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| Titre : | Kompass Nutrition & Dietetics |
| Auteurs : | The European Federation of the Associations of Dietitians (EFAD) |
| Type de document : | Périodique |
| Editeur : | Basel : Karger |
| Note générale : |
Journal Abbreviation: Komp Nutr Diet
ISSN: 2673-5180 (Print) e-ISSN: 2673-5199 (Online) DOI: 10.1159/issn.2673-5199 |
| Langues: | Français |
| Résumé : |
«Kompass Nutrition & Dietetics» is a valuable source of the latest knowledge for dietitians and specialists in private practice.
In the section Knowledge Transfer, our experts break down selected original articles with a view on how to apply this information in your day-to-day work. The gain from these digests: Research insight condensed into what is essential for the job as a dietitian. Selected case reports from internationally acclaimed journals introduce the focus topic of each issue. Individual knowledge transfer articles inform you about cutting-edge results from research, with a critical discussion and an outlook on client benefit and practical use. Carefully selected newsflashes on health care and on professional developments round off the spectrum of this «Kompass» journal. |
| Disponible en ligne : | Oui |
| En ligne : | https://www.karger.com/KND |
Liste des numéros ou bulletins :
Paru le : 01/10/2024
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Titre : Effective Management of Short Bowel Syndrome with a Restricted Oral Diet and Parenteral Nutrition: A Case Report (2024) Auteurs : Dimitrios Karayiannis Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°2, 2024, Octobre 2024) Article en page(s) : 90-92 Note générale : https://doi.org/10.1159/000541739
Langues: Anglais Résumé : A restricted oral diet can play a pivotal role in the nutritional management of patients with short bowel syndrome (SBS), particularly those with high-output stomas. These patients, especially if they have less than 100 cm of residual small bowel, are at increased risk of dehydration, electrolyte imbalances, and malnutrition due to excessive loss of fluids and nutrients. In this report, we describe the case of a 56-year-old male patient with 90 cm of remaining small bowel, no colon in continuity, and a high-output stoma. Despite significant challenges, the patient was successfully managed through a restricted oral diet in conjunction with parenteral nutrition (PN), medications, and high compliance to the therapeutic regimen. Over several months, stoma output decreased, and the patient’s nutritional status improved, leading to weight stabilization and enhanced physical strength. Upon discharge, the patient was able to maintain an oral diet supplemented with parenteral saline and experienced a significant improvement in quality of life. This case demonstrates that the combined approach of restricted oral intake, PN, pharmacological treatment, and patient adherence can effectively manage SBS patients with high-output stomas and less than 100 cm of bowel. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/2/90/914826/Effective-Management-of-Short-Bowel-Syndrome-with
Titre : Understanding how Fathers Influence Their Child’s Eating Behaviour (2024) Auteurs : Amanda Avery Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°2, 2024, Octobre 2024) Article en page(s) : 87-89 Note générale : https://doi.org/10.1159/000541536
Langues: Anglais Descripteurs : HE Vinci
Pères ; Sécurité alimentaireMots-clés: Repas de famille ; pratiques d'alimentation ; Chaos à domicile ; Comportement paternel ; Alimentation réactive Résumé : Understanding how fathers engage in feeding while experiencing disadvantage is important for family-focused interventions. A cross-sectional online survey involving 264 Australian fathers was conducted to explore feeding involvement and the relationships between feeding practices, food insecurity, and household and work chaos. Practices related to coercive control, structure, and autonomy support were measured for two age groups ( Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/2/87/914864/Understanding-how-Fathers-Influence-Their-Child-s
Titre : Multi-Chamber Bags: Safe and Efficient for Pediatric Parenteral Nutrition in Vulnerable Patients (2024) Auteurs : Kalliopi Anna Poulia Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°2, 2024, Octobre 2024) Article en page(s) : 85-86 Note générale : https://doi.org/10.1159/000541433
Langues: Anglais Descripteurs : HE Vinci
Nutrition parentérale ; PédiatrieMots-clés: Sac PN à plusieurs chambres ; Sécurité du patient ; Enfants prématurés ; Standardisation Résumé : Parenteral nutrition (PN) is recognized as a complex high-risk therapy. Its practice is highly variable and frequently suboptimal in pediatric patients. Optimizing care requires evidence, consensus-based guidelines, audits of practice, and standardized strategies. Several pediatric scientific organizations, expert panels, and authorities have recently recommended that standardized PN should generally be used over individualized PN in the majority of pediatric patients including very low birth weight premature infants. In addition, PN admixtures produced and validated by a suitably qualified institution are recommended over locally produced PN. Licensed multi chamber bags are standardized PN bags that comply with Good Manufacturing Practice and high-quality standards for the finished product in the frame of their full manufacturing license. The purpose of this article is to review the practical aspects of PN and the evidence for using such multi-chamber bags in pediatric patients. It highlights the safety characteristics and the limitations of the different PN practices and provides some guidance for ensuring safe and efficient therapy in pediatric patients. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/2/85/914822/Multi-Chamber-Bags-Safe-and-Efficient-for
Titre : The Dietitian’s Role in the Management in Neuroblastoma in Children (2024) Auteurs : Fiona McCullough Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°2, 2024, Octobre 2024) Article en page(s) : 82-84 Note générale : https://doi.org/10.1159/000541535
Langues: Anglais Descripteurs : HE Vinci
Neuroblastome ; Régime cétogène ; Thérapie nutritionnelle ; Traitement néoadjuvantMots-clés: Effet Warburg ; Tumeurs chez l'enfant Résumé : The ketogenic diet (KD) was initially used in 1920 for drug-resistant epileptic patients. From this point onward, ketogenic diets became a pivotal part of nutritional therapy research. To date, KD has shown therapeutic potential in many pathologies such as Alzheimer's disease, Parkinson's disease, autism, brain cancers, and multiple sclerosis. Although KD is now an adjuvant therapy for certain diseases, its effectiveness as an antitumor nutritional therapy is still an ongoing debate, especially in Neuroblastoma. Neuroblastoma is the most common extra-cranial solid tumour in children and is metastatic at initial presentation in more than half of the cases. Although Neuroblastoma can be managed by surgery, chemotherapy, immunotherapy, and radiotherapy, its 5-year survival rate in children remains below 40%. Earlier studies have proposed the ketogenic diet as a possible adjuvant therapy for patients undergoing treatment for Neuroblastoma. In this study, we seek to review the possible roles of KD in the treatment of Neuroblastoma. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/2/82/914824/The-Dietitian-s-Role-in-the-Management-in
Titre : Save the Future: Climate Change is a Threat to Child Health and Nutrition (2024) Auteurs : Derya Dikmen Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°2, 2024, Octobre 2024) Article en page(s) : 79-81 Note générale : https://doi.org/10.1159/000541740
Langues: Anglais Descripteurs : HE Vinci
Asthme ; Canicule ; Morbidité ; Mortalité ; Particule élémentaire ; Pollution de l'air ; Travail obstétrical prématuréMots-clés: Extrêmes de température Résumé : Background: Children are more vulnerable than adults to climate-related health threats, but reviews examining how climate change affects human health have been mainly descriptive and lack an assessment of the magnitude of health effects children face. This is the first systematic review and meta-analysis that identifies which climate health relationships pose the greatest threats to children. Objectives: We reviewed epidemiologic studies to analyse various child health outcomes due to climate change and identify the relationships with the largest effect size. We identify population-specific risks and provide recommendations for future research. Methods: We searched four large online databases for observational studies published up to 5 January 2023 following PRISMA (systematic review) guidelines. We evaluated each included study individually and aggregated relevant quantitative data. We used quantitative data in our meta-analysis, where we standardised effect sizes and compared them among different groupings of climate variables and health outcomes. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/2/79/914827/Save-the-Future-Climate-Change-is-a-Threat-to
Titre : Recent advancements in the field of Relative Energy Deficiency in Sport (REDs) (2024) Auteurs : Katarzyna Janiszewska Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°2, 2024, Octobre 2024) Article en page(s) : 76-78 Note générale : https://doi.org/10.1159/000541743
Langues: Anglais Résumé : Relative Energy Deficiency in Sport (REDs) was first introduced in 2014 by the International Olympic Committee’s expert writing panel, identifying a syndrome of deleterious health and performance outcomes experienced by female and male athletes exposed to low energy availability (LEA; inadequate energy intake in relation to exercise energy expenditure). Since the 2018 REDs consensus, there have been >170 original research publications advancing the field of REDs science, including emerging data demonstrating the growing role of low carbohydrate availability, further evidence of the interplay between mental health and REDs and more data elucidating the impact of LEA in males. Our knowledge of REDs signs and symptoms has resulted in updated Health and Performance Conceptual Models and the development of a novel Physiological Model. This Physiological Model is designed to demonstrate the complexity of either problematic or adaptable LEA exposure, coupled with individual moderating factors, leading to changes in health and performance outcomes. Guidelines for safe and effective body composition assessment to help prevent REDs are also outlined. A new REDs Clinical Assessment Tool-Version 2 is introduced to facilitate the detection and clinical diagnosis of REDs based on accumulated severity and risk stratification, with associated training and competition recommendations. Prevention and treatment principles of REDs are presented to encourage best practices for sports organisations and clinicians.Finally, methodological best practices for REDs research are outlined to stimulate future high-quality research to address important knowledge gaps. Reproduced from 2023 International Olympic Committee’s (IOC) consensus statement on Relative Energy Deficiency in Sport (REDs). Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/2/76/914828/Recent-advancements-in-the-field-of-Relative
Titre : Nutrition in Children and Adolescents (2024) Auteurs : Trude M. Backer Mortensen Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°2, 2024, Octobre 2024) Article en page(s) : 74-75 Note générale : https://doi.org/10.1159/000541428
Langues: Anglais Descripteurs : HE Vinci
VirtuelMots-clés: Santé cardiovasculaire de l'enfant ; Agent de santé communautaire ; Intervention écologique momentané ; Essai contrôlé randomisée méthodes mixtes ; Feedback vidéo Résumé : Background: Numerous observational studies show associations between family meal frequency and markers of child cardiovascular health including healthful diet quality and lower weight status. Some studies also show the "quality" of family meals, including dietary quality of the food served and the interpersonal atmosphere during meals, is associated with markers of child cardiovascular health. Additionally, prior intervention research indicates that immediate feedback on health behaviors (e.g., ecological momentary intervention (EMI), video feedback) increases the likelihood of behavior change. However, limited studies have tested the combination of these components in a rigorous clinical trial. The main aim of this paper is to describe the Family Matters study design, data collection protocols, measures, intervention components, process evaluation, and analysis plan. Methods/design: The Family Matters intervention utilizes state-of-the-art intervention methods including EMI, video feedback, and home visiting by Community Health Workers (CHWs) to examine whether increasing the quantity (i.e., frequency) and quality of family meals (i.e., diet quality, interpersonal atmosphere) improves child cardiovascular health. Family Matters is an individual randomized controlled trial that tests combinations of the above factors across three study Arms: (1) EMI; (2) EMI + Virtual Home Visiting with CHW + Video Feedback; and (3) EMI + Hybrid Home Visiting with CHW + Video Feedback. The intervention will be carried out across 6 months with children ages 5-10 (n = 525) with increased risk for cardiovascular disease (i.e., BMI ≥ 75%ile) from low income and racially/ethnically diverse households and their families. Data collection will occur at baseline, post-intervention, and 6 months post-intervention. Primary outcomes include child weight, diet quality, and neck circumference. Discussion: This study will be the first to our knowledge to use multiple innovative methods simultaneously including ecological momentary intervention, video feedback, and home visiting with CHWs within the novel intervention context of family meals to evaluate which combination of intervention components are most effective in improving child cardiovascular health. The Family Matters intervention has high potential public health impact as it aims to change clinical practice by creating a new model of care for child cardiovascular health in primary care. Trial registration: This trial is registered in clinicaltrials.gov (Trial ID: NCT02669797). Date recorded 5/02/22. © 2023. The Author(s). Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/2/74/914821/Nutrition-in-Children-and-Adolescents
Titre : Type 1 Diabetes: Associations Between Lifestyle Factors and Overweight and Obesity in Under 19-Year-Olds (2024) Auteurs : Alyson Hill Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°2, 2024, Octobre 2024) Article en page(s) : 71-73 Note générale : https://doi.org/10.1159/000541534
Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Diabète de type 1 ; Enfant (6-12 ans) ; Facteurs de risque ; Obésité ; SurpoidsRésumé : This review aims to identify and report epidemiological associations between modifiable lifestyle risk factors for overweight or obesity in children and adolescents with type 1 diabetes (T1D). A systematic literature search of medical databases from 1990 to 2023 was undertaken. Inclusion criteria were observational studies reporting on associations between dietary factors, disordered eating, physical activity, sedentary and sleep behaviours and measures of adiposity in children and adolescents ( Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/2/71/914823/Type-1-Diabetes-Associations-Between-Lifestyle
Titre : Mediterranean Diet-Based Interventions to Improve Anthropometric and Obesity Indicators in Children and Adolescents: A Systematic Review with Meta-Analysis of Randomized Controlled Trials (2024) Auteurs : José Francisco López-Gil ; Antonio García-Hermoso ; Mercedes Sotos-Prieto ; Iván Cavero-Redondo ; Vicente Martínez-Vizcaíno ; Stefanos N. Kales Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°2, 2024, Octobre 2024) Article en page(s) : 60-70 Note générale : https://doi.org/10.1159/000541439
Langues: Anglais Descripteurs : HE Vinci
Jeunesse ; Mode de vie ; Obésité ; Préscolaire ; SurpoidsMots-clés: Alimentation saine ; Population jeune Résumé : To our knowledge, no systematic review with meta-analysis has separately synthesized the effects of Mediterranean diet-based interventions in children and adolescents in relation to the effects on anthropometric measures. A better understanding of the effects of Mediterranean diet-based interventions on anthropometric variables could facilitate their implementation in efforts to prevent obesity in the young population. The aim of the present meta-analysis was to evaluate the effects of Mediterranean diet-based interventions on anthropometric and obesity indicators among children and adolescents. Four databases were systematically searched (PubMed, Scopus, Web of Science, and Cochrane Database of Systematic Reviews), including all studies up until 15 March, 2023. Eligible articles were randomized controlled trials measuring the effect of an intervention based on the promotion of the Mediterranean diet and obesity-associated parameters. The effect size of each study was estimated by Cohen’s d for continuous variables or risk difference for categorical variables. Compared to the control group, the Mediterranean diet-based interventions showed small and significant reductions in body mass index (d = −0.14; 95% CI: −0.26, −0.01; I2 = 77.52%). Participants in the Mediterranean diet-based interventions had a significant reduction in the percentage of obesity (risk difference = 0.12; 95% CI: 0.01, 0.23; I2 =84.56%) in comparison with the control group. Interventions had greater effects when aiming at participants with excess weight (that is, overweight or obesity), both for body mass index, waist circumference, waist-to-height ratio, percentage of obesity, and percentage of abdominal obesity. Mediterranean diet-based interventions have a significant effect on reducing the body mass index as well as reducing obesity in children and adolescents (aged 3–18 y). This trial was registered at PROSPERO as CRD42023386789. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/2/60/915422/Mediterranean-Diet-Based-Interventions-to-Improve
Paru le : 01/04/2024
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Titre : Perspective: Food and Nutrition Insecurity in Europe: Challenges and Opportunities for Dietitians (2024) Auteurs : Elena Carrillo-Alvarez Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°1, 2024, Avril 2024) Article en page(s) : 3-13 Note générale : https://doi.org/10.1159/000537855
Langues: Anglais Descripteurs : HE Vinci
Diététicien ; Disparités de l'état de santé ; Europe ; Insécurité alimentaireMots-clés: Insécurité alimentaire et nutritive ; Nutritionnistes Résumé : In recent years, the interest in food and nutrition insecurity in high-income countries has skyrocketed. However, its recognition in Europe is still developing. This perspective summarizes the evidence on food and nutrition insecurity across Europe in terms of prevalence, consequences, and current mitigation strategies, with the aim of outlining the challenges and opportunities for dietitians. Prevalence in the general population ranges between 5% and 20%, with higher rates identified in women, children, older adults, single-parent households, those with low educational attainment, and on low or unstable income and/or employment. In users of food aid, the prevalence of food insecurity is above 70%. Responses to food and nutrition insecurity include welfare policies and food assistance programs at regional and national levels. However, most current strategies are not successful in tackling the structural drivers of food and nutrition insecurity, nor do they guarantee diet quality. Despite limited involvement to-date, dietitians can play an important role in addressing food and nutrition insecurity across Europe. This narrative identifies 4 areas: 1) create awareness of the existence and severity of food and nutrition insecurity, 2) advocate for comprehensive, robust data on the determinants and prevalence, 3) partner with diverse stakeholders, social assistance providers, local authorities, and nongovernmental organizations in a comprehensive, intersectoral, and integrated manner, 4) participate in the development of political instruments and interventions that ensure equitable access to high-quality safe food. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/1/3/896832/Perspective-Food-and-Nutrition-Insecurity-in
Titre : The Effect of Food Vouchers and an Educational Intervention on Promoting Healthy Eating in Vulnerable Families: A Pilot Study (2024) Auteurs : Maria L. Miguel-Berges Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°1, 2024, Avril 2024) Article en page(s) : 36-46 Note générale : https://doi.org/10.1159/000537856
Langues: Anglais Descripteurs : HE Vinci
Obésité ; SantéMots-clés: Groupes vulnérables ; Intervention dans l'éducation sur la nutrition ; Chèques repas ; Alimentation saine Résumé : Cost has been reported as the main barrier to healthy eating in vulnerable groups. We aimed to evaluate the effect of a nutrition education intervention on adherence to Mediterranean Diet and health when providing food vouchers. This pilot study has a randomized control trial design. We included 66 vulnerable users from the Red Cross of Zaragoza (Spain). Intervention and control group individuals received 120 euros/month of food vouchers over 3 months to be spent in supermarkets (60 euros/month if under 12 y) plus a 10-week nutrition education program for the intervention group. Family food purchases were assessed using electronically recorded supermarket-obtained transactions. During and at the end of the intervention the percentage of healthy food was higher in the intervention than in the control group. Once the nutrition education was over, differences between groups dissipated. In the intervention group, health parameters improved, particularly weight-status, lipids, and liver enzymes. Control participants gained weight, although lipid and liver enzymes improved. Blood pressure and HbA1c did not improve in either the intervention or the control group. In conclusion, providing unrestricted food vouchers to vulnerable groups to increase healthy food consumption appears to be insufficient and should be accompanied by medium-long term nutrition education. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/1/36/896833/The-Effect-of-Food-Vouchers-and-an-Educational
Titre : Showcasing Sustainability Within Dietetics Education – Opportunities and Challenges (2024) Auteurs : Fiona McCullough Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°1, 2024, Avril 2024) Article en page(s) : 33-35 Note générale : https://doi.org/10.1159/000538299
Langues: Anglais Descripteurs : HE Vinci
Analyse de contenuMots-clés: Normes de compétences diététiques ; Formation diététique ; Régimes durable ; Système d'alimentation durables Résumé : Background: Low professional confidence and perceived competence create tangible barriers to integrating sustainable food systems (SFS) and diets into dietetic practice. One opportunity to facilitate more systemic integration into dietetic education and training is to include these concepts in professional standards. To better understand the barrier of low professional confidence and perceived competence for engagement with SFS-related practice, the purpose of this research was to investigate dietetic training standards for SFS content and to highlight opportunities for growth within the profession. Questions posed by this research are: (1) how, if at all, are SFS and diets articulated in dietetic training standards, and (2) to what level of cognitive complexity? Methods: A content analysis of dietetic training standards documents was conducted between 15 April and 15 September 2021. Search terms included 'sustain*' or 'sustainable', 'food systems' and/or 'diets'. Extracted data with applicable SFS content were analysed for level of cognitive complexity requirements. Results: Of 47 National Dietetics Associations, researchers obtained 23 dietetic training standards documents, of which 16 included SFS-related content. The majority of documents used broad descriptors of the concepts, with little granularity and at a lower level of cognitive complexity. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/1/33/898609/Showcasing-Sustainability-Within-Dietetics
Titre : How Can Distance Learning Help with the Future of Dietetics Education? (2024) Auteurs : Fiona McCullough ; Anne Griffin ; Angela Garcia-Gonzalez Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°1, 2024, Avril 2024) Article en page(s) : 30-32 Note générale : https://doi.org/10.1159/000537891
Langues: Anglais Mots-clés: Éducation à distance ; Éducation supérieure ; Éducation à la nutrition et la diététique ; Éducation en ligne Résumé : The coronavirus disease 2019 pandemic necessitated the use of distance education, which sparked a technological transformation that was long overdue in higher education. The purpose of this narrative review is two-fold: to summarize the state of knowledge regarding distance education in nutrition and dietetics education over the past 30 years to inform recommendations for future education/research and implications for practice and to determine the influence that distance education has had on the knowledge, skills, and attitudes of both nutrition and dietetics educators and their students. A narrative review of 822 publications yielded 25 that met the search criteria. In the scope of 30 years, the literature shows that attitudes and perceptions of distance education have changed as barriers to online access have diminished and the availability of online nutrition and dietetics courses and Accreditation Council for Education in Nutrition and Dietetics-accredited distance education programs has expanded. However, whereas the limited results are promising, the paucity of large-sample research about the use of distance education in nutrition and dietetics education restricts educators' knowledge of and ability to evaluate the learning outcomes of distance programs and courses. Moreover, differences in how accreditors, government agencies, and institutions define distance education could have significant influence on funding and financial aid benefits for students and research. Recommendations for future research and implications for practice are provided given the relevance and importance of distance education to nutrition and dietetics education. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/1/30/898606/How-Can-Distance-Learning-Help-with-the-Future-of
Titre : Empowerment, Guidance, and Support: Patient-Dietitian Experiences for Upper Gastrointestinal Cancer Remote Consultations (2024) Auteurs : Francesca Tabacchi Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°1, 2024, Avril 2024) Article en page(s) : 27-29 Note générale : https://doi.org/10.1159/000537890
Langues: Anglais Descripteurs : HE Vinci
Recherche qualitative ; Relations entre professionnels de santé et patients ; Soutien nutritionnelMots-clés: Télé-santé ; Cancer gastro-intestinal supérieur Résumé : Purpose: This study aimed to explore the patient-dietitian experience during an 18-week nutrition counselling intervention delivered using the telephone and a mobile application to people newly diagnosed with upper gastrointestinal (UGI) cancer. Methods: Qualitative case study methodology was followed, whereby the case was the 18-week nutrition counselling intervention. Dietary counselling conversations and post-intervention interviews were inductively coded from six case participants which included fifty-one telephone conversations (17h), 244 written messages, and four interviews. Results: Themes describing the roles of the dietitian were as follows: regular collaborative problem-solving to encourage empowerment, a reassuring care navigator including anticipatory guidance, and rapport building via psychosocial support. Despite intensive counselling from the dietitian, nutrition impact symptom management was a core unmet need as it required intervention beyond the scope of practice for the dietitian. Conclusion: Delivery of nutrition care via the telephone or an asynchronous mobile application to people with newly diagnosed UGI cancer required the dietitian to adopt a range of roles to influence nutritional intake: they empower people, act as care navigators, and provide psychosocial support. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/1/27/897965/Empowerment-Guidance-and-Support-Patient-Dietitian
Titre : Is Time-Restricted Eating (Eating 12–8pm) More Effective for Weight Loss and Glycaemic Control than Calorie Restriction? (2024) Auteurs : Alyson Hill Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°1, 2024, Avril 2024) Article en page(s) : 25-26 Note générale : https://doi.org/10.1159/000538298
Langues: Anglais Résumé : This 6-month randomized clinical trial evaluated the effectiveness and safety of time-restricted eating (TRE) compared to daily calorie restriction (CR) in individuals with type 2 diabetes mellitus (T2DM) and obesity. The study involved 75 participants and measured changes in body weight, haemoglobin A1c (HbA1c) levels, and metabolic risk factors. Participants were randomized to 1 of 3 different groups: (1) TRE (eating from 12 to 8pm, without calorie counting), (2) CR (25% energy restriction daily), (3) control. Results showed that the TRE group experienced statistically significant weight loss and reductions in HbA1c levels compared to the control group. However, the CR group did not show significant weight loss. No serious adverse events were reported. The study suggests that TRE could be an effective strategy for weight loss and glycaemic control in individuals with T2D, but further research with larger sample sizes and longer follow-up periods is needed to confirm these findings. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/1/25/898608/Is-Time-Restricted-Eating-Eating-12-8pm-More
Titre : Nourishing Neurons: Exploring the Role of Plant-Based Diets in Parkinson’s Disease Prevention (2024) Auteurs : Kalliopi Anna Poulia Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°1, 2024, Avril 2024) Article en page(s) : 23-24 Note générale : https://doi.org/10.1159/000538286
Langues: Anglais Descripteurs : HE Vinci
Épidémiologie ; Maladie de Parkinson ; Régime alimentaireMots-clés: Qualité de nourriture Résumé : Background: Plant-based diets have been associated with a lower risk of several chronic diseases, but the relationship with PD is unknown. Objectives: We examined the association of three different plant-based diets with PD incidence in the UK Biobank cohort. Methods: We conducted a prospective study among 126,283 participants from the UK Biobank cohort. Three plant-based diet indices (overall plant-based diet index, PDI; healthful plant-based diet index, hPDI; and unhealthful plant-based diet index, uPDI) were derived from 24-hour dietary recalls based on 17 food groups. Multivariable Cox regression models were used to estimate the risk of PD across quartiles of the PDIs and for each of the food groups that constituted the score. Further analyses were carried out to assess potential heterogeneity in associations between hPDI and PD across strata of some hypothesized effect modifiers. Results: During 11.8 years of follow-up (1,490,139 person-years), 577 cases of PD incidence were reported. After multivariable adjustment, participants in the highest hPDI and overall PDI quartile had lower risk of PD (22% and 18%, respectively), whereas a higher uPDI was associated with a 38% higher PD risk. In food-based analyses, higher intakes of vegetables, nuts, and tea were associated with a lower risk of PD (28%, 31% and 25%, respectively). Stratifying by Polygenic Risk Score (PRS), results were significant only for those with a lower PRS for PD. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/1/23/898607/Nourishing-Neurons-Exploring-the-Role-of-Plant
Titre : Food Insecurity in Older Age (2024) Auteurs : Cecilia Medeiros de Morais Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°1, 2024, Avril 2024) Article en page(s) : 20-22 Note générale : https://doi.org/10.1159/000537886
Langues: Anglais Descripteurs : HE Vinci
Insécurité alimentaire ; Santé publiqueMots-clés: Risque nutritionnel ; Adultes plus âgés Résumé : Aging populations may be associated with increased nutritional risk, malnutrition, and food insecurity. This study aims to examine the relationship between food insecurity and nutritional risk, taking into account selected characteristics of the study group, and factors describing nutritional risk. It was conducted between May and July 2021, among 417 people aged 60 and older, in two regions of Poland. Questions from the SCREEN-14 questionnaire were used to assess nutritional risk. Selected questions from the HFSS questionnaire (U.S. Household Food Security Survey Module) concerning the elderly were used to assess food insecurity. A K-means cluster analysis was used to separate homogeneous clusters into food security indicators and nutritional risk factors. The Mann–Whitney U test and Kruskal–Wallis test were used to compare mean values between groups, and the Chi-square test was used to verify the differences. Two clusters were distinguished: I—“low food security and high nutritional risk” and II—“high food security and low nutritional risk”. Cluster I included people aged 60–65, and over 75, living in urban areas, living alone or with family, with unfavorable economic situations and family relationships. Cluster II was composed of people aged 71–75, who were rural residents, living with a partner, with favorable economic situations and family relations. The vast majority of nutritional risk factors were found in Cluster I and among those at high nutritional risk. The largest number of people were affected by such nutritional risk factors such as difficulty in chewing or biting, loss in appetite, skipping meals, and perceiving one’s weight as abnormal. Moreover, the group of people most significantly affected by high nutritional risk were in unfavorable economic situations, had poor family relationships, lived alone or with family, rated their health as worse than their peers, were overweight and obese, had metabolic disease, or impeding mobility. The results obtained can be applied to the planning of social and health policies for the elderly in Poland. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/1/20/896678/Food-Insecurity-in-Older-Age
Titre : Empowering Preventive Strategies: The Role of Dietitians in Modifying Lifestyle Factors Associated with Inflammatory Bowel Disease Development (2024) Auteurs : Merve Guney-Coskun ; Sara Carnevale Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°1, 2024, Avril 2024) Article en page(s) : 17-19 Note générale : https://doi.org/10.1159/000538118
Langues: Anglais Descripteurs : HE Vinci
Maladies inflammatoires intestinales ; NutritionAutres descripteurs
Facteur environnementalMots-clés: Étude de cohorte suissesur les maladies inflammatoires intestinales ; Activité physique Résumé : Background: Various environmental risk factors have been associated with the pathogenesis of inflammatory bowel disease. In this study we aimed to identify lifestyle factors that affect the onset of Crohn’s disease and ulcerative colitis. Methods: 2294 patients from the Swiss IBD Cohort Study received a questionnaire regarding physical activity, nutritional habits and status of weight. In addition, a control group was formed comprising patients’ childhood friends, who grew up in a similar environment. Results: Overall, 1111 questionnaires were returned (response rate: 48.4%). Significantly more patients with inflammatory bowel disease reported no regular practice of sport during childhood and beginning of adulthood compared to the control group (p = 0.0001). No association between intake of refined sugar and onset of inflammatory bowel disease was observed. More patients with Crohn’s disease compared to ulcerative colitis and controls suffered from overweight during childhood (12.8% vs. 7.7% and 9.7%, respectively; p = 0.027). Conclusions: Our study underlines the relevance of environmental factors in the development of inflammatory bowel disease. Our results imply a protective effect of physical activity regarding the onset of inflammatory bowel disease. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/1/17/896776/Empowering-Preventive-Strategies-The-Role-of
Titre : Tailored Approach Needs Personalized Characterization for Shaping Dietary Behaviors (2024) Auteurs : Elena Carrillo-Alvarez Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 4, n°1, 2024, Avril 2024) Article en page(s) : 14-16 Note générale : https://doi.org/10.1159/000537888 Langues: Anglais Descripteurs : HE Vinci
Consommation alimentaire ; Emigrants et immigrants ; Espagne ; Régime méditerranéenMots-clés: Facteurs socio-démographiques Résumé : To analyze compliance with dietary recommendations (DR) based on the Mediterranean Diet among natives and immigrants in Spain. A cross-sectional study was carried out using the Platform of Longitudinal Studies of Immigrant Families comparing immigrant workers from Colombia, Ecuador and Morocco with Spanish workers. Adjusted odds ratios (ORa) of sufficient compliance with DR were obtained by sociodemographic variables. We also obtained the adjusted difference in means (DMa) for foods for which there was compliance with DR. Moroccans had greater compliance for meat (ORa = 7.22), eggs (ORa = 5.03) and cured-meats (ORa = 89.78). Ecuadorians for sweets (ORa = 4.03) and Spaniards for natural-juices and dairy-products. Moroccans had the greatest compliance in terms of the number of foods (DMa = 1.53), while Colombians had the least (DMa = − 0.95). Men (DMa = − 0.98), those with primary or incomplete primary education (DMa = − 0.83) and single-parent families (DMa = − 0.58) showed lower compliance. Compliance with DR was low among both Spaniards and immigrants, despite differences in levels of compliance, especially between Moroccans and Colombians. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/4/1/14/896773/Tailored-Approach-Needs-Personalized
Paru le : 01/09/2023
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Titre : Neglected Vitamin K Deficiency Causing Coagulation Dysfunction in an Older Patient with Pneumonia: A Case Report (2023) Auteurs : Wu Qiaoping ; Wang Lufeng ; Zhao Rongqing Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°2, 2023, Septembre 2023) Article en page(s) : 76-79 Note générale : https://doi.org/10.1159/000531893
Langues: Anglais Descripteurs : HE Vinci
Vitamine KMots-clés: Dysfonction de coagulation ; Cefmetazole ; Pneumonie, Résumé : Background: The development of coagulation disorders can be dangerous and fatal in the older people, especially those with multiple medical conditions. Vitamin K-dependent coagulation disorders are easily overlooked when anticoagulant drugs are not used and the patient shows no signs of bleeding. Case presentation: We report a case of a 71-year-old male suffering from pulmonary infection with severe coagulation disorder without bleeding symptoms. He also had a history of Parkinson’s disease, Alzheimer’s disease and cardiac insufficiency. Coagulation tests were normal at the time of admission, prothrombin time (PT) is 13.9 (normal, 9.5–13.1) seconds and the activated partial thromboplastin time (APTT) is 30.2 (normal, 25.1–36.5) seconds. But it turned severely abnormal after 20 days (PT: 136.1 s, APTT: 54.8 s). However, no anticoagulants such as warfarin was used and no bleeding symptoms were observed. Subsequent mixing studies with normal plasma showed a decrease in prothrombin times. Vitamin K deficiency was thought to be the cause of coagulation disorders considering long-term antibiotic therapy, especially cephalosporins, inadequate diet and abnormal liver function. After supplementation with 20 mg of vitamin K, coagulation dysfunction was rescued the next day and serious consequences were effectively prevented. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/3/2/76/862638/Neglected-Vitamin-K-Deficiency-Causing-Coagulation
Titre : Screening for Nutritional Risk in Primary Healthcare (2023) Auteurs : Trude M. Backer Mortensen Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°2, 2023, Septembre 2023) Article en page(s) : 73-74 Note générale : https://doi.org/10.1159/000533930
Langues: Anglais Descripteurs : HE Vinci
Soins de santé primairesMots-clés: Risque de malnutrition ; Risque de nutritif ; Adultes plus âgés ; Dépistage Résumé : It is not known if nutrition risk screening of older adults should be a standard practice in primary care. The evidence in support of nutrition risk screening of older adults in primary care was examined and critically analyzed using an umbrella review. The peer reviewed and grey literature were searched for clinical practice guidelines (CPGs) and systematic reviews (SRs). Titles and abstracts were independently screened by the two authors. Resources were excluded if they did not apply to older adults, did not discuss nutrition/malnutrition risk screening, or were in settings other than primary care. Full texts were independently screened by both authors, resulting in the identification of six CPGs and three SRs that met the review criteria. Guidelines were appraised with the AGREE II tool and SRs with the AMSTAR 2 tool. The quality of the CPGs was high, while the quality of the SRs was low. The CPGs and SRs acknowledged a lack of high-quality research on the benefits of regular nutrition risk screening for older adults in primary care; however, CPGs recommended annual screening for older adults in primary care practices or other community settings. High-quality research investigating nutrition risk screening of older adults in primary care is needed. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/3/2/73/862827/Screening-for-Nutritional-Risk-in-Primary
Titre : Malnutrition, Low Muscle Mass and Sarcopenia May be Underestimated in Certain Populations with Cancer. The Case For: “One Size, Does Not Fit All… Patient’s Diversity” (2023) Auteurs : Adele Hug ; Susana Couto Irving Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°2, 2023, Septembre 2023) Article en page(s) : 71-72 Note générale : https://doi.org/10.1159/000533514
Langues: Anglais Descripteurs : HE Vinci
Malnutrition ; Mortalité ; SarcopénieMots-clés: Cancer ; Masse musculaire faible ; UK Biobank Résumé : Background: Low muscle mass (MM) is a common component of cancer-related malnutrition and sarcopenia, conditions that are all independently associated with an increased risk of mortality. This study aimed to (1) compare the prevalence of low MM, malnutrition, and sarcopenia and their association with survival in adults with cancer from the UK Biobank and (2) explore the influence of different allometric scaling (height [m2] or body mass index [BMI]) on low MM estimates. Methods: Participants in the UK Biobank with a cancer diagnosis within 2 years of the baseline assessment were identified. Low MM was estimated by appendicular lean soft tissue (ALST) from bioelectrical impedance analysis derived fat-free mass. Malnutrition was determined using the Global Leadership in Malnutrition criteria. Sarcopenia was defined using the European Working Group on Sarcopenia in Older People criteria (version 2). All-cause mortality was determined from linked national mortality records. Cox-proportional hazards models were fitted to estimate the effect of low MM, malnutrition, and sarcopenia on all-cause mortality. Results: In total, 4122 adults with cancer (59.8 ± 7.1 years; 49.2% male) were included. Prevalence of low MM (8.0% vs. 1.7%), malnutrition (11.2% vs. 6.2%), and sarcopenia (1.4% vs. 0.2%) was higher when MM was adjusted using ALST/BMI compared with ALST/height2, respectively. Low MM using ALST/BMI identified more cases in participants with obesity (low MM 56.3% vs. 0%; malnutrition 50% vs. 18.5%; sarcopenia 50% vs. 0%). During a median 11.2 (interquartile range: 10.2, 12.0) years of follow up, 901 (21.7%) of the 4122 participants died, and of these, 744 (82.6%) deaths were cancer-specific All conditions were associated with a higher hazard of mortality using either method of MM adjustment: low MM (ALST/height2: HR 1.9 [95% CI 1.3, 2.8], P = 0.001; ALST/BMI: HR 1.3 [95% CI 1.1, 1.7], P = 0.005; malnutrition (ALST/height2: HR 2.5 [95% CI 1.1, 1.7], P = 0.005; ALST/BMI: HR 1.3 [95% CI 1.1, 1.7], P = 0.005; sarcopenia (ALST/height2: HR 2.9 [95% CI 1.3, 6.5], P = 0.013; ALST/BMI: HR 1.6 [95% CI 1.0, 2.4], P = 0.037). Disponible en ligne : Oui En ligne : https://karger.com/knd/article/3/2/71/862823/Malnutrition-Low-Muscle-Mass-and-Sarcopenia-May-be
Titre : Do People with Type 2 Diabetes Mellitus Have a Higher Risk of Sarcopenia? (2023) Auteurs : Alyson Hill Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°2, 2023, Septembre 2023) Article en page(s) : 69-70 Note générale : https://doi.org/10.1159/000533830
Langues: Anglais Descripteurs : HE Vinci
Diabète ; Prévalence ; SarcopénieMots-clés: Adultes plus âgés ; Tendance Résumé : Introduction: Recent studies suggested that sarcopenia may be a significant comorbidity of diabetes mellitus (DM). Nonetheless, studies with nationally representative data are scarce, and the changing trend of sarcopenia prevalence over time is largely unknown. Therefore, we aimed to estimate and compare the prevalence of sarcopenia in diabetic and nondiabetic US older population, and to explore the potential predictors of sarcopenia as well as the trend of sarcopenia prevalent in the past decades. Methods: Data were retrieved from the National Health and Nutrition Examination Survey (NHANES). Sarcopenia and DM were defined according to corresponding diagnosis criteria. Weighted prevalence was calculated and compared between diabetic and nondiabetic participants. The differences among age and ethnicity groups were explored. Results: A total of 6,381 US adults (>50 years) were involved. The overall prevalence of sarcopenia was 17.8% for US elders, and the prevalence was higher (27.9% vs. 15.7%) in those with diabetes ones than those without. Stepwise regression revealed that sarcopenia was significantly associated with DM (adjusted odds ratio = 1.37, 95% CI: 1.08-1.22; p Disponible en ligne : Oui En ligne : https://karger.com/knd/article/3/2/69/862759/Do-People-with-Type-2-Diabetes-Mellitus-Have-a
Titre : Nutrition and Physical Activity in the Elderly (2023) Auteurs : Camelia-Florina Stefanescu Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°2, 2023, Septembre 2023) Article en page(s) : 66-68 Note générale : https://doi.org/10.1159/000533176
Langues: Anglais Descripteurs : HE Vinci
Entraînement en résistance ; Muscles paravertébraux ; Rachis ; Sarcopénie ; Soutien nutritionnelRésumé : Purpose: Spinal sarcopenia is a multifactorial disorder associated with atrophy and fatty changes in paraspinal muscles. Interventional studies for spinal sarcopenia are limited. We aimed to evaluate the effectiveness of a combined exercise and nutrition intervention for the treatment of spinal sarcopenia. Methods: 35 community-dwelling older women diagnosed with spinal sarcopenia in a previous cohort study were included. The 12-week combined intervention consisted of back extensor strengthening exercises and protein supplementation. The following outcomes were measured at baseline (week 0), after the intervention (week 12), and follow-up (week 24): conventional variables of sarcopenia (appendicular skeletal muscle mass, handgrip strength, 6-meter gait speed, and short physical performance battery); lumbar extensor muscle mass; lumbar extensor muscle volume and signal intensity; back extensor isokinetic strength; and back performance scale. We used the intention-to-treat analysis method, and repeated measures analysis of variance was used to analyze the data. Results: Of the total 35 potential participants, 26 older women participated in the study (mean age 72.5 ± 4.0 years old). After 12 weeks of combined exercise and nutrition intervention, there were no changes in the appendicular skeletal muscle mass, lumbar extensor muscle mass, volume, or signal intensity. Handgrip strength and back extensor isokinetic strength did not change significantly. Short physical performance battery significantly increased (P = 0.042) from 11.46 ± 0.86 to 11.77 ± 0.53 at week 12 and 11.82 ± 0.40 at week 24. The back performance scale sum score also significantly improved (P = 0.034) from 2.68 ± 1.81 to 1.95 ± 1.21 at week 12 and 2.09 ± 1.34 at week 24. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/3/2/66/862648/Nutrition-and-Physical-Activity-in-the-Elderly
Titre : The Importance of Foodservice to Combat Food Insecurity and Malnutiriton in Older People (2023) Auteurs : Derya Dikmen Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°2, 2023, Septembre 2023) Article en page(s) : 63-65 Note générale : https://doi.org/10.1159/000534046
Langues: Anglais Descripteurs : HE Vinci
COVID-19 ; Sécurité alimentaire ; Sujet âgéMots-clés: Repas communautaires ; Pratiques alimentaires ; Soin centré sur la relation Résumé : In recent years, Meals on Wheels (MoW) services have been in a state of decline as austerity policies have become entrenched. However, this decline is occurring with little knowledge of the impact withdrawal of MoW services has on the health and well-being of those who use them. The pandemic has raised awareness of precarity and vulnerability in relation to food that affects many people in the UK and other Westernised countries and this provides further context for the analysis presented. This paper presents findings of a mixed methods ethnographic study drawing on qualitative interviews and visual methods underpinned by social practice theory to explore the household food practices of older people receiving MoW services. Interviews were conducted with 14 older people receiving MoW, eight MoW staff delivering MoW services in the east of England and one expert. The Covid-19 pandemic interrupted the study, and once the first lockdown began visits to the homes of older people were terminated and the remaining interviews were undertaken by telephone. The study found that a number of threats accumulated to change food practices and moved people towards vulnerability to food insecurity. Threats included difficulty accessing food and cooking due to sensory and physical challenges. The MoW service increased participants' coping capacity. As well as benefiting from the food provided, the relational aspect of the service was important. Brief encounters between MoW staff built caring relationships that developed over time to ensure older people felt valued and cared for. The study demonstrates how MoW services make a positive contribution to food practices, supporting vulnerable adults to continue living well in their own homes and protecting them from food insecurity and ill-being. Local authorities looking to make cost savings through ending MoW services should consider the impact this would have on the well-being of older residents. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/3/2/63/862809/The-Importance-of-Foodservice-to-Combat-Food
Titre : Maintaining Optimal Cognitive Health in Older Age: The Role of Public Health Dietitians (2023) Auteurs : Amanda Avery Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°2, 2023, Septembre 2023) Article en page(s) : 59-62 Note générale : https://doi.org/10.1159/000533541
Langues: Anglais Descripteurs : HE Vinci
Démence ; Nutriments ; Régime alimentaire ; Vieillissement en bonne santéMots-clés: Santé cognitive ; Approche de vie complète Résumé : Multiple factors affect cognitive health, such as age-related changes in the brain, injuries, mood disorders, substance abuse, and diseases. While some cannot be changed, evidence exists of many potentially possibly modifiable lifestyle factors: diet, physical activity, cognitive and social engagement, smoking and alcohol consumption which may stabilize or improve declining cognitive function. In nutrition, the focus has been mainly on its role in brain development in the early years. There is a strong emerging need to identify the role of diet and nutrition factors on age-related cognitive decline, which will open up the use of new approaches for prevention, treatment or management of age-related disorders and maintaining a good quality of life among older adults. While data on effect of high protein diets is not consistent, low-fat diets are protective against cognitive decline. Several micronutrients like B group vitamins and iron, as well as many polyphenols play a crucial role in cognitive health. Mediterranean, Nordic, DASH, and MIND diets are linked to a lower risk of cognitive decline and dementia. The relationship between the gut microbiome and brain function through the gut-brain axis has led to the emergence of data on the beneficial effects of dietary fibers and probiotics through the management of gut microbes. A "whole diet" approach as well as macro- and micro-nutrient intake levels that have protective effects against cardiovascular diseases are most likely to be effective against neurodegenerative disorders too. Young adulthood and middle age are crucial periods for determining cognitive health in old age. The importance of cardio metabolic risk factors such as obesity and hypertension, smoking and physical inactivity that develop in middle age suggest that preventive approaches are required for target populations in their 40s and 50s, much before they develop dementia. The commonality of dementia risk with cardiovascular and diabetes risk suggests that dementia could be added to present non-communicable disease management programs in primary healthcare and broader public health programs. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/3/2/59/862656/Maintaining-Optimal-Cognitive-Health-in-Older-Age
Titre : Nutritional Care Practices in Geriatric Rehabilitation Facilities across Europe: A Cross-Sectional Study (2023) Auteurs : Irma H. J. Everink Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°2, 2023, Septembre 2023) Article en page(s) : 51-58 Note générale : https://doi.org/10.1159/000531901
Langues: Anglais Descripteurs : HE Vinci
Diagnostic ; Fragilité ; Malnutrition ; Sarcopénie ; Soins de suiteMots-clés: Réhabilitation gériatrique ; Traitement Résumé : Many patients in geriatric rehabilitation (GR) are physically frail at the time of admission and suffer from malnutrition and sarcopenia, which may worsen rehabilitation outcomes. This study aims to obtain insight into the current nutritional care practices in GR facilities across Europe. Methods: In this cross-sectional study, a questionnaire focused on nutritional care practices in GR was distributed across experts in EUGMS member countries. Data were analyzed by using descriptive statistics. Results: In total, 109 respondents working in 25 European countries participated, and the results showed that not all GR patients were screened and treated for malnutrition, and not all participants used (inter)national guidelines when performing nutritional care. The results also showed variations across European geographical areas related to screening and treatment of malnutrition, sarcopenia, and frailty. Even though the participants underlined the importance of dedicating time to nutritional care, they experienced barriers in its implementation, which were mostly due to a lack of resources. Conclusion: As malnutrition, sarcopenia, and frailty are often present in patients admitted to GR, in addition to being interrelated, it is recommended to develop an integrated approach to screening and treatment of all three clinical problems. Disponible en ligne : Oui En ligne : https://karger.com/knd/article/3/2/51/862643/Nutritional-Care-Practices-in-Geriatric
Paru le : 01/04/2023
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Titre : Examining Guidelines and New Evidence in Oncology Nutrition: a Position Paper on Gaps and Opportunities in Multimodal Approaches to Improve Patient Care (2023) Auteurs : C.M. Prado ; A. Laviano ; C. Gillis ; A.D. Sung ; M. Gardner ; S. Yalcin ; S. Dixon ; S.M. Newman ; M.D. Bastasch ; A.C. Sauer ; R. Hegazi ; Chasen M.R. Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°1, 2023, April 2023) Article en page(s) : p. 3-9 Note générale : https://doi.org/10.1159/000529617 Langues: Anglais Descripteurs : HE Vinci
Approche multimodale ; Exercice physique ; Malnutrition ; Nutrition ; Oncologie médicale ; Recommandations comme sujetMots-clés: Faible masse musculaire Résumé : Malnutrition, muscle loss, and cachexia are prevalent in cancer and remain key challenges in oncology today. These conditions are frequently underrecognized and undertreated and have devastating consequences for patients. Early nutrition screening/assessment and intervention are associated with improved patient outcomes. As a multifaceted disease, cancer requires multimodal care that integrates supportive interventions, specifically nutrition and exercise, to improve nutrient intake, muscle mass, physical functioning, quality of life, and treatment outcomes. An integrated team of healthcare providers that incorporates societies’ recommendations into clinical practice can help achieve the best possible outcomes. A multidisciplinary panel of experts in oncology, nutrition, exercise, and medicine participated in a 2-day virtual roundtable in October 2020 to discuss gaps and opportunities in oncology nutrition, alone and in combination with exercise, relative to current evidence and international societies’ recommendations. The panel recommended five principles to optimize clinical oncology practice: (1) position oncology nutrition at the center of multidisciplinary care; (2) partner with colleagues and administrators to integrate a nutrition care process into the multidisciplinary cancer care approach; (3) screen all patients for malnutrition risk at diagnosis and regularly throughout treatment; (4) combine exercise and nutrition interventions before (e.g., prehabilitation), during, and after treatment as oncology standard of care to optimize nutrition status and muscle mass; and (5) incorporate a patient-centered approach into multidisciplinary care. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/529617
Titre : Nutrition and Cancer Care – American and European Context (2023) Auteurs : L. Keaver ; B. Abreu Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°1, 2023, April 2023) Article en page(s) : p. 10-12 Note générale : https://doi.org/10.1159/000529934 Langues: Anglais Descripteurs : HE Vinci
Malnutrition ; Medicare (USA) ; Nutrition ; Oncologie médicale ; Qualité des soins de santé ; Remboursement par l'assurance maladieRésumé : The Oncology Care Model (OCM) is a US Centers for Medicare & Medicaid Services (CMS) specialty model implemented in 2016, to provide higher quality, more highly coordinated oncology care at the same or lower costs. Under the OCM, oncology clinics enter into payment arrangements that include financial and performance accountability for patients receiving chemotherapy treatment. In addition, OCM clinics commit to providing enhanced services to Medicare beneficiaries, including care coordination, navigation, and following national treatment guidelines. Nutrition is a component of best-practice cancer care, yet it may not be addressed by OCM providers even though up to 80% of patients with cancer develop malnutrition and poor nutrition has a profound impact on cancer treatment and survivorship. Only about half of US ambulatory oncology settings screen for malnutrition, registered dietitian nutritionists (RDNs) are not routinely employed by oncology clinics, and the medical nutrition therapy they provide is often not reimbursed. Thus, adequate nutrition care in US oncology clinics remains a gap area. Some oncology clinics are addressing this gap through implementation of nutrition-focused quality improvement programs (QIPs) but many are not. What is needed is a change of perspective. This paper outlines how and why quality nutrition care is integral to the OCM and can benefit patient health and provider outcomes. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/529934
Titre : An Overview of Cancer Health Inequalities and the Relation to Diet (2023) Auteurs : E. Carrillo-Alvarez Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°1, 2023, April 2023) Article en page(s) : p. 13-15 Note générale : https://doi.org/10.1159/000529612 Langues: Anglais Descripteurs : HE Vinci
Comorbidité ; Disparités de l'état de santé ; Nutrition ; Oncologie médicaleRésumé : Cancer health disparities remain stubbornly entrenched in the US health care system. The Affordable Care Act was legislation to target these disparities in health outcomes. Expanded access to health care, reduction in tobacco use, uptake of other preventive measures and cancer screening, and improved cancer therapies greatly reduced cancer mortality among women and men and underserved communities in this country. Yet, disparities in cancer outcomes remain. Underserved populations continue to experience an excessive cancer burden. This burden is largely explained by health care disparities, lifestyle factors, cultural barriers, and disparate exposures to carcinogens and pathogens, as exemplified by the COVID-19 epidemic. However, research also shows that comorbidities, social stress, ancestral and immunobiological factors, and the microbiome, may contribute to health disparities in cancer risk and survival. Recent studies revealed that comorbid conditions can induce an adverse tumor biology, leading to a more aggressive disease and decreased patient survival. In this review, we will discuss unanswered questions and new opportunities in cancer health disparity research related to comorbid chronic diseases, stress signaling, the immune response, and the microbiome, and what contribution these factors may have as causes of cancer health disparities. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/529612
Titre : Ensuring Food Security for Cancer Patients may Improve Cancer Outcomes (2023) Auteurs : D. Dikmen Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°1, 2023, April 2023) Article en page(s) : p. 16-18 Note générale : https://doi.org/10.1159/000529397 Langues: Anglais Descripteurs : HE Vinci
Oncologie médicale ; Sécurité alimentaireRésumé : Purpose: Food insecurity is prevalent among low-income immigrant and minority patients with cancer. To our knowledge, this randomized controlled trial is the first to prospectively examine the impact on cancer outcomes of food insecurity interventions, with the goal of informing evidence-based interventions to address food insecurity in patients with cancer. Methods: A three-arm randomized controlled trial was conducted among food-insecure (18-item US Department of Agriculture Household Food Security Survey Module score ≥ 3) patients with cancer (n = 117) at four New York City safety net cancer clinics. Arms included a hospital cancer clinic–based food pantry (arm 1), food voucher plus pantry (arm 2), and home grocery delivery plus pantry (arm 3). Treatment completion (primary outcome) and full appointment attendance were assessed at 6 months. Food security status, depression symptoms (Patient Health Questionnaire-9), and quality-of-life scores (Functional Assessment of Cancer Therapy-General) were assessed at baseline and at 6 months. Results: Voucher plus pantry had the highest treatment completion rate (94.6%), followed by grocery delivery plus pantry (82.5%) and pantry (77.5%; P = .046). Food security scores improved significantly in all arms, and Patient Health Questionnaire-9 and Functional Assessment of Cancer Therapy-General scores improved significantly in the pantry and delivery plus pantry arms. Conclusion: Our findings in this preliminary study suggest that voucher plus pantry was the most effective intervention at improving treatment completion, and it met our a priori criterion for a promising intervention (≥ 90%). All interventions demonstrated the potential to improve food security among medically underserved, food-insecure patients with cancer at risk of impaired nutrition status, reduced quality of life, and poorer survival. All patients with cancer should be screened for food insecurity, with evidence-based food insecurity interventions made available. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/529397
Titre : Nutrition and Physical Activity in Cancer Patients (2023) Auteurs : S. Papadopoulou Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°1, 2023, April 2023) Article en page(s) : p. 19-20 Note générale : https://doi.org/10.1159/000529933 Langues: Anglais Descripteurs : HE Vinci
Exercice physique ; Nutrition ; Oncologie médicale ; Soins de supportRésumé : The diagnosis and treatment of cancer are associated with impairment at the physical and at psychological level. In addition, side effects are a potentially treatment-limiting factor that may necessitate dose reduction, delay, or even discontinuation of therapy, with negative consequences for outcome and mean survival. Numerous studies have shown that physical activity and sports and exercise therapy programs are not only practicable but also recommendable for oncologic patients during the acute phase and in the aftercare. Furthermore, nutrition plays an important role in all stages of tumor therapy. A timely integration of a nutrition therapy and physical activity in the form of physiotherapy and sports therapy serves to prevent and reduce treatment-associated side effects. Evidence-based recommendations on cancer prevention through nutrition therapy, physical activity, and sports and exercise therapy should be integrated into treatment plans for oncology patients as well as in health care services for the general population. Individual counselling by trained nutrition and exercise specialists may be advisable to receive concrete recommendations on the respective tumor entity or specific side effects. This mini review is based on a selective literature search in the PubMed database and Cochrane Central Register of Controlled Trials on the subjects of healthy diet and physical activity in primary prevention and follow-up about cancer. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/529933
Titre : Primary Healthcare Service: Important Support for the Patient at Home (2023) Auteurs : Trude M. Backer Mortensen Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°1, 2023, April 2023) Article en page(s) : p. 21-22 Note générale : https://doi.org/10.1159/000529395 Langues: Anglais Descripteurs : HE Vinci
Aidants ; Effets indésirables ; Nutrition ; Oncologie médicale ; Régime alimentaire ; SurvieMots-clés: détresse liée à l'alimentation Résumé : Individuals living with cancer often experience multiple nutrition-related side effects from cancer treatment, including changes in taste and smell, nausea, diarrhea, loss of appetite, and pain during eating. These side effects can profoundly impact nutritional status and quality of life. The purpose of this study was to explore experiences with nutrition-related cancer treatment side effects among cancer patients and their family caregivers, the way they manage such side effects, and the resulting changes in food preferences and behaviors. Structured surveys and in-depth interviews were conducted. Interviews focused on the presence and management of treatment side effects, how those changes influenced food preferences, and the extent to which they interfered with quality of life. Most patients (72%) reported treatment side effects; 61% reported that these side effects impacted their eating and drinking. Common side effects included fatigue (58%), dry mouth (30%), nausea (24%), constipation (20%) and diarrhea (20%). Six overarching qualitative themes were identified: Spiral of side effects; Pain of eating; Burden of eating; Loss of taste/change in taste; Symptom management; and Solutions. The authors conclude with implications for food and nutrition practice-moving beyond traditional recommendations of what to eat or avoid-to consider the overall patient and caregiver experience. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/529395
Titre : Nutritional Status Assessment in Older Cancer Patients (2023) Auteurs : Cecilia Medeiros de Morais Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°1, 2023, April 2023) Article en page(s) : p. 23-24 Note générale : https://doi.org/10.1159/000529611 Langues: Anglais Descripteurs : HE Vinci
Malnutrition ; Oncologie médicale ; Sujet âgéMots-clés: Global Leadership Initiative on Malnutrition (GLIM) Résumé : Background & aims: Elderly cancer patients are at particularly high risk for malnutrition because both the disease and the old age threaten their nutritional status. The Global Leadership Initiative on Malnutrition (GLIM) released new universal criteria for diagnosing and grading malnutrition, but the validation of these criteria in elderly cancer population is not well documented. Our objective was to investigate the application of the GLIM criteria in nutrition assessment and survival prediction in elderly cancer patients. Methods: This retrospective cohort analysis was conducted on a primary cohort of 1192 cancer patients aged 65 years or older enrolled from a multi-institutional registry, and a validation cohort of 300 elderly cancer patients treated at the First Affiliated Hospital of Sun Yat-sen University. Patients considered at-risk for malnutrition based on the NRS-2002 were assessed using the GLIM criteria. The association between the nutritional status and patients' overall survival (OS) was then analyzed by the Kaplan-Meier method and a Cox model. A nomogram was also established that included additional independent clinical prognostic variables. To determine the predictive accuracy and discriminatory capacity of the nomogram, the C-index, receiver operating characteristic (ROC) curve and calibration curve were evaluated. Results: The percentage of patients considered “at-risk” for malnutrition was 64.8% and 67.3% for the primary and validation cohorts, respectively. GLIM-defined malnutrition was diagnosed in 48.4% of patients in the primary cohort and 46.0% in the validation cohort. In the primary cohort, patients at risk of malnutrition (NRS-2002 ≥ 3) showed a worse OS than those with a NRS-2002 Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/529611
Titre : Is There a Link Between Diabetes Mellitus and Cancer? (2023) Auteurs : A. Hill Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°1, 2023, April 2023) Note générale : https://doi.org/10.1159/000529935 Langues: Anglais Descripteurs : HE Vinci
Diabète ; TumeursRésumé : The number of new cases of cancer is increasing each year, and rates of diabetes mellitus are also increasing dramatically over time. It is not an unusual occurrence for an individual to have both cancer and diabetes at the same time, given they are both individually common, and that one condition can increase the risk of the other. In this manuscript, we use national-level diabetes (Virtual Diabetes Register) and cancer (New Zealand Cancer Registry) data on nearly five million individuals over 44 million person-years of follow-up to examine the occurrence of cancer amongst a national prevalent cohort of patients with diabetes. We completed this analysis separately by cancer for the 24 most commonly diagnosed cancers in Aotearoa New Zealand, and then compared the occurrence of cancer among those with diabetes to those without diabetes. We found that the rate of cancer was highest amongst those with diabetes for 21 of the 24 most common cancers diagnosed over our study period, with excess risk among those with diabetes ranging between 11% (non-Hodgkin's lymphoma) and 236% (liver cancer). The cancers with the greatest difference in incidence between those with diabetes and those without diabetes tended to be within the endocrine or gastrointestinal system, and/or had a strong relationship with obesity. However, in an absolute sense, due to the volume of breast, colorectal and lung cancers, prevention of the more modest excess cancer risk among those with diabetes (16%, 22% and 48%, respectively) would lead to a substantial overall reduction in the total burden of cancer in the population. Our findings reinforce the fact that diabetes prevention activities are also cancer prevention activities, and must therefore be prioritised and resourced in tandem. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/529935
Titre : Evidence-Based Dietetic Practice: EFAD Discussion Paper on Challenges for Implementation, Education, Research, and Lifelong Learning (2023) Auteurs : Eduard Baladia ; Koen Vanherle ; Ludivine Soguel ; Anne Griffing ; Sharleen O'Reilly ; Fiona McCullough ; Sofie Joossens Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°1, 2023, April 2023) Article en page(s) : p. 36-43 Note générale : https://doi.org/10.1159/000530091 Langues: Anglais Descripteurs : HE Vinci
Evidence-based nutritionRésumé : "Evidence-based practice (EBP) is defined as the integration of evidence from current best available research with individual clinical expertise and patient values [1]. It is a methodological concept that was introduced in the field of medicine during the early nineties and adopted by healthcare disciplines to improve standards of care. The Institute of Medicine first recommended EBP competencies for the [...]" Disponible en ligne : Oui En ligne : https://www.karger.com/Article/Abstract/530091
Titre : Managing Nutrition Impact Symptoms in Cancer Cachexia: A Case Series and Mini Review (2023) Auteurs : A. Khorasanchi ; S. Nemani ; S. Pandey ; E. Del Fabbro Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 3, n°1, 2023, April 2023) Article en page(s) : p. 30-35 Note générale : https://doi.org/10.1159/000529739 Langues: Anglais Descripteurs : HE Vinci
Cachexie ; Malnutrition ; Nutrition ; TumeursRésumé : Malnutrition is common in cancer patients and can occur throughout a patient’s disease course. The contributors to the clinical syndrome of cancer cachexia are often multifactorial, and produced by the cancer and associated pro-inflammatory response. Since cancer cachexia is a multifactorial syndrome, a multimodal therapeutic approach is ideal. A key component of therapy is identifying and managing symptom barriers to adequate oral intake, known as nutritional impact symptoms [NIS]. NIS are associated with reduced intake and weight loss in patients with advanced cancer, and aggregate NIS are a predictor of survival in patients with Head and Neck Cancer and in patients undergoing surgery for esophageal cancer. Currently, there are no guidelines regarding the specific management of NIS in oncology patients. Experience from specialist centers suggest relatively simple assessments and inexpensive interventions are available for the diagnosis and treatment of NIS. We present three patient cases from a cachexia clinic, where NIS management decreased symptom burden and improved clinical outcomes such as weight and physical performance. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/529739
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Titre : Principles for Evidence-Based and Sustainable Food System Innovations for Healthier Diets : Ferraboschi C. · Monroy-Gomez J. · Gavin-Smith B. · Beesabathuni K. · Tshering P. · Lingala S. · Bainsla N. · Amanquah D. · Kumari P. · Gabrielle van Zutphen K. · Kraemer K. (2022) Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 2, 2022, November 2022) Article en page(s) : P. 55–66 Note générale : https://doi.org/10.1159/000526363 Langues: Anglais Descripteurs : HE Vinci
Alimentation durable ; Evidence-based nutrition ; Evolution scientifique et technique ; Nutrition ; Régime alimentaireRésumé : Climate change, rapid urbanization, war, and economic recession are key drivers of the current food systems’ disruption, which has been exacerbated by the COVID pandemic. Local, regional, and global food systems are unable to provide consumers with nutritious and affordable diets. Suboptimal diets exacerbate the triple burden of malnutrition, with micronutrient deficiencies affecting more than two billion people, two billion people suffering from overweight, and more than 140 million children who are stunted. The unaffordability of nutritious diets represents an obstacle for many, especially in low- and middle-income countries where healthy diets are five times more expensive than starchy staple diets. Food system transformations are urgently required to provide consumers with more affordable and nutritious diets that are capable of meeting social and environmental challenges. In this review, we underline the critical role of innovation within the food system transformation discourse. We aim to define principles for implementing evidence-based and long-term food system innovations that are economically, socially, and environmentally sustainable and, above all, aimed at improving diets and public health. We begin by defining and describing the role of innovation in the transformation of food systems and uncover the major barriers to implementing these innovations. Lastly, we explore case studies that demonstrate successful innovations for healthier diets. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/526363
Titre : Taking Action Locally to Strive for Healthy Food Systems and Environments (2022) Auteurs : Elena Carrillo-Alvarez Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 2, 2022, November 2022) Article en page(s) : p. 67-70 Note générale : https://doi.org/10.1159/000526816 Langues: Anglais Descripteurs : HE Vinci
Déterminants sociaux de la santé ; Politique nutritionnelle ; Politique publique ; Santé publiqueMots-clés: Systèmes alimentaires ; Déterminants commerciaux de la santé ; Agnogenèse d'entreprise ; administration locale Résumé : Purpose of review: Food systems at all levels are experiencing various states of dysfunction and crisis, and in turn their governance contributes to other intensifying crises, such as climate change, biodiversity loss and the rapid expansion of dietary-related non-communicable diseases. In many jurisdictions governments at local, state and national levels are taking action to tackle some of the key challenges confronting food systems through a range of regulatory, legislative and fiscal measures. This article comprises a narrative review summarising recent relevant literature with a focus on the intersection between corporate power and public health. The review sought to identify some of the principal barriers for the design and support of healthy food systems and environments, as well as key reforms that can be adopted to address these barriers, with a focus on the role of local governments.
Recent findings: The review found that, where permitted to do so by authorising legislative and regulatory frameworks, and where political and executive leadership prioritises healthy and sustainable food systems, local governments have demonstrated the capacity to exercise legislative and regulatory powers, such as planning powers to constrain the expansion of the fast food industry. In doing so, they have been able to advance broader goals of public health and wellbeing, as well as support the strengthening and expansion of healthy and sustainable food systems. Whilst local governments in various jurisdictions have demonstrated the capacity to take effective action to advance public health and environmental goals, such interventions take place in the context of a food system dominated by the corporate determinants of health. Accordingly, their wider health-promoting impact will remain limited in the absence of substantive reform at all levels of government.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/526816
Titre : Sustainability in Hospital Food Catering: How We Can Adapt to the New Reality (2022) Auteurs : Kalliopi Anna Poulia Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 2, 2022, November 2022) Article en page(s) : p. 71-72 Note générale : https://doi.org/10.1159/000526465 Langues: Anglais Descripteurs : HE Vinci
Alimentation durable ; Evolution scientifique et technique ; Nutrition ; Prestations des soins de santé ; Services alimentaires ; Services de santéRésumé : Purpose: The healthcare sector is an important area for sustainable food initiatives, given its inherent mission to heal and its substantial impact on the food system. Foodservice managers can take part in these initiatives by using sustainable menu practices (SMPs). This study aimed to explore managerial perceptions of barriers and facilitators to adopting SMPs in Québec healthcare institutions.
Methods: Seventeen foodservice managers were recruited through purposeful sampling to participate in a qualitative semistructured interview. The Diffusion of Innovations theory was used to assess the main determinants of the diffusion of an innovation (SMPs) through a complex social system (healthcare organization).
Results: Participants reported more barriers than facilitators. Lack of support at many levels was recognized as a major hindrance to SMP adoption, as were shortfalls in political directives. Increased collaboration between all food system actors and better communication in healthcare were perceived as needed for increased SMP adoption.
Conclusions: This research contributes to an in-depth understanding of managerial experiences in SMP adoption in various regional and healthcare settings. Findings suggest the need for support and strategies that would remove important barriers for foodservice managers and contributed to the development of a guide to support foodservice managers in implementing SMPs.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/526465
Titre : Is the Focus on Healthy Eating Drowning in the Discussion About Sustainable Food? (2022) Auteurs : Trude M. Backer Mortensen Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 2, 2022, November 2022) Article en page(s) : p. 73-74 Note générale : https://doi.org/10.1159/000526838 Langues: Anglais Descripteurs : HE Vinci
Consommation alimentaire ; État nutritionnel ; Micronutriments ; Régime végétalien ; Régime végétarienRésumé : Health authorities increasingly recommend a more plant-based diet, rich in fruits, vegetables, pulses, whole grains and nuts, low in red meat and moderate in dairy, eggs, poultry and fish which will be beneficial for both health and the environment. A systematic review of observational and intervention studies published between 2000 and January 2020 was conducted to assess nutrient intake and status in adult populations consuming plant-based diets (mainly vegetarian and vegan) with that of meat-eaters. Mean intake of nutrients were calculated and benchmarked to dietary reference values. For micronutrient status, mean concentrations of biomarkers were calculated and compared across diet groups. A total of 141 studies were included, mostly from Europe, South/East Asia, and North America. Protein intake was lower in people following plant-based diets compared to meat-eaters, but well within recommended intake levels. While fiber, polyunsaturated fatty acids (PUFA), folate, vitamin C, E and magnesium intake was higher, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) intake was lower in vegetarians and vegans as compared to meat-eaters. Intake and status of vitamin B12, vitamin D, iron, zinc, iodine, calcium and bone turnover markers were generally lower in plant-based dietary patterns compared to meateaters. Vegans had the lowest vitamin B12, calcium and iodine intake, and also lower iodine status and lower bone mineral density. Meat-eaters were at risk of inadequate intakes of fiber, PUFA, α-linolenic acid (ALA), folate, vitamin D, E, calcium and magnesium. There were nutrient inadequacies across all dietary patterns, including vegan, vegetarian and meat-based diets. As plant-based diets are generally better for health and the environment, public health strategies should facilitate the transition to a balanced diet with more diverse nutrient-dense plant foods through consumer education, food fortification and possibly supplementation. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/526838
Titre : Sustainable Nutrition and Sport (2022) Auteurs : Ria Vanderstraeten Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 2, 2022, November 2022) Article en page(s) : p. 75-77 Note générale : https://doi.org/10.1159/000526954 Langues: Anglais Descripteurs : HE Vinci
Alimentation durable ; SportsRésumé : At the Change Now Summit 2022, Paris 2024 President Tony Estanguet presented the Organising Committee’s catering strategy for the Games. The ambition is at the height of the challenge with 13 million meals served during the Olympic and Paralympic Games and strong commitments that will guide their preparation. The Paris 2024 Organising Committee has worked with relevant stakeholders (from the agricultural and catering sectors, NGOs, experts, nutritionists, partners - Sodexo Live!, Coca-Cola - , athletes, chefs, etc.) to enhance French expertise and promote social and environmental practices that are more sustainable during the Games. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/526954
Titre : Association Between Sustainability and Cancer – Recent Literature Analysis and Indication of Points for Improvement (2022) Auteurs : Bruno Abreu ; Nicole Erickson Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 2, 2022, November 2022) Article en page(s) : p. 78–80 Note générale : https://doi.org/10.1159/000526467 Langues: Anglais Descripteurs : HE Vinci
Alimentation durable ; TumeursRésumé : Background: Unhealthy diets, the rise of non-communicable diseases, and the declining health of the planet are highly intertwined, where food production and consumption are major drivers of increases in greenhouse gas emissions, substantial land use, and adverse health such as cancer and mortality. To assess the potential co-benefits from shifting to more sustainable diets, we aimed to investigate the associations of dietary greenhouse gas emissions and land use with all-cause and cause-specific mortality and cancer incidence rates.
Methods: Using data from 443 991 participants in the European Prospective Investigation into Cancer and Nutrition (EPIC) study, a multicentre prospective cohort, we estimated associations between dietary contributions to greenhouse gas emissions and land use and all-cause and cause-specific mortality and incident cancers using Cox proportional hazards regression models. The main exposures were modelled as quartiles. Co-benefits, encompassing the potential effects of alternative diets on all-cause mortality and cancer and potential reductions in greenhouse gas emissions and land use, were estimated with counterfactual attributable fraction intervention models, simulating potential effects of dietary shifts based on the EAT–Lancet reference diet.
Findings: In the pooled analysis, there was an association between levels of dietary greenhouse gas emissions and all-cause mortality (adjusted hazard ratio [HR] 1·13 [95% CI 1·10–1·16]) and between land use and all-cause mortality (1·18 [1·15–1·21]) when comparing the fourth quartile to the first quartile. Similar associations were observed for cause-specific mortality. Associations were also observed between all-cause cancer incidence rates and greenhouse gas emissions, when comparing the fourth quartile to the first quartile (adjusted HR 1·11 [95% CI 1·09–1·14]) and between all-cause cancer incidence rates and land use (1·13 [1·10– 1·15]); however, estimates differed by cancer type. Through counterfactual attributable fraction modelling of shifts in levels of adherence to the EAT–Lancet diet, we estimated that up to 19–63% of deaths and up to 10–39% of cancers could be prevented, in a 20-year risk period, by different levels of adherence to the EAT– Lancet reference diet. Additionally, switching from lower adherence to the EAT–Lancet reference diet to higher adherence could potentially reduce food-associated greenhouse gas emissions up to 50% and land use up to 62%.
Interpretation: Our results indicate that shifts towards universally sustainable diets could lead to co-benefits, such as minimising diet-related greenhouse gas emissions and land use, reducing the environmental footprint, aiding in climate change mitigation, and improving population health.
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Titre : Is There an Optimal Diet for a Healthy Gut in Adults? What Do We Know? (2022) Auteurs : Asteria Stamataki Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 2, 2022, November 2022) Article en page(s) : p. 81-82 Note générale : https://doi.org/10.1159/000527153 Langues: Anglais Descripteurs : HE Vinci
Acides gras volatils ; Bacteroidetes ; Microbiome gastro-intestinal ; Régime méditerranéen ; Régime végétarienMots-clés: Firmicutes Résumé : Diet is the first to affect our intestinal microbiota and therefore the
state of eubiosis. Several studies are highlighting the potential benefits of taking certain nutritional supplements, but a dietary regime that can ensure the health of the intestinal microbiota, and the many pathways it governs, is not yet clearly defined. We performed a systematic review of the main studies concerning the impact of an omnivorous diet on the composition of the microbiota and the production of short-chain fatty acids (SCFAs). Some genera and phyla of interest emerged significantly and about half of the studies evaluated consider them to have an equally significant impact on the production of SCFAs, to be a source of nutrition for our colon cells, and many other processes. Although numerous randomized trials are still needed, the Mediterranean diet could play a valuable role in ensuring our health through direct interaction with our microbiota.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/527153
Titre : Sustainability Recommendations and Practices in School Feeding: A Systematic Review (2022) Auteurs : Emanuele Batistela dos Santos ; Dayanne da Costa Maynard ; Renata Puppin Zandonadi ; António Raposo ; Raquel Braz Assunção Botelho Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 2, 2022, November 2022) Article en page(s) : p. 83-102 Note générale : https://doi.org/10.1159/000526379 Langues: Anglais Descripteurs : HE Vinci
Alimentation durable ; Restauration scolaire ; Revue systématiqueRésumé : Considering the importance of schools for sustainable food offers and the formation of conscientious citizens on sustainability, this systematic review aimed to verify the recommendations on sustainability in school feeding policies and the sustainability practices adopted in schools. The research question that guided this study is “what are the recommendations on sustainability in school feeding policies and the sustainability practices adopted in schools?”. This systematic review was prepared according to PRISMA, and its checklist was registered in PROSPERO. Specific search strategies for Scopus, Web of Science, Pubmed, Lilacs, Google Scholar, and ProQuest Dissertations & Theses Global were developed. The included studies’ methodological quality was evaluated using the Meta-Analysis Statistical Assessment and Review Instrument (MASTARI). A total of 134 studies were selected for a full reading. Of these, 50 met the eligibility criteria and were included in the systematic review. Several sustainability practices were described. The most cited are school gardens and education activities for sus tainability. However, actions carried out in food services were also mentioned, from the planning of menus and the purchase of raw materials (mainly local and organic foods, vegetarian/vegan menus) to the distribution of meals (reduction of organic and inorganic waste: composting, recycling, donating food, and portion sizes). Recommendations for purchasing sustainable food (organic, local, and seasonal), nutrition education focused on sustainability, and reducing food waste were frequent; this reinforces the need to stimulate managers’ view, in their most varied spheres, for the priority that should be given to this theme, so that education for sustainability is universally part of the curricula. The importance of education in enabling individuals to promote sustainable development is reaffirmed in Sustainable Development Goal 4 (SDG 4). The development of assessment instruments can help monitor the evolution of sustainable strategies at schools and the main barriers and potentialities related to their implementation. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/526379
Vol. 2, n° 1, 2022 (April 2022)
Paru le : 01/04/2022
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Titre : Gut Microbiome: Profound Implications for Diet and Disease (2022) Auteurs : Ronald D. Hills ; Benjamin A. Pontefract ; Hillary R. Mishcon ; Cody A. Black ; Steven C. Sutton ; Cory R. Théberge Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 1, 2022, April 2022) Article en page(s) : p. 3-18 Note générale : https://doi.org/10.1159/000523712 Langues: Anglais Descripteurs :
HE Vinci
Facteurs de risque cardiométaboliques ; Maladie chronique ; Maladies gastro-intestinales ; Microbiome gastro-intestinal ; Nutrition ; Obésité ; Prébiotique ; Régime alimentaire ; Régime occidentalRésumé : The gut microbiome plays an important role in human health and influences the development of chronic diseases ranging from metabolic disease to gastrointestinal disorders and colorectal cancer. Of increasing prevalence in Western societies, these conditions carry a high burden of care. Dietary patterns and environmental factors have a profound effect on shaping gut microbiota in real time. Diverse populations of intestinal bacteria mediate their beneficial effects through the fermentation of dietary fiber to produce short-chain fatty acids, endogenous signals with important roles in lipid homeostasis and reducing inflammation. Recent progress shows that an individual’s starting microbial profile is a key determinant in predicting their response to intervention with live probiotics. The gut microbiota is complex and challenging to characterize. Enterotypes have been proposed using metrics such as alpha species diversity, the ratio of Firmicutes to Bacteroidetes phyla, and the relative abundance of beneficial genera (e.g., Bifidobacterium, Akkermansia) versus facultative anaerobes (E. coli), pro-inflammatory Ruminococcus, or nonbacterial microbes. Microbiota composition and relative populations of bacterial species are linked to physiologic health along different axes. We review the role of diet quality, carbohydrate intake, fermentable FODMAPs, and prebiotic fiber in maintaining healthy gut flora. The implications are discussed for various conditions including obesity, diabetes, irritable bowel syndrome, inflammatory bowel disease, depression, and cardiovascular disease. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/523712
Titre : Influence of Mediterranean Diet on Human Gut Microbiota (2022) Auteurs : Giuseppe Merra ; Annalisa Noce ; Giulia Marrone ; Marco Cintoni ; Maria Grazia Tarsitano ; Annunziata Capacci ; Antonino De Lorenzo Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 1, 2022, April 2022) Article en page(s) : p. 19-25 Note générale : https://doi.org/10.1159/000523727 Langues: Anglais Descripteurs : HE Vinci
Acides gras insaturés ; Fibre alimentaire ; Microbiome gastro-intestinal ; Polyphénols ; Prévention primaire ; Régime méditerranéenRésumé : Gut microbiota changes correlate with health status. Literature data on gut microbiota show that all dietary changes can induce the alteration of gut microbiota composition. Mediterranean diet (MD) is associated with a reduction of all-cause mortality and in this review, we analyzed its interactions with human microbiota. In particular, we explored the modulation of the human microbiota, in response to MD adherence, focusing the attention on polyphenols, polyunsaturated fatty acids (PUFA) ω-3 and fiber. Evidences suggest that MD is able to modulate the gut microbiota, increasing its diversity. In fact, a Mediterranean-type dietary pattern is associated with specific gut microbiota characteristics. The available evidence, suggests that gut microbiota of subjects that follow a MD is significantly different from subjects that follow a Western diet model. In fact, the latter show an increased gut permeability, which is responsible for metabolic endotoxemia. For this reason, we can speculate that the gut microbiota of the subjects following a MD is able to prevent the onset of chronic non-communicable degenerative diseases, such as cardiovascular diseases and some types of cancer. However, in order to understand these correlations with dietary patterns, controlled intervention studies on the gut microbiota composition and activity are needed. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/523727
Titre : Disharmony in Gut Microbiota – Should This Be a Priority for Public Health Nutrition? (2022) Auteurs : Amanda Avery Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 1, 2022, April 2022) Article en page(s) : p. 26-28 Note générale : https://doi.org/10.1159/000523680 Langues: Anglais Descripteurs : HE Vinci
Acides et sels biliaires ; Dysbiose ; Endotoxémie ; Inflammation ; Microbiome gastro-intestinal ; Période post-prandiale ; Stress du réticulum endoplasmique ; Stress oxydatifMots-clés: LPS ; TLR4 ; Perméabilité intestinale Résumé : The gut microbiota is responsible for recovering energy from food, providing hosts with vitamins, and providing a barrier function against exogenous pathogens. In addition, it is involved in maintaining the integrity of the intestinal epithelial barrier, crucial for the functional maturation of the gut immune system. The Western diet (WD) – an unhealthy diet with high consumption of fats – can be broadly characterized by overeating, frequent snacking, and a prolonged postprandial state. The term WD is commonly known and intuitively understood. However, the strict digital expression of nutrient ratios is not precisely defined. Based on the US data for 1908–1989, the calory intake available from fats increased from 32% to 45%. Besides the metabolic aspects (hyperinsulinemia, insulin resistance, dyslipidemia, sympathetic nervous system and renin-angiotensin system overstimulation, and oxidative stress), the consequences of excessive fat consumption (high-fat diet-HFD) comprise dysbiosis, gut barrier dysfunction, increased intestinal permeability, and leakage of toxic bacterial metabolites into the circulation. These can strongly contribute to the development of low-grade systemic inflammation. This narrative review highlights the most important recent advances linking HFD-driven dysbiosis and HFD-related inflammation, presents the pathomechanisms for these phenomena, and examines the possible causative relationship between pro-inflammatory status and gut microbiota changes. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/523680
Titre : Ultra-Processed Foods and the Intestinal Bacterial Flora? (2022) Auteurs : Trude M. Backer Mortensen Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 1, 2022, April 2022) Article en page(s) : p. 29-30 Note générale : https://doi.org/10.1159/000522430 Langues: Anglais Descripteurs : HE Vinci
Aliments ultra-transformés ; Bacteroidetes ; Bifidobacterium ; Identité de genre ; MicrobioteRésumé : Ultra-processed foods (UPFs) consumption could affect gut microbiota diversity and profile. We aimed to evaluate the effects of UPFs on microbiota, considering the role of sex. The consumption of UPFs (using NOVA criteria) was assessed with a validated 137-item food-frequency questionnaire. Participants (n = 359) were classified into less than three servings per day (n = 96) of UPFs and more than five (n = 90). Women and men were subclassified following the same criteria. 16S rRNA sequencing was performed from DNA fecal samples, and differences in microbiota were analyzed using EdgeR. The relationship between UPFs and bacteria was assessed by Spearman correlation and comparison of tertiles of consumption. Women who consumed more than five servings/day of UPFs presented an increase in Acidaminococcus, Butyrivibrio, Gemmiger, Shigella, Anaerofilum, Parabacteroides, Bifidobacterium, Enterobacteriales, Bifidobacteriales and Actinobacteria and a decrease in Melainabacter and Lachnospira. Bifidobacterium, Bifidobacteriales and Actinobacteria was positively associated with pizza and Actinobacteria with industrially processed dairy in women. Men who consumed more than five servings/day presented an increase of Granulicatella, Blautia,Carnobacteriaceae, Bacteroidaceae, Peptostreptococcaceae, Bacteroidia and Bacteroidetes and a decrease of Anaerostipes and Clostridiaceae. Bacteroidia and Bacteroidetes correlated positively with industrially processed meat. This study suggests that UPFs may affect microbiota composition differently in women and men. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/522430
Titre : What Stops us From Asking More About Food Insecurity While Advising on a Healthy Diet (Adequate and Balanced)? (2022) Auteurs : Derya Dikmen Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 1, 2022, April 2022) Article en page(s) : p. 31-33 Note générale : https://doi.org/10.1159/000523887 Langues: Anglais Descripteurs : HE Vinci
Collecte de données ; Déterminants sociaux de la santé ; Enquêtes et questionnaires ; Ethique ; Formation ; Promotion de la santé ; Régime alimentaire sain ; Sécurité alimentaireRésumé : Inadequate diet is the leading risk factor for morbidity and mortality worldwide. However, approaches to identifying inadequate diets in clinical practice remain inconsistent, and dietary interventions (on both individual and public health policy levels) frequently focus on facilitating ‘healthy choices’, with limited emphasis on structural constraints. We examine the ethical implications of introducing a routine question in the medical history about ability to access food. Not collecting data on food security means that clinicians are unable to identify people who may benefit from support on an individual level, unable to consider relevant dietary risk factors for disease and disease progression and unable to monitor population trends and inequalities in dietary access in order to design effective policy interventions. We argue that the current lack of routine screening for food insecurity is inconsistent with our approach to other health behaviours (eg, smoking and alcohol use), as well as with doctors’ frequent informal role as gatekeepers to the food aid system, and recent calls for governmental action on food insecurity and health inequalities from individual clinicians and professional bodies. Potential ethical barriers to asking patients about food security are addressed, including concerns about stigma, limiting autonomy, fair resource allocation, unclear professional remits and clinicians’ ability to offer effective interventions. We suggest that there is an ethical imperative for doctors to ask patients about their ability to access healthy food. Gathering this data provides a valuable first step in re-framing the social determinants of health as modifiable risks, rather than inevitable inequities. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/523887
Titre : Food-Based Dietary Management of Crohn’s Disease; Are We There Yet? (2022) Auteurs : Konstantinos Gerasimidis ; Konstantinos Gkikas ; Vaios Svolos Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 1, 2022, April 2022) Article en page(s) : p. 34-35 Note générale : https://doi.org/10.1159/000524465 Langues: Anglais Descripteurs : HE Vinci
Fibre alimentaire ; Maladie de Crohn ; Maladies inflammatoires intestinales ; Recommandations comme sujet ; Régime alimentaireRésumé : Diet is a key modifier of risk of inflammatory bowel disease development and potentially a treatment option in patients with established disease. International organisations in gastroenterology and inflammatory bowel disease have published guidelines for the role of diet in disease onset and its management. Here, we discuss the major overarching themes arising from these guidelines and appraise recent literature on the role of diet for inflammatory bowel disease prevention, treatment of active disease and maintenance of remission, considering these themes. Except for exclusive enteral nutrition in active Crohn’s disease, we currently possess very little evidence to make any further dietary recommendations for the management of inflammatory bowel disease. There is also currently uncertainty on the extrapolation of epidemiological dietary signals on risk of disease development and preclinical experiments in animal models to management, once disease is established. Until high-quality evidence from clinical research becomes available, the only specific recommendations for inflammatory bowel disease we might safely give are those of healthy eating which apply for the general population for overall health and well-being. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/524465
Titre : Fecal Microbiota Transplantation for The Early-Onset Type 1 Diabetes. Could It Be a Promising Solution? (2022) Auteurs : Arezina Kasti Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 1, 2022, April 2022) Article en page(s) : p. 92-105 Note générale : https://doi.org/10.1159/000522521 Langues: Anglais Descripteurs : HE Vinci
Diabète de type 1 ; Insuline ; Microbiome gastro-intestinal ; Microbiote ; Transplantation de microbiote fécalRésumé : Objective: Type 1 diabetes (T1D) is characterised by islet autoimmunity and beta cell destruction. A gut microbiota–immunological interplay is involved in the pathophysiology of T1D. We studied microbiota-mediated effects on disease progression in patients with type 1 diabetes using faecal microbiota transplantation (FMT).
Design: Patients with recent-onset ( Results: Stimulated C peptide levels were significantly preserved in the autologous FMT group (n = 10 subjects) compared with healthy donor FMT group (n = 10 subjects) at 12 months. Small intestinal Prevotella was inversely related to residual beta cell function (r = −0.55, p = 0.02), whereas plasma metabolites 1-arachidonoyl-GPC and 1-myristoyl-2-arachidonoyl-GPC levels linearly correlated with residual beta cell preservation (rho = 0.56, p = 0.01 and rho = 0.46, p = 0.042, respectively). Finally, baseline CD4 +CXCR3+T cell counts, levels of small intestinal Desulfovibrio piger and CCL22 and CCL5 gene expression in duodenal biopsies predicted preserved beta cell function following FMT irrespective of donor characteristics.
Conclusion: FMT halts decline in endogenous insulin production in recently diagnosed patients with T1D in 12 months after disease onset. Several microbiota-derived plasma metabolites and bacterial strains were linked to preserved residual beta cell function. This study provides insight into the role of the intestinal gut microbiome in T1D.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/522521
Titre : The Influence of Oral and Gut Microbiota on Nitrate Supplementation and Sports Performance (2022) Auteurs : Nikolaos Papaspanos Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 1, 2022, April 2022) Article en page(s) : p. 39-40 Note générale : https://doi.org/10.1159/000522429 Langues: Anglais Descripteurs : HE Vinci
Compléments alimentaires ; Monoxyde d'azote ; nitrates ; Nitrites ; Performance sportive ; VeillonellaMots-clés: Axe microbiote-muscle ; Métabolisme des nitrites Résumé : Nitrate supplementation is an effective, evidence-based dietary strategy for enhancing sports performance. The effects of dietary nitrate seem to be mediated by the ability of oral bacteria to reduce nitrate to nitrite, thus increasing the levels of nitrite in circulation that may be further reduced to nitric oxide in the body. The gut microbiota has been recently implicated in sports performance by improving muscle function through the supply of certain metabolites. In this line, skeletal muscle can also serve as a reservoir of nitrate. Here we review the bacteria of the oral cavity involved in the reduction of nitrate to nitrite and the possible changes induced by nitrite and their effect on gastrointestinal balance and gut microbiota homeostasis. The potential role of gut bacteria in the reduction of nitrate to nitrite and as a supplier of the signaling molecule nitric oxide to the blood circulation and muscles has not been explored in any great detail. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/522429
Titre : Microbiome & Cancer (2022) Auteurs : Susana Couto Irving ; Adele Hug Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 2, n° 1, 2022, April 2022) Article en page(s) : p. 41-43 Note générale : https://doi.org/10.1159/000523765 Langues: Anglais Descripteurs : HE Vinci
Acides gras volatils ; Immunothérapie ; Inhibiteurs de checkpoint immunologiques ; Métabolome ; Microbiome gastro-intestinal ; TumeursMots-clés: Checkpoint inhibitor therapy Résumé : Host immunity plays a central role in the regulation of anti-tumour responses during checkpoint inhibitor therapy (CIT). The mechanisms involved in long lasting remission remain unclear. Animal studies have revealed that the microbiome influences the host immune response. This is supported by human studies linking a higher microbial richness and diversity with enhanced responses to CIT. This review focuses on the role of diet, the microbiome and the microbiome-derived metabolome in enhancing responses to current CIT in solid tissue cancers. The Western diet has been associated with dysbiosis, inflammation and numerous metabolic disorders. There is preliminary evidence that lifestyle factors including a high fibre diet are associated with improved responses to CIT via a potential effect on the microbiota. The mechanisms through which the microbiota may regulate long-term immunotherapy responses have yet to be determined, although bacterial-metabolites including short chain fatty acids (SCFAs) are recognized to have an impact on T cell differentiation, and may affect T effector/regulatory T cell balance. SCFAs were also shown to enhance the memory potential of activated CD8 T cells. Many therapeutic approaches including dietary manipulation and fecal transplantation are currently being explored in order to enhance immunotherapy responses. The microbiome-derived metabolome may be one means through which bacterial metabolic products can be monitored from the start of treatment and could be used to identify patients at risk of poor immunotherapy responses. The current review will discuss recent advances and bring together literature from related fields in nutrition, oncology and immunology to discuss possible means of modulating immunity to improve responses to current CIT. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/523765
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Titre : Digital Health for Optimal Supportive Care in Oncology: Benefits, Limits, and Future Perspectives (2021) Auteurs : Matti Aapro ; P. Bossi ; A. Dasari ; L. Fallowfield ; P. Gascón ; M. Geller ; K. Jordan ; J. Kim ; K. Martin ; S. Porzig Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 3, 2021, October 2021) Article en page(s) : p.72-90 Note générale : https://doi.org/10.1159/000519151 Langues: Anglais Descripteurs : HE Vinci
Évaluation des résultats des patients ; Gestion de soi ; Mesures des résultats rapportés par les patients (PROM) ; TélémédecineMots-clés: Oncologie intégrative ; Surveillance des symptômes Résumé : Background: Digital health provides solutions that capture patient-reported outcomes (PROs) and allows symptom monitoring and patient management. Digital therapeutics is the provision to patients of evidence-based therapeutic interventions through software applications aimed at prevention, monitoring, management, and treatment of symptoms and diseases or for treatment optimization. The digital health solutions collecting PROs address many unmet needs, including access to care and reassurance, increase in adherence and treatment efficacy, and decrease in hospitalizations. With current developments in oncology including increased availability of oral drugs and reduced availability of healthcare professionals, these solutions offer an innovative approach to optimize healthcare resource utilization. Design: This scoping review clarifies the role and impact of the digital health solutions in oncology supportive care, with a view of the current segmentation according to their technical features (connection to sensors, PRO collection, remote monitoring, self-management in real time…), and identifies evidence from clinical studies published about their benefits and limitations and drivers and barriers to adoption. A qualitative summary is presented. Results: Sixty-six studies were identified and included in the qualitative synthesis. Studies supported the use of 38 digital health solutions collecting ePROs and allowing remote monitoring, with benefits to patients regarding symptom reporting and management, reduction in symptom distress, decrease in unplanned hospitalizations and related costs and improved quality of life and survival. Among those 38 solutions 21 provided patient self-management with impactful symptom support, improvement of QoL, usefulness and reassurance. Principal challenges are in developing and implementing digital solutions to suit most patients, while ensuring patient compliance and adaptability for use in different healthcare systems and living environments. Conclusions: There is growing evidence that digital health collecting ePROs provide benefits to patients related to clinical and health economic endpoints. These digital solutions can be integrated into routine supportive care in oncology practice to provide improved patient-centered care. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/519151
Titre : Effectiveness of eHealth and mHealth Interventions to Improve Physical Activity, Sedentary Behavior, and Nutrition in Healthy Subjects (2021) Auteurs : Nikolaos Papaspanos Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 3, 2021, October 2021) Article en page(s) : p.91-92 Note générale : https://doi.org/10.1159/000519341 Langues: Anglais Descripteurs : HE Vinci
Comportement alimentaire ; Mode de vie sédentaire ; Prévention primaire ; Régime alimentaire ; Télémédecine ; Théorie psychologiqueMots-clés: Umbrella review Résumé : Background: Electronic (eHealth) and mobile (mHealth) health interventions can provide a large coverage, and are promising tools to change health behavior (i.e. physical activity, sedentary behavior and healthy eating). However, the determinants of intervention effectiveness in primary prevention has not been explored yet. Therefore, the objectives of this umbrella review were to evaluate intervention effectiveness, to explore the impact of pre-defined determinants of effectiveness (i.e. theoretical foundations, behavior change techniques, social contexts or just-in-time adaptive interventions), and to provide recommendations for future research and practice in the field of primary prevention delivered via e/mHealth technology. Methods: PubMed, Scopus, Web of Science and the Cochrane Library were searched for systematic reviews and meta-analyses (reviews) published between January 1990 and May 2020. Reviews reporting on e/mHealth behavior change interventions in physical activity, sedentary behavior and/or healthy eating for healthy subjects (i.e. subjects without physical or physiological morbidities which would influence the realization of behaviors targeted by the respective interventions) were included if they also investigated respective theoretical foundations, behavior change techniques, social contexts or just-in-time adaptive interventions. Included studies were ranked concerning their methodological quality and qualitatively synthesized. Results: The systematic search revealed 11 systematic reviews and meta-analyses of moderate quality. The majority of original research studies within the reviews found e/mHealth interventions to be effective, but the results showed a high heterogeneity concerning assessment methods and outcomes, making them difficult to compare. Whereas theoretical foundation and behavior change techniques were suggested to be potential positive determinants of effective interventions, the impact of social context remains unclear. None of the reviews included just-in-time adaptive interventions. Conclusion: Findings of this umbrella review support the use of e/mHealth to enhance physical activity and healthy eating and reduce sedentary behavior. The general lack of precise reporting and comparison of confounding variables in reviews and original research studies as well as the limited number of reviews for each health behavior constrains the generalization and interpretation of results. Further research is needed on study-level to investigate effects of versatile determinants of e/mHealth efficiency, using a theoretical foundation and additionally explore the impact of social contexts and more sophisticated approaches like just-in-time adaptive interventions. Trial registration: The protocol for this umbrella review was a priori registered with PROSPERO: CRD42020147902. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/519341
Titre : Older Adults’ Understanding of Nutrition (2021) Auteurs : Cecilia Medeiros de Morais Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 3, 2021, October 2021) Article en page(s) : p.93–94 Note générale : https://doi.org/10.1159/000519342 Langues: Anglais Descripteurs : HE Vinci
Gestion de soi ; Nutrition ; Recherche qualitative ; Sujet âgé ; TélémédecineRésumé : Objective: The aim of this study was to: 1) explore older patients’ knowledge, skills and behavior in relation to nutrition and 2) achieve an understanding of older patients’ experiences, understanding and attitudes towards management of nutritional needs. Design: Semi-structured interviews were conducted and analyzed using content analysis. The Readiness and Enablement Index for Health Technology (READHY) instrument was used as a framework. Setting: Two hospital units specialized in internal medicine located at two university hospitals in Copenhagen. Participants: Patients (N = 25) age 65 ≥ years and admitted to hospital for medical treatment. Findings: The informants’ knowledge, behavior and attitude towards nutrition was influenced by their experience of food as an everyday phenomenon but less so by the experience of nutrition as important for their well-being and health. Three themes were identified: 1) Food – an everyday phenomenon; 2) Habits and preferences and 3) When food becomes nutrition. Conclusion: Older, ill patients have limited knowledge about specific needs for energy and protein and the importance of nutrition for their physical functioning. They have potential resources and competencies which can positively impact and be utilized in nutritional interventions. Social interaction, the pleasurable experience of eating well-prepared food, and daily routines facilitate their nutritional intake. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/519342
Titre : Is Digital Health Intervention Effective in Inflammatory Bowel Disease Patients? (2021) Auteurs : Bilge Roj Gunerhanal ; Merve Guney-Coskun Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 3, 2021, October 2021) Article en page(s) : p.95-96 Note générale : https://doi.org/10.1159/000519080 Langues: Anglais Descripteurs : HE Vinci
Maladies inflammatoires intestinales ; TélémédecineMots-clés: Surveillance numérique de la santé ; HealthPROMISE Résumé : Technological advances now permit self-management strategies using mobile applications which could greatly benefit patient care. The purpose of this study was to investigate whether the use of the inflammatory bowel disease (IBD) digital health monitoring platform, HealthPROMISE, leads to better quality of care and improved health outcomes in IBD patients. IBD patients were recruited in gastroenterology clinics and asked to install the HealthPROMISE application onto their smartphones. Patient satisfaction, quality of care, quality of life, patient symptoms, and resource utilization metrics were collected throughout the study and sent directly to their healthcare teams. Patients with abnormal symptom/SIBDQ scores were flagged for their physicians to follow up. After one-year, patient outcome metrics were compared to baseline values. Overall, out of 59 patients enrolled in the study, 32 patients (54%) logged into the application at least once during the study period. The number of IBD-related ER visits/hospitalizations in the year of use compared to the prior year demonstrated a significant decrease from 25% of patients (8/32) to 3% (1/32) (p = 0.03). Patients also reported an increase in their understanding of the nature/causes of their condition after using the application (p = 0.026). No significant changes were observed in the number of quality indicators met (p = 0.67) or in SIBDQ scores (p = 0.48). Given the significant burden of IBD, there is a need to develop effective management strategies. This study demonstrated that digital health monitoring platforms may aid in reducing the number of ER visits and hospitalizations in IBD patients. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/519080
Titre : Is E-Learning the Way Forward to Ensure the Provision of Accurate, Consistent and Up-To-Date Nutrition-Related Messages Across Population Groups? (2021) Auteurs : Amanda Avery Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 3, 2021, October 2021) Article en page(s) : p.97-99 Note générale : https://doi.org/10.1159/000519017 Langues: Anglais Descripteurs : HE Vinci
E-learning ; Nourrisson ; Personnel de santé ; Régime alimentaireMots-clés: Premiers 1,000 jours de vie Résumé : Background: Every encounter a healthcare professional has with new or expecting parents offers an opportunity for addressing improved early nutrition and lifestyle. Evidence-based qualification programmes via e-learning offer valuable tools for attenuating the world’s huge double burden of both under- and overnutrition in early childhood. We evaluated use and learner satisfaction of a global e-learning programme on early nutrition and lifestyle addressing international healthcare professional. Methods: We implemented the Early Nutrition Specialist Programme (ENS) with six interactive e-learning courses on early nutrition building on more than ten years of experience with global e-learning platforms, expert knowledge and an international network in the subject field. We collected descriptive and explorative evaluation data on usage and learner satisfaction with a questionnaire and log data over three years among 4003 learners from 48 countries. Results: Results show high completion of the ENS programme, with 85.5% of learners finalizing the programme after enrollment into the first of six courses. Very good results were provided for learner satisfaction with the courses (96.7% of users), for increasing understanding of the topic (97.4%) and matching the indicated time investment (94.4%). Most predominant themes in the open text fields of user feedback questionnaires were “Increase interactivity or number of audio-visuals”, “Content suggestions or more examples” and “Technical (quality) issues or navigation problems”. Conclusions: The ENS programme evaluation shows high completion rates and level of satisfaction by learners from numerous countries. The different needs for Continuing Medical Education (CME) of healthcare professionals in diverse healthcare system settings can be met by a joint e-learning qualification programme. Further optimizations will be implemented based on user feedback. More research with a learning analytics approach may help to further identify the most effective and efficient didactic and pedagogic elements of e-learning. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/519017
Titre : Health Apps in Primary Care (2021) Auteurs : Trude M. Backer Mortensen Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 3, 2021, October 2021) Article en page(s) : p.100-102 Note générale : https://doi.org/10.1159/000519018 Langues: Anglais Descripteurs : HE Vinci
Applications mobiles ; Prévention ; Promotion de la santé ; Soins de santé primaires ; TélémédecineRésumé : Mass availability and use of health apps raises the question as to how they might be integrated into healthcare systems towards improving prevention and therapy. This study has researched prevailing opinion on health apps amongst primary care physicians, potential application areas physicians have seen in their experience with these apps up to now, and situations suitable for using apps in patient care. A total of 2138 primary care physicians in the state of Baden-Württemberg, Germany, responded to an anonymised written survey between March and June 2020. Physicians with a positive opinion (36%) emphasised motivation and compliance as advantages, whereas sceptical respondents (43%) expressed suspicion regarding data privacy and reliability as well as legal issues and additional workload arising from using the apps. Even so, a clear majority accepted the potential benefit from sensible use of health apps with features providing prevention and lifestyle support (90/76%). With respect to patients using the apps, 54% of respondents saw a positive contribution to healthcare and/or recovery. Despite the perceived benefits of health apps, general practitioners are still reluctant to bring up or recommend health apps in their consultations. Many physicians do not feel capable of giving expert advice to patients on the apps available. Many general practitioners are aware of the potential that health apps may have in improving prevention and treatment. However, there are reservations and uncertainties regarding clarity, transparency, and privacy issues in these apps. More focus should be placed on these concerns to ensure ideal conditions for integrating health apps into primary care. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/519018
Titre : Capturing PROMs in Oncology Through Consistent Nutrition Risk Identification: An Opportunity to Optimize Care by Embedding Patient Participation Facilitated by eHealth Tools (2021) Auteurs : Susana Couto Irving Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 3, 2021, October 2021) Article en page(s) : p.103-104 Note générale : https://doi.org/10.1159/000519081 Langues: Anglais Descripteurs : HE Vinci
Évaluation des résultats des patients ; Mesures des résultats rapportés par les patients (PROM) ; Nutrition ; Télémédecine ; TumeursMots-clés: Patient Generated Subjective Global Assessment (PG-SGA) ; Évaluation globale subjective générée par le patient ; Distress thermometer Résumé : Patient-reported outcome measures obtained via E-Health tools ease the assessment burden and encourage patient participation in cancer care (PaCC Study). Background: E-health based patient-reported outcome measures (PROMs) have the potential to automate early identification of both nutrition status and distress status in cancer patients while facilitating treatment and encouraging patient participation. This cross-sectional study assessed the acceptability, accuracy, and clinical utility of PROMs collected via E-Health tools among patients undergoing treatment for stomach, colorectal, and pancreatic tumors. Results: Eight-nine percent mostly, or completely, agreed that PROMs via tablets should be integrated in routine clinical care. Men were significantly more likely to require help completing the questionnaires than women (inv.OR = 0.51, 95% CI = (0.27, 0.95), p = 0.035). The level of help needed increased by 3% with each 1-year increase in age (inv. OR = 1.03, 95% CI = (1.01, 1.06), p = 0.013). On average, a patient tended to declare weight which was 0.84 kg inferior to their true weight (Bland and Altman 95 % CI = (–3.9, 5.6); SD: 2.41) and a height which was 0.95 cm superior to their true height (Bland and Altman 95 % CI = (−5, 3.1); SD 2.08). Patient-reported nutrition status was significantly associated with the professionally generated assessment (95% CI = (2.27, 4.15), p Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/519081
Titre : Nutrition Counselling – From the Traditional Setting to Tele-Counselling (2021) Auteurs : Elisabeth Farmer Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 3, 2021, October 2021) Article en page(s) : p.107-109 Note générale : https://doi.org/10.1159/000519967 Langues: Anglais Descripteurs : HE Vinci
Consultation à distance ; Nutrition ; TélémédecineRésumé : At the University of Applied Sciences for Health Professions in Linz, Austria, students for the first time completed training for online nutrition counselling. Adjusting to the virtual setting as well as briefing and equipping the training clients was a challenge. After initial scepticism, a percentage of students can now see themselves offering digital counselling sessions in their future lives as nutritionists. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/519967
Titre : Telehealth and Nutrition Support During the COVID-19 Pandemic (2021) Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 3, 2021, October 2021) Article en page(s) : p.110-112 Note générale : https://doi.org/10.1159/000519959 Langues: Français Descripteurs : HE Vinci
COVID-19 ; Nutrition ; TélémédecineRésumé : "With hospitals and medical institutions across the world scrambling to find safe care for their patients during the ongoing coronavirus disease 2019 (COVID-19) pandemic, telehealth is rising to the forefront of medicine. Although the COVID-19 pandemic has highlighted the benefits of seeing patients virtually, telehealth has been used for decades to increase access to care [1]. For example, the Ontario Telemedicine..." Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/519959
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Titre : Position of the Academy of Nutrition and Dietetics: Malnutrition (Undernutrition) Screening Tools for All Adults (2021) Auteurs : Annalynn Skipper ; Anne Coltman ; Jennifer Tomesko ; P. Charney ; Judith Porcari ; Tami A. Piemonte ; Deepa Handu ; Feon W. Cheng Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 2, 2021, June 2021) Article en page(s) : p.38-40 Note générale : DOI: 10.1159/000516528 Langues: Anglais Descripteurs : HE Vinci
Dépistage de masse ; Diététique ; Évaluation de l'état nutritionnel ; MalnutritionMots-clés: académies et instituts Résumé : It is the position of the Academy of Nutrition and Dietetics that, based upon current evidence, the Malnutrition Screening Tool should be used to screen adults for malnutrition (undernutrition) regardless of their age, medical history, or setting. Malnutrition (undernutrition) screening is a simple process intended to quickly recognize individuals who may have a malnutrition diagnosis. While numerous malnutrition screening tools are in use, their levels of validity, agreement, reliability, and generalizability vary. The Academy of Nutrition and Dietetics reviewed the body of evidence sup-porting malnutrition screening tools and determined a single tool
for identifying adults in all settings who may have malnutrition, regardless of their age or medical history. The Nutrition Screening for Adults Workgroup conducted a systematic review of the most robust evidence to promote using the highest-quality malnutrition screening tool available.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/516528
Titre : Food Insecurity and Malnutrition (2021) Auteurs : Amanda Avery Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 2, 2021, June 2021) Article en page(s) : p.41-43 Note générale : DOI: 10.1159/000515968 Langues: Anglais Descripteurs : HE Vinci
Approvisionnement en nourriture ; Dysbiose ; Faim ; Malnutrition ; Microbiome gastro-intestinal ; ProbiotiquesRésumé : Purpose of Review: Food insecurity is defined as the disruption of food intake or eating patterns because of lack of money and other resources. Although a relationship between food insecurity and malnutrition would seem intuitive, this relationship remains unclear. This review was aimed at summarizing the emerging evidence of the relationship between food insecurity, malnutrition,and intestinal microbial changes.
Recent Findings: Evidence suggests that malnutrition is certainly associated with alteration in the intestinal microbiome. Alternative theories have been proposed as to the nature of the alteration, whether that be a result of microbial immaturity, dysbiosis, or contributions from both processes.
Summary: Although the evidence continues to evolve, targeted nutritional therapies in conjunction with specific microbial therapy of probiotics or prebiotics may hold great promise for the treatment of malnutrition in the clinical and community settings.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/515968
Titre : Detection and Management of Malnutrition in Primary Care (2021) Auteurs : Trude M. Backer Mortensen Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 2, 2021, June 2021) Article en page(s) : p.44-45 Note générale : DOI: 10.1159/000515778
Langues: Anglais Descripteurs : HE Vinci
Malnutrition ; Soins de santé primaires ; Soutien nutritionnelRésumé : Background & aims: Malnutrition or undernutrition, arising from a deficiency of energy and protein intake, occurs commonly among community-dwelling individuals in developed countries. Once identified, malnutrition can be effectively treated in the majority of cases with dietary advice and the prescription of oral nutritional supplements (ONS) for patients who can eat and drink orally. However, previous research has reported inadequate screening and treatment of malnutrition in the community. The aim of this qualitative study was to explore general practitioners’ (GPs) experiences and opinions on the management of malnutrition and the prescription of ONS in the primary care/community setting in Ireland.
Methods: Sixteen semi-structured interviews including chart stimulated recalls (CSR) were conducted with GPs. The interviews and CSRs explored, among others, the following domains; barriers and facilitators in the management of malnutrition, ONS prescribing in the primary care/community setting, and future directions in the management of malnutrition and ONS prescribing. Recorded interviews were transcribed and analysed following a generic qualitative approach with inductive thematic analysis using NVIVO 12 to facilitate data management.
Results: Three main themes were identified. Theme 1: ‘Malnutrition is a secondary concern’, encapsulating the idea that the identification of malnutrition is usually secondary to other clinical issues or disease rather than an independent clinical outcome. This theme also includes the idea that obesity is viewed as a dominant nutritional issue for GPs. Theme 2: ‘Responsibility for malnutrition and ONS management in the community’, highlighting that GPs feel they do not know who is responsible for the management of malnutrition in the community setting and expressed their need for more support from other healthcare professionals (HCPs) to effectively monitor and treat malnutrition. Theme 3: ‘Reluctance to prescribe ONS’, emerging from the GPs reported lack of knowledge to prescribe the appropriate ONS, their concern that ONS will replace the patient’s meals and the costs associated with the prescription of ONS.
Conclusions: GPs in Ireland do not routinely screen for malnutrition in their clinics as they feel unsupported in treating and managing malnutrition in the community due to limited or no dietetic service availability and time constraints. GPs also view malnutrition as a secondary concern to disease management and prioritise referral to dietetic services for patients with overweight and obesity. GPs reported that they have insufficient knowledge to
change or discontinue ONS prescriptions. This study demonstrates that there is a clear need for primary care training in malnutrition identification, treatment and management and more community dietetic services are needed in order to support GPs and deliver high quality care to patients.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/515778
Titre : Malnutrition in Inflammatory Bowel Diseases. What do we know today? (2021) Auteurs : Christina N. Katsagoni Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 2, 2021, June 2021) Article en page(s) : p.46-48 Note générale : DOI: 10.1159/000516279 Langues: Anglais Descripteurs : HE Vinci
Maladie de Crohn ; Poids du corps ; Puberté ; Rectocolite hémorragique ; Taille du corpsRésumé : Growth delay with height and weight impairment is a common feature of pediatric inflammatory bowel diseases (PIBD). Up to 2/3 of Crohn Disease patients have impaired weight at diagnosis, and up to 1/3 have impaired height. Ulcerative colitis usually manifests earlier with less impaired growth, though patients can be affected. Ultimately, growth delay, if not corrected, can reduce final adult height. Weight loss, reduced bone mass, and pubertal delay
are also concerns associated with growth delay in newly diagnosed PIBD patients. The mechanisms for growth delay in IBD are multifactorial and include reduced nutrient intake, poor absorption, increased fecal losses, as well as direct effects from inflammation and treatment modalities. Management of growth delay requires optimal disease control. Exclusive enteral nutrition (EEN), biologic therapy, and corticosteroids are the primary induction
strategies used in PIBD, and both EEN and biologics positively impact growth and bone development. Beyond adequate disease control, growth delay and pubertal delay require a multidisciplinary approach, dependent on diligent monitoring and identification, nutritional rehabilitation, and involvement of endocrinology and psychiatry services as needed. Pitfalls that clinicians may encounter when managing growth delay include refeeding syndrome, obesity (even in the setting of malnutrition), and restrictive diets. Although treatment of PIBD has improved substantially in the last several decades with the era of biologic therapies and EEN, there is still much to be learned about growth delay in PIBD in order to improve outcomes.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/516279
Titre : Determinants of Malnutrition in Older Adults (2021) Auteurs : Cecilia Medeiros de Morais Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 2, 2021, June 2021) Article en page(s) : p.49-50 Note générale : DOI: 10.1159/000515777
Langues: Anglais Descripteurs : HE Vinci
État nutritionnel ; Malnutrition ; Régime alimentaire ; Sujet âgé ; Vie autonomeMots-clés: État cognitif ; Habitation communautaire Résumé : Background: The number of older adults is increasing rapidly. Malnutrition is a major problem in this age group, which may adversely affect health and quality of life. Several physiological, socioeconomic, and neuropsychological factors can lead to malnutrition.
Objectives: The aim of this study was to evaluate the nutritional status of community-dwelling older adults, and explore the associations of malnutrition risk with physiological, socioeconomic, and neuropsychological characteristics.
Methods: This study is part of the Hellenic Longitudinal Investigation of Aging and Diet study, a cross-sectional observational
study in Greece, and study participants were 1831 urban-dwelling elderly individuals (mean age: 73.1 ± 5.9 y; 40.8% men). Risk for
malnutrition was assessed with the Determine Your Nutritional Health checklist. Data on age, sex, level of education, marital status, depression, cognitive performance, body mass index, total energy intake, and adherence to the Mediterranean diet were recorded. Correlations and multivariate analyses were performed between these variables and risk for malnutrition.
Results: The estimated prevalence of moderate and high nutritional risks was 34.8% and 29.4%, respectively. Risk for malnutrition was associated with marital status (unmarried), increased body mass index, male sex, lower level of education, lower cognitive performance, and lower adherence to the Mediterranean diet (P Conclusions: Nutritional screening should be performed frequently in all community-dwelling older adults. Health experts should perform nutritional screening in all community-dwelling older adults as part of secondary prevention, and nutrition counselling and support should be offered in those at risk for malnutrition.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/515777
Titre : Association Between Malnutrition and Sarcopenia During Hospitalisation in Older People: A Challenge in Rehabilitation (2021) Auteurs : Sousana Papadopoulou Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 2, 2021, June 2021) Article en page(s) : p.51-52 Note générale : DOI: 10.1159/000516095 Langues: Anglais Descripteurs : HE Vinci
Force musculaire ; Gériatrie ; Malnutrition ; Masse musculaire ; Patients hospitalisés ; Sujet âgéMots-clés: Global Leadership Initiative on Malnutrition (GLIM) Résumé : Very little is known about the effect of malnutrition on short-term changes of body composition, particularly muscle, among older hospitalized patients. We sought to investigate the association of malnutrition as assessed by the Global Leadership Initiative on Malnutrition (GLIM) criteria with changes of thigh muscle mass and muscle strength among older patients during hospitalization. Forty-one patients (age range 66–97 years, 73% female) participated in this prospective longitudinal observational study. Nutritional status was evaluated using the GLIM criteria on admission and at discharge. Functional status and mid-thigh magnetic resonance imaging (MRI) measurements of cross-sectional area (CSA) were conducted on admission and before discharge. In all, 17% were malnourished and 83% had no malnutrition. Mean midthigh muscle CSA declined by 7.0 cm2 (−9%) in malnourished patients during hospitalization (p = 0.008) and remained unchanged among non-malnourished patients (−1%, p = 0.390).
Mean mid-thigh CSA of subcutaneous and intermuscular fat did not change significantly during hospitalization in both groups. Malnourished subjects lost 10% of handgrip strength (−1.8 kg) and 12% of knee extension strength (−1.5 kg) during hospitalization. However, the magnitude of both changes did not differ between groups. In a stepwise multiple regression analysis, malnutrition and changes in body weight during hospitalization were the major independent risk factors for the reduction of muscle CSA. Malnutrition according to the GLIM criteria was significantly and independently associated with acute muscle wasting in frail older patients during 2-week hospitalization.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/516095
Titre : Age and Frailty as Key Determinants for Nutritional Therapy Individualization in Elderly Adults with Diabetes (2021) Auteurs : Zoe Pafili Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 2, 2021, June 2021) Article en page(s) : p.53-55 Note générale : DOI: 10.1159/000515969
Langues: Anglais Descripteurs : HE Vinci
Diabète ; Diétothérapie ; Fragilité ; Sujet âgé ; Troubles cognitifsRésumé : The increasing prevalence of older adults with diabetes has become a major social burden. Diabetes, frailty, and cognitive dysfunction are closely related to the mechanisms of aging. Insulin resistance, arteriosclerosis, chronic inflammation, oxidative stress, and mitochondrial dysfunction may be common mechanisms shared by frailty and cognitive impairment. Hyperglycemia, hypoglycemia, obesity, vascular factors, physical inactivity, and malnutrition are important risk factors for cognitive impairment and frailty in older adults with diabetes. The impact of nutrients on health outcomes varies with age; thus, shifting diet therapy strategies from the treatment of obesity/metabolic syndrome to frailty prevention may be necessary in patients with diabetes who are over 75 years of age, have frailty or sarcopenia, and experience malnutrition. For the prevention of frailty, optimal energy intake, sufficient protein and vitamin intake, and healthy dietary patterns should be recommended. The treatment of diabetes after middle age should include the awareness of proper glycemic control aimed at extending healthy life expectancy with proper nutrition, exercise, and social connectivity. Nutritional therapy in combination with exercise, optimal glycemic and metabolic control, and social participation/support for frailty prevention can extend healthy life expectancy and maintain quality of life in older adults with diabetes mellitus. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/515969
Titre : Bariatric Surgery as the Culprit of Malnutrition (2021) Auteurs : Antonis Vlassopoulosa Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 2, 2021, June 2021) Article en page(s) : p.56-58 Note générale : DOI: 10.1159/000515776
Langues: Anglais Descripteurs : HE Vinci
État nutritionnel ; Gastrectomie ; Laparoscopie ; Malnutrition ; ObésitéMots-clés: Surveillance postopératoire Résumé : Obesity is a chronic life-threatening disease, and bariatric surgery is the most effective treatment in those patients. The two main operations are laparoscopic sleeve gastrectomy (LSG) and Rouxen-Y gastric bypass (RYGB). LSG carries a smaller risk for nutritional deficiencies, while gastric bypass procedures are associated with increased nutritional deficiencies because the procedure is more complex and changes the gastrointestinal anatomy. Recent studies comparing LSG and RYGB have proven that these types of operation may lead to a similar weight reduction effect but cause
different micronutrient deficiencies. Types of malnutrition after bariatric surgery include protein-energy malnutrition and deficiencies of micronutrients, such as iron, folate, vitamin A, and vitamin B12. Bariatric patients who do not adhere to the recommended diets are at a greater risk of developing relevant malnutrition. Therefore, life-long postoperative clinical and laboratory monitoring is necessary to diagnose deficiencies of vitamins, trace elements, and minerals and to correct them with supplements. Unfortunately, no standardized aftercare regimes exist for these patients, and the costs for nutritional supplements are paid by the patients themselves.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/515776
Titre : Hypocaloric Peripheral Parenteral Nutrition Administered in Intestinal Reconnection Postoperative Patients with 3–5 Days Oral Fasting Indicated: A Case Report (2021) Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 2, 2021, June 2021) Article en page(s) : p.61-63 Note générale : DOI: 10.1159/000516241 Langues: Anglais Descripteurs : HE Vinci
Chirurgie générale ; Nutrition parentérale ; Tumeurs colorectalesRésumé : Postoperative patients of intestinal reconnection in Morelia, Mexico, are usually in for 3–5 days of oral fast, which increases protein catabolism in the patient, thus lengthening their hospital stay and increasing the risk of developing metabolic comorbidities. Hypocaloric peripheral parenteral nutrition (HPPN) reduces proteolysis and improves inflammatory markers in these patients. The aim of this case report is to determine whether or not peripheral parenteral nutrition (PPN) improves inflammation, lessening the postoperative risk. A 62-year-old female patient and her cancer diagnosis and intestinal reconnection surgery are discussed. PPN is not commonly used in this type of patients due to the short duration of the fast, although its use is common before surgery. However, postoperative use can be beneficial as well, and given the delicate postoperative state these patients are in, it is worth it (at least in these cases) to give them all the strength and tools available for a better recovery. PPN in the case discussed herein improved the patient’s inflammatory marker levels in a shorter period. Note de contenu : Republication of Case Rep Clin Nutr 2020;3:1–6. DOI: 10.1159/000504796 Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/516241
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Titre : EFAD Statement on the Review Article – Research and Dietetic Response to COVID-19 in Europe: What Has Been Done and What Could Be Improved? (2020) Auteurs : Eduard Baladia ; Sharleen O'Reilly Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 1, 2021, December 2020) Article en page(s) : p. 8-9 Note générale : DOI: 10.1159/000513442 Langues: Anglais Descripteurs : HE Vinci
COVID-19 ; NutritionDisponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/513442
Titre : Dietary Recommendations During the COVID-19 Pandemic (2020) Auteurs : Christina Danielli Coelho de Morais Faria ; Flavia Campos Corgosinho ; F.L.F. Ziegler Sanches ; C. Marques Maia Prado ; A. Laviano ; João Felipe Mota Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 1, 2021, December 2020) Article en page(s) : p. 3-7 Note générale : DOI: 10.1159/000513442 Langues: Anglais Descripteurs : HE Vinci
Aliments ; Allaitement naturel ; Compléments alimentaires ; COVID-19 ; HygièneRésumé : Optimal nutrition can improve well-being and might mitigate the risk and morbidity associated with coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This review summarizes nutritional guidelines to support dietary counseling provided by dietitians and healthrelated professionals. The majority of documents encouraged the consumption of fruits, vegetables, and whole grain foods. Thirtyone percent of the guidelines highlighted the importance of minerals and vitamins such as zinc and vitamins C, A, and D to maintain a well-functioning immune system. Dietary supplementation has not been linked to COVID-19 prevention. However, supplementation with vitamins C and D, as well as with zinc and selenium, was highlighted as potentially beneficial for individuals with, or at risk of,respiratory viral infections or for those in whom nutrient deficiency is detected. There was no convincing evidence that food or food packaging is associated with the transmission of COVID-19, but good hygiene practices for handling and preparing foods were recommended. No changes to breastfeeding recommendations have been made, even in women diagnosed with COVID-19. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/513449
Titre : Nutritional Therapy in COVID-19 Management (2020) Auteurs : Cecilia Medeiros de Morais Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 1, 2021, December 2020) Article en page(s) : p. 10-12 Note générale : DOI: 10.1159/000512853 Langues: Anglais Descripteurs : HE Vinci
Composés phytochimiques ; COVID-19 ; Malnutrition ; Nutrition ; Soutien nutritionnelRésumé : This review deals with the relationship among nutrition, the immune system, and coronavirus disease 2019 (COVID-19). The influence of nutrients and bioactive molecules present in foodstuffs on immune system activity, the influence of COVID-19 on the nutritional status of the patients, and the dietary recommendations for hospitalized patients are addressed. Deficient nutritional status is probably due to anorexia, nausea, vomiting, diarrhea, hypoalbuminemia,hypermetabolism, and excessive nitrogen loss. There is limited knowledge regarding the nutritional support during hospital stay of COVID-19 patients. However, nutritional therapy appears as first-line treatment and should be implemented into standard practice. Optimal intake of all nutrients, mainly those playing crucial roles in immune system, should be assured through a diverse and well-balanced diet. Nevertheless, in order to reduce the risk and consequences of infections, the intakes for some micronutrients may exceed the recommended dietary allowances since infections and other stressors can reduce micronutrient status. In the case of critically ill patients, recently published guidelines are available for their nutritional management. Further, several natural bioactive compounds interact with the angiotensin-converting enzyme 2 (ACE2) receptor, the gateway for severe acute respiratory syndrome (SARS) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Natural bioactive compounds can also reduce the inflammatory response induced by SARS-CoV-2. These compounds are potential beneficial tools in the nutritional management of COVID-19 patients. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/512853
Titre : Challenges in Clinical Nutrition during the COVID-19 Pandemic (2020) Auteurs : Christina N. Katsagoni Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 1, 2021, December 2020) Article en page(s) : p.13-15 Note générale : DOI: 10.1159/000513265
abstract from Thibault R, Coëffier M, Joly F, et al.: How the Covid-19 epidemic is challenging our practice in clinical nutrition – feedback
from the field. Eur J Clin Nutr 2020;DOI: 10.1038/s41430–020–00757–6
Langues: Anglais Descripteurs : HE Vinci
COVID-19 ; Education ; Malnutrition ; Nutrition ; ObésitéRésumé : The viral epidemic caused by the new Coronavirus SARS-CoV-2 is responsible for the new Coronavirus disease-2019 (Covid-19). Fifteen percent of the Covid-19 patients will require hospital stay,and 10% of them will need urgent respiratory and hemodynamic support in the intensive care unit (ICU). Covid-19 is an infectious disease characterized by inflammatory syndrome, itself leading to reduced food intake and increased muscle catabolism. Therefore Covid-19 patients are at high risk of being malnourished, making the prevention of malnutrition and the nutritional management key aspects of care. Urgent, brutal and massive arrivals of patients needing urgent respiratory care and artificial ventilation lead to the necessity to reorganize hospital care, wards and staff. In that context, nutritional screening and care may not be considered a priority. Moreover, at the start of the epidemic, due to mask and other protecting material shortage, the risk of healthcare givers contamination have led to not using enteral nutrition, although indicated, because nasogastric tube insertion is an aerosol-generating procedure. Clinical nutrition practice based on the international guidelines should therefore adapt and the use of degraded procedures could unfortunately be the only way. Based on the experience from the first weeks of the epidemic in France, we emphasize ten challenges for clinical nutrition practice. The objective is to bring objective answers to the most frequently met issues to help the clinical nutrition caregivers to promote nutritional care in the hospitalized Covid-19 patient. We propose a flow chart for optimizing the nutrition management of the Covid-19 patients in the non-ICU wards. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/513265
Titre : Can Diet Influence the COVID-19 Mortality Rate? (2020) Auteurs : Amanda Avery Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 1, 2021, December 2020) Article en page(s) : p. 16-18 Note générale : DOI: 10.1159/000512841
Abstract from Bousquet J, Anto JM, Iaccarino G, et al.: Is diet partly responsible for differences in COVID-19 death rates between and
within countries? Clin Transl Allergy. 2020; 10: 16.Langues: Anglais Descripteurs : HE Vinci
Antioxydants ; COVID-19 ; Régime alimentaireRésumé : Reported COVID-19 deaths in Germany are relatively low as compared to many European countries. Among the several explanations
proposed, an early and large testing of the population was put forward. Most current debates on COVID-19 focus on the differences among countries, but little attention has been given to regional differences and diet. The low-death rate European countries (e.g. Austria, Baltic States, Czech Republic, Finland, Norway, Poland, Slovakia) have used different quarantine and/or confinement times and methods and none have performed as many early tests as Germany. Among other factors that may be significant are the dietary habits. It seems that some foods largely used in these countries may reduce angiotensin-converting enzyme activity or are anti-oxidants. Among the many possible areas of research, it might be important to understand diet and angiotensin-converting enzyme-2 (ACE2) levels in populations with different COVID-19 death rates since dietary interventions may be of great benefit.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/512841
Titre : Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey (2020) Auteurs : Nikolaos Papaspanos Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 1, 2021, December 2020) Article en page(s) : p. 19-21 Note générale : DOI: 10.1159/000512852
Abstract from Ammar A, Brach M, Trabelsi K, et al.: Effects of COVID-19 home confinement on eating behaviour and physical activity:
results of the ECLB-COVID19 international online survey. Nutrients. 2020; 12(6): 1583.Langues: Anglais Descripteurs : HE Vinci
COVID-19 ; Exercice physique ; Nutrition ; Pandémies ; Santé publiqueRésumé : Background: Public health recommendations and governmental measures during the COVID-19 pandemic have resulted in numerous restrictions on daily living including social distancing, isolation and home confinement. While these measures are imperative to abate the spreading of COVID-19, the impact of these restrictions on health behaviours and lifestyles at home is undefined. Therefore, an international online survey was launched in April 2020, in seven languages, to elucidate the behavioural and lifestyle consequences of COVID-19 restrictions. This report presents the results from the first thousand responders on physical activity (PA) and nutrition behaviours.
Subjects and methods: Following a structured review of the literature, the «Effects of home Confinement on multiple Lifestyle Behaviours during the COVID-19 outbreak (ECLB-COVID19)» Electronic survey was designed by a steering group of multidisciplinary scientists and academics. The survey was uploaded and shared on the Google online survey platform. Thirty-five research organisations from Europe, North Africa, Western Asia and the Americas promoted the survey in English, German, French, Arabic, Spanish, Portuguese and Slovenian languages. Questions were presented in a differential format, with questions related to
responses «before» and «during» confinement conditions.
Results: 1047 replies (54% women) from Asia (36%), Africa (40%), Europe (21%) and other (3%) were included in the analysis. The COVID-19 home confinement had a negative effect on all PA intensity levels (vigorous, moderate, walking and overall). Additionally, daily sitting time increased from 5 to 8 h per day. Food consumption and meal patterns (the type of food, eating out of control, snacks between meals, number of main meals) were more unhealthy during confinement, with only alcohol binge drinking decreasing significantly.
Summary: While isolation is a necessary measure to protect public health, results indicate that it alters physical activity and eating behaviours in a health compromising direction. A more detailed analysis of survey data will allow for a segregation of these responses in different age groups, countries and other subgroups, which will help develop interventions to mitigate the negative lifestyle behaviours that have manifested during the COVID-19 confinement.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/512852
Titre : What the COVID-19 Pandemic Showed Us: Limited Time Resources as an Important Factor of Diabetes Management (2020) Auteurs : Zoe Pafili Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 1, 2021, December 2020) Article en page(s) : p.22-24 Note générale : DOI: 10.1159/000512845 Langues: Anglais Descripteurs : HE Vinci
Comportement alimentaire ; COVID-19 ; Diabète ; Préférences alimentairesRésumé : COVID-19 related restrictions aimed at curbing the spread of the coronavirus result in changes in daily routines and physical activity which can have a negative effect on eating and health habits. The aim of the study was to assess the impact of the COVID-19 pandemic on patients with diabetes and their nutrition and health behaviours. A survey conducted in July 2020 included 124 individuals with type 1 (n = 90) and 2 (n = 34) diabetes mellitus
from Poland. To assess nutritional and health behaviours, an online questionnaire covering basic information, anthropometric data, and details regarding physical activity, eating, and hygiene habits was used. Almost 40% of all respondents with type 1 and 2 diabetes mellitus (DM) stated that their disease self-management had significantly improved. Over 60% of all participants declared that they had started eating more nutritious and regular meals during the COVID-19 pandemic. Enhanced hygiene, in particular, during the period, a statistically significant increase in hand sanitiser use was reported by respondents (18% vs. 82%, pNote de contenu : Abstract from Grabia M, Markiewicz-Żukowska R, Puścion-Jakubik A, et al.: The nutritional and health effects of the COVID-19 pandemic
on patients with diabetes mellitus. Nutrients. 2020; 12(10):E3013.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/512845
Titre : Positive Influence of Probiotics on the Gut-Skin Axis (2020) Auteurs : Michael Sticherling Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 1, 2021, December 2020) Article en page(s) : p. 25-26 Note générale : DOI: 10.1159/000513185 Langues: Anglais Descripteurs : HE Vinci
Eczema atopique ; Intestins ; Maladies de la peau ; Probiotiques ; PsoriasisRésumé : The existence of a gut-skin axis is supported by increasing evidence, but its translational potential is not widely recognized. Studies linked inflammatory skin diseases to an imbalanced gut microbiome; hence, the modulation of the gut microbiota to improve skin condition seems to be a feasible approach. Today, there is a growing interest in natural products as alternatives to synthetic drugs. In this respect, oral probiotics could be a simple, safe and cheap modality in the therapeutic management of skin inflammation.
Unfortunately, very few studies have looked into how probiotic supplementation influences inflammatory skin disorders. The results, though promising, are difficult to implement in clinical practice due to the heterogeneity of the applied supplemental regimen in the different studies. In this Viewpoint, we aim to encourage the conduction of more research in that direction to explore unambiguously the therapeutic potential of oral probiotics in dermatology. We focus on the most common inflammatory skin diseases (atopic dermatitis, psoriasis, rosacea, acne vulgaris) with an associated gut dysbiosis, but we also discuss some less common, but very serious skin pathologies (eg erythema nodosum, pyoderma gangrenosum, hidradenitis suppurativa) that are possibly linked to a disturbed gut flora composition. We dissect the possible mechanisms along the gut-skin axis and highlight novel points where probiotics could interfere in this communication in the diseased state.Note de contenu : Abstract from Szántó M, Dózsa A, Antal D, et al.: Targeting the gut-skin axis – probiotics as new tools for skin disorder management? Experimental
Dermatology. 2019; 28: 1210–1218.Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/513185
Titre : Customised Care: Post Intensive Care Syndrome (2020) Auteurs : Benno van Tol ; Daniëla Dettling ; Hinke Kruizenga ; Sanne Pellegrom ; Mel Major ; Marjolein Siebel ; Marike van der Schaaf Type de document : Article Dans : Kompass Nutrition & Dietetics (Vol. 1, n° 1, 2021, December 2020) Article en page(s) : p.27–30 Note générale : DOI: 10.1159/000513300 Langues: Anglais Descripteurs : HE Vinci
COVID-19 ; Malnutrition ; Soins de réanimationMots-clés: syndrome post-soins intensifs ; postintensive care syndrome ; collaboration interdisciplinaire Résumé : Physiotherapy, Dietetics and Occupational Therapy have been collaborating over recent years to develop an optimal healthcare programme for patients with Post Intensive Care Syndrome (PICS). This case is an example of PICS symptomatology and focuses on the collaboration between Physiotherapy and Dietetics.
What is PICS? Owing to healthcare improvements, more and more patients are surviving the intensive Care Unit (ICU), and recovery during and after ICU stay has been receiving more attention [1, 2]. Approximately 30% of the patients admitted to an ICU have persistent symptoms including muscle weakness, reduced walking ability, fatigue, concentration deficits, memory problems, malnutrition, sleep and mood disorders sometimes even years after discharge [3–8]. Since 2012, this combination of physical, cognitive and psychiatric manifestations and reduced quality of life after staying in an ICU has been recognised as Post Intensive Care Syndrome (PICS) [9]. The impact of PICS is often not limited to the patient as it may also impact the mental status of the patient’s immediate family. This is known as PICS-Family (PICS-F) [10–12].
Treatment of PICS: Approximately 80% of PICS patients need pri-mary care physiotherapy. Physiotherapists and GPs are often the only primary care professionals involved in the recovery process of these patients after hospital discharge [13, 14]. Both patients and healthcare professionals report a number of difficulties, e.g. limited transmural continuity in healthcare, coordination of multidisciplinary activities, supportive treatment guidelines and specific knowledge of pathology, treatment and prognosis. Patients report that they are not adequately supported when resuming their professional activities and that medical and allied healthcare treatments do not fully meet their needs at that time [15–18].
The REACH project: In order to improve the situation, the REACH project (REhabilitation After Critical illness and Hospital discharge) was started in Amsterdam region in the Netherlands. Within REACH, a Community of Practice – consisting of professionals (physiotherapists, occupational therapists, dieticians), those who live or have lived with the condition and researchers – has developed a transmural rehab programme. A special attribute of this programme is the integration of the concept of “positive health”. The case in this article describes the treatment of a PICS patient treated within the REACH network.Note de contenu : Translation of Ned Tijdschr Voor Voeding & Diëtetiek 2020;75(T):32–37. Disponible en ligne : Oui En ligne : https://www.karger.com/Article/FullText/513300
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