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Ferreira B, Fonseca D, Sala P, Machado N, Cardinelli C, Prudêncio A, Torrinhas R, Waitzberg D. Folate intake and the gut folate transport gene are decreased after roux-en-y gastric bypass (rygb) in severely obese women. Clin Nutr ESPEN 2021. [DOI: 10.1016/j.clnesp.2021.09.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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2
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Magalhães N, Waitzberg D, Vicedomini A, Lopes N, Jacob W, Busse A, Alves T, Ferdinando D, Torrinhas R, Belarmino G. Factors associated with the elderly quality of life: dietary pattern, body composition and cognition. Clin Nutr ESPEN 2021. [DOI: 10.1016/j.clnesp.2021.09.569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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3
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Cardinelli C, Torrinhas R, Sala P, Machado N, Ravacci G, Canuto G, Tavares M, Waitzberg D. OR16: Impact of Cholecystectomy on the Fecal Bile Acids Profile Before and After Roux en-Y Gastric Bypass. Clin Nutr 2019. [DOI: 10.1016/s0261-5614(19)32488-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Cederholm T, Jensen G, Correia M, Gonzalez M, Fukushima R, Higashiguchi T, Baptista G, Barazzoni R, Blaauw R, Coats A, Crivelli A, Evans D, Gramlich L, Fuchs‐Tarlovsky V, Keller H, Llido L, Malone A, Mogensen K, Morley J, Muscaritoli M, Nyulasi I, Pirlich M, Pisprasert V, de van der Schueren M, Siltharm S, Singer P, Tappenden K, Velasco N, Waitzberg D, Yamwong P, Yu J, Van Gossum A, Compher C. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community. J Cachexia Sarcopenia Muscle 2019; 10:207-217. [PMID: 30920778 PMCID: PMC6438340 DOI: 10.1002/jcsm.12383] [Citation(s) in RCA: 428] [Impact Index Per Article: 85.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
RATIONALE This initiative is focused on building a global consensus around core diagnostic criteria for malnutrition in adults in clinical settings. METHODS In January 2016, the Global Leadership Initiative on Malnutrition (GLIM) was convened by several of the major global clinical nutrition societies. GLIM appointed a core leadership committee and a supporting working group with representatives bringing additional global diversity and expertise. Empirical consensus was reached through a series of face-to-face meetings, telephone conferences, and e-mail communications. RESULTS A two-step approach for the malnutrition diagnosis was selected, i.e., first screening to identify "at risk" status by the use of any validated screening tool, and second, assessment for diagnosis and grading the severity of malnutrition. The malnutrition criteria for consideration were retrieved from existing approaches for screening and assessment. Potential criteria were subjected to a ballot among the GLIM core and supporting working group members. The top five ranked criteria included three phenotypic criteria (weight loss, low body mass index, and reduced muscle mass) and two etiologic criteria (reduced food intake or assimilation, and inflammation or disease burden). To diagnose malnutrition at least one phenotypic criterion and one etiologic criterion should be present. Phenotypic metrics for grading severity as Stage 1 (moderate) and Stage 2 (severe) malnutrition are proposed. It is recommended that the etiologic criteria be used to guide intervention and anticipated outcomes. The recommended approach supports classification of malnutrition into four etiology-related diagnosis categories. CONCLUSION A consensus scheme for diagnosing malnutrition in adults in clinical settings on a global scale is proposed. Next steps are to secure further collaboration and endorsements from leading nutrition professional societies, to identify overlaps with syndromes like cachexia and sarcopenia, and to promote dissemination, validation studies, and feedback. The diagnostic construct should be re-considered every 3-5 years.
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Affiliation(s)
- T. Cederholm
- Department of Public Health and Caring Sciences, Clinical Nutrition and MetabolismUppsala UniversityUppsalaSweden
- Theme AgingKarolinska University HospitalStockholmSweden
| | - G.L. Jensen
- Dean's Office and Department of Medicine, Larner College of MedicineUniversity of VermontBurlingtonVTUSA
| | - M.I.T.D. Correia
- Department of SurgeryUniversidade Federal de Minas GeraisBelo HorizanteBrazil
| | - M.C. Gonzalez
- Post‐graduate Program in Health and BehaviorCatholic University of PelotasRSBrazil
| | - R. Fukushima
- Department of Medicine, Department of SurgeryTokyo University School of MedicineTokyoJapan
| | - T. Higashiguchi
- Department of Surgery and Palliative MedicineFujita Health University School of MedicineDengakugakubo, KutsukakeToyoake‐CityAichiJapan
| | - G. Baptista
- Medicine Faculty Central University of VenezuelaUniversitary Hospital of Caracas, Chief Nutritional Support Unit Hospital Universitary/Academic of Caracas, University Central of VenezuelaVenezuela
| | - R. Barazzoni
- Department of Medical, Technological and Translational SciencesUniversity of Trieste, Ospedale di CattinaraTriesteItaly
| | - R. Blaauw
- Division of Human Nutrition, Faculty of Medicine and Health SciencesStellenbosch UniversityCape TownSouth Africa
| | - A.J.S. Coats
- Monash UniversityAustralia
- University of WarwickWarwickUK
| | - A.N. Crivelli
- Unit of Nutrition Support and Malabsorptive DiseasesHospital HIGA San MartínBuenos AiresArgentina
| | - D.C. Evans
- Department of SurgeryThe Ohio State UniversityColumbusOHUSA
| | | | - V. Fuchs‐Tarlovsky
- Clinical Nutrition DepartmentHospital General de MéxicoMexico CityMexico
| | - H. Keller
- Schlegel‐UW Research Institute for Aging and Department of KinesiologyUniversity of WaterlooOntarioCanada
| | - L. Llido
- Clinical Nutrition ServiceSt. Luke's Medical Center‐Quezon CityMetro‐Manila, Quezon CityPhilippines
| | - A. Malone
- The American Society for Parenteral and Enteral NutritionSilver SpringMDUSA
- Mt. Carmel West HospitalColumbusOHUSA
| | - K.M. Mogensen
- Department of NutritionBrigham and Women's HospitalBostonMAUSA
| | - J.E. Morley
- Division of GeriatricsSaint Louis University HospitalSt. LouisMOUSA
| | - M. Muscaritoli
- Department of Clinical MedicineSapienza University of RomeItaly
| | - I. Nyulasi
- Department of Nutrition, Alfred Health and Professor of Dietetic Practice, Department of Rehabilitation, Nutrition and Sport, Latrobe University; Department of Medicine, Central Clinical SchoolMonash UniversityAustralia
| | - M. Pirlich
- Imperial Oak Outpatient Clinic, Endocrinology, Gastroenterology and Clinical NutritionBerlinGermany
| | - V. Pisprasert
- Department of MedicineKhon Kaen University College of MedicineKhon KaenThailand
| | - M.A.E. de van der Schueren
- Department of Nutrition and DieteticsAmsterdam UMC, Vrije Universiteit AmsterdamAmsterdamthe Netherlands
- Faculty of Health and Social Studies, Department of Nutrition and DieteticsHAN University of Applied SciencesNijmegenthe Netherlands
| | - S. Siltharm
- Ministry of Science and TechnologyBangkokThailand
| | - P. Singer
- Department of General Intensive CareRabin Medical CenterPetah TikvaIsrael
- Sackler School of MedicineTel Aviv UniversityIsrael
| | - K. Tappenden
- Department of Kinesiology and NutritionUniversity of Illinois‐ChicagoChicagoILUSA
| | - N. Velasco
- Department of Nutrition, Diabetes and Metabolismo, School of MedicinePontificia Universidad Catolica de ChileChile
| | - D. Waitzberg
- Department of Gastroenterology, School of MedicineUniversity of São PauloSão PauloBrazil
| | - P. Yamwong
- Department of MedicineSiriaj HospitalBangkokThailand
| | - J. Yu
- GI Surgery and Nutrition Metabolic Division, Department of General SurgeryPeking Union Medical College HospitalBeijingChina
| | - A. Van Gossum
- Department of Gastroenterology, Clinic of Intestinal Diseases and Nutritional SupportHopital Erasme, Free University of BrusselsBrusselsBelgium
| | - C. Compher
- Biobehavioral Health Sciences Department and Nutrition ProgramsUniversity of Pennsylvania School of NursingPhiladelphiaPAUSA
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Cederholm T, Jensen GL, Correia MITD, Gonzalez MC, Fukushima R, Higashiguchi T, Baptista G, Barazzoni R, Blaauw R, Coats A, Crivelli A, Evans DC, Gramlich L, Fuchs-Tarlovsky V, Keller H, Llido L, Malone A, Mogensen KM, Morley JE, Muscaritoli M, Nyulasi I, Pirlich M, Pisprasert V, de van der Schueren MAE, Siltharm S, Singer P, Tappenden K, Velasco N, Waitzberg D, Yamwong P, Yu J, Van Gossum A, Compher C, Cederholm T, Van Gossum A, Correia MIT, Gonzalez MC, Fukushima R, Higashiguchi T, Baptista G, Barazzoni R, Blaauw R, Coats A, Crivelli A, Evans D, Gramlich L, Fuchs V, Keller H, Llido L, Malone A, Mogensen K, Morley J, Muscaritoli M, Nyulasi I, Pirlich M, Pisprasert V, de van der Schueren M, Siltharm S, Singer P, Tappenden K, Velasco N, Waitzberg D, Yamwong P, Yu J. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community. Clin Nutr 2018; 38:1-9. [PMID: 30181091 DOI: 10.1016/j.clnu.2018.08.002] [Citation(s) in RCA: 1200] [Impact Index Per Article: 200.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2018] [Accepted: 08/02/2018] [Indexed: 12/12/2022]
Abstract
RATIONALE This initiative is focused on building a global consensus around core diagnostic criteria for malnutrition in adults in clinical settings. METHODS In January 2016, the Global Leadership Initiative on Malnutrition (GLIM) was convened by several of the major global clinical nutrition societies. GLIM appointed a core leadership committee and a supporting working group with representatives bringing additional global diversity and expertise. Empirical consensus was reached through a series of face-to-face meetings, telephone conferences, and e-mail communications. RESULTS A two-step approach for the malnutrition diagnosis was selected, i.e., first screening to identify "at risk" status by the use of any validated screening tool, and second, assessment for diagnosis and grading the severity of malnutrition. The malnutrition criteria for consideration were retrieved from existing approaches for screening and assessment. Potential criteria were subjected to a ballot among the GLIM core and supporting working group members. The top five ranked criteria included three phenotypic criteria (non-volitional weight loss, low body mass index, and reduced muscle mass) and two etiologic criteria (reduced food intake or assimilation, and inflammation or disease burden). To diagnose malnutrition at least one phenotypic criterion and one etiologic criterion should be present. Phenotypic metrics for grading severity as Stage 1 (moderate) and Stage 2 (severe) malnutrition are proposed. It is recommended that the etiologic criteria be used to guide intervention and anticipated outcomes. The recommended approach supports classification of malnutrition into four etiology-related diagnosis categories. CONCLUSION A consensus scheme for diagnosing malnutrition in adults in clinical settings on a global scale is proposed. Next steps are to secure further collaboration and endorsements from leading nutrition professional societies, to identify overlaps with syndromes like cachexia and sarcopenia, and to promote dissemination, validation studies, and feedback. The diagnostic construct should be re-considered every 3-5 years.
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Affiliation(s)
- T Cederholm
- Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala, Sweden; Theme Aging, Karolinska University Hospital, Stockholm, Sweden.
| | - G L Jensen
- Dean's Office and Department of Medicine, Larner College of Medicine, University of Vermont, Burlington, VT, USA
| | - M I T D Correia
- Department of Surgery, Universidade Federal de Minas Gerais, Belo Horizante, Brazil
| | - M C Gonzalez
- Post-graduate Program in Health and Behavior, Catholic University of Pelotas, RS, Brazil
| | - R Fukushima
- Department of Medicine, Department of Surgery, Tokyo University School of Medicine, Tokyo, Japan
| | - T Higashiguchi
- Department of Surgery and Palliative Medicine, Fujita Health University School of Medicine, Dengakugakubo, Kutsukake, Toyoake-City, Aichi, Japan
| | - G Baptista
- Medicine Faculty Central University of Venezuela, Universitary Hospital of Caracas, Chief Nutritional Support Unit Hospital Universitary/Academic of Caracas, University Central of Venezuela, Venezuela
| | - R Barazzoni
- Department of Medical, Technological and Translational Sciences, University of Trieste, Ospedale di Cattinara, Trieste, Italy
| | - R Blaauw
- Division of Human Nutrition, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
| | - A Coats
- Monash University, Australia; University of Warwick, Warwick, UK
| | - A Crivelli
- Hospital HIGA San Martín, Unit of Nutrition Support and Malabsorptive Diseases, Buenos Aires, Argentina
| | - D C Evans
- Department of Surgery, The Ohio State University, Columbus, OH, USA
| | - L Gramlich
- University of Alberta, Edmonton, Alberta, Canada
| | - V Fuchs-Tarlovsky
- Clinical Nutrition Department, Hospital General de México, Mexico City, Mexico
| | - H Keller
- Schlegel-UW Research Institute for Aging and Department of Kinesiology, University of Waterloo, Ontario, Canada
| | - L Llido
- Clinical Nutrition Service, St. Luke's Medical Center-Quezon City, Metro-Manila, Quezon City, Philippines
| | - A Malone
- The American Society for Parenteral and Enteral Nutrition, Silver Spring, MD, USA; Mt. Carmel West Hospital, Columbus, OH, USA
| | - K M Mogensen
- Department of Nutrition, Brigham and Women's Hospital, Boston, MA, USA
| | - J E Morley
- Division of Geriatrics, Saint Louis University Hospital, St. Louis, MO, USA
| | - M Muscaritoli
- Department of Clinical Medicine, Sapienza University of Rome, Italy
| | - I Nyulasi
- Department of Nutrition, Alfred Health and Professor of Dietetic Practice, Department of Rehabilitation, Nutrition and Sport, Latrobe University; Department of Medicine, Central Clinical School, Monash University, Australia
| | - M Pirlich
- Imperial Oak Outpatient Clinic, Endocrinology, Gastroenterology and Clinical Nutrition, Berlin, Germany
| | - V Pisprasert
- Department of Medicine, Khon Kaen University College of Medicine, Khon Kaen, Thailand
| | - M A E de van der Schueren
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Nutrition and Dietetics, Amsterdam, the Netherlands; HAN University of Applied Sciences, Faculty of Health and Social Studies, Department of Nutrition and Dietetics, Nijmegen, the Netherlands
| | - S Siltharm
- Ministry of Science and Technology, Bangkok, Thailand
| | - P Singer
- Department of General Intensive Care, Rabin Medical Center, Petah Tikva, Israel; Sackler School of Medicine, Tel Aviv University, Israel
| | - K Tappenden
- Department of Kinesiology and Nutrition, University of Illinois-Chicago, Chicago, IL, USA
| | - N Velasco
- Department of Nutrition, Diabetes and Metabolismo, School of Medicine, Pontificia Universidad Catolica de Chile, Chile
| | - D Waitzberg
- Department of Gastroenterology, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - P Yamwong
- Department of Medicine, Siriaj Hospital, Bangkok, Thailand
| | - J Yu
- GI Surgery and Nutrition Metabolic Division, Department of General Surgery, Peking Union Medical College Hospital, Beijing, China
| | - A Van Gossum
- Department of Gastroenterology, Clinic of Intestinal Diseases and Nutritional Support, Hopital Erasme, Free University of Brussels, Brussels, Belgium
| | - C Compher
- Biobehavioral Health Sciences Department and Nutrition Programs, University of Pennsylvania School of Nursing, Philadelphia, PA, USA
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Santos J, Dale I, Logullo A, Tortelli T, Waitzberg D. Metabolomics shows distinct pattern of one-carbon metabolism in invasive breast cancer. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Dias M, Valente G, Rocha M, Lee A, Evazian D, Waitzberg D. Nutrition support team performance and outcome of hospitalized patients in a tertiary-level hospital in São Paulo. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Reis J, Dale I, Logullo A, Brentanni MM, Junior TT, Waitzberg D, Ravacci G. Abstract P1-02-04: Not presented. Cancer Res 2018. [DOI: 10.1158/1538-7445.sabcs17-p1-02-04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
This abstract was not presented at the symposium.
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Affiliation(s)
- J Reis
- University of São Paulo Medical School, São Paulo, Brazil; Federal University of São Paulo, São Paulo, Brazil
| | - I Dale
- University of São Paulo Medical School, São Paulo, Brazil; Federal University of São Paulo, São Paulo, Brazil
| | - A Logullo
- University of São Paulo Medical School, São Paulo, Brazil; Federal University of São Paulo, São Paulo, Brazil
| | - MM Brentanni
- University of São Paulo Medical School, São Paulo, Brazil; Federal University of São Paulo, São Paulo, Brazil
| | - TT Junior
- University of São Paulo Medical School, São Paulo, Brazil; Federal University of São Paulo, São Paulo, Brazil
| | - D Waitzberg
- University of São Paulo Medical School, São Paulo, Brazil; Federal University of São Paulo, São Paulo, Brazil
| | - G Ravacci
- University of São Paulo Medical School, São Paulo, Brazil; Federal University of São Paulo, São Paulo, Brazil
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Santos JR, Brentanni MM, Tortelli T, Dale I, Waitzberg A, Waitzberg D, Ravacci G. Abstract P6-02-06: Metabolomic profiling of breast cancer and adjacent tissue. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-p6-02-06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Breast cancer (BC) is the most common cause of death among women worldwide. Nowadays, research directed toward the discovery of cancer molecular characteristics has extended into various biological aspects, from early investigations of cancer genomics and proteomics to recent efforts in cancer metabolomics. We consider that breast cancer cells display significantly altered cellular processes, and thus metabolites, compared to normal cells. In this regard, the application of metabolomics towards cancer research can led to the discovery of metabolite cancer biomarkers and the identification of target therapeutics. Methods: Metabolomics signature was extracted from primary BC and adjacent tissue samples from a cohort of 182 breast cancer patients from the Institut Gustave-Roussy and Institute Curie – Paris, University of Debrecen – Hungary, and University of Tartu – Estonia. The Biocrates Life Science® company, performed the metabolomics analysis using the Absolute IDQ p180 kit. Statistical analysis was performed by MetaboAnalyst 3.0 software (p <0.05). Results: We observed 99 differential metabolites between breast tumor and adjacent tissues (p<0,05). In the tumor tissue we observed an increase of glycolysis, glutamine uptake and synthesis, glutamate production, intermediates for redox homeostasis, as well reduction in tricarboxylic acid cycle and β –oxidation impairment. Together, these pathways, favor lipogenesis with a consequent increase in saturated fatty acids and cholesterol synthesis for the formation of membranes and lipid rafts in tumors. The increase in rafts in tumors maintains proliferation signaling via membrane receptors, making them important biomarkers. Conclusion: Metabolomics analysis is useful in identifying differential metabolites between breast cancer and adjacent tissue. In this scenario, cancer cells may be dependent on some metabolites for its development, making them therapeutically valuable biomarkers.
Citation Format: Santos JR, Brentanni MM, Tortelli T, Dale I, Waitzberg A, Waitzberg D, Ravacci G. Metabolomic profiling of breast cancer and adjacent tissue [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr P6-02-06.
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Affiliation(s)
- JR Santos
- University of São Paulo Medical School, São Paulo, Brazil; Federal University of São Paulo, São Paulo, Brazil
| | - MM Brentanni
- University of São Paulo Medical School, São Paulo, Brazil; Federal University of São Paulo, São Paulo, Brazil
| | - T Tortelli
- University of São Paulo Medical School, São Paulo, Brazil; Federal University of São Paulo, São Paulo, Brazil
| | - I Dale
- University of São Paulo Medical School, São Paulo, Brazil; Federal University of São Paulo, São Paulo, Brazil
| | - A Waitzberg
- University of São Paulo Medical School, São Paulo, Brazil; Federal University of São Paulo, São Paulo, Brazil
| | - D Waitzberg
- University of São Paulo Medical School, São Paulo, Brazil; Federal University of São Paulo, São Paulo, Brazil
| | - G Ravacci
- University of São Paulo Medical School, São Paulo, Brazil; Federal University of São Paulo, São Paulo, Brazil
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Horie L, Barone M, Castro M, Toledo D, Waitzberg D. MON-P184: Choosing the Best Oral Nutritional Supplement. Clin Nutr 2016. [DOI: 10.1016/s0261-5614(16)30818-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Castro M, Horie L, Pompilio C, Waitzberg D. MON-PP226: Obesity Hypoventilation Syndrome. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30658-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Belarmino G, Horie L, Sala P, Torrinhas R, Heymsfield S, Waitzberg D. MON-PP016: Development of a New Body Adiposity Score for Fat Mass Estimation in Brazilian Obese Population. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30448-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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13
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Belarmino G, Horie L, Sala P, Torrinhas R, Heymsfield S, Waitzberg D. MON-PP017: Performance of Body Adiposity Index in Estimating Fat Mass in a Brazilian Obese Population. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30449-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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14
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Ravacci G, Brentani M, Festuccia W, Tortelli T, Torrinhas R, Waitzberg D. PP082-MON: HER2-Associated Lipogenic Phenotype Modulation by Docosahexaenoic Acid (DHA) Induces Apoptosis in Breast Tumor Cells Harboring HER2 Overexpression. Clin Nutr 2014. [DOI: 10.1016/s0261-5614(14)50417-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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15
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Garib R, Garla P, Waitzberg D. PP064-SUN: Previous Parenteral Infusion of Alanil-Glutamine Increases HSP 70 Expression in Lung and Liver of Rats Submitted to Acute Pancreatitis. Clin Nutr 2014. [DOI: 10.1016/s0261-5614(14)50106-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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16
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Galvao FH, Ye Q, Doughton C, Murase N, Todo S, Zeevi A, Waitzberg D, Fung JJ, Starzl TE. Experimental animal model of graft-versus-host disease (GVHD) after small-bowel transplantation: characteristics of the model and application to developing treatment strategies. Transplant Proc 1997; 29:700. [PMID: 9123488 PMCID: PMC2963434 DOI: 10.1016/s0041-1345(96)00425-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- F H Galvao
- Thomas E. Starzl Transplantation Institute, University of Pittsburgh, Pennsylvania 15213, USA
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Nita ME, Mester M, Machado MA, Iriya K, Benetti CP, Waitzberg D, Gama-Rodrigues J, Pinotti HW. [Total regression of advanced gastric lymphoma after drug therapy]. Rev Hosp Clin Fac Med Sao Paulo 1994; 49:221-4. [PMID: 7716376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Primary gastric lymphoma is a relatively rare entity that may have several different methods of treatment, including surgery, chemotherapy and radiotherapy. We describe a case of advanced primary gastric lymphoma treated with chemotherapy. A 51-year-old male patient underwent total gastrectomy after two cycles of chemotherapy. The histologic examination of the gross specimen revealed total regression of the lymphoma. Literature review of this condition and a discussion about the diagnosis and treatment are presented.
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Affiliation(s)
- M E Nita
- Disciplina de Cirurgia do Aparelho digestivo da Faculdade de Medicina da Universidade de São Paulo
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Galvão FH, Waitzberg D, Logulo A, Soares S, Gonçalves EL. Histological and permeability alterations in cold-stored small bowel: a comparison of University of Wisconsin and Euro-Collins solutions. Transplant Proc 1994; 26:1496. [PMID: 8030007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Affiliation(s)
- F H Galvão
- Surgery Department (Surgical Technique Laboratory), University of São Paulo Medical School, Brazil
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Katz A, Gansl RC, Simon SD, Gama-Rodrigues J, Waitzberg D, Bresciani CJ, Pinotti HW. Phase II trial of etoposide (V), adriamycin (A), and cisplatinum (P) in patients with metastatic gastric cancer. Am J Clin Oncol 1991; 14:357-8. [PMID: 1862768 DOI: 10.1097/00000421-199108000-00017] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
The efficacy and toxicity of a combination of etoposide (100 mg/m2 i.v. on days 1 to 3), Adriamycin (20 mg/m2 i.v. on days 1 and 8) and cisplatinum (40 mg/m2 i.v. on days 2 and 8) repeated every 4 weeks as an outpatient regimen were assessed in 29 consecutive patients with metastatic gastric cancer with measurable disease. Five of these patients were refractory to 5-Fluorouracil, Adriamycin, and Mitomycin C. Three of these previously treated patients responded to the etoposide. Adriamycin, cisplatinum (VAP) therapy. An overall objective response rate of 72.5% was achieved, including 14% that were complete responses. The median duration of response was 6.0 months; median overall survival was 7.2 months, overall one-year survival was 34.4%. Hematologic toxicity was intense, particularly among patients with lower performance status. Three patients died as a consequence of nadir sepsis episodes.
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Affiliation(s)
- A Katz
- Medical Oncology Section, Hospital das Clinicas, University of Sao Paulo Medical School, Brazil
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Waitzberg D, Gonçalves E, da Silva Duarte A, Faintuch J, Rocha C, Bevilacqua L. The influence of nutritional status on skin anergy in experimental cancer. Clin Nutr 1989; 8:247-52. [PMID: 16837296 DOI: 10.1016/0261-5614(89)90034-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/1988] [Accepted: 06/07/1988] [Indexed: 10/26/2022]
Abstract
Malignant tumours as well as severe malnutrition can interfere with carcass weight, serum albumin and delayed hypersensitivity tests. In order to identify the separate effects of these two phenomena, Wistar rats were submitted to various nutritional manipulations prior to Walker-256 carcinosarcoma inoculation (TU). Six groups of well-nourished rats with positive response to the Keyhole Limpet Haemocyanin (KLH) test were studied. Three TU-bearing groups were established, [1] protein-deprived before and after TU (group DDT), [2] protein deprived before TU and later brought back to normal chow (group DNT), and [3] those receiving a complete diet throughout the experiment (group NNT). Identical control groups without TU, sham-injected, were called DDC, DNC and NNC. Tumour size and body weight were measured daily. KLH tests were done sequentially and serum albumin was determined at sacrifice. Results indicated that cancer produced marked changes in immune response. Malnutrition was responsible for anergy and weight loss, and further aberrations tended to occur when both conditions were present. Feeding was able to restore body weight and KLH response in tumour-bearing as well as in control rats, but subsequent deterioration occurred in cancer bearing rats after the first week of tumour development. It is concluded that cancer potentiates the effects of malnutrition, on body weight and immune response, but temporary recovery could be demonstrated after adequate refeeding.
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Affiliation(s)
- D Waitzberg
- Surgical Technique, Department of Surgery, University of São Paulo Medical School, Av. Dr. Arnaldo 455, cep 01246 São Paulo, S. P., Brazil
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Monteiro da Cunha J, Waitzberg D, Kalnicki S, Glina S, Szegö T, Lima Gonçalves E, Bacchella T, Margarido NF, Machado MC. [Immunologic diagnosis of rejection of renal homologous grafts in dogs]. Rev Hosp Clin Fac Med Sao Paulo 1975; 30:466-70. [PMID: 1108152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Monteiro da Cunha JE, Kalnicki S, Waitzberg D, Glina S, Szegö T, Goncalez Y, Machado MC, Lima Goncalves E, Fontana Margarido N. [Standardization of the leukocyte migration technic in dogs]. Rev Hosp Clin Fac Med Sao Paulo 1975; 30:53-6. [PMID: 1121620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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