Nutritional Status Research Articles

Etiological factors and clinical outcomes in extracapsular and intracapsular hip fractures among older adults: A gender-specific analysis.

Compared to patients with intracapsular fractures (ICFs), those with extracapsular fractures (ECFs) had worse outcomes. However, most studies of risk factors for these fractures lacked relevant potential reasons, particularly nutritional status, and adjustment for confounding factors. Furthermore, less is known about their effects on clinical outcomes. To conduct a gender-specific analysis of community-dwelling individuals admitted with hip fractures to examine the association of clinical risk factors and health care measures. Monocentric cross-sectional study. Orthopedic trauma department. A total of 787 women and 318 men of similar mean age (±SD): 83.1 years (±8.6) and 82.5 years (±9.0), respectively. Multivariable logistic regression analyzed risk factors including age, gender, dementia, stroke, ischemic heart disease, diabetes, prefracture mobility, alcohol consumption, American Society of Anesthesiologists grades, drug history, and nutrition status for assessing risk factors and outcomes associated with ECFs and ICFs. Compared to ICFs, for each additional year of age, women had a 3% and men 4% greater association with ECFs. Among women only, ECFs were associated with risk of malnutrition: odds ratio [OR] = 1.70 (95% CI, 1.17-2.48) or malnourishment: OR = 1.93 (95% CI, 1.06-3.52), stroke: OR = 1.85 (95% CI, 1.16-2.97), and diabetes: OR = 1.92 (95% CI, 1.21-3.06). Women with ECFs were less likely to be discharged to their own homes: OR = 0.56 (95% CI, 0.38-0.83); but more likely to be discharged to a rehabilitation unit: OR = 1.81 (95% CI, 1.21-2.71) and readmitted to hospital within 30 days of discharge ≥1 time: OR: 2.39 (95% CI, 1.27-4.50) or ≥2 times: OR = 3.48 (95% CI, 1.05-11.57): they did not differ in discharge to residential or nursing care or in-hospital mortality. Among men, there were no differences in discharge destinations or readmissions between types of fractures. Compared to ICFs, a greater number of risk factors associated with ECFs were identified more often in women than in men, and ECFs also have greater influences on clinical outcomes in women.

Development of a Brief Assessment Tool to Evaluate Early Low Nutrition Risk in Community Elderly: Creation of the Tool and Examination of Its Reliability and Criterion-related Validity

To date simple assessment tool to evaluate early low nutrition risk in general older population has not been available. This study aimed to create such tool and examined its reliability and criterion-related validity. 1,192 community elderly with a mean age of 74.7(5.8) years responded to a questionnaire consisting of 48 (Hatoyama) or 34 items (Kusatsu), which have been reported to be associated with nutritional state in older people. Item analysis was conducted on the 34 common items, and items were selected based on the following criteria: adequate pass rates and discriminative power, no gender and regional differences, and a certain level of commonality based on factor analysis. Next, the factor structure of the candidate items was examined through exploratory factor analysis, and confirmatory factor analysis was conducted as the final scale structure. Furthermore, Spearman's partial rank correlation coefficients (sex- and age-adjusted) between the created index and important health indicators were examined to determine the criterion-related validity. Finally, we obtained a semantic coherence of 4 factors (named health beliefs, dietary status, physical activity, and food-related quality of life) totaling 13 items; confirmatory factor analysis of the 4-factor solution yielded good model fit values, χ2 (59) =275.4 (p<0.001), CFI=0.930, and RMSEA=0.056. The factor loadings for each factor ranged from 0.43 to 0.82, indicating adequate loadings. The reliability of the index was shown to be high by Good-Poor analysis and Cronbach's α. The index showed statistically significant correlations with all health indicators. We have developed a simple assessment tool to evaluate early low nutrition risk in general older population.

Endotoxin-Retentive Filters for the Online Preparation of Ultrapure Dialysis Fluid and Non-Pyrogenic Substitution Fluid: A Critical Review and Reference Guide

Poor water treatments and concentrates to prepare dialysis fluids favor bacterial growth-producing pyrogens (e.g., endotoxins) that may cross hemodialysis, particularly high-flux, membranes. This puts hemodialysis patients at risk of acute bacteremia, pyrogenic reactions, long-term complications, loss of residual renal function, and poor nutritional status. Consequently, regulatory bodies worldwide recommend using ultrapure dialysis fluid for routine hemodialysis. Requests are also growing for the online production of sterile non-pyrogenic substitution fluid from ultrapure dialysis fluid. This way, large volumes of infusion solution may be safely and economically produced, enabling more end-stage kidney disease patients to benefit from the greater capacity of hemodiafiltration to remove toxins than purely diffusive hemodialysis treatment. Ultrapure dialysis and substitution fluids are often produced upstream from hemodialyzers by online filtration of standard dialysis fluid through cascades of bacteria- and endotoxin-retentive filters (ETRFs). Commercial ETRFs differ for membranes, operation, performance, duration and maintenance protocols, connection to a dialysis machine, disinfection procedures, and replacement schedule. Although suboptimal ETRF choice may increase treatment costs, the difficulty in gathering comparative information on commercial ETRFs complicates their selection. To aid dialysis centers in selecting the most convenient and suitable ETRF for their needs, herein, relevant characteristics of commercial ETRFs are reported and critically reviewed for a quick yet effective comparison.

Polygenic height prediction for the Han Chinese in Taiwan

Abstract Human height prediction based on genetic factors alone shows positive correlation, but predictors developed for one population perform less well when applied to population of different ancestries. In this study, we evaluated the utility of incorporating non-genetic factors in height predictors for the Han Chinese population in Taiwan. We analyzed data from 78,719 Taiwan Biobank (TWB) participants and 40,641 Taiwan Precision Medicine Initiative (TPMI) participants using genome-wide association study and multivariable linear regression least absolute shrinkage and selection operator (LASSO) methods to incorporate genetic and non-genetic factors for height prediction. Our findings establish that combining birth year (as a surrogate for nutritional status), age at measurement (to account for age-associated effects on height), and genetic profile data improves the accuracy of height prediction. This method enhances the correlation between predicted and actual height and significantly reduces the discrepancies between predicted and actual height in both males and females.

Serum homocysteine is a biomarker for hearing loss associated with or without cardiovascular risk: a cross-sectional study in men.

Hearing loss (HL) represents a major health problem worldwide, and increasingly so due to population ageing and new leisure activities, such as video gaming or virtual reality experiences. HL has a multifactorial origin including both genetic and environmental issues with nutrition status emerging as a new contributing factor. In fact, certain micronutrient deficiencies, along with excessive consumption of specific macronutrients, have been related to HL This study aimed to examine the association of HL with dietary fat intake, nutritional status biomarkers, and serum metabolic signature in aviation pilots and controls. A cohort of aviation pilots, chronically exposed to noise pollution at work, was compared to a cohort of non-exposed university workers (controls). Hearing function was determined by tonal audiometry and dietary fat intake was assessed by three 24-h recalls. In addition, lipoprotein profiles as well as serum homocysteine (Hcy), folate, vitamins B12 and D were analysed. Two multiple linear regression models adjusted for age were constructed to explain HL variability. HL prevalence was similar and elevated in both cohorts (controls: 64% vs. noise-exposed: 65%), when compared to the American Speech-Language-Hearing Association (ASHA) classification. When comparing both cohorts, although no significant differences were found in Hcy and folate levels, controls had significantly lower vitamins B12 and D concentrations and, conversely, higher serum lipids and lipoprotein values (triglycerides, total cholesterol, HDL-cholesterol and LDL-cholesterol subfractions), suggesting the possible involvement of CV risk in HL in the control cohort. In the noise-exposed cohort, HL was associated with flight hours, Hcy, and folate (r2 = 0.439), while in controls, HL was associated with Hcy and vitamin D (r2 = 0.474). After adjusting for CV profile, the positive association between HL and Hcy was maintained (β = 0.444; p < 0.001), evidencing the strong involvement of this metabolite not only in CV risk, but also in HL. Folate insufficiency together with hyperhomocysteinemia increased susceptibility to noise-induced HL. However, the role of Hcy in HL without noise exposure at work seems to be partially masked by an altered CV profile.

Ultra-processed foods and plant-based alternatives impair nutritional quality of omnivorous and plant-forward dietary patterns in college students.

The health benefits of a plant-based diet may be outweighed by an increased consumption of ultra-processed foods (UPF) and plant-based alternatives. This study compares diet quality (intakes of protein, saturated fatty acids, sugar, fiber, and micronutrients) and nutritional status (prevalence of low holotranscobalamin and ferritin levels) among different dietary patterns: 22.5% vegans, 46.5% vegetarians, 31% omnivores in 142 first-year college students (20 ± 1.6 years, BMI 21.9 ± 3.1kg/m², 83% female). Intakes of vitamin B12, folate, iron, zinc, and calcium were on average below reference values, especially in vegans and vegetarians. However, the prevalence of low holotranscobalamin and ferritin levels did not differ between the dietary groups, presumably due to supplementation. Irrespective of the diet, UPF contributed to 49% of daily energy intake. UPF exhibited a lower content of protein, fiber, vitamin B2, vitamin B12, folate, zinc and calcium compared to processed foods (all p < 0.001). Plant-based alternatives contained more fiber and less saturated fatty acids whereas the content of protein and micronutrients was lower compared with animal products (all p < 0.05). In conclusion, UPF consumption contributes to the inadequate intake of many micronutrients by young adults. This is further aggravated by plant-forward eating patterns including the consumption of plant-based alternatives.

Risk Factors For Deep Surgical Site Infections Following Orthopaedic Trauma Surgery

Background: Surgical site infections (SSIs) represent a major concern in orthopedic surgery, leading to prolonged hospital stays, increased healthcare costs, and potentially life-threatening complications. SSIs are particularly common in patients with severe fractures, such as those classified by the Cauchoix grading system, where the risk of infection is heightened due to the complexity of the injury and the surgical intervention required. Factors such as nutritional status, diabetes, smoking, and the use of external fixators contribute to the development of SSIs. This study, conducted at Bacha Khan Medical Complex, Mardan, seeks to identify the clinical and laboratory markers that can predict SSIs in patients undergoing orthopedic fracture management, thereby helping to reduce the incidence and severity of these infections. Method: This prospective cohort study was conducted from January 2024 to December 2024 at the orthopedic ward of Bacha Khan Medical Complex, Mardan. A total of 207 patients who underwent surgery for fractures were included in the study. Inclusion criteria were patients over the age of 18 years undergoing orthopedic fracture surgery. Exclusion criteria included patients with pre-existing infections, immunocompromised conditions, or those who underwent emergency surgeries. Data was collected on patient demographics, fracture grade (Cauchoix classification), laboratory markers (hemoglobin, lactate levels, creatinine, glycemia, and arterial oxygen levels), and the use of external fixators. Statistical analysis was performed using SPSS, and predictive models for SSI development were created based on these parameters. Result: Fractures classified as Cauchoix grade 3 were associated with a higher incidence of SSIs (47%). Polymicrobial infections were found in 64% of the SSI cases, with gram-positive cocci, including Staphylococcus aureus, being the most common pathogens (72%). A predictive model with an AUC of 0.80 and a negative predictive value of 95.9% was developed. The significant risk factors for SSI development included low hemoglobin, maximum lactate levels, minimum arterial oxygen levels, and high glycemia levels. The use of external fixators was linked to a higher risk of infection in 38% of the SSI cases. Conclusion: Cauchoix grade 3, and laboratory markers such as lactate levels and glycemia were strongly associated with an increased risk of infection. The developed predictive model with high sensitivity and specificity could aid in early identification of at-risk patients, allowing for targeted preventive measures and potentially reducing the incidence of SSIs in orthopedic trauma care. Future research should focus on refining this model and assessing the effectiveness of preventive strategies based on these predictive factors.

The Role of the Gut Microbiota in Health, Diet, and Disease with a Focus on Obesity

The gut microbiota has been increasingly recognised as a critical determinant of human health, influencing a wide range of physiological processes. A healthy gut microbiota is essential for maintaining metabolic, immune, and gastrointestinal homeostasis, contributing to overall well-being. Alterations in its composition and functionality, often referred to as microbial dysbiosis, are strongly associated with the development of gut-related and systemic diseases. The gut microbiota synthesises several components and interacts with epithelial cell receptors, influencing processes that extend beyond nutritional status to the pathogenesis of diseases such as obesity, which extend beyond their known contribution to nutritional status. Therefore, this state-of-the-art review synthesises findings from recent studies on the composition, functions, and influencing factors of the gut microbiota, with a focus on its role in obesity. A systematic search of peer-reviewed literature was conducted to ensure comprehensive coverage, while expert insights are incorporated to discuss emerging research directions and future perspectives in the field.

Factors Related to Self-Rated Health Among Community-Dwelling Older Adults

Abstract: Background/Objectives: This study explored factors influencing self-rated health (SRH) among community-dwelling older adults to better support its use in health screening and provide an alternative for older adults who may have difficulty working with lengthy assessment scales. Methods: The participants were 8379 individuals aged 65 years or older from the 2020 Elderly Survey. Data were collected in South Korea between September and November 2020. Descriptive statistics were calculated, and independent samples t-tests, a Kruskal–Wallis test, and weighted multiple regression analysis were conducted using IBM SPSS for Windows ver. 23.0. SRH factors, such as illness, daily living performance, nutritional status, depression, and cognitive impairment, were analyzed. Results: The greater the number of chronic conditions (β = −0.21, p &lt; 0.001), the higher the dependence on activities of daily living and instrumental activities of daily living (β = −0.05, p = 0.002; β = −0.13, p &lt; 0.001), the higher the depression score (β = −0.22, p &lt; 0.001), the more severe the cognitive impairment (β = −0.04, p &lt; 0.001), and the worse the SRH. Conclusions: Participants with high-risk medical conditions, such as cancer, stroke, and depression, thought their health was poor. However, they did not consider hypertension, malnutrition, and abnormal BMI as significantly affecting their health status. Therefore, these factors should be considered when measuring SRH in older adults.

Android-Based Prototype for Early Tuberculosis Detection via Clinical Symptoms

Background: Health technology has enormous potential for preventing and curing TB. As a result, this research aims to create a prototype of an early detection tool for clinical symptoms based on Android. Methods: The Cure-TB application prototype is being developed through Research and Development, type 4D (Define, Design, Develop, and Disseminate). A total of 45 potential users evaluated the Cure-TB prototype utilizing 10 System Usability Scale (SUS) criteria. The SUS scale employs a five-point scale ranging from 1 (Strongly Disagree) to 5 (Strongly Agree). The SUS scale's item dependability is 0.91, and its Cronbach's alpha coefficient is 0.68. Prospective users' test results were examined using Rasch modelling approaches such as Logit Value of Person (LVP), Logit Value of Item (LVI), and Wright map. Results: Cure-TB contains seven main elements that help in the treatment of tuberculosis. The seven elements provided support the role of each user, which includes patients, health staff, and the general public. The SUS test findings showed a score of 75, meaning that the Cure-TB application received good feedback from most prospective users. Feedback from users that it takes time to get used to the various features provided. Conclusion: The Android-based Cure-TB application provides a unique option for early tuberculosis identification, enhancing patient treatment compliance and monitoring patients' side effects and nutritional condition.

Gut microbial dysbiosis associated to diarrheic irritable bowel syndrome can be efficiently simulated in the Mucosal ARtificial COLon (M-ARCOL)

ABSTRACT Irritable bowel syndrome (IBS) is a common chronic gastrointestinal disorder, with diarrhea-predominant IBS (IBS-D) as the most frequent subtype. The implication of gut microbiota in the disease’s etiology is not fully understood. In vitro gut systems can offer a great alternative to in vivo assays in preclinical studies, but no model reproducing IBS-related dysbiotic microbiota has been developed. Thanks to a large literature review, a new Mucosal ARtifical COLon (M-ARCOL) adapted to IBS-D physicochemical and nutritional conditions was set-up. To validate the model and further exploit its potential in a mechanistic study, in vitro fermentations were performed using bioreactors inoculated with stools from healthy individuals (n = 4) or IBS-D patients (n = 4), when the M-ARCOL was set-up under healthy or IBS-D conditions. Setting IBS-D parameters in M-ARCOL inoculated with IBS-D stools maintained the key microbial features associated to the disease in vivo, validating the new system. In particular, compared to the healthy control, the IBS-D model was characterized by a decreased bacterial diversity, together with a lower abundance of Rikenellaceae and Prevotellaceae, but a higher level of Proteobacteria and Akkermansiaceae. Of interest, applying IBS-D parameters to healthy stools was not sufficient to trigger IBS-D dysbiosis and applying healthy parameters to IBS-D stools was not enough to restore microbial balance. This validated IBS-D colonic model can be used as a robust in vitro platform for studies focusing on gut microbes in the absence of the host, as well as for testing food and microbiota-related interventions aimed at personalized restoration of gut microbiota eubiosis.

Physical activity and sedentary behavior of the adult population in the light of some sociodemographic variables and nutritional status based on a study in Hungary

Abstract Purpose The aim of this study is to explore the level of physical activity, sitting time, and body mass index and their associates with sociodemographic variables in the Southern Great Plain of Hungary. Methods 3665 participants (1349 men; 2316 women) participated in our study. Their average age was 45.08 (SD = 15.68). Physical activity and sitting time were measuring the short form of the International Physical Activity Questionnaire (IPAQ-SF). The participants were also asked about their sociodemographic (e.g., residence, income, etc.) and body mass index. Results Our result showed that men had higher total, vigorous, and moderate physical activity levels. Younger adults (18–29) had higher total, vigorous and moderate activity than older adults (65+). Residents of large cities and graduates showed higher levels of physical activity. Higher activity was not linked to higher income, while moderate activity was slightly associated with lower income. Normal BMI was associated with the engaging in high levels of physical activity. Sitting time was higher among young adults, village residents, university graduates, those with moderate incomes, normal BMI, and lower physical activity levels. Conclusion Our study demonstrated the impact of sociodemographics on physical activity, BMI, and sitting time. The findings were consistent with other Hungarian samples, suggesting that the Southern Great Plain aligns with the national average.

Dynapenia and Sarcopenia as Risk Factors for Mortality in Interstitial Lung Disease.

Fibrotic interstitial lung disease (ILD) is associated with high morbidity and mortality. Patients often exhibit impaired nutritional status and alterations in body composition, such as dynapenia and sarcopenia, which correlate with poor pulmonary function, reduced exercise tolerance and diminished quality of life. However, the impact of dynapenia and sarcopenia on prognosis has not been examined extensively in ILD patients. We assessed the impact of dynapenia and sarcopenia as risk factors for mortality and their prevalence in ILD. Prospective cohort study. ILD was classified into idiopathic pulmonary fibrosis (IPF), connective tissue disease-related ILD (CTD-ILD) and chronic hypersensitivity pneumonitis (CHP). Patients over 18 years old with a confirmed diagnosis of ILD were included, while those with diagnoses of cancer, human immunodeficiency virus and neurological disease were excluded. Dynapenia and sarcopenia were determined according to EWGSOP2 criteria. Ninety-eight ILD patients were included; 33.66% had IPF, 47.96% had CTD-ILD, and 18.37% had CHP. The mean age was 63.89 ± 12.02 years; 37.76% were male. The risk factors associated with mortality included dynapenia (HR: 2.04, 95% CI: 1.10-3.77, p = 0.022), sarcopenia (HR: 1.88, 95% CI; 1.00-3.33, p = 0.049) and exercise tolerance (HR: 0.99, 95% CI; 0.99-0.99, p = 0.023), adjusted for confounding variables. The prevalence of dynapenia was 45% in ILD; 51% in IPF, 35% in CTD-ILD and 61% in CHP. The prevalence of sarcopenia was 29%; both IPF (39%) and CHP (50%) had a higher prevalence of sarcopenia than CTD-ILD (14%). Sarcopenia and dynapenia are independent risk factors for mortality in ILD.

Association between geriatric nutritional risk index and clinical outcome of elderly aneurysmal subarachnoid hemorrhage patients: insights from a large cohort study.

Geriatric nutritional risk index (GNRI), a simple, objective index for evaluating nutritional status of elderly patients, is demonstrated to be associated with the prognosis of several diseases. This study aims to explore the association between GNRI and prognosis of elderly aneurysmal subarachnoid hemorrhage (aSAH) patients. A total of 168 patients older than 65 years old were included in this research. The modified Rankin Scale (mRS) was applied to assess the prognosis of patients. Favorable outcome was defined as mRS <3 and unfavorable outcome was defined as mRS ≥ 3. The GNRI, calculated by albumin, height, and weight, was used to evaluate the nutritional status of elderly patients. Multivariate logistic regression was performed to identify the association between GNRI and prognosis of elderly aSAH patients. Compared with unfavorable outcome groups, favorable outcome group had higher GNRI level. After adjusting for several important factors, multivariate logistics regression analysis showed that low GNRI was associated with higher risk of unfavorable outcome. The receiver operating curve (ROC) analysis demonstrated that the area under the curve (AUC) was 0.720, which meant GNRI might be a reliable prognostic predictor. A low GNRI was independently associated with unfavorable outcome of elderly aSAH patients. The registration number is NCT04785976 and the registration data is February 2021.

Association Between the Malnutrition Status and All-Cause Mortality in Patients With Moderate and Severe Aortic Stenosis: AProspective Cohort Study.

Malnutrition status is an important predictor of prognosis in patients after aortic valve replacement. However, the prognostic value of malnutrition status in patients with moderate-to-severe aortic stenosis is unclear. This study aimed to evaluate the effect of malnutrition on all-cause mortality in patients with moderate-to-severe aortic stenosis using the Patient Controlled Nutritional Status (CONUT) score, nutritional risk index, and prognostic nutritional index. A total of 536 patients with moderate-to-severe aortic stenosis were selected in the ARISTOTLE (Aortic Valve Diseases Risk Factor Assessment and Prognosis Model Construction) study conducted between January 2013 and December 2022 in 3 academic institutions. Patients were grouped according to different nutritional status assessment methods. CONUT, nutritional risk index, and prognostic nutritional index were calculated at baseline. The primary study outcome was all-cause mortality. Cox regression was used to assess the association between nutritional status and all-cause mortality. During a median 34.2-month follow-up period, a total of 120 (22.4%) patients died. All-cause mortality was significantly higher in lower prognostic nutritional index, lower nutritional risk index, and higher CONUT groups. Compared with normal nutrition, malnutrition was associated with an increased risk for all-cause death (adjusted hazard ratio for mild and moderate-severe malnutrition, respectively: 2.82 [95% CI, 1.69-4.71; P<0.001] and 3.31 [95% CI, 1.74-6.32; P<0.001] for the CONUT). In patients with moderate or severe aortic stenosis, we found that high CONUT scores, low nutritional risk index scores, and low prognostic nutritional index scores were associated with all-cause death. The poorer the nutritional status, the greater the risk of malnutrition-related all-cause mortality. URL:https://www.clinicaltrials.gov; Unique identifier: NCT06069232.

Survey of nutritional intake status in college baseball players.

Diet is closely related to exercise performance. To improve athletes' performance and manage their condition, it is important to get sufficient energy and various nutrients. Thus, it is necessary that athletes understand their nutritional intake status to improve performance and maintain health. This study aimed to explore the nutritional intake status of college baseball players using the Food Frequency Questionnaire (FFQ). Furthermore, the characteristics of their nutritional intake status with respect to athletic performance were evaluated. The result of this studyprovide an opportunity for many under-developed college athletes with irregular lifestyles to recognize and improve their nutritional problems. In October 2022, a questionnaire survey of 116 male members of a college baseball club was conducted. Of whom, 100 (94.3%) members responded to the survey and 92 (92.0%) provided valid responses. The survey items included basic characteristics such as college grade and type of living arrangement, and information on living conditions, e.g. whether the participant ate breakfast. Nutritional intake was evaluated using the FFQ. Players were divided into the first (regular players in official games), second (bench players in official games), third (players who may join the second or higher team in the future), and fourth teams (players who do not belong to the first to third teams); these categories were used as a marker of performance level. The Kruskal-Wallis test was used to analyze the association between the performance levels of baseball players and the intake of each nutrient and food group obtained by the FFQ. For items that showed a significant association, inter-group comparison was performed using the Dunn-Bonferroni method. Carbohydrate intake was greater in the second team compared with the third and fourth teams; saturated and monounsaturated fatty acid intake was higher in the third team compared with the fourth team. Calcium, zinc, copper, manganese, insoluble dietary fiber, iodine, and molybdenum intake was higher in the second team compared with the fourth team. Intake of grains, sugar, dairy, and total energy was significantly higher in the second team compared with the fourth team. However, the protein intake ratio was significantly lower in the second team compared with the fourth team. Overall, energy deficiency and associated deficiencies in protein, fat, and carbohydrate were observed, in addition to dietary fiber and calcium deficiencies. The intake of several food groups appeared inadequate, such as potatoes, beans, vegetables, fruits, eggs, milk, and fats. The study showed deficiencies in the amount of energy and nutrients such as protein, fat, and carbohydrate in college baseball players. Differences in the intake of carbohydrate, calcium, and insoluble dietary fiber among different performance levels were observed, with significantly higher intake of carbohydrate, calcium, and insoluble dietary fiber in the second team. Implementing organized and strategic remedial measures and athletes' identification of nutritional problems are vital to overcome nutritional and energy deficiencies. This study provides useful information for the development of strategies to support nutritional intake in college baseball players.

The effect of nutritional assistance “gammarana program” on food acceptance and nutritional status of children in South Sulawesi, Indonesia

Background: Nutritional deficiencies are a public health issue requiring serious attention in Indonesia. This study evaluates the impact of the Gammarana Program on infant and child feeding practices and nutritional status in South Sulawesi. The program includes nutritional education and counseling provided by Village Nutrition Assistants (TPGD) in stunting-prone villages. The study aimed to assess the program’s effectiveness in improving feeding frequency, dietary diversity, food acceptance, and overall nutritional status of children. Methods: A pretest-posttest design without a control group was used, involving 114 stunting-prone villages and 2,148 families. Over six months, TPGD provided education and counseling on infant and child feeding, growth monitoring, and supplementary feeding. Data were collected through interviews and anthropometric measurements and analyzed using McNemar’s test to determine changes before and after the intervention, with significance set at p&lt;0.05. Results: Results showed a 12.1% increase in feeding frequency, a 27.1% increase in dietary diversity, and a 25.3% improvement in food acceptance. The proportion of underweight children decreased by 1.2%, stunted children by 5.4%, and underweight children by 2.6%. Significant improvements were observed in feeding frequency, dietary diversity, and stunting reduction. Additionally, the increase in average nutritional Z-scores indicated an overall improvement in children's nutritional status. Conclusion: The Gammarana Program effectively improved feeding practices and reduced stunting rates in South Sulawesi.

Correction of nutritional status in a comprehensive program for the prevention and treatment of sarcopenic obesity

Sarcopenic obesity is a complex condition characterized by a combination of obesity and sarcopenia. This pathology has a significant impact on the health and quality of life of the elderly and old people, increasing the risk of chronic diseases and impairing physical functions. Nutritional status plays a key role in maintaining the health and functional ability of older people, influencing the development of sarcopenia and obesity. Understanding the relationship between sarcopenic obesity and nutritional status is critical for developing prevention and treatment strategies. Our scientific article covers the various mechanisms of development of sarcopenic obesity and the influence of nutritional status on sarcopenic obesity, and also examines the role of various nutrients and dietary supplements in the management of this condition. Our scientific article highlights the need for a comprehensive approach to the treatment and prevention of sarcopenic obesity among elderly and elderly patients to improve overall health and quality of life.

Metabolic significance of nutritional treatment before and after bariatric surgery: a systematic review

Introduction: According to the American Society for Metabolic and Bariatric Surgery (ASMBS), the rate of bariatric surgery (BS) increased from 158 thousand in 2011 to 196 thousand in 2015. Lifestyle modifications, such as healthy eating and correct physical activity programs, can improve surgical results. Thus, the most important aspect in the medical management of bariatric patients refers to nutritional management. Objective: It was to carry out a systematic review to list the main approaches and significance of nutritional treatment before and after bariatric surgery, to mitigate the metabolic damage caused by nutrient deficits. Methods: The PRISMA Platform systematic review rules were followed. The search was carried out from August to October 2024 in the Web of Science, 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: 127 articles were found. A total of 45 articles were evaluated in full and 30 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 25 studies with a high risk of bias and 27 studies that did not meet GRADE and AMSTAR-2. Most studies showed homogeneity in their results, with X2=62.5%&gt;50%. It was concluded that the most important aspects of the medical management of bariatric patients refer to nutritional management. Before bariatric surgery, nutritional status should be checked and preoperative weight loss may be attempted. Very low-calorie diets and very low-calorie ketogenic diets are often prescribed in the last few months before surgery. It was observed that the recommendations were gathered to assist in individualized clinical practice in the nutritional management of patients with obesity, including nutritional management. Iron status can be affected by inflammation of adipose tissue and increased expression of the systemic iron-regulating protein hepcidin. The postoperative recommendation for vitamin B12 (cobalamin) should be 350-500 micrograms/1000 micrograms monthly, and postoperative folate (folic acid) should be 1,000 micrograms per day.

Hospital malnutrition and stroke: a study of nutritional risk and patient outcomes.

Introduction: Hospital malnutrition is a prevalent issue among stroke patients, with significant impacts on immune function and clinical outcomes. Malnutrition is associated with poor outcomes such as increased complications, prolonged recovery, and higher mortality. This study aims to assess the prevalence of malnutrition using the Malnutrition Screening Tool (MST) and its association with clinical outcomes, including length of stay (LOS), inflammatory markers, and mortality. Methods: A retrospective cohort study was conducted, including 230 stroke patients who were admitted between January 2022 and January 2024. Nutritional status was assessed using the MST, with key outcomes including LOS, Total Lymphocyte Count (TLC), Neutrophil-to-Lymphocyte Ratio (NLR), serum albumin, Prognostic Nutritional Index (PNI), and mortality. Statistical analyses were performed using chi-square tests for categorical variables and t-tests or Mann-Whitney U tests for continuous variables, with a p-value of &lt;0.05 considered statistically significant. Result: The study found that 26.5% of patients had an MST score of 2 or higher, indicating a high risk of malnutrition. Patients with high MST scores had significantly lower TLC (p = 0.017), indicating a weakened immune response. No significant differences were observed in LOS (p = 0.63), mortality (p = 0.404), or other inflammatory markers such as NLR, albumin, and PNI between the high-risk and low-risk groups. Conclusion: Malnutrition is common among stroke patients and is associated with impaired immune function, as evidenced by lower TLC in malnourished patients. Although no significant differences were observed in LOS or mortality, the findings underscore the importance of routine nutritional screening and timely intervention to improve patient outcomes.