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Nutrition (all articles)

SR | Probiotics for management of functional abdominal pain disorders in children

22 Feb, 2023 | 12:20h | UTC

Probiotics for management of functional abdominal pain disorders in children – Cochrane Library

 


Trends and predictions of malnutrition and obesity in 204 countries and territories: an analysis of the Global Burden of Disease Study 2019

22 Feb, 2023 | 12:17h | UTC

Trends and predictions of malnutrition and obesity in 204 countries and territories: an analysis of the Global Burden of Disease Study 2019 – eClinicalMedicine

 


RCT | Effect of alternate day fasting combined with aerobic exercise on non-alcoholic fatty liver disease

20 Feb, 2023 | 12:27h | UTC

Summary: The article reports on a randomized trial that compared the effects of alternate-day fasting (ADF) combined with exercise, fasting alone, or exercise alone in adults with obesity and non-alcoholic fatty liver disease (NAFLD). After three months, the combination of ADF and exercise significantly reduced intrahepatic triglyceride content, body weight, fat mass, waist circumference, and alanine transaminase levels compared to the control group. The intervention seems promising for patients with fatty liver disease who want to improve their health without using medications.

Article: Effect of alternate day fasting combined with aerobic exercise on non-alcoholic fatty liver disease: A randomized controlled trial – Cell Metabolism (link to abstract – $ for full-text)

News Release: Alternate-day fasting could be a good option for patients with fatty liver disease – University of Illinois Chicago

 


M-A | Consumption of whole vs. refined grains and risk of cardiovascular disease and all-cause mortality

20 Feb, 2023 | 12:23h | UTC

Summary: This systematic review and meta-analysis of prospective cohort studies found that consuming whole grains was associated with a reduced risk of coronary heart disease, cardiovascular disease, and all-cause mortality, while consuming refined grains had no significant influence on these outcomes. Residual confounding can’t be excluded and the association found does not necessarily imply causation.

Article: Consumption of whole grains and refined grains and associated risk of cardiovascular disease events and all-cause mortality: a systematic review and dose-response meta-analysis of prospective cohort studies – American Journal of Clinical Nutrition

Related: Cohort Study | Associations between types and sources of dietary carbohydrates and cardiovascular disease risk

 


ESPEN practical guideline | Home parenteral nutrition

20 Feb, 2023 | 12:21h | UTC

Summary: Home parenteral nutrition (HPN) is a form of nutrition support where a patient receives intravenous nutrition at home. It is used for patients who cannot receive adequate nutrition through oral or enteral routes, such as those with intestinal failure, severe inflammatory bowel disease, or other gastrointestinal disorders. HPN can be a life-saving therapy, but it requires careful patient selection, as well as ongoing monitoring and management by a multidisciplinary team. The ESPEN guideline aims to provide practical guidance on the use of HPN, including the nutritional and metabolic aspects of care and the practical considerations of administering HPN at home. The guideline also emphasizes the importance of patient-centered care and shared decision-making, highlighting the need for regular assessment and monitoring of patients.

Article: ESPEN practical guideline: Home parenteral nutrition – Clinical Nutrition

 


M-A | Soluble fiber supplementation and serum lipid profile

20 Feb, 2023 | 12:18h | UTC

Summary: The article presents the results of a systematic review and dose-response meta-analysis of randomized controlled trials (RCTs) that evaluated the effect of soluble fiber supplementation on blood lipid parameters in adults. The review included 181 RCTs with 220 treatment arms and 14,505 participants. The meta-analysis found that soluble fiber supplementation significantly reduced LDL cholesterol, total cholesterol, triglycerides, and apolipoprotein B concentrations. The article suggests that increasing fiber intake using soluble fiber supplementation could be an effective intervention in the prevention and management of dyslipidemia, and consequently may contribute to the risk reduction of cardiovascular diseases. However, the article also notes that because of the high between-study heterogeneity and publication bias, the findings should be interpreted cautiously.

Article: Soluble Fiber Supplementation and Serum Lipid Profile: A Systematic Review and Dose-Response Meta-Analysis of Randomized Controlled Trials – Advances in Nutrition

 


M-A | The rate and assessment of muscle wasting during critical illness

17 Feb, 2023 | 12:55h | UTC

The rate and assessment of muscle wasting during critical illness: a systematic review and meta-analysis – Critical Care

 

Commentary on Twitter

 


RCT | Orlistat and a low-carb diet show promising results for the treatment of Metabolic-Associated Fatty Liver Disease

16 Feb, 2023 | 15:07h | UTC

Summary: The study aimed to compare the effects of orlistat or a high-protein/lower-carbohydrate diet with a control diet in Asian patients with obesity and metabolic-associated fatty liver disease (MAFLD) over 24 weeks. The primary endpoint was the relative change in liver fat content (LFC) assessed by MRI-PDFF. A total of 118 patients were randomly assigned to the control group, orlistat group, or experimental diet group. All three groups demonstrated improvement in liver steatosis at week 24, with the orlistat group and the experimental diet group both showing a significant decrease in LFC compared to the control group.*

Article: Treatment of Obesity and Metabolic-Associated Fatty Liver Disease with a Diet or Orlistat: A Randomized Controlled Trial – American Journal of Clinical Nutrition

Commentary: The efficiency of lifestyle intervention, orlistat, and experimental diet therapy in patients with obesity and metabolic-associated fatty liver disease – News Medical

 

*Note: This summary was created through the collaboration of a medical editor and ChatGPT.

 


Perspective | A short history of saturated fat: the making and unmaking of a scientific consensus

16 Feb, 2023 | 14:57h | UTC

A short history of saturated fat: the making and unmaking of a scientific consensus – Current Opinion in Endocrinology & Diabetes and Obesity

 

Commentary from the author on Twitter (thread – click for more)

 


Review | Preoperative frailty screening, assessment and management

16 Feb, 2023 | 14:37h | UTC

Preoperative frailty screening, assessment and management – Current Opinion in Anaesthesiology

 


Cohort Study | Associations between types and sources of dietary carbohydrates and cardiovascular disease risk

15 Feb, 2023 | 16:13h | UTC

Summary: This study found that the associations between carbohydrate intake and cardiovascular disease risk depend on the type and source of carbohydrates consumed, with free sugar intake being associated with higher risk of total cardiovascular disease and stroke. Fiber intake was associated with lower risk, and replacing refined grain starch and free sugars with wholegrain starch and non-free sugars may be protective for cardiovascular disease. Free sugar intake was also associated with higher triglycerides and lipoprotein subclasses. As with all observational studies, this study cannot establish causality, but rather suggests associations between carbohydrate intake and cardiovascular disease risk, and the importance of considering the quality of carbohydrates consumed for cardiovascular health.*

Article: Associations between types and sources of dietary carbohydrates and cardiovascular disease risk: a prospective cohort study of UK Biobank participants – BMC Medicine

News Release: Free sugars associated with higher risk of cardiovascular disease – BioMed Central

 

*Note: This summary was created through the collaboration of a medical editor and ChatGPT.

 


Study suggests long-term caloric restriction could slow biological aging in healthy adults

14 Feb, 2023 | 10:52h | UTC

Summary: The article reports the results of a study that analyzed the impact of caloric restriction (CR), defined as reducing caloric intake without depriving essential nutrients, on DNA methylation, a measure of aging, in blood samples from the Comprehensive Assessment of Long-term Effects of Reducing Intake of Energy (CALERIE) trial. The results showed that the CALERIE intervention slowed the pace of aging, as measured by the DunedinPACE DNAm algorithm, but did not lead to significant changes in biological age estimates measured by various DNAm clocks. The authors note that while treatment effect sizes were small, a modest slowing of the pace of aging can have a significant impact on population health. They also highlight the need for further trials with long-term follow-up to establish the effects of interventions on primary healthy-aging endpoints, including the incidence of chronic disease and mortality.

(By ChatGPT, reviewed and edited)

 

Article: Effect of long-term caloric restriction on DNA methylation measures of biological aging in healthy adults from the CALERIE trial – Nature Aging

Commentaries:

Long-term caloric restriction has a small effect on the DNA methylation measure of the pace of aging – News Medical

Expert reaction to study looking at long-term caloric restriction on DNA methylation measures of biological aging in healthy adults – Science Media Centre

Restrict calories to live longer, study says, but critics say more proof is needed – CNN

 


Single-arm study | Effects of SER-109 as an investigational microbiome therapeutic in recurrent C. difficile infection

14 Feb, 2023 | 10:47h | UTC

Summary: This was a phase 3, open-label, single-arm trial of 263 adults with recurrent Clostridioides difficile Infection (CDI). The trial aimed to evaluate the safety and rate of CDI recurrence after administration of the investigational microbiome therapeutic SER-109. The trial found that SER-109 was well tolerated and the overall rate of recurrent CDI was low, regardless of the number of prior recurrences, demographics, or diagnostic approach.

(By ChatGPT, reviewed and edited)

 

Article: Safety and Tolerability of SER-109 as an Investigational Microbiome Therapeutic in Adults With Recurrent Clostridioides difficile Infection: A Phase 3, Open-Label, Single-Arm Trial – JAMA Network Open

Commentary: Phase 3 trial provides more positive data for recurrent C diff microbiome drug – CIDRAP

Related:

RCT: Among patients with recurrent Clostridioides difficile infection, the use of SER-109, an oral microbiome therapy, reduced recurrence rate compared to placebo (12% vs. 40%).

Post-trial follow-up | Microbiome therapeutic SER-109 through 24 weeks for recurrent Clostridioides difficile infection.

 


RCT | Consumption of 2 green kiwifruits daily improves constipation and abdominal comfort

10 Feb, 2023 | 13:39h | UTC

Consumption of 2 Green Kiwifruits Daily Improves Constipation and Abdominal Comfort—Results of an International Multicenter Randomized Controlled Trial – The American Journal of Gastroenterology

 


Research shows ad libitum meal energy intake is influenced by energy density, eating rate and hyper-palatable foods

8 Feb, 2023 | 12:36h | UTC

Ad libitum meal energy intake is positively influenced by energy density, eating rate and hyper-palatable food across four dietary patterns – Nature Food (free for a limited period)

News Release: Research shows impact of ‘hyper-palatable’ foods across four diets – University of Kansas

 

Commentary from one of the authors on Twitter (thread – click for more)

 


ESPEN guideline on clinical nutrition in inflammatory bowel disease

7 Feb, 2023 | 14:02h | UTC

ESPEN guideline on Clinical Nutrition in inflammatory bowel disease – Clinical Nutrition

 


RCT | Time-restricted eating and exercise training improve HbA1c and body composition in women with overweight/obesity

7 Feb, 2023 | 13:54h | UTC

Time-restricted eating and exercise training improve HbA1c and body composition in women with overweight/obesity: A randomized controlled trial – Cell Metabolism

News Release: Combination of time-restricted eating and high-intensity interval training can help reduce belly fat – The Norwegian University of Science and Technology/News Medical

 

Commentary on Twitter

Under a Creative Commons Attribution – NonCommercial – NoDerivs (CC BY-NC-ND 4.0) license

 


Update guidelines for women with HIV who are virally suppressed incorporate breastfeeding their infants as a viable option

6 Feb, 2023 | 13:40h | UTC

Update to Clinical Guidelines for Infant Feeding Supports Shared Decision Making: Clarifying Breastfeeding Guidance for People with HIV – HIV.gov

 

Commentary on Twitter

 


M-A | Efficacy and safety of dietary therapies for childhood drug-resistant epilepsy

6 Feb, 2023 | 13:00h | UTC

Efficacy and Safety of Dietary Therapies for Childhood Drug-Resistant Epilepsy: A Systematic Review and Network Meta-analysis – JAMA Pediatrics (link to abstract – $ for full-text)

Related:

RCT | Safety, efficacy, and tolerability of modified Atkins diet in persons with drug-resistant epilepsy

Efficacy of Ketogenic Diet, Modified Atkins Diet, and Low Glycemic Index Therapy Diet Among Children With Drug-Resistant Epilepsy: A Randomized Clinical Trial – JAMA Pediatrics

 

Commentary on Twitter

 


APA Guideline for the treatment of patients with eating disorders

3 Feb, 2023 | 14:26h | UTC

The American Psychiatric Association Practice Guideline For The Treatment Of Patients With Eating Disorders, Fourth Edition – American Psychiatry Association

News Release: APA Releases Updated Guideline for Treating Eating Disorders – American Psychiatric Association

See also: Special Report: Youth With Eating Disorders—Time Is of the Essence in Achieving Remission – American Psychiatric Association

 


RCT | Efficacy and safety of intermittent fasting in people with insulin-treated Type 2 Diabetes

3 Feb, 2023 | 13:54h | UTC

Efficacy and Safety of Intermittent Fasting in People With Insulin-Treated Type 2 Diabetes (INTERFAST-2)—A Randomized Controlled Trial – Diabetes Care

Commentary: Intermittent fasting feasible with insulin-treated type 2 diabetes – medwire News

Related:

RCT | Effect of an intermittent calorie-restricted diet on Type 2 DM remission.

Consensus Statement: Effect of carbohydrate-restricted diets and intermittent fasting on obesity, type 2 diabetes mellitus, and hypertension management.

Intermittent fasting may be effective weight loss strategy in patients with type 2 diabetes

Clinical Management of Intermittent Fasting in Patients with Diabetes Mellitus

 


The introduction of sugary drinks tax in the UK was followed by a drop in obesity cases among children

1 Feb, 2023 | 13:32h | UTC

Associations between trajectories of obesity prevalence in English primary school children and the UK soft drinks industry levy: An interrupted time series analysis of surveillance data – PLOS Medicine

News Releases:

UK soft drink taxes associated with decreased obesity in girls – PLOS

Sugary drinks tax may have prevented over 5,000 cases of obesity a year in year six girls alone – University of Cambridge

Commentaries:

Expert reaction to study looking at the UK sugary drinks tax and obesity in children – Science Media Centre

UK sugar tax ‘prevents 5,000 cases of obesity in year 6 girls annually’ – The Guardian

Related:

WHO manual on sugar-sweetened beverage taxation policies to promote healthy diets.

M-A: Outcomes following taxation of sugar-sweetened beverages.

Public Policies to Reduce Sugary Drink Consumption in Children and Adolescents – Pediatrics

Cutting back on sugar-sweetened beverages: What works? – Cochrane Library

Association of a Beverage Tax on Sugar-Sweetened and Artificially Sweetened Beverages With Changes in Beverage Prices and Sales at Chain Retailers in a Large Urban Setting – JAMA

Impact of sugar‐sweetened beverage taxes on purchases and dietary intake: Systematic review and meta‐analysis – Obesity Reviews

Association between tax on sugar sweetened beverages and soft drink consumption in adults in Mexico: open cohort longitudinal analysis of Health Workers Cohort Study – The BMJ

Potential impact on prevalence of obesity in the UK of a 20% price increase in high sugar snacks: modelling study – The BMJ

Changes in food purchases after the Chilean policies on food labelling, marketing, and sales in schools: a before and after study – The Lancet Planetary Health

Association of a Sweetened Beverage Tax With Soda Consumption in High School Students – JAMA Pediatrics

Sugar-sweetened beverage taxes: Lessons to date and the future of taxation – PLOS Medicine

Banning the promotion of soft drinks could be more effective than a sugar tax – The Conversation

Sugar tax: why health experts want it but politicians and industry are resisting – The Guardian

 

Commentary from the author on Twitter (thread – click for more)

 


Position Paper | Enteral nutrition in preterm infants

30 Jan, 2023 | 00:54h | UTC

Enteral Nutrition in Preterm Infants (2022): A Position Paper From the ESPGHAN Committee on Nutrition and Invited Experts – Journal of Pediatric Gastroenterology and Nutrition

 


Toward nutrition improving outcome of critically ill patients: how to interpret recent feeding RCTs?

30 Jan, 2023 | 00:42h | UTC

Toward nutrition improving outcome of critically ill patients: How to interpret recent feeding RCTs? – Critical Care

 


RCT | Higher protein dosing did not improve outcomes in critically ill patients with high nutritional risk

27 Jan, 2023 | 12:24h | UTC

The effect of higher protein dosing in critically ill patients with high nutritional risk (EFFORT Protein): an international, multicentre, pragmatic, registry-based randomised trial – The Lancet (link to abstract – $ for full-text)

 

Commentary on Twitter (thread – click for more)

 


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