Received Nutrition Counseling Research Articles

Literature Review on the Nexus of Exclusive Breastfeeding and Stunting

Stunting is a serious nutritional problem faced by almost all developing countries, including Indonesia. Exclusive breastfeeding is one of the factors that influence the incidence of stunting. Infants who do not receive exclusive breastfeeding are more likely to experience stunting, which will cause children to become easily ill, and it is feared that later it will cause impaired productivity after adulthood. This article review aims to understand more about the relationship between exclusive breastfeeding and stunting. The search for scientific articles was conducted through electronic databases such as Science Direct, Scopus and PubMed and 4 articles published in the last 5 years (2018-2013) were selected. The study results from the 4 articles on average informed that exclusive breastfeeding is associated with stunting. In the reviewed articles, mothers who received nutrition counseling may be effective in reducing childhood stunting accompanied by improved feeding practices. To overcome this nutritional problem, the Indonesian government created a program called Keluarga Sadar Gizi (Kadarzi) and Puskesmas is one of the institutions that plays an important role in accelerating efforts to reduce stunting. This study concluded that there is an association between exclusive breastfeeding and stunting

Abstract 14777: Effectiveness of Virtual vs Face-to-Face Medical Nutrition Therapy in Patients With Hyperlipidemia

Introduction: Medical nutrition therapy provided by registered dietician nutritionists (RDNs) is an effective therapy for treating lipid disorders. There has been a shift in practice for patients to receive nutrition counseling virtually rather than in-person. Hypothesis: We evaluated whether virtual nutrition visits are as effective as face-to-face (F2F) visits at reducing lipid levels. Methods: We performed an observational study of patients seen by a RDN as part of the University of Michigan Preventive Cardiology lipid management program from 3/31/2019 - 9/31/22. Lipid markers, including total cholesterol (TC), high-density lipoprotein (HDL), and triglycerides (TG) were collected prior to meeting with an RDN and a median of 33 days later. Low-density lipoprotein (LDL) was calculated using the Sampson equation (patients with TG >800 mg/dL were excluded). We used a paired T-test to evaluate the mean difference in lipid marker pre-post visit. Linear regression was used to compare the impact of virtual and F2F nutrition visits. Results: 192 patients were included (41 virtual visits and 151 F2F visits). After a single virtual or F2F visit with an RDN, TC, LDL, and non-HDL decreased (all p-values <0.05, Figure). HDL decreased for F2F visits only. Change in TG was not significant for either group. There were no significant differences between virtual and F2F for changes in mean pre-post visit for any lipid markers (TC p=0.37, LDL p=0.54, non-HDL p=0.29, HDL p=0.72, TG p=0.67). Conclusions: Both virtual and face-to-face RDN visits lead to overall improvement in lipid profiles at post-visit follow-up. Telehealth is an effective way for patients to receive nutrition counseling and may help to overcome barriers in access to treatment for hyperlipidemia.

Outcomes of an Asynchronous Care Model for Chronic Conditions in a Diverse Population: 12-Month Retrospective Chart Review Study.

Diabetes and hypertension are some of the most prevalent and costly chronic conditions in the United States. However, outcomes continue to lag behind targets, creating further risk of long-term complications, morbidity, and mortality for people living with these conditions. Furthermore, racial and ethnic disparities in glycemic and hypertension control persist. Flexible telehealth programs leveraging asynchronous care allow for increased provider access and more convenient follow-up, ultimately improving critical health outcomes across demographic groups. We aim to evaluate the 12-month clinical outcomes of participants in the 9amHealth web-based clinic for diabetes and hypertension. We hypothesized that participation in the 9amHealth program would be associated with significant improvements in glycemic and blood pressure (BP) control across a diverse group of individuals. We enrolled 95 patients in a completely web-based care clinic for diabetes and hypertension who received nutrition counseling, health coaching, and asynchronous physician consultations for medication prescribing. Patients received standard or cellular-connected glucose meters and BP cuffs in order to share data. Laboratory tests were completed either with at-home phlebotomy draws or a self-administered test kit. Patients' first and last hemoglobin A1c (HbA1c) and BP results over the 12-month period were compared, and analyses were repeated across race and ethnicity groups. Among all 95 patients, the average HbA1c decreased by -1.0 (from 8.2% to 7.2%; P<.001) over 12 months of program participation. In those with a baseline HbA1c >8%, the average HbA1c decreased by -2.1 (from 10.2% to 8.1%; P<.001), and in those with a baseline HbA1c >9%, the average HbA1c decreased by -2.8 (from 11% to 8.2%; P<.001). Among participants who identified as a race or ethnicity other than White, the HbA1c decreased by -1.2 (from 8.6% to 7.4%, P=.001). Further examination of subgroups confirmed HbA1c lowering within each race or ethnicity group. In the overall population, the average systolic BP decreased by 17.7 mm Hg (P=.006) and the average diastolic BP decreased by 14.3 mm Hg (P=.002). Among participants self-identifying as a race or ethnicity other than White, the results similarly showed a decrease in BP (average reduction in systolic BP of 10 mm Hg and in diastolic BP of 9 mm Hg). A fully web-based model leveraging all-asynchronous physician review and prescribing, combined with synchronous and asynchronous coaching and nutrition support, was associated with clinically meaningful improvement in HbA1c and BP control over a 12-month period among a diverse group of individuals. Further studies should prospectively evaluate the effectiveness of such models among larger populations, assess the longer-term sustainability of these outcomes, and explore financial models to make these types of programs broadly accessible.

Investigating the Availability of Nutrition Management Service for Hypertensive Elderly People in Khubetsoana and Thamae Health Centres

Many elderly people have hypertension, and health systems are faced with the challenge of responding to the needs of this population. The availability of Nutrition Management Service (NMS) in Out Patient Department (OPD) services is one of the strategies that have the potential to control these patients' blood pressure. The study sought to investigate the availability of NMS for the hypertensive outpatient elderly in Thamae Health Centre and Khubetsona Health Centre. The study was a descriptive cross-sectional study employing both qualitative and quantitative data collection methods. NMS was found to be available in the facilities, but incomplete. Of all the patients followed, 16.2% received nutrition counseling and 9.5% received nutrition follow-up, but none of them received nutrition screening. NMS is available in the facilities but it is incomplete, due to many factors which originate from the planners' failure to plan for it.

Do Pregnant Women Perceive Being Counseled About Nutrition by Healthcare Providers? A Cross-Sectional Study of the Recall and Satisfaction of Nutrition Counseling of Patients Throughout the Course of Their Pregnancy

The Academy of Nutrition and Dietetics identifies a balanced diet and appropriate weight gain as two important components of a healthy pregnancy. The aim of this study was to evaluate the recall of pregnant women about nutrition counseling provided by their healthcare provider during their pregnancy. We conducted an anonymous, voluntary survey using online software for women who had recently given birth and were less than 2 weeks postpartum. Discrete variables were analyzed using Chi-square or Fisher’s exact test. Analyses were carried out using R statistical software. Differences were considered statistically significant at P &lt; .05. Of 201 postpartum women surveyed, 100 (49.8%) recall receiving nutrition counseling during pregnancy, while 101 (50.2%) did not recall receiving nutrition counseling. Notably, 73% of women who were counseled about nutrition during pregnancy changed their behavior based on provider advice. These findings suggest that approximately half of women polled recall receiving nutrition counseling during the pregnancy, and that there are crucial opportunities for providers to influence positive behavior change in their patients. Additional research is needed to determine perceptions of providers’ counseling and potential needs in providers’ knowledge, skills, and attitudes toward nutrition counseling, particularly across different demographic groups and social determinants of health.

The Effect of Nutrition Counseling and RESTTM Diet also Occupational Factors on Weight Loss among Hospitals Nurses with Excessive Weight Nutritional Status (Study in The Occupational Health Hospital of West Java Province)

Background: Nurse has a risk to get an excessive weight nutritional status that can increase the risk of serious health problems, such as heart disease, hypertension and diabetes mellitus. The intervention of nutrition counseling and diet are expected to lose weight in people with excessive weight nutritional status. This study aimed to determine the effectiveness of nutrition counseling and the implementation of Rendah Energi, Seimbang dan Teratur (REST) diet on weight loss among hospital nurses with excessive weight nutritional status in the hospital.Methods: The study was conducted at Occupational Health Hospital of West Java with 22 nurses as study subjects with excessive weight nutritional status, implemented nutrition counseling intervention, a RESTTM Diet and also used the Bouchard questionnaire, OSI-RTM questionnaire and food record sheets.Results: The greatest average weight loss after receiving nutrition counseling and implementing a RESTTM Diet occurred in the 12th week of the last observation. It was 2.6 kg with 95% CI=1.3-3.9 kg. Based on the bivariate test showed gender had a significant effect on the average weight loss. The male nurses had greater average weight loss than female nurses (p=0.038). The average weight loss of male nurses was 3.1 ± 1.7kg and female nurses 1.6 ± 1.3kg. Meanwhile, the effect of occupational factors on weight loss after receiving nutrition counseling and implementing the RESTTM Diet did not show a significant effect, such as job position (p=0.948), the number of working hours (p=0.220), work shift schedule (p=0.692) and work stress (p=0.813).Conclusions: There was an effect of nutrition counseling and RESTTM Diet during 12 weeks on weight loss among the hospital nurses with excessive weight nutritional status in the hospital.

Taste and smell abnormalities in advanced cancer: Negative impact on subjective food intake.

Taste and smell abnormalities (TSAs) are present in all cancer stages and may contribute to malnutrition. Despite this, they are rarely screened for. This study examined the prevalence and characteristics of TSAs and their influence on subjective food intake in advanced cancer. Consecutive patients with advanced cancer were recruited. A modified Taste and Smell Survey assessed subjective TSAs. Objective TSAs were assessed with validated taste strips and "Sniffin Sticks." A six-item food intake questionnaire identified any effect TSAs had on food preferences/aversions. Nutrition status was evaluated with the abridged Patient-Generated Subjective Global Assessment. All 30 participants had either subjective or objective TSAs. The prevalence of TSAs varied based on the assessment tool used. Participants were more aware of taste changes (TCs) than smell changes (SCs). TCs caused reduced food intake in 13 participants. Six reported SCs affected food intake. Food choices caused by TSAs were inconsistent. Some foods preferred because of TSAs were avoided by other participants. None received nutrition counseling on TSA management. Almost all were at malnutrition risk (97%). Almost half (47%) felt TSAs reduced quality of life (QoL). Participants reported "not looking forward to meals" and "can't sit down and eat anything" because of TSAs. TSAs were highly prevalent and impactful on food intake. Both TCs and SCs were complex and varied on an individual basis. Despite the effect on health and QoL, no patients received any nutrition counseling on TSA management. Individualized screening and advice are needed for TSAs in advanced cancer.

Antenatal care utilization and nutrition counseling are strongly associated with infant and young child feeding knowledge among rural/semi-urban women in Harari region, Eastern Ethiopia.

There is a gap in evidence linking antenatal care (ANC) utilization, nutrition counseling, and knowledge of pregnant women about infant and young child feeding (IYCF), particularly in low-income settings. Therefore, this study aimed to identify the association between ANC follow-up and nutrition counseling with IYCF knowledge. A cross-sectional study was conducted among 390 pregnant women in the rural kebeles of the Harari region from January to June 2019. Data were collected using face-to-face interviews on tablet computers. Bivariate and multivariate logistic regression were employed. An adjusted odds ratio (with 95% CI) was used to determine the strength of association between IYCF knowledge with ANC follow-up and nutrition counseling by adjusting for educational status, occupation, gravida, and distance to the nearest health center. Overall, 54.4% [95% CI 49.2, 59.2] of currently pregnant women were knowledgeable about IYCF of which only 20% started ANC follow-up and 24.4% received nutrition counseling. Out of 288 multigravida women, only 51.4% had ANC follow-up during their last pregnancy. In the adjusted model, ANC follow-up during the current pregnancy (AOR 1.85, 95% CI 1.07–3.22), those who received nutrition counseling (AOR 1.92, 95% CI 1.09–3.38), literate in education (AOR 1.71, 95% CI 1.07–2.73), multigravida (AOR 1.96, 95% CI 1.12–3.43), and far from the nearest health center (AOR 0.95, 95% CI 0.93–0.97) were significantly associated with the mothers IYCF knowledge. Thus, health care providers should encourage mothers to attend ANC during pregnancy and provide nutrition counseling about the IYCF.

Effectiveness of logotherapy and nutrition counseling on psychological status, quality of life, and dietary intake among breast cancer survivors with depressive disorder: a randomized clinical trial.

Breast cancer (BC) can negatively influence multiple facets of survivors' lives including mental health, quality of life (QoL), and dietary behavior. Logotherapy as a psycho-education program may help breast cancer survivors (BCSs) discover their meaning of life throughout distressful events. The present study aimed to determine the effects of logotherapy along with nutrition counseling on psychological status, QoL, and dietary intake among BCSs who were diagnosed with depression.This randomized clinical trial was conducted on 90 BCSs who scored ≥ 14 on Beck's depression test. Participants were randomly assigned into two groups to receive nutrition counseling plus logotherapy (n = 46) or nutrition counseling alone (n = 44) for 8weeks. Primary outcomes (depression, anxiety, and QoL) and secondary outcomes (anthropometric indices, dietary intake, and eating disorder status) were measured at baseline and after 8weeks.All dimensions of QoL, anthropometric measurements, and the compulsive eating scale improved significantly in both groups after 8weeks. A combination of nutrition counseling and logotherapy resulted in a significant reduction in anxiety (P < 0.001) and depression (P < 0.001) scores compared with the nutrition counseling alone. In addition, participants who received logotherapy plus nutrition counseling significantly consumed less energy, carbohydrate, and fat intake after 8weeks compared with the control group (P < 0.001).It can be concluded that logotherapy along with nutrition education would be an important step in improving anxiety, depression, and QoL of patients with BC who had depressive symptoms.Trial registration number: (IR.ACECR.IBCRC.REC.1396.17).

Effect of Nutrition Counseling on Protein Intake on Patients with Chronic Kidney Failure who Undergo Hemodialization in Cut Mutia Hospital, Aceh Utara

Patients with kidney failure in outpatient hemodialysis rooms often experience malnutrition and have decreased quality of life. Moroever, they frequently have incorrect knowledge about nutritional intake, especially protein. One way to deal with nutritional problems in kidney patients in outpatient hemodialysis rooms is nutrition counseling to provide knowledge about food handling/control. This counseling aims to enable patients to change their nutritional intake, especially protein. Thus, their nutritional and health status gets better and improved. This study aims to determine the effect of nutritional counseling on protein intake in patients with chronic kidney failure at the Cut Mutia Hospital, Aceh Utara. This research employed a descriptive-analytical method with a quasi-experimental design and a one-group pretest-posttest design. The research sample was 28 chronic kidney failure patients in outpatient hemodialysis rooms at RSUD Cut Mutia Aceh Utara. They were divided into two groups: 14 patients in a treatment group and 14 patients in a control group. The patients received nutrition counseling for 30 minutes in the pre-test and post-test. The data were analyzed using a statistical test of the dependent T-test. The average protein intake in the treatment group before and after the nutritional counseling is 40.60 grams, and the average protein intake after the control group is 52.91 grams. The nutritional counseling significantly affects the protein intake of patients with chronic kidney failure in outpatient hemodialysis rooms at Cut Mutia Hospital, Aceh Utara (p = 0.00).

Quality of diabetes care and its consequences in Northern Iran

Background. Diabetes is an important public health problem. This study aimed to investigate the quality of care in patients with diabetes type 2 and its consequences in rural areas at Golestan province, North of Iran, in comparison to standards of the Ministry of Health and Education of Iran and the American Diabetes Association. Methods. This was a cross-sectional study based on data from 308 patients with diabetes type 2 in rural areas at Golestan province, which was conducted through a two-stage classified sampling method and random selection. Data of this research was gathered through a questionnaire (fulfilled by the interviewer), assessment blood sugar, and information obtained from patients’ files. Data were analyzed by descriptive statistics and SPSS version19. Results. The mean age of patients was 57 years and 88 patients (29%) were male. Only 35% of patients were visited seasonally by a family physician. In addition, only 24% of patients were visited at least once a year by an ophthalmologist, and 31% of patients underwent a glycated hemoglobin test at least twice a year. Influenza and hepatitis vaccines were given to 1.6% and 9.4% of patients, respectively. 85% of patients were evaluated once a year for lipid profile and 61% for creatine and albumin. Only 31% of patients received nutrition counseling at least once a year. Controlled glycated hemoglobin (HBA1c) was 27% and most patients were in the range of overweight and obesity (&gt; 75%). Conclusion. The findings of this study showed that the quality of diabetes care and its consequences in patients is not desirable and is far from the standards provided by the Iran’s Ministry of Health and the American Diabetes Association and requires revision in the current program of diabetes control.

The effect of nutrition counseling on nutritional status for breast cancer patients in dr. Sardjito Hospital, Indonesia

Background: Nutrition counseling in breast cancer (BC) patients show long-term adherence to a dietary pattern and effects on nutritional status and quality of life (QOL).Objective : We evaluated the effects of nutrition counseling for nutrients intake dan nutritional status improvement among breast cancer patients.Material and Methods: This research was conducted in a Pre-experimental design; one group pretest-postest design was conducted on 45 BC patients who underwent radiotherapy for five weeks in the Radiotherapy Unit, dr. Sardjito Hospital, Indonesia. Nutrition counseling was demonstrated by trained fieldworkers to 45 participants using a nutrition booklet for BC patients and a food model as an intervention technique. Continuous nutrition counseling was given three times: weeks 1, 3, and 5 of radiotherapy. We examined anthropometry, biochemical, physical, dietary, and Patient-Generated Subjective Global Assessment (PG-SGA) questionnaire to obtain nutritional status.Results: Most of the participants had a body mass index (BMI) ≥25 kg/m2 (62.2%). After the participants were receiving nutrition counseling, there were increases in intake of energy, protein, carbohydrate, vitamin A, vitamin C, and vitamin E amounted 124.54 kcal, 8.12 g (p=0.01), 5.84 g, 234.43 mg, 0.042 mg, and 0.44 mg, respectively. Intake of fruits and vegetables improved on the first, third, and fifth week (1.44, 2.36, and 4.03 portion/day, respectively) (p=0.001). Handgrip strength (HGS) showed slight improvement (p=0.081). However, HGS ameliorated from 15.85 kgs in the early to 16.97 kgs in the end stage of therapy. Bodyweight decreased 0.28 kg; however, there are no changes in PG-SGA score, hemoglobin (Hb), and albumin levels.Conclusion: Nutrition counseling improves patients’ nutrition intake despite there is no significant alteration in nutritional status. In addition, nutrition counseling for breast cancer patients during radiotherapy is essential to maintain and improve nutrient intake and nutritional status. In the long-term period, it might be affected to improve quality of life.

Determining How Nutritional Status is related to Anger Level and Anxiety Status in Persons

Abstract Background Nutriments affect psychology and psychological state affects nutritional status of people. The present study is, therefore, intended to find out how nutritional status is related to levels of anger and anxiety in people receiving nutritional consultation. Methods This descriptive-type cross-sectional study includes a universe of 180 individuals aged over 18 who received nutrition counseling between August-December 2018. The approval of the ethics committee and of the relevant institution was obtained in order to conduct the study. The questionnaire form used to retrieve the data herein consists of socio-demographic characteristics, Trait Anger and Anger Expression Style Scale, Beck Anxiety Inventory, food consumption frequency, and food consumption record. Chi-Square test, Student t-test, and One-way ANOVA test were used for statistical analysis. The significance level was set as p &amp;lt; 0.05. Results In the study group, those who consumed milk once a month had a subscale score of trait anger (22.83±3.13) that was significantly higher than that of those consumed it 3-5 times a week (18.74±3.93)(p = 0.025). Those who consumed fast food 1-2 times a week and 3-5 times a week had an anger expression score of 16.17±2.81 and 16.43±3.69, respectively; which were significantly higher than that of those consumed fast food once a month(14.07±2.42) and once every 15 days(14.12±3.05) (p = 0.028). The anger control subscale score of those who consume red meat daily is significantly lower than those who consume red meat 1-2 times a week and 3-5 times a week(p = 0.048). The body mass index and anxiety level did not have a significant difference (p &amp;lt; 0.05). Conclusions In the study group, it was found that the trait anger score was low in the groups with less consumption of milk, the anger expression score was higher in the groups with increased fast food consumption, and the anger management score was lower in the group with more frequent red meat consumption. Key messages People who consume fast food more frequently have increased anger expression. The level of trait anger increases as the milk consumption diminishes.

Nutritional Intervention Improves Nutrition Outcomes in Stomach and Colon Cancer Patients Receiving Chemotherapy: Finding from a Quasi-Experiment in Vietnam.

Background: Evidence on the effects of nutritional interventions on gastrointestinal cancer patients receiving chemotherapy is not well documented. This study aims to assess the effects of nutritional intervention in patients diagnosed with stomach and colon cancer receiving chemotherapy in Vietnam. Methods: A quasi-experiment with intervention and control groups for pre- and post-intervention was carried out in cancer patients receiving chemotherapy in a university hospital in Vietnam. Patients in the intervention group were provided nutritional counseling, personalized specific dietary advice, and received oral nutrition supplements (ONSs) while patients in the control group only received nutrition counseling. Results: The weight in the intervention and control group after 2 months increased significantly by 1.4 ± 2.6 kg and 0.4 ± 2.3 kg, respectively. Muscle mass increased by 1.2 ± 4.1 cm in the intervention group, while those in the control group decreased by 0.55 ± 2.77 cm. There was no statistical significance between two groups after intervention in terms of Mid–Upper Arm Circumference (MUAC) and percentage of fat. The percentage of malnutrition based on the Scored Patient-Generated Subjective Global Assessment (PG-SGA) and Body Mass Index (BMI) declined after the intervention in both groups. According to the average treatment effect on the treated (ATT) using the propensity score matching and DiD method, participants receiving the intervention were more likely to have a higher score of weight (Coef = 0.84; 95%CI = 0.47; 2.16) and muscle mass (Coef = 1.08; 95%CI = 0.09; 2.06) between pre- and post-intervention. By contrast, the PG-SGA scores on treated participants were more likely to decrease after the intervention (Coef = −1.28; 95%CI = −4.39; −0.84). After matching, being female, living in rural areas, or having stomach cancer were still positively related to being moderately/severely malnourished by the PG-SGA, and these findings were statistically significant (p < 0.05). Conclusion: The nutritional interventions had a positive effect on weight gain, muscle mass, and reduced malnutrition. Further studies with a longer follow-up duration are needed to confirm the effects of the intervention.

Nutrition Education of Mothers and Zinc Supplementation among Children in the Rural Community, Cameroon

Aims: Malnutrition among children, especially stunting is a public health problem in Cameroon. This study assesses the impact of zinc supplementation of children and nutrition education of mothers on the nutritional status of the children in the Bangang rural community.&#x0D; Study Design: This was a descriptive and prospective study.&#x0D; Place and Duration of Study: The study took place in the Bangang community in the Region of West Cameroon, during the period from March to December 2015.&#x0D; Methodology: The children aged 6 to 48 months and mothers aged 20 to 34 years were selected after the baseline survey and enrolled. Dietary surveys were used to evaluate the frequency of foods consumed by 150 children. Zinc supplementation group of children (ZSG, n= 25) received 10 mg of zinc sulfate tablets per day for 14 days and control group (CG, n=25) was formed by children whose mothers received nutrition counseling. The nutrition education sessions organized into 4 modules were conducted quarterly for 9 months on a sample of 100 mothers. After interventions, impact of zinc supplementation and maternal education was assessed by determining height for age and weight for age indices, and biochemistry parameters.&#x0D; Results: The results showed that zincemia of ZSG varied significantly (P = .0001) and not significantly (P = .23) for CG. After nutrition education, dietary diversity was improved; reduction of chronic malnutrition (10.9%) and increasing number of children with good nutritional status (6.6%) were observed. Increased for phosphoremia (3.6 ± 2.4 to 5.7 ± 1.8 mg/dl; P = .001) and albuminemia (34.8 ± 15.5 to 46.9 ± 8.9 g/l; P = .002) were significant which was not the case of calcemia, zincemia, magnesemia and serum iron.&#x0D; Conclusion: This study showed positive impact of zinc supplementation and maternal education on the nutritional status of children.

Maternal Nutrition Status and Its Relation with Low Birth Weight: A Meta Analysis Study

Background : The condition of low birth weight (LBW) increases the risk of death in newborns early in life and results in health and development problems later in life. However, research related to factors associated with low birth weight is still limited. This study aimed to determine the risk factors associated with the nutritional status of mothers with low birth weight babies. Subjects and Method : This was a systematic review and meta-analysis by searching for articles published by the online database PubMed in 2016 to 2021. With P: Pregnant women, I: height &lt;150 cm, maternal mid-upper arm circumference (MUAC) &lt;23 cm, did not receive nutrition counseling, C: height &gt; 150 cm, maternal MUAC &gt;23 cm, receiving nutritional counseling, O: LBW. And the inclusion criteria of this study are: 1) articles that explain the influence of maternal nutritional status with LBW; 2) original research papers; 3) the research subjects were pregnant women who gave birth to LBW; 4) research using multivariate logistic regression analysis method. The dependent variable is low birth weight. The independent variable is a risk factor related to the nutritional status of the mother as measured by height, arm circumference, and the provision of nutritional counseling. Data analysis using RevMan software. Results : There are 18 articles on quantitative analysis. Pregnant women who have a height &lt;150 cm (OR= 3.13; 95% CI= 0.75 to 13.10; p= 0.120) and maternal MUAC &lt;23 cm (OR= 3.79; 95% CI= 3.00 to 4.78; p= 0.001) had a greater risk of giving birth to a baby with low birth weight. Likewise, pregnant women who did not receive nutritional counseling had a greater risk of experiencing low birth weight (OR= 2.98; 95% CI = 2.11 to 4.22; p= 0.001). Conclusio n: Pregnant women who have a height &lt;150 cm, MUAC &lt;23 cm, and do not receive nutritional counseling have a greater risk of giving birth to babies with low birth weight. Keywords: low birth weight, nutritional status, maternal, neonatal. Correspondence: Titik Wijayanti. Institute of Health Science Estu Utomo Boyolali. Jl.Tentara Pelajar km 7, Mudal, Kec Boyolali, Central Java 58111. Email: titikeub.tw@gmail.com . Mobile: +62 815-1407-4626. Journal of Epidemiology and Public Health (2021), 06(04): 438-449 https://doi.org/10.26911/jepublichealth.2021.06.04.05

Efficacy and Safety of Yukgunja-Tang for Patients with Cancer-related Anorexia: A Randomized, Controlled Trial, Pilot Study.

Objective:The purpose of this study is both to estimate the efficacy and the safety of Yukgunja-tang (YGJT) and to establish evidence for the use of herbal medicines in the management of patients with cancer-related anorexia.Methods:We enrolled 40 patients with cancer-related anorexia. The enrolled participants were randomly allocated to 2 groups: the control group (n = 20), which received nutrition counseling, and the treatment group (n = 20), which received nutrition counseling and was administered YGJT at twice a day for 4 weeks (a total of 56 times @ 3.0 g each time). The primary outcome of this study was the score on the anorexia/cachexia subscale (ACS) of the Functional Assessment of Anorexia/Cachexia Therapy (FAACT). The secondary outcomes were the FAACT score with the ACS score excluded, the score on the Visual Analog Scale (VAS) for appetite, and the results on laboratory tests regarding appetite, such as leptin, tumor necrosis factors (TNF-α), interleukin-6 (IL-6), and ghrelin. All variables related to the safety assessment, such as vital signs, electrocardiography results, laboratory test results (complete blood cell count, chemistry, urine test), and adverse events, were documented on the case report form (CRF) at every visit.Result:The difference in the primary outcome, that is, the score on the anorexia/cachexia subscale (ACS) of the Functional Assessment of Anorexia/Cachexia Therapy (FAACT), between the control and the treatment groups was statistically significant (P = .023) as was the difference in the FAACT scores with the ACS score excluded, a secondary outcome, between the 2 groups; however, no statistically significant differences were noted in the scores on the VAS or the levels of leptin, TNF-α, IL-6, and ghrelin. In addition, no significant differences in the numbers and the types of adverse events or in the results on the laboratory tests between the control and the treatment groups were recorded.Conclusion:These results obtained in this research confirmed the efficacy and the safety of using YGJT as a herb-medicine treatment option for patients with cancer-related anorexia.

Dietary Approaches to Stop Hypertension Dietary Intervention Improves Blood Pressure and Vascular Health in Youth With Elevated Blood Pressure.

This randomized control trial assessed the post-intervention and 18-month follow-up effects of a 6-month dietary approaches to stop hypertension (DASH)-focused behavioral nutrition intervention, initiated in clinic with subsequent telephone and mail contact, on blood pressure (BP) and endothelial function in adolescents with elevated BP. Adolescents (n=159) 11 to 18 years of age with newly diagnosed elevated BP or stage 1 hypertension treated at a hospital-based clinic were randomized. DASH participants received a take-home manual plus 2 face-to-face counseling sessions at baseline and 3 months with a dietitian regarding the DASH diet, 6 monthly mailings, and 8 weekly and then 7 biweekly telephone calls focused on behavioral strategies to promote DASH adherence. Routine care participants received nutrition counseling with a dietitian consistent with pediatric guidelines established by the National High Blood Pressure Education Program. Outcomes, measured pre- and post-intervention and at 18-months follow-up, included change in BP, change in brachial artery flow-mediated dilation, and change in DASH score based on 3-day diet recalls. Adolescents in DASH versus routine care had a greater improvement in systolic BP (-2.7 mm Hg, P= 0.03, -0.3 z-score, P=0.03), flow-mediated dilation (2.5%, P=0.05), and DASH score (13.3 points, P<0.0001) from baseline to post-treatment and a greater improvement in flow-mediated dilation (3.1%, P=0.03) and DASH score (7.4 points, P=0.01) to 18 months. The DASH intervention proved more effective than routine care in initial systolic BP improvement and longer term improvement in endothelial function and diet quality in adolescents with elevated BP and hypertension. Registration: URL: https://www.clinicaltrials.gov; Unique identifier: NCT00585832.

Effect of Logo Therapy on Anxiety and Depression in Breast Cancer Survivors Receiving Nutrition Counseling

Effect of Logo Therapy on Anxiety and Depression in Breast Cancer Survivors Receiving Nutrition Counseling

S3283 Reducing Hospital Readmission Rates of Cirrhotics Using Nutrition Counseling

INTRODUCTION: There are over 150,000 hospitalizations yearly for decompensated cirrhosis and other related complications with an annual cost around $4 billion. There is an estimated 20–37% 30-day readmission rate for patients with complications of cirrhosis. Malnutrition and sarcopenia occurs in 20-50% of cirrhotics and may lead to infection, encephalopathy, ascites and increased mortality. Per EASL Clinical Practice Guidelines 2019, “..all patients with advanced liver disease, and in particular those patients with decompensated cirrhosis, are advised to undergo a nutritional screen.” In a study by Sriram et al in 2016, a nutrition focused quality improvement program (QIP) led to an absolute reduction of 30-day readmission rate post-QIP of the rate of about 4.7 to 3.9%, which corresponded to a significant relative risk reduction of 19.5% (P = 0.001, n = 174 for GI disease). The purpose of this project is to standardize referrals to dieticians for patients diagnosed with cirrhosis. METHODS: A retrospective chart review was performed on 16 patients with cirrhosis admitted to the academic teaching service in February 2019. Some of the patients received nutrition counseling during their hospitalization. All patients had MELD scores < 20 correlating with a 3-4% mortality in 90-days. The patients were reviewed were followed up until they were readmitted. over a 30 day to > 90-day period for readmissions. RESULTS: Given the small cohort of patients, a qualitative retrospective chart review of 16 patients admitted for cirrhosis related complication was completed. Almost 75% (n = 12) of these patients did not receive nutrition counseling during their hospitalization, while 25% (n = 4) of these patients received nutrition counseling. 62.5% (10/16) of the patients who did not receive nutrition counseling were readmitted within 6 months, 9 of which were readmitted within 30 days 68.8% (11/16) (Figure 2). None of the patients who received nutrition counseling were readmitted (0/4) (P = 0.014). The most common reasons for readmission were ascites (n = 3), bleeding (n = 3), encephalopathy (n = 2), or related complications (n = 2). CONCLUSION: Patients with cirrhosis may benefit from inpatient nutrition counseling. There should be clear definitions of clinicians' role in delivering nutrition care, routine screening of all patients for malnutrition risk factors, and early interventions when risk is identified. More effective utilization of nutrition counseling may lead to lower hospital readmission rates in patients with cirrhosis.Figure 1.: A process flow map demonstrating the policies and procedures relating nutrition counseling for patients with cirrhosis.Figure 2.: Timeline for readmissions in February 2019 of cirrhotic patients during their initial decompensating event.