scholarly journals Nutritrauma: A Key Concept for Minimising the Harmful Effects of the Administration of Medical Nutrition Therapy

Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1775 ◽  
Author(s):  
Juan Yébenes ◽  
Lluis Campins ◽  
Itziar Martínez de Lagran ◽  
Lluisa Bordeje ◽  
Carol Lorencio ◽  
...  
Keyword(s):  
Life Support ◽  
Nutrition Therapy ◽  
Medical Nutrition Therapy ◽  
Inappropriate Use ◽  
Support Measures ◽  
Nutritional Monitoring ◽  
Medical Nutrition ◽  
Harmful Effects ◽  
Renal Support

Critically ill patients often require life support measures such as mechanical ventilation or haemodialysis. Despite the essential role of nutrition in patients’ recovery, the inappropriate use of medical nutrition therapy can have deleterious effects, as is the case with the use of respiratory, circulatory, or renal support. To increase awareness and to monitor the effects of inappropriate medical nutrition therapy, we propose to introduce the concept of nutritrauma in clinical practice, defined as metabolic adverse events related to the inappropriate administration of medical nutrition therapy or inadequate nutritional monitoring.

Celiac Disease

2021 ◽  
pp. 93-114
Author(s):  
Haalah M. Shaaker
Keyword(s):  
Celiac Disease ◽  
Autoimmune Disorder ◽  
Nutrition Therapy ◽  
Medical Nutrition Therapy ◽  
Nutrient Supplements ◽  
Proximal Small Intestine ◽  
Packaged Foods ◽  
Medical Nutrition

This chapter reveals and discusses a case involving celiac disease (CD). CD is a common, lifelong, genetically-based autoimmune disorder that causes inflammation of the proximal small intestine. This disease is triggered by eating foods containing gluten, which causes intestinal discomfort. Gluten is a protein that is found naturally in wheat, barley, and rye and is common in foods such as bread, pasta, cookies, and cakes. Many pre-packaged foods, lip balms and lipsticks, hair and skin products, toothpaste and vitamin and nutrient supplements contain gluten, although it is rarely found in medicine. The key to living with CD is to follow a gluten-free diet. This case shows the role of medical nutrition therapy in managing and preventing the undesirable symptoms of CD. Moreover, it allows dietetic professionals to assess celiac patients' conditions and provide them with relief from undesirable symptoms, while also establishing an effective follow-up plan with each patient.

Diarrhea/Constipation

2021 ◽  
pp. 69-92
Author(s):  
Shoug Alashmali
Keyword(s):  
Nutrition Therapy ◽  
Nutrition Intervention ◽  
Medical Nutrition Therapy ◽  
Intestinal Fluid ◽  
Fluid Absorption ◽  
Lifestyle Modifications ◽  
Dietary Choices ◽  
Bowel Disorders ◽  
Medical Nutrition

This chapter will discuss a case of diarrhea/constipation. Diarrhea and constipation are functional bowel disorders (FBDs) of the mid or lower gastrointestinal (GI) tract. These FBDs result from intestinal motility dysfunction and/or changes in intestinal fluid absorption, which in turn leads to bloating, discomfort, and occasionally, abdominal pain. Certain dietary choices aggravate these conditions, leading to serious complications. Management of diarrhea/constipation usually requires the use of medications and/or lifestyle modifications. The presently discussed case involved factors that exacerbated the conditions of diarrhea/constipation. This case serves as an example of the role of medical nutrition therapy in managing FBDs (particularly diarrhea and constipation). Moreover, this case will allow the dietetic professional to assess the causes of diarrhea/constipation in order to plan for the nutrition intervention and educate the patient about the dietary manipulations required to reduce their symptoms.

Acne: The Role of Medical Nutrition Therapy

2013 ◽  
Vol 113 (3) ◽  
pp. 416-430 ◽  
Author(s):  
Jennifer Burris ◽  
William Rietkerk ◽  
Kathleen Woolf
Keyword(s):  
Nutrition Therapy ◽  
Medical Nutrition Therapy ◽  
Medical Nutrition

scholarly journals The Role of High-Content Complex Dietary Fiber in Medical Nutrition Therapy for Gestational Diabetes Mellitus

2021 ◽  
Vol 12 ◽  
Author(s):  
Hong-Kun Wang ◽  
De-Cui Cheng ◽  
Yue-Min Yang ◽  
Xia-Hong Wang ◽  
Yan Chen ◽  
...  
Keyword(s):  
Pregnancy Outcomes ◽  
Weight Control ◽  
Density Lipoprotein ◽  
Nutrition Therapy ◽  
Control Group ◽  
Medical Nutrition Therapy ◽  
Lipid Control ◽  
Medical Nutrition ◽  
Experimental Group

Objectives: A controlled open clinical study was conducted to evaluate the role of Ricnoat, a high-content complex dietary fiber powder produced by Zhuhai Aimed Biotechnology Co. Ltd., in medical nutrition therapy (MNT) to treat gestational diabetes mellitus (GDM). The study aimed to investigate glycemic control, lipid control, weight control, and pregnancy outcomes (neonatal weight) in patients with GDM, as well as evaluate the clinical safety of Ricnoat.Methods: A total of 120 patients with GDM who were admitted to three hospitals in Shanghai between January 2019 and January 2020 were enrolled. Ricnoat was used for intervention for patients in the experimental group. Using a χ2 test and t-test, respectively, comparisons were conducted between the measurement data and countable data of the demographics and baseline disease characteristics of the experimental group and control group.Results: Fasting blood glucose, 2-h postprandial blood glucose, glycated hemoglobin, total cholesterol, triglycerides, low-density lipoprotein, maternal gestational weight gain, neonatal weight, serum creatinine, glutamate transaminase, and aspartate aminotransferase were lower in the experimental group than in the control group, whereas high-density lipoprotein was higher in the experimental group than in the control group. Ricnoat intervention resulted in satiety higher than the expected 80% and more common occurrence of type 4 (smooth and soft, like salami or a snake) and type 5 (a soft mass with clear edges) stools.Conclusion: Ricnoat intervention had a significant effect on glycemic control, lipid control, weight control, and pregnancy outcomes (neonatal weight) in patients with GDM by enhancing maternal satiety and improving the stool features of pregnant women. It was also found to be safe for application during pregnancy.

scholarly journals Assessment of Clinical Outcome in Children with Severe Thinness on Medical Nutrition Therapy at 8 Weeks and 6 Months

2021 ◽  
Vol 9 (2) ◽  
pp. 564-569
Author(s):  
Dr Vishal D. Sawant ◽  
Dr Varun Viswanathan ◽  
Dr Alka Jadhav ◽  
Dr Madhubala Jadhav ◽  
Dr Swathi Krishna ◽  
...  
Keyword(s):  
Weight Gain ◽  
Clinical Outcome ◽  
Nutrition Therapy ◽  
The Body ◽  
Acute Malnutrition ◽  
Medical Nutrition Therapy ◽  
Micronutrient Deficiencies ◽  
Under Nutrition ◽  
Medical Nutrition

The term malnutrition involves both over nutrition, accompanying with overweight, obesity, and under-nutrition including acute and chronic malnutrition as well as micronutrient deficiencies. The present study was undertaken to assess clinical outcome at 8 weeks and 6 months in children with Severe Thinness on Medical Nutrition Therapy (MNT). A total of 52 severe thinness (ST) children were enrolled and given MNT. The anthropometry was recorded at every visit and analyzed at two time points viz.8 weeks and 6 months. The body mass index has been measured using formula: weight (kg)/height(metre)2. Mean weight on enrolment was 15.85±4.08 kg. At 8 weeks, mean weight was 17.35±4.55 kg and at 6 months it was 19.33±5.12 kg. Mean height on enrolment was 114.33±14.06 cm while at 8 weeks was 115.27±14.06 cm and at 6 months was 120.21±15.29 cm. Mean BMI on enrolment was 11.92±0.44kg/m2 while at 8 weeks it improved to 12.89±0.67kg/m2; at 6 months, it continued improved to 13.26±0.96kg/m2. Rate of weight gain from enrolment to 8 weeks was 1.67 grams/kg/day and from 8 weeks to 6 months was 0.36 gm/kg/day (P<0.001). At end of 8 weeks, in 73.33% subjects BMI improved to thin and 17.8% became normal while 8.9 % continued to remain ST. At 6 months, 22.22% remained ST, 33.33% subjects remained thin and 44.44% became normal. Improvement in mean weight and mean BMI as well as rate of weight gain was significant indicating the role of indigenously prepared MNT in improving acute malnutrition.

Sign in / Sign up

Export Citation Format

Share Document