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ESPEN practical guideline on clinical nutrition in hospitalized patients with acute or chronic kidney disease.
Clin Nutr
September 2024
Institute of Nutritional Medicine, University of Hohenheim, Stuttgart, Germany.
Article Synopsis
- Understanding the significance of kidney disease (KD) in hospitalized patients, this guideline aims to provide evidence-based nutritional recommendations due to the metabolic and nutritional impacts of acute (AKD) and chronic kidney disease (CKD).
- The guideline development involved a systematic review of literature from 1999 to 2020, leading to over 30 recommendations on assessing nutritional status, identifying at-risk patients, and integrating nutrition with kidney replacement therapy (KRT) through a consensus process.
- The conclusion emphasizes the diverse nutritional needs of patients with KD, advocating for personalized nutrition strategies to prevent underfeeding and overfeeding, and offering practical advice for daily clinical practice.
Nutrition in the intensive care unit: from the acute phase to beyond.
Intensive Care Med
July 2024
Department of Anaesthesiology and Intensive Care, University of Tartu, Tartu, Estonia.
Recent randomized controlled trials (RCTs) have shown no benefit but dose-dependent harm by early full nutritional support in critically ill patients. Lack of benefit may be explained by anabolic resistance, suppression of cellular repair processes, and aggravation of hyperglycemia and insulin needs. Also early high amino acid doses did not provide benefit, but instead associated with harm in patients with organ dysfunctions.
View Article and Find Full Text PDF[Parental feeding strategies in children with Avoidant/Restrictive Food Intake Disorder (ARFID): Association with food refusal behavior].
Andes Pediatr
December 2022
Departamento de Pediatría y Cirugía Oriente, Universidad de Chile, Santiago, Chile.
Unlabelled: Avoidance/Restriction of Food Intake Disorder (ARFID) is characterized by persistent avoidance and/or restriction of food intake, with three clinical presentations: lack of interest in food, selectivity based on sensory sensitivity, and fear of aversive consequences. The strategies used by parents during mealtimes may predispose or maintain the child's food refusal.
Objective: to determine the associa tion between parental strategies used during mealtimes and food refusal behavior in ARFID children.
Implementation of the medical emergencies in eating disorders in adults guidance on non-specialist units.
Br J Nurs
July 2023
Clinical Specialist Dietitian, Department of Nutrition Diet Therapy, Ulster Hospital, Dundonald, Northern Ireland.
The Royal College of Psychiatrists recently published data showing an 84% increase in UK hospital admissions for eating disorders over the past 5 years, highlighting the importance of the college's new (MEED) guidance. This includes a 79% increase among adults, many of whom are admitted to general medical wards that do not have input from expert eating disorder services. Consequently, the multidisciplinary nutrition support team, nutrition specialist nurses and dietitians have a potentially vital role in implementing MEED to ensure that the appropriate nutritional, fluid and electrolyte management is in place for safe refeeding and avoidance of the potentially harmful underfeeding syndrome.
View Article and Find Full Text PDFVariation in metabolic demand following severe pediatric traumatic brain injury: A case review.
Nutr Clin Pract
February 2024
Department of Clinical and Preventative Nutrition Sciences, School of Health Professions, Rutgers University, Newark, New Jersey, USA.
Article Synopsis
- Traumatic brain injury (TBI) is a leading cause of injury in children, and timely nutrition support within 48 hours post-injury is critical for recovery.
- Using indirect calorimetry (IC) to measure energy needs is recommended over predictive equations, yet it’s not widely available in hospitals.
- The case review demonstrates the positive effects of meeting measured energy requirements early on a child's recovery from severe TBI, emphasizing the need for further research on optimal nutritional strategies.
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