今日文獻聚焦於特殊族群之精準營養介入,涵蓋ICU腸道營養時機決策、中風急性期體重監測、早產兒氨基酸配方轉換,以及減重手術後膳食纖維補充等主題,顯示營養醫學正朝向更具針對性與個體化的臨床決策模式發展。
Clinical nutrition ESPEN · Impact of Percutaneous Endoscopic Gastrostomy (PEG) Timing on Mortality in Intensive Care Unit Patients: The Modifying Role of the Prognostic Nutritional Index (PNI).
ICU患者早期置入PEG(≤14天)可顯著降低30天死亡率,且PNI≥33的患者受益最大,PNI可作為PEG時機決策的實用生物標誌物。
Clinical nutrition ESPEN · Acute-Phase Weight Change and Functional Recovery During Convalescent Rehabilitation in Older Stroke Patients.
老年中風患者急性期體重減輕與達成步行獨立的機率呈劑量反應關係,嚴重體重減輕者步行獨立風險降低37%。
Nutrition (Burbank, Los Angeles County, Calif.) · Amino acid-based formula and feeding outcomes in preterm infants with recurrent intolerance: A propensity score-matched study.
對反覆餵食不耐受的早產兒轉換為氨基酸配方,可縮短達到全腸道餵養時間3天、減少靜脈營養天數3天,並降低再發不耐受率。
Nutrition (Burbank, Los Angeles County, Calif.) · Changes of gut microbiota, hormone and glycolipid metabolism by dietary fiber (oat bran) supplementation in patients with laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass: A randomized controlled study.
減重手術後補充30g/天燕麥麩12週,可增加有益菌属、提升GLP-1與PYY分泌,並改善空腹血糖與HDL膽固醇。
Clinical nutrition ESPEN · Associations between animal and plant protein intakes and the mortality and hospitalization of patients with chronic heart failure.
慢性心衰竭患者低植物蛋白質攝入(<總能量6%)與全因死亡及住院風險增加1.93倍相關,動物蛋白質則無顯著關聯。
Clinical nutrition ESPEN · IMPACT OF MALTODESTRIN INTAKE IN ELECTIVE CAESAREAN SECTION: A RANDOMISED STUDY.
擇期剖腹產前2小時口服200ml麥芽糊精可穩定術後血糖,並維持脊髓麻醉期間血流動力學穩定性。
Nutrition (Burbank, Los Angeles County, Calif.)
此為作者對肌少症肥胖與生物電阻抗相位角相關議題的回覆信件,無原創研究數據。