Emergence of imaging technology beyond the clinical setting: Utilization of mobile health tools for at‐home testing
ASPEN » Nutrition in Clinical Practice
by Brooke E. Starkoff, Brett S. Nickerson
6d ago
Abstract Body composition assessment plays a pivotal role in understanding health, disease risk, and treatment efficacy. This narrative review explores two primary aspects: imaging techniques, namely ultrasound (US) and dual-energy x-ray absorptiometry (DXA), and the emergence of artificial intelligence (AI) and mobile health apps in telehealth for body composition. Although US is valuable for assessing subcutaneous fat and muscle thickness, DXA accurately quantifies bone mineral content, fat mass, and lean mass. Despite their effectiveness, accessibility and cost remain barriers to widespread ..read more
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Artificial intelligence in clinical nutrition and dietetics: A brief overview of current evidence
ASPEN » Nutrition in Clinical Practice
by Kiranjit Atwal
6d ago
Abstract The rapid surge in artificial intelligence (AI) has dominated technological innovation in today's society. As experts begin to understand the potential, a spectrum of opportunities could yield a remarkable revolution. The upsurge in healthcare could transform clinical interventions and outcomes, but it risks dehumanization and increased unethical practices. The field of clinical nutrition and dietetics is no exception. This article finds a multitude of developments underway, which include the use of AI for malnutrition screening; predicting clinical outcomes, such as disease onset, an ..read more
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Identifying nutrition risk in emergency patients: What is the most appropriate screening tool?
ASPEN » Nutrition in Clinical Practice
by Johnny Galhano dos Santos, Camila Saueressig, Renata Wolf, Jéssica Correa dos Santos, Flávia Moraes Silva, Oellen Stuani Franzosi, Valesca Dall' Alba
1w ago
Abstract Background The emergency department (ED) is the most frequent access route to the hospital. Nutrition risk (NR) screening allows the early identification of patients at risk of malnutrition. This study aimed to evaluate the feasibility and predictive validity of five different tools in EDs: Nutritional Risk Screening 2002 (NRS-2002), Nutritional Risk Emergency 2017 (NRE-2017), Royal Free Hospital-Nutritional Prioritizing Tool (RFH-NPT), Malnutrition Universal Screening (MUST), and Malnutrition Screening Tool (MST). Methods Patients with scores ≥3 according to the NRS-2002, ≥1.5 accord ..read more
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Nutrition, endocannabinoids, and the use of cannabis: An overview for the nutrition clinician
ASPEN » Nutrition in Clinical Practice
by Lindsey Russell, Kayla Condo, Tiffany DeFlorville
2w ago
Abstract The endocannabinoid system (ECs) is composed of multiple signaling compounds and receptors within the central and peripheral nervous system along with various organs, including the gut, liver, and skeletal muscle. The ECs has been implicated in metabolism, gut motility, and eating behaviors. The ECs is altered in disease states such as obesity. Recent studies have clarified the role of the gut microbiome and nutrition on the ECs. Exogenous cannabinoid (CB) use, either organic or synthetic, stimulates the ECs through CB1 and CB2 receptors. However, the role of CBs is unclear in regard ..read more
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Clinical application of real‐time continuous glucose monitoring system during postoperative enteral nutrition therapy in esophageal cancer patients
ASPEN » Nutrition in Clinical Practice
by Ranran Zhang, Ying Wu, Rui Xv, Wei Wang, Lei Zhang, Ansheng Wang, Min Li, Wei Jiang, Guoxi Jin, Xiaolei Hu
3w ago
Abstract Background Enteral nutrition (EN) support therapy increases the risk of abnormal blood glucose (BG). The aim of this study is to evaluate the clinical value of a real-time continuous glucose monitoring (rt-CGM) system in BG monitoring during postoperative EN support therapy in patients with esophageal cancer. Methods Patients without diabetes mellitus (DM) with esophageal cancer who planned to receive postoperative EN were enrolled. With the self-monitoring of BG value as the reference BG, the accuracy of rt-CGM was evaluated by the mean absolute relative difference (MARD) value, corr ..read more
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Knowledge and clinical practice of ASPEN registered dietitian nutritionist members regarding blenderized tube feedings
ASPEN » Nutrition in Clinical Practice
by Terry Brown, Teresa Johnson, Allison Gomes, Hamed Samavat, Laura Byham‐Gray
3w ago
Abstract Background Blenderized tube feedings (BTFs) are used by patients/caregivers who report improvements in gastrointestinal tolerance compared with standard commercial feedings. Despite positive outcomes, registered dietitian nutritionists or international equivalents (RDN/Is) hesitate to recommend BTFs. We aimed to determine if an association exists between dietitian characteristics and willingness to recommend BTFs. Methods A BTF-specific survey (N = 157) assessed for validity and reliability was administered to the American Society for Parenteral and Enteral Nutrition (ASPEN) RDN/I mem ..read more
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Dietary therapies for adult and pediatric inflammatory bowel disease
ASPEN » Nutrition in Clinical Practice
by Jessica Deas, Neha D. Shah, Gauree G. Konijeti, Abigail Lundin, Olivia Lanser, Pooja Magavi, Sabina Ali
3w ago
Abstract Diet is an environmental exposure implicated in the development of inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC). Dietary therapy is also a tool for management of these conditions. Nutrition therapy for IBD has been shown to reduce intestinal inflammation, promote healing, and alleviate symptoms, as well as improve patients' nutrition status. Although the mechanisms of action of most nutrition therapies for IBD are not well understood, the diets are theorized to eliminate triggers for gut dysbiosis and mucosal immune dysfunction associate ..read more
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Association of in‐line digestive enzyme cartridge with enteral feeds on improvement in anthropometrics among pediatric patients with cystic fibrosis
ASPEN » Nutrition in Clinical Practice
by Samarth Shrivastava, Karyn Shaw, MinJae Lee, Patricia Reitich, Stacie Hunter, Mary Klosterman, Meghana Sathe
1M ago
Abstract Background Approximately 85% of patients with cystic fibrosis (CF) have exocrine pancreatic insufficiency (EPI) with 10% requiring supplemental nighttime enteral tube feedings. Administration of pancreatic enzyme replacement therapy (PERT) with nighttime feedings is fraught with challenges. RELiZORB (Alcresta Therapeutics, Inc), an in-line lipase cartridge, delivers PERT continuously with enteral feedings. Outcomes related to the use of this in-line lipase cartridge are lesser known. This project evaluated anthropometrics related to in-line lipase cartridge use among pediatric patient ..read more
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Assessment of the risk of contamination of enteral nutrition bottles based on the simulation of home use conditions and hygiene procedures
ASPEN » Nutrition in Clinical Practice
by Isabela T. F. da Silva, Caroline O. Medeiros, Jaqueline Leobet, Márcia R. Beux, Estela I. Rabito, Schaina A. P. Etgeton, Lize S. Fiori
1M ago
Abstract Background Home-prepared enteral formulations are supplied to patients through enteral nutrition bottles, via a gravity bag or other container, which may be inadequately sanitized and reused more times than recommended by the manufacturer. Such procedures increase the risk of contamination and can compromise the patient's clinical outcome. In light of this, the present study aimed to assess the risk of contamination of enteral nutrition bottles by simulating home use conditions and hygiene procedures. Methods A simulation of bottle usage was conducted across the three categories of en ..read more
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Teduglutide improves liver chemistries in short bowel syndrome–associated intestinal failure: Post hoc analysis
ASPEN » Nutrition in Clinical Practice
by Dejan Micic, Ian Robinson, Tanya Kidd, Brian Terreri, Bram P. Raphael
1M ago
Abstract Background Chronic hepatic complications are common in patients with short bowel syndrome–associated intestinal failure (SBS-IF). Teduglutide, a glucagon-like peptide-2 analogue, demonstrated efficacy in reducing parenteral nutrition and/or intravenous fluid dependence among patients with SBS-IF in phase 3 clinical studies. Methods This was a post hoc analysis of pooled data from two separate randomized, double-blind, placebo-controlled, multinational phase 3 clinical studies. Adult patients with SBS-IF with parenteral nutrition and/or intravenous fluid dependence without liver diseas ..read more
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