical management. Materials and Methods: Patients admitted to the Burn Treatment Center at a reference hospital in the North region were evaluated. For nutritional diagnosis, the gold standard tools for nutritional risk analysis were applied, Nutritional Risk Screening (NRS-2002) for adults and Screening Tool for Risk on Nutritional Status and Growth (Strongkids, 2012) for children. These are validated low-cost and non-invasive methods. Monitoring the achievement of VET and protein was carried out through food records and the percentages achieved in accordance with the prescribed calories and proteins were calculated. Results: 22 adult patients were evaluated. Of these, 15 men and 7 women, with an average age of 35.8 years. The assessment revealed 7% malnourished, 67% eutrophic, 33% obese and 13% obese. Adults averaged 2026 cal/day with 112% VET attainment and 90g protein with 125% intake. It is worth highlighting the joint action of nutrition professionals with the prescription of hypercaloric and hyperprotein preparations to adapt to the needs recommended for burn patients, in addition to Oral Nutritional Therapy (ONT), with an increase of 600cal/day and 40g of proteins. The use of hypercaloric and hyperprotein supplementation in burn patients is a strong ally in diet therapy, given the catabolic state and high risk of depletion. Among the children's audience, 7 children were served: 4 boys and 3 girls, an average age of 4.4 years. The nutritional diagnosis showed 85% in eutrophy, and 15% in nutritional risk. The VET of this group was on average 1215 cal and 39g of protein. Children achieved an average of 142% of daily VET and 175% of protein needs. To this end, 85% used TNO, accounting for 300 cal and 7.6 g of additional protein to the oral diet. Conclusion: Achieving the nutritional goals prescribed for burn patients has a significant impact on the meffectiveness of treatment

Reintroduction of oral food in patients with enteral nutritional therapy

Reintroduction of oral food in patients with enteral nutritional therapy