Abstract:
OBJECTIVE:To update the system for nutritional screening. The high prevalence of nutritional unstability that causes the Clinical Undernutrition (CU), especially within the hospitals and assisted residencies, makes it necessary to use screening tools for the constant control of undernutrition to combat it during its development. CU is not so much due to a nutritional deficiency but to the illness and its treatments. However, the screening systems currently used are aimed at detecting an already established undernutrition rather than at detecting any nutritional risk that may be present. The metabolic changes of the nutritional status that have a trophopathic effect, can be easily and automatically detected in plasma, which allows to make the necessary changes in treatments that might be too aggressive, as well as to apply nutritional support according to each case. The manual screening systems can detect those somatic changes typical of undernutrition only after many days or weeks, which might be too late. Plasma albumin is a very reliable parameter for nutritional control. A lowered amount of it, due to whatever reason, is a clear sign of a possible deficit as well as of a nutritional risk suffered by the cell way before the somatic signs of undernutrition will become apparent. A fast detection of nutritional risk, anticipating undernutrition, offers prognostic abilities, which makes screening tools based on analytic parameters the most useful, ergonomic, reliable and efficient system for nutritional screening and prognosis in the clinical practice. CONCLUSION:It is necessary to update some concepts, to leave behind old myths and to choose modern screening systems that have proven to be efficient. This is the only way achieving the dream of controlling CU among ill and vulnerable patients. :Objetivo: Actualizar el cribado nutricional. La alta prevalencia del desequilibrio nutricional que genera la Desnutrición Clínica (DC), especialmente en hospitales y residencias asistidas, obliga al uso de herramientas de cribado y a controlar su evolución para combatirla sobre la marcha. La DC deriva menos de la carencia nutricional que de los efectos de la enfermedad y sus tratamientos, pero los actuales sistemas de cribado buscan más la desnutrición ya establecida que el riesgo nutricional existente. Las alteraciones metabólicas del equilibrio nutricional que constituyen la trofopatía se pueden captar en el plasma sin demoras, automáticamente, permitiendo rectificar actitudes terapéuticas demasiado agresivas o complementarlas con el adecuado soporte nutricional. Con los sistemas manuales de cribado, solo pasados días o semanas se evidenciarán, tardíamente, los cambios somáticos expresivos de esa desnutrición. La concentración de la albúmina plasmática es un parámetro muy valioso en el control nutricional. Su disminución, cualquiera que sea la causa, expresa un posible déficit pero también el riesgo nutricional a que se ve sometida la célula, antes de que la desnutrición se manifieste somáticamente. La precocidad de la detección del riesgo nutricional, anticipándose a la desnutrición y su gran capacidad pronóstica hacen de las herramientas basadas en parámetros analíticos, el procedimiento más útil, ergonómico, seguro y eficiente para el cribado y pronóstico nutricional en el entorno clínico. Conclusión: es hora de actualizar conceptos, deshacer mitos y optar por sistemas modernos de cribado eficientes, única manera de alcanzar el sueño de controlar la DC en nuestras poblaciones enfermas y frágiles.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
de Ulíbarri Pérez JI,Fernández G,Rodríguez Salvanés F,Díaz López AMdoi
10.3305/nh.2014.29.4.7275subject
Has Abstractpub_date
2014-01-13 00:00:00pages
797-811issue
4eissn
0212-1611issn
1699-5198journal_volume
29pub_type
杂志文章,评审abstract::The present work aims to study the use of enteral nutrition (EN) products during the period between October 1996 and January 1997, in a general hospital with a nutrition unit. The EN expenditure ascended to 3,343,475 Pesetas, with the supplements representing the greatest cost percentage (39.1%). An indication-prescri...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND:The intragastric balloon is widely used for weight reduction in obese patients, but results are variable. We describe our results enhancing the importance of a Multidisciplinary Team (MT) taking part in the treatment. METHODS:A retrospective review was done concerning a total of 119 balloons , placed in 116...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2009-05-01 00:00:00
abstract:Introduction:Introduction: the increase on prevalence of obesity has been linked to a higher number of bariatric surgeries, being sleeve gastrectomy (SG) the most frequent bariatric procedures in the world. However, there are few studies that determine the impact of SG on health's determinants such as physical fitness ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02515
更新日期:2019-08-26 00:00:00
abstract:Introduction:In recent years, the advance in gut microbiota knowledge has shown that is key in the development and health status of humans. There are many factors that influence the gut microbiota and its balance, being our lifestyle one of the key factors. There is an association between feeding and practicing physica...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02805
更新日期:2019-08-27 00:00:00
abstract:HYPOTHESIS:the endovenous administration of glutamine, independently of the type of nurtrition received, can reduce the ICU length of stay, the incidence of infections and the mortality in the traumatic patients admitted to the ICU. OBJECTIVES:The main objective is to assess the efficacy of glutamine suplementation, g...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1590/S0212-16112012000100013
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Early childhood lead exposure is associated with numerous adverse health effects. Biomonitoring among susceptible populations, such as children, has not been previously conducted. The aim of the study is to evaluate the blood lead (Pb) and total blood calcium (Ca) levels; blood zinc (Zn) levels. METHODS:A c...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.3.7502
更新日期:2014-09-01 00:00:00
abstract:INTRODUCTION:Necrotizing enterocolitis (NEC) is the most commonly acquired neonatal intraabdominal emergency and causes significant morbidity and mortality. A proposed strategy for the prevention of NEC in preterm infants is the administration of oral probiotics. The objective of the study is to analyze the efficacy an...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.3305/nutr hosp.v28in06.6901
更新日期:2013-11-01 00:00:00
abstract::During the last half of the 20th century, Nutrition has evolved in a quick way based on the knowledge of both basic sciences as Biochemistry and Physiology and applied sciences as Epidemiology and Public Health. In that period the nutritional requirements for different population groups grouped by sex, age and physiol...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.20960/nh.2123
更新日期:2018-06-12 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:BACKGROUND & AIMS:By means of this update, the GARIN working group aims to define its position regarding the treatment of patients with diabetes or stress hyperglycaemia and artificial nutrition. In this area there are many aspects of uncertainty, especially in non-critically ill patients. METHODS:Bibliographical revi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2012.27.6.6076
更新日期:2012-11-01 00:00:00
abstract::There are different parameters aimed at assessing nutritional status. These parameters may be of some help to assess nutritional status prior to patients' admission. However, their application in the critically ill patient is troublesome since results interpretation is interfered by changes originated by the acute dis...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2005-06-01 00:00:00
abstract:Introduction:A large evidence-based reports a J-shaped association among moderate alcohol consumption and cardiovascular health. Low-moderate alcohol intake has been related to lower all-cause mortality (20%) and ischemic heart events (40%) compared to abstainers. The dose that is allegedly beneficial varies between 10...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.20960/nh.02811
更新日期:2019-08-27 00:00:00
abstract:INTRODUCTION:bearing in mind the influence of the environment on the individuals and their choices and behaviours in general and particularly with respect to food, it might be interesting to explore whether eating habits are better or healthier in rural areas than in urban ones. OBJECTIVE:to analyse the perception of ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.5.9688
更新日期:2015-11-01 00:00:00
abstract::The increase in the prevalence of type 2 diabetes and the worldwide expansion of overweight and obesity are intrinsically linked. The percentage of diabetes attributable to weight gain amounts to more than 80% in many countries. This relationship is addressed in a Spanish Consensus Document from SEMI, SED, redGDPS, SE...
journal_title:Nutricion hospitalaria
pub_type: 指南,杂志文章,评审
doi:10.20960/nh.1646
更新日期:2018-08-02 00:00:00
abstract:OBJECTIVE:To determine the influence of muscular fitness (MF) on cardiometabolic risk factors in young adult. METHODS:A total of 172 men (age 19.7±2.4 years; weight 65.5±10.7 kg; BMI 22.6±2.8 kg•m(-1)) were invited to participate in the study. They had no indication of cardiometabolic problems, as evaluated by clinica...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.4.7684
更新日期:2014-10-01 00:00:00
abstract::Denutrition of the uremic patient is a substantial contributing factor to the high rate of morbimortality. At the present time there are no resources which slow the catabolic situation conditioned by humoral or hormonal factors, but resources are available which act on the nutritional factors. The aim of this paper is...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract:PURPOSE:The purpose of this study was to evaluate the effect of different surgical variables, such as perfusion duration and number of grafts, on resistance and reactance, in heart surgery patients. METHODS:77 patients submitted to coronary artery bypass were studied. The variable concerning time of extracorporeal cir...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract:INTRODUCTION:Most of the initiation and maintenance pediatric formulas commercialized in Spain contain prebiotics and/or nucleotides aiming at achieving beneficial effects on prevention of different pathologies and immune protection, similar to human breast milk. However, according to the current legislation, its inclu...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.3305/nh.2012.27.4.5811
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:The origin of most non-communicable diseases (NCDs) is in early life. Consequently obtaining information on risk factors for NCDs is important for preventive purposes. However, there is no information available on the prevalence of obesity, metabolic syndrome (MS) and insulin resistance (IR) in Chilean child...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nutr hosp.v28in06.6770
更新日期:2013-11-01 00:00:00
abstract:INTRODUCTION:breastfeeding is considered protective of osteoporosis, by endocrine changes, such as the rise of intestinal absorption of calcium and the renal conservation of the same, however, other studies demonstrate that with more one child they present a loss of bone mineral density (BMD) (2-9%). OBJECTIVE:to dete...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.6.9047
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:residents are vulnerable to suffer of dehydration due to physiological changes and the physical and cognitive limitations. AIM:to handle this situation, it has been decided to evaluate the interventions which are carried out for the management of dehydration and low fluid intake in older people living in nu...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.20960/nh.1885
更新日期:2018-12-03 00:00:00
abstract:Introduction:Background and objectives: the aim of the present investigation was to describe the association of this single nucleotide polymorphism (SNP) with fasting glucose levels, serum adipokine levels and diabetes mellitus. Methods: the study involved a population of 1,002 adult obese subjects. Measurements of ant...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.2013
更新日期:2019-03-07 00:00:00
abstract:Introduction:Introduction: child excess weight has been associated with obesity in adulthood and, as a consequence, increased risk of death due to cardiometabolic factors. Objective: to identify whether BMI reflects changes in the content and distribution of fat/adipose tissue and the cardiometabolic risk in children b...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.2071
更新日期:2019-04-10 00:00:00
abstract:INTRODUCTION:Obesity and overweight (O/OW) in children have reached epidemic character and both are a risk factor for chronic serious health problems. This study was perfomed in order to research the relationship between O/OW and dental caries. MATERIAL AND METHODS:[corrected] A SR was conducted between 2007-2011 in t...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2013.28.5.6674
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:A high prevalence of stigmatizing attitude among healthcare personnel towards obese people has been reported. OBJECTIVE:To evaluate the beliefs, attitudes and phobias that Mexican medical and psychology students have towards obese people. METHODS:A cross-sectional study was conducted with 528 students enro...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.1.7512
更新日期:2014-07-01 00:00:00
abstract::Neurocritical patients have a metabolic condition that makes them particularly sensitive to protein-caloric malnutrition in a short period of time. Due to this, it is essential nutritional support treatment. But the neurocritical patient has physiological connotations that makes it difficult to be able to establish an...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2014-01-01 00:00:00
abstract::In this work, we have planned to perform a nutritional assessment of a group of 50 students from the University of Granada, to which questionnaires have been administered relating to 24-hour remembrance of type and frequency of food consumption, for 30 days. In order to know macro- and micronutrients intake, the resul...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2006-03-01 00:00:00
abstract:INTRODUCTION:To assess the nutritional status of hospitalized patients is important for the prevention of hospital malnutrition and planning of nutritional intervention. OBJECTIVE:To comparatively analyze the nutritional status of patients admitted to two hospitals, one public and another private, caring for populatio...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:to identify what effect causes enteral nutrition on nutritional status of cancer. METHOD:a search was performed using the keywords "Cancer" AND "Enteral Nutrition" AND "Supplementation" in four document databases: Pubmed, EBSCO, ProQuest, and Web of Science. INCLUSION CRITERIA:age of the sample, major than ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.3305/nh.2015.32.4.9227
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to evaluate the ingestion of micronutrients in elderly living in nursing homes. METHODS:This is a cross-sectional study, conducted with 216 individuals of both sexes, age equal or greater than 60 years, living in nursing homes for elderly in Salvador, Bahia, Brazil. Direct weighing ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1348
更新日期:2018-02-13 00:00:00