Nutrition
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There is a substantial interest in the potential role of chocolate in the prevention of cardiovascular diseases. It has been recently reported that a higher frequency of chocolate intake is linked to lower body mass index (BMI) in adults. The aim of the present study was to determine if higher chocolate consumption also is associated with lower BMI, as well as other markers of total and central body fat, in adolescents. ⋯ Our results demonstrate that a higher chocolate consumption was associated with lower total and central fatness in European adolescents.
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Recent data suggest that the nutritional status of patients who are on the waiting list for kidney transplantation, influence outcomes after renal transplantation. Body composition (BC) analysis is rarely included in pretransplant evaluation. The aim of this study was to determine how alteration of the BC of these patients could influence pretransplant and post-transplant care. ⋯ BC abnormalities, which can only be detected with the use of DXA, are present in patients on a kidney transplantation waiting list. Detection of these abnormalities could influence the post-transplantation survey in order to prevent the frequent risk for developing metabolic complications after the procedure.
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Randomized Controlled Trial
Maternal dietary counseling reduces total and LDL cholesterol postpartum.
The aim of this study was to investigate the effects of dietary counseling on blood lipid concentrations during and after pregnancy. ⋯ Maternal dietary counseling may lower maternal TC and LDL-C levels postpartum. A healthy lifestyle during pregnancy and postpartum may benefit women's cardiovascular health.
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Some results from cohort investigations indicate that supplemental antioxidants cannot decrease the risks for some diseases and even can play an inverse role because the antioxidant may not be involved in metabolism or may be a pro-oxidant in vivo. Therefore, further studies are required to identify conditions of an antioxidant converting into a pro-oxidant and the pathway of an antioxidant being a metabolic component. Additionally, long-term investigations on large-scale cohorts are required in order to clarify which disease is suitable for antioxidant therapy and how antioxidant intake can really maintain health.
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For hospitalized patients requiring parenteral nutrition (PN), adequate nutritional support has a profound effect on hospital length of stay, morbidity, mortality, and complication rates. Inappropriate or inadequate nutritional therapy may worsen clinical outcome. The aim of this study was to investigate the compliance with nutritional guidelines for PN in a university hospital setting. ⋯ In routine hospital practice, PN is generally not provided in compliance with established guidelines. To improve the quality of nutritional therapy, a nutritional support team should be established. Furthermore, there should be periodical training sessions in nutrition for medical and nursing staff, as well as in standard operating procedures.