Abstract:
UNLABELLED:Enteral nutrition therapy (ENT) is an essential part in the management of critically ill patients, having a significant impact on these patients' clinical results. It can be administered on a continuous or intermittent basis using an infusion pump. There is a discussion on which of these techniques has the best performance, involving a number of factors such as nausea, diarrhea, and particularly the relationship between diet volume and the ratio of programed calories to calories effectively supplied to the critical patients. OBJECTIVES:To compare the forms of continuous or intermittent infusion of enteral nutrition, using as primary outcome the level of estimated caloric needs daily supplied. METHODS:Observational prospective randomized clinical study carried out in an intensive care unit on 41 patients divided into two groups, of intermittent (ENT during 18 hours with a 6-hour nocturnal pause), or continuous (ENT during 24 hours continuously) administration. The secondary outcome variables measured in this study were bowel evacuation, distension, emesis, with the primary outcome variable being the relationship between infusion volume and the estimated-to-supplied ratio of caloric needs. The rejection index of the null hypothesis was established at 5% for all the tests. RESULTS:Most of the patients received more than 60% infusion of enteral diet over the 5 days of study (p = 1.0), with no difference regarding the provision of caloric needs. No statistically significant difference between groups was found in the variables vomiting, abdominal distension or diarrhea. CONCLUSION:The administration modalities of continuous or intermittent enteral nutrition are similar in which regards the comparison of the variables included in this study. :La terapia con nutrición enteral (TNE), una parte esencial del manejo de los pacientes críticos, tiene un impacto significativo en los resultados clínicos de estos pacientes. La TNE puede administrarse de forma continua o intermitente utilizando una bomba de infusión. Existe una discusión sobre cuál de estas dos técnicas tiene un mejor rendimiento, lo que implica una serie de factores como náuseas, diarrea y especialmente la relación entre el volumen de la dieta y la proporción entre calorías que se programan y las que realmente se proporcionan efectivamente a los pacientes críticos. Objetivos: Comparar las formas continua e intermitente de infusión de nutrición enteral, utilizando un nivel de necesidades calóricas estimadas suministradas diariamente como resultado principal. Métodos: Estudio clínico prospectivo y observacional, de distribución aleatoria, de 41 pacientes en una unidad de cuidados intensivos (UCI), divididos en dos grupos, intermitente (TNE durante 18 horas con una pausa nocturna de 6 horas) o continua (TNE durante 24 horas de forma continua). Evaluamos como variables secundarias de resultados la evacuación, distención, emesis y como variable principal de resultado la relación entre el volumen de infusión y el cociente entre necesidades calóricas estimadas a suministradas. Se estableció el índice de rechazo de la hipótesis nula en el 5% para todos los tests. Resultados: La mayoría de los pacientes recibieron > 60% de la infusión de la dieta enteral a lo largo de los 5 días del estudio (p = 1,0), sin observarse diferencias en la provisión de las necesidades calóricas. No se observaron diferencias estadísticamente significativas entre los grupos con respecto a las variables vómitos, distensión abdominal o diarrea. Conclusión: Las modalidades intermitente o continua de administración de la nutrición enteral son similares en lo que respecta a la comparación de las variables de este estudio.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Tavares de Araujo VM,Gomes PC,Caporossi Cdoi
10.3305/nh.2014.29.3.7169subject
Has Abstractpub_date
2014-03-01 00:00:00pages
563-7issue
3eissn
0212-1611issn
1699-5198journal_volume
29pub_type
杂志文章,随机对照试验abstract::For years now, a stronger tendency towards overweight among diabetes 1 population has been described, a tendency already observed during childhood and pubescence. Insulin replacement therapy to be one of the main underlying factors. Clarifying these issues and determining whether this weight gain may bring in an incre...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2014.30.6.7878
更新日期:2014-12-01 00:00:00
abstract:INTRODUCTION:Children have an increased risk of voluntary dehydration especially during physical activity which may increase the risk of non-compensating water losses. OBJECTIVES:The aim of this study was to assess the hydration status and its relation to food intake in a children group of soccer players. METHOD:A sa...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.315
更新日期:2016-07-13 00:00:00
abstract:INTRODUCTION:apart from the known effects of vitamin D on phospho-calcium homeostasis, in recent years there is great interest in its extrabone effects. OBJECTIVES:to know the concentration of 25-hydroxyvitamin D (25[OH] D) in newly diagnosed patients of cancer and to verify if there are differences between the differ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1675
更新日期:2018-04-05 00:00:00
abstract:INTRODUCTION:Overweight and obesity are risk factors to appearance of cardiovascular diseases and anthropometry is important as clinical tool for planning and health policymaking at population level. Thus, aim of this work was to compare the simple body fat percentage (%BF) obtained straight by bioeletric impedance (BI...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2010-09-01 00:00:00
abstract::to be more frequent among patients with metabolic syndrome. Previous studies have suggested to perform a routine screening for CS in obese patients; however, more recent reports only recommend a case-finding approach in patients with uncontrolled diabetes and hypertension, despite appropriate treatment. Objective: The...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.29.5.7256
更新日期:2014-05-01 00:00:00
abstract:INTRODUCTION:Anemia is one of the most important nutritional deficiencies affecting various social and socioeconomic strata. It is more common in developing countries, with children and adolescents being at a significantly higher risk for the condition. OBJECTIVE:To perform a literature review on iron deficiency anemi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2014.29.6.7245
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVES:Nutritional aspects of breakfast, plasma levels of glucose and beta-hydroxybutyrate, body mass index and academic performance have been studied in urban and rural children (Extremadura, Spain). METHODS:Representative samples of schoolchildren (3 to 12 years old, random cluster-sampling in schools). RESULTS...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2007-07-01 00:00:00
abstract::Short bowel syndrome (SBS) is characterized by a significant reduction in the effective intestinal surface by an anatomical or functional loss of the small intestine. It mainly occurs after extensive bowel resection, intestinal intrinsic disease or surgical bypass. The main complications are malabsorption, maldigestio...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2014.30.5.8088
更新日期:2014-09-17 00:00:00
abstract::The term conjugated linoleic acid (CLA) refers to a series of linoleic acid isomers present in meat and diary products from ruminants that have their double bonds in a conjugated position. The aim of the present work was to study the effects of a CLA isomer, trans-10,cis-12, on cholesterolemia and biliary lithiasis ri...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2005-05-01 00:00:00
abstract:INTRODUCTION:In 2012, the Mexican National Health Survey showed a moderate prevalence rate of vitamin D deficiency, around 16%, in a national representative sample of children. A decreasing prevalence of anemia during the last 15 years has been observed in Mexico. The aim of this study was to determine the levels of vi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.372
更新日期:2016-07-19 00:00:00
abstract::Percutaneous endoscopic gastrostomy (PEG) is the first choice method for long-term enteral feeding when the digestive tube is undamaged and the patients' survival is longer than 2 months. There are increasing series and indications reported and although it is a safe technique we should take into account an appropriate...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112011000200023
更新日期:2011-03-01 00:00:00
abstract:INTRODUCTION:there is a growing concern in the appearance of eating disorders in athletes, especially those that practice sports grouped into weight categories. This affects the way athletes eat, using frequently unhealthy strategies to control weight, especially during the pre-competition period. AIM:this study analy...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.4.9214
更新日期:2015-10-01 00:00:00
abstract:INTRODUCTION:Intestinal failure is being an entity with higher prevalence in the pediatric age, especially due to bowel resections causing the appearance of a short bowel syndrome. OBJECTIVES:To determine the prevalence and etiology of cases of short bowel syndrome (SIC) and Intestinal Failure (FI) existing in Andalus...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,多中心研究
doi:10.3305/nh.2015.31.3.8105
更新日期:2014-10-03 00:00:00
abstract::Severe metabolic alterations frequently occur in critically ill cancer patients; hypercalcemia, hypocalcemia, hyponatremia, tumor lysis syndrome, metabolic complications of renal failure and lactic acidosis. Cancer patients with metabolic emergencies should be treated in a medical oncology department or an intensive c...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nutr hosp.v28in06.6959
更新日期:2013-11-01 00:00:00
abstract:INTRODUCTION:height variations across cohorts are a proxy of the evolution of living conditions and, specifically, of the nutritional status of a given population. However, the interpretation of the changes in stature sexual dimorphism are controversial. OBJECTIVE:to test the association between nutritional status and...
journal_title:Nutricion hospitalaria
pub_type: 历史文章,杂志文章
doi:10.20960/nh.2094
更新日期:2018-06-04 00:00:00
abstract:Introduction:Background: the legislation currently regulating the inclusion of Food for Special Medical Purposes (FSMP) among the benefits of the National Health System (SNS) was made approximately 15 years ago. The evolution of the technical characteristics of the FSMP justifies an analysis of the current regulation a...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.03082
更新日期:2020-12-16 00:00:00
abstract::The principles of a good diet and proper nutrition are the same for people practising sports and for non-athletes. The main difference lies in the amount of energy that sportsmen and women need to carry out a more intense physical activity and to keep an appropriate weight to allow greater performance. The relationshi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract::A clinical study on the incidence of malnutrition among hospital patients with digestive system surgical disease is presented. Eighty-one patients were admitted into this trial and underwent preoperative nutritional assessment, which permitted classifying the type and intensity of malnutrition, in order to develop the...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract:OBJECTIVE:To evaluate whether more positive self-perception of physical fitness is associated with lower prevalence of metabolic syndrome (MetS) and its components in university students in Bogotá, Colombia Method: A total of 493 men (mean age 28.5±11.5 years old) without cardiovascular disease university students comp...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.3.8398
更新日期:2014-12-17 00:00:00
abstract:OBJECTIVE:the purpose was to evaluate the nutritional status in hospitalized children according to their socio-demographic variables, underlying pathology and based on hospital length of stay. METHODS:seven-hundred and sixty-three hospitalized patients of the Civil Hospital of Guadalajara Dr. Juan I. Menchaca were inc...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1513
更新日期:2018-02-27 00:00:00
abstract:INTRODUCION:sarcopenia is defined as a syndrome characterized by progressive and generalized loss of muscle mass and strength. The main cause of sarcopenia is the alteration of protein metabolism, in which the proteolytic processes are not accompanied by an appropriate protein synthesis and muscle cells lose progressiv...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2015.32.5.9638
更新日期:2015-11-01 00:00:00
abstract:INTRODUCTION:Health inequality is the difference in incidence, prevalence, mortality, volume of diseases and other adverse sanitary conditions that exist between groups of specific populations. OBJECTIVES:To analyze the possible nutritional inequalities between two educational centers of Madrid to promote healthy habi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.29.1.6778
更新日期:2014-01-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVE:Evaluate the safety and efficacy of a novel polyvitaminic (Aquadek's®) in patients with Cystic Fibrosis (CF). MATERIAL AND METHODS:Prospective, longitudinal and non-randomized study. CF patients with pancreatic insufficiency and clinically stable were given Aquadek's® (two chewable tablets) ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.4.8281
更新日期:2015-04-01 00:00:00
abstract:UNLABELLED:Nutritional support in the critically ill patient is an important mainstay within the specialty of intensive care medicine. Patients at the Intensive Care Unit (ICU) are usually hypercatabolic and require an adequate nutritional support. Usually, the intensive care physician prescribes nutrition type, its am...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVES:To ascertain the relationship between maternal weight gain and birth weight, in every pre-gestational body mass index (BMI) category. MATERIAL AND METHODS:A two-stage sampling observational and descriptive study was carried out in the health department of La Ribera (Valencia, Spain). The sample was divided ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.4.8495
更新日期:2015-04-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVE:Population standards of intrauterine growth are necessary to evaluate if the newborn has grown well, if their nutritional conditions are appropriate and to identify groups at risk as those small for gestational age (SGA). Differences in the number of SGA newborns identified, depending on the ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112011000400013
更新日期:2011-07-01 00:00:00
abstract:INTRODUCTION:Food craving consists of a strong motivational state whereby a person is driven to seek and ingest a specifically desired food. OBJECTIVES:To explore the influence of mental imagery on the food craving experience as well as to analyse the role of different psychological variables. METHODS:Participants co...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2012.27.6.6043
更新日期:2012-11-01 00:00:00
abstract:INTRODUCTION:The multi-behavioral Transtheoretical Model (TTM) addresses multiple behaviors and it is a promising strategy to control multifactorial morbidities, such as chronic diseases. The results obtained using the TTM are positive, but are not consistently methodical. OBJECTIVES:The aim of this study was to syste...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.20960/nh.586
更新日期:2016-09-20 00:00:00
abstract:OBJECTIVE:To assess the nutritional status of orthopaedic patients. DESIGN:Prospective observation study. SETTING:Tertiary hospital, Clinical Nutrition Unit. PATIENTS:107 patients (56.1% women, 43.9% men, 62.1 +/- 20.4 years) are studied at admission to the orthopaedic unit and it is observed the evolution of orthop...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2008-09-01 00:00:00
abstract::We report the case of a patient with recurrent severe hypocalcemia, secondary to hypomagnesaemia, and prerenal renal failure, due to ileostomy losses after a colectomy, who needed several admissions to the hospital through more than one year. Finally, he was successfully treated by self-administered subcutaneous magne...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2009-05-01 00:00:00