今日文獻聚焦於「精準營養評估」的臨床價值,涵蓋兒科中臂圍篩檢、冠心症身體組成表型分型、及腸瘻管營養支持策略,顯示超越傳統BMI的身體組成分析正成為臨床營養的高價值工具。
Clinical nutrition ESPEN · Beyond weight and height: Mid-Upper Arm Circumference-based nutritional assessment and nutritional risk associated with clinical outcomes in hospitalized children and adolescents.
在住院兒童中,中臂圍Z分數(zMUAC/A)偵測營養不良的靈敏度遠優於BMI Z分數(49.5% vs 17.6%),且STRONGkids篩檢工具AUC達0.858,高營養風險獨立與較長住院天數及感染相關。
European journal of clinical nutrition · Association between body composition phenotypes and cardiovascular outcomes in patients with coronary artery disease: a retrospective cohort study.
以骨骼肌指數與體脂率進行K-means分群,發現「肌少性肥胖」表型的CAD住院患者心律不整風險(OR 2.58)與心衰竭風險(OR 2.42)均顯著最高,相位角可鑑別心衰竭(AUC=0.72)。
European journal of clinical nutrition · Dietary determinants of acid load in a population with urolithiasis from Yucatán, Mexico.
尿路結石患者的飲食酸負荷(NEAP、PRAL、NAE)與蛋白質、脂質、磷攝取及多項身體組成指標(體重、腰圍、體脂、肌肉量)顯著正相關,男性各項酸負荷指標均高於女性。
Clinical nutrition ESPEN · Nutritional assessment and nutritional therapy for enterocutaneous and enteroatmospheric fistulas: a scoping review.
此範圍回顧納入85篇文獻,發現腸瘻管營養評估以生化檢驗為主、營養需求多以kcal/kg估算,靜脈營養仍為最常見路徑,但整體證據品質偏低,亟需高品質研究驗證營養介入策略。
Clinical nutrition ESPEN · Genetically predicted breastfeeding propensity and brain microstructural morphology: Insights from genome-wide association study summary statistics and neurogenomics.
雙樣本孟德爾隨機化分析(n=352,094)發現基因預測的母乳哺餵傾向與左前丘腦輻射束FA值、右舌狀回及右上顳區體積呈正相關,但均未達Bonferroni校正閾值,屬探索性發現。