Review of Preterm Human-Milk Nutrient Composition.
CONCLUSIONS: African American women, or women delivering before 28 weeks' gestation are not represented in the literature. Accurate and targeted human-milk fortification depends on comprehensive, complete, and representative human-milk nutrient data. We have aggregated all available preterm human-milk macronutrient and micronutrient data and reported trends associated with lactation stage and gestational age. This report can aid in the design of feeding plans that are appropriate for the gestational age of the preterm infant and the lactation stage of the breastmilk. PMID: 32862494 [PubMed - as supplied by publisher] ...
Source: Nutrition in Clinical Practice - August 30, 2020 Category: Nutrition Authors: Gates A, Marin T, Leo G, Stansfield BK Tags: Nutr Clin Pract Source Type: research

Growth and Clinical Outcomes of Very Low-Birth-Weight Infants Receiving Acidified vs Nonacidified Liquid Human Milk Fortifiers.
Abstract BACKGROUND: Liquid human milk fortifiers are used commonly in neonatal intensive care. Use of an acidified HMF (A-HMF) is associated with transient metabolic acidosis, but whether growth outcomes differ between infants fed A-HMF vs nonacidified HMF (NA-HMF) remains unknown. METHODS: Retrospective cohort study of 255 infants born at
Source: Nutrition in Clinical Practice - August 25, 2020 Category: Nutrition Authors: Cordova EG, Soldateli B, Rosner B, Drouin K, Davitt E, Pepin HL, Ellard DM, Yu A, Bell K, Belfort MB Tags: Nutr Clin Pract Source Type: research

Management of Eosinophilic Esophagitis: Dietary and Nondietary Approaches.
Abstract Eosinophilic esophagitis (EoE) is an allergen-driven chronic inflammatory condition, characterized by symptoms related to esophageal dysfunction and confirmed histologically by esophageal mucosal eosinophilia. Since its first description in the 1990s, the incidence and prevalence of EoE have been on the rise. It is known to affect all ages of various ethnic backgrounds and both sexes; however, it is most seen in White males. Children with EoE often present with abdominal pain, nausea, vomiting, and failure to thrive, whereas adults with EoE typically present with dysphagia and food impaction. Diagnosis of...
Source: Nutrition in Clinical Practice - August 21, 2020 Category: Nutrition Authors: Chen JW Tags: Nutr Clin Pract Source Type: research

Structured Review of the Value Added by the Registered Dietitian to the Care of Gastrointestinal Cancer Patients.
CONCLUSIONS: We conclude that the dietitian, especially when providing nutrition counseling, improves the nutrition-related outcomes of patients with GI malignancies. The small number of existent studies highlights the need for further research to define the impact of dietitian interventions and to determine which particular interventions best improve patient outcomes. PMID: 32822097 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - August 21, 2020 Category: Nutrition Authors: Kenny E, Touger-Decker R, August DA Tags: Nutr Clin Pract Source Type: research

Enteral Nutrition in Pediatric Short-Bowel Syndrome.
Abstract Pediatric intestinal failure (IF) is the critical reduction of intestinal mass or function below the amount necessary for normal growth in children. Short-bowel syndrome (SBS) is the most common cause of IF in infants and children and is caused by intestinal resection. Enteral autonomy and freedom from parenteral nutrition is the mainstay of nutrition management in SBS. The goal is to achieve intestinal adaptation while maintaining proper growth and development. Treatment is variable, and there remains a paucity of evidence to draw well-informed conclusions for the care of individuals in this complex popu...
Source: Nutrition in Clinical Practice - August 19, 2020 Category: Nutrition Authors: Channabasappa N, Girouard S, Nguyen V, Piper H Tags: Nutr Clin Pract Source Type: research

Postural Tachycardia Syndrome: Nutrition Implications.
Abstract Postural tachycardia syndrome (POTS) is a syndrome characterized by elevated heart rate without hypotension and most commonly occurs in young females (generally
Source: Nutrition in Clinical Practice - August 18, 2020 Category: Nutrition Authors: Ganesh R, Bonnes SLR, DiBaise JK Tags: Nutr Clin Pract Source Type: research

Systematic Review of Energy Initiation Rates and Refeeding Syndrome Outcomes.
Abstract The limited, low-level evidence available on refeeding syndrome (RFS) is likely a result of there being no universally accepted definition of RFS. Cautious feeding is typically recommended to prevent RFS-related adverse outcomes; however, these recommendations are outdated. This systematic review aimed to summarize the RFS literature, describe feeding methods used, and determine whether higher or lower energy rates at commencement of feeding were associated with RFS or RFS-related adverse outcomes. Databases were searched for interventional and observational studies examining feeding and RFS-related adver...
Source: Nutrition in Clinical Practice - August 14, 2020 Category: Nutrition Authors: Matthews-Rensch K, Capra S, Palmer M Tags: Nutr Clin Pract Source Type: research

Management of Irritable Bowel Syndrome: Physician-Dietitian Collaboration.
Abstract Irritable bowel syndrome (IBS) affects 10%-15% of adults in the United States and 12% of the worldwide population. Gastroenterologists as well as primary care practitioners are likely to be the first resource for patients with gastrointestinal (GI) symptoms. IBS is difficult to diagnose, as it is a functional GI disorder, determined after ruling out a myriad of other diagnoses. The 2016 Rome IV criteria define IBS as "a functional bowel disorder in which recurrent abdominal pain is associated with defecation or a change in bowel habits. Disordered bowel habits are typically present (ie, constipation,...
Source: Nutrition in Clinical Practice - August 12, 2020 Category: Nutrition Authors: Ireton-Jones C, Weisberg MF Tags: Nutr Clin Pract Source Type: research

Modern Challenges to Gastrointestinal Nutrition Physicians and the Nutrition Support Team: Cautionary Tales and Call to Action.
This article discusses the challenges to modern nutrition support teams, particularly those with gastroenterologists as physician leaders, and delineates market forces that need shifting to continue to make this a viable part of the healthcare system. PMID: 32786094 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - August 12, 2020 Category: Nutrition Authors: Palmer LB, Limketkai BN Tags: Nutr Clin Pract Source Type: research

Relevant Nutrition Therapy in COVID-19 and the Constraints On Its Delivery by a Unique Disease Process.
This article offers relevant and practical recommendations on how to optimize nutrition therapy in critically ill patients with COVID-19. PMID: 32786117 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - August 12, 2020 Category: Nutrition Authors: Patel JJ, Martindale RG, McClave SA Tags: Nutr Clin Pract Source Type: research

Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) in the Electronic Health Record: A Validation Study.
CONCLUSION: The EHR-STAMP is a highly reliable tool in the screening of nutrition risk for pediatric hospitalized patients. The tool is easy to use, EHR compatible, and incorporates the current indicators recommended for assessing pediatric malnutrition. PMID: 32767391 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - August 6, 2020 Category: Nutrition Authors: Reed M, Mullaney K, Ruhmann C, March P, Conte VH, Noyes L, Bleazard M Tags: Nutr Clin Pract Source Type: research

Refeeding Syndrome in Patients Receiving Parenteral Nutrition Is Not Associated to Mortality or Length of Hospital Stay: A Retrospective Observational Study.
CONCLUSION: RS was identified in 25% of patients receiving PN, but it was not associated to mortality and LHS, even when energy delivery was considered in combination to RS. PMID: 32744370 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - August 3, 2020 Category: Nutrition Authors: Meira APC, Santos COD, Lucho CLC, Kasmirscki C, Silva FM Tags: Nutr Clin Pract Source Type: research

Editor's Note.
PMID: 32643843 [PubMed - in process] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - July 10, 2020 Category: Nutrition Authors: Hasse JM Tags: Nutr Clin Pract Source Type: research

Safety and Tolerance of Enteral Nutrition in the Medical and Surgical Intensive Care Unit Patient Receiving Vasopressors.
Abstract BACKGROUND: Multiple societal guidelines recommend enteral nutrition (EN) be initiated within 24 to 48 hours of admission to the intensive care unit (ICU) once a patient is hemodynamically stable. Gastrointestinal intolerance and occurrence of bowel ischemia have been a concern for patients receiving vasopressors while concurrently receiving luminal nutrients. The study objective was to determine whether patients receiving vasopressors while concomitantly receiving enteral nutrients had more incidences of bowel ischemia and intolerance than those receiving EN without vasopressor agents. METHODS: This...
Source: Nutrition in Clinical Practice - July 9, 2020 Category: Nutrition Authors: Sabino KM, Fuller J, May S, Wakefield D Tags: Nutr Clin Pract Source Type: research

Nutrition Interventions Associated With Favorable Growth in Infants With Congenital Diaphragmatic Hernia.
Abstract Nutrition complications are common in survivors of congenital diaphragmatic hernia (CDH). Infants diagnosed with CDH may demonstrate poor growth despite receiving enteral tube feedings and gastroesophageal reflux treatment. This literature review was conducted to determine nutrition interventions resulting in favorable growth, which may improve outcomes in these infants. Results indicate that early nutrition support, including supplemental parenteral nutrition with provisions of ≥125 kcal/kg/d and ≥2.3 g/kg/d protein (which are higher than dietary reference intakes for infants), may have a positive ...
Source: Nutrition in Clinical Practice - July 4, 2020 Category: Nutrition Authors: Bathgate JR, Rigassio Radler D, Zelig R, Lagoski M, Murthy K Tags: Nutr Clin Pract Source Type: research

Clinical Outcomes in Critically Ill Children With Excess Weight: A Retrospective Cohort Study.
CONCLUSION: Nutrition status was not independently associated with poor outcomes. However, overweight should be considered a potential risk factor for adverse clinical outcomes in PICU admissions. PMID: 32618388 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - July 3, 2020 Category: Nutrition Authors: Costa CAD, Mattiello R, Forte GC, Andrades GRH, Crestani F, Dalenogare IP, Einloft PR, Bruno F, Tonial CT, Garcia PCR Tags: Nutr Clin Pract Source Type: research

Differential Effects of Early Energy and Protein Inadequacies on the Outcome of Critically Ill Patients.
Abstract BACKGROUND: Differential effects of energy and protein inadequacies of intensive care unit (ICU) patients in first 72 hours are unknown. METHODS: We included all adult patients receiving mechanical ventilation (MV)> 72 hours between August 2012 and December 2014. Energy and protein doses were 25 kcal/kg/day and 1.5 g/kg/day, respectively. We used multivariable Cox regression analysis for 28-day mortality and competing risks regression analysis for post-ICU length of stay (LOS) in hospital survivors. RESULTS: In 421 patients (male 63.4%, mean age 62 ± 15.1 years) the energy and protein ...
Source: Nutrition in Clinical Practice - July 3, 2020 Category: Nutrition Authors: Mukhopadhyay A, Tan ZY, Cheong SHL, Remani D, Tai BC Tags: Nutr Clin Pract Source Type: research

Protein Requirements during Hypocaloric Nutrition for the Older Patient With Critical Illness and Obesity: An Approach to Clinical Practice.
Abstract Current guidelines recommend a hypocaloric, high protein nutrition regimen for patients with obesity and critical illness. The impact of advancing age presents with unique challenges in which a greater protein intake is required to overcome the anabolic resistance associated with aging in the face of presumed decreased renal function. The primary objective of this review is to provide an overview of the impact of obesity and advancing age on protein requirements for patients with critical illness and review the scientific evidence supporting the rationale for hypocaloric, high protein nutrition for this s...
Source: Nutrition in Clinical Practice - June 26, 2020 Category: Nutrition Authors: Dickerson RN Tags: Nutr Clin Pract Source Type: research

Improvement in Protein Delivery for Critically Ill Patients Requiring High-Dose Propofol Therapy and Enteral Nutrition.
Abstract BACKGROUND: Patients with traumatic brain (TBI) injury often require a high dosage of propofol, which can provide an excessive caloric intake. We evaluated our strategy of using liquid protein supplement boluses concurrently with high protein-containing enteral nutrition (EN) formulas and formula rate reduction to avoid caloric overfeeding and inadequate protein intake. METHODS: Adult patients (aged>17 years) with TBI admitted to the trauma intensive care unit (TICU) who received concurrent propofol and EN were retrospectively reviewed. Caloric intakes from propofol and EN were obtained. Actual pr...
Source: Nutrition in Clinical Practice - June 26, 2020 Category: Nutrition Authors: Buckley CT, Van Matre ET, Fischer PE, Minard G, Dickerson RN Tags: Nutr Clin Pract Source Type: research

Response to Reference Cutoff Values for Muscle Strength in Different Nations.
PMID: 32578895 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - June 24, 2020 Category: Nutrition Authors: Davenport A Tags: Nutr Clin Pract Source Type: research

Outcomes Associated With Early vs Late Initiation of Exclusive Enteral Feeding Regimens Following Laparoscopic Gastrostomy Tube Placement in the Pediatric Patient.
Abstract OBJECTIVES: Despite frequent placement of pediatric laparoscopic gastrostomy tubes (GTs), no rigorous evaluation of initial feeding and advancement regimens exists. Therefore, the aim of this study was to determine whether early enteral feeding after GT placement is associated with increased symptoms, procedural complications, or length of stay (LOS). METHODS: In this retrospective cohort study, the records of all patients at a tertiary care pediatric hospital who had gastrostomy placement were reviewed. Only patients fed exclusively via gastrostomy were included. Feeding was monitored starting with ...
Source: Nutrition in Clinical Practice - June 24, 2020 Category: Nutrition Authors: Jones CW, Smith JR, Paton EA, Harrell CR, Huang EY, Corkins MR Tags: Nutr Clin Pract Source Type: research

Muscle Mass Loss in the Older Critically Ill Population: Potential Therapeutic Strategies.
Abstract Skeletal muscle plays a critical role in everyday life, and its age-associated reduction has severe health consequences. The pre-existing presence of sarcopenia, combined with anabolic resistance, protein undernutrition, and the pro-catabolic/anti-anabolic milieu induced by aging and exacerbated in critical care, may accelerate the rate at which skeletal muscle is lost in patients with critical illness. Advancements in intensive care unit (ICU)-care provision have drastically improved survival rates; therefore, attention can be redirected toward other significant issues affecting ICU patients (e.g., lengt...
Source: Nutrition in Clinical Practice - June 24, 2020 Category: Nutrition Authors: McKendry J, Thomas ACQ, Phillips SM Tags: Nutr Clin Pract Source Type: research

Reference Cutoff Values for Muscle Strength in Different Nations.
PMID: 32578903 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - June 24, 2020 Category: Nutrition Authors: Bahat G, Tufan A Tags: Nutr Clin Pract Source Type: research

During Hospitalization, Older Patients at Risk for Malnutrition Consume < 0.65 Grams of Protein per Kilogram Body Weight per Day.
During Hospitalization, Older Patients at Risk for Malnutrition Consume
Source: Nutrition in Clinical Practice - June 24, 2020 Category: Nutrition Authors: Weijzen MEG, Kouw IWK, Geerlings P, Verdijk LB, van Loon LJC Tags: Nutr Clin Pract Source Type: research

Metabolic Complications Occur More Frequently in Older Patients Receiving Parenteral Nutrition.
Abstract BACKGROUND: The European Society for Clinical Nutrition and Metabolism Guidelines for Parenteral Nutrition in Geriatric Patients state metabolic complications are more frequent in elderly patients. However, literature provides limited information about metabolic complications in older patients receiving parenteral nutrition (PN). Consequently, the purpose of this study was to compare the development of metabolic complications in older vs younger patients receiving PN. METHODS: Patients receiving PN from May 1, 2014, to February 7, 2017, at Cooper University Hospital were included. Metabolic complicat...
Source: Nutrition in Clinical Practice - June 24, 2020 Category: Nutrition Authors: Solomon DM, Hollands JM, Pontiggia L, Delic JJ, Bingham AL Tags: Nutr Clin Pract Source Type: research

Ethical Framework for Nutrition Support Resource Allocation During Shortages: Lessons From COVID-19.
Abstract The coronavirus disease (COVID-19) pandemic has impacted all aspects of our population. The "Troubling Trichotomy" of what can be done technologically, what should be done ethically, and what must be done legally is a reality during these unusual circumstances. Recent ethical considerations regarding allocation of scarce resources, such as mechanical ventilators, have been proposed. These can apply to other disciplines such as nutrition support, although decisions regarding nutrition support have a diminished potential for devastating outcomes. The principal values and goals leading to an ethica...
Source: Nutrition in Clinical Practice - June 3, 2020 Category: Nutrition Authors: Barrocas A, Schwartz DB, Hasse JM, Seres DS, Mueller CM Tags: Nutr Clin Pract Source Type: research

Editor's Note.
Authors: PMID: 32383799 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - May 11, 2020 Category: Nutrition Tags: Nutr Clin Pract Source Type: research

Erratum: Joshua S. V. da Silva. ASPEN Consensus Recommendations for Refeeding Syndrome. Nutr Clin Pract. 2020;35(2):178-195.
Authors: PMID: 32383800 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - May 11, 2020 Category: Nutrition Tags: Nutr Clin Pract Source Type: research

Proportionate Postnatal Growth in Preterm Neonates on Expressed Breast Milk Feeding With Selected Fortification.
CONCLUSION: Postnatal growth of preterm neonates during NICU admission on exclusive EBM feeding with selected fortification resulted in a proportionate increase in weight, length, and head circumference. PMID: 32383218 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - May 7, 2020 Category: Nutrition Authors: Tewari VV, Kumar A, Singhal A, Prakash A, Pillai N, Varghese J Tags: Nutr Clin Pract Source Type: research

Blenderized Tube Feeding: Health Outcomes and Review of Homemade and Commercially Prepared Products.
Abstract The popularity of homemade blenderized tube feeding (HBTF) continues to increase among enteral nutrition (EN) consumers and healthcare providers alike, citing improved feeding tolerance over standard commercial enteral formulas, among other health outcomes. Within the past 5-10 years, there has been a surge in the development of commercial blenderized tube feeding (CBTF) products. CBTF products promote similar benefits from whole foods like those used in HBTF while being a nutritionally-consistent, easy to use, and shelf-stable option for EN consumers. Research is improving but is still limited for HBTF a...
Source: Nutrition in Clinical Practice - May 2, 2020 Category: Nutrition Authors: Bennett K, Hjelmgren B, Piazza J Tags: Nutr Clin Pract Source Type: research

Understanding Equipoise.
PMID: 32347586 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - April 29, 2020 Category: Nutrition Authors: Hoffer LJ Tags: Nutr Clin Pract Source Type: research

Predictors of Weight Loss in Patients With Head and Neck Cancer Receiving Radiation or Concurrent Chemoradiation Treated at a Tertiary Cancer Center.
CONCLUSION: Analysis by logistic regression determined there is significant weight loss (>10%) in patients receiving radical RT as compared with adjuvant RT. Better outcomes were observed in patients receiving RT by IMRT-IGRT technique as compared with 3DCRT technique. PMID: 32329543 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - April 24, 2020 Category: Nutrition Authors: Pandit P, Patil R, Palwe V, Yasam VR, Nagarkar R Tags: Nutr Clin Pract Source Type: research

Early-Life Gut Microbiome-The Importance of Maternal and Infant Factors in Its Establishment.
Abstract The early-life microbiome is gaining appreciation as a major influencer in human development and long-term health. Multiple factors are known to influence the initial colonization, development, and function of the neonatal gut microbiome. In addition, alterations in early-life gut microbial composition is associated with several chronic health conditions such as obesity, asthma, and allergies. In this review, we focus on both maternal and infant factors known to influence early-life gut colonization. Also reviewed is the important role of infant feeding, including evidence-based strategies for maternal an...
Source: Nutrition in Clinical Practice - April 24, 2020 Category: Nutrition Authors: Kapourchali FR, Cresci GAM Tags: Nutr Clin Pract Source Type: research

Role of Microbiome and Antibiotics in Autoimmune Diseases.
Abstract The global rise in the incidence of autoimmune diseases has paralleled the widespread use of antibiotics. Recently, the gut microbiome has been shown to be key in the development and maturation of a normal immune system, and a range of microbial disturbances have been associated with the development and activity of several autoimmune diseases. Here, we aim to provide an overview of the mechanistic crosstalk between the human microbiome, the immune system, and antibiotics. The disease-associated microbial gut dysbiosis, the potential role of antibiotics in the development and treatment of autoimmune diseas...
Source: Nutrition in Clinical Practice - April 22, 2020 Category: Nutrition Authors: Vangoitsenhoven R, Cresci GAM Tags: Nutr Clin Pract Source Type: research

Clinical Outcomes Associated With Commercial and Homemade Blenderized Tube Feedings: A Literature Review.
This article presents a review of the literature published in the past 10 years that explored the impact of BTF on nutrition status (ie, weight status, body mass index, and upper-arm circumference) and nutrition adequacy in adults. The results indicate that BTF, compared with commercial enteral formula (CEF), may be inadequate in calories, macronutrients, and some micronutrients, given variability in BTF formula composition. As a result, BTF may result in significantly more weight loss than CEF. Thus, BTF may not be appropriate for adult patients who are malnourished or are at risk for malnutrition due to the potential wor...
Source: Nutrition in Clinical Practice - April 22, 2020 Category: Nutrition Authors: Brown T, Zelig R, Radler DR Tags: Nutr Clin Pract Source Type: research

Sarcopenia as a Predictor of Survival Among Patients With Organ Metastatic Cervical Cancer.
This study was conducted to investigate the prognostic significance of sarcopenia in patients with organ metastatic cervical cancer. METHODS: Accordingly, the data of 40 patients with organ metastatic cervical cancer treated at our institute from December 2004 to December 2017 were retrospectively analyzed. The correlation between clinicopathological characteristics and survival was then evaluated using univariate and multivariate analyses. Psoas muscle index (PMI), calculated from the psoas muscle area at the L3 vertebral-body level using computed tomography images obtained for pretreatment evaluation, was adopted as...
Source: Nutrition in Clinical Practice - April 6, 2020 Category: Nutrition Authors: Yoshikawa N, Shirakawa A, Yoshida K, Tamauchi S, Suzuki S, Kikkawa F, Kajiyama H Tags: Nutr Clin Pract Source Type: research

Editor's Note.
PMID: 32141146 [PubMed - in process] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - March 8, 2020 Category: Nutrition Authors: Hasse JM Tags: Nutr Clin Pract Source Type: research

Corrigendum: Zamberlan P, Feferbaum R, Filho UD, de Carvalho WB, Delgado AF. Bioelectrical impedance phase angle and morbidity and mortality in critically ill children. Nutr Clin Pract. 2019;34(1):163-171.
Authors: PMID: 32141147 [PubMed - in process] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - March 8, 2020 Category: Nutrition Tags: Nutr Clin Pract Source Type: research

Nutrition Status and Health-Related Quality of Life Among Outpatients With Advanced Head and Neck Cancer.
Abstract This pilot study evaluated nutrition status and health-related quality of life (HRQOL) outcomes among outpatients with head and neck cancer (HNC). Data were collected from 19 patients (18 males, 1 female) during 3 time points: once before chemoradiotherapy (CRT) initiation and 1 and 3 months after CRT. Nutrition status was evaluated using the Scored Patient-Generated Subjective Global Assessment (PG-SGA). Malnutrition was defined as PG-SGA stage B (moderate/suspected malnutrition) or stage C (severely malnourished). HRQOL was assessed through the European Organization for Research and Treatment of Cancer ...
Source: Nutrition in Clinical Practice - March 5, 2020 Category: Nutrition Authors: Mulasi U, Vock DM, Jager-Wittenaar H, Teigen L, Kuchnia AJ, Jha G, Fujioka N, Rudrapatna V, Patel MR, Earthman CP Tags: Nutr Clin Pract Source Type: research

Weight Gain and Growth After Fundoplication in the Pediatric Patient: A Case Report in the Pediatric Patient With Cystic Fibrosis and Literature Review.
Abstract Gastroesophageal reflux (GER) is common among infants, but when symptoms become troublesome, that is defined as gastroesophageal reflux disease (GERD). Making a diagnosis of GERD is difficult because there is no gold standard. GERD can be especially problematic for infants with cystic fibrosis (CF). There are signs and symptoms (ie, malnutrition, recurring aspiration pneumonias, refusal to eat, wheezing, coughing, and asthma) in addition to invasive and noninvasive methods used to determine a diagnosis. The treatments for GERD span from nonpharmacological to surgical, with a laparoscopic Nissen fundoplica...
Source: Nutrition in Clinical Practice - March 5, 2020 Category: Nutrition Authors: Gomes A, Lapin C, Ziegler J Tags: Nutr Clin Pract Source Type: research

Comparison of Body Mass Index, Skinfold Thickness, and Bioelectrical Impedance Analysis With Dual-Energy X-Ray Absorptiometry in Hemodialysis Patients.
Abstract BACKGROUND: Malnutrition is a consistent finding in hemodialysis (HD) patients and is associated with high mortality. The aim was to compare nutrition status indicators using dual-energy x-ray absorptiometry (DXA) as reference in HD patients. METHODS: Observational cross-sectional study with 42 patients, 55.8 years (±14.6) old, 60% male, HD 2-3 times per week for ≥3 months. HD ranged from 3 months to 28 years (median, 17.3; interquartile range, 8.73-39.0). We used body mass index (BMI) and fat mass (FM) by skinfold thickness (SFT), bioelectrical impedance analysis (BIA), and DXA. Statistica...
Source: Nutrition in Clinical Practice - March 5, 2020 Category: Nutrition Authors: de Abreu AM, Wilvert LC, Wazlawik E Tags: Nutr Clin Pract Source Type: research

Outcome Measures in Critical Care Nutrition Interventional Trials: A Systematic Review.
Abstract Historically, randomized controlled trials (RCTs) in critical care have used mortality as the primary outcome, yet most show no effect on this outcome. Therefore, there has been a shift in the literature to focus on alternative outcomes. This review aimed to describe primary outcomes selected in RCTs of nutrition interventions in critical illness. Systematic search of the literature identified RCTs of nutrition interventions in critically ill adults published between January 2007 and December 2018. Primary outcomes were documented and categorized as mortality, morbidity, health service/cost-effectiveness,...
Source: Nutrition in Clinical Practice - March 5, 2020 Category: Nutrition Authors: Chapple LS, Summers MJ, Weinel LM, Deane AM Tags: Nutr Clin Pract Source Type: research

Impact of Enteral Feeding on Vasoactive Support in Septic Shock: A Retrospective Observational Study.
CONCLUSION: The median vasopressor dose did not increase by ≥50% during the first 24 hours of EN. This suggests early EN delivered during septic shock is not associated with worsening hemodynamic instability. Limitations include a small sample size and residual confounding. Prospective data are needed. PMID: 32134146 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - March 5, 2020 Category: Nutrition Authors: Ewy M, Aqeel M, Kozeniecki M, Patel K, Banerjee A, Heyland DK, Patel JJ Tags: Nutr Clin Pract Source Type: research

Prescribed Protein Intake Does Not Meet Recommended Intake in Moderate- and Late-Preterm Infants: Contribution to Weight Gain and Head Growth.
Abstract BACKGROUND: The purpose of the study was to evaluate differences between prescribed and recommended protein intake in moderate-preterm (MP) and late-preterm (LP) infants and examine the contribution of the first week's prescribed protein intake to growth until term age. METHODS: Data on intake and anthropometrics were collected retrospectively in 235 preterm infants admitted to our general hospital's neonatal ward: 60 MP (320/7 -336/7 weeks' gestational age) and 175 LP (340/7 -366/7 weeks' gestational age). Differences between prescribed and recommended protein intake during the first postnatal week ...
Source: Nutrition in Clinical Practice - March 3, 2020 Category: Nutrition Authors: Gerritsen L, Lindeboom R, Hummel T Tags: Nutr Clin Pract Source Type: research

ASPEN Consensus Recommendations for Refeeding Syndrome.
CONCLUSIONS: These consensus recommendations are intended to provide guidance regarding recognizing risk and identifying, stratifying, avoiding and managing RS. This consensus definition is additionally intended to be used as a basis for further research into the incidence, consequences, pathophysiology, avoidance, and treatment of RS. PMID: 32115791 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - March 2, 2020 Category: Nutrition Authors: da Silva JSV, Seres DS, Sabino K, Adams SC, Berdahl GJ, Citty SW, Cober MP, Evans DC, Greaves JR, Gura KM, Michalski A, Plogsted S, Sacks GS, Tucker AM, Worthington P, Walker RN, Ayers P, Parenteral Nutrition Safety and Clinical Practice Committees, Ameri Tags: Nutr Clin Pract Source Type: research

Nutrition in Chronic Liver Disease: A Point-of-Care Review.
The objective of this review article is to recognize the severity of complications associated with malnutrition in patients with cirrhosis and ways to overcome these obstacles. PMID: 32092183 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 24, 2020 Category: Nutrition Authors: Ghufran A Tags: Nutr Clin Pract Source Type: research

Growth in the High-Risk Newborn Infant Post-Discharge: Results from a Neonatal Intensive Care Unit Nutrition Follow-up Clinic.
Abstract Growth and nutrition in preterm infants have long-term implications for neurodevelopmental and cardiometabolic outcomes. Many infants are discharged from the neonatal intensive care unit (NICU) with growth restriction, but often without a specialized team to monitor postdischarge growth. At our institution, we addressed our ongoing concerns for the health and growth of these infants post-discharge by creating a Nutrition NICU Graduate Clinic. This clinic serves infants discharged from our NICU who were born with very low birth weight, had difficulty growing or feeding while inpatient, had a gastrostomy tu...
Source: Nutrition in Clinical Practice - February 21, 2020 Category: Nutrition Authors: Zhang X, Donnelly B, Thomas J, Sams L, O'Brien K, Taylor SN, Jump CS Tags: Nutr Clin Pract Source Type: research

Hospitalizations in Patients With Nonmalignant Short-Bowel Syndrome Receiving Home Parenteral Support.
CONCLUSIONS: This retrospective study illustrated that 6.6% of the provided HPS days were, in fact, spent hospitalized. Since admissions elsewhere were not accounted for, this may be an underestimation. PMID: 32083346 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 21, 2020 Category: Nutrition Authors: Fuglsang KA, Brandt CF, Scheike T, Jeppesen PB Tags: Nutr Clin Pract Source Type: research

Use of Integrated Clinical Decision Support Tools to Manage Parenteral Nutrition Ordering: Experience From an Academic Medical Center.
Abstract Parenteral nutrition (PN) is a complex therapy with numerous opportunities for error during the prescribing, preparation, and administration processes. Advances in technology, such as computerized provider order entry (CPOE), electronic health records (EHRs), and clinical decision support (CDS) have helped decrease the risks associated with PN therapy. These technologies can be utilized to guide prescribing, provide automated safety checks, and increase overall safety and accuracy in PN ordering, compounding, and administration. In recent years, increased awareness of the risks associated with PN therapy,...
Source: Nutrition in Clinical Practice - February 21, 2020 Category: Nutrition Authors: Lashinsky JN, Suhajda JK, Pleva MR, Kraft MD Tags: Nutr Clin Pract Source Type: research

Response to Validity and Reliability of a Nutrition Screening Tool in Identifying Malnutrition Among Hospitalized Adult Patients.
PMID: 32083353 [PubMed - as supplied by publisher] (Source: Nutrition in Clinical Practice)
Source: Nutrition in Clinical Practice - February 21, 2020 Category: Nutrition Authors: Tah PC, Kee CC, Majid HA Tags: Nutr Clin Pract Source Type: research