Nutrition
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Limited data are available on the incidence and risk factors for infection in patients requiring home parenteral nutrition (HPN). ⋯ Adult patients on HPN exhibit a very high incidence of post-hospital infections. Higher mean blood glucose levels during predischarge hospitalization and the use of peripherally inserted central catheters at discharge are associated with an increased risk of BSI in the postdischarge home setting.
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To verify associations among body composition, biochemical parameters, and food intake in adolescent female swimmers with and without disordered eating (DE). ⋯ DE-positive compared with DE-negative athletes presented a higher percentage of body fat and fat mass, lower protein consumption in the 11- to 14-y-old group, and lower calcium intake adequacy in the 15- to 19-y-old group. Greater attention should be given to the nutritional state of these athletes, considering the number of adolescents with anemia and an inadequate dietary intake.
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Review Meta Analysis
Soy isoflavone supplementation could reduce body weight and improve glucose metabolism in non-Asian postmenopausal women--a meta-analysis.
The objective of this study was to conduct a systematic review and a meta-analysis to confirm the effects of soy isoflavone supplementation on body weight, fasting glucose, and insulin level in non-Asian postmenopausal women. ⋯ This meta-analysis showed soy isoflavone supplementation could be beneficial for body weight reduction, glucose, and insulin control in plasma. Large and well-designed studies are recommended to confirm this conclusion.
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Malnutrition continues to be under-recognized and undertreated in the hospitalized setting. Although no "gold standard" for the diagnosis of malnutrition exists, the Subjective Global Assessment (SGA) is a commonly used malnutrition assessment tool. The study aim was to explore the reporting of inter-rater reliability (IRR) of the SGA when used as a nutritional assessment tool in the published literature. ⋯ The IRR is rarely reported in the published literature and has not yet been reported across experience levels.
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Controlled Clinical Trial
Increased plasma availability of L-arginine in the postprandial period decreases the postprandial lipemia in older adults.
Older adults have exaggerated postprandial lipemia, which increases their risk for cardiovascular disease. We sought to determine the effects of increased plasma L-arginine (L-ARG) availability on the oxidation of ingested fat (enriched with [1,1,1-(13)C]-triolein) and plasma triacylglycerol (TG) concentrations during the postprandial period in older subjects. ⋯ Increasing the plasma L-ARG availability during the postprandial period decreases the postprandial lipemia in older adults, in association with a decrease in the postprandial contribution of ingested lipids into TGs of the plasma small TG-rich lipoproteins.