1,002 results match your criteria: "Nutritional Management in the Rehabilitation Setting"

Background/objectives: Malnutrition significantly hinders recovery in patients undergoing convalescent rehabilitation. Proper nutritional management can improve rehabilitation outcomes. This study aimed to develop a novel nutritional screening method (J-Method) specifically in patients undergoing convalescent rehabilitation and compare it with the widely used Mini Nutritional Assessment Short Form (MNA-SF).

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Objectives: The utility of the updated Asian Working Group for Sarcopenia (AWGS) criteria in diagnosing sarcopenia in older patients with heart failure (HF) remains unclear.

Objective: To analyze the prevalence and prognostic impact of sarcopenia diagnosed by the updated AWGS criteria in older patients with HF.

Design: Ambispective cohort study.

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Article Synopsis
  • Self-care and understanding one's illness are crucial in managing systemic arterial hypertension, motivating the study to explore how these concepts are represented in scientific research.
  • A systematic review analyzed 892 studies, narrowing down to 39 relevant papers, primarily conducted in the U.S. over the past five years, focusing on observational data rather than interventions.
  • Key findings highlighted that antihypertensive medication and patients' disease perceptions were commonly examined, but the involvement of healthcare professionals like nurses and doctors in these discussions was notably limited.
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The recovery of neurological deficits after ischemic stroke largely depends on the brain's ability to reorganize its undamaged neuronal circuits and neuronal plasticity phenomena. The consolidated evidence highlights the involvement of the patient's impaired nutritional conditions in post-stroke recovery and unsatisfying rehabilitative outcomes. Standardized nutritional protocols usually applied in hospitalized patients in a rehabilitation setting aim mainly to improve the general health conditions of patients, do not consider the high inter-individual variability in neurorehabilitation outcomes, and are not sufficiently modifiable to provide neuroprotective and restorative dietary patterns that could promote neuronal plasticity and functional recovery during neurorehabilitation.

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People living with mental illness report a broad spectrum of nutrition risks, beyond malnutrition, but appropriate and adequately validated nutrition risk screening tools for mental health settings are lacking. This study aimed to develop a nutrition-risk screening tool, the NutriMental Screener, and to perform preliminary feasibility and validity testing. In an international, stakeholder engaging approach, a multifaceted nutrition-risk screening tool for mental health services was developed by means of workshops with international stakeholders and two online surveys.

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Objectives: To assess the feasibility and acceptability of delivering Healthy Eating and Active Lifestyles for Diabetes (HEAL-D) Online.

Intervention: HEAL-D Online-a 7-week culturally tailored type 2 diabetes educational programme delivered using online platform.

Setting: Programme delivered by a London NHS trust, with patients referred from primary care healthcare professionals via a central booking system.

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Article Synopsis
  • There is increasing evidence that lifestyle changes can enhance brain health and lower the risk of dementia, but there's limited research on interventions for those already living with dementia.
  • Current reviews mainly focus on exercise's effects on cognition, while the needs and priorities of people with dementia focus more on functional abilities and quality of life.
  • This study aims to systematically review the effects of lifestyle interventions, such as physical activity and nutrition, on improving the quality of life and functional abilities of community-dwelling individuals with dementia, addressing various factors like program structure and participant characteristics.
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Intermittent fasting for systemic triglyceride metabolic reprogramming (IFAST): Design and methods of a prospective, randomized, controlled trial.

Contemp Clin Trials

November 2024

Division of Endocrinology and Metabolism, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA; Center for Human Integrative Physiology, Aging Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA; Neuroendocrinology Unit, Division of Endocrinology and Metabolism, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA. Electronic address:

Article Synopsis
  • The study is looking at how intermittent fasting can help people who are at risk for type 2 diabetes without focusing just on weight loss.
  • It involves adults who are overweight or prediabetic, and they will fast for 24 hours once a week for 12 weeks.
  • The researchers will check changes in fat composition, insulin sensitivity, and bone health to see if fasting has other health benefits.
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Possible benefits of food supplementation or diet in scar management: A scoping review.

Scars Burn Heal

September 2024

OSCARE, Organisation for Burns, Scar Aftercare and Research, Antwerp, Belgium.

Article Synopsis
  • This scoping review explores the potential benefits of food supplements as additional therapy in scar aftercare, noting limited existing evidence on this topic.
  • After analyzing 11 studies, researchers found promising links between scar improvement and certain supplements like vitamin D and omega-3 fatty acids, although many studies were based on in-vitro models rather than human subjects.
  • The conclusion indicates a need for more in vivo research to better understand how food supplementation can aid in scar management, highlighting the challenges of conducting such nutritional studies in humans.
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Background & Aims: The Global Leadership Initiative on Malnutrition (GLIM) criteria has been recognised as major diagnostic criteria for malnutrition in adults worldwide; however, its validity in rehabilitation settings remains unclear. This study investigated the concurrent and predictive validity of the GLIM criteria for adult patients in convalescent rehabilitation wards.

Methods: This retrospective cohort study was conducted using pre-established datasets from convalescent rehabilitation wards in a hospital.

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Article Synopsis
  • South Asian adults in the US have higher cardiovascular disease (CVD) risk compared to other groups, and the effectiveness of lifestyle interventions specifically for them had not been previously assessed.
  • A clinical trial aimed to determine if a culturally adapted group lifestyle intervention would more effectively improve CVD risk factors compared to basic written health education materials for South Asian adults aged 18 to 65.
  • The intervention involved a 16-week program focusing on lifestyle changes, delivered in multiple languages, with follow-up support, while the control group only received written materials; outcomes focused on changes in key health metrics and self-reported behaviors.
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Healthcare systems and patients today are challenged by high and ever-escalating costs for care. With increasing costs and declining affordability, public and private healthcare payers are all seeking value in care. As the evidence regarding health benefits of nutrition products and interventional nutrition care is increasing, cost-effectiveness of these interventions needs consideration.

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Malignant pleural mesothelioma (MPM) represents a significant clinical challenge due to limited therapeutic options and poor prognosis. Beyond mere survivorship, setting up an effective framework to improve functioning and quality of life is an urgent need in the comprehensive management of MPM patients. Therefore, this study aims to review the current understanding of MPM sequelae and the effectiveness of rehabilitative interventions in the holistic approach to MPM.

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Objectives: Adherence to lifestyle interventions is crucial for the treatment of obesity. However, there is little research about adherence to lifestyle interventions in persons around retirement age. The objectives of this study are (1) to identify factors associated with the adherence to resistance training and a hypocaloric diet and (2) to describe the association between adherence and changes in body composition outcome parameters.

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Article Synopsis
  • * A total of 15 studies were included, with findings showing that 70% of exercise-only interventions and 60% of combined exercise and diet interventions led to improved WM, indicating both methods can be beneficial.
  • * Despite promising results, the limited number of studies combining exercise and diet suggests caution in generalizing the findings, highlighting the need for more research in this area for better clinical applications.
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  • Stroke survivors in post-acute care often face physiological challenges and lower quality of life, prompting this study to evaluate the PAC-IPCP program's effectiveness across hospital and home settings.
  • The study analyzed 210 stroke survivors in Taiwan using various assessment tools, and found that both care settings provided similar improvements in physical function and quality of life, with the Barthel Index (BI) being the most sensitive measurement tool.
  • The conclusion highlights that the PAC-IPCP program is effective in both settings, supporting the use of the BI for assessing physiological functions, and suggests future research should focus on other areas like swallowing and nutrition.
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  • * Rehabilitation before surgery has been shown to effectively reduce the incidence of pneumonia in patients undergoing esophagectomy by addressing these risk factors.
  • * Individualized rehabilitation strategies, considering factors like treatment status and nutritional needs, are crucial for preventing sarcopenia and maintaining exercise tolerance in patients receiving preoperative therapy.
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  • This study investigates the effects of dysphagia rehabilitation on older patients with cardiovascular disease (CVD) in a super-aged society, emphasizing the necessity for effective management in community hospitals.
  • A retrospective review of 732 patients aged 65 and older indicated that around 55.1% needed dysphagia rehabilitation, which notably enhanced their caloric intake and BMI, along with improvements in their activities of daily living (ADL) by discharge.
  • The findings suggest that integrating dysphagia rehabilitation into cardiac care can significantly improve the quality of life for older patients with CVD, making it a crucial component of their overall treatment.
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  • Hispanic adults with type 2 diabetes (T2D) face higher risks of complications and mortality compared to the general population, leading to the exploration of innovative solutions like digital storytelling to promote healthier behaviors.
  • A multicenter, randomized clinical trial was conducted to evaluate the effects of a 12-minute digital storytelling intervention on glycemic control in Hispanic patients with poorly controlled T2D, compared to a control group receiving traditional education materials.
  • The study involved 451 participants, with results showing changes in hemoglobin A1c levels over three months, alongside assessments of the intervention's acceptability and narrative quality through participant questionnaires.
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Household Food Sourcing Patterns and Their Associations With Food Insecurity in Appalachian Ohio.

J Acad Nutr Diet

January 2025

Department of Nutritional Sciences, College of Public Health, University of Michigan, Ann Arbor, Michigan. Electronic address:

Article Synopsis
  • Households facing food insecurity often adopt various dynamic strategies for sourcing food, especially in rural areas, a topic that lacks comprehensive research.
  • The study aimed to analyze food sourcing patterns and their relation to food insecurity in rural Appalachian Ohio during the COVID-19 pandemic, collecting survey data from 663 households over multiple waves in 2020-2021.
  • Results identified two primary food sourcing patterns: one emphasizing convenience stores and charitable sources, and the other focusing on supermarkets and farmers markets, revealing that food-insecure households preferred the first pattern more than food-secure households.
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  • This study evaluates how effective a self-management program using gain/loss-framed messages is for patients with gastric cancer after surgery.
  • It involved 69 patients who received education, text messages, and self-monitoring on their health, with various health and behavioral outcomes being measured.
  • Results showed that the loss-framed message group had significantly better nutritional status and dietary habits, suggesting that loss-message framing can be a valuable strategy for enhancing health management in these patients.
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  • The study investigated how possible sarcopenia (loss of muscle mass) relates to swallowing and physical function in patients with acute heart failure (AHF).
  • It included 320 hospitalized AHF patients, measuring sarcopenia through calf circumference and grip strength, and assessing swallowing and physical function at discharge.
  • Results showed that possible sarcopenia was linked to poorer swallowing ability at discharge but not significantly related to physical function, emphasizing the importance of early detection and treatment of sarcopenia in AHF patients.
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  • Wearables are seen as promising tools for improving self-management of chronic diseases like cystic fibrosis by enabling remote monitoring, early illness detection, and motivation for patients.
  • A qualitative study involved interviews with cystic fibrosis patients and focus groups with healthcare providers, revealing that patients appreciated real-time data but were concerned about the wearables' limitations and their impact on self-management adherence.
  • Both patients and healthcare providers showed cautious optimism towards using wearables, highlighting potential benefits but also emphasizing issues like data accuracy and the risk of increased patient anxiety.
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Article Synopsis
  • - The study investigates the effectiveness of the IMB (Information-Motivation-Behavioral skills) model in rehabilitation nursing for patients with diabetes and end-stage renal disease on maintenance hemodialysis, focusing on enhancing their knowledge, motivation, and skills for disease management and nutritional status.
  • - Eighty-four patients were divided into two groups: a control group receiving routine nursing and an observation group receiving IMB-guided nursing, with outcomes measured in terms of psychological conditions, nutritional status, and quality of life using standardized tools.
  • - Results showed that the observation group had a significant increase in albumin levels (12% improvement), indicating better nutritional status and metabolic functioning, along with enhanced quality of life as evidenced by improved SF-36
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