Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition
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Meta Analysis Comparative Study
Risk-Benefit Profile of Gastric vs Transpyloric Feeding in Mechanically Ventilated Patients: A Meta-Analysis.
The risk-benefit profile of transpyloric vs gastric feeding in mechanically ventilated (MV) patients has not been definitively established. ⋯ Transpyloric feeding in MV adults was associated with significantly less incidence of VAP compared with gastric feeding. No differences were observed in other outcomes, suggesting that the difference observed in the incidence of VAP may be spurious and needs confirmation.
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Meta Analysis Comparative Study
Nasal bridles for securing nasoenteric tubes: a meta-analysis.
Nasoenteric feeding tubes may easily become dislodged due to patient mental status, transfers, or positional changes. Nasal bridles were introduced to provide a better, more reliable system to secure these tubes. This meta-analysis was performed to evaluate the effectiveness of nasal bridles compared with the traditional method of adhesive tape alone in securing enteral feeding tubes. ⋯ Nasal bridles appear to be more effective at securing nasoenteric tubes and preventing dislodgement than traditional use of tape alone.
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Review Meta Analysis Comparative Study
Comparison of postpyloric tube feeding and gastric tube feeding in intensive care unit patients: a meta-analysis.
Enteral feeding is vital in the critical care setting; however, the optimal route of enteral feeding (postpyloric vs gastric feeding) remains debated. We aimed to systematically review the current evidence to see whether postpyloric feeding could provide additional benefits to intensive care unit (ICU) patients. ⋯ As compared with gastric feeding, postpyloric feeding is able to deliver higher proportions of the estimated energy requirement and can help reduce the GRV.
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Review Meta Analysis
The role of dietary factors in cancer prevention: beyond fruits and vegetables.
Cancer, a disease resulting from dysregulated cell growth control, is caused by an interaction of dietary, genetic, and environmental risk factors. Dietary factors, including physical activity, may contribute to approximately one-third of all cancers. This meta-review summarizes dietary factor and cancer risk associations and makes specific dietary recommendations to reduce risk of specific cancers. ⋯ We recommend the adoption of dietary patterns emphasizing regular physical activity, fruits and vegetables, whole grains, legumes, nuts, seeds, and low-fat dairy products to all people at risk for cancer and cardiovascular disease. These recommendations may be incorporated into enjoyable cultural food patterns as exemplified by Mediterranean-type diets. The preparation and enjoyment of meals in a convivial atmosphere is a vital component of lifestyles to prevent chronic diseases such as cancer and certain cardiovascular diseases.