Association between phase angle and the nutritional status in pediatric populations: a systematic review

Frontiers in Nutrition, Journal Year: 2023, Volume and Issue: 10

Published: June 21, 2023

Malnutrition is prevalent in pediatric populations with any disease, and it also related to changes body composition. In addition, recent studies have documented relationships between these phase angle (PhA), an important parameter of functional nutritional assessment. PhA could be a new marker status. Many generated information about the association malnutrition various pathologies, although vast majority this from adult populations. systematic review, we answered following question: What status populations?We performed search Medline/PubMed Latin American Caribbean Health Sciences Literature databases (LILACS) for published up October 2022. The inclusion criteria were subjects, which reported relationship objective indicator, was measured by electric impedance at 50 kHz. We synthesized data that cutoff analysis receiver operating characteristic (ROC) curves, mean values presented strata, correlations indicators. assessed risk bias using Quality Assessment Tool Observational Cohort Cross-Sectional Studies Diagnostic Accuracy Studies.Of 126 identified, 15 met criteria. included indicators status, including weight-for-age z-score (WAZ) <-1 standard deviation (SD) malnutrition, height-for-age (HAZ) malnutrition-stunting, mass index (BMI) starvation state, (BMIz) BMI mid-upper arm circumference (MUAC) <11 cm severe acute (SAM), fat-free (FFMIz) <-2 moderate among others. report associations based on points ROC curve or comparison values, stratified presence absence anthropometric evaluation population. It difficult compare due heterogeneity bioelectrical models used, how (standardized, percentiles, degrees), used diagnose malnutrition.The early identification relevant establish correct treatment; appears sensitive indicator easy obtain. Although results review are inadequate associated populations, most studies, there status.https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022362413, identifier: PROSPERO 2022 CRD42022362413.

Language: Английский

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Poor Nutritional Status and Dynapenia Are Highly Prevalent in Post-Acute COVID-19

Frontiers in Nutrition, Journal Year: 2022, Volume and Issue: 9

Published: June 3, 2022

Poor nutritional status is common (estimated prevalence 5-69%) in acute coronavirus disease-2019 (COVID-19), and has been associated with hospitalization, the need for intensive care, mortality. Body composition (BC) muscle function have also related such patients to poor disease outcomes. As evidence literature limited, a cross-sectional study was carried out determine frequency of malnutrition cohort post-acute COVID-19 referred rehabilitation center after hospital discharge. BC strength were assessed differences between bedridden not specifically evaluated. The sample composed 144 (mean age 64.8 years; males = 95), 37% whom (males 60%). Nutritional evaluated Mini-Nutritional Assessment (MNA) Controlling (CONUT). Fat-free mass (FFM) skeletal (SM) estimated using bioelectrical impedance analysis (BIA). Raw BIA variables (phase angle PhA ratios IRs) determined handgrip (HGS) measured. Dynapenia identified according 2019 EWGSOP criteria. According MNA, 18% (n. 26) malnourished 62% 89) at risk malnutrition. CONUT, 21% 31) cases had moderate-severe 58% 83) light Abnormalities raw (low high low HGS more patients, those who malnourished, or FFM SM. Dynapenic 65% men 47% women. In conclusion, malnutrition, alterations, occur are patients. Further studies needed identify reliable algorithms assessing undergoing rehabilitation.

Language: Английский

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Use of a novel bluetooth-connected device to measure handgrip strength: A practical tool to help healthcare professionals identify adults at nutritional risk

Clinical Nutrition Open Science, Journal Year: 2024, Volume and Issue: 55, P. 193 - 204

Published: April 15, 2024

SummaryBackground and AimsLow muscle strength is strongly tied to poor nutrition status, nutritional interventions are likewise linked maintenance restoration of functional status. Nutrition plays a vital role in mass, strength, function, losses (strength, mass) associated with health outcomes added costs for healthcare services. For this study outpatients, the main objective was identify those at risk low as evidenced by handgrip (HGS) measures stratified age sex.MethodsThis two-part on HGS adults attending outpatient clinics India. In part one, we conducted tests dominant non-dominant hands patients who qualified study. measures, used validated tool, SQUEGG device, smart trainer, along its companion Bluetooth-connected app, Muscle Strength Assessment Tool (MSAT) app. two, collected Healthcare Practitioners' (HCPs) feedback via short digital survey use device + MSAT app do screening an indicator needed intervention.ResultsNearly third community-living India exhibited among 3036 sampled. At each stratum, dominant-hand women lower 25%–35% compared men. Among 353 HCPs, 293 (83%) provided insights survey, 85% surveyed HCPs (n = 249) agreed or that helped them issues their patients, 248) they would like continue using inform practice. Nearly all (98%, n 288) recommended oral supplement (ONS) identified HGS.ConclusionsOur findings demonstrate it adult had decreased (about 30% population), turn identifying opportunities such ONS address shortfalls restore

Language: Английский

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The morphofunctional evaluation of patients at risk of malnutrition receiving a leucine-enriched nutritional supplement

Journal of Functional Foods, Journal Year: 2023, Volume and Issue: 111, P. 105896 - 105896

Published: Nov. 10, 2023

This real-world study evaluated the evolution of morphofunctional assessment patients at risk malnutrition using a leucine-enriched hyperproteic oral nutritional supplementation (ONS). A prospective observational one-arm was used for 65 malnutrition, comparing medical nutrition therapy with an adapted diet and ONS once or twice daily. All were studied baseline three months after intervention assessment. The age 57.99(17.97) years. Forty-three(66.2%) women. decrease in percent weight loss observed (men: = 6.38[8.64]%; 3 -1.48[4.42]%; p < 0.01; women: 9.42[10.13]; -1.49[4.11]; 0.01). An improvement phase angle who consumed daily (baseline 4.43[0.88]; 4.64[0.69]; There increase rectus femoris area adjusted by BMI those two ONSs per day 0.23[0.06]; 0.24[0.06]; Medical Nutrition Therapy leucine enriched community disease-related stopped loss. showed ultrasonographic parameters.

Language: Английский

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High protein diet in digestive cancers

Current Opinion in Clinical Nutrition & Metabolic Care, Journal Year: 2022, Volume and Issue: unknown

Published: July 5, 2022

Recent advances in the nutritional management of patients with digestive cancers suggest that modulation protein intake may significantly contribute to achieve and clinical benefits. By reviewing available evidence, a quantitatively qualitatively optimal could be derived.High diets (i.e., 1-1.5 g/kg body weight/day) appear key maintain adequate status, also This target appears particularly relevant at risk or already malnourished, older patients. During active cancer treatments, should closer upper limit recommended intake. Also, high maintained beyond periods catabolic crisis associated treatments. In contrast general reasoning, animal proteins represent majority Based on no specific amino acid can strongly enhance anabolic potentials immune modulating effects diets.High intake, mostly based proteins, cancers. However, this translated into prescription after considering metabolic needs The quest for different time points their journey is still open.

Language: Английский

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Monitoring the effect of perioperative nutritional care on body composition and functional status in patients with carcinoma of gastrointestinal and hepatobiliary system and pancreas

Radiology and Oncology, Journal Year: 2023, Volume and Issue: 57(3), P. 371 - 379

Published: July 13, 2023

The significance of nutritional care in the management cancer, particularly surgical treatment abdominal is increasingly acknowledged. Body composition analysis, such as Bioelectric impedance assay (BIA), and functional tests, e.g., handgrip strength, are used when assessing status alongside general history, clinical examination, laboratory tests. primary approach individually adjusted counselling use medical nutrition, especially oral supplements. aim study was to investigate effects perioperative on body patients with carcinoma gastrointestinal tract, hepatobiliary system, pancreas.47 were included, 27 received preoperative postoperative supplements (Group 1), while 20, due or organisational reasons, only postoperatively 2). effect therapy measured bioimpedance measurements.Group 2 had a higher average Nutritional Risk Screening (NRS) 2002 score upon enrolment (3 vs. points); however, there no difference malnutrition assessed using Global Leadership Malnutrition (GLIM) criteria. There relative increase lean mass fat-free index (FFMI) 7 days after surgery group 1 (+4,2% -2,1% strength.Our results indicate that combined superior care. It seems prevent statistically significant loss but not 14 4 weeks.

Language: Английский

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Effects of post-discharge oral nutrition supplement on nutritional status and body composition in malnourished patients with gastrointestinal cancer and the clinical implications

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: May 17, 2023

Abstract Purpose This study aimed to investigate the effects of 3-week post-discharge tumor-specialized ONS (TSONS) on nutritional status, and parameters anthropometry body composition in malnourished GIC patients after surgery. Methods A retrospective was delivered a real-life clinical setting. adults at risk malnutrition surgery from December 2021 October 2022 were included this TSONS program. All recommended receive hospital-prepared TSONS, containing 18.0% protein, 50.0% fat, 32.0% carbohydrate per service, reach 500 kcal day for up 3 weeks. Nutritional status evaluated by Scored Patient-Generated Subjective Global Assessment (PG-SGA). The changes outcomes compared baseline values, stratified adjuvant chemotherapy status. Results In total, 36 receiving three-week analysis. Three-week improved (P < 0.001). However, did not significantly impact composition. When although difference significant level, more weight gain observed chemotherapy, these with normal muscle mass particular. Meanwhile, slight rise fat along visceral promoted especially sarcopenic patients. Conclusion could benefit it have increase improvement through one-chemotherapy cycle TSONS.

Language: Английский

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Definition and assessment of adherence to oral nutritional supplements in patients with neoplasms: a scoping review

BMC Cancer, Journal Year: 2024, Volume and Issue: 24(1)

Published: Dec. 2, 2024

Cancer remains a leading cause of death globally, with patients frequently experiencing malnutrition due to both the disease and its treatment, which negatively affects their quality life treatment outcomes. Oral nutritional supplements (ONS) provide noninvasive solution improve status, but poor patient adherence limits effectiveness. Studies on ONS vary in definitions assessment tools, creating inconsistencies. A scoping review is essential synthesize these studies establish foundation for future research clinical practice. We systematically searched six databases, including Web Science, PubMed, Scopus, up August 2024. Our criteria focused oncology patients, interventions, outcomes related definitions, methods, rates. 37 from 2005 2024 met inclusion criteria. Definitions methods widely, most common definition being ratio actual intake recommended amount. The tools included self-reported diaries, MMAS scores, among others. Adherence rates also significantly, some reporting decline over time. lack standardized across hinders comparability. Future should focus developing standardized, comprehensive that incorporate quantitative qualitative data. This would allow better understanding factors enable more targeted interventions long-term cancer patients.

Language: Английский

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Cáncer de cabeza y cuello: revisión del diagnóstico y tratamiento de la sarcopenia

Nutrición clínica y dietética hospitalaria/Nutrición clínica, dietética hospitalaria, Journal Year: 2024, Volume and Issue: 44(3)

Published: June 19, 2024

Introducción: Los pacientes con cáncer de cabeza y cuello (CCC) pueden presentar tumores que se originan en la mucosa y/o submucosa recubre cavidad oral, faríngea laríngea, dando lugar a síntomas impactan habitualmente deglución favorecen los problemas nutricionales estos pacientes. Hasta un 52% enfermos presentan desnutrición al diagnóstico, incrementándose hasta cerca del 90% durante terapia antineoplásica. Por lo que, son uno grupos más vulnerables para desarrollar sarcopenia asociada disfagia. El objetivo es revisar el conocimiento actual sobre estado masa muscular, patogénesis, diagnóstico tratamiento cuando tiene cuello. Métodos: Búsqueda bibliográfica bases datos PubMed-Medline artículos entre 2015 2022 términos previamente definidos. Resultados: constituyen grupo heterogéneo prevalencia significativa pero muy variable. Se han desarrollado varios métodos diagnósticos evaluar muscular oncológicos, todavía no están estandarizados. Además, existe una pauta farmacológica concreta o caquexia nivel clínico. Conclusión: La valoración nutricional debe ser parte fundamental enfoque inicial paciente oncológico posterior seguimiento. terapéutico aumentar apetito ingesta alimentos, atenuar inflamatorio crónico mejorar capacidad calidad ejercicio.

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Malnutrition management of hospitalized patients with diabetes/hyperglycemia and cancer cachexia

Nutrición Hospitalaria, Journal Year: 2022, Volume and Issue: unknown

Published: Jan. 1, 2022

Diabetes is a frequent comorbidity in cancer patients, since they share common risk factors. In cancer, the concurrence of cachexia represents poor prognostic factor, which aggravated by nutritional status. Clinically, manifests as significant reduction body weight, accompanied changes composition and alterations balance biological system, causes progressive dysfunction. This article describes results expert consensus responses panelists on management routine clinical practice patients with diabetes/hyperglycemia hospitalized (non-critically ill) cachexia.La diabetes es una comorbilidad frecuente en pacientes con cáncer, ya que comparten factores de riesgo comunes. En la enfermedad oncológica, presencia caquexia tumoral representa un factor mal pronóstico, se ve agravado por estado nutricional deficiente. Clínicamente, manifiesta como reducción significativa del peso corporal, acompañado cambios composición corporal y alteraciones el equilibrio sistema biológico, causa disfunción progresiva. El presente artículo describe los resultados consenso expertos las respuestas panelistas sobre manejo práctica clínica habitual diabetes/hiperglucemia hospitalizados planta (no críticos) concurrente.

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