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Journal of Clinical and Nursing Research 2024年第5期8卷 260-265页

作者： Huaying Guan Wuxi Mingde Hospital Wuxi 214028Jiangsu ProvinceChina

Objective:To observe the effect of early enteral nutrition combined with probiotics on the nutritional status of patients with severe craniocerebral injury.Methods:Thirty-five patients with severe craniocerebral injury were divided into the study group(17 patients)and the control group(18 patients)according to the method of a randomized numerical table;both groups of patients started enteral nutrition via nasogastric tube within 24–48 hours after admission to the hospital,and probiotics were given in addition to the study group.Hemoglobin,total plasma protein,albumin,prealbumin,cholinesterase,fasting blood glucose,and other indexes were monitored before and early morning after enteral nutrition support,and upper arm circumference(AC),triceps skinfold thickness(TSF),and upper arm muscle circumference(AMC)were measured,and gastrointestinal response and time to first defecation of the patients were observed and compared with GCS score.Results:The hemoglobin,serum albumin,prealbumin,cholinesterase,and total plasma protein levels in the study group were significantly higher and fasting blood glucose levels were significantly lower than those in the control group after treatment(Pnutritional status of patients.

关键词： Heavy craniocerebral injury Early enteral nutrition Probiotics nutritional status

Assessement of nutritional status of Households Using Weighed Food Intake in North West Region of Cameroon

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Food and Nutrition Sciences 2024年第1期15卷 1-26页

作者： Ebai Nee Besong Patricia Ange Gustave Mabiama Eyenga Manga Nyangono Biyegue Fernande C. Winifred Fila Ogah Eridiong O Onyenweaku University of Douala Higher Teacher Training College For Technical Education Douala Cameroon Department of Biochemistry Faculty of Basic Medical Science University of Calabar Calabar Nigeria

This study determined the nutritional status of households in North western region of Cameroon using weighed food intake. Twenty–two rural and 106 urban households were randomly selected for weighed food intake Descriptive and inferential statistics were used to analyze collected data and significance at p < 0.05 accepted. Corn fufu with huckleberry was the most frequently consumed meal with little or no animal-source protein. Protein and B group vitamins intake of respondents in both communities were below the FAO/WHO recommended values while energy, iron, and vitamins A and C were in excess for most age groups. Adolescents 10 - 19 years and adults 20 years and above failed to meet at least 85% of RNI for calcium.

关键词： Food Intake Household Nutrients nutritional status

The Effects of Different Feeding Practices on the nutritional status of Infants below 12 Months Old in the Kumba 1 Sub-Division

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Food and Nutrition Sciences 2024年第5期15卷 336-350页

作者： Gillian Nkeudem Asoba Fidelis Sameh Ebong Samuel Metuge Etchu Kaptai Tabe Teh Rene Ning Sumbele Irene Ngole Department of Social Economy and Family Management Higher Technical Teachers&#8217 Training College University of Buea Kumba Cameroon Department of Zoology and Animal Physiology Faculty of Science University of Buea Buea Cameroon

Appropriate feeding practices are important during infancy for good health, growth and development of infants and children. WHO revised its earlier recommendation of Exclusive Breastfeeding (EBF) of infants from 4 to 6 months of age to EBF until about 6 months of age, with the addition of complementary foods thereafter. This recommendation confirms that breast milk alone is sufficient to meet infants’ nutritional requirements for the first 6 months of life. The main objective of this study was to investigate the effect of various feeding practices on the nutritional status of infants 0 - 12-month-old in the Kumba 1 Sub-Division. A descriptive cross-sectional study was conducted from December 2019 to August 2020. A total of 341 nursing mothers and their infants 0 - 12 months of age were recruited. Socio-demographic factors and the different feeding habits of the children were assessed using a semi-structured questionnaire. nutritional status was assessed using anthropometric measurements. The overall proportion of infants who exclusively breastfed for 6 months was 69.2% and those who were mix-fed were 30.8% in the study area. The overall prevalence of malnutrition in the population was 61.0%. Among the malnourished children, 53.1% were underweight, 19.6% were wasted and 10.0% were stunted. Though not significant, the prevalence of wasting (21.0%) and underweight (58.3%) was higher among Mix-Fed (MF) children when compared to their EBF counterparts. Feeding practices affected the nutritional status of the infants. Underweight and wasting were observed among infants on Complementary Feeding (CF), although some exclusively breast-fed infants were stunted. Hence, nursing mothers should try as much as possible to practice EBF as recommended by WHO and can practice CF when the child is above six months.

关键词： Exclusive Breastfeeding Complementary Feeding Feeding Practices Infants Malnutrition nutritional status Underweight Wasted Stunting

nutritional status efficacy of early nutritional support in gastrointestinal care: A systematic review and meta-analysis

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World Journal of Gastrointestinal Surgery 2023年第5期15卷 953-964页

作者： Li-Bin He Ming-Yuan Liu Yue He Ai-Lin Guo Department of Anesthesia and Surgery Xiang'an Hospital Affiliated to Xiamen UniversityXiamen 361100Fujian ProvinceChina Department of Endocrine Xiang'an HospitalXiamen UniversityXiamen 361100Fujian ProvinceChina Department of Rheumatology and Immunology Run Run Shaw HospitalMedical College of Zhejiang UniversityHangzhou 310000Zhejiang ProvinceChina Department of Cardiac Surgery Hospital of Xiamen UniversitySchool of MedicineXiamen UniversityXiamen 361100Fujian ProvinceChina

BACKGROUND Gastrointestinal surgery is a complicated process used to treat many gastrointestinal diseases,and it is associated with a large trauma:Most patients often have different degrees of malnutrition and immune dysfunction before surgery and are prone to various infectious complications during postoperative recovery,thus affecting the efficacy of surgical treatment.Therefore,early postoperative nutritional support can provide essential nutritional supply,restore the intestinal barrier and reduce complication occurrence.However,different studies have shown different conclusions.AIM To assess whether early postoperative nutritional support can improve the nutritional status of patients based on literature search and meta-analysis.METHODS Articles comparing the effect of early nutritional support and delayed nutritional support were retrieved from PubMed,EMBASE,Springer Link,Ovid,China National Knowledge Infrastructure,China Biology Medicine databases.Notably,only randomized controlled trial articles were retrieved from the databases(from establishment date to October 2022).The risk of bias of the included articles was determined using Cochrane Risk of Bias V2.0.The outcome indicators,such as albumin,prealbumin,and total protein,after statistical intervention were combined.RESULTS Fourteen literatures with 2145 adult patients undergoing gastrointestinal surgery(1138 patients(53.1%)receiving early postoperative nutritional support and 1007 patients(46.9%)receiving traditional nutritional support or delayed nutritional support)were included in this study.Seven of the 14 studies assessed early enteral nutrition while the other seven studies assessed early oral feeding.Furthermore,six literatures had"some risk of bias,"and eight literatures had"low risk".The overall quality of the included studies was good.Meta-analysis showed that patients receiving early nutritional support had slightly higher serum albumin levels,than patients receiving delayed nutritional support[MD(mean difference)=3.51,95%CI:-0.05 to 7.07,Z=

关键词： Early nutritional support Gastrointestinal care nutritional status Gastrointestinal surgery Gastrointestinal diseases

Evaluation of the nutritional status of patients with liver cirrhosis

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World Journal of Hepatology 2023年第7期15卷 914-924页

作者： Barbara Janota Aneta Krupowicz Kinga Noras Ewa Janczewska Department of Basic Medical Sciences Faculty of Public Health in BytomMedical University of Silesia in KatowiceBytom 41-902Poland ID Clinic Mysłowice 41-400Poland Department of Biometry Warsaw University of Life SciencesWarsaw 02-787Poland

BACKGROUND Progressive malnutrition coexists with liver diseases,particularly in patients with cirrhosis.Early diagnosis of malnutrition in patients with advanced stages of chronic liver disease and the implementation of appropriate nutritional treatment for malnourished patients should be an integral part of the therapeutic process.AIM To evaluate the nutritional status of patients with various severities of advanced liver fibrosis,using various nutritional status parameters.METHODS This study involved 118 patients with liver cirrhosis who were classified into three groups according to their Child-Pugh score.The nutritional status of the patients in each group was assessed using different methods.The average values obtained from the measurements were calculated for each research group.The influence of disease stage on the examined parameters of nutritional status was determined using one-way analysis of variance.To investigate the relationship between the parameters determining nutritional status and the stage of disease advancement,a correlation analysis was performed.RESULTS The Child-Pugh A group had the highest mean body weight(76.42 kg),highest mean body mass index(BMI)(26.72 kg/m²),and largest mean arm circumference(27.64 cm).In the Child-Pugh B group,the mean scores of all examined variables were lower than those of the Child-Pugh A group,whereas the mean body weight and BMI of the Child-Pugh C group were higher than those of the Child-Pugh B group.There was a very strong correlation between the Child-Pugh classification and subjective global assessment score;a very strong correlation between the Child-Pugh classification and arm circumference;a strong correlation between the Child-Pugh classification and body weight,albumin concentration,fat-free mass index,muscle mass index,phase angle,and BMI;and an average correlation between Child-Pugh classification and fat mass index.Notably,these indicators deteriorated with disease progression.CONCLUSION Advanced liver fibrosis leads to the deterioration of many

关键词： Liver cirrhosis Fibrosis nutritional status Malnourishment Sarcopenia

Effectiveness of a multifaceted intervention for the improvement of nutritional status and nutrition knowledge of children in poverty-stricken areas in Shaanxi Province, China

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Global Health Journal 2022年第3期6卷 156-163页

作者： Cai Zhao Lu Ma Liwang Gao Yan Wu Yating Yan Wen Peng Youfa Wang Global Health Institute School of Public HealthXi’an Jiaotong UniversityXi’anShaanxi 710061China Center for Non-communicable Disease Management Beijing Children’s HospitalCapital Medical UniversityNational Center for Children’s HealthBeijing 100045China Nutrition and Health Promotion Center Department of Public HealthMedical CollegeQinghai UniversityXiningQinghai 810008China

Objectives:Compare the differences between the intervention and control groups in changes of primary outcomes(body mass index[BMI]and waist-to-height ratio[WHtR])and secondary outcomes(nutrition knowledge of children and parents),from baseline to the 6-and 12-month follow-ups;examine the associations of changes in nutrition knowledge of children and their parents with children’s changes in BMI and WHtR.Data sources:Data collected from four schools in two poverty-stricken counties in northern Shaanxi Province in 2020‒2021.Methods:A multifaced intervention program targeted children(promoting healthy diet and nutrition education)and their parents(promoting nutrition knowledge)was conducted in the interventional group.Four schools,with two in each group,were randomly allocated to the intervention or control group,with 814 eligible children aged 7.1 to 12.8 years.The control group conducted myopia promotion.Differences in changes of BMI and WHtR between groups were compared with t-test.Mixed-effects model was used to examine the associations between changes in nutrition knowledge of children and parents with changes in children’s BMI and WHtR.Results:At the 6-month follow-up,the difference in changes in BMI between the intervention and control groups was 0.4 kg/m 2(P<0.001).At the 12-month follow-up,the difference in changes in BMI and WHtR between intervention and control groups was 0.1 kg/m^(2)(P<0.001)and 0.01 kg/m^(2)(P<0.001).In the intervention group,the nutrition knowledge awareness rate of children increased from 16.9%(69/409)at baseline to 21.3%(87/409)at 6-month,and 22.7%(93/409)at 12-month.The awareness rate of nutrition knowledge of parents also fluctuated,from 5.6%(23/409)to 6.6%(27/409)and 5.4%(22/409).However,the difference in changes in nutrition knowledge between intervention and control groups was non-significant.The 6-month follow-up changes in children’s nutrition knowledge scores were negatively associated with changes in BMI in girls(β=−0.26,95%confidence interval[CI]:−0.38 to−0.14,P<0.001),while

关键词： Nutrition knowledge nutritional status Intervention Children Parents Shaanxi

nutritional status in chronically hospitalized stroke patients complicated with pulmonary infection

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Neural Regeneration Research 2011年第13期6卷 1037-1040页

作者： Yue Chen Lufang Chen Yiqing Tao Maomao Han Chunlan Cui Shichao Liu Department of Geriatrics First Affiliated Hospital School of Medicine Zhejiang University Hangzhou 310009 Zhejiang Province China College of Medicine Hangzhou Normal University Hangzhou 310018 Zhejiang Province China

Complicated pulmonary infection following stroke has traditionally been considered an aspirated infection by many physicians, and little attention has been paid to concomitant protein-energy malnutrition. In the present study, we hypothesized that protein-energy malnutrition may be present in hospitalized chronic stroke patients complicated with pulmonary infection. The results revealed that body protein and fat stores were significantly depleted in stroke patients with pulmonary infection. Protein-energy malnutrition was present in 12 of 27 patients with pulmonary infection. In comparison, only eight of 42 stroke patients without pulmonary infection exhibited protein-energy malnutrition. A significantly higher prevalence of protein-energy malnutrition was found in the pulmonary infection group, suggesting that protein-energy malnutrition is more likely to be present in hospitalized chronic stroke patients with pulmonary infection.

关键词： nutritional status protein-energy malnutrition stroke pulmonary infection

Effect of early enteral nutrition on postoperative nutritional status and immune function in elderly patients with esophageal cancer or cardiac cancer

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Chinese Journal of Cancer Research 2013年第3期25卷 299-305页

作者： Guiping Yu Guoqiang Chen Bin Huang Wenlong Shao Guangqiao Zeng Department of Cardiothoracic Surgery The Affiliated Jiangyin Hospital Southeast University Medical College Department of Cardiothoracic Surgery The First Affiliated Hospital Guangzhou Medical University Guangzhou Institute of Respiratory Disease (GIRD) and China State Key Laboratory of Respiratory Disease The First Affiliated Hospital Guangzhou Medical University

To explore the effect of early enteral nutrition （EN） on postoperative nutritional status, intestinal permeability, and immune 6anction in elderly patients with esophageal cancer or cardiac cancer. Methods： A total of 96 patients with esophageal cancer or cardiac cancer who underwent surgical treatment in our hospital from June 2007 to December 2010 were enrolled in this study. They were divided into EN group （n=50） and parenteral nutrition （PN） group （n=46） based on the nutrition support modes. The body weight, time to first flatus/defecation, average hospital stay, complications and mortality after the surgery as well as the liver function indicators were recorded and analyzed. Peripheral blood samples were collected on the days 1, 4 and 7 after surgery. The plasma diamine oxidase （DAO） activity and D-lactate level were determined to assess the intestinal permeability. The plasma endotoxin levels were determined using dynamic turbidimetric assay to assess the protective effect of EN on intestinal mucosal barrier. The postoperative blood levels of inflammatory cytokines and immunoglobulins were determined using enzyme- linked immunosorbent assay （ELISA）. Results： After the surgery, the time to first flatus/defecation, average hospital stay, and complications were significantly less in the EN group than those in the PN group （P〈0.05）, whereas the EN group had significantly higher albumin levels than the PN group （P〈0.05）. On the 7th postoperative day, the DAO activity, D-lactate level and endotoxin contents were significantly lower in the EN group than those in the PN group （all P〈0.05）. In addition, the EN group had significantly higher IgA, IgG, IgM, and CD4 levels than the PN group （P〈0.05） but significantly lower IL-2, IL-6, and TNF-a levels （P〈0.05）. Conclusions： In elderly patients with esophageal cancer or cardiac cancer, early EN after surgery can effectively improve the nutritional status, protect intestinal mucosal barrier （by reducing plasma endoxins）, and enhance the immune function

关键词： Enteral nutrition nutritional status intestinal permeability endotoxin immune function

Changes in the nutritional status of nine vitamins in patients with esophageal cancer during chemotherapy

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World Journal of Gastroenterology 2021年第19期27卷 2366-2375页

作者： Lan-Qing Liang Ling-Ling Meng Bo-Ning Cai Ze-Ping Cui Na Ma Le-Hui Du Wei Yu Bao-Lin Qu Sheng-Qiang Feng Fang Liu Department of Radiotherapy Chinese PLA General HospitalBeijing 100853China Department of Health Service The Guard Bureau of Joint Staff Department of Chinese PLABeijing 100017China

BACKGROUND Many studies have investigated the relationships between vitamins and esophageal cancer(EC).Most of these studies focused on the roles of vitamins in the prevention and treatment of EC,and few studies have examined the changes in vitamin nutritional status and their influencing factors before and after chemotherapy for EC.Chemotherapy may have a considerable effect on EC patients’vitamin levels and hematological indicators.AIM To research the nutritional status of multiple vitamins in EC patients during chemotherapy and to assess its clinical significance.METHODS EC patients admitted to our center from July 2017 to September 2020 were enrolled in this study.Serum concentrations of nine vitamins(A,D,E,B9,B12,B1,C,B2 and B6),hemoglobin,total protein,albumin,blood calcium,blood phosphorus concentrations and body mass index(BMI)were measured in all EC patients.The changes in nine vitamins,hematological indicators and BMI were compared before and after two cycles of chemotherapy.The possible influential factors were analyzed.RESULTS In total,203 EC patients receiving chemotherapy were enrolled in this study.Varying degrees of vitamin A,D,C and B2 deficiency and weight loss were found in these patients,and the proportions of vitamin B2 and vitamin C deficiencies increased significantly after chemotherapy(both P<0.05).Serum concentrations of vitamins A,C,B2 and B6 and BMI before and after chemotherapy were statistically significant(all P<0.05).Multivariate analysis showed that vitamin A levels significantly differed between male and female EC patients,whereas vitamin D concentration significantly differed in EC patients in different stages(all P<0.05).Correlations were observed between the changes in serum concentrations of vitamin A and C before and after two cycles chemotherapy and the change in BMI(P<0.05).Hemoglobin,total protein,serum albumin and blood calcium concentrations significantly decreased in EC patients after chemotherapy(all P<0.05),while the blood phosphorus level significantly increased afte

关键词： Esophageal cancer Chemotherapy Vitamins nutritional status Body mass index

Upper arm composition and nutritional status of school children and adolescents in Abeokuta,Southwest Nigeria

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World Journal of Pediatrics 2014年第4期10卷 336-342页

作者： Idowu Odunayo Senbanjo Kazeem Adeola Oshikoya Olisamedua Fidelis Njokanma Department of Pediatrics and Child Health Lagos State University College of MedicinePMB 21266IkejaLagos State 100001Nigeria Pharmacology Department Lagos State University College of MedicinePMB 21266IkejaLagosNigeria Academic Division of Child Health Medical SchoolUniversity of NottinghamDerbyshire Children's HospitalUttoxeter RoadDerby DE223DTUK

Background:Upper arm composition is a reflection of body protein and calorie reserves.However,there is a paucity of data on upper arm composition of children from African countries,including Nigeria.This study aimed to determine the composition of upper arm and nutritional status of school children in Abeokuta,Nigeria and to compare with international reference standards.The sensitivity and specifi city of upper arm muscle area by height(UAMAH)as a nutritional assessment tool was also determined.Methods:Five hundred and seventy children aged 5 to 19 years were selected from seven schools using multistage random sampling.Weight,height,mid-upper arm circumference(MUAC)and triceps skin fold thickness(TSF)were measured.Body mass index,upper arm muscle area(UAMA),upper arm fat area(UAFA),fat percentage and UAMAH were derived.Results:The TSF,UAFA and fat percentage were significantly higher in females than males at each age group.MUAC and UAMA were significantly higher in female children aged 10-14 years,whereas UAMA was significantly higher in male children aged 15-19 years.UAMA and UAFA of the children were lower than those of Americans but similar to those of Zimbabweans,and higher than those of Indians.The sensitivity and specifi city of UAMAH for detecting wasting were 80.8%and 63.9%,respectively,whereas the corresponding values for stunting were 32.2%and 58.2%,respectively.Conclusions:The school children studied have a combination of poor calorie and protein reserve.UAMAH may be a valuable tool for complete evaluation of the nutritional status of school children.

关键词： nutritional status school children upper arm fat upper arm muscle