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Objective To identify the characteristics of nutritional problems in patients with Parkinsonism who participated in multi-disciplinary team (MDT) and to investigate the correlation between nutritional status and dysphagia in these patients. The predictive value of video fluoroscopic swallowing study (VFSS) and EAT-10 scale for malnutrition was compared. Methods Subjects were patients with Parkinsonism participated in joint MDT consultation project in Peking Union Medical College Hospital from November 2020 to January 2023. Subjective and objective dysphagia were evaluated by EAT-10 scale score and VFSS dysphagia score. Nutritional status of the patients was evaluated by geriatric nutrition risk index (GNRI), albumin, prealbumin, serum folic acid, vitamin B12 and temporal muscle thickness. Results A total of 30 participants met the criteria and were included in the study. The age was 45-82 (66.1±9.0) years old. Six (20%) were at risk of malnutrition shown b a comprehensive nutritional status assessment using GNRI. The areas under receiver operating characteristic(ROC) curves(AUC) of VFSS dysphagia score and EAT-10 score to predict malnutrition were 0.781 (0.568-0.995) and 0.927 (0.827-1.000), respectively. EAT-10 score was correlated with GNRI(r=-0.524, P＜0.01), BMI(r=-0.618, P＜0.001), prealbumin (r=-0.616, P＜0.001). The VFSS dysphagia score was only correlated with BMI (r=-0.446, P＜0.05) and prealbumin (r=-0.387, P＜0.05). Conclusions Patients with Parkinsonism requiring MDT often have multiple micronutrient imbalance. Patients′ subjective perception of dysphagia has a greater impact on their nutritional status than objective assessment of dysphagia. [ABSTRACT FROM AUTHOR]

Copyright of Chinese Journal of Contemporary Pediatrics is the property of Xiangya Medical Periodical Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of China Medical University is the property of Journal of China Medical University Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background With the increase of the aging population, age-related health problems have garnered increasing attention. Compared to physiologic diseases with significant clinical symptoms, the mental health issues of the elderly are often overlooked. The underlying depressive states and high incidence of chronic diseases collectively contribute to a decline in quality of life in old age. Moreover, metabolic diseases, more prevalent in the elderly, significantly impact brain health, potentially leading to neurological damage and cognitive decline. Objective This study aims to investigate the relationship between depression, cognitive status, and nutritional and metabolic status among elderly individuals in the community. Methods We selected 3 767 elderly individuals who participated in physical examinations at the Youyi Street Community Health Service Center in Baoshan District, Shanghai. The demographic data on sex, age, BMI and waist-to-hip ratio were collected. The evaluations included the Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Mini Nutritional Assessment (MNA), and Activities of Daily Living Scale (ADL). Metabolic syndrome-related diseases and the 10-year cardiovascular disease risk were assessed using clinical metabolic indicators, and Pearson correlation analysis was used to explore the correlations among these indicators. Results This research showed that significant differences were found in age, MNA, MMSE scores, the proportion of people at high risk of cardiovascular disease and the 10-year cardiovascular disease risk grade among the different groups (P

Objective To identify the characteristics of nutritional problems in patients with Parkinsonism who participated in multi-disciplinary team (MDT) and to investigate the correlation between nutritional status and dysphagia in these patients. The predictive value of video fluoroscopic swallowing study (VFSS) and EAT-10 scale for malnutrition was compared. Methods Subjects were patients with Parkinsonism participated in joint MDT consultation project in Peking Union Medical College Hospital from November 2020 to January 2023. Subjective and objective dysphagia were evaluated by EAT-10 scale score and VFSS dysphagia score. Nutritional status of the patients was evaluated by geriatric nutrition risk index (GNRI), albumin, prealbumin, serum folic acid, vitamin B12 and temporal muscle thickness. Results A total of 30 participants met the criteria and were included in the study. The age was 45-82 (66.1±9.0) years old. Six (20%) were at risk of malnutrition shown b a comprehensive nutritional status assessment using GNRI. The areas under receiver operating characteristic(ROC) curves(AUC) of VFSS dysphagia score and EAT-10 score to predict malnutrition were 0.781 (0.568-0.995) and 0.927 (0.827-1.000), respectively. EAT-10 score was correlated with GNRI(r=-0.524, P＜0.01), BMI(r=-0.618, P＜0.001), prealbumin (r=-0.616, P＜0.001). The VFSS dysphagia score was only correlated with BMI (r=-0.446, P＜0.05) and prealbumin(r=-0.387, P＜0.05). Conclusions Patients with Parkinsonism requiring MDT often have multiple micronutrient imbalance. Patients′ subjective perception of dysphagia has a greater impact on their nutritional status than objective assessment of dysphagia.

Objective To explore the effect of whole-process nutrition management based on Information-Motivation-Behavioral Skills (IMB)model in elderly patients with esophageal cancer. Methods Elderly patients with esophageal cancer surgery admitted to the Thoracic Surgery Department of hospital from July 2022 to January 2023 were selected as the study objects. According to the exclusion standard, patients from July 1, 2022 to September 30, 2022 were selected as the control group, with 37 participants. Patients from October 1, 2022 to January 31, 2023 were selected as the experimental group, with 38 participants. The control group received routine nutrition nursing management, while the experimental group took the whole process nutrition management based on IMB model on the basis of the control group. The postoperative recovery index, nutritional status, degree of fatigue, psychological status and nursing service satisfaction were compared between the two groups. Results After intervention, the nutrition monitoring indexes (albumin, hemoglobin, retinol binding protein and BMI) in the experimental group were higher than those in the control group 7 days after operation and 1 month after discharge form hospital, with significant difference (P＜0. 05). There were significant differences in scores of Borg Rating of Perceived Exertion Scale(Borg RPE) between the experimental group and the control group (P＜0. 05). The patient generated-subjective global assessment (PG-SGA) score of the experimental group before discharge and 1 month after operation was lower than that of the control group, and the difference was statistically significant (P＜0. 05). The scores of Hospital Anxiety and Depression Scale (HADS) indexes in the experimental group were significantly lower than those in the control group before discharge and 1 month after discharge from hospital, with significant difference (P＜0. 05). There was no significant difference in the score of service attitude between the experimental group and the control group (P＞0. 05), but the scores of other items in the experimental group were higher than those in the control group, and the difference was statistically significant (P＜0. 05). Conclusion The whole-process nutrition management based on IMB model can effectively improve the nutritional status of elderly patients undergoing esophageal cancer surgery and reduce their postoperative tiredness. It is also helpful to reduce the negative emotions of anxiety and depression and improve patients' satisfaction with nursing services. (目的 探讨基于信息-动机-行为技巧(IMB)模型的全程化营养管理在老年食管癌患者中应用效果。方法 选取2022年7月—2023年1月医院胸外科收治的老年食管癌手术患者为研究对象, 根据纳入和排除标准将2022年7月1日—9月30日收治的患者设为对照组(n=37), 将2022年10月1日—2023年1月31日收治患者设为对试验组(n=38)。对照组实施常规营养护理, 试验组在对照组基础上采取基于IMB模型的全程化营养管理。比较两组患者术后恢复指标、营养状况、疲乏程度、心理状况及护理服务满意度。结果 试验组术后7 d及出院后1个月营养监测指标中白蛋白、血红蛋白、视黄醇结合蛋白及体质指数(BMI)均优于对照组, 差异有统计学意义(P＜0. 05); 试验组Borg主观用力程度分级量表(Borg RPE)评分与对照组比较, 差异有统计学意义(P＜0. 05)。试验组出院前及术后1个月主观整体评估(PG-SGA)评分低于对照组, 差异有统计学意义(P＜0. 05)。出院前及出院1个月, 试验组医院焦虑抑郁量表(HADS)各项指数评分均较对照组显著降低, 差异有统计学意义(P＜0. 05)。试验组护士服务态度评分与对照组比较, 差异无统计学意义(P＞0. 05); 其他各项目试验组评分均高于照组, 差异有统计学意义(P＜0. 05)。结论 基于IMB模型的全程化营养管理, 可有效改善老年食管癌手术患者营养状况, 降低患者术后疲劳程度, 有利于减轻患者焦虑、抑郁负面情绪, 提高患者对护理服务的满意度。)

Background Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is an effective treatment for hematopoietic malignancies. Malnutrition is a common complication and negatively affects prognosis. Muscle mass has been shown to reflect the nutritional status of patients earlier than blood biochemical parameters such as albumin. However, the influence of pre-transplantation skeletal muscle mass (SMM) on the complications associated with early transplantation remains unclear. Objective To investigate the effect of pre-transplant SMM on the early outcomes of allo-HSCT, provide a clinical basis for nutritional interventions and prognosis improvement. Methods A study was conducted with 77 leukemia patients who underwent allo-HSCT at the Medical Center of Hematology, Xinqiao Hospital of Army Medical University from January to October 2022. Bioelectrical impedance analysis was used to assess skeletal muscle mass. The patients were divided into the normal SMM group of 36 cases and low SMM group of 41 cases according to their SMM. Baseline data, including personal and clinical details, were collected. Early post-transplant complications (within 30 days post-transplant) such as oral mucositis, gastrointestinal symptoms, infection and hematopoietic reconstitution time between the two groups were compared using SPSS 23.0 software. Results There was no statistically significant difference in the incidence of diarrhea, nausea, vomiting, and abdominal pain/gastritis incidence between the normal and low SMM groups (P>0.05). The incidence of oral mucositis, hypoalbuminemia, overt gastrointestinal bleeding, and infection was lower in the normal SMM group than in the low SMM group (P

Selenium is a crucial trace element within the human body, intricately involved in maintaining cellular redox balance, metabolism, and other aspects. In recent decades, the incidence of dyslipidemia in the Chinese population has significantly increased. The pivotal role of selenium in lipid metabolism stems from its ability to catalyze and eliminate lipid peroxides through selenoprotein. This review delves into the intricate relationship between selenium nutritional status and dyslipidemia, drawing insights from cross-sectional studies, cohort studies, and randomized control trials and thus providing reference for further research. [ABSTRACT FROM AUTHOR]

Objective To investigate the nutritional status and its influencing factors among the elderly in some communities of Kunming, in order to provide more targeted suggestions for preventing malnutrition among the elderly in the above communities, thereby improving the quality of life and health status of the elderly in the community. Methods It is convenient to select 2506 elderly people from 3 communities in Kunming from August 1, 2022 to August 1, 2023, and use a general information questionnaire, the mini nutritional assessment short-form Form ( MNA-SF), and the geriatric depression scale-15 Form ( GDS-15) for comprehensive assessment, to investigate the factors influencing the nutritional status of the elderly. Results The nutritional status score of 2 506 elderly individuals in the community was 11.0 (10.0, 12.0) points, with 71 cases (2.8%) of malnutrition, 1 459 cases (58.2%) at risk of malnutrition, and 976 cases (38.9%) with normal nutrition. Univariate analysis showed that marital status, living conditions, suffering from hypertension, coronary heart disease, chronic obstructive pulmonary disease, or stroke, and depression status had statistically significant differences in their impact on nutritional status (P < 0.05) .Multivariate ordinal logistic regression analysis showed that coronary heart disease, chronic obstructive pulmonary disease, stroke, and depression were independent risk factors for the nutritional status of the elderly, while a higher body mass index (BMI) was a protective factor. Conclusion The risk of malnutrition of the elderly in this survey is high and influenced by many factors. It is suggested to comprehensively evaluate the nutritional status of the elderly with various indicators, so as to identify the malnutrition factors early and intervene in time to ensure healthy aging. [ABSTRACT FROM AUTHOR]

Copyright of Chinese Journal of Clinical Healthcare is the property of Chinese Journal of Clinical Healthcare and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To explore the effect of integrated medical and nursing enhanced recovery after surgery (ERAS) nursing on postoperative rehabilitation and nutritional status of patients with colorectal cancer. Methods A total of 120 patients with colorectal cancer admitted to the First People's Hospital of Qinzhou from January 2021 to January 2023 were randomly divided into the routine group and the intervention group, with 60 cases in each group. Routine nursing and ERAS nursing integrated medical and nursing were given respectively. The postoperative indwelling catheter, first exhaust, beginning of semi-fluid, ambulation, hospitalization time, postoperative nutritional indicators (serum total protein, albumin, prealbumin), complications and nursing satisfaction were observed in the two groups. Results The time of indwelling catheter, first exhaust, starting semi-liquid, getting out of bed and hospitalization in the intervention group were significantly shorter than those in the routine group. The postoperative nutritional index and nursing satisfaction were significantly higher than those in the routine group, and the incidence of complications was significantly lower than that in the routine group and the differences were statistically significant (P<0.05). Conclusion The application of integrated medical and nursing with ERAS nursing in the perioperative period of colorectal cancer can promote the recovery of gastrointestinal function, increase nutrition, reduce the incidence of complications and shorten the length of hospital stay. [ABSTRACT FROM AUTHOR]

Objective: To investigate the effect of ice cotton stick stimulation combined with penetrating swallowing acupuncture on hyoid laryngeal complex mobility and nutritional status in patients with dysphagia caused by pseudobulbar palsy (PBP) after stroke.Methods: 150 patients with dysphagia caused by PBP after stroke were selected from January 2020 to January 2023 in Air Force Hospital of Western Theater. Patients were divided into control group (n=75, ice cotton stick stimulation treatment) and experimental group (n=75,penetrating swallowing acupuncture treatment on the basis of control group) by random number table method. The efficacy, Kubota drinking water test score, Fujishima Ichiro swallowing disorder score, hyoid laryngeal complex mobility, nutritional status and quality of life scores were compared between two groups. Results: The total clinical effective rate in experimental group was higher than that in control group (P＜0.05). The Kubota drinking water test score in experimental group was lower than that in control group 4 weeks after treatment, and the Fujishima Ichiro swallowing disorder score was higher than that in control group (P＜0.05). The distance of hyoid bone upward movement, distance of hyoid bone forward movement, distance of thyroid cartilage upward movement and distance of thyroid cartilage forward movement in experimental group was greater than that in control group 4 weeks after treatment (P＜0.05). The total protein (TP）, serum albumin (ALB) and serum preprotein (PA) in experimental group were higher than those in control group 4 weeks after treatment (P＜0.05). The quality of life scores in experimental group was higher than that in control group 4 weeks after treatment (P＜0.05）.Conclusion: Ice cotton stick stimulation combined with penetrating swallowing acupuncture can effectively improve the swallowing function, hyoid laryngeal complex mobility and nutritional status of patients with dysphagia caused by PBP after stroke, and improve the quality of life of patients. [ABSTRACT FROM AUTHOR]

The fur color of mammals is mainly determined by melanin synthesized by melanocytes. Cell staining includes melanocyte development, melanin synthesis and metabolism, and signal pathways regulating melanin synthesis. Melanocytes can be classified into many types, and these types can be identified by a variety of melanocyte markers. Fur color can judge the physical condition and nutritional status of animals, and different fur colors may have certain influence on animal production. This paper reviews the structural basis and development cycle of mammalian fur color formation, describes the cytochrome process from neural crest to mature melanocytes residing in several tissues, summarizes the types of melanocytes and the markers of each type of melanocytes, and discusses the application of animal coat color in animal production, providing help for analyzing the genetic mechanism of mammalian fur color formation and providing effective suggestions for animal production affected by fur color. [ABSTRACT FROM AUTHOR]

Obejective: To investigate the effects of different doses of protein diet on nutritional status, immune function and oxidative stress in patients with type 2 diabetes mellitus (T2DM) with pulmonary tuberculosis. Methods: 120 T2DM patients with pulmonary tuberculosis who were admitted to Hunan Provincial Chest Hospital from March 2020 to December 2021 were selected as research objects. Patients were randomly divided into high protein group (1.5 g/kg/d protein, total calorie increased by 10%), medium protein group (1.2 g/kg/d protein, total calorie increased by 10%), low protein group (1.0 g/kg/d protein, total calorie increased by 10%). 40 cases in each group. The sputum mycobacterium tuberculosis negative conversion, pulmonary infection, blood glucose, nutritional status, immune function and oxidative stress level in three groups were compared. Results: The sputum mycobacterium tuberculosis negative conversion rate in high protein group and medium protein group was higher than that in low protein group, and high protein group was higher than that of medium protein group (P<0.05). The pulmonary infection rate in high protein group and medium protein group was lower than that in low protein group, and high protein group was lower than that of medium protein group (P<0.05). After treatment, the glycosylated hemoglobin (HbA1c), fasting blood glucose (FBG) and 2h postprandial blood glucose (2hPG) in high protein group and medium protein group were lower than those in low protein group, and high protein group was lower than that of medium protein group (P<0.05). After treatment, total albumin (TP), prealbumin (PA) and albumin (ALB) in high protein group and medium protein group were higher than those in low protein group, and high protein group was higher than that of medium protein group (P<0. 05). After treatment, CD3+, CD4+ and CD4+ /CD8+ in high protein group and medium protein group were higher than those in low protein group, and high protein group was higher than that of medium protein group (P<0.05). After treatment, CD8+ in high protein group and medium protein group was lower than that in low protein group, and high protein group was lower than that of medium protein group (P<0.05). After treatment, the superoxide dismutase (SOD) in high protein group and medium protein group was higher than that in low protein group, and high protein group was higher than that of medium protein group (P<0.05). After treatment, the malondialdehyde (MDA) in high protein group and medium protein group was lower than that in low protein group, and high protein group was lower than that of medium protein group (P<0.05). Conclusion: High protein diet can improve the nutritional status and immune function of T2DM patients with pulmonary tuberculosis, and reduce the level of oxidative stress. [ABSTRACT FROM AUTHOR]

Objective To investigate the effect of induction chemotherapy (IC) on immune function and inflammatory markers in patients with stage Ⅲ-Ⅳ nasopharyngeal carcinoma (NPC). Methods A total of 102 patients with stage Ⅲ-Ⅳ NPC confirmed by pathology were selected to receive TPF regimen (docetaxel, cisplatin and 5-fluorouracil, 72 cases) or GP regimen (gemcitabine and cisplatin, 30 cases). The short-term clinical outcomes of patients were evaluated. The immune function of patients with different clinical characteristics was compared before and after IC treatment. T lymphocyte subsets (CD3+, CD4+, CD8+, CD4+ /CD8+ ), B lymphocyte subsets (CD19+ ) and NK cell percentage in peripheral blood before and after IC were compared. Inflammatory markers interleukin-6, tumor necrosis factor α (TNF- α), neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), lymphocyte/monocyte ratio (LMR), and systemic immunoinflammatory index (SII), and changes of total protein (TP), albumin (ALB) and prealbumin (PA) were also compared. The immune function, inflammatory index and nutritional status of patients with different IC regimen and IC cycle number were compared. Results All 102 patients completed IC, of which 0 patient achieved complete response (CR), 87 patients (85.3%) achieved partial response (PR), 13 patients (12.7%) achieved stable response (SD), 2 patients (2.0%) developed PD. The objective response rate (ORR) was 85.3%, and the disease control rate (DCR) was 98.0%. The proportion of CD19+ lymphocytes and NK cells decreased after IC, while the proportion of CD3+, CD4+ and CD8+ lymphocytes increased after IC (P＜0.05). Levels of NLR, SII, TP, ALB and PA were decreased in NPC patients after IC (P＜0.05). After IC, the CD4+ /CD8+ ratio was higher in the GP group than that in the TPF group, and LMR decreased (P＜0.05). There were no significant differences in the immune function, inflammatory indexes and nutritional status before and after IC between the ≤3 cycle group and the > 3 cycle group. Conclusion IC is an effective therapy with high disease control rates for NPC patients, and can improve their cellular immune function, decrease humoral immune function, inflammatory indices and nutritional status. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To investigate the effects of enteral nutrition (EN) based on energy metabolism monitoring on intestinal function, nutritional status and immune function in elderly critically ill patients. Methods: According to the random number table method,136 elderly critically ill patients who were admitted to of EICU Department of Nanjing First Hospital from April 2020 to January 2023 were divided into control group (routine EN) and study group (routine EN based on energy metabolism monitoring), with 68 cases in each group. The clinical indexes, nutritional status, immune function indexes, intestinal function indexes and incidence of complications were compared between two groups. Results: The EN compliance rate within 7 days and the success rate of weaning within 7 days in study group were higher than those in control group, the ICU hospitalization time and mechanical ventilation time in study group were shorter than those in control group, and the total incidence of complications was lower than that in control group (P<0.05). 14 days after intervention, the levels of albumin (ALB), serum total protein (TP), prealbumin (PA) and hemoglobin (Hb) in study group were higher than those in control group (P<0.05). 14 days after intervention, the levels of immunoglobulin (Ig) M, IgG and IgA in study group were higher than those in control group (P<0.05). 14 days after intervention, the levels of D-lactic acid and diamine oxidase (DAO) in study group were lower than those in control group (P<0.05). Conclusion: EN intervention based on energy metabolism monitoring in elderly critically ill patients, which can further improve the nutritional status, intestinal function and immune function of patients. [ABSTRACT FROM AUTHOR]

Background and objective Malnutrition is commonly associated with poor prognosis in patients with malignant tumors. The neutrophil-to-lymphocyte ratio (NLR) is an indicator of inflammation in the body and predicts the risk of malnutrition in a variety of diseases; however, its association with malnutrition in lung cancer patients is unclear. The aim of this study is to clarify the association between NLR and nutritional status in stage IV primary lung cancer and to further determine the optimal NLR cut-off that best predicts the risk of malnutrition. Methods A retrospective analysis of 209 patients admitted to the Department of Medical Oncology, Tianjin Medical University General Hospital with a primary diagnosis of stage IV lung cancer from May 2019 to February 2021 was performed, and the nutritional risk screening 2002 (NRS 2002) was used to examine their nutritional status. Patient demographic information, pathology, Karnofsky performance status (KPS) score, body mass index (BMI), comorbidities and clinical biochemical indicators were also included. The correlation between NLR and NRS 2002 was investigated. Receiver operating characteristic (ROC) curve was used to determine the best NLR cut-off predi cting malnutrition risk. Multivariable Logistic regression was used to assess the association between NLR and malnutrition risk. Results The rate of patients with stage IV primary lung cancer at nutritional risk was 36.36% (76/209). A significant positive correlation was observed between NLR values and NRS 2002 risk score (r=0.765, P<0.001). The ROC curve analysis indicated that an NLR of 3.94 was the optimal cut-off for predicting malnutrition risk (area under the curve=0.747, 95%CI: 0.678-0.815, P<0.001), which showed a sensitivity of 55%, a specificity of 86%, a positive predictive value of 68%, and a negative predictive value of 77%. Patients in the NLR>3.94 group had a significantly higher risk of malnutrition compared to those in the NLR≤3.94 group (69.49% vs 23.33%, P<0.001). Furthermore, NLR was identified as a risk factor for malnutrition in stage IV primary lung cancer patients. Conclusion NLR is associated with the risk of malnutrition in stage IV primary lung cancer, and NLR can be used as one of the indicators for screening nutritional risk in patients with stage IV primary lung cancer [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To assess the nutritional status of vitamin D and associated factors among adults of six ethnic minority groups native to Yunnan Province, and provide evidence for policy making. Methods Between May 2019 and August 2020, a total of 690 adults were selected from Jinuo, Bulang, Jingpo, Deang, Achang and Pumi ethnic groups according to the sex and age composition in the 6th national census. A questionnaire survey and an anthropometric examination were conducted by trained health workers, and serum 25 (OH) D levels were determined with high-performance liquid chromatography-tandem mass spectrometry. Results The median of serum 25 (OH) D was 28.7 ( P25～P75: 24.3 ～33.8) ng/mL, and the prevalence of vitamin D sufficiency, insufficiency and deficiency were 44.2%、 47.5% and 8.3%, respectively. There were significant differences in serum 25 (OH) D levels among the six ethnic groups (χ²=139.29, P < 0.01). Multivariate logistic regression showed that ethnic groups living in higher latitude areas (Pumi, Jingpo, Deang, and Achang), women, and those whose BMI≥24.0 were more likely to be vitamin D insufficient or deficient. Conclusion More than half of the ethnic adults suffer from vitamin D malnutrition which also varies across ethnicities. Further surveillance and interventions among key areas and populations are needed. [ABSTRACT FROM AUTHOR]

Objective To explore the effect of a new type of low-protein enteral nutrition on the nutritional status of patients with chronic kidney disease in stage 3-4 under the guidance of individualized diet. Methods Sixty follow-up outpatients in West China Hospital of Sichuan University were randomly divided into the experimental group and the control group. The two groups were followed up on intervention day 0, day 45, and day 90. According to the principle of intentional analysis, the generalized estimation equation was used to analyze the between-group differences, time change trend, and interaction effect, and the principle of data analysis in accordance with the scheme was used to further verify the stability of results. Results There was no significant difference in nutritional adequacy, clinical effectiveness, and anthropometric indexes between the test group and the control group (P > 0.05). During the intervention period, when the energy intake was stable, the intake of protein (於=17.680, P<0,001) and sodium salt (=21.427, P<0»001) decreased significantly, while the total protein (於=18,075, P<0.001), calcium (护=9.43& P=0,009), phosphorus (护=13.866; P=0.001), and uric acid (於=9,005, P=0.011) fluctuated within the normal range. The results of data analysis in accordance with the scheme were basically consistent with those of intentionality analysis. Only the time change trend of upper arm muscle circumference (於=6.435: P=0.040) and the comparison of energy ratio between groups (於=4.47& P=0.034) were significantly different. Conclusion The new low-protein enteral nutrition preparation is not inferior to the total nutritional formula food for special medical use in improving the nutritional status of patients and delaying the progression of the disease. The use of enteral nutrition under dietary guidance is beneficial to the clinical nutrition management of patients with chronic kidney disease. [ABSTRACT FROM AUTHOR]

Copyright of Chinese Journal of Clinical Healthcare is the property of Chinese Journal of Clinical Healthcare and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To analyze the literatures related to the nutrition of children with tumors at home and abroad, and sort out the current status, hotspots and frontiers of the research in this field, so as to provide a theoretical basis and reference for relevant research in China. Methods: The Web of Science and CNKI were searched for literatures related to nutrition of pediatric tumor patients since its establishment, and CiteSpace 6.1.R6 software was applied to visualize and analyze the nodes of countries, institutions and keywords. Results: A total of 53 articles in Chinese and 204 in English were included, with fluctuating upward trends in the number of publications. The largest number of publications with the strongest centrality was from the United States, and China was not ranked. Domestic publications were mainly from university-affiliated medical institutions, with Beijing Childrens Hospital Affiliated to Capital Medical University having the largest number of publications. Foreign publications were mainly from universities and medical institutions, with McMaster University and St. Jude Childrens Research Hospital having the largest number of publications. The main directions of domestic researchs were nutritional status and malnutrition, and the hot populations were children with malignant tumors and hematological tumors. The main directions of foreign researchs were nutritional status, malnutrition and body composition analysis, and the hot populations were children receiving chemotherapy or acute lymphoblastic leukemia. Conclusion: Through CiteSpace software to visualize the hotspots of children's oncology nutrition research at home and abroad directly, the relevant foreign researchs are more mature than the domestic, which can provide reference for researchers in China.

ObjectiveThis study aimed to evaluate the nutritional knowledge-attitude-practice （KAP）， dietary status， dietary pattern， and physical fitness levels of freshmen in a medical university in Guangxi Zhuang Autonomous Region， and explore the relationship between nutritional knowledge， dietary pattern， and physical fitness level， to provide a reference for the healthy dietary education of university students.MethodsFrom May in， 2021， 2 125 freshmen from a medical university in Guangxi Zhuang Autonomous Region were surveyed using a nutritional KAP questionnaire， food frequency questionnaire， and physical fitness tests. Factor analysis was used to establish the dietary pattern of freshmen， and Pearson correlation analysis and Logistic regression analysis were conducted to analyze the correlation between dietary pattern and the total score of physical fitness test and each item. Simultaneously， descriptive analysis was conducted to analyze the nutritional KAP score， total energy， and average intake of each nutrient. A chi-square test was used to compare the differences in the distribution of nutritional behaviors among different physical test scores.ResultsThe intake of carbohydrate， vitamin A， calcium， dietary fiber， and other nutrients of freshmen was insufficient. Pearson correlation analysis showed that the “healthy diet” pattern （r = 0.064，P < 0.01） and the “aquatic product， livestock， and poultry meat” pattern （r = 0.062，P < 0.01）were significantly positively correlated with the physical test scores. A significant negative correlation was observed between the “fried and sweet food” pattern （r = -0.057， P = 0.01）. The scores of nutrition knowledge， attitude， and practice of freshmen were 14.54 ± 2.63， 24.60 ± 3.73， and 15.61 ± 2.51， respectively. A significant difference was observed in the distribution of the breakfast eating behavior between the students who passed the physical test and those who failed it （χ2 = 9.05，P < 0.05）. Binary logistic regression analysis showed that the “aquatic product， livestock， and poultry meat” pattern was significantly negatively correlated with the risk of failing the physical test in boys （OR = 0.35，95% CI = 0.14-0.91） and girls （OR = 0.41，95% CI = 0.19-0.87）， and the “preserved food” pattern was significantly positively correlated with the risk of failing the physical test in girls （OR = 2.21，95% CI = 1.15-4.27）.ConclusionThe dietary structure of the freshmen in a medical university in Guangxi Zhuang Autonomous Region is not reasonable， and their nutritional knowledge level does not match their nutritional behavior. Therefore， targeted nutritional education intervention should be performed according to the characteristics of the freshmen， so as to gradually develop healthy eating habits and improve their physical level.

Objective: To explore the characteristics of L3 skeletal muscle index in patients with cirrhosis of different etiology and its predictive value for nutritional status of patients. Methods: 120 patients with cirrhosis admitted to our hospital from June 2019 to June 2022 were selected for the study, including 40 cases of hepatitis B cirrhosis, 40 cases of alcoholic cirrhosis, and 40 cases of liver cirrhosis with autoimmune hepatitis. Compthe L3 SMI characteristics of hepatitis B cirrhosis, alcoholic cirrhosis, and autoimmune hepatitis cirrhosis. Pearson correlation test was used to analyze the correlation between L3 SMI and nutritional status in patients with cirrhosis. The independent risk factors affecting the nutritional status of cirrhosis were established by Logistics regression model. The predictive value of L3 SMI for nutritional status in cirrhosis was evaluated using receiver operating curve (ROC). Results: The expression levels of L3 SMI, 25 (OH) D, ALB, PA and TRF in autoimmune hepatitis cirrhosis group were significantly lower than those in alcoholic cirrhosis group and hepatitis B cirrhosis group (P<0.05), and alcoholic cirrhosis group was significantly lower than that in hepatitis B cirrhosis group (P<0.05). LSM was significantly positively correlated with 25 (OH) D, ALB, PA and TRF in patients with cirrhosis (P<0.05). The nutritional status of patients with cirrhosis was incorporated into logistics regression model as dependent variable (normal nutrition =0, malnutrition =1). The results showed that 25 (OH) DALB, PA, TRF and L3 SMI were risk factors (P<0.05). The results of multivariate analysis showed that 25 (OH) DALB, PA, TRF and L3 SMI were independent risk factors affecting the nutritional status of patients with cirrhosis (P<0.05). L3 SMI predicted the Youden index of 0.765, sensitivity 85.00 (%), specificity 82.00 (%), AUC value 0.810, 95%CI: 0.685~0.912. Conclusion: There are significant differences in L3 skeletal muscle index in patients with cirrhosis of different etiology, and L3 skeletal muscle index can be used in clinical prediction and evaluation of nutritional status in patients with cirrhosis. [ABSTRACT FROM AUTHOR]

Objective To explore the nutritional status of chronic obstructive pulmonary disease (COPD) patients in Hengshui area and to explore the influencing factors of malnutrition in COPD patients. Methods A total of 321 COPD patients in our hospital from January 2018 to October 2022 were selected, including 189 males and 132 females, aged 49 to 62 years, with an aver- age age of (55.23 ±3.01) years. Patients were divided into normal nutrition group and malnutrition group. Univariate analysis was used to compare the demographic characteristics, clinical data, and laboratory examinations between the two groups. Logistic regression was used to analyze the possible influencing factors of malnutrition in COPD patients. Results Logistic regression analysis showed that age (OR=2.496, 95%CI: 1.204-1.860), annual family income (OR=0.569, 95%CI: 0.386-0.839), COPD Assessment Test (CAT) score (OR=1.917, 95%CI: 1.288-2.854), 6-Minute Walk Test (6MWT) (OR=0.550, 95%CI: 0.350-0.865), modified Medical Research Council Dyspnea Scale (mMRC) score (OR=1.944, 95%CI: 1.076-3.515), number of acute exacerbations of COPD hospitalization (OR=1.788, 95%CI: 1.053-3.035), and sarcopenia (OR=2.782, 95%CI: 1.542-5.018) were independent influencing factors of malnutrition in patients with COPD in Hengshui area. Conclusion In total 47.35% of the 321 COPD patients in Hengshui area had malnutrition, and age, annual family income, CAT score, 6MWT, mMRC score, acute exacerbation of chronic obstructive pulmonary disease, and sarcopenia are the independent influencing factors of malnutrition in COPD patients. It is suggested to formulate feasible and targeted intervention measures according to the above factors in order to reduce the incidence of malnutrition in patients with COPD, reduce the clinical manifestations of sarcopenia, and prolong the survival time. [ABSTRACT FROM AUTHOR]

Objective: To investigate the effects of immune enhanced enteral nutrition on nutritional status, lung function and humoral immunity in elderly patients with severe pneumonia（SP). Methods: 104 elderly SP patients in our hospital from January 2021 to January 2023 were selected as research objects, and were randomly divided into control group and observation group with 52 cases in each group according to random drawing method. The control group received conventional enteral nutrition support, and the observation group received immune enhanced enteral nutrition support. The recovery time of symptoms and signs, severity of disease, pneumonia severity index, lung function, nutritional status, humoral immunity index before and after treatment were compared between the two groups. Results: The disappearance time of fever, cough, lung rales and X-ray shadow in observation group was shorter than that in control group（P＜0.05). After treatment, the Acute Physiology and Chronic Health Evaluation Ⅱ（APACHEⅡ） scores of the observation group were lower than those of the control group（P＜0.05); After treatment, the risk grade of pneumonia in observation group was better than that in control group（P＜0.05). After treatment, the levels of total protein（TP), prealbumin（PA), albumin（ALB） and transferrin（TRF） in observation group were higher than those in control group（P＜0.05); After treatment, the dynamic lung compliance（Cdyn） of observation group was higher than that of control group, and airway resistance（R） was lower than that of control group（P＜0.05). After treatment, the levels of immunoglobulin A（Ig A), immunoglobulin M（Ig M), immunoglobulin G（Ig G), complement C3 and complement C4 in observation group were higher than those in control group（P＜0.05). Conclusion: Immune enhanced enteral nutrition support can accelerate the relief of clinical symptoms and signs in elderly SP patients, improve their condition, pneumonia severity and lung function, and enhance their immune capacity and nutritional level, which has certain clinical application value. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To investigate the effects of total protein enteral nutrition base on nutritional risk screening (NRS) nutritional risk assessment on nutritional status, intestinal flora and peripheral blood T helper cell 17 (Th17) /regulatory T cell (Treg) balance in elderly patients with cirrhosis. Methods: 103 elderly patients with liver cirrhosis admitted to the First Hospital of Changsha from December 2019 to August 2022 were divided into the control group (51 cases were treated with conventional diet) and the study group (52 cases were treated with whole protein enteral nutrition based on NRS nutrition risk assessment on the basis of the control group) according to the method of random number table. The changes of NRS2002 score, nutritional status index, intestinal flora index and peripheral blood Th17/Treg balance were compared between two groups. Result: Three months after treatment, the NRS2002 score decreased in two groups, and study group was lower than that of control group (P＜0.05) . Three months after treatment, serum total protein (TP), albumin (ALB) and prealbumin (PA) increased in two groups, and study group was higher than that of control group (P＜0.05) .Three months after treatment, bifidobacteria, lactobacilli, enterococci and enterobacteria increased in two groups, and study group was higher than that of control group (P＜0.05) . Three months after treatment, yeast like fungi decreased in two groups, and study group was lower than that of control group (P＜0.05) . Three months after treatment, Treg increased in two groups, and study group was higher than that of control group (P＜0.05) . Three months after treatment, Th17 and Th17/Treg decreased in two groups, and study group was lower than that of control group (P＜0.05) . Conclusion: Total protein enteral nutrition base on NRS nutritional risk assessment in elderly patients with cirrhosis, which is beneficial to reduce the risk of malnutrition, may be relate to the improvement of nutritional status, intestinal flora and peripheral blood Th17/Treg balance. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To investigate the clinical efficacy of microecological preparation combined with immune enhanced enteral nutrition in the treatment of patients with severe pneumonia, and its effects on nutritional status, intestinal flora, T lymphocyte subsets and inflammatory response indexes. Methods: A total of 126 patients with severe pneumonia admitted to Handan Central Hospital from October 2018 to January 2022 were randomly divided into observation group and control group, with 63 cases in each group. The control group was treated with immune enhanced enteral nutrition, and the observation group was treated with microecological preparation on the basis of the control group. The clinical efficacy, symptom changes, nutritional indicators[hemoglobin (HGB), albumin (ALB), prealbumin (PA) ], intestinal flora (bifidobacterium, lactobacillus, enterococcus, escherichia coli, campylobacter), T lymphocyte subsets (CD3+,CD4+, CD8+, CD4+/CD8+), inflammatory factor levels [interleukin-6 (IL-6), soluble vascular cell adhesion molecule 1 (s VCAM-1), C-reactive protein (CRP) ] were compared between the two groups before and after treatment. Results: The total effective rate of the observation group (93.65%) was higher than that of the control group (80.95%) (P＜0.05) . The body temperature recovery time, lung shadow disappearance time, cough improvement time and hospitalization time in the observation group were shorter than those in the control group (P＜0.05) . After treatment, the levels of HGB, ALB and PA in the observation group were higher than those in the control group (P＜0.05) .After treatment, bifidobacterium in the observation group was higher than that in the control group, and lactobacillus, enterococcus,es cherichia coli and campylobacter were lower than those in the control group (P＜0.05) . After treatment, CD8+in the observation group was lower than that in the control group, and CD3+, CD4+, CD4+/CD8+were higher than those in the control group (P＜0.05) . After treatment, the levels of serum IL-6, s VCAM-1 and CRP in the observation group were lower than those in the control group (P＜0.05) . Conclusion: Microecological preparation combined with immune enhanced enteral nutrition is effective in the treatment of severe pneumonia. It can effectively improve symptoms, regulate intestinal flora, enhance immune function, improve nutritional status, and reduce inflammatory response, which is worthy of clinical application. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To explore the effect of marine bioactive peptides (MBP) combined with routine oral nutritional supplementation (ONS) on nutritional status in cancer patients, and to evaluate the effectiveness of nutritional support therapy. Methods A clinical randomized controlled trial was conducted on 108 patients with digestive tumors admitted in Shenzhen Hospital of Southern Medical University and the First Affiliated Hospital of Guangxi Medical University from September to November 2021. They were randomly divided into control group, ONS group and ONS+MBP group. All patients from the 3 groups received nutrition consultation and diet guidance to suggest balanced diet. ONS alone or combined with 18 g/d MBP were given to the patients of the ONS group and ONS+MBP group. The main observation indexes at admission and 8 weeks after intervention included NRS2002 score, PG-SGA score, body weight, body mass index (BMI), muscle mass, fat mass, upper arm muscle circumference, calf circumference, grip strength, and the secondary observation indexes included waist circumference, hip circumference, serum white blood cell count, red blood cell count, hemoglobin, albumin and total protein level. Results There were 36 patients from the control group, 33 from the ONS group and 30 from the ONS+MBP group completing the follow-up. No statistical differences were observed in the general clinical data among the 3 groups (P>0.05). After 8 weeks' follow-up, NRS2002 and PG-SGA scores were increased, but body weight, BMI, fat mass, upper arm muscle circumference, calf circumference, waist circumference, hip circumference, grip strength and albumin level were decreased in the control group. The body weight, BMI, muscle mass, fat mass, calf circumference, waist circumference, hip circumference, grip strength, serum albumin and total protein levels at 8 weeks after intervention were significantly increased in the ONS group and ONS+MBP group than the levels at admission and those of the control group after 8 weeks' follow-up. The ONS+MBP group also had obviously elevated body weight, BMI, muscle mass, fat mass, serum albumin and total protein levels and calf circumference when compared with those at admission. The patients of the ONS+MBP group showed significant increase in protein intake and notable decrease in PG-SGA score at 8 weeks (P < 0.05). Conclusion Cancer patients have a high risk for malnutrition, and intervention of ONS combined with MAP may have positive effects on improving their quality of life and extend their lives.

Background Malnutrition is a common complication in patients with esophageal cancer, which has been validated by domestic and international studies to seriously impact the recovery of patients. While the number of patients receiving home enteral nutrition (HEN) is increasing, the effectiveness and safety of HEN for patients with esophageal cancer remains unclear. Objective To systematically evaluate the effectiveness and safety of HEN by meta-analysis. Methods RCTs on the HEN in patients with esophageal cancer were retrieved in PubMed, Cochrane Library, Embase, Web of Science, CINAHL, Scopus, Wanfang Data, CNKI, VIP and CBM from inception to December 2021. Patients in the experimental group received HEN support〔both enteral tube feeding (ETF) and oral nutritional supplement (ONS) were both acceptable〕, while patients in the control group received conventional oral diet only. Two researchers independently screened the literature and extracted data. The RoB 2.0 recommended by the Cochrane Collaboration was used to evaluate the quality of the included studies, and the RevMan 5.4.1 software was used to perform the meta-analysis. Results A total of 14 articles were included, involving 1 040 patients with esophageal cancer. Meta-analysis showed that the increase values of body mass, BMI, hemoglobin, serum total protein, serum prealbumin and serum transferrin in the experimental group were higher than those in the control group〔SMD=0.63, 95%CI (0.40, 0.85), P

Background and objective The relationship between nutritional status and prognosis of cancer patients has emerged as a hotspot for research. The aim of this study is to explore the application value of the geriatric nutritional risk index (GNRI) in assessing the prognosis of elderly patients with non-small cell lung cancer (NSCLC), and establish a Nomogram to predict the prognosis of elderly patients with NSCLC. Methods The data of patients with NSCLC aged ≥65 years who were initially treated in the First Affiliated Hospital of Zhengzhou University from January 2016 to December 2019 were retrospectively analyzed. To determine the optimal cut-off value for GNRI, receiver operating characteristic (ROC) curve was constructed, and the patients were divided into high and low GNRI groups. Kaplan-Meier curve and Log-rank test were used to compare overall survival (OS) of the two groups. Univariate and multivariate Cox regression was used to analyze the risk factors for poor prognosis in elderly patients with NSCLC. Nomogram predicting survival in elderly patients with NSCLC was constructed and validated by using R software. Results Statistically significant differences in age, gender, body mass index (BMI), histological type, albumin, treatment methods, neutrophil to lymphocyte ratio (NLR), prognostic nutritional index (PNI), systemic immune-inflammation index (SII) and cytokeratin 19 fragment (CYFRA21-1) were observed between the high and low GNRI groups (P3.3 ng/mL was an independent risk factor for the development of OS in patients with NSCLC, and GNRI>97.09 was a protective factor [hazard ratio (HR)=0.52, 95% confidence interval (CI): 0.34-0.79, P

In recent years, the role of dietary factors in chronic diseases has received extensive attention. As a tool to evaluate dietary quality, dietary assessment index has become an important index to evaluate the nutritional status of the population, it can also be used to explore the relationship between diet and chronic diseases. The Chinese Diet Balance Index (DBI) can be used to evaluate the dietary quality of groups and individuals by taking Chinese dietary guidelines and Food Guide Pagoda as reference and combining the dietary characteristics of Chinese residents, it can also be used to study the association with chronic diseases. This paper reviews the establishment, development, and application of DBI, and the similarities and differences between DBI and other Chinese dietary indices. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To investigate the effect of different proportions of enteral combined with parenteral nutrition treatment on patients with severe traumatic brain injury (s TBI). Methods: The subjects of study were s TBI patients admitted to the Neurointensive Care Unit of Chongqing Emergency Medical Center from October 2020 to August 2022. 70 patients who met the inclusion and exclusion criteria were randomly divided into the experimental group and the control group with 35 cases each. Calculate the daily caloric requirements of patients and provide nutritional support according to different proportion of enteral and parenteral nutrition programs. The experimental group was given enteral and parenteral nutrition support at a ratio of 2:1, while the control group was given enteral and parenteral nutrition support at a ratio of 1:1. The differences of nutritional status indicators (hemoglobin, albumin, prealbumin, total protein), immune function indicators [CD3, CD4, CD4/CD8, immunoglobulin (Ig)A, Ig M, Ig G], inflammatory indicators [C-reactive protein (CRP), procalcitonin (PCT), interleukin-6 (IL-6)] and complications between the two groups were statistically compared. Results: In terms of immune function, the levels of CD4, CD4/CD8 and Ig A in the experimental group were significantly higher than those in the control group 14 d after nutritional support (P＜0. 05); There was no significant difference between the two groups in nutritional status, inflammatory indicators and complications (P＞0. 05). Conclusions: Enteral nutrition-based combined nutritional support can promote the recovery of immune function in patients with s TBI, but there is no significant difference in nutritional status, inflammatory indicators and complications between different proportions of enteral combined parenteral nutrition treatment. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of China Tropical Medicine is the property of China Tropical Medicine Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Hepatocellular carcinoma (HCC) is a common malignancy in our country, and hepatectomy is the mainstay of treatment for HCC. In recent ten years, the scope of indications for hepatectomy has been further expanded, more HCC patients have received early diagnosis and personalized treatment, thereby the survival rate has been greatly improved. However, because there are many factors influencing the prognosis of patients with HCC, the recurrence rate is high in some patients who were considered suitable for the surgery. Malnutrition is an important risk factor for adverse post-operative outcomes in patients with malignant tumors. It has been described in some relevant literature that preoperative nutritional status has been used to predict the prognosis of patients with tumor. It has not been systematically reported in China that whether the preoperative nutritional status influence the clinical outcomes of HCC patients complicated with various degrees of malnutrition. This article reviews the impacts of preoperative nutritional status on the outcome of hepatectomy for HCC patients.

Background Malnutrition is frequently observed in stroke patients. Most of the previous studies focused on their nutritional status at the time of admission, but there is a lack of studies on the nutritional status in different periods of hospitalization. Objective To investigate the influencing factors of nutritional status in stroke patients at different time points (admission, the 7th day and discharge) . Methods The study comprised 177 patients with the diganosis stroke admitted to the Department of Rehabilitation Medicine of the First Affiliated Hospital of Zhengzhou University between January and December 2021. According to the nutritional status, the patients were divided into nutritional normal and malnutrition groups at different time points. General data of the patients were being collected, including gender, age, hypertension, diabetes, post-stroke pneumonia, post-stroke anxiety and depression, obstructive sleep apnea hypoventilation syndrome (OSAHS), history of smoking and alcohol consumption, and mode of nutritional support〔oral feeding only, nasogastric tube only (NGT), intermittent oral to esophageal tube feeding only (IOE), combined parenteral nutrition (PN) 〕. Assessment of patients′ swallowing function using the Water Swallow Test (WST), and the degree of neurological deficits can be evaluated by the National Institutes of Health Stroke Scale (NIHSS). Univariate and multifactorial Logistic regression analyses were used to determine the factors influencing the nutritional status of stroke inpatients at different time points. Results The incidence of malnutrition in stroke patients at admission, the 7th day and discharge were 11.9%, 32.2% and 19.8%, respectively. The rate of malutrition on the 7th day of admission was higher than admission and discharge (P

ObjectiveTo analyze the effects of different feeding patterns on the physical and nutritional status of children aged 6‒12 months， so as to provide reference for promoting scientific feeding and health development of infants and young children.MethodsChildren born between December 2019 and February 2020 and who had completed three follow-up visits at 6‒， 9‒ （8‒10 months） and 12‒ （11‒14 months） months old in all of the 13 communities of Minhang， Shanghai were selected. The subjects’ basic information was investigated by questionnaires. The indicators including feeding pattern， physical development （body weight， body length， head circumference） and nutritional status （the detection rate of overweight， obesity， low body weight， growth retardation， emaciation and iron deficiency anemia） were followed up in the outpatient department， with iron deficiency anemia only monitored at the 6‒ and 12‒ months old. According to different feeding patterns， the groups of 6‒ months old were divided into three groups of exclusive breast feeding （EBF）， mixed feeding （MF） and artificial feeding （AF）， while 9‒ and 12‒ months old were divided into MF and AF groups. The differences of basic information and follow-up results among the groups were analyzed.ResultsA total of 470 children were included， including 130 （27.66%）， 288 （61.28%） and 52 （11.06%） respectively in EBF， MF and AF groups at the 6‒ months old，and 319 （67.87%） and 196 （41.70%） in MF group at the 9‒ and 12‒ months old. There was no significant difference in the other follow-up results among the groups. The detection rate of iron deficiency anemia in 6‒ months old EBF （13.08%） was higher than that in MF group （5.90%） and AF group （1.92%） （χ2=8.40， P=0.010）， while it was still higher in 12‒ months old MF group （9.69%） than in AF group （2.92%） （χ2=9.68， P=0.002）.ConclusionThere is no significant difference in body weight，body length， head circumference， and the detection rates of overweight， obesity， low body weight， growth retardation and emaciation among the groups of different feeding patterns in the children aged 6‒12 months. The detection rate of iron deficiency anemia in the EBF and MF groups is significantly higher than that in the AF groups of children aged 6‒ and 12‒ months old.