One in three hospitalized children have disease-related malnutrition (DRM) upon admission to hospital, and all children are at risk for further nutritional deterioration during hospital stay; however, systematic approaches to detect DRM in Canada are lacking. To standardise and improve hospital care, the multidisciplinary pediatric working group of the Canadian Malnutrition Taskforce aimed to develop a pediatric, inpatient nutritional care pathway based on available evidence, feasibility of resources, and expert consensus. The working group ( = 13) undertook a total of four meetings: an in-person meeting to draft the pathway based on existing literature and modelled after the Integrated Nutrition Pathway for Acute Care (INPAC) in adults, followed by three online surveys and three rounds of online Delphi consensus meetings to achieve agreement on the draft pathway. In the first Delphi survey, 32 questions were asked, whereas in the second and third rounds 27 and 8 questions were asked, respectively. Consensus was defined as any question/issue in which at least 80% agreed. The modified Delphi process allowed the development of an evidence-informed, consensus-based pathway for inpatients, the Pediatric Integrated Nutrition Pathway for Acute Care (P-INPAC). It includes screening <24 h of admission, assessment with use of Subjective Global Nutritional Assessment (SGNA) <48 h of admission, as well as prevention, and treatment of DRM divided into standard, advanced, and specialized nutrition care plans. Research is necessary to explore feasibility of implementation and evaluate the effectiveness by integrating P-INPAC into clinical practice.
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http://dx.doi.org/10.1139/apnm-2023-0180 | DOI Listing |
Gut Microbes
December 2025
Centre de Recherche en Nutrition Humaine - Rhône-Alpes, INSERM, INRAe, Université Claude Bernard Lyon1, Hospices Civils de Lyon, Pierre Bénite, France.
The development of cardiometabolic (CM) diseases is associated with chronic low-grade inflammation, partly linked to alterations of the gut microbiota (GM) and reduced intestinal integrity. The SINFONI project investigates a multifunctional (MF) nutritional strategy's impact combining different bioactive compounds on inflammation, GM modulation and CM profile. In this randomized crossover-controlled study, 30 subjects at CM-risk consumed MF cereal-products, enriched with polyphenols, fibers, slowly-digestible starch, omega-3 fatty acids or Control cereal-products (without bioactive compounds) for 2 months.
View Article and Find Full Text PDFFood Chem Toxicol
December 2024
Department of Environment and Health, Istituto Superiore di Sanità, Rome, Italy. Electronic address:
This review figures out the overall status on the presence of microplastics (MPs) and nanoplastics (NPs) in food and their bioaccumulation in animal and human tissues, providing critical insights into possible human health impacts. Data are discussed on both in-vivo and ex-vivo animal and human studies, and the role of physicochemical properties in determining the biological fate and toxicological effects of MPs and NPs. Particular attention is given to dietary exposure assessments, specifically evaluating daily intake through the consumption of contaminated food items.
View Article and Find Full Text PDFExp Neurol
December 2024
Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA 98101, United States of America; Department of Neurological Surgery, University of Washington School of Medicine, Seattle, WA 98108, USA. Electronic address:
Swallowing, both nutritive and non-nutritive, is highly dysfunctional in children with Leigh Syndrome (LS) and contributes to the need for both gastrostomy and tracheostomy tube placement. Without these interventions aspiration of food, liquid, and mucus occur resulting in repeated bouts of respiratory infection. No study has investigated whether mouse models of LS, a neurometabolic disorder, exhibit dysfunctions in neuromuscular activity of swallow and breathing integration.
View Article and Find Full Text PDFInt J Biol Macromol
December 2024
Department of pharmacy, Kunshan Hospital of Traditional Chinese Medicine, Suzhou, China. Electronic address:
Ophiopogon japonicus (O. japonicus) has a history of thousands of years as herbal medicine and nutritional food in China. Polysaccharides are one of the main bioactive components of O.
View Article and Find Full Text PDFMar Pollut Bull
December 2024
Department of Earth and Marine Sciences, University of Palermo, via Archirafi 18, 90123 Palermo, Italy; National Biodiversity Future Center (NBFC), Piazza Marina 61, 90133 Palermo, Italy; CoNISMa, National Interuniversity Consortium for Marine Sciences, Piazzale Flaminio 9, 00196 Roma, Italy.
Volcanic emissions in shallow vents influence the biogeochemistry of the sedimentary compartment, creating marked abiotic gradients. We assessed the spatial dynamics of the sediment compartment, as for the composition and origin of organic matter and associated prokaryotic community, in a volcanic shallow CO vent (Vulcano Island, Italy). Based on elemental (carbon, nitrogen content and their ratio) and isotopic composition (δC, δN and δS), the contribution of vent-derived organic matter (microbial mats) to sedimentary organic matter was high close to the vent, while the marine-derived end-members (seagrasses) contributed highly at increasing distance.
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