Abstract:
OBJECTIVE:To evaluate the differences in frequency of fat-soluble vitamin deficiencies if we adjust their levels by its main carriers in plasma in patients undergoing Biliopancreatic diversion (BPD) and Roux-en-Y gastric bypass (RYGB). RESEARCH METHODS & PROCEDURES:We recruited 178 patients who underwent RYGB (n = 116 patients) and BPD (n = 62 patients) in a single centre. Basal data information and one-year after surgery included: anthropometric measurements, fat-soluble vitamins A, E and D, retinol binding protein (RBP) and total cholesterol as carriers of vitamin A and E respectively. Continuous data were compared using T-Student and proportions using chisquare test. RESULTS:There was a vitamin D deficiency of 96% of all patients, 10% vitamin A deficiency and 1.2% vitamin E deficiency prior to surgery. One year after surgery, 33% of patients were vitamin A deficient but the frequency reduced to 19% when we adjusted by RBP. We found a vitamin E deficiency frequency of 0% in RYGB and 4.8% in DBP one year after surgery. However, when we adjusted the serum levels to total cholesterol, we found an increased frequency of 8.7% in RYGB group for vitamin E deficiency and 21.4% in DBP (p = 0.04). CONCLUSION:We have found a different frequency of deficit for fat-soluble vitamin both in BPD and RYGB once we have adjusted for its main carriers. This is clinically relevant to prevent from overexposure and toxicity. We suggest that carrier molecules should be routinely requested when we assess fat-soluble vitamin status in patients who undergo malabsorptive procedures. OBJETIVO:Evaluar las diferencias en la frecuencia de las deficiencias de vitaminas liposolubles si ajustamos sus concentraciones mediante sus principales transportadores plasmáticos en pacientes sometidos a derivación biliopancreática (DBP) y derivación gástrica en Y de Roux (DGYR). MÉTODOS DE INVESTIGACIÓN Y PROCEDIMIENTOS: Reclutamos a 178 pacientes sometidos a DGYR (n = 116 pacientes) y DBP (n = 62 pacientes) en un único centro. Los datos de información basal y al año de la cirugía incluyeron: mediciones antropométricas, vitaminas liposolubles A, E y D, proteína de unión al retinol (PUR) y el colesterol total como transportadores de las vitaminas A y E, respectivamente. Los datos continuos se compararon utilizando la t de Student y para las proporciones el test chi cuadrado. RESULTADOS:Hubo una deficiencia de vitamina D en el 96% de todos los pacientes, de vitamina A en el 10% y de vitamina E en el 1,2% antes de la cirugía. Un año después de la cirugía, el 33% de los pacientes tenía deficiencia de vitamina A pero la frecuencia se redujo al 19% cuando ajustamos para la PUR. Encontramos una frecuencia de deficiencia de vitamina E en el 0% de los pacientes con DGYR y en el 4,8% de aquellos con DBP un año después de la cirugía. Sin embargo, cuando ajustamos las concentraciones séricas de colesterol total, encontramos un aumento de la frecuencia de hasta el 8,7% de deficiencia de vitamina E en el grupo con DGYR y del 21,4% en el grupo con DBP (p = 0,04). CONCLUSIÓN: Encontramos una frecuencia diferente de déficit de vitaminas liposolubles tanto en DBP como en DGYR una vez que ajustamos para sus principales transportadores. Esto es clínicamente relevante para evitar la sobreexposición y la toxicidad. Sugerimos que se deberían solicitar de forma rutinaria las moléculas transportadoras a la hora de evaluar el estado de vitaminas liposolubles en pacientes sometidos a procedimientos que entrañan malabsorción.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Cuesta M,Pelaz L,Pérez C,Torrejón MJ,Cabrerizo L,Matía P,Pérez-Ferre N,Sánchez-Pernaute A,Torres A,Rubio MAdoi
10.3305/nh.2014.30.1.7471subject
Has Abstractpub_date
2014-07-01 00:00:00pages
118-23issue
1eissn
0212-1611issn
1699-5198journal_volume
30pub_type
杂志文章abstract:Introduction:Introduction: socio-economic differences lead to food and nutritional inequalities. Diet is a modifiable risk factor by public health activities, on the way to the prevention of chronic non-communicable diseases. Objective: to estimate food inequalities in Argentina based on the socioeconomic level of the ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.02828
更新日期:2020-02-17 00:00:00
abstract::The purpose of this review is to address methodological issues related to accelerometer-based assessments of physical activity (PA) in older individuals. Special interest is also put on recently updated technology. No definitive evidence exists currently to indicate which are the more valid and reliable accelerometer ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2010-03-01 00:00:00
abstract::The aim of this study is to evaluate the incidence of phlebitis in patients with inflammatory bowel disease under parenteral nutrition treatment (700 mOsm/ml) via peripheral vein. Results will be used to develop an standar protocol. 30 patients were sampled and the cannulation was performed by nursery personnel. Daily...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVE:To assess the effect of a low protein diet (LPD) on renal function and metabolic control in three sub-groups of patients with type 2 diabetes those with or without nephropathy. RESEARCH DESIGN AND METHODS:A randomized clinical trial was conducted on 60 patients with type 2 diabetes in primary care -19 with n...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2008-03-01 00:00:00
abstract:Introduction:Background: obesity and lower physical fitness levels in children are related to the development of cardiometabolic risk factors. Objective: to determine the relationship between health-related physical fitness and physical activity levels, blood pressure, and anthropometric parameters for different weight...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1932
更新日期:2019-03-07 00:00:00
abstract::After 36 years of continued publication of the journal Nutrición Hospitalaria, a list with the ten most cited articles published in it is elaborated. The top ten most cited articles in the world literature and stratification according to language, English or Spanish, subject, or period of time published are also analy...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.6.9922
更新日期:2015-12-01 00:00:00
abstract::Protein-losing gastroenteropathy (PLE) consists on an active digestive tract protein loss syndrome and it is related to some diseases. After a wide research into bibliography (MEDLINE - Pubmed),we have found few references to this gastroenteropathy as a cause of hypoalbuminemia related to malnutrition. This has motiva...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.1590/S0212-16112011000600041
更新日期:2011-11-01 00:00:00
abstract:AIM:to evaluate the impact of a prenatal nutritional assistance proposal (PNA) for adult pregnant women. METHODS:a study of the impact of an applied nutritional intervention throughout the prenatal on perinatal outcomes - adequacy of total gestational weight gain, gestational anemia frequency and pregnancy complicatio...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.2.9045
更新日期:2015-08-01 00:00:00
abstract::The prevalence of morbid obesity among adolescents has being on the increased in the recent decades specifically in developed countries around the world. In Europe, Spain has the highest prevalence of obese adolescents with more than 18% of the population of children and adolescents. There is evidence that the only ef...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.5.8884
更新日期:2015-05-01 00:00:00
abstract::Los datos del estudio PREDYCES® nos revelaron que en España la desnutrición relacionada con la enfermedad (DRE) afecta a uno de cada cuatro pacientes hospitalizados. Esta cifra aumenta hasta el 36,8% en los pacientes hematológicos. Se calcula que un 20% de los pacientes oncológicos muere por complicaciones relacionada...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.180
更新日期:2016-06-03 00:00:00
abstract:OBJECTIVES:To determine the nutritional status of patients admitted to hospital for the first time the hematology service and who have not received treatment for cancer, to know if the nutritional status assessed by the EGS-GP and serum albumin related mortality of patients METHODS:A longitudinal, prospective, analyti...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.4.6484
更新日期:2013-07-01 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 maintenance of healthy lifestyles is of great importance to prevent pregnancy-related diseases at early stages. For this reason, the knowledge of the overall wellbeing of women at childbearing-age is necessary to provide appropriate advice to maintain or improve the nutritional status. The aim of this re...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.29.2.7082
更新日期:2014-02-01 00:00:00
abstract::Dual-energy X ray absorptiometry (DEXA) is primarily used in the assessment of bone mineral. However, the transmissions of the two different energy beams in nonbone areas can be processed to calculate the amount of fat and free-fat mass of the soft tissues. We have compared the estimation of body fat mass (FM) by DEXA...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::A big proportion of patients with biliary and pancreatic surgery present preoperative malnourishment aggravated by perioperative fasting and additional therapies. Surgery of the pancreas and the biliary tract may cause digestive impairments, mainly absorptive, especially with fat malabsorption. Many studies have shown...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2008-05-01 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:INTRODUCTION:breast milk, besides being a source of feeding for children, it can be a vehicle for transmission of some infectious diseases. AIM:to revise the main viral agents which can be acquired for children through breast milk and its possible clinical implication. MATERIAL:literature search was made in different...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,meta分析,评审
doi:10.3305/nh.2015.32.1.8794
更新日期:2015-07-01 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:OBJECTIVE:To evaluate the effect of the glycemic index (GI) on food intake, anthropometric measurements and body composition in subjects with excess body weight. METHODS:Crossover study, in which 17 subjects participated in two study sessions (high GI or low GI). Two daily meals were consumed in laboratory for 30 cons...
journal_title:Nutricion hospitalaria
pub_type: 临床试验,杂志文章
doi:10.3305/nh.2012.27.4.5845
更新日期:2012-07-01 00:00:00
abstract::This computer program has been written in a BASIC language and designed to assess the nutritional status by means of anthropometrical, immunological and clinical data. Additionally, it is useful for the design and elaboration of personalized diets. The use of this program will allow to work with a great amount of nutr...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1993-04-01 00:00:00
abstract:BACKGROUND/AIMS:The Food Consumption Survey, conducted for over 20 years by the Spanish Ministry of Agriculture, Food and Environment (MAGRAMA), is the most reliable source of data to evaluate the food consumption and dietary patterns of Spain. The aim of the present article was to review the diet trends in Spain and i...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.sup5.6914
更新日期:2013-09-01 00:00:00
abstract::Diet is an important factor related to the development of numerous diseases. In developing countries like Ecuador, this aspect is not considered as priority however, the study of the incidence of certain diet-related diseases could help to assess consumption habits of a country from a Public Health perspective and sup...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.5.6755
更新日期:2013-09-01 00:00:00
abstract::Over the last few years, obesity has been constantly increasing, thus turning it into a serious public health problem, with the subsequent impact on health-related expenditure, particularly in developed countries. The main peculiarity of obesity is its association with numerous pathologies (respiratory disease, cardio...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2004-01-01 00:00:00
abstract:Introduction:Introduction and objective: neonatal hypoglycemia persistently offers multiple diagnostic controversies. This study aims to present the current situation regarding neonatal hypoglycaemia detection, and to gain insiht into the most widely used portable glucometers in neonatal units today. Methods: an online...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.03203
更新日期:2020-10-21 00:00:00
abstract:UNLABELLED:The Hospital at Home (HAD) is a choice of care that enables own care in a hospital at home patient. Moreover, the nutritional support (NS) -enteral or parenteral nutrition- is usually indicated in patients with serious underlying disease, and/or frequently remain severely disabled. AIMS:To analyze the chara...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:The effects of alcohol consumption on body weight have been evaluated in a large number of studies suggesting to be inversely as well as positively related to body weight and body fat. OBJECTIVE:This study examined the relationships between moderate beer consumption and anthropometrical parameters in Spanis...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2007-03-01 00:00:00
abstract::One of the clearest indications for enteral nutrition is made up by patients who underwent treatment for orofacial pathology. In this way, we have reviewed retrospectively, 321 clinical histories of patients who underwent treatment (orofacial surgery), dividing these according to the pathology; neoplasia or non-neopla...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1996-03-01 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::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:Introduction:Introduction: parenteral nutrition (PN) is commonly used as a nutritional support option. It may cause complications, partly due to a central venous access. Chylothorax is an accumulation of lymphatic fluid in the pleural space. Case report: a 57-year-old man was admitted for cholecystectomy. A complicated...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.03205
更新日期:2020-12-16 00:00:00