Nutrition
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Comparative Study
Physiological effects of a short-term lifestyle intervention based on the Mediterranean diet: comparison between older and younger healthy, sedentary adults.
The aim of this study was to determine whether short-term adherence to the Mediterranean diet (MD) was associated with improved physiological function. ⋯ Improvements in physiological function were observed after a short-term dietary intervention based on the MD in a younger population. These were not statistically matched in an older group. Our findings suggest that different durations should be applied when designing dietary interventions in different age groups, with expectations in physiological improvement differing.
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Health inequalities are observed among different regions and socioeconomic groups. The present study aimed to record the prevalence of overweight and obesityamong preschoolers across six European countries in relation to sociodemographic and family factors. ⋯ In a large sample of European preschoolers, the prevalence of overweight and obesity was found to be higher in Southern and Eastern European countries compared with Central and Northern European countries. Higher prevalence was recorded among low-SES families and in children with overweight or obese parents, which indicates that these areas and vulnerable groups need to be prioritized to close the gap in health and social inequalities and provide more effective prevention of early childhood obesity.
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Review Meta Analysis
Associations between dietary inflammatory index and incidence of breast and prostate cancer: a systematic review and meta-analysis.
Dietary inflammatory index (DII) scores have been inconsistently linked to cancer risks. Therefore, a systematic review and meta-analysis was performed to examine the associations between the DII and the risks of breast and prostate cancer among men and women. ⋯ Men and premenopausal women who exhibit higher DII scores have increased prostate and breast cancer incidence risks, respectively. Moreover, body mass index had positive associations with the relationship between DII score and BCR in women. Further prospective cohort studies with longer follow-up periods are needed to support this possible association between DII score and cancer incidence.
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Indirect calorimetry is currently a gold standard of resting energy expenditure (REE) assessment in critically ill patients. Many predictive equations of energy expenditure have been proved to imprecisely predict REE and lead to under- or overfeeding. ⋯ REE should be measured as soon as the patient's conditions allow and the target of delivered calorie should be around 0.7 to 1 of measured REE to avoid overfeeding. The supplemental parenteral nutrition should be prescribed to close the caloric gap if the goal is not reached by enteral nutrition alone.
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Hospital administrative databases are widely used for disease monitoring. Undernutrition is highly prevalent among hospitalized patients but the diagnostic accuracy of undernutrition coding in administrative data is poorly known. This study examined the diagnostic accuracy of undernutrition coding in administrative hospital discharge databases. ⋯ The undernutrition codes in hospital discharge data have good specificity but the sensitivity and positive predictive values are low.