488 results match your criteria Nutritional Management in the Rehabilitation Setting


The Effect of a Multidisciplinary Lifestyle Intervention on Obesity Status, Body Composition, Physical Fitness, and Cardiometabolic Risk Markers in Children and Adolescents with Obesity.

Nutrients 2019 Jan 10;11(1). Epub 2019 Jan 10.

Department of Family Medicine, Hallym University Sacred Heart Hospital, Anyang, Gyeonggi-do 14068, Korea.

This study aimed to develop a multidisciplinary lifestyle intervention program targeted at children and adolescents with moderate to severe obesity, and assess the additional effects of exercise intervention when compared to usual care. Overall, the 103 enrolled participants were ≥85th percentile of age and sex-specific body mass index (BMI). Participants were divided into groups that received 16 weeks of either usual care or exercise intervention. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/nu11010137DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6356576PMC
January 2019

Malnutrition in older adults: screening and determinants.

Proc Nutr Soc 2018 Dec 3:1-8. Epub 2018 Dec 3.

UCD Institute of Food and Health, University College Dublin,Dublin,Republic of Ireland.

Older adults are at risk of protein-energy malnutrition (PEM). PEM detrimentally impacts on health, cognitive and physical functioning and quality of life. Given these negative health outcomes in the context of an ageing global population, the Healthy Diet for a Healthy Life Joint Programming Initiative Malnutrition in the Elderly (MaNuEL) sought to create a knowledge hub on malnutrition in older adults. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1017/S0029665118002628DOI Listing
December 2018
9 Reads

Refeeding in anorexia nervosa.

Eur J Pediatr 2018 Nov 27. Epub 2018 Nov 27.

Assistance Publique-Hôpitaux de Paris, Service d'Endocrinologie Diabétologie Pédiatrique, Centre de Référence des Maladies Endocriniennes de la Croissance et du Développement, Hôpital Robert Debré, Paris, France.

Refeeding in anorexia nervosa is a collaborative enterprise involving multidisciplinary care plans, but clinicians currently lack guidance, as treatment guidelines are based largely on clinical confidence rather than more robust evidence. It seems crucial to identify reproducible approaches to refeeding that simultaneously maximize weight recovery and minimize the associated risks, in addition to improving long-term weight and cognitive and behavioral recovery and reducing relapse rates. We discuss here various approaches to refeeding, including, among others, where, by which route, how rapidly patients are best refed, and ways of choosing between them, taking into account the precautions or the potential effects of medication or of psychological care, to define better care plans for use in clinical practice. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00431-018-3295-7DOI Listing
November 2018
1 Read

Lessons learnt during the implementation of a web-based triage tool for Dutch intensive care follow-up clinics.

BMJ Open 2018 Sep 24;8(9):e021249. Epub 2018 Sep 24.

Department of Rehabilitation, Academic Medical Center, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands.

Objectives: Screening for symptoms of postintensive care syndrome is based on a long list of questionnaires, filled out by the intensive care unit (ICU) survivor and manually reviewed by the health professional. This is an inefficient and time-consuming process. The aim of this study was to evaluate the feasibility of a web-based triage tool and to compare the outcomes from web-based questionnaires to those from paper-based questionnaires. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2017-021249DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6157570PMC
September 2018
1 Read

Effect of a 12-Week Online Walking Intervention on Health and Quality of Life in Cancer Survivors: A Quasi-Randomized Controlled Trial.

Int J Environ Res Public Health 2018 09 21;15(10). Epub 2018 Sep 21.

Sansom Institute for Health Research, School of Health Sciences, University of South Australia, Adelaide, SA 5001, Australia.

Cancer survivors are at an increased risk of experiencing physical and psychological ill-effects following cancer treatment. Rural cancer survivors are at a greater risk of future health problems following a cancer diagnosis compared to their urban counterparts. Physical activity has been targeted as a health promotion priority in cancer survivors. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/ijerph15102081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6210292PMC
September 2018
1 Read

A qualitative exploration of patient and healthcare professionals' views and experiences of palliative rehabilitation during advanced lung cancer treatment.

Palliat Med 2018 Dec 5;32(10):1624-1632. Epub 2018 Sep 5.

1 Institute of Nursing and Health Research, Ulster University, Newtownabbey, UK.

Background:: Limited evidence exists on the impact of palliative rehabilitation during systemic treatment of advanced cancer.

Aim:: To explore the experiences and perceptions of patients and healthcare professionals on the feasibility and acceptability of palliative rehabilitation during advanced lung cancer treatment.

Design:: Qualitative design using individual semi-structured interviews transcribed verbatim and analysed thematically. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0269216318794086DOI Listing
December 2018
8 Reads

[Aging-related frailty and sarcopenia. Frailty, sarcopenia and dysphagia.]

Clin Calcium 2018;28(9):1229-1234

Department of Rehabilitation Medicine, Yokohama City University Medical Center, Japan.

Frailty and sarcopenia occur not only in whole-body but also oral and swallowing function. Presbyphagia is age-related decline of swallowing function in older adults. Oral frailty is age-related decline of oral function in older adults. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/CliCa180912291234DOI Listing
January 2018
1 Read

Anterior and posterior diaphragm kinesio taping for intractable hiccups after ischemic stroke: A case report.

Authors:
Julie Gallagher

Medicine (Baltimore) 2018 Aug;97(34):e11934

Rationale: Pathophysiologic mechanisms of the central nervous system, such as stroke, can be associated with intractable hiccups. Intractable hiccups can be associated with potentially fatal consequences, thus requiring safe management in an inpatient rehabilitation facility (IRF) setting with a multidisciplinary team approach to optimize mobility and feeding.

Patient Concerns: A 49-year-old male presented to the emergency department with complaints of vomiting and dizziness. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000011934DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112895PMC
August 2018
10 Reads

Patients experiences of self-management and strategies for dealing with chronic conditions in rural Malawi.

PLoS One 2018 2;13(7):e0199977. Epub 2018 Jul 2.

Athena Institute for Research on Innovation and Communication in Health and Life Sciences, Faculty of Sciences, Vrije Universiteit, Amsterdam, The Netherlands.

Background: The high burden of chronic communicable diseases such as HIV/AIDS, and an escalating rise of non-communicable diseases (NCDs) in Malawi and other sub-Saharan African countries, calls for a shift in how health care services are designed and delivered. Patient-centred care and patient self-management are critical elements in chronic care, and are advocated as universal strategies. In sub-Saharan Africa, there is need for more evidence around the practice of patient self-management, and how to best support patients with chronic conditions in the African context. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0199977PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028088PMC
January 2019
3 Reads

A Mediterranean Diet Model in Australia: Strategies for Translating the Traditional Mediterranean Diet into a Multicultural Setting.

Nutrients 2018 Apr 9;10(4). Epub 2018 Apr 9.

Department of Rehabilitation, Nutrition and Sport, La Trobe University, Health Sciences 3, Kingsbury Drive, Bundoora, VIC 3086, Australia.

Substantial evidence supports the effect of the Mediterranean Diet (MD) for managing chronic diseases, although trials have been primarily conducted in Mediterranean populations. The efficacy and feasibility of the Mediterranean dietary pattern for the management of chronic diseases has not been extensively evaluated in non-Mediterranean settings. This paper aims to describe the development of a MD model that complies with principles of the traditional MD applied in a multiethnic context. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/nu10040465DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5946250PMC
April 2018
4 Reads

Self-management interventions for adults with chronic kidney disease: a scoping review.

BMJ Open 2018 03 22;8(3):e019814. Epub 2018 Mar 22.

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

Objective: To systematically identify and describe self-management interventions for adult patients with chronic kidney disease (CKD).

Setting: Community-based.

Participants: Adults with CKD stages 1-5 (not requiring kidney replacement therapy). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2017-019814DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5875600PMC
March 2018
9 Reads

Effect of mild exercise on glycemic and bodyweight control in Japanese type 2 diabetes patients: A retrospective analysis.

J Diabetes Investig 2019 Jan 30;10(1):104-107. Epub 2018 Mar 30.

Division of Diabetes, Metabolism and Endocrinology, Kawasaki Medical School, Okayama, Japan.

We retrospectively evaluated the effects of mild physical exercise (P) in a routine clinical setting on glycemic and bodyweight control in Japanese type 2 diabetes patients with and without individualized nutritional therapy (D). We analyzed 49 patients who participated in P that measured 2.5 metabolic equivalents and was held once every 2 weeks, compared with 83 non-participant controls, followed over a period of approximately 1. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/jdi.12832DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319490PMC
January 2019
6 Reads

Accuracy of the visual estimation method as a predictor of food intake in Alzheimer's patients provided with different types of food.

Clin Nutr ESPEN 2018 02 6;23:122-128. Epub 2017 Dec 6.

Department of Food Sciences and Human Nutrition, Faculty of Agriculture, Ryukoku University, 1-5 Yokotani Seta-Oe cho, Otsu, Shiga 520-2194, Japan.

Background & Aims: The visual estimation method is commonly used in hospitals and other care facilities to evaluate food intake through estimation of plate waste. In Japan, no previous studies have investigated the validity and reliability of this method under the routine conditions of a hospital setting. The present study aimed to evaluate the validity and reliability of the visual estimation method, in long-term inpatients with different levels of eating disability caused by Alzheimer's disease. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.clnesp.2017.11.003DOI Listing
February 2018
2 Reads

Creation and Initial Validation of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale.

Arch Phys Med Rehabil 2018 05 8;99(5):934-944. Epub 2018 Feb 8.

International Dysphagia Diet Standardisation Initiative, Brisbane, QLD, Australia; New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY; New York Medical College, Valhalla, NY.

Objective: To assess consensual validity, interrater reliability, and criterion validity of the International Dysphagia Diet Standardisation Initiative Functional Diet Scale, a new functional outcome scale intended to capture the severity of oropharyngeal dysphagia, as represented by the degree of diet texture restriction recommended for the patient.

Design: Participants assigned International Dysphagia Diet Standardisation Initiative Functional Diet Scale scores to 16 clinical cases. Consensual validity was measured against reference scores determined by an author reference panel. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00039993183008
Publisher Site
http://dx.doi.org/10.1016/j.apmr.2018.01.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961739PMC
May 2018
10 Reads

A Group Lifestyle Intervention Program Is Associated with Reduced Emergency Department Presentations for People with Metabolic Syndrome: A Retrospective Case-Control Study.

Metab Syndr Relat Disord 2018 03 23;16(2):110-116. Epub 2018 Jan 23.

1 Department of Rehabilitation, Nutrition and Sport, School of Allied Health, Physiotherapy, La Trobe University , Melbourne, Australia .

Background: One quarter of the world's adults have metabolic syndrome. Lifestyle modification is the first line of intervention as improvements in diet and exercise can have positive effects on the individual components of metabolic syndrome. The primary aim of this research was to evaluate the effect of an 8-week lifestyle intervention program for people with metabolic syndrome on emergency department presentations, hospital admissions, and metabolic parameters. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/met.2017.0127DOI Listing
March 2018
24 Reads

The ketogenic diet as a treatment for traumatic brain injury: a scoping review.

Brain Inj 2018 23;32(4):416-422. Epub 2018 Jan 23.

b Brain and Spinal Cord Rehabilitation , Toronto Rehabilitation Institute-University Health Network , Toronto , Canada.

Traumatic brain injury (TBI) is a leading cause of morbidity and mortality worldwide. The ketogenic diet (KD) has been identified as a potential therapy to enhance recovery after TBI. The purpose of this study is to complete a scoping review and synthesize the evidence regarding the KD and its therapeutic effects in TBI. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/02699052.2018.1429025DOI Listing
January 2018
3 Reads

Patient Perspectives on Nurse-led Consultations Within a Pilot Structured Transition Program for Young Adults Moving From an Academic Tertiary Setting to Community-based Type 1 Diabetes Care.

J Pediatr Nurs 2018 Jan - Feb;38:99-105. Epub 2017 Dec 6.

University of Lausanne Institute of Higher Education and Research in Healthcare, Lausanne, Switzerland; Centre Hospitalier Universitaire Vaudois (CHUV) Endocrinology, Diabetes and Metabolism Service, Lausanne, Switzerland. Electronic address:

Purpose: We aimed to evaluate patient self-management activities, patient perceptions of the therapeutic relationship and satisfaction with nurse-led consultations as part of a structured, pilot program transitioning young adults with type 1 diabetes (T1DM) to adult-oriented community-based practices.

Design And Methods: A descriptive, cross-sectional study of patients receiving nurse-led consultations. Patients provided sociodemographic/health information, glycated hemoglobin (HbA1c) measures and completed questionnaires assessing self-management (Revised Self-Care Inventory) and the therapeutic relationship (Caring Nurse-Patient Interaction - short scale). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.pedn.2017.11.015DOI Listing
September 2018
6 Reads
0.920 Impact Factor

The effects of lifestyle changes on serum lipid levels in children in a real life setting.

Congenit Heart Dis 2018 Mar 18;13(2):327-333. Epub 2018 Jan 18.

Lillie Frank Abercrombie Section of Cardiology Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.

Objective: Studies have shown improvement in lipid levels after institution of lifestyle changes in children enrolled in closely monitored programs. There programs are difficult to mimic in real world clinics. We aim to determine if diet and exercise result in improvement in lipid levels in patients seen in a designated lipid clinic in a real life setting. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/chd.12580DOI Listing
March 2018
6 Reads

What works in falls prevention in Asia: a systematic review and meta-analysis of randomized controlled trials.

BMC Geriatr 2018 01 5;18(1). Epub 2018 Jan 5.

School of Physiotherapy and Exercise Science, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia.

Background: There is strong research evidence for falls prevention among older people in the community setting, although most is from Western countries. Differences between countries (eg sunlight exposure, diet, environment, exercise preferences) may influence the success of implementing falls prevention approaches in Asian countries that have been shown to be effective elsewhere in the world. The aim of this review is to evaluate the scope and effectiveness of falls prevention randomized controlled trials (RCTs) from the Asian region. Read More

View Article

Download full-text PDF

Source
https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877
Publisher Site
http://dx.doi.org/10.1186/s12877-017-0683-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5756346PMC
January 2018
13 Reads

Efficacy of adjuvant weight loss medication after bariatric surgery.

Surg Obes Relat Dis 2018 01 9;14(1):93-98. Epub 2017 Oct 9.

Bariatric and Metabolic Institute, Department of General Surgery, Cleveland Clinic, Cleveland, Ohio. Electronic address:

Background: Some patients do not achieve optimal weight loss or regain weight after bariatric surgery. In this study, we aimed to determine the effectiveness of adjuvant weight loss medications after surgery for this group of patients.

Setting: An academic medical center. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.soard.2017.10.002DOI Listing
January 2018
8 Reads

Factors associated with high levels of glycated haemoglobin in patients with type 1 diabetes: a multicentre study in Brazil.

BMJ Open 2017 Dec 14;7(12):e018094. Epub 2017 Dec 14.

Gonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Brazil.

Objective: Long-term complications of type 1 diabetes mellitus (DM1) can be prevented with adequate glycaemic control. However, high levels of glycated haemoglobin (HbA1c) occur in 60%-90% of the patients with DM1. Thus, we aimed to investigate the role of sociodemographic, behavioural and clinical factors on the HbA1c levels of patients with DM1 in Brazil. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2017-018094DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5736030PMC
December 2017
3 Reads

Can the critically ill patient generate sufficient energy to facilitate exercise in the ICU?

Curr Opin Clin Nutr Metab Care 2018 03;21(2):110-115

Centre for Human Health and Performance, Department of Medicine, University College London.

Purpose Of Review: Trials of physical rehabilitation post critical illness have yet to deliver improved health-related quality of life in critical illness survivors. Muscle mass and strength are lost rapidly in critical illness and a proportion of patients continue to do so resulting in increased mortality and functional disability. Addressing this issue is therefore fundamental for recovery from critical illness. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MCO.0000000000000446DOI Listing
March 2018
14 Reads

Optimization of perioperative management of proximal femoral fracture in the elderly.

Authors:
P Merloz

Orthop Traumatol Surg Res 2018 Feb 17;104(1S):S25-S30. Epub 2018 Jan 17.

Clinique universitaire d'orthopédie-traumatologie, CHU Albert-Michallon, BP 217, 38043 Grenoble cedex 9, France. Electronic address:

Proximal femoral fracture in elderly subjects is a major event that is life-threatening in the medium-to-long term. Advanced age, male gender and number of comorbidities largely account for high mortality and require geriatric expertise. Protein-energy malnutrition and bone demineralization increase mortality. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.otsr.2017.04.020DOI Listing
February 2018
11 Reads

Nutrient Intake During Diet-Induced Weight Loss and Exercise Interventions in a Randomized Trial in Older Overweight and Obese Adults.

J Nutr Health Aging 2017 ;21(10):1216-1224

Gary D. Miller, PhD, Box 7868 Reynolda Station, Department Health and Exercise Science, Wake Forest University, Winston-Salem, NC 27109-7868, 336-758-1901; 336-758-4680 (fax).

Objectives: Dietary restriction in obese older adults undergoing weight loss may exacerbate nutrient deficiencies common in this group; the nutritional health of older adults is a factor in their quality of life, disability, and mortality. This study examined the effect of an 18-month weight loss program based in social cognitive theory incorporating partial meal replacements, on nutrient intake in older overweight and obese adults.

Design: The following analysis is from the Intensive Diet and Exercise for Arthritis (IDEA) trial, a single-blind, randomized controlled trial. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s12603-017-0892-5
Publisher Site
http://dx.doi.org/10.1007/s12603-017-0892-5DOI Listing
April 2018
2 Reads

Soluble Milk Proteins Improve Muscle Mass Recovery after Immobilization-Induced Muscle Atrophy in Old Rats but Do not Improve Muscle Functional Property Restoration.

J Nutr Health Aging 2017 ;21(10):1133-1141

Dominique Dardevet, INRA, Unité de Nutrition Humaine (UNH, UMR 1019), CRNH Auvergne, France,

Objectives: Effect of 3 different dairy protein sources on the recovery of muscle function after limb immobilization in old rats.

Design: Longitudinal animal study.

Setting: Institut National de la Recherche Agronomique (INRA). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12603-016-0855-2DOI Listing

Clinical nutrition and physical rehabilitation in a long-term care setting: preliminary observations in sarcopenic older patients.

Aging Clin Exp Res 2018 Aug 23;30(8):951-958. Epub 2017 Nov 23.

Fondazione Angelo Poretti e Angelo Magnani ONLUS, Via Poretti 4, 21040 Vedano Olona, Varese, Italy.

Background: Sarcopenia could have a negative prognostic impact in long-term care residents, which are characterized by multiple comorbidities and a high level of dependence. However, there is limited evidence on its prevalence and management in this healthcare setting.

Methods: All residents living in a long-term care institution were screened for the presence of sarcopenia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s40520-017-0859-8DOI Listing
August 2018
5 Reads

Pressure injuries in elderly with acute myocardial infarction.

Clin Interv Aging 2017 19;12:1495-1501. Epub 2017 Sep 19.

Division of Geriatrics, Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.

Objectives: To assess pressure injury (PI) incidence among patients hospitalized for acute myocardial infarction (AMI) in an intensive coronary care unit (ICCU) and to detect the impact of specific risk factors on the development of PI in this clinical setting.

Patients And Methods: Prospective cohort study in ICCU setting. Patients admitted for AMI: patients mean age 67. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2147/CIA.S135676DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5614743PMC
April 2018
6 Reads

Recruitment, adherence, and retention of endometrial cancer survivors in a behavioural lifestyle programme: the Diet and Exercise in Uterine Cancer Survivors (DEUS) parallel randomised pilot trial.

BMJ Open 2017 Oct 8;7(10):e018015. Epub 2017 Oct 8.

Department of Women's Cancer, EGA Institute for Women's Health, University College London, London, UK.

Objective: Healthy eating and physical activity may help endometrial cancer survivors (ECS) improve their quality of life. However, most ECS do not meet the relevant guidelines. This pilot trial aimed to test the study feasibility procedures for a definitive trial of a behavioural lifestyle programme. Read More

View Article

Download full-text PDF

Source
http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2017-01801
Publisher Site
http://dx.doi.org/10.1136/bmjopen-2017-018015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5640120PMC
October 2017
6 Reads

Household income is associated with food and nutrient intake in Japanese schoolchildren, especially on days without school lunch.

Public Health Nutr 2017 Nov 30;20(16):2946-2958. Epub 2017 Aug 30.

7Graduate School of Humanities,Tokyo Metropolitan University,Tokyo,Japan.

Objective: The present study aimed to examine the association between household income and the intake of foods and nutrients by Japanese schoolchildren, and any differences between days with and without school lunch.

Design: This was a cross-sectional study. Children, with the support of their parents, kept dietary records with photographs for 4 d (2 d with school lunch and 2 d without). Read More

View Article

Download full-text PDF

Source
https://www.cambridge.org/core/product/identifier/S136898001
Publisher Site
http://dx.doi.org/10.1017/S1368980017001100DOI Listing
November 2017
4 Reads

A Pilot Trial of a Lifestyle Intervention for Stroke Survivors: Design of Healthy Eating and Lifestyle after Stroke (HEALS).

J Stroke Cerebrovasc Dis 2017 Dec 16;26(12):2806-2813. Epub 2017 Aug 16.

Rancho Los Amigos National Rehabilitation Center, Downey, California; Department of Neurology, University of Southern California, Los Angeles, California.

Background: Stroke survivors have high rates of subsequent cardiovascular and recurrent cerebrovascular events, and mortality. While healthy lifestyle practices - including a diet rich in fruits and vegetables, limited alcohol intake, and regular physical activity - can mitigate these outcomes, few stroke survivors adhere to them. Minorities from socioeconomically disadvantaged communities who obtain care in safety-net health systems experience the most barriers to implementing healthy lifestyle changes after stroke. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2017.06.058DOI Listing
December 2017
10 Reads

Effects of supervised structured aerobic exercise training program on fasting blood glucose level, plasma insulin level, glycemic control, and insulin resistance in type 2 diabetes mellitus.

Pak J Med Sci 2017 May-Jun;33(3):576-580

Syed Amir Gillani, Professor and Dean Faculty of Allied Health Sciences, University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan.

Objective: To determine the effects of supervised structured aerobic exercise training (SSAET) program on fasting blood glucose level (FBGL), plasma insulin level (PIL), glycemic control (GC), and insulin resistance (IR) in type 2 diabetes mellitus (T2DM).

Methods: Riphah Rehabilitation and Research Centre (RRRC) was the clinical setting for this randomized controlled trial, located at Pakistan Railways General Hospital (PRGH), Rawalpindi, Pakistan. Study duration was 18 months from January 1, 2015 to June 30, 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12669/pjms.333.12023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5510106PMC
August 2017
21 Reads

Does adherence to the Mediterranean dietary pattern reduce asthma symptoms in children? A systematic review of observational studies.

Public Health Nutr 2017 Oct 14;20(15):2722-2734. Epub 2017 Aug 14.

2School of Psychology and Public Health,Department of Public Health,La Trobe University,Melbourne,Australia.

Objective: The purpose of the present systematic review was to synthesize evidence from the literature to assess efficacy of the Mediterranean dietary pattern in childhood asthma. Design/Setting A systematic search of six databases, three clinical trial registries and hand-search of peer-reviewed articles was conducted up to 29 October 2016. Inclusion criteria included exposure to a Mediterranean dietary pattern, measurement of asthma symptoms and study population of children aged <18 years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1017/S1368980017001823DOI Listing
October 2017
19 Reads

COPD patients' self-reported adherence, psychosocial factors and mild cognitive impairment in pulmonary rehabilitation.

Int J Chron Obstruct Pulmon Dis 2017 18;12:2059-2067. Epub 2017 Jul 18.

Psychology Unit.

In addition to clinical comorbidities, psychological and neuropsychological problems are frequent in COPD and may affect pulmonary rehabilitation delivery and outcome. The aims of the study were to describe a COPD population in a rehabilitative setting as regards the patients depressive symptoms, anxiety, mild cognitive impairment (MCI) and self-reported adherence and to analyze their relationships; to compare the COPD sample MCI scores with normative data; and to investigate which factors might predict adherence to prescribed physical exercise. This was a multicenter observational cross-sectional study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2147/COPD.S133586DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5529298PMC
April 2018
20 Reads

The intervention process in the European Fans in Training (EuroFIT) trial: a mixed method protocol for evaluation.

Trials 2017 07 27;18(1):356. Epub 2017 Jul 27.

Institute of Health and Wellbeing, College of Social Sciences, 27 Bute Gardens, University of Glasgow, Glasgow, G12 8RS, UK.

Background: EuroFIT is a gender-sensitised, health and lifestyle program targeting physical activity, sedentary time and dietary behaviours in men. The delivery of the program in football clubs, led by the clubs' community coaches, is designed to both attract and engage men in lifestyle change through an interest in football or loyalty to the club they support. The EuroFIT program will be evaluated in a multicentre pragmatic randomised controlled trial (RCT), for which ~1000 overweight men, aged 30-65 years, will be recruited in 15 top professional football clubs in the Netherlands, Norway, Portugal and the UK. Read More

View Article

Download full-text PDF

Source
http://trialsjournal.biomedcentral.com/articles/10.1186/s130
Publisher Site
http://dx.doi.org/10.1186/s13063-017-2095-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5531072PMC
July 2017
9 Reads

Barriers and facilitators to healthy eating and disease self-management among older adults residing in subsidized housing.

Nutr Health 2017 Sep 27;23(3):167-175. Epub 2017 Jul 27.

1 Department of Nutrition Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, USA.

Background: As adults transition into older ages, meeting age-specific dietary recommendations can become increasingly challenging, especially for low-income seniors who reside in publicly subsidized rental housing.

Aim: The primary objectives of this study were to: 1) identify barriers and facilitators to healthy eating and self-management of nutrition-related chronic illnesses experienced by low-income seniors residing in a subsidized housing setting; and 2) assess the interest in community nutrition programming among low-income seniors residing in a subsidized housing setting.

Method: A qualitative study design, using food focus groups and food pantry observations, was used. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0260106017722724DOI Listing
September 2017
2 Reads

Effect of insulin therapy and dietary adjustments on safety and performance during simulated soccer tests in people with type 1 diabetes: study protocol for a randomized controlled trial.

Trials 2017 07 20;18(1):338. Epub 2017 Jul 20.

Department of Pharmacology and Clinic Toxicology, University of Costa Rica - Division of Endocrinology, Hospital San Juan de Dios, San José, Costa Rica.

Background: Despite the reduction in glycemic derangement in patients with type 1 diabetes mellitus (T1D) through dietary and therapeutic adjustments implemented before, during and after continuous exercise, evidence for its effectiveness with intermittent forms of exercise, such as soccer, is still lacking.

Methods/design: We designed a study protocol for a randomized, crossover, double-blinded, controlled trial, for the evaluation of the effect that a strategy of dietary and therapeutic modifications may have on safety and performance of persons with T1D in soccer training sessions and cognitive testing. Inclusion criteria comprise: age older than 18 years, more than 2 years since T1D diagnosis, low C-peptide level, a stable insulin regimen, HbA1c less than 9. Read More

View Article

Download full-text PDF

Source
http://trialsjournal.biomedcentral.com/articles/10.1186/s130
Publisher Site
http://dx.doi.org/10.1186/s13063-017-2078-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5520333PMC
July 2017
1 Read

Effect on Body Weight, Quality of Life and Appetite Following Individualized, Nutritional Counselling to Home-Living Elderly after Rehabilitation - An Open Randomized Trial.

J Nutr Health Aging 2017 ;21(7):811-818

PO Iversen, Department of Nutrition, P.O. Box 1046 Blindern, 0317 Oslo, Norway. Phone: + 47 22 85 13 91; fax: + 47 22 85 13 41; e-mail:

Objectives: We examined if individually-adapted nutritional counselling could prevent > 5% weight loss among elderly patients 3 months after discharge from a rehabilitation institution. In addition we assessed quality of life (QoL) and appetite.

Design: An open, randomized trial. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s12603-016-0825-8
Publisher Site
http://dx.doi.org/10.1007/s12603-016-0825-8DOI Listing
January 2018
4 Reads

Use of Medical Orders for Scope of Treatment for Heart Failure Patients During Postacute Care in Skilled Nursing Facilities.

J Am Med Dir Assoc 2017 Oct 6;18(10):885-890. Epub 2017 Jul 6.

Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, CO; Veterans Affairs Eastern Colorado Geriatric Research Education and Clinical Center, Denver, CO.

Background: Individuals with heart failure (HF) who are hospitalized and admitted to skilled nursing facilities (SNFs) are at high risk for rehospitalization and death. The care preferences of this high-risk population have not been studied.

Objectives: To describe care preferences of patients with HF admitted to SNFs for rehabilitation based on Medical Orders for Scope of Treatment (MOST) documentation, and evaluate goal-concordant care based on MOST documentation, emergency department (ED) visits, and hospitalization. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jamda.2017.05.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5730449PMC
October 2017
3 Reads

Centre-level variation in treatment and outcomes and predictors of outcomes in 5-year-old children with non-syndromic unilateral cleft lip treated within a centralized service: the Cleft Care UK study. Part 6: summary and implications.

Orthod Craniofac Res 2017 Jun;20 Suppl 2:48-51

Bristol Dental School, University of Bristol, Bristol, UK.

Objectives: To summarize and discuss centre-level variation across a range of treatment and outcome measures and examine individual and ecological determinants of outcome in children in Cleft Care UK (CCUK).

Setting And Sample Population: Two hundred and sixty-eight 5-year-old British children with non-syndromic unilateral cleft lip and palate (UCLP) recruited to CCUK and treated within a centralized service.

Materials And Methods: Children had a range of treatment and outcome measures collected at a 5-year audit clinic. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/ocr.12188DOI Listing
June 2017
5 Reads

Centre-level variation in outcomes and treatment for otitis media with effusion and hearing loss and the association of hearing loss with developmental outcomes at ages 5 and 7 years in children with non-syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 2.

Orthod Craniofac Res 2017 Jun;20 Suppl 2:8-18

National Institute for Health Research (NIHR) Biomedical Research Unit in Nutrition, Diet and Lifestyle at the University Hospitals Bristol NHS Foundation Trust and the University of Bristol, Bristol, UK.

Objectives: To explore centre-level variation in otitis media with effusion (OME), hearing loss and treatments in children in Cleft Care UK (CCUK) and to examine the association between OME, hearing loss and developmental outcomes at 5 and 7 years.

Setting And Sample Population: Two hundred and sixty-eight 5-year-old British children with non-syndromic unilateral cleft lip and palate (UCLP) recruited to CCUK.

Materials And Methods: Children had air and bone conduction audiometry at age 5. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/ocr.12184DOI Listing
June 2017
47 Reads

Centre-level variation in speech outcome and interventions, and factors associated with poor speech outcomes in 5-year-old children with non-syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 4.

Orthod Craniofac Res 2017 Jun;20 Suppl 2:27-39

Bristol Dental School, University of Bristol, Bristol, UK.

Objectives: To investigate centre-level variation in speech intervention and outcome and factors associated with a speech disorder in children in Cleft Care UK (CCUK).

Setting And Sample Population: Two hundred and sixty-eight 5-year-old British children with non-syndromic unilateral cleft lip and palate recruited to CCUK.

Materials And Methods: Centre-based therapists undertook audio-video recordings. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/ocr.12186
Publisher Site
http://dx.doi.org/10.1111/ocr.12186DOI Listing
June 2017
5 Reads

Integrative Medicine for the Treatment of Persistent Pain.

Prim Care 2017 Jun;44(2):247-264

Department of Physical Medicine and Rehabilitation, Osher Center for Integrative Medicine at Vanderbilt, Vanderbilt University Medical Center, 3401 West End Avenue, Suite 380, Nashville, TN 37203, USA.

Integrative health modalities can provide useful tools in the management of persistent pain in the primary care setting. These modalities, such as acupuncture, mind-body medicine, diet and herbs, and movement strategies can be safely used and may provide patients with hope and empowerment. It is highly recommended that the patient work alongside trained professionals for a given modality and/or an interprofessional team. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.pop.2017.02.008DOI Listing
June 2017
36 Reads

Study protocol evaluating the use of bowel stimulation before loop ileostomy closure to reduce postoperative ileus: a multicenter randomized controlled trial.

Colorectal Dis 2017 Nov;19(11):1024-1029

Division of Colon and Rectal Surgery, Sir Mortimer B. Davis Jewish General Hospital, Montreal, Québec, Canada.

Aim: Postoperative ileus is the most commonly observed morbidity following ileostomy closure. Studies have demonstrated that the defunctionalized bowel of a loop ileostomy undergoes a series of functional and structural changes, such as atrophy of the intestinal villi and muscular layers, which may contribute to ileus. A single-centre study in Spain demonstrated that preoperative bowel stimulation via the distal limb of the loop ileostomy decreased postoperative ileus, length of stay and time to gastrointestinal function. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/codi.13720DOI Listing
November 2017
29 Reads

Effect of a Community Health Worker Intervention Among Latinos With Poorly Controlled Type 2 Diabetes: The Miami Healthy Heart Initiative Randomized Clinical Trial.

JAMA Intern Med 2017 07;177(7):948-954

Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida2Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida.

Importance: Community health worker (CHW) intervention is a promising approach to address type 2 diabetes among Latinos. However, evidence from randomized clinical studies is limited.

Objective: To compare a CHW intervention with enhanced usual care. Read More

View Article

Download full-text PDF

Source
http://archinte.jamanetwork.com/article.aspx?doi=10.1001/jam
Publisher Site
http://dx.doi.org/10.1001/jamainternmed.2017.0926DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818804PMC
July 2017
4 Reads

Multidimensional improvements induced by an intensive obesity inpatients rehabilitation programme.

Eat Weight Disord 2017 Jun 28;22(2):329-338. Epub 2017 Apr 28.

Department of Medicine, University of Padova, Clinica Medica 3, Azienda Ospedaliera di Padova, Via Giustiniani 2, 35128, Padua, Italy.

Purpose: To analyse the short-term effectiveness of an intensive multidimensional inpatient programme specifically developed for patients with severe obesity.

Methods: A multidisciplinary team managed a 3-week residential programme characterised by the integration of nutritional and physical rehabilitation with psychological and educational intervention. All patients consecutively admitted in 10 months were analysed at admission and discharge for changes in the following domains: anthropometry (weight, body mass index (BMI), waist and neck circumferences), cardiovascular risk factors (glycaemia, HbA1c, lipid profile, blood pressure), quality of life, eating behaviour, and physical performance (VO by incremental cycle ergometer test, 6-min walking test (6MWT), chair stands test). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s40519-017-0393-xDOI Listing
June 2017
8 Reads

Progesterone Receptors and Proliferation of the Endometrium in Obese Women With Polycystic Ovary Syndrome-A Lifestyle Intervention Study.

J Clin Endocrinol Metab 2017 04;102(4):1244-1253

Division of Obstetrics and Gynecology, and.

Context: Polycystic ovary syndrome (PCOS) is associated with increased risk of endometrial cancer. This is usually explained by chronic anovulation and deficient progesterone activity. However, the role of progesterone receptors (PRs) in endometrial proliferation is unclear. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1210/jc.2016-3155DOI Listing
April 2017
4 Reads

Dietary and Physical Activity Counseling Trends in U.S. Children, 2002-2011.

Am J Prev Med 2017 Jul 29;53(1):9-16. Epub 2017 Mar 29.

Department of Medicine, Medical University of South Carolina, Charleston, South Carolina.

Introduction: In 2007 and 2010, Expert Committee and U.S. Preventive Services Task Force guidelines were released, respectively, urging U. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amepre.2017.01.039DOI Listing
July 2017
5 Reads

Diabetes Self-Management Education and Medical Nutrition Therapy Improve Patient Outcomes: A Pilot Study Documenting the Efficacy of Registered Dietitian Nutritionist Interventions through Retrospective Chart Review.

J Acad Nutr Diet 2017 Aug 17;117(8):1254-1264. Epub 2017 Mar 17.

Background: Diabetes self-management education (DSME) and medical nutrition therapy (MNT) improve patient outcomes; poor reimbursement limits access to care.

Objective: Our aim was to develop methodology for tracking patient outcomes subsequent to registered dietitian nutritionist interventions, document outcomes for patients with type 2 diabetes attending an American Diabetes Association-recognized program, and obtain outcome data to support reimbursement and public policy initiatives to improve patient access to DSME and MNT.

Design: Retrospective chart review. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jand.2017.01.023DOI Listing
August 2017
8 Reads

Eccentric Exercise Program Design: A Periodization Model for Rehabilitation Applications.

Front Physiol 2017 23;8:112. Epub 2017 Feb 23.

Muscle Morphology, Mechanics and Performance Laboratory, Clinical Research Center-Human Performance Research Unit, Veterans Affairs Medical Center Washington, DC, USA.

The applied use of eccentric muscle actions for physical rehabilitation may utilize the framework of periodization. This approach may facilitate the safe introduction of eccentric exercise and appropriate management of the workload progression. The purpose of this data-driven Hypothesis and Theory paper is to present a periodization model for isokinetic eccentric strengthening of older adults in an outpatient rehabilitation setting. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3389/fphys.2017.00112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5322206PMC
February 2017
4 Reads

Development of a Chronic Disease Management Program for Stroke Survivors Using Intervention Mapping: The Stroke Coach.

Arch Phys Med Rehabil 2017 06 20;98(6):1195-1202. Epub 2017 Feb 20.

Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada; Rehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada. Electronic address:

Objective: To describe the systematic development of the Stroke Coach, a theory- and evidence-based intervention to improve control of lifestyle behavior risk factors in patients with stroke.

Design: Intervention development.

Setting: Community. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.apmr.2017.01.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5798976PMC
June 2017
78 Reads