2,046 results match your criteria Nutrition in Clinical Practice [Journal]


Handgrip Strength in Preoperative Elective Cardiac Surgery Patients and Association With Body Composition and Surgical Risk.

Nutr Clin Pract 2019 Mar 13. Epub 2019 Mar 13.

Nutrition Department, Post-Graduation Program in Food, Nutrition and Health, School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

Background: Handgrip strength (HGS) is a potential method to approximate perioperative risk in cardiothoracic surgery patients and correlates well with European System for Cardiac Operative Risk Evaluation (EuroSCORE) values. This study aimed to characterize the functional capacity in preoperative cardiac surgery patients through HGS.

Methods: This cross-sectional study investigated patients aged 18 years or older. Read More

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http://dx.doi.org/10.1002/ncp.10267DOI Listing

Corrigendum: Curtis C. Technology in parenteral nutrition compounding. Nutr Clin Pract. 2018;33(6):796-802.

Authors:

Nutr Clin Pract 2019 Apr 7;34(2):319. Epub 2019 Feb 7.

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http://dx.doi.org/10.1002/ncp.10254DOI Listing

Editor's Note.

Authors:
Jeanette M Hasse

Nutr Clin Pract 2019 Apr;34(2):184

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http://dx.doi.org/10.1002/ncp.10266DOI Listing

Navigating the Challenges of Home Parenteral Nutrition.

Nutr Clin Pract 2019 Apr 27;34(2):204-209. Epub 2019 Feb 27.

Cleveland Clinic Home Infusion Pharmacy, Cleveland Clinic Foundation, Cleveland, Ohio, USA.

Providing parenteral nutrition at home has significant challenges for both patients and providers alike. Some of these challenges are systemic and are secondary to the way the healthcare system is designed to deliver care. Others are more practical and require educating patients and their families to ensure success at home. Read More

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http://doi.wiley.com/10.1002/ncp.10264
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http://dx.doi.org/10.1002/ncp.10264DOI Listing
April 2019
1 Read

Malnutrition Impacts Health-Related Quality of Life in Cirrhosis: A Cross-Sectional Study.

Nutr Clin Pract 2019 Feb 26. Epub 2019 Feb 26.

Department of Medicine, University of Calgary, Calgary, Alberta, Canada.

Background: To explore the influence of nourishment state measured by various nutrition assessment tools (NATs) on health-related quality of life (HRQoL) in a pretransplant population with cirrhosis.

Methods: We collected demographic, nutrition assessment, and disease specific data on 81 patients. HRQoL was measured with the Short-Form 36 and divided into 8 subscales. Read More

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http://doi.wiley.com/10.1002/ncp.10265
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http://dx.doi.org/10.1002/ncp.10265DOI Listing
February 2019
2 Reads

Home Parenteral and Enteral Nutrition During Natural Disasters: A Guide for Clinicians and Consumers.

Nutr Clin Pract 2019 Apr 14;34(2):216-219. Epub 2019 Feb 14.

Nutrishare, Inc., Elk Grove, California, USA.

Natural disasters are most often weather related but can also be unrelated to weather. Either way, these disrupt "normal" life for a short or extended period of time. When someone depends on electricity, clean water, and transportation services for life-sustaining therapies such as home nutrition support, it is important to have a plan in place-even if it is never used. Read More

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http://dx.doi.org/10.1002/ncp.10260DOI Listing

Clinical Biopsychosocial Reflection on Coping With Chronic Illness and Reliance Upon Nutrition Support: An Integrated Healthcare Approach.

Nutr Clin Pract 2019 Apr 12;34(2):220-225. Epub 2019 Feb 12.

Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Nutrition deficits are common in patients with chronic illnesses reliant upon nutrition support and can contribute to an increase in cognitive deficits that impact treatment adherence and challenge patients' abilities to cope and successfully implement appropriate psychological and psychosocial interventions. Adopting a multidisciplinary approach addresses biological, psychological, and social barriers that help patients, families, and caregivers develop and maintain proper nutrition behaviors that can enhance patients' quality of life and reduce frustration and misunderstandings with medical providers. This article is a review of the literature, and it advances the importance of encompassing a biopsychosocial approach when addressing the needs of individuals with nutrition support needs. Read More

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http://dx.doi.org/10.1002/ncp.10263DOI Listing

Standard and Specialized Infant Formulas in Europe: Making, Marketing, and Health Outcomes.

Nutr Clin Pract 2019 Feb 11. Epub 2019 Feb 11.

Pediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, Messina, Italy.

Infant formulas are the only suitable substitute for human milk. The most common infant formulas are standard formulas based on cow's milk. In addition, there are formulas for infants showing signs and symptoms of intolerance and for clinical conditions such as allergy, prematurity, and gastrointestinal diseases. Read More

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http://dx.doi.org/10.1002/ncp.10261DOI Listing
February 2019
2 Reads

Caregivers' Perspectives on the Slight Recovery of Oral Intake of Home-Dwelling Patients Living With a Percutaneous Endoscopic Gastrostomy Tube: A Qualitative Study Using Focus Group Interviews.

Nutr Clin Pract 2019 Apr 11;34(2):272-279. Epub 2019 Feb 11.

Gerodontology and Oral Rehabilitation, Department of Gerontology and Gerodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Background: Swallowing rehabilitation for patients living with a percutaneous endoscopic gastrostomy (PEG) tube for home enteral nutrition (HEN) is poorly documented, and the quality of caregivers' daily lives is also unknown.

Methods: A qualitative study based on constant comparative analysis was conducted. The study subjects were the caregivers of acquired brain injury survivors residing at home and living with a PEG tube for HEN who had recovered slight oral intake because of swallowing rehabilitation. Read More

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http://dx.doi.org/10.1002/ncp.10253DOI Listing
April 2019
1 Read

Addressing Frequent Issues of Home Enteral Nutrition Patients.

Nutr Clin Pract 2019 Apr 11;34(2):186-195. Epub 2019 Feb 11.

Mayo Clinic, Rochester, Minnesota, USA.

The home enteral nutrition (HEN) population is a medically diverse group whose number has increased substantially in recent decades. Although medically stable compared with acute care patients requiring nutrition support, HEN population needs are unique and require a team approach to manage nutrition. Frequently encountered issues by the HEN team include mechanical issues of the tube site, gastrointestinal and metabolic problems, and patient preferences regarding tube weaning, formula selection, and compliance. Read More

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http://dx.doi.org/10.1002/ncp.10257DOI Listing
April 2019
2 Reads

Enteral Nutrition in the Mechanically Ventilated Patient.

Nutr Clin Pract 2019 Feb 11. Epub 2019 Feb 11.

Department of Nutritional Sciences, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.

Mechanically ventilated patients are unable to take food orally and therefore are dependent on enteral nutrition for provision of both energy and protein requirements. Enteral nutrition is supportive therapy and may impact patient outcomes in the intensive care unit. Early enteral nutrition has been shown to decrease complications and hospital length of stay and improve the prognosis at discharge. Read More

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http://dx.doi.org/10.1002/ncp.10242DOI Listing
February 2019
2 Reads
2.058 Impact Factor

Effect of Registered Dietitian Nutritionist Order-Writing Privileges on Enteral Nutrition Administration in Selected Intensive Care Units.

Nutr Clin Pract 2019 Feb 11. Epub 2019 Feb 11.

Department of Clinical Nutrition, University of Maryland Medical Center, Baltimore, Maryland, USA.

Background: Adequate nutrition is linked to improved patient outcomes during critical illness. Nutrition care is further enhanced by registered dietitian nutritionist (RDN) order-writing privileges, which improve the implementation of nutrition interventions. The purpose of this performance improvement project was to evaluate the effect of RDN order-writing privileges on enteral nutrition (EN) order compliance and nutrition delivery in selected intensive care units (ICUs) at a university-affiliated teaching hospital. Read More

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http://doi.wiley.com/10.1002/ncp.10259
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http://dx.doi.org/10.1002/ncp.10259DOI Listing
February 2019
4 Reads

Repair of Central Venous Catheters in Home Parenteral Nutrition Patients.

Nutr Clin Pract 2019 Apr 7;34(2):210-215. Epub 2019 Feb 7.

Salford Royal Hospital, Salford, United Kingdom.

For patients receiving home parenteral nutrition (HPN), vascular access with a central venous catheter (CVC) is essential to safely administer parenteral nutrition (PN) to meet their nutrition and hydration needs. Unfortunately, despite rigorous training and prevention strategies, CVCs are susceptible to complications such as infection, occlusion, thrombosis, and mechanical failure. Much of the published research on CVC complications focuses on infections; however, catheter occlusions and mechanical failures also contribute significantly to catheter dysfunction and loss. Read More

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http://dx.doi.org/10.1002/ncp.10262DOI Listing
April 2019
1 Read

Tools and Methods Used for the Assessment of Body Composition in Patients With Cystic Fibrosis: A Systematic Review.

Nutr Clin Pract 2019 Feb 7. Epub 2019 Feb 7.

Human Nutrition Research Centre, Institute of Cellular Medicine, Newcastle University, Newcastle on Tyne, UK.

Background: Cystic fibrosis (CF) is characterized by changes in fat mass and lean body mass that may have important prognostic value. We aim to appraise the type and frequency of application of body composition (BC) methods in child and adult patients with CF.

Methods: We used 4 databases (Embase, PubMed, Scopus, and Web of Science) to perform the literature search. Read More

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http://dx.doi.org/10.1002/ncp.10247DOI Listing
February 2019
2 Reads

Practitioner Knowledge, Personal Values, and Work Setting Influence Registered Dietitians' Feeding Tube Recommendations for Patients With Advanced Dementia.

Nutr Clin Pract 2019 Feb 7. Epub 2019 Feb 7.

Department of Human Nutrition and Hospitality Management , Tuscaloosa, Alabama, USA.

Background: Current guidelines discourage tube-feeding older adults with advanced dementia (AD), as this practice does not improve nutrition status or survival and decreases quality of life in these patients. Because registered dietitians (RDs) often provide feeding recommendations for patients with AD, this study aimed to identify factors that influenced RDs' feeding tube recommendations for older adults with AD.

Methods: A random sample of RDs who work with older adults in the United States completed a validated, electronic survey. Read More

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http://dx.doi.org/10.1002/ncp.10255DOI Listing
February 2019

Increasing Enteral Protein Intake in Critically Ill Trauma and Surgical Patients.

Nutr Clin Pract 2019 Feb 7. Epub 2019 Feb 7.

Harborview Injury Prevention and Research Center, Seattle, Washington, USA.

Background: Published guidelines recommend providing at least 2 g/kg/d of protein for critically ill surgical patients. It may be difficult to achieve this level of intake using standard enteral formulas, thus necessitating protein or amino acid supplementation. Herein, we report our approach to enteral protein supplementation and its relationship with urinary nitrogen excretion and serum transthyretin concentrations. Read More

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http://dx.doi.org/10.1002/ncp.10256DOI Listing
February 2019

Association Between Fat-Free Mass and Pulmonary Function in Patients With Cystic Fibrosis: A Narrative Review.

Nutr Clin Pract 2019 Feb 7. Epub 2019 Feb 7.

Department of Clinical and Preventive Nutrition Sciences, School of Health Professions at Rutgers University, Newark, New Jersey, USA.

The association between body mass index (BMI) and pulmonary function in patients with cystic fibrosis (CF) is well established, yet BMI as the sole indicator of nutrition status fails to assess body composition, specifically fat-free mass (FFM). Reduced FFM is a characteristic of undernutrition and is associated with decreased pulmonary function. A critical review of the literature was undertaken to explore available evidence on the use of FFM derived from dual-energy X-ray absorptiometry (DXA), compared with BMI, to assess pulmonary function and thereby nutrition status in patients with CF. Read More

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http://dx.doi.org/10.1002/ncp.10251DOI Listing
February 2019
1 Read

Challenges and Obstacles of Long-Term Home Parenteral Nutrition.

Authors:
Vanessa J Kumpf

Nutr Clin Pract 2019 Apr 4;34(2):196-203. Epub 2019 Feb 4.

Center for Human Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Patients receiving long-term home parenteral nutrition (HPN) and clinicians managing their care face complex challenges not fully addressed by existing clinical practice guidelines. This review aims to increase awareness of some of the challenges encountered when managing patients receiving HPN and provide strategies for management. The ability to optimally manage these patients starts with involvement of a qualified team of clinicians, which is sometimes difficult to find. Read More

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http://dx.doi.org/10.1002/ncp.10258DOI Listing

Reliability of, and Agreement Between, two Breath-by-Breath Indirect Calorimeters at Varying Levels of Inspiratory Oxygen.

Nutr Clin Pract 2019 Feb 4. Epub 2019 Feb 4.

Respiratory and Critical Care Group, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.

Background: Indirect calorimetry (IC) is considered the accurate way of measuring energy expenditure (EE). IC devices often apply the Haldane transformation, introducing errors at inspiratory oxygen fraction (FiO ) >60%. The aim was to assess measurement reliability and agreement between an unevaluated IC (device 2) (Beacon Caresystem, Mermaid Care A/S, Noerresundby, Denmark) not using Haldane transformation and an IC that does (device 1) (Ecovx, GE, Helsinki, Finland) at varying FiO . Read More

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http://dx.doi.org/10.1002/ncp.10250DOI Listing
February 2019

Glycemic Control in Adult Surgical Patients Receiving Regular Insulin Added to Parenteral Nutrition vs Insulin Glargine: A Retrospective Chart Review.

Nutr Clin Pract 2019 Jan 29. Epub 2019 Jan 29.

Department of Clinical Pharmacy, San Francisco Medical Center, University of California, San Francisco, California, USA.

Background: Hyperglycemia is a frequent complication in patients receiving parenteral nutrition (PN) and has been associated with an increased risk of mortality. Treatment of hyperglycemia requires insulin therapy; however, the optimal dose and route have not been established. This study aimed to compare regular insulin added to PN (RI-in-PN) with subcutaneous insulin glargine for the management of hyperglycemia in patients receiving PN. Read More

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http://dx.doi.org/10.1002/ncp.10252DOI Listing
January 2019

Exploring the Differences Between Early and Traditional Diet Advancement in Postoperative Feeding Outcomes in Patients With an Ileostomy or Colostomy.

Nutr Clin Pract 2019 Jan 28. Epub 2019 Jan 28.

Department of Nutritional Sciences, School of Health Professions, Rutgers University, Camden, New Jersey, USA.

Background: We assessed the differences in postoperative feeding outcomes when comparing early and traditional diet advancement in patients who had an ostomy creation.

Methods: At a U.S. Read More

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http://dx.doi.org/10.1002/ncp.10245DOI Listing
January 2019

Editor's Note.

Authors:
Jeanette M Hasse

Nutr Clin Pract 2019 02;34(1)

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http://dx.doi.org/10.1002/ncp.10240DOI Listing
February 2019

Thiamin Status in Adults Receiving Chronic Diuretic Therapy Prior to Admission to a Medical Intensive Care Unit: A Pilot Study.

Nutr Clin Pract 2019 Jan 15. Epub 2019 Jan 15.

Nutrition and Metabolic Support Service, Emory University Hospital, Atlanta, Georgia, USA.

Background: The aim of the study was to determine serum thiamin concentrations in critically ill medical patients who required chronic diuretic drug treatment before admission to a medical intensive care unit (ICU).

Methods: This prospective study was performed in a medical ICU. Subjects who received diuretic drug therapy for at least 6 months prior to ICU admission constituted the diuretic group. Read More

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http://doi.wiley.com/10.1002/ncp.10241
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http://dx.doi.org/10.1002/ncp.10241DOI Listing
January 2019
6 Reads

Improved Nutrition Status in Patients With Advanced Heart Failure Implanted With a Left Ventricular Assist Device.

Nutr Clin Pract 2019 Jan 15. Epub 2019 Jan 15.

Center for Heart Transplant and Assist Devices, Advocate Christ Medical Center, Oak Lawn, Illinois, USA.

Background: Left ventricular assist device (LVAD) implantation for advanced heart failure is known to improve survival, functional capacity, and quality of life. Most patients implanted with LVADs suffer from moderate to severe malnutrition and deconditioning due to their advanced disease. The Mini Nutritional Assessment (MNA) and the short form of the survey (MNA-SF) are 2 well-validated clinical tools, previously used to assess patient nutrition status in numerous conditions. Read More

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http://dx.doi.org/10.1002/ncp.10238DOI Listing
January 2019
2 Reads

Impact of Implementation of the American Society for Parenteral and Enteral Nutrition Model for Parenteral Nutrition Order Writing and Review on Competency, Attitudes, and Perceptions.

Nutr Clin Pract 2019 Jan 15. Epub 2019 Jan 15.

Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania, USA.

Background: The American Society for Parenteral and Enteral Nutrition (ASPEN) parenteral nutrition (PN) safety consensus recommendations advise a comprehensive education program and competency assessment for all healthcare professionals involved in the care of patients receiving PN. The ASPEN-model papers provide guidance for designing PN competencies for prescribers, pharmacists, and pharmacy technicians. The purpose of this research was to evaluate the impact of a comprehensive educational program that aligns with the ASPEN model on PN competency, attitudes, and perceptions in a multidisciplinary healthcare professional audience. Read More

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http://dx.doi.org/10.1002/ncp.10237DOI Listing
January 2019
2.058 Impact Factor

Comment on "Vitamin D Status Is Associated With Development of Hospital-Acquired Pressure Injuries in Critically Ill Surgical Patients".

Nutr Clin Pract 2019 Jan 15. Epub 2019 Jan 15.

School of Nursing, Nantong University, Nantong, Jiangsu, P.R. China.

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http://dx.doi.org/10.1002/ncp.10246DOI Listing
January 2019

Impact of Feeding Interval on Time to Achieve Full Oral Feeding in Preterm Infants: A Randomized Trial.

Nutr Clin Pract 2019 Jan 15. Epub 2019 Jan 15.

Department of Neonatology, Etlik Zubeyde Hanim Women's Health Teaching and Research Hospital, University of Health Sciences, Ankara, Turkey.

Background: Preterm infants are scheduled to receive total feeding amount in either 3-hour or 2-hour intervals. A gavage feeding may be required if the scheduled amount is not completed orally. Feedings every 2 hours are one-third smaller than feedings every 3 hours. Read More

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http://dx.doi.org/10.1002/ncp.10244DOI Listing
January 2019

Identifying Critically Ill Veterans Who Require Nutrition Intervention: A Quality Improvement Study Comparing Nutrition Risk Tools.

Nutr Clin Pract 2019 Jan 15. Epub 2019 Jan 15.

Nutrition and Food Services, James A. Haley Veterans' Hospital, Tampa, Florida, USA.

Background: Identification of intensive care unit (ICU) patients who require nutrition intervention is crucial to initiating nutrition therapy. This prospective quality improvement study evaluated the Nutritional Risk Screening (NRS) 2002, Malnutrition Universal Screening Tool (MUST), and Nutrition Risk in Critically Ill (NUTRIC) score in comparison with the Veterans Administration Nutrition Status Classification (VANSC) tool to determine which best identified the need for nutrition intervention.

Methods: A convenience sample of 150 ICU patients was evaluated using the VANSC, NRS 2002, MUST, and the NUTRIC score. Read More

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http://dx.doi.org/10.1002/ncp.10235DOI Listing
January 2019

Role of Thiamin in Health and Disease.

Nutr Clin Pract 2019 Jan 15. Epub 2019 Jan 15.

Internal Medicine Department, Medical School, São Paulo State University (Unesp), Botucatu, São Paulo, Brazil.

Thiamin is a hydrosoluble vitamin that plays a role in several biological processes, mainly in glucose metabolism. There are several risk factors for developing thiamin deficiency, such as malnutrition, refeeding syndrome, gastrointestinal surgery, and alcoholism. Recently, the role of thiamin in critically ill patients has gained prominence, and the prevalence of thiamin deficiency was found to be increased in patients with severe burns, major surgery, septic shock, end-stage renal disease, and heart failure. Read More

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http://dx.doi.org/10.1002/ncp.10234DOI Listing
January 2019
4 Reads

High Adherence to Oral Nutrition Supplements Prescribed by Dietitians: A Cross-Sectional Study on Hospital Outpatients.

Nutr Clin Pract 2019 Jan 15. Epub 2019 Jan 15.

Department of Food Studies, Nutrition and Dietetics, Uppsala University, Uppsala, Sweden.

Background: This study aimed to assess adherence to oral nutrition supplements (ONS) among hospital outpatients and to assess patient characteristics, experiences of ONS, and the characteristics of ONS prescriptions in clinical practice.

Methods: Hospital outpatients aged ≥18 years and prescribed ONS by a dietitian at a Swedish hospital were referred to the study from September 2016 to February 2017. Data were collected from structured telephone interviews, medical records, and a register of ONS delivered. Read More

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http://dx.doi.org/10.1002/ncp.10243DOI Listing
January 2019

Diagnostic Workup and Micronutrient Deficiencies in Children With Failure to Thrive Without Underlying Diseases.

Nutr Clin Pract 2019 Jan 15. Epub 2019 Jan 15.

Ankara University, Pediatric Gastroenterology, Hepatology, and Nutrition, Ankara, Turkey.

Objectives And Study: Failure to thrive (FTT) is an interruption in the normal pattern of growth. We aimed to evaluate the clinical characteristics, underlying etiologies, diagnostic workup, and frequency of micronutrient deficiencies (MDs) in children with FTT.

Methods: This retrospective study was done with 729 children (319 male, mean age 6. Read More

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http://dx.doi.org/10.1002/ncp.10229DOI Listing
January 2019
1 Read

Low-FODMAP Diet Is Associated With Improved Quality of Life in IBS Patients-A Prospective Observational Study.

Nutr Clin Pract 2019 Jan 15. Epub 2019 Jan 15.

Department of Medicine, University of Otago, Christchurch, New Zealand.

Background: The low fermentable oligosaccharide, disaccharide, monosaccharide, and polyol (FODMAP) diet is effectively manages irritable bowel syndrome (IBS) symptoms. Long-term low-FODMAP studies rarely report quality of life (QoL). We aimed to determine the effect of low-FODMAP diet on long-term QoL, gastrointestinal (GI) and non-GI symptoms in IBS patients. Read More

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http://dx.doi.org/10.1002/ncp.10233DOI Listing
January 2019

Acute Kidney Injury Masked by Malnutrition: A Case Report and the Problem of Protein.

Nutr Clin Pract 2018 Dec 26. Epub 2018 Dec 26.

School of Health Professions, Department of Clinical and Preventive Nutrition Sciences, Rutgers University, Brunswick, New Jersey, USA.

Acute kidney injury (AKI) is common among critically ill patients. There are a number of nutrition considerations in the management of AKI, including fluid balance, electrolyte and acid-base disturbances, protein provision, and management of comorbid conditions. The optimal amount of protein provision for patients with AKI who are not on renal replacement therapy (RRT) has been a topic of debate for years. Read More

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http://doi.wiley.com/10.1002/ncp.10236
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http://dx.doi.org/10.1002/ncp.10236DOI Listing
December 2018
15 Reads

Body Composition Technology: Implications for the ICU.

Nutr Clin Pract 2019 Feb 26;34(1):48-58. Epub 2018 Dec 26.

Department of General Surgery, Oregon Health & Science University, Portland, Oregon, USA.

Malnutrition continues to be highly prevalent in hospitalized and critically ill patients and is associated with significant morbidity and mortality. Additionally, survivors of critical illness have an increased risk for sarcopenia, which leads to weakness and physical debilitation that can persist for years. Nutrition risk assessment tools have been developed and validated in critically ill patients but have limitations. Read More

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http://dx.doi.org/10.1002/ncp.10230DOI Listing
February 2019

Dysphagia: Interprofessional Management, Impact, and Patient-Centered Care.

Nutr Clin Pract 2019 Feb 23;34(1):80-95. Epub 2018 Dec 23.

Sanford USD Medical Center, Sioux Falls, South Dakota, USA.

Dysphagia affects a multitude of people worldwide with tremendous impact on the affected individual, families, and caregivers. Understanding dysphagia, as well as the status of screening, evaluation, and treatment, aids in the knowledge required by a interprofessional team to holistically care for patients with dysphagia and their caregivers. The impact of dysphagia includes potential associated risk and a cascade of effects. Read More

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http://doi.wiley.com/10.1002/ncp.10239
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http://dx.doi.org/10.1002/ncp.10239DOI Listing
February 2019
8 Reads

Pathophysiology of Critical Illness and Role of Nutrition.

Nutr Clin Pract 2019 Feb 23;34(1):12-22. Epub 2018 Dec 23.

Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Critical illness is a hypercatabolic state. It has been hypothesized that timely and adequate nutrition support may optimize the host response and thereby minimize nutritionally related complications while improving overall outcome. Any illness in due course can lead to a malnourished state-critical illness can worsen this state as patients may become immunocompromised and unable to mount an adequate inflammatory response and therefore susceptible to poor outcomes. Read More

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http://doi.wiley.com/10.1002/ncp.10232
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http://dx.doi.org/10.1002/ncp.10232DOI Listing
February 2019
4 Reads

Modification of Nutrition Therapy During Continuous Renal Replacement Therapy in Critically Ill Pediatric Patients: A Narrative Review and Recommendations.

Nutr Clin Pract 2019 Feb 20;34(1):37-47. Epub 2018 Dec 20.

Intensive Care Department, University Hospital Brussels, Brussels, Belgium.

Introduction: Nutrition is an important part of treatment in critically ill children. Clinical guidelines for nutrition adaptations during continuous renal replacement therapy (CRRT) are lacking. We collected and evaluated current knowledge on this topic and provide recommendations. Read More

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http://dx.doi.org/10.1002/ncp.10231DOI Listing
February 2019
3 Reads

Assessing the Evidence in Evidence-Based Medicine.

Authors:
Ronald L Koretz

Nutr Clin Pract 2019 Feb 20;34(1):60-72. Epub 2018 Dec 20.

David Geffen UCLA School of Medicine, Los Angeles, California, USA.

Evidence-based medicine (EBM) has become a fixture in today's medical practice. Evidence consists of memorialized observations and should be contrasted with dogmatic pronouncements and/or hypotheses. Evidence has varying degrees of reliability. Read More

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http://doi.wiley.com/10.1002/ncp.10227
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http://dx.doi.org/10.1002/ncp.10227DOI Listing
February 2019
6 Reads

Percutaneous Endoscopic Gastrostomy Tubes May Be Associated With Preservation of Lung Function in Patients With Cystic Fibrosis.

Nutr Clin Pract 2019 Apr 22;34(2):290-296. Epub 2018 Nov 22.

Department of Gastroenterology, Hepatology and Nutrition, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.

Background: Improving nutrition status of patients with cystic fibrosis (CF) has a positive effect on pulmonary function.

Methods: We conducted a retrospective case-control study evaluating the effect of percutaneous endoscopic gastrostomy (PEG) placement on body mass index (BMI) and forced expiratory volume in 1 second percent predicted (FEV ) between matched subjects with CF who received PEG (n = 20) and controls who did not (n = 40).

Results: We observed that after adjusting for mutation class and baseline BMI, BMI percentile increased per month for those with PEG (0. Read More

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http://dx.doi.org/10.1002/ncp.10219DOI Listing
April 2019
1 Read

Fecal Microbiota Transplantation for the Critically Ill Patient.

Nutr Clin Pract 2019 Feb 18;34(1):73-79. Epub 2018 Dec 18.

Division of Gastroenterology & Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland.

The gut microbiome has been implicated in a diversity of diseases, such as irritable bowel syndrome, inflammatory bowel disease, hepatic steatosis, metabolic syndrome, obesity, and anxiety. Current research also suggests the presence of a bidirectional relationship between the composition of the gut microbiome and critical illness. In the critical care setting, multiple factors (eg, use of antibiotics, aberrant nutrition, bloodstream infections, bowel ischemia, and abnormal bowel motility) strongly contribute to intestinal dysbiosis. Read More

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http://doi.wiley.com/10.1002/ncp.10228
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http://dx.doi.org/10.1002/ncp.10228DOI Listing
February 2019
18 Reads

Impact of Intravenous Lipid Emulsions Containing Fish Oil on Clinical Outcomes in Critically Ill Surgical Patients: A Literature Review.

Nutr Clin Pract 2019 Feb 5;34(1):112-122. Epub 2018 Dec 5.

Department of Clinical and Preventative Nutrition Sciences, School of Health Professions, Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA.

A fish oil (FO)-containing intravenous lipid emulsion (ILE; FO ILE) has been approved for use in the United States; however, similar formulations have been used throughout Europe and China in intensive care units since the 1990s. This literature review evaluates the evidence regarding the effectiveness of FO ILE on clinical outcomes in the critically ill surgical patient population. The review of available evidence demonstrates that ILEs containing FO lower triglyceride concentrations, inflammatory markers, and liver function enzymes, and improve morbidity and mortality outcomes in critically ill surgical patients. Read More

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http://dx.doi.org/10.1002/ncp.10224DOI Listing
February 2019

Content of Poorly Absorbed Short-Chain Carbohydrates (FODMAP) in Enteral Homemade Diets.

Nutr Clin Pract 2019 Apr 5;34(2):264-271. Epub 2018 Dec 5.

Federal University of Paraná, , Health Sciences Department, Department of Nutrition, Jardim Botânico, Curitiba, Brazil.

Background: Recent studies have shown that commercial enteral formulas with low FODMAP (FO, fermentable oligosaccharides; D, disaccharides; M, monosaccharides; AP, and polyols) content decrease diarrhea of individuals receiving enteral nutrition therapy (ENT). There is no information, however, regarding the content of FODMAP in homemade enteral formula. The objective of this study was to assess energy and macronutrient content, and to quantify the amount of FODMAP content in homemade enteral formula, commonly prescribed for home use after hospital discharge. Read More

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http://dx.doi.org/10.1002/ncp.10223DOI Listing

Pediatric Home Parenteral Nutrition: Indications and Short-Term Outcomes in a Large National Sample of Commercially Insured Children and Adolescents.

Nutr Clin Pract 2019 Apr 3;34(2):242-249. Epub 2018 Dec 3.

College of Pharmacy-Glendale, Midwestern University, Glendale, Arizona, USA.

Background: To support families managing the complex requirements of home parenteral nutrition (HPN) in pediatric patients, health professionals need information about HPN indications and complications. Nationally representative information is limited.

Methods: A retrospective cohort analysis of the Truven Health MarketScan Commercial Claims and Encounters Database was performed and identified 683 patients aged ≤18 years receiving HPN during dates of service from January 2013 through September 2015. Read More

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http://dx.doi.org/10.1002/ncp.10225DOI Listing
April 2019
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Comparison of Microbial Growth Between Commercial Formula and Blenderized Food for Tube Feeding.

Nutr Clin Pract 2019 Apr 3;34(2):257-263. Epub 2018 Dec 3.

Troy University, Troy, Alabama, USA.

Background: Many healthcare facilities and providers prohibit blenderized tube feeding (BTF) for patients who request it due to concerns of high microbial load. The current project compared microbial loads of a standard ready-to-feed polymeric commercial formula (CF), a BTF made using baby food (BTF-BF), and a BTF prepared from blending whole food (BTF-WF), following food safety standards expected of U.S. Read More

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http://dx.doi.org/10.1002/ncp.10226DOI Listing

Determination of Nutrition Risk and Status in Critically Ill Patients: What Are Our Considerations?

Nutr Clin Pract 2019 Feb 23;34(1):96-111. Epub 2018 Nov 23.

Department of Critical Care Medicine, Queen's University and Clinical Evaluation Research Unit, Kingston General Hospital, Kingston, Ontario, Canada.

The stress catabolism state predisposes critically ill patients to a high risk of malnutrition. This, coupled with inadequate or delayed nutrition provision, will lead to further deterioration of nutrition status. Preexisting malnutrition and iatrogenic underfeeding are associated with increased risk of adverse complications. Read More

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http://dx.doi.org/10.1002/ncp.10214DOI Listing
February 2019
15 Reads

Response to Comment on 'Proton Pump Inhibitors. Risks and Rewards and Emerging Consequences to the Gut Microbiome'.

Nutr Clin Pract 2019 02 21;34(1):173. Epub 2018 Nov 21.

Department of Gastroenterology & Hepatology, Center for Human Nutrition, Digestive Disease and Surgery Institute; the Department of Gastroenterology, Pediatric Institute; and the Department of Pathobiology, Learner Research Institute, Cleveland Clinic, Cleveland, Ohio, USA.

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http://dx.doi.org/10.1002/ncp.10217DOI Listing
February 2019
3 Reads

Comment on 'Proton Pump Inhibitors. Risks and Rewards and Emerging Consequences to the Gut Microbiome'.

Authors:
Katsuhiro Toda

Nutr Clin Pract 2019 02 21;34(1):172. Epub 2018 Nov 21.

Department of Orthopedic Surgery, Kitahiroshima Town Toyohira Hospital, Kita-Hiroshima Town, Yamagata-Gun, Hiroshima, Japan.

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http://dx.doi.org/10.1002/ncp.10218DOI Listing
February 2019
7 Reads

Impact of Facilitated Behavior Change Strategies on Food Intake Monitoring and Body Weight Measurements in Acute Care: Case Examples From the More-2-Eat Study.

Nutr Clin Pract 2018 Nov 20. Epub 2018 Nov 20.

University of Waterloo, and Schlegel-University of Waterloo Research Institute for Aging, Waterloo, Canada.

Background: Assessing and monitoring food intake and body weight of all hospital patients is considered part of "best practice" nutrition care. This study presents case examples describing the impact of behavior change strategies on embedding these 2 monitoring processes in hospitals.

Methods: Four hospital medical units that participated in the More-2-Eat implementation study to improve nutrition care focused on improving food intake and/or weight monitoring practices. Read More

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http://dx.doi.org/10.1002/ncp.10207DOI Listing
November 2018
19 Reads

Employing a Nutrition Nurse in Neonatal Intensive Care Unit Improved Nutrition and Growth Outcomes in Preterm Neonates.

Nutr Clin Pract 2018 Nov 19. Epub 2018 Nov 19.

Department of Neonatology, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey.

Background: Nutrition nurses are clinical nurse specialists with knowledge and experience in nutrition support. We aimed to investigate the nutrition and growth outcomes after employment of a nutrition nurse in our level III neonatal intensive care unit (NICU).

Methods: A retrospective cohort study including preterm neonates < 34 weeks and < 2000 g were conducted. Read More

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http://dx.doi.org/10.1002/ncp.10216DOI Listing
November 2018