GLP-1 receptor agonists and surgical care: implications for bariatric Procedures, perioperative Outcomes, and nutritional optimization.

Evening snacks without increased nighttime caloric intake decrease fasting glucose in pregnant women with pregestational diabetes mellitus.

Nutrition support of children with chronic liver disease: A rapid review and consensus statements from Australasian society of parenteral and enteral nutrition (AuSPEN) Paediatric liver group.

Formation and application of soy protein/modified chitosan nanoparticles for interfacial engineering of β-carotene-loaded Pickering emulsions.

Standardizing outcome measures in preterm infant nutrition research: Use of anthropometry and body composition in the neonatal intensive care unit.

Nutritional screening within the GLIM procedure-Part 1: Development of a conceptual definition of risk of malnutrition using a modified Delphi procedure.

This article presents the results of the modified Delphi study conducted by the GLIM Risk of Malnutrition Working Group to develop a consensus-based conceptual definition of "risk of malnutrition", as first step in revising the GLIM screening procedure. Focus groups with nutritional care experts and patient/older adult representatives, and a literature exploration informed 46 statements on risk of malnutrition. Malnutrition experts (n = 112) evaluated these statements, using a five-point Likert scale. Statements with ≥75% agreement were accepted; those with ≥75% disagreement and/or neutrality were rejected. Remaining statements were marked "undecided" and re-evaluated in later rounds. In three questionnaire rounds (response rates 63%, 59%, and 54%), 26 statements were ultimately accepted to shape the conceptual definition of "risk of malnutrition". The GLIM Working Group and patient/older adult representatives reviewed the pre-final professional and layperson versions. Risk of malnutrition was defined as: A dynamic state, with or without unintentional weight loss, in which an individual has one or more risk factors, that is, nutrition impact symptoms, and/or disease-related, physical, psychological, social, demographic, and economic risk factors, that may result in malnutrition and may negatively impact clinical outcomes. In the layperson version, sentences were simplified to aid comprehension. GLIM has developed the first global (professional and layperson) conceptual definition of risk of malnutrition. This definition will guide future nutritional screening recommendations and a more preventive malnutrition approach. It also implies that screening tools covering "risk of malnutrition" should no longer be validated against signs or the diagnosis of malnutrition.

Avoiding malnutrition in the era of GLP-1 medications: emerging evidence and opportunities for integrated nutrition care.

Nutrition Services in Oncology: A Cross-Sectional Survey of Patient Experiences, Needs, and Gaps in Care.

Cardiovascular-kidney-metabolic syndrome (CKM) contributes substantially to death, but the extent of malnutrition documentation among CKM-attributed deaths is unclear. We quantified temporal trends and disparities in US CKM-related deaths involving malnutrition from 1999 to 2023. Using Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research Multiple Cause of Death data, we identified deaths with CKM as the underlying cause and malnutrition as a contributing cause. We calculated age-adjusted mortality rates (AAMRs) per 100 000 using the 2000 US standard population, assessed trends with joinpoint regression, quantified malnutrition involvement using an AAMR-based share, and modeled the death-count-based share with weighted binomial regression. National AAMRs followed a U-shaped pattern, declining from 2.31 in 1999 to about 0.9 in the early 2010s, then increasing to 3.78 (95% CI, 3.71-3.85) in 2023 (average annual percentage change, 2.1%). Despite declining overall CKM death, the AAMR-based share increased from 0.67% to 1.40%. Adults aged ≥65 years accounted for most deaths and had higher AAMRs than younger adults, although younger decedents showed faster adjusted annual increases in malnutrition documentation. Black adults had the highest AAMRs throughout, whereas relative increases in malnutrition involvement were steeper among White adults. The West had higher baseline odds and the most rapid acceleration. Malnutrition involvement in CKM-attributed deaths increased over time despite declining overall CKM deaths, highlighting malnutrition as an underrecognized component of end-of-life vulnerability in CKM and supporting integration of nutritional assessment and supportive care in high-burden populations and regions.

Nursing Management of Acute Airway Hyperresponsiveness and Stenosis in a Pediatric Patient Undergoing Adjustable Spinal Device Surgery: A Case Report.

Background: Healthcare quality is increasingly dependent on interdisciplinary collaboration among allied health professionals who contribute to safe, effective, and patient-centered care. Nursing, nutrition, and health information management each play essential roles in optimizing clinical outcomes and healthcare performance. Objective: This review examines the individual and collective contributions of nursing, nutrition, and health information management to improving healthcare quality and explores the value of integrating these disciplines within modern healthcare systems. Methods: A narrative review of recent literature published between 2015 and 2026 was conducted using major scientific databases, including PubMed, Scopus, Web of Science, and CINAHL. Relevant studies addressing interdisciplinary practice, quality improvement, patient safety, nutrition care, and health information management were synthesized thematically. Results: The reviewed evidence indicates that integrating nursing expertise, nutritional interventions, and effective health information management enhances patient safety, supports evidence-based decision-making, improves care coordination, reduces medical errors, and increases healthcare efficiency and patient satisfaction. Conclusion: An integrated allied health approach provides a comprehensive strategy for achieving sustainable healthcare quality improvement. Strengthening interdisciplinary collaboration and digital health integration can further enhance clinical outcomes and support high-quality, patient-centered healthcare delivery.

Commentary: Bridging the nutritional care gap: nurse-led education for potassium control in hemodialysis patients

Oral complications are common in palliative care and may directly impair patients' eating habits, comfort, and quality of life. Despite these impacts, dental integration remains suboptimal into supportive oncology and non-cancer palliative care models in many settings. This review synthesized current evidence and proposed a practical framework for proactive preventive dental care. A structured narrative review was conducted via the PubMed and Ichushi-Web electronic databases to identify studies indexed between 2000 and 2026. The literature addressing oral symptoms, mastication, nutrition, denture management, and interdisciplinary care in serious illnesses was included. Oral dysfunctions, including xerostomia, mucosal and dental pain, oral infections, and denture instability, are frequently reported in palliative populations and contribute to reduced dietary intake and diminished quality of life. Emerging evidence suggests that maintaining masticatory function may support nutritional stability, treatment tolerance, and patient-reported quality of life. On the basis of the synthesized literature, we propose a proactive preventive dental care (PPDC) framework that emphasizes routine oral assessment, pain management, moisturization, hygiene maintenance, early functional restoration, and interdisciplinary collaboration with nutrition and palliative teams. Integrating anticipatory dental strategies into supportive and palliative care may help preserve eating-related quality of life across both cancer and non-cancer illness trajectories. Prospective studies are needed to evaluate the clinical impact of the implementation of proactive dental care strategies in multidisciplinary supportive care.

Indirect calorimetry in oncology: A case-based clinical tutorial.

There has been a growing interest in the nutritional care of patients with Parkinson's disease (PD). The nutritional domain can be considerably affected by the disease, its treatment, and progression, particularly by motor symptoms and levodopa-related complications, which are responsible for important energy imbalances. However, gastrointestinal dysautonomia symptoms (sialorrhea, dysphagia, and constipation) and dysfunction are also major issues, and their evaluation and monitoring are recommended. Nutritional status, nutrition-related complications, and geriatric syndromes also play a role in disease management and prognosis. Patients can take advantage of various interventions, which can be (i) general and applicable to all, or (ii) tailored to specific conditions. Their orientation is both for treatment and prevention, focusing on the maintenance of nutritional and functional status and quality of life, avoidance of nutritional deficiencies, management of gastrointestinal dysfunction, and optimization of pharmacological treatments, particularly levodopa-based regimes. The basic principles of nutritional care for PD have here been summarized to provide a guidance paper to all clinicians dealing with these patients. Attention was focused on basic assessment procedures, evidence-based interventions, expert-based recommendations, and new potential strategies. Therefore, some spotlights on therapeutic options deserving further investigation have been provided.

Muscular dystrophy comprises a group of hereditary muscle disorders characterized by progressive muscle weakness and atrophy, ultimately resulting in the loss of ambulation and wheelchair dependence or confinement to a bed. However, the effects of prolonged hospitalization and immobilization on bone health in patients with advanced muscular dystrophy remain poorly characterized. Therefore, this study aimed to assess osteoporotic characteristics in patients with muscular dystrophy who experienced long-term hospitalization. Patients with muscular dystrophy undergoing long-term hospitalization were retrospectively reviewed in this cross-sectional study. Bone mineral density (BMD) and bone metabolism markers-including serum albumin, calcium, 25-hydroxy vitamin D [25(OH)D], tartrate-resistant acid phosphatase-5b (TRACP-5b), and bone-specific alkaline phosphatase (BAP)-were evaluated. A total of 32 patients with muscular dystrophy were included (median age, 50 years). The median duration of hospitalization was 2,287 days (range, 707-16,861 days). Regarding BMD assessment, the median T-scores for the lumbar spine and femoral neck were - 2.2 (interquartile range [IQR], - 4.1 to 0) and - 4.1 (IQR, - 4.6 to - 2.1), respectively. The median serum levels of albumin, calcium, 25(OH)D, TRACP-5b, and BAP were 3.5g/dL (IQR, 3.2-3.9), 9.0mg/dL (IQR, 8.8-9.3), 18.8 ng/mL (IQR, 8.7-24.9), 341 mU/dL (IQR, 221-403), and 12.8 U/L (IQR, 10.7-16.0), respectively. Patients with muscular dystrophy exhibited markedly reduced femoral neck BMD and low 25(OH)D levels, whereas lumbar spine BMD was less severely reduced. Levels of serum calcium, TRACP-5b, and BAP were within reference ranges. Patients with muscular dystrophy who required long-term hospitalization and were wheelchair-dependent or bedbound exhibited femoral neck osteoporosis and vitamin D insufficiency/deficiency. These findings may help inform strategies for osteoporotic treatment and nutritional care in this patient population.

Purpose: To explore registered dietitians' (RDs) experiences and perceptions of providing prenatal nutrition care in Canada. Methods: This qualitative study utilized virtual one-on-one semi-structured interviews and an online survey to gather information about RDs' experiences in prenatal care. Convenience sampling was used to recruit RDs, who were English-speaking and provided care for pregnancy. Interviews were transcribed verbatim, coded with an original codebook, and analyzed using Braun and Clarke's six steps to thematic analysis. Data were reviewed to find emerging themes and subthemes. Survey data were analyzed using descriptive statistics. Results: Eleven RDs who provide prenatal nutrition care in Canada participated in the study. Six themes emerged: (i) RDs' role in prenatal care; (ii) RDs' opinion of standard prenatal nutrition care; (iii) barriers to dietetic involvement in prenatal care; (iv) facilitators to dietetic involvement in prenatal care; (v) provision of nutrition information; and (vi) collaboration with prenatal healthcare providers (HCPs). Conclusion: RDs in Canada seek greater integration of nutritional services within prenatal care to enhance the nutritional health of pregnant individuals. This study presents first steps in the development of strategies to enhance RD involvement in prenatal care, provides opportunities for future research, and can assist in informing policy creation.

e23115 Background: Malnutrition is a major yet under-addressed determinant of outcomes in cancer care. Its impact on morbidity, treatment tolerance, and survival is well established; however, integration of nutritional assessment into routine oncology services remains inconsistent, particularly in low- and middle-income countries. This study evaluated nutritional care practices as a component of health service delivery in oncology and onco-hematology units in Senegal. Methods: We conducted a multicenter professional practice audit using a structured questionnaire assessing four domains: organization of nutritional services, healthcare providers’ knowledge, clinical practices, and perceived barriers to nutritional care. Physicians and nurses involved in the management of solid and hematologic malignancies were surveyed across major oncology referral centers in Dakar. Descriptive analyses were performed using Sphinx Plus and SPSS software. Results: Forty-eight healthcare professionals participated, including residents (52.1%) and nurses (20.8%). One-third worked in oncology-related departments. Most respondents (64.6%) reported the absence or unawareness of a formal nutrition support structure within their institution. Nutritional screening was primarily considered the responsibility of the treating physician (54.2%), with limited multidisciplinary involvement. Screening relied mainly on body mass index and weight loss (66.7%), while validated tools were rarely used. Nutritional evaluation was more frequently performed at admission (56.3%) than during hospitalization (27.1%). Assessment remained subjective in 37% of cases, and dietitian involvement was inconsistent (40.7%). Structural barriers were prominent, with reported difficulties in implementing enteral (96.9%) and parenteral nutrition (100%). Only 12.5% of participants had received formal training in malnutrition management. Conclusions: Nutritional care delivery in oncology services in Senegal is limited by organizational gaps, insufficient training, and lack of multidisciplinary coordination. Strengthening nutrition services represents a key opportunity for improving quality of cancer care.

Nutritional support is vital for critically ill patients, especially during infectious disease outbreaks. Intensive care unit (ICU) nurses, as frontline providers, face unique challenges in delivering effective nutritional care. This study explored ICU nurses' experiences in providing nutritional care to patients with infectious diseases in high-risk settings. This study aimed to identify and describe the barriers, processes, and practical experiences associated with providing nutritional support to ICU patients during an infectious disease outbreak. Data were collected through semi-structured interviews and analyzed using content analysis. Trustworthiness was ensured through triangulation, peer debriefing, and member checking. Three themes emerged: Importance of Nutrition, Nutritional Challenges, and Nutritional Support Strategies. Nurses emphasized nutrition's contribution to immunity and clinical stability. Barriers included isolation protocols, feeding complications, workload, and resource limitations. ICU nurses play a critical role in sustaining nutritional care during infectious crises. Their experiences point to the need for stronger support systems and collaboration. Findings support incorporating outbreak-specific nutrition and emotional resilience training into continuing education to better prepare ICU nurses for future challenges.