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Mohammad N, Nazli R, Fatima S, Fozia F, Zafar H, Zafar M, Zafar Z, Khan W, Abulmeaty M, Aldisi D, Andrade Laborde J, Aboul-Soud M. Lipid-based Nutritional Supplement Impact on Energy Intake, Appetite, Glucose and Insulin Levels in Under-Weight Pregnant and Lactating Women with Preeclampsia. Biosci Rep 2024; 44:BSR20231344. [PMID: 38206092 PMCID: PMC10830442 DOI: 10.1042/bsr20231344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Revised: 11/30/2023] [Accepted: 01/09/2024] [Indexed: 01/12/2024] Open
Abstract
OBJECTIVE To investigate the response of nutritional supplement (LNS-PLW) on appetite score, energy intake, insulin and glucose levels in preeclamptic women. DESIGN & PARTICIPANTS Sixty under-weight preeclamptic primigravida were divided into two groups randomly and provided LNS-PLW/Placebo in the fasted state. Blood samples were collected at fasting state, after 30mins of supplementation, "ad libitum buffet" breakfast and lunch for glucose and insulin levels. RESULTS Total energy intake was higher significantly in the LNS-PLW group, although during breakfast it was significantly reduced. The insulin and glucose concentration was significantly increased after 30min of supplementation in the LNS-PLW group. CONCLUSION Intake of the LNS-PLW by pre-eclamptic women had short-term suppression on subsequent meal but improved total energy intake during trial.
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Affiliation(s)
- Nabila Sher Mohammad
- Department of Biochemistry, Institute of Basic Medical Science, Khyber Medical University, Peshawar 25000, Pakistan
| | - Rubina Nazli
- Department of Biochemistry, Institute of Basic Medical Science, Khyber Medical University, Peshawar 25000, Pakistan
| | - Sadia Fatima
- Department of Biochemistry, Institute of Basic Medical Science, Khyber Medical University, Peshawar 25000, Pakistan
| | - Fozia Fozia
- Department of Biochemistry, KMU Institute of Dental Science, Kohat 26000, Khyber Pakhtunkhwa, Pakistan
| | - Hafza Zafar
- Department of Biochemistry, Institute of Basic Medical Science, Khyber Medical University, Peshawar 25000, Pakistan
| | - Mashal Zafar
- Institute of Physical Medicine and Rehabilitation, Khyber Medical University, Peshawar 25000, Pakistan
| | - Zarghuna Zafar
- Institute of Physical Medicine and Rehabilitation, Khyber Medical University, Peshawar 25000, Pakistan
| | - Warda Khan
- Rehman Dental Collage, Peshawar 25000, Pakistan
| | - Mahmoud M.A. Abulmeaty
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11362, Kingdom of Saudi Arabia
| | - Dara Aldisi
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11362, Kingdom of Saudi Arabia
| | - Juan E. Andrade Laborde
- Department of Food Science and Human Nutrition, University of Florida, 110370 Gainesville, FL, U.S.A
| | - Mourad A.M. Aboul-Soud
- Department of Clinical, Laboratory Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11433, Saudi Arabia
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Zubair A, Fatima S, Habib H, Nazli R, Shah I, Shah M. Effects of Oral Lipid-Based nutritional supplements on appetite, energy intake, and lipid profile of moderately underweight children. Food Sci Nutr 2023; 11:903-916. [PMID: 36789036 PMCID: PMC9922128 DOI: 10.1002/fsn3.3125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 09/26/2022] [Accepted: 10/25/2022] [Indexed: 12/23/2022] Open
Abstract
Oral lipid-based nutritional supplements (LNS) are designed to ensure dietary adequacy and to improve malnourishment in children. Therefore, this study investigated the effects of 4 weeks of LNS on appetite, energy intake, and lipid profile of moderately underweight children (5-10 years old) with BMI-Z score between -2 and - 3 SDS, recruited in a single-blind randomized control trial. In addition to the regular dietary intake, fasting blood samples, anthropometric measurements, energy intake, and appetite responses were obtained before and after 4 weeks of LNS (535 kcal) or PLACEBO (92 kcal). After 4 weeks of supplementation mean energy intake (kcal) (p < .001), body weight (kg) (p < .001), BMI (kg/m2) (p < .01), mid-upper arm circumference (cm) (p < .01), total cholesterol (mg/dl) (p < .01) and fasting glucose (mg/dl) (p < .01) were raised significantly in the LNS group as compared to the PLACEBO group. No significant changes were detected in appetite responses (p > 0.05). In conclusion, LNS increases the overall energy intake, but does not affect the appetite but may induce hyperglycemia and hyperlipidemia.
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Affiliation(s)
- Aqsa Zubair
- Department of BiochemistryInstitute of Basic Medical Sciences (IBMS), Khyber Medical University (KMU)PeshawarPakistan
| | - Sadia Fatima
- Department of BiochemistryInstitute of Basic Medical Sciences (IBMS), Khyber Medical University (KMU)PeshawarPakistan
| | - Hamid Habib
- Department of PhysiologyInstitute of Basic Medical Sciences (IBMS), Khyber Medical University (KMU)PeshawarPakistan
| | - Rubina Nazli
- Department of BiochemistryInstitute of Basic Medical Sciences (IBMS), Khyber Medical University (KMU)PeshawarPakistan
| | - Inayat Shah
- Department of PhysiologyInstitute of Basic Medical Sciences (IBMS), Khyber Medical University (KMU)PeshawarPakistan
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Fatima S, Gerasimidis K, Wright C, Malkova D. Impact of high energy oral nutritional supplements consumed in the late afternoon on appetite, energy intake and cardio-metabolic risk factors in females with lower BMI. Eur J Clin Nutr 2022; 76:811-818. [PMID: 34773094 PMCID: PMC9187517 DOI: 10.1038/s41430-021-01042-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Revised: 10/11/2021] [Accepted: 10/20/2021] [Indexed: 12/04/2022]
Abstract
BACKGROUND/OBJECTIVE Morning consumption of a single dose of high-energy oral nutritional supplement (ONS) in females with a lower BMI displaces some of the food eaten at breakfast but increases overall daily energy intake. This study investigated the effectiveness of ONS intake in the late afternoon and for longer duration. SUBJECTS/METHODS Twenty-one healthy females (mean ± SD, age 25 ± 5 years; BMI 18.7 ± 1.2 kg/m2) participated in a randomised, crossover study with two experimental trials. In the afternoon of days 1-5, participants consumed either ONS (2.510 MJ) or low-energy PLACEBO drink (0.377 MJ) and recorded food eaten at home. On day six, energy intake was measured during buffet meals, and energy expenditure, appetite measurements and blood samples were collected throughout the day. RESULT Over the 5-day period, in the ONS trial energy intake from evening meals was lower (ONS, 2.7 ± 0.25 MJ; Placebo, 3.6 ± 0.25 MJ, P = 0.01) but averaged total daily energy intake was higher (ONS, 9.2 ± 0.3 MJ; PLACEBO, 8.2 ± 0.4 MJ, P = 0.03). On day six, energy intake, appetite scores, plasma GLP-1 and PYY, and energy expenditure were not significantly different between the two trials but fasting insulin concentration and HOMAIR, were higher (P < 0.05) and insulin sensitivity score based on fasting insulin and TAG lower (P < 0.05) in ONS trial. CONCLUSION Late afternoon consumption of ONS for five consecutive days by females with a lower BMI has only a partial and short-lived energy intake suppression and thus increases daily energy intake but reduces insulin sensitivity.
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Affiliation(s)
- Sadia Fatima
- grid.8756.c0000 0001 2193 314XHuman Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK ,grid.444779.d0000 0004 0447 5097Khyber Medical University Peshawar, Peshawar, Pakistan
| | - Konstantinos Gerasimidis
- grid.8756.c0000 0001 2193 314XHuman Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
| | - Charlotte Wright
- grid.8756.c0000 0001 2193 314XHuman Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
| | - Dalia Malkova
- Human Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
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Palmer B, Irwin C, McCartney D, Cox GR, Desbrow B. The Impact of Post-Prandial Delay Periods on Ad Libitum Consumption of a Laboratory Breakfast Meal. APPLIED PHYSIOLOGY, NUTRITION, AND METABOLISM = PHYSIOLOGIE APPLIQUEE, NUTRITION ET METABOLISME 2021; 46:1290-1297. [PMID: 33984247 DOI: 10.1139/apnm-2020-0801] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This study examined the impact of varying the holding time following an ad libitum laboratory breakfast on acute dietary behaviour and subsequent intake. 24 participants (20 females (age: 23.4±6.3 y; BMI: 23.9±3.9 kg·m-2, mean±SD)) completed three trials following a quasi-randomized, crossover design. Each trial (seven day separation) incorporated a defined post-prandial delay (DPD) period of either zero (no delay), one or three hours following a buffet breakfast consumed over 30-minutes. Dietary intake outcomes included energy, macronutrient and core food group intakes. On completion of the DPD period, participants left the laboratory and recorded all food/beverages consumed for the remainder of the day. One-way repeated-measures ANOVA assessed all outcomes, with post hoc analysis conducted on significant main effects. Energy and carbohydrate intakes were significantly lower on no delay vs one hour (p = 0.014) and three hour (p = 0.06) DPD trials (EI: 1853±814 kJ vs. 2250±1345 kJ vs. 1948±1289 kJ; CHO: 68±34 g vs. 77±44 vs. 69±43 g; respectively). DPD periods did not influence the time to consume next meal or energy, macronutrient and core food group intakes for the remainder of the day. Delaying participants from leaving a laboratory alters dietary intake at an ad libitum test meal. The post-meal holding period is an important methodological consideration when planning laboratory studies to assess appetite. Novelty Bullets: 1. Delaying participants from leaving a laboratory alters dietary intake at ad libitum breakfast meals. 2. The length of the delay period did not affect dietary intake at ad libitum breakfast meals.
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Affiliation(s)
- Blake Palmer
- Griffith University School of Allied Health Sciences, 548148, Nutrition and Dietetics, Parklands Drive, Southport, Queensland, Australia, 4222;
| | - Christopher Irwin
- Griffith University, Gold Coast Campus, Southport, Queensland, Australia, 4222;
| | - Danielle McCartney
- The University of Sydney, 4334, Faculty of Science, School of Psychology, Sydney, New South Wales, Australia;
| | - Gregory Ronald Cox
- Bond University Faculty of Health Sciences and Medicine, 104559, Nutrition and Dietetics, 2 Promethean Way, Robina, Gold Coast, Queensland, Australia, 4226;
| | - Ben Desbrow
- Griffith University, School of Allied Health Sciences and Griffith Health Institute, Gold Coast, Queensland, Australia, Gold Coast, Queensland, Australia, 4222.,Gold Coast Campus;
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Thom G, Gerasimidis K, Rizou E, Alfheeaid H, Barwell N, Manthou E, Fatima S, Gill JMR, Lean MEJ, Malkova D. Validity of predictive equations to estimate RMR in females with varying BMI. J Nutr Sci 2020; 9:e17. [PMID: 32595965 PMCID: PMC7299486 DOI: 10.1017/jns.2020.11] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 04/23/2020] [Accepted: 04/24/2020] [Indexed: 01/15/2023] Open
Abstract
Estimation of RMR using prediction equations is the basis for calculating energy requirements. In the present study, RMR was predicted by Harris-Benedict, Schofield, Henry, Mifflin-St Jeor and Owen equations and measured by indirect calorimetry in 125 healthy adult women of varying BMI (17-44 kg/m2). Agreement between methods was assessed by Bland-Altman analyses and each equation was assessed for accuracy by calculating the percentage of individuals predicted within ± 10 % of measured RMR. Slopes and intercepts of bias as a function of average RMR (mean of predicted and measured RMR) were calculated by regression analyses. Predictors of equation bias were investigated using univariate and multivariate linear regression. At group level, bias (the difference between predicted and measured RMR) was not different from zero only for Mifflin-St Jeor (0 (sd 153) kcal/d (0 (sd 640) kJ/d)) and Henry (8 (sd 163) kcal/d (33 (sd 682) kJ/d)) equations. Mifflin-St Jeor and Henry equations were most accurate at the individual level and predicted RMR within 10 % of measured RMR in 71 and 66 % of participants, respectively. For all equations, limits of agreement were wide, slopes of bias were negative, and intercepts of bias were positive and significantly (P < 0⋅05) different from zero. Increasing age, height and BMI were associated with underestimation of RMR, but collectively these variables explained only 15 % of the variance in estimation bias. Overall accuracy of equations for prediction of RMR is low at the individual level, particularly in women with low and high RMR. The Mifflin-St Jeor equation was the most accurate for this dataset, but prediction errors were still observed in about one-third of participants.
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Affiliation(s)
- George Thom
- Human Nutrition, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, New Lister Building, Glasgow Royal Infirmary, GlasgowG31 2ER, UK
| | - Konstantinos Gerasimidis
- Human Nutrition, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, New Lister Building, Glasgow Royal Infirmary, GlasgowG31 2ER, UK
| | - Eleni Rizou
- Human Nutrition, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, New Lister Building, Glasgow Royal Infirmary, GlasgowG31 2ER, UK
| | - Hani Alfheeaid
- Human Nutrition, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, New Lister Building, Glasgow Royal Infirmary, GlasgowG31 2ER, UK
- Qassim University, Buraydah City, P. C. 51452, Saudi Arabia
| | - Nick Barwell
- Human Nutrition, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, New Lister Building, Glasgow Royal Infirmary, GlasgowG31 2ER, UK
| | - Eirini Manthou
- Human Nutrition, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, New Lister Building, Glasgow Royal Infirmary, GlasgowG31 2ER, UK
| | - Sadia Fatima
- Human Nutrition, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, New Lister Building, Glasgow Royal Infirmary, GlasgowG31 2ER, UK
| | - Jason M. R. Gill
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, GlasgowG12 8TA, UK
| | - Michael E. J. Lean
- Human Nutrition, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, New Lister Building, Glasgow Royal Infirmary, GlasgowG31 2ER, UK
| | - Dalia Malkova
- Human Nutrition, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, New Lister Building, Glasgow Royal Infirmary, GlasgowG31 2ER, UK
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6
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Thom G, Dombrowski SU, Brosnahan N, Algindan YY, Rosario Lopez-Gonzalez M, Roditi G, Lean MEJ, Malkova D. The role of appetite-related hormones, adaptive thermogenesis, perceived hunger and stress in long-term weight-loss maintenance: a mixed-methods study. Eur J Clin Nutr 2020; 74:622-632. [PMID: 32020057 DOI: 10.1038/s41430-020-0568-9] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Revised: 01/17/2020] [Accepted: 01/20/2020] [Indexed: 12/22/2022]
Abstract
BACKGROUND/OBJECTIVES Weight-loss maintenance is challenging, and few succeed in the long term. This study aimed to explain how appetite-related hormones, adaptive thermogenesis, perceived hunger and stress influence weight-loss maintenance. SUBJECTS/METHODS Fifteen adult women (age, 46.3 ± 9.5 years; BMI, 39.4 ± 4.3 kg/m2) participated in a 24-month intervention, which included 3-5 months total diet replacement (825-853 kcal/d). Body weight and composition (Magnetic Resonance Imaging), resting metabolic rate (indirect calorimetry), and fasting plasma concentration of leptin, ghrelin, glucagon-like peptide-1 (GLP-1), peptide YY (PYY), and growth differentiation factor 15 (GDF-15) were measured at baseline and after weight loss, around 6 months. Perceptions relating to weight-loss maintenance were explored using qualitative interviews. RESULTS Mean (SD) changes in body weight (-13.8 ± 6.3 kg) and total adipose tissue (-11.5 ± 4.9 kg) were significant (P < 0.001). Weight loss was associated with a significant reduction in resting metabolic rate (-291 ± 226 kcal/day, P < 0.001) and adaptive thermogenesis (-150 ± 162 kcal/day, P = 0.003), reduction in leptin (P < 0.001) and GLP-1 (P = 0.015), an increase in ghrelin (P < 0.001), and no changes in PYY and GDF-15. Weight regain between 6 and 24 months (6.1 ± 6.3 kg, P < 0.05) was negatively correlated with GLP-1 at baseline (r = −0.7, P = 0.003) and after weight loss (r = -0.7, P = 0.005). Participants did not report increased hunger after weight loss, and stress-related/emotional eating was perceived as the main reason for regain. CONCLUSIONS Weight regain is more likely with lower fasting GLP-1 at baseline and following weight loss, but psychological aspects of eating behaviour appear as important in attenuating weight-loss maintenance.
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Affiliation(s)
- George Thom
- Human Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK
| | | | - Naomi Brosnahan
- Human Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK
| | - Yasmin Y Algindan
- Department of Clinical Nutrition, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | | | - Giles Roditi
- Department of Radiology, Glasgow Royal Infirmary, Glasgow, UK
| | - Michael E J Lean
- Human Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK
| | - Dalia Malkova
- Human Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK.
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Logan M, Clark CM, Ijaz UZ, Gervais L, Duncan H, Garrick V, Curtis L, Buchanan E, Cardigan T, Armstrong L, Delahunty C, Flynn DM, Barclay AR, Tayler R, McDonald E, Milling S, Hansen RK, Gerasimidis K, Russell RK. The reduction of faecal calprotectin during exclusive enteral nutrition is lost rapidly after food re-introduction. Aliment Pharmacol Ther 2019; 50:664-674. [PMID: 31342536 PMCID: PMC6772069 DOI: 10.1111/apt.15425] [Citation(s) in RCA: 51] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Revised: 06/10/2019] [Accepted: 06/27/2019] [Indexed: 12/18/2022]
Abstract
BACKGROUND Faecal calprotectin decreases during exclusive enteral nutrition in children with active Crohn's disease. It is unknown how faecal calprotectin changes during food re-introduction and the influence of maintenance enteral nutrition. AIMS To study changes to faecal calprotectin during exclusive enteral nutrition and at food reintroduction, and explore associations with maintenance enteral nutrition. METHODS Children with Crohn's disease were followed during exclusive enteral nutrition and during food-reintroduction. Faecal calprotectin was measured before, at 33 and 54 days of exclusive enteral nutrition, and at 17, 52 and 72 days after food-reintroduction. Maintenance enteral nutrition use was recorded with estimated weight food diaries. Data are presented with medians and Q1:Q3. RESULTS Sixty-six patients started exclusive enteral nutrition and 41 (62%) achieved clinical remission (weighted paediatric Crohn's disease activity index <12.5). Baseline faecal calprotectin (mg/kg) decreased after 4 and 8 weeks of exclusive enteral nutrition (Start: 1433 [Q1: 946, Q3: 1820] vs 33 days: 844 [314, 1438] vs 54 days: 453 [165, 1100]; P < .001). Within 17 days of food reintroduction, faecal calprotectin increased to 953 [Q1: 519, Q3: 1611] and by 52 days to 1094 [660, 1625] (both P < .02). Fifteen of 41 (37%) children in remission used maintenance enteral nutrition (333 kcal or 18% of energy intake). At 17 days of food reintroduction, faecal calprotectin was lower in maintenance enteral nutrition users than non-users (651 [Q1: 271, Q3: 1781] vs 1238 [749, 2102], P = .049) and correlated inversely with maintenance enteral nutrition volume (rho: -0.573, P = .041), kcals (rho: -0.584, P = .036) and % energy intake (rho: -0.649, P = .016). Maintenance enteral nutrition use was not associated with longer periods of remission (P = .7). Faecal calprotectin at the end of exclusive enteral nutrition did not predict length of remission. CONCLUSIONS The effect of exclusive enteral nutrition on faecal calprotectin is diminished early during food reintroduction. Maintenance enteral nutrition at ~18% of energy intake is associated with a lower faecal calprotectin at the early phase of food reintroduction but is ineffective in maintaining longer term remission.
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Affiliation(s)
- Michael Logan
- Civil Engineering, School of EngineeringUniversity of GlasgowGlasgowUK,Human Nutrition, School of Medicine, Dentistry and NursingUniversity of Glasgow, Glasgow Royal InfirmaryGlasgowUK
| | - Clare M. Clark
- Human Nutrition, School of Medicine, Dentistry and NursingUniversity of Glasgow, Glasgow Royal InfirmaryGlasgowUK
| | - Umer Zeeshan Ijaz
- Civil Engineering, School of EngineeringUniversity of GlasgowGlasgowUK
| | - Lisa Gervais
- Department of Paediatric GastroenterologyRoyal Hospital for ChildrenGlasgowUK
| | - Hazel Duncan
- Department of Paediatric GastroenterologyRoyal Hospital for ChildrenGlasgowUK
| | - Vikki Garrick
- Department of Paediatric GastroenterologyRoyal Hospital for ChildrenGlasgowUK
| | - Lee Curtis
- Department of Paediatric GastroenterologyRoyal Hospital for ChildrenGlasgowUK
| | - Elaine Buchanan
- Department of Paediatric GastroenterologyRoyal Hospital for ChildrenGlasgowUK
| | - Tracey Cardigan
- Department of Paediatric GastroenterologyRoyal Hospital for ChildrenGlasgowUK
| | | | | | - Diana M. Flynn
- Department of Paediatric GastroenterologyRoyal Hospital for ChildrenGlasgowUK
| | - Andrew R. Barclay
- Department of Paediatric GastroenterologyRoyal Hospital for ChildrenGlasgowUK
| | - Rachel Tayler
- Department of Paediatric GastroenterologyRoyal Hospital for ChildrenGlasgowUK
| | - Elizabeth McDonald
- Institute for Infection, Immunity and InflammationUniversity of GlasgowGlasgowUK
| | - Simon Milling
- Institute for Infection, Immunity and InflammationUniversity of GlasgowGlasgowUK
| | - Richard K. Hansen
- Department of Paediatric GastroenterologyRoyal Hospital for ChildrenGlasgowUK
| | - Konstantinos Gerasimidis
- Human Nutrition, School of Medicine, Dentistry and NursingUniversity of Glasgow, Glasgow Royal InfirmaryGlasgowUK
| | - Richard K. Russell
- Department of Paediatric GastroenterologyRoyal Hospital for ChildrenGlasgowUK
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Impact of phenylketonuria type meal on appetite, thermic effect of feeding and postprandial fat oxidation. Clin Nutr 2018; 37:851-857. [DOI: 10.1016/j.clnu.2017.03.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2016] [Revised: 02/24/2017] [Accepted: 03/01/2017] [Indexed: 11/23/2022]
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Impact of therapeutic food compared to oral nutritional supplements on nutritional outcomes in mildly underweight healthy children in a low-medium income society. Clin Nutr 2017; 37:858-863. [PMID: 28343801 DOI: 10.1016/j.clnu.2017.03.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2016] [Revised: 02/20/2017] [Accepted: 03/03/2017] [Indexed: 11/21/2022]
Abstract
BACKGROUND & AIMS Therapeutic foods (RUTF) are used to treat severe acute malnutrition in children 5 years and under in low and middle income countries (LMI), while liquid nutritional supplements (ONS) are used in affluent societies. With globalisation and economic growth in LMI, there will be an inclination to move towards practices applied in affluent countries. This study compared the effect of supplementation with a RUTF and an ONS, on nutritional outcomes in mildly underweight children. METHODS 68 Pakistani (5-10 y), mildly underweight (weight Z-score: -2 to -1) children randomly received either RUTF or ONS (500 kcal/day), in addition to their habitual diet for four weeks. Weight, height, skinfolds and their changes during intervention, were compared between the two groups and at follow up, post-supplementation. RESULTS All nutritional outcomes and height improved with both supplements, but net weight gain (kg) and changes from baseline for weight, height, triceps and sub-scapular thickness Z-scores did not differ between the two supplements [mean (SD), RUTF vs ONS; weight gain (kg), 0.59 (0.30) vs 0.65 (0.42), p = 0.483; weight Z-score, 0.12 (0.09) vs 0.15 (0.13), p = 0.347; height Z-score, 0.04 (0.08) vs 0.04 (0.08), p = 0.908; triceps Z-score, 0.29 (0.24) vs 0.31 (0.23), p = 0.796; subscapular Z-score, 0.37 (0.29) vs 0.31 (0.25), p = 0.385]. Weight gain (0.6 kg) for both groups was lower than anticipated (2 kg). Post-supplementation, there was a tendency for weight and height Z-score to return to baseline. CONCLUSIONS RUTF and ONS are equivalently effective in improving nutritional outcomes in children 5 to 10 y at risk of malnutrition but the observed benefit is less than expected and not sustainable. TRIAL REGISTRATION This trial was registered at www.controlled-trials.com reference: ISRCTN51555749. RCT REGISTRATION This trial was registered at www.controlled-trials.com reference: ISRCTN51555749.
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Samadi M, Zeinali F, Habibi N, Ghotbodin-Mohammadi S. Intake of Dietary Supplements and Malnutrition in Patients in Intensive Care Unit. Int J Prev Med 2016; 7:90. [PMID: 27512556 PMCID: PMC4966199 DOI: 10.4103/2008-7802.186224] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Accepted: 05/03/2016] [Indexed: 01/04/2023] Open
Abstract
Background: Malnutrition is prevalent among patients hospitalized in Intensive Care Units (ICUs) and causes various complications. Dietary supplementation to provide appropriate nutritional support may reduce the malnutrition and complications through improvement in nutritional status. This study was carried out to assess the association between dietary supplementation and malnutrition among patients in ICUs. Methods: A case–control study was conducted on 180 male patients aged 20–60 years in the ICUs of the hospitals in Ahvaz, Iran in 2013. Data of two groups including 83 patients (cases) who had consumed regular hospital meals and dietary supplements and 97 patients (controls) who had received regular hospital meals were compared. Anthropometric measurements, laboratory values, and dietary intakes were extracted from medical records, and Maastricht index (MI) was calculated. Data were analyzed using the IBM SPSS Statistics 21. T-test and paired-sample t-test were used to determine the difference between groups. Results: Taking supplements increased daily energy intake, carbohydrate, and protein in case group (n = 83) significantly (P < 0.05). MI changed to 3.1 ± 3.8 and 4.3 ± 4.2 in case (n = 83) and control (n = 97) groups, respectively. Although the MI fell in both groups, it showed a greater reduction in case group (from 6.3 ± 5.3 to 3.1 ± 3.8). Conclusions: Since consuming dietary supplements besides the regular hospital meals increased intake of energy and macronutrients and reduced the MI significantly, it was concluded that it helped supply nutritional requirements more effectively and improved the malnutrition in ICU.
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Affiliation(s)
- Mehnoosh Samadi
- Nutrition and Metabolic Diseases Research Centre, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Fahime Zeinali
- Department of Nutrition, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Nahal Habibi
- Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
| | - Shirin Ghotbodin-Mohammadi
- Department of Clinical Nutrition and Dietetics, Faculty of Food Science and Nutrition, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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