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Documents  Nutrition | enregistrements trouvés : 134

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Background: Standardized protocols have been shown to reduce clinical practice variation and improve patient outcomes.

Purpose: To measure the impact of a standardized nutrition bundle inclusive of donor human milk (DHM) on hospital outcomes of very low birth-weight (VLBW) infants in a safety-net hospital.

Methods: The study used the Model for Improvement methodology to drive improvement in practice. Outcome measures consisted of necrotizing enterocolitis (NEC), mortality, growth at 36 weeks' postmenstrual age and discharge, as well as volume and type of milk consumption during hospitalization.

Findings: NEC rate decreased from 16.67% in the control group to 6.78% in the standardized nutrition bundle group (P = .07). Similarly, there was significant reduction in mortality with the bundled intervention (15.6% in the control group vs 1.6% in the nutrition bundle group; P = .006). Time to first (15 vs 27.5 hours of life; P < .001) and full-volume enteral feeding (8.5 vs 10 days; P = .086) were reduced in the standardized nutrition bundle group compared with the control group. The human milk volume almost doubled with the intervention.

Implications for Practice: Our standardized nutrition bundle protocol inclusive of DHM resulted in lower NEC rates and reduced mortality. The implementation of the DHM program proved to be cost-effective and saved lives. Our findings may help guide development of a structured approach to nutrition protocols inclusive of DHM that can be adapted by other units located in safety-net hospitals.

Implications for Research: Future research on ethnic and racial barriers to access and affordability of DHM is warranted and much needed.
Background: Standardized protocols have been shown to reduce clinical practice variation and improve patient outcomes.

Purpose: To measure the impact of a standardized nutrition bundle inclusive of donor human milk (DHM) on hospital outcomes of very low birth-weight (VLBW) infants in a safety-net hospital.

Methods: The study used the Model for Improvement methodology to drive improvement in practice. Outcome measures consisted of necrotizing ...

Lait de femme ; Nutrition ; Poids corporel

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Nutrition and behavior change: a review of recent literature | Novembre 2022 H

Article (Nutrition clinique)

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Purpose of review: The current article will highlight recent trends and novel approaches to behavior change strategies in nutrition. Physicians, nurses, and other healthcare professionals play key roles in counseling patients on lifestyle change, which is critical for patients with chronic conditions. Nutrition science continues to advance, and new approaches to behavior change are needed for successful implementation at the individual and population level.

Recent findings: The solutions to obstacles around healthful eating patterns are varied, population-dependent, and require a multipronged approach. One area of focus is the language around behavior change, ensuring it is clear and emphasizes its multifactorial nature. For young adults, the careful use of video games and social media may be essential. For older adults, altering food consistency and ensuring proper nutrient intake are crucial factors. Vulnerable populations remain susceptible to malnutrition and need special attention. Despite significant advances in managing and treating diseases, there are still gaps in nutrition counseling and behavior change efforts.

Summary: Every age and stage of life needs a focus on healthful foods, and nutrition counseling at each stage has its unique nuances. Careful attention to the language of change and the phrasing used in counseling is vital for educating, connecting with, and empowering patients to change. Changing healthcare operations and provider behavior around nutrition counseling is a part of the solution to the worldwide problem of unhealthy eating patterns and practices.
Purpose of review: The current article will highlight recent trends and novel approaches to behavior change strategies in nutrition. Physicians, nurses, and other healthcare professionals play key roles in counseling patients on lifestyle change, which is critical for patients with chronic conditions. Nutrition science continues to advance, and new approaches to behavior change are needed for successful implementation at the individual and ...

Nutrition ; Comportement alimentaire

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Purpose of review: Time-restricted eating (TRE) entails consuming energy intake within a 4- to 10-h window, with the remaining time spent fasting. Although studies have reported health benefits from TRE, little is known about the impact of TRE on common chronic diseases such as type 2 diabetes, cancer and cardiovascular disease. This review summarizes and critically evaluates the most recent TRE research findings relevant to managing and treating these chronic diseases.

Recent findings: Most recent TRE studies have been in populations with overweight/obesity or metabolic syndrome; two have been in populations with diabetes, three in cancer survivors and none in populations with cardiovascular disease. Collectively, these studies showed that participants could adhere to TRE and TRE is well tolerated. These studies also showed preliminary efficacy for improved glucose regulation and insulin sensitivity, a reduction in body fat and blood pressure, reduced cardiovascular risk scores and increased quality of life. More research is required to define the most effective TRE protocol (i.e. length and timing of eating window, intervention duration).

Summary: TRE has demonstrated benefits on cardiovascular, metabolic and clinical outcomes relevant to the underlying pathophysiology, but there are limited data on TRE implemented specifically within populations with diabetes, cancer or cardiovascular disease.
Purpose of review: Time-restricted eating (TRE) entails consuming energy intake within a 4- to 10-h window, with the remaining time spent fasting. Although studies have reported health benefits from TRE, little is known about the impact of TRE on common chronic diseases such as type 2 diabetes, cancer and cardiovascular disease. This review summarizes and critically evaluates the most recent TRE research findings relevant to managing and ...

Coeur - Maladies ; Nutrition ; Oncologie ; Diabète ; Cancer

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Purpose of review: This review summarizes literature from the last 18 months reporting on sarcopenia (or its components) in chronic kidney disease (CKD).

Recent findings: The prevalence of sarcopenia in CKD is reported to be 5-62.5%, with higher rates observed later in the disease. Sarcopenic obesity rates are reported to be 2-23%. Sarcopenia in CKD is associated with increased risk of mortality, cardiovascular disease and vascular calcification. Risk factors include kidney disease itself and the impacts of CKD on lifestyle (reduced physical activity, diet changes). In earlier stages of CKD, if the risks from sarcopenia outweigh the risk of reaching end-stage renal disease, ensuring adequate energy intake combined with modest protein liberalization and physical activity may be indicated. Protein intakes above 1.3 g/kg of body weight per day should be avoided. For dialysis patients, interventions that provide a combination of carbohydrate, protein and fat appear more effective than those that provide protein alone, though it may take as long as 48 weeks for detectable changes in muscle mass.

Summary: Sarcopenia is prevalent in CKD as kidney disease significantly impacts muscle mass and function. Nutrition interventions can improve components of sarcopenia, with an emphasis on adequate energy and protein.
Purpose of review: This review summarizes literature from the last 18 months reporting on sarcopenia (or its components) in chronic kidney disease (CKD).

Recent findings: The prevalence of sarcopenia in CKD is reported to be 5-62.5%, with higher rates observed later in the disease. Sarcopenic obesity rates are reported to be 2-23%. Sarcopenia in CKD is associated with increased risk of mortality, cardiovascular disease and vascular cal...

Reins - Maladies ; Dialyse ; Nutrition ; Sarcopénie

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Background
The aim of this study is to determine the prevalence of malnutrition in outpatients with common variable immunodeficiency (CVID) and the utility of nutrition screening tools to detect malnutrition in these patients.

Methods
Fifty outpatients with CVID were included in the study. Nutrition risk for each patient was evaluated using four nutrition screening tools: Malnutrition Screening Tool (MST), Malnutrition Universal Screening Tool (MUST), Short Nutritional Assessment Questionnaire (SNAQ), and Nutritional Risk Screening 2002 (NRS-2002).

Results
According to MUST, MST, SNAQ, and NRS-2002, malnutrition risk was determined to be 48% (n = 24), 26% (n = 13), 20% (n = 10), and 20% (n = 10), respectively. Malnutrition was detected in 54% (n = 27) of the patients. It was found that MUST showed a better correlation in detecting malnutrition in outpatients with CVID (κ = 0.482, P = 0.001). MUST has a higher positive and negative predictive value than other nutrition screening tools (79% and 70%, respectively). In the multivariate logistic regression analysis, it was found that low serum immunoglobulin A (IgA) levels at diagnosis increased the risk of malnutrition by ∼15 times, and low CD19+ B-cell counts increased the risk by approximately eight times.

Conclusion
The prevalence of malnutrition in patients with CVID was found to be quite high, and there was a strong correlation between malnutrition and low CD19+ B-cell counts and low serum IgA levels. Given the high rate of malnutrition in patients with CVID, nutrition assessment is recommended rather than starting with nutrition screening.
Background
The aim of this study is to determine the prevalence of malnutrition in outpatients with common variable immunodeficiency (CVID) and the utility of nutrition screening tools to detect malnutrition in these patients.

Methods
Fifty outpatients with CVID were included in the study. Nutrition risk for each patient was evaluated using four nutrition screening tools: Malnutrition Screening Tool (MST), Malnutrition Universal Screening Tool ...

Malnutrition ; Immunodéficience ; Nutrition

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Background
Gastrointestinal and sensory manifestations (GSMs) of coronavirus disease 2019 (COVID-19) may affect food intake, resulting in malnutrition and poor outcomes. We characterized the impact of GSMs and oral nutrition supplementation on energy-protein intake (EPI) and hospital discharge in adult patients with COVID-19.

Methods
Patients from two hospitals were enrolled (n = 357). We recorded the presence and type of GSM at admission, estimated energy requirements (EER) and the EPI based on regular food intake (plate diagram sheets) during hospital stays. Patients not achieving 60% of their EER from food over 2 consecutive days received oral nutrition supplementation (ONS) with a high-energy-protein oral drink.

Results
Most patients (63.6%) presented with GSMs at admission. Anorexia was the most common manifestation (44%). Patients with anorexia or more than one GSMs were more likely to not achieve 60% EER on the first day of follow-up and to require the ONS intervention (P ≤ 0.050). Prevalence of at least one GSM was higher in patients who did not achieve hospital discharge than in patients who achieved it (74.2% vs 54.6%, P = 0.038). The patients requiring ONS (26.9%) demonstrated good adherence to the intervention (79.3%), achieved their EER during 95.7% of the supplementation time, and presented with hospital discharge rates similar to patients not requiring ONS (92.2% vs 91.9%, respectively; P = 1.000).

Conclusions
GSM were prevalent in COVID-19 and it impaired EER attendance and patient recovery. ONS was well-tolerated, aided EER attendance, and potentially facilitated hospital discharge.
Background
Gastrointestinal and sensory manifestations (GSMs) of coronavirus disease 2019 (COVID-19) may affect food intake, resulting in malnutrition and poor outcomes. We characterized the impact of GSMs and oral nutrition supplementation on energy-protein intake (EPI) and hospital discharge in adult patients with COVID-19.

Methods
Patients from two hospitals were enrolled (n = 357). We recorded the presence and type of GSM at admission, ...

Hospitalisation ; COVID-19 ; Nutrition

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Update on the management of vitamins and minerals in cystic fibrosis | Octobre 2022 H

Article (Nutrition clinique)

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Advancements in respiratory and nutrition management have significantly improved the survival of patients with cystic fibrosis (CF). With the availability of several nutrition interventions such as oral/enteral nutrition supplements, enteric-coated pancreatic enzymes, and water-miscible CF-specific vitamin supplements, frank vitamin deficiencies—with the exception of vitamin D—are rarely encountered in current clinical practice. Whereas they were previously considered as micronutrients, our current understanding of fat-soluble vitamins and minerals as antioxidants, immunomodulators, and disease biomarkers has been evolving. The impact of highly effective modulators on the micronutrient status of patients with CF remains elusive. This narrative review focuses on the updates on the management of fat-soluble vitamins and other micronutrients in CF in the current era and identifies the gaps in our knowledge.
Advancements in respiratory and nutrition management have significantly improved the survival of patients with cystic fibrosis (CF). With the availability of several nutrition interventions such as oral/enteral nutrition supplements, enteric-coated pancreatic enzymes, and water-miscible CF-specific vitamin supplements, frank vitamin deficiencies—with the exception of vitamin D—are rarely encountered in current clinical practice. Whereas they ...

Vitamines ; Minéraux - Emploi en thérapeutique ; Nutrition

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Acid-base disorders: A primer for clinicians | Octobre 2022 H

Article (Nutrition clinique)

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An understanding of acid-base physiology is necessary for clinicians to recognize and correct problems that may negatively affect provision of nutrition support and drug therapy. An overview of acid-base physiology, the different acid-base disorders encountered in practice, a stepwise approach to evaluate arterial blood gases, and other key diagnostic tools helpful in formulating a safe and effective medical and nutrition plan are covered in this acid-base primer. Case scenarios are also provided for the application of principles and the development of clinical skills.
An understanding of acid-base physiology is necessary for clinicians to recognize and correct problems that may negatively affect provision of nutrition support and drug therapy. An overview of acid-base physiology, the different acid-base disorders encountered in practice, a stepwise approach to evaluate arterial blood gases, and other key diagnostic tools helpful in formulating a safe and effective medical and nutrition plan are covered in ...

Nutrition ; Déséquilibres acido-basiques

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Nutrition before, during and after critical illness | Août 2022 H

Article (Urgence et soins intensifs)

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Purpose of review: This review describes considerations preintensive care unit (ICU), within ICU and in the post-ICU period regarding nutrition management and the current state of the literature base informing clinical care.

Recent findings: Within ICU, studies have focussed on the first 5-7 days of illness in mechanically ventilated patients who are heterogeneous and with minimal consideration to premorbid nutrition state. Many evidence gaps in the period within ICU remain, with the major ones being the amount of protein to provide and the impact of longer-term nutrition interventions. Personalised nutrition and nutrition in the post-ICU period are becoming key areas of focus.

Summary: Nutrition for the critically ill patient should not be viewed in isolated time periods; what happens before, during and after ICU is likely important to the overall recovery trajectory. It is critical that the impact of nutrition on clinical and functional outcomes across hospitalisation is investigated in specific groups and using interventions in ways that are biologically plausible to impact. Areas that show promise for the future of critical care nutrition include interventions delivered for a longer duration and inclusion of oral nutrition support, individualised nutrition regimes, and use of emerging bedside body composition techniques to identify patients at nutritional risk.
Purpose of review: This review describes considerations preintensive care unit (ICU), within ICU and in the post-ICU period regarding nutrition management and the current state of the literature base informing clinical care.

Recent findings: Within ICU, studies have focussed on the first 5-7 days of illness in mechanically ventilated patients who are heterogeneous and with minimal consideration to premorbid nutrition state. Many evidence gaps ...

Nutrition ; Alimentation ; Soins intensifs

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Psychological/behavioral correlates of weight loss, including emotional eating, require improved understandings. These might be especially useful in the context of community-based interventions. Women with obesity, enrolled in 6-month community-based weight loss treatments emphasizing either self-regulation (n = 54) or typical educational methods (n = 52), were evaluated on changes in physical activity/exercise, mood, emotional eating, and weight. Significant improvements on each measure were found in both groups, with significantly greater advances made in the self-regulation emphasis group. Using a lagged variable analytic framework, change in emotional eating significantly mediated physical activity -> weight change (over both 6 and 12 months) relationships. Group membership moderated only the mood -> emotional eating change relationship. Paths from changes in physical activity -> mood -> emotional eating -> weight were significant, with no alternate path reaching significance. Group was not a significant moderator. Identified paths from physical activity to weight loss, through sequential changes in mood and then emotional eating, should be leveraged to guide community-based weight management curricular development and application. Through such large-scale possibilities for dissemination, means for the reversal of the obesity epidemic could be made possible.
Psychological/behavioral correlates of weight loss, including emotional eating, require improved understandings. These might be especially useful in the context of community-based interventions. Women with obesity, enrolled in 6-month community-based weight loss treatments emphasizing either self-regulation (n = 54) or typical educational methods (n = 52), were evaluated on changes in physical activity/exercise, mood, emotional eating, and ...

Obésité ; Exercice ; Émotions - Aspect physiologique ; Obésité - Aspect nutritionnel ; Nutrition

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Unhealthy diet in schizophrenia spectrum disorders | Mai 2022 H

Article (Psychiatrie)

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Purpose of review: The high mortality and prevalence of metabolic syndrome in patients with schizophrenia spectrum disorders (SSD) is maintained by poor diet. This narrative review summarizes recent literature to provide a reflection of current eating habits, dietary preferences, and nutritional status of SSD patients. Elucidating these factors provides new insights for potential lifestyle treatment strategies for SSD.

Recent findings: Only 10.7% of the SSD patients had a healthy dietary pattern, against 23% of the general population. The dietic component of the Keeping the Body in Mind Xtend lifestyle program increased diet quality with 10% for young people with first-episode psychosis, compared to baseline, which was predominantly driven by increased vegetable variety and amounts.

Summary: Recent findings render poor dietary habits as potential targets for treatment of SSD patients. Further studies into anti-inflammatory diets and associations with gut-brain biomarkers are warranted. When proven, structured and supervised diet interventions may help SSD patients escape from this entrapment, as only supplementing nutrients or providing dietary advice lacks the impact to significantly reduce the risk of chronic physical illnesses.
Purpose of review: The high mortality and prevalence of metabolic syndrome in patients with schizophrenia spectrum disorders (SSD) is maintained by poor diet. This narrative review summarizes recent literature to provide a reflection of current eating habits, dietary preferences, and nutritional status of SSD patients. Elucidating these factors provides new insights for potential lifestyle treatment strategies for SSD.

Recent findings: Only ...

Nutrition ; Alimentation ; Inflammation (Pathologie) - Diétothérapie ; Schizophrénie

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Physical therapists have unique education in the comprehensive biopsychosocial assessment and treatment of chronic pain and its mechanisms. Recently, physical therapists have raised awareness regarding the impact of nutrition on promoting health and managing noncommunicable diseases. Robust evidence supports the implementation of nutrition in physical therapist education and practice. Of particular interest for the physical therapist are investigations that use dietary interventions for the treatment of chronic pain. Yet physical therapists have received little guidance regarding their role in nutrition care for pain management and may pass on opportunities to counsel their patients on the connection between nutrition and pain. Therefore, a clinical paradigm shift and unified voice within the profession is called on to encourage physical therapists to develop tailored multimodal lifestyle interventions that include nutrition care for the management of chronic pain. This Perspective describes evidence supporting the implementation of nutrition care in physical therapist practice, supports the role of nutritional pain management for physical therapists, and encourages the use of nutrition care for primary, secondary, tertiary, prevention, health promotion, and wellness related to chronic pain. To achieve these aims, this Perspective offers suggestions for how physical therapists can (1) enhance clinical decision making; (2) expand professional, jurisdictional, and personal scope of practice; (3) evolve entry-level education; and (4) stimulate new investigations in nutrition care and pain science research. In doing so, physical therapists can assert their role throughout the pain management continuum, champion innovative research initiatives, and enhance public health by reducing the impact of chronic pain.

Impact
The nutrition care process for pain management is defined as the basic duty to provide adequate and appropriate nutrition education and counseling to people living with pain. Including the nutrition care process as part of a multimodal approach to pain management provides an opportunity for physical therapists to assert their role throughout the pain management continuum. This includes championing innovative research initiatives and enhancing public health by reducing the impact of chronic pain for over 50 million Americans.
Physical therapists have unique education in the comprehensive biopsychosocial assessment and treatment of chronic pain and its mechanisms. Recently, physical therapists have raised awareness regarding the impact of nutrition on promoting health and managing noncommunicable diseases. Robust evidence supports the implementation of nutrition in physical therapist education and practice. Of particular interest for the physical therapist are ...

Nutrition ; Physiothérapie

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Background
Home enteral nutrition (HEN) use continues to increase in children unable to meet nutritional needs through oral intake. Some patients do not tolerate standard polymeric formula (SPF), which may lead to malnutrition. Use of peptide-based diet (PBD) has demonstrated benefits in adults, however there remains a paucity of data in pediatric population.

Methods
Retrospective review of medical records of children receiving HEN between October 2015 and October 2019 was conducted. Nutrition, tolerance, and healthcare utilization was tracked through May 2020. Children receiving PBD as initial formula or transitioned to PBD from SPF were included. Our objective was to assess gastrointestinal tolerance and impact on healthcare utilization in children receiving PBD.

Results
During study period, 30 children (mean age, 9 ± 5.44 years; 20 of 30 [66.7%] male) utilized PBDs. Twenty-one patients started PBD directly with malnutrition as primary indication. Nine patients transitioned from SPF to PBD, most often due to intolerance of SPF (66%). After transition to PBD, no symptoms were reported in 6 of 9 (66.7%) patients, and symptoms of SPF intolerance resolved in 4 of 9 (44.5%) patients. Healthcare utilization declined significantly after transition to PBD, including mean numbers of emergency room visits (0.78 ± 1.09 to 0.11 ± 0.33; P = .025), provider visits (1.67 ± 1.32 to 0.56 ± 0.73; P = .007), and phone calls (1.22 ± 1.39 to 0.33 ± 0.50; P = .026).

Conclusions
PBD is well tolerated and can result in significant reduction in healthcare utilization in children intolerant to SPF.
Background
Home enteral nutrition (HEN) use continues to increase in children unable to meet nutritional needs through oral intake. Some patients do not tolerate standard polymeric formula (SPF), which may lead to malnutrition. Use of peptide-based diet (PBD) has demonstrated benefits in adults, however there remains a paucity of data in pediatric population.

Methods
Retrospective review of medical records of children receiving HEN between ...

Soins à domicile ; Pédiatrie ; Nutrition

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Nutrition priorities in obese critically ill patients | Mars 2022 H

Article (Nutrition clinique)

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Purpose of review: During critical illness, several neuroendocrine, inflammatory, immune, adipokine, and gastrointestinal tract hormone pathways are activated; some of which are more intensified among obese compared with nonobese patients. Nutrition support may mitigate some of these effects. Nutrition priorities in obese critically ill patients include screening for nutritional risk, estimation of energy and protein requirement, and provision of macronutrients and micronutrients.

Recent findings: Estimation of energy requirement in obese critically ill patients is challenging because of variations in body composition among obese patients and absence of reliable predictive equations for energy expenditure. Whereas hypocaloric nutrition with high protein has been advocated in obese critically ill patients, supporting data are scarce. Recent studies did not show differences in outcomes between hypocaloric and eucaloric nutrition, except for better glycemic control. Sarcopenia is common among obese patients, and the provision of increased protein intake has been suggested to mitigate catabolic changes especially after the acute phase of critical illness. However, high-quality data on high protein intake in these patients are lacking. Micronutrient deficiencies among obese critically ill patients are common but the role of their routine supplementation requires further study.

Summary: An individualized approach for nutritional support may be needed for obese critically ill patients but high-quality evidence is lacking. Future studies should focus on nutrition priorities in this population, with efficient and adequately powered studies.
Purpose of review: During critical illness, several neuroendocrine, inflammatory, immune, adipokine, and gastrointestinal tract hormone pathways are activated; some of which are more intensified among obese compared with nonobese patients. Nutrition support may mitigate some of these effects. Nutrition priorities in obese critically ill patients include screening for nutritional risk, estimation of energy and protein requirement, and provision ...

Obésité ; Obésité - Aspect nutritionnel ; Nutrition

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Back pain associated with centrally administered parenteral nutrition | Février 2022 H

Article (Nutrition clinique)

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Parenteral nutrition (PN) is well recognized for its ability to provide nutrition to patients without the ability to digest enterally; however, PN must also be seen as a medication with associated adverse drug events similar to any other pharmacological agent that is administered to patients. Here we present a case report of localized lower back pain with central PN infusion. The initial areas of concern were the intravenous lipid emulsion, peripherally inserted central catheter placement, osmolarity of the formula, and the additives. The patient's back pain was ultimately felt to be an adverse reaction to the multivitamin component of the infusion based on an elimination trial of the PN components.
Parenteral nutrition (PN) is well recognized for its ability to provide nutrition to patients without the ability to digest enterally; however, PN must also be seen as a medication with associated adverse drug events similar to any other pharmacological agent that is administered to patients. Here we present a case report of localized lower back pain with central PN infusion. The initial areas of concern were the intravenous lipid emulsion, ...

Dorsalgie ; Nutrition

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Malnutrition screening and diagnosis tools: Implications for practice | Février 2022 H

Article (Nutrition clinique)

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Despite the prevalence of protein-calorie malnutrition (PCM) in acute-care hospitals and long-term care centers, a national and global consensus on nutrition screening and malnutrition diagnosis is lacking. PCM is associated with various acute and chronic complications, such as impaired wound healing, increased risk for infection, debility, and increased risk for rehospitalization. The consequences of PCM are also incredibly costly to both the patient and the healthcare facility. The purpose of this paper is to identify nutrition screening tools and malnutrition diagnosis tools currently being utilized in acute-care healthcare centers across the United States.
Despite the prevalence of protein-calorie malnutrition (PCM) in acute-care hospitals and long-term care centers, a national and global consensus on nutrition screening and malnutrition diagnosis is lacking. PCM is associated with various acute and chronic complications, such as impaired wound healing, increased risk for infection, debility, and increased risk for rehospitalization. The consequences of PCM are also incredibly costly to both the ...

Malnutrition ; Nutrition

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- 239 p.
Cote : WB405 O35r 2022

Des plats réconfortants à cuisiner (presque) sans effort, même un soir de semaine !

Ralentir le rythme et prendre du temps pour soi, sans se lancer dans de longues recettes compliquées, c'est ce que vous propose la nutritionniste Geneviève O'Gleman. Elle gagne ce pari en misant sur le pouvoir apaisant d'emblèmes de la cuisine familiale dont l'odeur embaume toute la maison. Au menu de ce livre chaleureux et gourmand : du crémeux, du moelleux, du salé, du sucré... le tout en version santé et sans stress !

Vous trouverez:
- Des braisés et des mijotés simples à préparer, pour réduire sa charge mentale;
- Des repas à la mijoteuse et des plats tout-en-un qui ne salissent presque pas de vaisselle;
- Des bases pour se donner une longueur d'avance quand l,envie de réconfort se pointe sans avertissement;
-Des pâtes en version de «soir de semaine» ou en version chic pour un week-end gourmand;
- Des soupes inspirées des grands classiques réconfortants, pour un double effet relaxant;
- Des incontournables pour un brunch en pyjama et des desserts à faire et à refaire;
- Des astuces et des raccourcis bien choisis pour se régaler !
Des plats réconfortants à cuisiner (presque) sans effort, même un soir de semaine !

Ralentir le rythme et prendre du temps pour soi, sans se lancer dans de longues recettes compliquées, c'est ce que vous propose la nutritionniste Geneviève O'Gleman. Elle gagne ce pari en misant sur le pouvoir apaisant d'emblèmes de la cuisine familiale dont l'odeur embaume toute la maison. Au menu de ce livre chaleureux et gourmand : du crémeux, du moelleux, du ...

Cuisine rapide ; Cuisine santé ; Cuisine santé - Recettes ; Menus - Planification ; Nutrition

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- 191 p.
Cote : WI400 M274c.F 2022

Une analyse complète et documentée sur les dernières découvertes concernant le microbiote intestinal et son action essentielle sur le système immunitaire : son rôle dans l'échange d'informations entre l'intestin et le cerveau ressort pleinement. La communication entre eux est bidirectionnelle : en modifiant la composition du microbiote, on peut agir sur les maladies de l'organisme, mais aussi sur celles du cerveau.. L'auteur analyse la nature du microbiote, en retrace l'histoire biologique et médicale et décompose les approches en chapitres monographiques pour fournir, entre autres, des informations sur :

- l'être humain en tant qu'écosystème comprenant beaucoup d'autres êtres vivants ;
- les interactions entre le microbiote, le nerf vague et le système nerveux central ;
- les interactions entre le microbiote et le système immunitaire ;
- le rôle de l'alimentation, du mouvement, de la pollution, du stress, etc. sur le microbiote et sa communication avec le cerveau
- l'importance du microbiote pour la sociabilité, le dépassement des peurs et le comportement ;
- des maladies sur lesquelles il est possible d'intervenir par une supplémentation équilibrée du microbiote : intestin irritable, dépression, anxiété, trouble bipolaire, dépendances, obésité,
- douleur chronique, fibromyalgie, Parkinson, Alzheimer, sclérose en plaques, etc.
Une analyse complète et documentée sur les dernières découvertes concernant le microbiote intestinal et son action essentielle sur le système immunitaire : son rôle dans l'échange d'informations entre l'intestin et le cerveau ressort pleinement. La communication entre eux est bidirectionnelle : en modifiant la composition du microbiote, on peut agir sur les maladies de l'organisme, mais aussi sur celles du cerveau.. L'auteur analyse la nature du ...

Microbiote ; Cerveau - Maladies - Aspect nutritionnel ; Nutrition ; Intestins - Maladies - Prévention ; Appareil digestif - Maladies ; Alimentation - Aspect psychologique

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- 191 p.
Cote : WB400 V553r 2022

Reconnu par l'UNESCO comme «patrimoine culturel immatériel de l'humanité», le régime méditerranéen s'adresse à tous ceux qui souhaitent adopter un mode d'alimentation sain. Il est recommandé en prévention et pour le traitement des maladies cardiovasculaires, pulmonaires et neurodégénératives (ex. : Alzheimer), du diabète, de certains cancers et de l'insuffisance rénale. Il est également reconnu pour favoriser une meilleure gestion du poids.

Ce guide vous permettra de :
- découvrir le secret de la longévité et de la qualité de vie remarquable des populations méditerranéennes;
- améliorer votre état de santé, réduire les risques de maladies et augmenter votre longévité;
- profiter de recommandations claires pour bénéficier d'une alimentation saine et équilibrée;
- planifier vos repas et vos collations grâce à des menus quotidiens variés.

Découvrez de délicieuses recettes, faciles et rapides à préparer : pouding au riz à l'anis, pain aux bananes, dattes et noisettes, minestrone, sauté de calmars et de crevettes, filets de turbot croustillants, moussaka, salade de couscous au poulet épicé et aux figues, chili de veau au cumin, pamplemousse au four, mousse aux fraises... et savourer la vie.

Faites de votre alimentation votre alliée santé !
Reconnu par l'UNESCO comme «patrimoine culturel immatériel de l'humanité», le régime méditerranéen s'adresse à tous ceux qui souhaitent adopter un mode d'alimentation sain. Il est recommandé en prévention et pour le traitement des maladies cardiovasculaires, pulmonaires et neurodégénératives (ex. : Alzheimer), du diabète, de certains cancers et de l'insuffisance rénale. Il est également reconnu pour favoriser une meilleure gestion du poids.

Ce ...

Alimentation - Méditerranée, Région de la ; Alimentation ; Nutrition ; Santé - Aspect nutritionnel

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Type
Auteurs

Huot, Isabelle [3]

Schlienger, Jean-Louis [3]

Birt, Diane F. [2]

Boyer Élise [2]

Brochu, Mylène Duplessis [2]

Côté, Stéphanie [2]

Deschamps, Julie [2]

Joly-Gomez, Francisca [2]

Marquis, Marie [2]

Marriott, Bernadette P. [2]

Montpetit, Linda [2]

O'Gleman, Geneviève [2]

Stallings, Virginia A. [2]

Yates, Allison A. [2]

Academy of Nutrition and Dietetics [1]

Agullo, Laëtitia [1]

American society for parenteral and enteral nutrition [1]

Amigon-Waterlot, Sandrine [1]

Apfelbaum, Marian [1]

Arsava, Ethem Murat [1]

Auvinet, Eugénie [1]

Bailey, Christine [1]

Bélanger, Marc [1]

Béliveau, Dominique [1]

Bernstein, Melissa [1]

Berthelot, Louis [1]

Boullata, Joseph I. [1]

Bourre, Jean-Marie [1]

Brefere, Lisa M. [1]

Brennstuhl, Marie-Jo [1]

Brown, Judith [1]

Canadian Association of Nephrology Dietitians [1]

Carr, Kris [1]

Carreau, Anne-Marie [1]

Cerqueira, Elisabeth [1]

Champoux, Nathalie [1]

Charron, Marise [1]

Chos, Didier [1]

Collège des enseignants de Nutrition [1]

Cook, Doug [1]

Crosbie, Casey [1]

Desaulniers, Élise [1]

Desaulniers, Louise [1]

Desgroseillers, Julie [1]

Desrosiers, Ariane [1]

Diététistes du Canada [1]

Drummond, Karen Eich [1]

Dubest, Isabel Gomez [1]

Dubuc-Fortin, Emmanuelle [1]

Dubus, Michèle [1]

Dudek, Susan G. [1]

Dufour, Anne [1]

Escott-Stump, Sylvia [1]

Eulalie, Astrid [1]

Ferland, Guylaine [1]

Ferry, Monique [1]

Fondation Olo [1]

Freeman, Hanna [1]

Fung, Jason [1]

Garnier, Carole [1]

Gilbert, Joyce [1]

Golden, Neville H. [1]

Gourdon, Véronique [1]

Grand, Philippe [1]

Greer, Frank R. [1]

Greger, Michael [1]

Gruman, Raphaël [1]

Hamilton, Cindy [1]

Hausman, Patricia [1]

Hébert, Émilie [1]

Hess-Halpern, Céline [1]

Hirschauer, Caroline [1]

Hofmann, Laurie [1]

Houlbert, Angélique [1]

Huang, Aria Hai Ying [1]

Hueda, María Chávarri [1]

Hurley, Judith Benn [1]

Ikizler, T. Alp [1]

Ireton-Jones, Carol [1]

Jacquot, Raymond [1]

Jeannier, Céline [1]

Kämmerer, Ulrike [1]

Kleinman, Ronald E. [1]

Knoil, Gerd [1]

Lagacé, Jacqueline [1]

Lambert-Lagacé, Louise [1]

Larose, Karine [1]

Lavallée, Bernard [1]

Lawren, Bill [1]

LeBlanc, Marie-Josée [1]

Lecerf, Jean-Michel [1]

Lecko, Caroline [1]

Lee, Martin [1]

Léger, Marie-Pierre [1]

Lejeune, Hélène [1]

Lemieux, Catherine [1]

Leroux, Marie-Pier [1]

Leroux, Rémi [1]

Loberg, Kristin [1]

Lock, James [1]

Loiselle, Amélie [1]

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Date de parution
Descripteurs

Nutrition [134]

Alimentation [48]

Santé - Aspect nutritionnel [20]

Habitudes alimentaires [15]

Cuisine santé - Recettes [11]

Diététique [10]

Diétothérapie [10]

Régimes alimentaires [9]

Troubles de la déglutition [8]

Cancer [6]

Personnes âgées - Alimentation [6]

Enfants - Alimentation [5]

Intestins - Maladies - Prévention [5]

Maladies - Aspect nutritionnel [4]

Menus - Planification [4]

Vieillissement - Aspect nutritionnel [4]

Aliments [3]

Grossesse [3]

Maladie d'Alzheimer - Aspect nutritionnel [3]

Maladies de la nutrition [3]

Malnutrition [3]

Nourrissons - Alimentation [3]

Nutriments [3]

Perte de poids [3]

Reins - Maladies [3]

Risques alimentaires [3]

Soins intensifs [3]

Alimentation - Méditerranée, Région de la [2]

Aliments - Achat [2]

Aliments - Composition - Tables [2]

Anorexie mentale [2]

Cancer - Aspect nutritionnel [2]

Cerveau - Maladies - Aspect nutritionnel [2]

COVID-19 [2]

Cuisine pour boîtes à lunch [2]

Cuisine santé [2]

Diabète [2]

ENFANTS [2]

Examens de santé [2]

Exercice [2]

Familles pauvres [2]

Foie - Maladies [2]

Grossesse - Aspect nutritionnel [2]

Insuffisance rénale chronique - Traitement [2]

Maladies d'origine nutritionnelle [2]

Maladies graves - Aspect nutritionel [2]

Obésité [2]

Obésité - Aspect nutritionnel [2]

Pédiatrie [2]

Physiothérapie [2]

Régimes amaigrissants [2]

Régimes cétogènes [2]

Reins - Maladies - Diétothérapie [2]

Soins à domicile [2]

Activités [1]

Adolescence [1]

Adolescents [1]

Adultes [1]

Alimentation - Aspect psychologique [1]

Alimentation entérale - Guides, manuels, etc. [1]

Alimentation parentérale [1]

Aliments - Achat - Aspect de l'environnement [1]

Aliments - Étiquetage [1]

Aliments - Microbiologie [1]

Aliments diététiques [1]

Allergie alimentaire [1]

Appareil digestif [1]

Appareil digestif - Maladies [1]

Arithmétique pharmaceutique [1]

Arrêt cardiaque - Traitement [1]

Arthrose - Aspect nutritionnel [1]

Biblio-Santé - Aîné et vieillissement [1]

Cancer - Diétothérapie - Recettes [1]

Cancéreux [1]

Cancéreux - Alimentation [1]

Cataracte (Ophtalmologie) [1]

Chirurgie [1]

Coeur - Maladies [1]

Côlon irritable [1]

Comportement alimentaire [1]

Condition physique des femmes enceintes [1]

Cuisine [1]

Cuisine rapide [1]

Cuisine végétalienne [1]

Cuisine végétarienne [1]

CUISINE, recettes [1]

Déficience physique [1]

Déséquilibres acido-basiques [1]

Diabète - Aspect nutritionnel [1]

Diabète - Diétothérapie [1]

Dialyse [1]

Diététique - Dictionnaires français [1]

Dorsalgie [1]

Douleur - Prévention [1]

Douleur chronique [1]

Émotions - Aspect physiologique [1]

Endocrinologie [1]

Endoscopie [1]

Enfants - Maladies [1]

Exercices amaigrissants [1]

Femmes enceintes - Santé et hygiène [1]

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