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Caregivers must be ethically capable of responding to the nutritional needs according to the patient's will and desires even if the patient is not capable of self-determination, always looking for the best benefit to the patient and avoiding harm.
Relative fat mass (RFM) is a new method to estimate whole-body fat percentage in adults using an anthropometric linear equation. We aimed to assess the association between RFM and body fat (BF), evaluated by dual x-ray absorptiometry (DXA) or bioelectrical impedance (BIA), in young male adults.
Eighty-one young males were assessed for BF fat and free fat mass (by BIA and DXA), waist circumference. BMI and RFM were then calculated from data collected from the subjects. The agreement between BMI and RFM or BIA/DXA was assessed by Pearson's Correlation and Kappa index. Univariate and multivariate linear regression were applied.
Analyzing all the participants together, the correlation between RFM and DXA (r
=0.90) or RFM and BIA (r
=0.88) were slightly higher than the correlation between BMI and DXA (r
=0.79) or BMI and BIA (r
0.82). When analyzed by BF, low BF (LBF) individuals showed a much higher correlation with RFM (r
=0.58; r
=0.73) than BMI (r
=0.24; r
0.46). However, subjects with excess BF (EBF) presented similar correlations when comparing RFM (r
=0.80; r
=0.64) and BMI (r
=0.78; r
=0.64). In general, RFM presented a higher strength of agreement with DXA and BIA (k
=0.75; k
=0.67) than BMI (k
=0.63; k
=0.60). TLR2-IN-C29 purchase Multivariable linear regression also revealed high associations between RFM and DXA or RFM and BIA (r
=0.85; r
=0.81).
Our findings suggest that RFM shows a good correlation and association with BF measured by DXA and BIA in young male adults. Furthermore, RFM seems to be better correlated to BF in LBF individuals when compared to BMI. Therefore, further studies investigating RFM as a tool to assess BF and obesity are motivated.
Our findings suggest that RFM shows a good correlation and association with BF measured by DXA and BIA in young male adults. Furthermore, RFM seems to be better correlated to BF in LBF individuals when compared to BMI. Therefore, further studies investigating RFM as a tool to assess BF and obesity are motivated.
Malnutrition in hospitalized adults is a highly prevalent problem. During hospital admission, nutritional care and nutritional screenings are often overlooked components of the health care facilities in developing countries. Identifying patients who are at risk of malnutrition at admission are vital to ameliorate clinical outcomes. Therefore, the present study was aimed at assessing the magnitude of hospital malnutrition at the time of admission and evaluates its effect on the length of hospital stay among adult patients.
We conducted a prospective cohort study in patients ≥18 years admitted in Tikur Anbessa Specialized hospital in Ethiopia. At admission, patient's nutritional status was assessed within 48h using the Subjective Global Assessment (SGA). The main clinical outcome, length of stay in hospital (LOS) was captured for patients in days. We ran a multivariate Cox's regression analysis to determine the relationship between malnutrition at admission and its effect on LOS.
Four hundred seventeen paute appropriate nutritional therapy.
Malnutrition at admission was highly prevalent and was highly associated with prolonged length of hospital stay. Therefore, it is essential to assess the nutritional status of patients early in admission and to institute appropriate nutritional therapy.
Dysphagia is a prevalent disorder among the older persons. Despite this, signs of dysphagia often go unnoticed in hospital settings. This cross-sectional study aimed at investigating the prevalence of signs of dysphagia among patients aged 65 or older in a Danish acute care setting.
We studied 334 patients aged 65 years or older admitted to the acute medical unit (AMU) at Aalborg University Hospital, Denmark. Signs of dysphagia were assessed using bedside screening tools including the Eating Assessment Tool (EAT-10), a 30mL Water Swallowing Test (WST) and the Gugging Swallowing Screen tool (GUSS). Other risk factors were assessed using the Eastern Cooperative Oncology Group Performance Status (ECOG-PS), the Nutritional Risk Screening 2002 (NRS), and the Charlson's Comorbidity Index (CCI).
Signs of dysphagia were identified in 144 of 334 (43.1%) patients. Geriatric patients with signs of dysphagia were significantly older (79.5 years [74; 85] vs. 77 years [72; 84], p=0.025) and had higher CCI scores (3 pn the acute care setting. Signs of dysphagia were associated with nutritional risk, higher CCI scores and specific comorbidities. These findings could indicate a need for systematic screening for dysphagia in acute geriatric patients, yet further investigation is needed to assess clinical outcomes associated with dysphagia within this population.
Despite little evidence available to date, the dietary intake assessment is considered a useful tool to optimize dietary intervention for the improvement of the nutritional status of IBD patients. The primary aim was to compare the dietary intake of IBD patients scheduled for surgery with the dietary reference values (DRVs) for the Italian population (LARN) and the ESPEN guidelines for clinical nutrition in IBD. The secondary aim was to describe the dietary patterns of patients with CD and UC in relation to the disease-specific and nutritional parameters and to compare these results to a control group in order to evaluate if similar nutritional intakes than in oncologic patients are found in IBD.
Between January 2019 and March 2020, 62 consecutive IBD patients (46 CD and 16 UC) with age from 18 to 79 years scheduled for surgery were recruited. Patients received a comprehensive nutritional assessment, including food or nutrition-related history, anthropometric and body composition measurements. A group of e.
in IBD patients, the evaluation of macronutrients and micronutrients intake before surgery, can contribute to evaluate and to correct the onset of nutritional deficiencies. Specific dietary recommendations seem required, in order to integrate specific nutritional inadequacies. IBD patients referred to surgery have to be considered at high nutritional risk like oncologic patients are.
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