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EN
Injuries, deformations and tumours of the facial part of skull, oral cavity or neck often hamper or prevent normal food consumption. After surgery of these structures food intake may be decreased due to postoperative wounds, pain, swelling and trismus. The aim of the study was to evaluate nutritional state of patients treated surgically in the craniomaxillo- facial surgery department and determination of factors affecting body weight changes after surgery. Material and methods. The study included 83 patients operated between 2008 and 2010 in the department of cranio-maxillo-facial surgery, due to: maxillo-facial defects (30 individuals), malignant tumours (23 individuals), injuries (19 individuals), benign tumours (11 individuals). The study was prospective. A method of nutrition during the observation period and BMI (Body Mass Index) value on the first day of hospitalization and after 10, 60, 180 days after hospital admission were considered. For statistical analysis of results a general regression analysis was used. Results. Significant reduction of BMI was observed in all patients after 10 and 60 days from the start of hospitalization. A significant increase of this parameter was observed between Day 60 and Day 180 of observation, however the BMI values after 180 days were still significantly lower than the baseline. A dependency between these changes and a cause of hospitalization as well as nutrition during and after the stay at hospital has been shown. Conclusions. There is a distinct relationship between the worsening of nutritional state after craniofacial surgery and nutrition during and after hospitalization, and therefore special attention should be paid to the issue of nutrition during this period
EN
Background: Patients with cancer are at risk of malnutrition. The aim of this study is to assess the nutritional status of patients with cancer who are qualified for home enteral nutrition. Secondary aim is to compare the nutritional status of patients with gastric cancer and with esophageal cancer. Material and methods: Retrospective analysis of medical documentation of 84 participants with cancer who were qualified for home enteral nutrition in Nutritional Counselling Center Copernicus in Gdansk in 2009-2015 was performed. Assessment of nutritional status included body mass index, the level of total protein and albumin in blood serum, total lymphocyte count, and Nutritional Risk Score 2002 method. Results: Patients with gastric cancer most often presented albumin deficiency in comparison with patients with esophageal cancer (p=0.02). The low level of total lymphocyte count in 1mm3 of peripheral blood was observed in 47.6% participants. All the patients qualified for home enteral nutrition received at least 3 points in NRS 2002 method and most often 5 points (40.4%). Conclusions: All patients required nutritional treatment. Notwithstanding, the nutritional status of patients varied. Hypoalbuminemia was observed more often in patients with gastric cancer in comparison with patients with esophageal cancer.
EN
Background Patients with cancer are at risk of malnutrition. The aim of this study is to assess the nutritional status of patients with cancer who are qualified for home enteral nutrition. Secondary aim is to compare the nutritional status of patients with gastric cancer and with esophageal cancer. Material and methods Retrospective analysis of medical documentation of 84 participants with cancer who were qualified for home enteral nutrition in Nutritional Counselling Center Copernicus in Gdansk in 2009-2015 was performed. Assessment of nutritional status included body mass index, the level of total protein and albumin in blood serum, total lymphocyte count, and Nutritional Risk Score 2002 method. Results Patients with gastric cancer most often presented albumin deficiency in comparison with patients with esophageal cancer (p=0.02). The low level of total lymphocyte count in 1mm3 of peripheral blood was observed in 47.6% participants. All the patients qualified for home enteral nutrition received at least 3 points in NRS 2002 method and most often 5 points (40.4%). Conclusions All patients required nutritional treatment. Notwithstanding, the nutritional status of patients varied. Hypoalbuminemia was observed more often in patients with gastric cancer in comparison with patients with esophageal cancer.
EN
Malnutrition is a common clinical problem in dialysis patients. So far the management of malnutrition in this population has not been fully successful. The aim of the study was to evaluate the efficacy and safety of use of megestrol acetate suspension in malnourished dialysis patients. Twenty-six hypoalbuminemic (albumin ≤ 3.8 g/dl) dialysis patients took 160 mg of megestrol acetate daily for a period of two months. Anthropometry (dry weight, body mass index) and biochemical measurements of nutrition (serum albumin, triglycerides, total cholesterol) and inflammation (hsCRP, IL-1β, IL-6) were performed on a monthly basis. The treatment led to a statistically significant increase (P < 0.05) in anthropometry and albumin concentration, with no statistically significant changes in total cholesterol, triglycerides and indices of inflammation. Side effects included overhydration, diarrhoea and hyperglycaemia. Thus, megestrol acetate may be an effective therapeutic agent in improving the nutritional status of carefully selected dialysis patients, while it might not mitigate inflammation. Because of the prevalent side effects it must be monitored closely.
EN
The nutritional status and socio-demographic profile of tribal people is an important issue in India due to their marginalization from main stream population with respect to varied facilities. However, data on their nutritional status and socio-demographic profile are limited. This review aims to give an overview of the prevalence of chronic energy deficiency (CED) using Body mass index (BMI) and various demographic profile of Indian tribes based on studies published hitherto. In total 76 studies were reviewed for mean BMI based on the World Health Organization (WHO) classification of the public health problem of low BMI, based on adult populations worldwide. The overall sex specific prevalence of CED showed that both the tribal females (52.0%) and males (49.3%) were passing through the critical situation with respect to nutritional status with females being more underprivileged. In conclusion, although there is a gradual increase in knowledge about the nutritional and socio-demographic status of tribes since last decades; there is still paucity of data and information on more than approximately 600 tribes regarding their bio-social profile. However previous studies clearly indicate the need to enhance the health and nutrition status of the tribes by providing job opportunity and food security. Since the prevalence of CED was higher (critical to serious situation) in tribal populations, concerted efforts should also be made to improve the health status and nutrition uptake among them.
EN
The aim of the study was assessment of the prevalence of malnutrition in hospitalized patients with cancer of the gastrointestinal and respiratory tract.Material and methods. The study was conducted between February and April of 2005 in 37 centers. Assessment of nutritional status was made according to a Subjective Global Assessment (SGA) and a Patient-Generated Subjective Global Assessment (PG-SGA) questionnaire.Results. Nutritional status was evaluated in 2553 patients with cancer of the gastrointestinal tract (64.9%), respiratory tract (29.8%) and other cancer (5.2%). Hypoalbuminemia was found in 37.3% of patients. In 22% of patients, the body mass index (BMI) was below normal. According to the SGA scale, nutritional status was A in 51.1% of patients, B in 39.3%, and C in 9.7%. Nutritional status in patients with cancer of the gastrointestinal tract was A in 48.0%, B in 40.8%, and C in 11.2%. Nutritional status in patients with cancer of the respiratory tract was A in 55.4%, B in 37.4%, and C in 7.2%. Malnutrition was not found in 64.2% of patients with large bowel cancer but, in contrast, was found in 70.7% of patients with cancer of the upper part of the gastrointestinal tract. There were differences depending on kind of hospitalization: planned (A - 53.1%, B - 38.3%, C - 8.6%) or emergency (A - 27.4%, B - 46.3%, C - 26.2%). In 31.7% of cases, divergence between the SGA and PG-SGA scale was noted. Mostly, the divergence consisted in underestimation of malnutrition. According to the PG-SGA scale, nutritional treatment is indicated in 75.5% of patients; according to SGA scale, only in 49.0%.Conclusions. 1. According to SGA scale, malnutrition was diagnosed in 49.0% of patients hospitalized because of cancer, in 52% of patients with cancer of the gastrointestinal tract and 44.6% with cancer of the respiratory tract. 2. According to the PG-SGA scale, there is a need for nutritional treatment in 75.5% of patients hospitalized because of cancer of the gastrointestinal or respiratory tract. 3. Use of the scored PG-SGA allows for identification of malnourished patients in whom, according to SGA, malnutrition is not diagnosed.
9
Content available Nutritional status of frail elderly
88%
EN
Introduction: Growing population of elderly requires effective medical diagnostics and help. Criteria developed by Fried et al. are most often used for the diagnosis of the frailty syndrome. An inherent element of frailty syndrome is malnu-trition. Malnutrition results from inadequate food supply, coexistence of acute and chronic diseases. Effective nutritional interventions conducted on frail older persons can prevent them from developing the frailty syndrome. Review: The prevalence of frailty in elders is 17% moreover 42.3% are prefrail. There are many scales designed to identify frailty syndrome, but the most common is the classification of Fried et al. Malnutrition is a common state in frail elderly. Basic questionnaire, which is used to diagnose malnutrition, is MNA (Mini-Nutritional Assessment). Mini-Nutritional Assessment Short-Form (MNA-SF) and Malnutrition Universal Screening Tool (MUST) also can be used. Sarcopenia, which is defined as reduced muscle mass and strength and impaired muscle performance, significantly contribute to the development of frailty. Many studies have shown that an effective method in the preventing of sarcopenia is protein supplementation. Other beneficial lifestyle and diet changes, which can help prevent the development of frailty syndrome, are adherence to the Mediterranean diet, appro-priate intake of carotenoids, vitamin E, selenium and zinc. Another important protective factor is vitamin D levels. Low serum 25(OH)D is strongly associated with frailty. Conclusions: From a nutritional point of view adherence to a Mediterranean-style diet, sufficient intake of protein, micronutrients and vitamin D, as well as regular moderate physical activity, can be crucial in the preventing of the frailty syndrome.
EN
Healthy eating is very important for human life. It has an impact on health improvement by decreasing the risk of numerous diseases. Malnutrition, on the other hand, has far-reaching consequences both in the medical and psychological sphere, especially for children. Schools play an important role in shaping good dietary habits and satisfying nutrition needs of children and young people. To this end, schoolchildren should have access to food and drinks that meet the nutrition standards, and they should have appropriate conditions provided for consumption of such products. To effectively realise the tasks related to healthy eating, schools should undertake preventive and educational activities. These should be addressed not only to children, but to their parents and teachers as well. Such issues were subject to NIK’s audit conducted at primary schools in five Polish regions: Lubelskie, Małopolskie, Mazowieckie, Podlaskie and Kujawsko-Pomorskie.
11
Content available Niedożywienie szpitalne i jego nastepstwa
88%
PL
Odżywianie jest jedną z podstawowych funkcji organizmu. Brak pokarmu doprowadza do śmierci tak samo jak brak tlenu lub wody, lecz trwa znacznie wolniej. Przedłużające się głodzenie lub nadmierne nasilenie procesów metabolicznych może doprowadzić do stanu niedożywienia. Charakteryzuje się ono obniżeniem odporności oraz zwiększoną podatnością na choroby, powoduje także wzrost umieralności. Niedożywienie jest obecnie problemem zdrowia publicznego w krajach rozwiniętych i rozwijających się. Niedożywienie szpitalne jest zjawiskiem powszechnym, sprzyja występowaniu powikłań, wydłuża hospitalizację i zwiększa koszty leczenia. Następstwa niedożywienia dotyczą wszystkich narządów i układów, także sfery psychomotorycznej człowieka. Głównym celem przesiewowej oceny stanu odżywienia jest wczesna identyfikacja chorych niedożywionych lub tych, u których istnieje ryzyko wystąpienia niedożywienia. Jej zadaniem jest również identyfikacja pacjentów mających wskazania do leczenia żywieniowego.
EN
Nutrition is one of the basic functions of the human body. The shortage of food, as well as lack of oxygen or water, leads to death, however, it takes longer to cause death. Prolonged hunger or excessive intensity of metabolic processes may lead to the state known as malnutrition. It is characterized by the decrease of immunity and increased susceptibility to diseases which consequently may also cause the increase of mortality. Malnutrition is now a public health problem in both developed and developing countries. Hospital malnutrition is a widespread phenomenon which encourages the development of complications as well as results in prolonged hospitalization and the increase of the treatment costs. The consequences of malnutrition affect all the organs and systems, including human psychomotor abilities. The main purpose of screening the nutritional conditions is to assess the nutritional status of patients who appear to be at risk of malnutrition at the early stadium. It, secondarily, also aims at identifying patients with specific indications for nutritional therapy.
12
Content available UNBALANCED DISTRIBUTION OF FOOD
88%
Society Register
|
2017
|
tom 1
|
nr 1
199-208
EN
While people starve every day, food is being wasted. Simultaneously a food shortage does not exist on our planet. There is no lack of food. Production and distribution are the two primary causes of this problem. Unbalanced nutrition is the cause of obesity, overweight and hunger. Insufficient food intake causes nutritional problems such as vitamin and Iodine deficiency, Anaemia, Underweight and Stunting, Low birth weight, Protein-Energy Malnutrition, excess intake of food causes. However, nutritional health problems are not only caused by the absense of food but also from excessive food intake causing diabetes, hypertension, heart diseases etc. These all health problems effect societies worldwide. Bringing the global burden of diet-related noncomunicable diseases under control and enhancing public nutrition and health requires a muti-diciplinary approach.
EN
As metabolic and multiorgan distempers arising from alcohol and medicines abuse predispose to nutritional state disorders, a simple method of nutriture assessment of hospitalized intoxicated patients is searched in order to help to improve the treatment effects. One hundred and thirten patients hospitalized in the Department of Clinical Toxicology, including 65 chronic alcoholics and 48 intoxicated with medicines were examined for the nutritional state. The Mini Nutritional Assessment (MNA) method was applied parallely with anthropometry; the examination was performed twice: on admittance and on discharge of each patient. On the basis of anthropometry, the nutritional state of alcohol and medicines intoxicated patients was unsatisfactory in 76% of examined group, with the cases of malnutrition and risk of malnutrition obviously more prevalent than overnutrition, especially in the cases of alcohol abusers. Proportions of the subjects qualified to specific groups of nutriture were dependent on the method used for nutritional assessment, and the MNA method tended to overestimate the nutritional state when compared with anthropometry but did not regard the cases of overnutrition. The MNA has to be completed with selected anthropometric measures in order to be useful in nutriture assessment of young adults.
PL
Metaboliczne i wielokierunkowe uszkodzenia ustroju towarzyszące zatruciom alkoholem i lekami predysponują do powstawania zaburzeń stanu odżywienia. Wnikliwa ocena stanu odżywienia w trakcie szpitalnego leczenia uzależnień może mieć wpływ na podjęcie właściwego postępowania terapeutycznego, a normalizacja stanu odżywienia wzmaga efektywność procesu leczenia i polepsza ogólne rokowanie. Z tej też przyczyny poszukiwana jest prosta metoda pozwalająca na szybką ocenę stanu odżywienia pacjentów hospitalizowanych. Celem pracy była ocena stanu odżywienia pacjentów Kliniki Toksykologii, a także analiza celowości zastosowania kwestionariusza MNA do oceny stanu odżywienia. Przebadano 113 pacjentów hospitalizowanych w Klinice Toksykologii CM UJ w tym 65 osób uzależnionych od alkoholu i 48 zatrutych Ickami. U wszystkich badanych przeprowadzono ocenę stanu odżywienia metodą MNA oraz standardową metodą antropometryczną. Pacjentów badano dwukrotnie: przy przyjęciu i wypisie z Kliniki. Na podstawie pomiarów antropometrycznych u 76% badanych stwierdzono nieprawidłowy stan odżywienia z tym, że częściej występowały stany niedożywienia i ryzyka niedożywienia niż nadmiernego odżywienia, szczególnie wśród pacjentów uzależnionych od alkoholu (rys. За, 3b). Liczba pacjentów kwalifikowanych do określonych grup stanu odżywienia była zależna od zastosowanej metody. Metoda MNA wykazywała tendencję do przeszacowywania wyników ale nie uwzględniała stanów nadmiernego odżywienia (rys. 4). Kwestionariusz MNA uzupełniony o wybrane pomiary antropometryczne mógłby być przydatny do oceny stanu odżywienia osób dorosłych poniżej 60-tego roku życia.
PL
Purpose: This study was conducted on nurses from The Sheba Medical Center. The purpose of the study was to investigate nurses’ evaluation of the importance of a nutrition assessment, (b) nurses’ knowledge of nutrition care and (c) nurses’ evaluation of the quality of nutrition care in their department. Design: The study was a quantitative correlational study performed in a university-affiliated, teaching hospital. Methods: Data were collected via a digital questionnaire through head nurses, from 203 nurses and analyzed by frequencies, means and Pearson correlations, independent t-tests, oneway ANOVA and stepwise such as the ability of patients to feed themselves, chew and swallow, multiple linear regression were performed to determine predictors observing whether a patient finishes a meal and offering assistance of nurses’ responses where needed. Findings: Importance of nutritional assessment is positively and significantly correlated to knowledge of nutritional care and quality of nutritional treatment. Female nurses’ knowledge is significantly higher than male. Senior nurses’ knowledge is higher than less senior nurses. Nurses who participated in emergency care training have a significantly higher level of knowledge than nurses who did not participate in this course. Knowledge of nutritional care is not significantly correlated to quality of nutritional treatment. It is important to introduce the role of nurses regarding nutritional care within their departments to doctors and dietitians, as well as involving them in building the intervention course. Conclusions: These findings highlight the importance of checking the quality of nurses’ educational knowledge and improving it through an intervention with specified training surrounding knowledge regarding nutrition, including learning and training.
PL
Problem marnotrawstwa żywności dotyczy konsumentów (powodują 42 % strat), producentów (39 %, handlowców (19 %). W UE straty żywności wynoszą 89 mln t (w Polsce 9 mln t) rocznie. Parlament Europejski zamierzał ograniczyć coroczną pomoc żywnościową o 60 mln euro. Podjęto także rezolucję o wzmożeniu działań w celu ograniczenia marnotrawstwa. Rok 2014 ma być ogłoszony "Europejskim rokiem przeciwdziałania marnotrawstwu żywności".
EN
The problem of food wastage concerns the consumers (generating 42 % loss), manufacturers (39 %) and salesmen (15 %). In the EU, food losses equal to 89 million tons (in Poland - 9 mln) per year may be observed. The European Parliament has intended to restrict the annual food aid by 60 million EURO. The resolution on strengthening the operations to stop the food waste has been also undertaken. The year 2014 is to be declared the European Year against food wastage.
EN
Malnutrition leading to growth failure is one of the main problems in maintainig children with chronic liver diseases. The pathogenesis of malnutrition is complex and includes reduced calorie intake, fat malabsorption, impaired protein metabolism and increased energy expenditure. The nutritional status is an important risk factor for survival post liver transplantation. Aggressive nutritional support with careful monitoring is essential, particularly where liver transplantation is considered. When the oral nutrition is inadequate, the enteral feeding with nocturnal intragastric tube should be started. In case of gastrointestinal intolerance, severe malnutrition and gastrointestinal bleeding, parenteral nutrition should be considered.
PL
Zaburzenie stanu odżywienia jest jednym z głównych problemów w leczeniu dzieci z przewlekłymi chorobami wątroby. Wśród najważniejszych czynników etiologicznych niedożywienia w tej grupie chorych należy wymienić: zmniejszone spożycie pokarmów, upośledzone wchłanianie tłuszczów, nieprawidłowy metabolizm białek i zwiększone zapotrzebowanie energetyczne. Upośledzony stan odżywienia jest istotnym czynnikiem ryzyka zgonu po transplantacji wątroby, dlatego też intensywne leczenie żywieniowe odgrywa bardzo ważną rolę, szczególnie u pacjentów kwalifikowanych do przeszczepienia. U dzieci, u których żywienie doustne jest niewystarczające, należy rozpocząć żywienie nocne przez sondę. W przypadku nietolerancji żywienia enteralnego, niedożywienia znacznego stopnia lub krwawienia z żylaków przełyku pozostaje zastosowanie żywienia parenteralnego.
CS
Na základě hodnocení výsledků rozsáhlé metaanalýzy zabývající se problematikou vztahu výživy a zdravotního stavu, Světová zdravotnická organizace zařadila výživu k šesti základním faktorům podílejících se na vzestupu prevalence neinfekčních nemocí hromadného výskytu. Nevhodná výživa a nedostatečný pohybová aktivita výrazným způsobem zvyšují riziko vzniku metabolických onemocnění. Správná výživa zahrnující potravinové doplňky zabezpečuje vhodný přívod základních živin, mikronutrientů, minerálů a vitaminů, pozitivně ovlivňuje zdraví na individuální i populační úrovni.
EN
On the basis of an extent analysis aimed at relationship between nutrition and a health state, the World Health Organisation ranked nutrition among the six basic factors participated in increased prevalence of infectious diseases of mass incidence. Malnutrition and insufficient exercise activities have significantly enhanced the risk of metabolic diseases development. Appropriate ( rational) nutrition that comprises food supplemets, ensures a suitable supply with basic nutrients, micronutrients, minerals and vitamins which positively affects health in individuals and in the whole population as well.
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