今日文獻聚焦於特定營養素在臨床情境中的精準應用,特別是ICU中支鏈氨基酸對呼吸器脫離的劑量反應關係,以及胃切除術後腸道營養不耐症的標準化評估,顯示營養支持正朝向更精細化、個體化的方向發展。
Nutrition (Burbank, Los Angeles County, Calif.) · Enteral branched-chain amino acid delivery and weaning outcomes in critically ill patients with hypoalbuminemia: a cohort study.
ICU低白蛋白血症患者腸道BCAA攝入量≥0.25 g/kg/d可顯著降低脫離呼吸器失敗率(16.3% vs 42.9%),呈現L型劑量反應關係,為個體化蛋白質營養治療提供明確劑量閾值。
Nutrition (Burbank, Los Angeles County, Calif.) · Dynamic assessment and standardization of enteral nutrition intolerance after gastrectomy: A prospective cohort study.
胃切除術後早期腸道營養不耐症發生率達44.4%,全胃切除為獨立危險因子(HR≈2.14),且不耐症患者白蛋白回升顯著延遲,住院時間延長。
Nutrition (Burbank, Los Angeles County, Calif.) · Poor appetite predicts incident muscle weakness and disability: a multi-country longitudinal study of European older adults.
基線食慾不佳可使老年人未來發生低握力、身體失能及生活品質下降的風險幾乎倍增,女性在行動受限、男性在肌肉無力方面呈現性別差異。
Nutrition (Burbank, Los Angeles County, Calif.) · Renal nutrition practices in Brazilian dialysis units and the influence of specialized training.
具備腎臟營養專業訓練的營養師在血磷血鉀管理、多團隊合作、個別化膳食計畫及複雜實驗室參數監測方面的實務表現顯著優於未受訓練者。
Nutrition (Burbank, Los Angeles County, Calif.) · Programming offspring bone health: mechanistic perspectives on maternal macro- and micronutrient intake.
此敘述性回顧整合動物與人類研究證據,指出母親營養過多或不足皆會透過激素調控、氧化壓力及表觀遺傳修飾影響後代骨質微結構與骨質疏鬆症風險。