今日文獻聚焦於重症與圍手術期營養支持的臨床決策,包含心臟骤停後營養框架、口服營養介入降低急性住院死亡率的重要Meta分析,以及益生菌減重的網絡Meta分析為肥胖治療提供具體菌株組合推薦。
Nutrition reviews · Comparative Efficacy of Probiotics for the Treatment of Obesity: A Systematic Review and Network Meta-analysis.
納入47項RCT共3555名受試者,網絡Meta分析顯示Mix10(雙歧桿菌、乳酸桿菌等4屬組合)與Mix12減重效果最佳,分別較安慰劑多減2.83kg與2.14kg,且Mix10能提升HDL膽固醇。
Nutrition reviews · Nutrition Interventions to Support Oral Intake in Acute and Critical Care: A Systematic Review of Randomized Controlled Trials with Meta-Analysis.
納入16項RCT共3795名急性住院患者,口服營養介入不僅每日增加240.5 kcal熱量與12.1g蛋白質攝取,更顯著降低住院死亡率(OR 0.50),顛覆過去僅關注人工營養的思維。
Clinical nutrition ESPEN · Malnutrition at hospital admission as a predictor of increased risk of intensive care unit admission and in-hospital mortality in patients undergoing hematopoietic stem cell transplantation: A prospective observational cohort study.
前瞻性追蹤117名HSCT患者,入院時PG-SGA評定為營養不良者,經校正後住院死亡風險增加3.65倍、ICU入住風險增加3.32倍,強調移植前營養篩檢的關鍵性。
Nutrition reviews · Nutritional Assessment and Nutritional Treatment Strategies for Patients After Cardiac Arrest: A Narrative Review.
系統性整合現有證據,建議心臟骤停後患者採用早期腸道營養、急性期低熱量供給與個別化蛋白質給予,並指出目標體溫管理期間需調降熱量目標,填補缺乏專屬指南的空白。
Clinical nutrition ESPEN · Malnutrition criteria and computed tomography-measured psoas muscle indices in adult liver transplant recipients.
91名肝移植患者研究顯示,AAIM與GLIM營養不良標準與CT腰大肌面積顯著相關,但將肌肉密度納入評估可大幅提升住院天數的預測力(R²從0.06提升至0.19)。
Clinical nutrition ESPEN · Omega-3 fatty acids in Pediatric Acute Lymphocytic Leukemia: A Scoping Review.
回顧顯示DHA在體外對白血病細胞有劑量依賴性細胞毒性並增强化療敏感性,臨床上則展現心臟與肝臟保護效果且不影響療效,但整體臨床證據仍有限且異質性高。
Journal of the Academy of Nutrition and Dietetics · SNAP Decisions: Qualitative Research on the Perceived Influence of the COVID-19 Pandemic and SNAP Benefit Changes on Food Purchases.
訪談47名SNAP參與者發現,福利增加顯著改善糧食安全與食物選擇多樣性,但疫情後的經濟壓力與通膨抵銷了福利增加的好處,凸顯福利額度需動態調整以因應外部環境變化。
Nutrition (Burbank, Los Angeles County, Calif.)
體外實驗發現黑莓甲醇提取物對膠質瘤細胞有選擇性細胞毒性,降低遷移與克隆形成能力,同時提升抗氧化酵素活性且不傷害正常星狀細胞。