The Application and Mechanism Analysis of Enteral Nutrition in Clinical Management of Chronic Diseases

Nutrients, Journal Year: 2025, Volume and Issue: 17(3), P. 450 - 450

Published: Jan. 26, 2025

Chronic diseases have emerged as a significant challenge in global public health due to their complex etiologies, prolonged disease courses, and high treatment costs. With the aging population changes lifestyle, number of patients with chronic has increased dramatically, which brought heavy burden families society. are often accompanied by digestive absorptive disorders well metabolic disorders, resulting insufficient nutrient intake, further worsening condition weakening physique. Therefore, importance nutritional intervention management become increasingly prominent. As an important means intervention, enteral nutrition plays key role improving status patients, promoting rehabilitation, shortening hospital stay so on, thereby providing new solution for management. This article reviews current application status, mechanism action comprehensive benefit clinical diseases. Through systematic review analysis existing research findings, specific effects mechanisms clarified. aims promote popularization nutrition, order effectively improve patients’ outcomes quality life, provide scientific evidence optimization strategies diseases, offer theoretical support development products, drive continuous improvement

Language: Английский

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Lifestyle modification program (IM Healthy) for cancer survivors: Implementation of a reimbursable telehealth group program during the COVID-19 pandemic

Supportive Care in Cancer, Journal Year: 2025, Volume and Issue: 33(3)

Published: Feb. 6, 2025

We designed and pilot-tested a reimbursable lifestyle change program delivered via telehealth that was initiated during the COVID-19 pandemic. The (IM Healthy) focused on increasing physical activity, improving nutrition, facilitating stress management healthy behavior change. Retrospective chart review used to collect data IM Healthy participants from period of Sept 2021 Aug 2022. offered three days each week with same topic presented day. Patients chose which day they attended. Meetings were primarily led by health psychologist, intermittent weeks dietitian or therapist. Chart provided demographics, group attendance, ESAS-FS, PROMIS10, weight, BMI. Patient feedback regarding collected approximately 6 months following collection period. (N = 50) mostly women (90%) mean 57.9 years old (SD 11.2) attended at least one an average 13.1 10.8; range 1-45) sessions. Frequency individual psychology sessions decreased after starting (z - 2.17, p 0.03). Overall, patients positive including feelings connectedness psychological benefit. endorsed moderate high perceived success in management. demonstrate can be tailored is well-received beneficial cancer survivors.

Language: Английский

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Predicting Osteoporosis in Elderly Cancer Patients Using the Modified Glasgow Prognostic Index

Cancer Control, Journal Year: 2025, Volume and Issue: 32

Published: April 1, 2025

Introduction Osteoporosis increases fracture risk and mortality, cancer treatments worsen bone loss. Although mGPS is a common inflammatory-nutritional marker in oncology, its role predicting osteoporosis unknown. Methods This cross-sectional retrospective study analyzed 93 patients aged ≥50 who underwent dual-energy X-ray absorptiometry (DXA) scans within year of the first chemotherapy allocation. The results were categorized into groups regarding T-score as normal (T ≥ −1.0), osteopenia (−2.5 < T ≤ −2). Patients based on body mass index (BMI), regression analysis was performed to identify predictors lumbar spine, femur neck, total femur. Results Among patients, 61.3% female, median age 61 years, 41.9% had 49.5% femoral neck. A significant association observed between BMI osteoporosis, with higher linked lower prevalence, particularly regions ( P .03). There no associations density spine/femoral neck/total age, gender, disease stage, type chemotherapy, or (all values >.05). spine = .001) .001). In an score 0 highest proportion (71.4%), while those 2 prevalence (55.6%) total, 46.7% classified compared only 8.5% 001). over six times more likely have (OR 6.25, 0.027). also significantly predicted 5.472, .013). Conclusion cost-effective reliable tool for elderly enabling early interventions. Integrating it routine assessments could enhance patient outcomes by addressing risk.

Language: Английский

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Retrospective Analysis of the Impact of a Dietitian and the Canadian Nutrition Screening Tool in a Geriatric Oncology Clinic

Nutrients, Journal Year: 2025, Volume and Issue: 17(9), P. 1591 - 1591

Published: May 6, 2025

Introduction: Canada’s aging population is leading to an increased number of older adults being diagnosed with cancer. This faces unique challenges, including frailty, comorbidities, polypharmacy, and malnutrition, which can negatively affect treatment outcomes. The role registered dietitians (RDs) in managing nutrition-related issues this well-documented, but there limited research on their integration into geriatric oncology clinics. We evaluated the impact integrating a dietitian (RD) Older Adult Cancer Clinic (OACC) at Princess Margaret Centre, Toronto, Canada. Materials Methods: A retrospective chart review was conducted adult cancer patients seen OACC, comparing outcomes before after RD’s integration. focus weight characteristics change, malnutrition screening/identification, management. two-item Canadian Nutrition Screening Tool (CNST) introduced during also examined see its usefulness identifying risk. Chi-squared tests t-tests were used for data analysis. Results: pre-cohort (n = 140) had mean age 80.2 years, 48.6% female, 77.9% vulnerable (Vulnerable Elders Survey (VES-13) ≥ 3). post-cohort 117) 81.4 59.8% 80.3% (VES-13 Weight change within 3 ± 1 months initial OACC consult similar between pre post groups −1.4 kg −1.2 kg, respectively (p 0.77). Patients nutritional risk, as determined by team, generated significantly more referrals RD group (100% vs. 36.4%, p < 0.001). Among who CNST screening saw RD, higher rate high nutrition risk among CNST-positive compared CNST-negative (67.2% versus 44.4%, respectively). After greater received education other healthcare professionals (43 1). Conclusions: led improved referral rates, education, professionals. Moreover, positive likely have

Language: Английский

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Patient perspectives on dietitians’ role in nutrition management among cancer patients: Implications for proactive care and communication

Clinical Science of Nutrition, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 8

Published: Dec. 9, 2024

Objective: This study aimed to determine patients’ perspectives regarding the role of dietitians in nutrition management. Methods: was conducted at our hospital’s oncology outpatient clinics. It used a questionnaire previously reported literature. One hundred sixty-two adult volunteers were included this study. Patients’ knowledge nutritional information, preferences for care, and on dietitian’s measured. Descriptive statistics describe continuous variables. The degree agreement assessed using 5-point Likert scale. Results: Nutritional care high priority most (74.7%). Almost half patients expressed need address their dietary challenges proactively. Most (64.2%) first met with dietitian during ongoing treatment. They emphasized frequent meetings willing be referred earlier Conclusions: are after malnutrition, indicating intervention. Patients strongly desire improved communication among healthcare team members concerns. Proactive management can reduce incidence malnutrition enhance patient outcomes.

Language: Английский

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