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Santarpia L, Orefice R, Alfonsi L, Marra M, Contaldo F, Pasanisi F. The Anxiety Burden in Patients with Chronic Intestinal Failure on Long-Term Parenteral Nutrition and in Their Caregivers. Nutrients 2024; 16:1168. [PMID: 38674859 PMCID: PMC11054644 DOI: 10.3390/nu16081168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2024] [Revised: 04/09/2024] [Accepted: 04/10/2024] [Indexed: 04/28/2024] Open
Abstract
Background and aims: Home parenteral nutrition (HPN) is a life-saving treatment for patients affected by chronic intestinal failure (CIF). Both this clinical condition and its therapy require radical lifestyle modifications, affecting life quality and psychological balance in patients as well as family members. Patient psychological burden has rarely been taken into consideration, not to mention that of caregivers. This study aims to evaluate the levels of anxiety in CIF patients on HPN, and their caregivers, consequently determining their impact on the psychological and physical aspects. Methods: After a brief introductory interview, adult patients on HPN for CIF and their caregivers were asked to fill in the HAMA-A questionnaire. Results: Fifty patients and their respective caregivers were enrolled. Mean HAMA-A scores were similar in patients and caregivers and testified the presence of a mild to severe impact of CIF and HPN in both groups, with a significantly higher impact on female patients and caregivers. After adjusting age, education level, duration of CIF and HPN dependence, and degree of kinship, no differences were revealed in the scores. Conclusions: The study confirms that CIF patients on HPN and their caregivers have a significant anxiety burden independently from the duration of the disease, therefore needing appropriate support.
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Affiliation(s)
- Lidia Santarpia
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy; (R.O.); (L.A.); (M.M.); (F.P.)
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Speranza E, Santarpia L, Marra M, Di Vincenzo O, Naccarato M, De Caprio C, Morlino D, D'Onofrio G, Contaldo F, Pasanisi F. Nutritional Screening and Anthropometry in Patients Admitted From the Emergency Department. Front Nutr 2022; 9:816167. [PMID: 35237641 PMCID: PMC8882738 DOI: 10.3389/fnut.2022.816167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 01/20/2022] [Indexed: 11/13/2022] Open
Abstract
Background Due to the high prevalence of malnutrition among hospitalized patients, screening and assessment of nutritional status should be routinely performed upon hospital admission. The main objective of this observational study was to evaluate the prevalence of and the risk for malnutrition, as identified by using three nutritional screening tests, and to observe whether some anthropometric and functional parameters used for nutritional evaluation were related to these test scores. Methods This single-center observational study included 207 patients admitted from the emergency department for hospitalization in either the internal medicine or surgery units of our institution from September 2017 to December 2018. The prevalence of malnutrition among this patient sample was evaluated by using the Nutritional Risk Screening (NRS-2002), the Subjective Global Assessment (SGA) and the Global Leadership Initiative on Malnutrition (GLIM) criteria. Body mass index (BMI), bioimpedance analysis (BIA), handgrip strength (HGS) and calf circumference (CC) assessments were also performed. Results According to the NRS-2002, 93% of the patients were at no risk or at low nutritional risk (NRS score < 3), and 7% were at a high nutritional risk (NRS score ≥ 3). On the other hand, according to the SGA, 46.3% of the patients were well-nourished (SGA-a), 49.8% were moderately malnourished (SGA-b), and 3.9% were severely malnourished (SGA-c). Finally, according to the GLIM criteria, 18% patients were malnourished. Body weight, body mass index (BMI), phase angle (PhA), CC and HGS were significantly lower in the patients with NRS scores ≥ 3, SGA-c and in patients with stage 1 and stage 2 malnutrition, according to the GLIM criteria. Conclusion The NRS-2002, the SGA and the GLIM criteria appear to be valuable tools for the screening and assessment of nutritional status. In particular, the lowest NRS-2002, SGA and GLIM scores were associated with the lowest PhA and CC. Nevertheless, a weekly re-evaluation of patients with better screening and assessment scores is recommended to facilitate early detection of changes in nutritional status.
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Cioffi I, Gambino R, Rosato R, Properzi B, Regaldo G, Ponzo V, Pellegrini M, Contaldo F, Pasanisi F, Ghigo E, Bo S. Acute assessment of subjective appetite and implicated hormones after a hypnosis-induced hallucinated meal: a randomized cross-over pilot trial. Rev Endocr Metab Disord 2020; 21:411-420. [PMID: 32418064 DOI: 10.1007/s11154-020-09559-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
The use of hypnosis can generate hallucinatory phenomena, which ranged from vivid/auditory imagery to fully developed "hallucinations" in selected people. The aim of this pilot trial was investigating the acute effects of a hypnosis-induced hallucinated breakfast (HB) compared to those of a real breakfast (RB) on subjective appetite and appetite-regulating hormones in highly hypnotizable individuals. Eight healthy post-menopausal women were recruited to consume two meals: the HB and the RB in a randomized crossover design. Participants underwent appetite sensations measurements (before meal and each 30-min until 270-min) and blood sample collection (at 0, 20, 60, 90, 180-min). A 3-day food-record was filled after each meal. The adjusted repeated measures ANCOVA did not show any meal×time interactions on subjective appetite postprandially. As expected, significantly higher glucose (p < 0.001), insulin (p < 0.001), and lower free fatty acid (p < 0.001) concentrations were found after the RB, but not following HB. Furthermore, RB significantly increased postprandial levels of glucagon-like-peptide-1 and peptide-YY at 20, 60, 90 and 180-min, whereas acylated-ghrelin and leptin levels did not differ. Postprandial neuropeptide-Y and orexin-A values significantly increased at different time-points after RB, but not following HB, while α-melanocyte-stimulating hormone levels enhanced after HB only. Energy intakes were significantly lower after HB on the test-day only (HB = 1146.6 ± 343.8 vs RB = 1634.7 ± 274.2 kcal/d; p = 0.003). Appetite sensation might be modulated by fully developed meal "hallucination" induced by hypnosis, likely affecting brain-peptides implicated in the appetite regulation. However, further studies are needed to verify these results obtained in a highly selected group of individuals. NCT03934580.
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Affiliation(s)
- Iolanda Cioffi
- Department of Medical Sciences, University of Turin, c.so AM Dogliotti 14, 10126, Turin, Italy
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Roberto Gambino
- Department of Medical Sciences, University of Turin, c.so AM Dogliotti 14, 10126, Turin, Italy
| | - Rosalba Rosato
- Department of Psychology, University of Turin, Turin, Italy
| | - Bice Properzi
- Unit of Internal Medicine, Hospital of Turin, Città della Salute e della Scienza, Turin, Italy
| | | | - Valentina Ponzo
- Department of Medical Sciences, University of Turin, c.so AM Dogliotti 14, 10126, Turin, Italy
| | - Marianna Pellegrini
- Department of Medical Sciences, University of Turin, c.so AM Dogliotti 14, 10126, Turin, Italy
| | - Franco Contaldo
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Fabrizio Pasanisi
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Ezio Ghigo
- Department of Medical Sciences, University of Turin, c.so AM Dogliotti 14, 10126, Turin, Italy
| | - Simona Bo
- Department of Medical Sciences, University of Turin, c.so AM Dogliotti 14, 10126, Turin, Italy.
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Speranza E, Santarpia L, Marra M, De Filippo E, Di Vincenzo O, Morlino D, Pasanisi F, Contaldo F. Long-Term Outcomes from a 10-Year Follow-Up of Women Living with a Restrictive Eating Disorder: A Brief Report. Nutrients 2020; 12:nu12082331. [PMID: 32759836 PMCID: PMC7468732 DOI: 10.3390/nu12082331] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Revised: 07/30/2020] [Accepted: 08/03/2020] [Indexed: 01/27/2023] Open
Abstract
BACKGROUND This study aimed to evaluate several socio-demographic and long-term clinical outcomes in a cohort of women living with a restrictive eating disorder. METHODS Patients were asked to fill in a general data collection form aiming to investigate their current conditions and to attend the outpatient unit for a 10-year follow-up clinical and laboratory evaluation. RESULTS Forty-four patients completed the follow-up general data collection form and 20 agreed to attend the outpatient unit for the 10 year-follow-up evaluation. In total, 52% of patients were single, 55% had achieved a university degree, and 55% had steady employment. After 10 years, there was a clear improvement in biochemical markers, but cholesterol levels were still slightly high. The prevalence of osteopenia in the whole sample was 70% when measured on the lumbar column and 20% on the total body, while osteoporosis was found in 10% of patients and only on the lumbar column. CONCLUSION According to the collected data, women with a history of restrictive eating disorders appear to re-adapt well to social life by obtaining the level of their unaffected peers in terms of education and employment.
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Contaldo F, Santarpia L, Cioffi I, Pasanisi F. Nutrition Transition and Cancer. Nutrients 2020; 12:E795. [PMID: 32197341 PMCID: PMC7146228 DOI: 10.3390/nu12030795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Revised: 03/14/2020] [Accepted: 03/15/2020] [Indexed: 11/17/2022] Open
Abstract
Urbanization, population aging, and climatic changes have mostly contributed to nutrition transition and, consequently, to effects of food habits on the epidemic of chronic non-communicable diseases (NCDs), especially cancer. Climatic changes are negatively affecting crop production, particularly biodiversity, leading to reduced food choices and, consequently, nutritional value and the protection conferred from consumption of a variety of nutrients essential in a healthy diet. This brief review analyzes the possible link between rapid demographic changes, climatic and environmental crises, and the current food system as possible factors contributing to the role of nutrition transition in the onset of cancer.
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Affiliation(s)
| | - Lidia Santarpia
- Clinical Nutrition and Internal Medicine, Department of Clinical Medicine and Surgery, Federico II University Hospital of Naples Via Pansini, 580131 Naples, Italy; (F.C.); (I.C.); (F.P.)
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Iacone R, Scanzano C, Santarpia L, Cioffi I, Contaldo F, Pasanisi F. Macronutrients in Parenteral Nutrition: Amino Acids. Nutrients 2020; 12:E772. [PMID: 32183395 PMCID: PMC7146427 DOI: 10.3390/nu12030772] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2020] [Revised: 03/10/2020] [Accepted: 03/13/2020] [Indexed: 12/12/2022] Open
Abstract
The right amount and quality of amino acids (AAs) supplied to patients on parenteral nutrition (PN) reduces muscle mass loss, may preserve or even increase it, with significant clinical benefits. Several industrial PN mixtures are available so that nutrition specialists can choose the product closest to the patient's needs. In selected cases, there is the possibility of personalizing compounded mixtures in a hospital pharmacy that completely meets the individual nutritional needs of PN patients. This narrative review deals with the AA solutions used in PN mixtures. The physiology, the methods to calculate the AA needs, and the AA and energy requirements suggested by scientific guidelines for each patient type are also reported.
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Affiliation(s)
- Roberto Iacone
- Clinical Nutrition Unit, Department of Clinical Medicine and Surgery Federico II University Hospital, 80131 Naples, Italy; (C.S.); (L.S.); (I.C.); (F.C.); (F.P.)
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Cioffi I, Imperatore N, Di Vincenzo O, Santarpia L, Rispo A, Marra M, Testa A, Contaldo F, Castiglione F, Pasanisi F. Association between Health-Related Quality of Life and Nutritional Status in Adult Patients with Crohn's Disease. Nutrients 2020; 12:E746. [PMID: 32168964 PMCID: PMC7146465 DOI: 10.3390/nu12030746] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 03/06/2020] [Accepted: 03/09/2020] [Indexed: 12/18/2022] Open
Abstract
This study aimed to assess health related quality of life (HRQoL) in adult patients with Crohn's disease (CD), considering disease severity and gender differences, and also its relationship with nutritional status. Consecutive adult patients aged 18-65 years with CD were recruited. Disease activity was clinically defined by the Crohn's Disease Activity Index (CDAI) in active and quiescent phases. HRQoL was evaluated using the validated short form (SF)-36 questionnaire for the Italian population. Additionally, anthropometry, bioimpedance analysis, and handgrip-strength (HGS) were performed. Findings showed that 135 patients (79 men and 56 women) were included, having a mean age of 38.8 ± 14 years and a BMI of 23.2 ± 3.7 kg/m2. Overall, active CD patients had a lower perception of their QoL compared to those clinically quiescent, while gender differences emerged mostly in the quiescent group. Interestingly, HRQoL was significantly associated with many nutritional variables, and muscle strength was the main predictor. Therefore, HRQoL is perceived lower in active compared to quiescent patients, but women experienced poorer QoL than men, especially in the quiescent phase. Finally, higher QoL scores were found in subjects being in clinical remission phase with a preserved muscle function. However, further studies are still required to verify these findings.
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Affiliation(s)
- Iolanda Cioffi
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via Pansini 5, 80131 Naples, Italy
| | - Nicola Imperatore
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via Pansini 5, 80131 Naples, Italy
| | - Olivia Di Vincenzo
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via Pansini 5, 80131 Naples, Italy
| | - Lidia Santarpia
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via Pansini 5, 80131 Naples, Italy
| | - Antonio Rispo
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via Pansini 5, 80131 Naples, Italy
| | - Maurizio Marra
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via Pansini 5, 80131 Naples, Italy
| | - Anna Testa
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via Pansini 5, 80131 Naples, Italy
| | - Franco Contaldo
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via Pansini 5, 80131 Naples, Italy
| | - Fabiana Castiglione
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via Pansini 5, 80131 Naples, Italy
| | - Fabrizio Pasanisi
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via Pansini 5, 80131 Naples, Italy
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Cioffi I, Imperatore N, Di Vincenzo O, Pagano MC, Santarpia L, Pellegrini L, Testa A, Marra M, Contaldo F, Castiglione F, Pasanisi F. Evaluation of nutritional adequacy in adult patients with Crohn's disease: a cross-sectional study. Eur J Nutr 2020; 59:3647-3658. [PMID: 32072266 PMCID: PMC7669764 DOI: 10.1007/s00394-020-02198-0] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Accepted: 02/06/2020] [Indexed: 12/14/2022]
Abstract
Purpose Inadequate oral intake may play an important role in the onset of malnutrition in patients with Crohn’s disease (CD). The aims of this cross-sectional study were: (1) to compare dietary intake in clinically active and quiescent CD patients, and (2) to assess patients’ nutritional adequacy relative to the dietary reference values (DRVs) for the Italian population using LARN (Livelli di Assunzione di Riferimento di Nutrienti ed energia per la popolazione italiana). Methods Patients aged between 18 and 65 years with a diagnosis of CD were recruited. All participants underwent anthropometry and were instructed to fill in a 3-day food record. Disease activity was clinically defined using the Crohn’s disease activity index (CDAI). Results Overall, 117 patients, 71 males and 46 females, with a mean age of 39.6 ± 13.8 years and a mean body weight of 65.4 ± 11.8 kg, were ultimately included. Our findings showed that the amount of nutrients was similar between patients with active and quiescent disease. The mean intake of macronutrients was adequate, except for fiber, while dietary micronutrients were insufficient. Median intakes of sodium, phosphorus, and fluorine met LARN recommendations in both sexes, and the DRVs were accomplished by many patients (53/117; 104/117 and 98/117, respectively). Interestingly, dietary amounts of iron and zinc were barely acceptable in males but not in females. However, a few of the patients (< 15) met the LARN for potassium, calcium, and magnesium, regardless of sex and CDAI. With respect to vitamins, no relevant difference was found between the active and quiescent groups, and none of them met recommended values in both sexes. Conclusions This study showed that the assessment of dietary intake can be crucial for optimizing dietary intervention with focused nutrition counseling, to improve nutritional status in CD patients.
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Affiliation(s)
- Iolanda Cioffi
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via S. Pansini 5, 80131, Naples, Italy.
| | - Nicola Imperatore
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via Pansini 5, 80131, Naples, Italy
| | - Olivia Di Vincenzo
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via S. Pansini 5, 80131, Naples, Italy
| | - Maria Carmen Pagano
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via S. Pansini 5, 80131, Naples, Italy
| | - Lidia Santarpia
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via S. Pansini 5, 80131, Naples, Italy
| | - Lucienne Pellegrini
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via Pansini 5, 80131, Naples, Italy
| | - Anna Testa
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via Pansini 5, 80131, Naples, Italy
| | - Maurizio Marra
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via S. Pansini 5, 80131, Naples, Italy
| | - Franco Contaldo
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via S. Pansini 5, 80131, Naples, Italy
| | - Fabiana Castiglione
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via Pansini 5, 80131, Naples, Italy
| | - Fabrizio Pasanisi
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, via S. Pansini 5, 80131, Naples, Italy
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Santarpia L, Alfonsi L, Castiglione F, Pagano MC, Cioffi I, Rispo A, Sodo M, Contaldo F, Pasanisi F. Nutritional Rehabilitation in Patients with Malnutrition Due to Crohn's Disease. Nutrients 2019; 11:nu11122947. [PMID: 31817074 PMCID: PMC6950059 DOI: 10.3390/nu11122947] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Revised: 11/15/2019] [Accepted: 11/21/2019] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Crohn's disease (CD) is a chronic inflammatory bowel disease frequently associated with malabsorption and secondary protein-energy malnutrition (PEM). METHODS Biochemical and clinical data of 63 (34 females, 29 males) patients with PEM due to CD sent to our outpatient unit for nutritional evaluation were retrospectively analyzed. Patients were divided into two groups, according to disease activity. Thirty-eight patients (group A) had the active disease, and 25 patients (group B) suffered from malabsorption resulting from past intestinal resections due to CD. After a physical and hemato-biochemical evaluation at the first visit, all patients received disease-specific personalized dietetic indications. When indicated, oral nutritional supplements, oral/parenteral vitamins, micronutrients, and electrolytes, up to parenteral nutrition, were prescribed. RESULTS After 1, 3, and 6 months of nutritional therapy, body weight, body mass index (BMI), and serum butyryl-cholinesterase significantly improved in both groups. In 8 out of 13 (61.5%) patients with a cutaneous stoma, intestinal continuity was restored. CONCLUSIONS This study confirms the effectiveness of nutritional rehabilitation and provides information on the time required for nutritional treatment in patients with CD, both during the acute phase and after malabsorption due to intestinal resection.
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Affiliation(s)
- Lidia Santarpia
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital of Naples, Via Pansini, 5, 80131 Naples, Italy; (L.A.); (M.C.P.); (I.C.); (F.C.); (F.P.)
- Correspondence: ; Tel./Fax: +39-081-746-2333
| | - Lucia Alfonsi
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital of Naples, Via Pansini, 5, 80131 Naples, Italy; (L.A.); (M.C.P.); (I.C.); (F.C.); (F.P.)
| | - Fabiana Castiglione
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital of Naples, Via Pansini, 5, 80131 Naples, Italy; (F.C.); (A.R.)
| | - Maria Carmen Pagano
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital of Naples, Via Pansini, 5, 80131 Naples, Italy; (L.A.); (M.C.P.); (I.C.); (F.C.); (F.P.)
| | - Iolanda Cioffi
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital of Naples, Via Pansini, 5, 80131 Naples, Italy; (L.A.); (M.C.P.); (I.C.); (F.C.); (F.P.)
| | - Antonio Rispo
- Gastroenterology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital of Naples, Via Pansini, 5, 80131 Naples, Italy; (F.C.); (A.R.)
| | - Maurizio Sodo
- General and Transplantation Surgery, Department of Public Health, Federico II University Hospital, 80131 Naples, Italy;
| | - Franco Contaldo
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital of Naples, Via Pansini, 5, 80131 Naples, Italy; (L.A.); (M.C.P.); (I.C.); (F.C.); (F.P.)
| | - Fabrizio Pasanisi
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital of Naples, Via Pansini, 5, 80131 Naples, Italy; (L.A.); (M.C.P.); (I.C.); (F.C.); (F.P.)
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Cioffi I, Santarpia L, Vaccaro A, Naccarato M, Iacone R, Marra M, Contaldo F, Pasanisi F. Subjective palatability and appetite after gluten-free pasta: A pilot study. Acta Alimentaria 2019. [DOI: 10.1556/066.2019.0001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- I. Cioffi
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Pansini 5, 80131 Naples. Italy
| | - L. Santarpia
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Pansini 5, 80131 Naples. Italy
| | - A. Vaccaro
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Pansini 5, 80131 Naples. Italy
| | - M. Naccarato
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Pansini 5, 80131 Naples. Italy
| | - R. Iacone
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Pansini 5, 80131 Naples. Italy
| | - M. Marra
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Pansini 5, 80131 Naples. Italy
| | - F. Contaldo
- Interuniversity Center for Obesity and Eating disorders (CISRO), Department of Clinical Medicine and Surgery, Federico II University Hospital, Pansini 5, 80131 Naples. Italy
| | - F. Pasanisi
- Interuniversity Center for Obesity and Eating disorders (CISRO), Department of Clinical Medicine and Surgery, Federico II University Hospital, Pansini 5, 80131 Naples. Italy
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Speranza E, Santarpia L, De Filippo E, De Caprio C, Sammarco R, Marra M, Di Vincenzo O, Contaldo F, Pasanisi F. SUN-PO218: Living and Clinical Conditions in Female with Restrictive Anorexia Nervosa Long After Interrupting Specialized Treatment. Clin Nutr 2019. [DOI: 10.1016/s0261-5614(19)32850-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Abstract
PURPOSE OF REVIEW To review the healthy protective effects of coffee against several metabolic diseases and some types of cancer. In this short review, the possible preventive and/or therapeutic actions of coffee on liver function is focused. RECENT FINDINGS The protective mechanisms of coffee are various and because of several components with anti-inflammatory and antioxidant properties in addition to caffeine.As a matter of the fact, polyphenols in decaffeinated coffee have a similar effect on liver fibrosis and on serum levels of liver enzymes as those in caffeinated coffee.Furthermore, diterpenes may exert a detoxifying action and antioxidant activity, with benefits on liver fibrosis, cirrhosis and cancer. SUMMARY A regular coffee consumption may have preventive healthy effects, especially if consumed without added sugars. Certainly, coffee consumption should not be prohibited in individuals with chronic inflammatory liver diseases, including hepatocellular carcinoma.
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Affiliation(s)
- Franco Contaldo
- Internal Medicine and Clinical Nutrition Unit, Interuniversity Center for Obesity and Eating disorders (CISRO), Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
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Montagnese C, Santarpia L, Iavarone F, Strangio F, Sangiovanni B, Buonifacio M, Caldara AR, Silvestri E, Contaldo F, Pasanisi F. Food-Based Dietary Guidelines around the World: Eastern Mediterranean and Middle Eastern Countries. Nutrients 2019; 11:E1325. [PMID: 31200446 PMCID: PMC6627223 DOI: 10.3390/nu11061325] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2019] [Revised: 05/28/2019] [Accepted: 06/10/2019] [Indexed: 01/27/2023] Open
Abstract
In Eastern Mediterranean countries, undernutrition and micronutrient deficiencies coexist with overnutrition-related diseases, such as obesity, heart disease, diabetes and cancer. Many Mediterranean countries have produced Food-Based Dietary Guidelines (FBDGs) to provide the general population with indications for healthy nutrition and lifestyles. This narrative review analyses Eastern Mediterranean countries' FBDGs and discusses their pictorial representations, food groupings and associated messages on healthy eating and behaviours. In 2012, both the WHO and the Arab Center for Nutrition developed specific dietary guidelines for Arab countries. In addition, seven countries, representing 29% of the Eastern Mediterranean Region population, designated their national FBDGs. At the moment several of these guidelines are available only in the English language. In summary, Eastern Mediterranean FBDGs mainly focus on food safety, not all are available in the local Arabic language, and they do not provide specific suggestions for the large number of foreign workers and migrants.
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Affiliation(s)
- Concetta Montagnese
- Epidemiology Unit, IRCCS Istituto Nazionale Tumori "Fondazione G. Pascale", 80131 Napoli, Italy.
| | - Lidia Santarpia
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University, 80131 Naples, Italy.
- Interuniversity Center for Obesity and Eating Disorders, Department of Clinical Nutrition and Internal Medicine, Federico II University, 80131 Naples, Italy.
| | - Fabio Iavarone
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University, 80131 Naples, Italy.
| | - Francesca Strangio
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University, 80131 Naples, Italy.
| | - Brigida Sangiovanni
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University, 80131 Naples, Italy.
| | - Margherita Buonifacio
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University, 80131 Naples, Italy.
| | - Anna Rita Caldara
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University, 80131 Naples, Italy.
| | - Eufemia Silvestri
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University, 80131 Naples, Italy.
| | - Franco Contaldo
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University, 80131 Naples, Italy.
- Interuniversity Center for Obesity and Eating Disorders, Department of Clinical Nutrition and Internal Medicine, Federico II University, 80131 Naples, Italy.
| | - Fabrizio Pasanisi
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University, 80131 Naples, Italy.
- Interuniversity Center for Obesity and Eating Disorders, Department of Clinical Nutrition and Internal Medicine, Federico II University, 80131 Naples, Italy.
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Santarpia L, Viceconte G, Foggia M, Alfonsi L, Tosone G, Camera L, Pagano MC, De Simone G, Contaldo F, Pasanisi F. Home Parenteral Nutrition in Patients with Intestinal Failure: Possible Undetected Complications. Nutrients 2019; 11:nu11030581. [PMID: 30857281 PMCID: PMC6471421 DOI: 10.3390/nu11030581] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2019] [Revised: 03/02/2019] [Accepted: 03/05/2019] [Indexed: 11/27/2022] Open
Abstract
Background: Septic pulmonary embolism (SPE) may be a frequently undetected complication of central venous catheter (CVC)-related bloodstream infections (CRBSIs). Materials and Methods: The incidence of SPE was evaluated in a cohort of non-oncological patients on home parenteral nutrition (HPN) who were hospitalized for a CRBSI from January 2013 to December 2017. The main clinical, microbiological, and radiological features and the therapeutic approach were also described. Results: Twenty-three infections over 51,563 days of HPN therapy were observed, corresponding to an infection rate of 0.45/1000. In 10 out of the 23 cases (43.5%), pulmonary lesions compatible with SPE were identified. Conclusion: Our results demonstrated that a CRBSI can produce asymptomatic SPE with lung infiltrates in 43.5% of the cases, suggesting the need to check for secondary lung infections to choose the most appropriate antimicrobial therapy.
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Affiliation(s)
- Lidia Santarpia
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University of Naples, 80131 Naples, Italy.
| | - Giulio Viceconte
- Infectious Disease, Department of Clinical Medicine and Surgery, Federico II University of Naples, 80131 Naples, Italy.
| | - Maria Foggia
- Infectious Disease, Department of Clinical Medicine and Surgery, Federico II University of Naples, 80131 Naples, Italy.
| | - Lucia Alfonsi
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University of Naples, 80131 Naples, Italy.
| | - Grazia Tosone
- Infectious Disease, Department of Clinical Medicine and Surgery, Federico II University of Naples, 80131 Naples, Italy.
| | - Luigi Camera
- Radiology, Department of Advanced Biomedical Sciences, Federico II University of Naples, 80131 Naples, Italy.
| | - Maria Carmen Pagano
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University of Naples, 80131 Naples, Italy.
| | - Giuseppe De Simone
- Anesthesiology and Intensive Care Unit, Department of Neurosciences, Federico II University, 80131 Naples, Italy.
| | - Franco Contaldo
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University of Naples, 80131 Naples, Italy.
| | - Fabrizio Pasanisi
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, Federico II University of Naples, 80131 Naples, Italy.
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Marra M, Sammarco R, De Filippo E, De Caprio C, Speranza E, Contaldo F, Pasanisi F. Resting Energy Expenditure, Body Composition and Phase Angle in Anorectic, Ballet Dancers and Constitutionally Lean Males. Nutrients 2019; 11:nu11030502. [PMID: 30818800 PMCID: PMC6471802 DOI: 10.3390/nu11030502] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Revised: 02/25/2019] [Accepted: 02/26/2019] [Indexed: 02/03/2023] Open
Abstract
Background: The prevalence of anorexia nervosa among males is increasing but few data are available in the literature. This cross sectional study aims to evaluate resting energy expenditure (REE) and phase angle as a marker of qualitative changes of fat free mass (FFM) in three leanness groups as compared with control subjects. Methods: 17 anorectic (AN) males, 15 constitutionally lean (CL) individuals, 12 ballet dancers (DC), and 18 control (CTR) subjects were evaluated. REE was measured by indirect calorimetry (V max29- Sensormedics), and body composition was evaluated by bioimpedance analysis (BIA) at 50 kHz (DS Medica). Phase angle (a bioimpedance variable related to nutritional status) was used to evaluate differences in FFM characteristics between these three types of leanness. Results: REE, adjusted for FFM and fat mass (FM), were significantly higher in CL and lower in AN individuals (1783 ± 47 vs. 1291 ± 58 kcal, p < 0.05) compared to the other groups. Body composition was similar in AN and CL whereas dancers had the highest FFM (58.9 ± 4.8 kg, p < 0.05); anorectic males showed the lowest phase angle (5.8 ± 1.2 degrees vs. other groups, p < 0.05) and dancers the highest phase angle (7.9 ± 0.7 degree vs. other group, p < 0.05). Conclusions: Our findings confirm that phase angle could be a useful marker of qualitative changes, above all in the field of sport activities. On the other hand, there is the need to further evaluate the relationship between resting energy expenditure, body composition and endocrine status in different conditions of physical activity and dietary intake.
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Affiliation(s)
- Maurizio Marra
- Department of Clinical Medicine and Surgery, University Federico II, 80131 Naples, Italy.
| | - Rosa Sammarco
- Department of Clinical Medicine and Surgery, University Federico II, 80131 Naples, Italy.
| | - Emilia De Filippo
- Department of Clinical Medicine and Surgery, University Federico II, 80131 Naples, Italy.
| | - Carmela De Caprio
- Department of Clinical Medicine and Surgery, University Federico II, 80131 Naples, Italy.
| | - Enza Speranza
- Department of Clinical Medicine and Surgery, University Federico II, 80131 Naples, Italy.
| | - Franco Contaldo
- Department of Clinical Medicine and Surgery, University Federico II, 80131 Naples, Italy.
- Interuniversity Centre for Obesity and Eating Disorders (CISRODCA), Federico II University of Naples, 80131 Naples, Italy.
| | - Fabrizio Pasanisi
- Department of Clinical Medicine and Surgery, University Federico II, 80131 Naples, Italy.
- Interuniversity Centre for Obesity and Eating Disorders (CISRODCA), Federico II University of Naples, 80131 Naples, Italy.
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Cioffi I, Evangelista A, Ponzo V, Ciccone G, Soldati L, Santarpia L, Contaldo F, Pasanisi F, Ghigo E, Bo S. Intermittent versus continuous energy restriction on weight loss and cardiometabolic outcomes: a systematic review and meta-analysis of randomized controlled trials. J Transl Med 2018; 16:371. [PMID: 30583725 PMCID: PMC6304782 DOI: 10.1186/s12967-018-1748-4] [Citation(s) in RCA: 89] [Impact Index Per Article: 14.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Accepted: 12/14/2018] [Indexed: 12/11/2022] Open
Abstract
Background This systematic review and meta-analysis summarized the most recent evidence on the efficacy of intermittent energy restriction (IER) versus continuous energy restriction on weight-loss, body composition, blood pressure and other cardiometabolic risk factors. Methods Randomized controlled trials were systematically searched from MEDLINE, Cochrane Library, TRIP databases, EMBASE and CINAHL until May 2018. Effect sizes were expressed as weighted mean difference (WMD) and 95% confidence intervals (CI). Results Eleven trials were included (duration range 8–24 weeks). All selected intermittent regimens provided ≤ 25% of daily energy needs on “fast” days but differed for type of regimen (5:2 or other regimens) and/or dietary instructions given on the “feed” days (ad libitum energy versus balanced energy consumption). The intermittent approach determined a comparable weight-loss (WMD: − 0.61 kg; 95% CI − 1.70 to 0.47; p = 0.87) or percent weight loss (WMD: − 0.38%, − 1.16 to 0.40; p = 0.34) when compared to the continuous approach. A slight reduction in fasting insulin concentrations was evident with IER regimens (WMD = − 0.89 µU/mL; − 1.56 to − 0.22; p = 0.009), but the clinical relevance of this result is uncertain. No between-arms differences in the other variables were found. Conclusions Both intermittent and continuous energy restriction achieved a comparable effect in promoting weight-loss and metabolic improvements. Long-term trials are needed to draw definitive conclusions. Electronic supplementary material The online version of this article (10.1186/s12967-018-1748-4) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Iolanda Cioffi
- Interuniversity Center for Obesity and Eating Disorders, Department of Medicine and Surgery, Federico II University Hospital, Pansini, 5, Naples, 80131, Italy
| | - Andrea Evangelista
- Unit of Clinical Epidemiology, CPO, "Città della Salute e della Scienza" Hospital of Turin, Turin, Italy
| | - Valentina Ponzo
- Department of Medical Sciences, University of Turin, c.so AM Dogliotti 14, 10126, Turin, Italy
| | - Giovannino Ciccone
- Unit of Clinical Epidemiology, CPO, "Città della Salute e della Scienza" Hospital of Turin, Turin, Italy
| | - Laura Soldati
- Department of Health Sciences, University of Milan, Milan, Italy
| | - Lidia Santarpia
- Interuniversity Center for Obesity and Eating Disorders, Department of Medicine and Surgery, Federico II University Hospital, Pansini, 5, Naples, 80131, Italy
| | - Franco Contaldo
- Interuniversity Center for Obesity and Eating Disorders, Department of Medicine and Surgery, Federico II University Hospital, Pansini, 5, Naples, 80131, Italy
| | - Fabrizio Pasanisi
- Interuniversity Center for Obesity and Eating Disorders, Department of Medicine and Surgery, Federico II University Hospital, Pansini, 5, Naples, 80131, Italy
| | - Ezio Ghigo
- Department of Medical Sciences, University of Turin, c.so AM Dogliotti 14, 10126, Turin, Italy
| | - Simona Bo
- Department of Medical Sciences, University of Turin, c.so AM Dogliotti 14, 10126, Turin, Italy.
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Amato V, De Caprio C, Santarpia L, De Rosa A, Bongiorno C, Stella G, De Rosa E, Iacone R, Scanzano C, Pasanisi F, Contaldo F. Time trend prevalence of artificial nutrition counselling in a university hospital. Nutrition 2018; 58:181-186. [PMID: 30504009 DOI: 10.1016/j.nut.2018.08.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2018] [Revised: 07/29/2018] [Accepted: 08/22/2018] [Indexed: 11/16/2022]
Abstract
OBJECTIVES The negative effects of malnutrition on the prognosis of hospitalized patients are well documented; however, less known is the awareness and knowledge of health care professionals about this complication. The aim of this study was to evaluate the trend of the requests for nutritional consultation in years and the prescription of artificial nutrition (AN), for adult patients at a university hospital in southern Italy in the years 2004, 2008, 2012, and 2016 to assess the progress of medical teams concerning awareness of hospital malnutrition. METHODS This was a retrospective study that evaluated the time trend of nutritional consultation requests and related prescription of AN, for adult patients at a university hospital in southern Italy in the years 2004, 2008, 2012, and 2016. Of 112 233 inpatients, 2505 received a nutritional consultation with the prescription of AN. RESULTS The number of patients on AN increased from 507 of 33 240 (1.52%) in 2004 to 730 of 29 195 (2.5%) in 2008 (P < 0.001), remaining almost stable in 2012 and 2016. The request for AN was quite equally distributed between surgical (51.5%) and medical wards (48.5%), with a prevalence among patients with oncologic diseases (806 patients [65.6%]). As for nononcologic diseases, 20.4% involved the gastrointestinal tract and 6.3% the nervous system. Throughout the 12 y of observation, parenteral nutrition was the main prescribed support (59.8%) followed by oral nutritional supplements (26.1%) and enteral nutrition (9.3%). Mean nutritional intervention duration was 11 d (±10.8 d). CONCLUSIONS The request of AN for hospitalized patients increased over time, probably owing to improved medical consciousness of the potential risks for malnutrition and the availability of a specialized clinical nutrition team.
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Affiliation(s)
- Valeria Amato
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Carmela De Caprio
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Lidia Santarpia
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy.
| | - Annalba De Rosa
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Carolina Bongiorno
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Giovanna Stella
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Eliana De Rosa
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Roberto Iacone
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Clelia Scanzano
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Fabrizio Pasanisi
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Franco Contaldo
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
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Iacone R, Scanzano C, Santarpia L, Alfonsi L, Marra M, Pagano MC, D'Isanto A, Frangipane I, Vitalone A, D'Angeli M, Contaldo F, Pasanisi F. Essential Amino Acid Profile in Parenteral Nutrition Mixtures: Does It Meet Needs? Nutrients 2018; 10:nu10121937. [PMID: 30563270 PMCID: PMC6316548 DOI: 10.3390/nu10121937] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2018] [Revised: 11/29/2018] [Accepted: 11/30/2018] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND AND AIMS The study compares the essential amino acid (EAA) composition of different parenteral nutrition (PN) mixtures with whey protein EAA profile and the theoretical daily EAA requirements (set by WHO/FAO/UNU or IAAO method). According to the individual EAA profile, the potential effect of several PN mixtures was evaluated on the skeletal muscle mass (SMM) of patients on home PN. METHODS Eight AA solutions and fifteen complete PN mixtures were considered. Twenty-nine clinically stable patients with short bowel syndrome on home total PN were retrospectively evaluated. SMM was estimated by bioelectrical impedance analysis. RESULTS The prescribed doses of EAA that showed a significant increase in home PN patients muscle mass were considerably greater than the theoretical ones, showing an EAA profile similar to whey protein. At the daily dose of 1 g of total AA s/kg body weight (BW), the considered PN mixtures mostly failed to improve SMM. Only prescribed doses which included more than 0.25 g/kg BW of total BCAA with at least 0.10 g/kg BW leucine, 0.08 g/kg BW isoleucine, and 0.06 g/kg BW methionine showed a significant increase in SMM. CONCLUSIONS The theoretical daily requirement for each EAA was met by all considered PN solutions when the prescribed daily dose of total AAs was set at 1 g/kg BW. Nevertheless, our data suggest that only an increase in total BCAA, also richer in single AA leucine, isoleucine, and methionine, is associated with the maintenance and/or increase of SMM. According to these preliminary observations, we support the prescription of an EAA composition of PN mixtures close to that of whey protein for the preservation of SMM in patients on long-term total PN.
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Affiliation(s)
- Roberto Iacone
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, "Federico II", University Hospital, 80131 Naples, Italy.
| | - Clelia Scanzano
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, "Federico II", University Hospital, 80131 Naples, Italy.
| | - Lidia Santarpia
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, "Federico II", University Hospital, 80131 Naples, Italy.
| | - Lucia Alfonsi
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, "Federico II", University Hospital, 80131 Naples, Italy.
| | - Maurizio Marra
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, "Federico II", University Hospital, 80131 Naples, Italy.
| | - Maria Carmen Pagano
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, "Federico II", University Hospital, 80131 Naples, Italy.
| | - Anna D'Isanto
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, "Federico II", University Hospital, 80131 Naples, Italy.
| | - Ignazio Frangipane
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, "Federico II", University Hospital, 80131 Naples, Italy.
| | - Andrea Vitalone
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, "Federico II", University Hospital, 80131 Naples, Italy.
| | - Mariana D'Angeli
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, "Federico II", University Hospital, 80131 Naples, Italy.
| | - Franco Contaldo
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, "Federico II", University Hospital, 80131 Naples, Italy.
| | - Fabrizio Pasanisi
- Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and Surgery, "Federico II", University Hospital, 80131 Naples, Italy.
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Speranza E, Cioffi I, Santarpia L, Del Piano C, De Caprio C, Naccarato M, Marra M, De Filippo E, Contaldo F, Pasanisi F. Fecal Short Chain Fatty Acids and Dietary Intake in Italian Women With Restrictive Anorexia Nervosa: A Pilot Study. Front Nutr 2018; 5:119. [PMID: 30555830 PMCID: PMC6281687 DOI: 10.3389/fnut.2018.00119] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2018] [Accepted: 11/15/2018] [Indexed: 11/13/2022] Open
Abstract
Nutritional disorders such as Anorexia Nervosa (AN) can shape the composition of gut microbiota and its metabolites such as short chain fatty acid (SCFA). This study aims to compare fecal SCFA along with dietary intake of women with restrictive AN (r-AN = 10) and those of sex-matched lean controls (C = 8). The main fecal short chain fatty acids (SCFA) were assessed by gas chromatography equipped with a flame ionization detector. All participants completed 7-day food record and underwent indirect calorimetry for measuring resting energy expenditure (REE). Butyrate and propionate fecal concentrations were significantly reduced in r-AN patients compared to controls. The intake of carbohydrate and fat was significantly lower in r-AN patients than controls as well as energy intake and REE; whereas the amount of protein and fiber did not differ between groups. These preliminary results showed that r-AN patients had a reduced excretion of fecal SCFA, likely as a mechanism to compensate for the lower energy and carbohydrate intake observed between groups. Therefore, further studies need to be performed in patients with AN to explore the link between nutritional disorders, gut microbiota and its metabolites.
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Affiliation(s)
- Enza Speranza
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Iolanda Cioffi
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Lidia Santarpia
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Concetta Del Piano
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Carmela De Caprio
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Marianna Naccarato
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Maurizio Marra
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Emilia De Filippo
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Franco Contaldo
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy.,Interuniversity Centre for Obesity and Eating Disorders (CISRO), Federico II University Hospital, Naples, Italy
| | - Fabrizio Pasanisi
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy.,Interuniversity Centre for Obesity and Eating Disorders (CISRO), Federico II University Hospital, Naples, Italy
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Iacone R, Scanzano C, Contaldo F. Long-term (with and without caffeine) coffee consumption and glucose homeostasis. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Cioffi I, Imperatore N, Pagano M, Di Vincenzo O, Alfonsi L, Testa A, Marra M, Castiglione F, Contaldo F, Pasanisi F. Nutritional assessment in patients with crohn’s disease: A cross-sectional study. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Sammarco R, Di Vincenzo O, Morlino D, Maione F, Speranza E, Marra M, Contaldo F, Pasanisi F. Resting energy expenditure and body composition in underweight male. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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23
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Cioffi I, Imperatore N, Di Vincenzo O, Testa A, Sammarco R, Santarpia L, Castiglione F, Contaldo F, Pasanisi F. Quality of life and disease activity in patients with crohn’s disease. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Iacone R, Scanzano C, Santarpia L, D'Isanto A, Vitalone A, Frangipane I, D'Angeli M, Contaldo F, Pasanisi F. Renal acid load prediction from all in one mixtures for parenteral nutrition. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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25
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Speranza E, Di Vincenzo O, Marra M, De Caprio C, Naccarato M, Negro G, Santarpia L, Sammarco R, Cioffi I, Pasanisi F, Contaldo F. Relationship between nutritional risk screening 2002 and subjective global assessment and biochemical parameters in hospitalized patients. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Speranza E, Di Vincenzo O, Marra M, De Caprio C, Naccarato M, Negro G, Santarpia L, Pasanisi F, Contaldo F. Comparison of nutritional risk screening 2002 and subjective global assessment and evaluation of body composition at hospital admission. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Iacone R, Scanzano C, D'Isanto A, Vitalone A, Frangipane I, D'Angeli M, Santarpia L, Contaldo F. Prediction of Renal Acid Load in Adult Patients on Parenteral Nutrition. Pharmaceutics 2018; 10:pharmaceutics10020043. [PMID: 29614806 PMCID: PMC6027183 DOI: 10.3390/pharmaceutics10020043] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Revised: 03/25/2018] [Accepted: 03/29/2018] [Indexed: 11/25/2022] Open
Abstract
Metabolic acidosis and metabolic bone disease are frequent complications in patients on parenteral nutrition (PN). A common contributor to these complications could be a daily high renal acid load. This study aims to find a method for predicting the potential total acid load (PTAL) and the pH of the compounded parenteral nutrition mixtures. The pH and titratable acidity (TA) of fifty compounded mixtures were measured. The potential metabolic acid load (PMAL) was calculated by considering the amount of nutrients that are acid producers and consumers. The PTAL of the TPN mixtures was calculated by adding TA to PMAL. Multiple linear regression analyses were used to develop a predictive model for the TA and pH of the compounded mixtures. The predicted TA and pH values of the analyzed mixtures agreed with those measured (Passing-Bablok analysis). The PTAL was >50 mmol/day for 82% of the mixtures, >75 mmol/day for 40% of the mixtures, and >100 mmol/day for 22% of the mixtures. The prediction of the renal acid load in patients on long-term PN could allow more appropriate acid-base balancing. Moreover, predicting the pH of such mixtures could be useful to pharmacists to assess the stability and compatibility of the components in the compounded mixtures.
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Affiliation(s)
- Roberto Iacone
- Clinical Nutrition Unit-Department of Clinical Medicine and Surgery, "Federico II" University Medical School, via S. Pansini 5, 80131 Naples, Italy.
| | - Clelia Scanzano
- Clinical Nutrition Unit-Department of Clinical Medicine and Surgery, "Federico II" University Medical School, via S. Pansini 5, 80131 Naples, Italy.
| | - Anna D'Isanto
- Clinical Nutrition Unit-Department of Clinical Medicine and Surgery, "Federico II" University Medical School, via S. Pansini 5, 80131 Naples, Italy.
| | - Andrea Vitalone
- Clinical Nutrition Unit-Department of Clinical Medicine and Surgery, "Federico II" University Medical School, via S. Pansini 5, 80131 Naples, Italy.
| | - Ignazio Frangipane
- Clinical Nutrition Unit-Department of Clinical Medicine and Surgery, "Federico II" University Medical School, via S. Pansini 5, 80131 Naples, Italy.
| | - Mariana D'Angeli
- Clinical Nutrition Unit-Department of Clinical Medicine and Surgery, "Federico II" University Medical School, via S. Pansini 5, 80131 Naples, Italy.
| | - Lidia Santarpia
- Clinical Nutrition Unit-Department of Clinical Medicine and Surgery, "Federico II" University Medical School, via S. Pansini 5, 80131 Naples, Italy.
| | - Franco Contaldo
- Clinical Nutrition Unit-Department of Clinical Medicine and Surgery, "Federico II" University Medical School, via S. Pansini 5, 80131 Naples, Italy.
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Tarantino G, Finelli C, Scopacasa F, Pasanisi F, Contaldo F, Capone D, Savastano S. Corrigendum to "Circulating Levels of Sirtuin 4, a Potential Marker of Oxidative Metabolism, Related to Coronary Artery Disease in Obese Patients Suffering from NAFLD, with Normal or Slightly Increased Liver Enzymes". Oxid Med Cell Longev 2018; 2018:6357164. [PMID: 30186546 PMCID: PMC6109998 DOI: 10.1155/2018/6357164] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/19/2018] [Accepted: 07/11/2018] [Indexed: 02/07/2023]
Abstract
[This corrects the article DOI: 10.1155/2014/920676.].
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Affiliation(s)
- Giovanni Tarantino
- 1Department of Clinical Medicine and Surgery, Federico II University Medical School of Naples, Via Sergio Pansini 5, 80131 Naples, Italy
- 2Centro Ricerche Oncologiche di Mercogliano, Istituto Nazionale Per Lo Studio E La Cura Dei Tumori “Fondazione Giovanni Pascale”, IRCCS, 83013 Mercogliano, Italy
| | | | - Franco Scopacasa
- 4Department of Biochemistry and Medical Biotechnology, Federico II University Medical School of Naples, Via Sergio Pansini 5, 80131 Naples, Italy
| | - Fabrizio Pasanisi
- 1Department of Clinical Medicine and Surgery, Federico II University Medical School of Naples, Via Sergio Pansini 5, 80131 Naples, Italy
| | - Franco Contaldo
- 1Department of Clinical Medicine and Surgery, Federico II University Medical School of Naples, Via Sergio Pansini 5, 80131 Naples, Italy
| | - Domenico Capone
- 5Department of Neuroscience, Unit of Clinical Pharmacology, Federico II University Medical School of Naples, Via Sergio Pansini 5, 80131 Naples, Italy
| | - Silvia Savastano
- 1Department of Clinical Medicine and Surgery, Federico II University Medical School of Naples, Via Sergio Pansini 5, 80131 Naples, Italy
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Labruna G, Pasanisi F, Fortunato G, Nardelli C, Finelli C, Farinaro E, Contaldo F, Sacchetti L. Corrigendum to "Sequence Analysis of the UCP1 Gene in a Severe Obese Population from Southern Italy". J Obes 2018; 2018:3260210. [PMID: 30123581 PMCID: PMC6079434 DOI: 10.1155/2018/3260210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2018] [Accepted: 05/28/2018] [Indexed: 02/07/2023] Open
Abstract
[This corrects the article DOI: 10.1155/2011/269043.].
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Affiliation(s)
- Giuseppe Labruna
- Fondazione IRCCS SDN, Istituto di Ricerca Diagnostica e Nucleare, Via Gianturco 113, 80143 Naples, Italy
| | - Fabrizio Pasanisi
- Centro Interuniversitario di Studi e Ricerche sull'Obesità e Dipartimento di Medicina Clinica e Sperimentale, Università degli Studi di Napoli Federico II, Via Pansini 5, 80131 Naples, Italy
| | - Giuliana Fortunato
- CEINGE Biotecnologie Avanzate S.C. a R.L., Via Gaetano Salvatore 486, 80145 Naples, Italy
- Dipartimento di Biochimica e Biotecnologie Mediche, Università degli Studi di Napoli Federico II, Via Pansini 5, 80131 Naples, Italy
| | - Carmela Nardelli
- CEINGE Biotecnologie Avanzate S.C. a R.L., Via Gaetano Salvatore 486, 80145 Naples, Italy
- Dipartimento di Biochimica e Biotecnologie Mediche, Università degli Studi di Napoli Federico II, Via Pansini 5, 80131 Naples, Italy
| | | | - Eduardo Farinaro
- Dipartimento di Scienze Mediche Preventive, Università degli Studi di Napoli Federico II, Via Pansini 5, 80131 Naples, Italy
| | - Franco Contaldo
- Centro Interuniversitario di Studi e Ricerche sull'Obesità e Dipartimento di Medicina Clinica e Sperimentale, Università degli Studi di Napoli Federico II, Via Pansini 5, 80131 Naples, Italy
| | - Lucia Sacchetti
- CEINGE Biotecnologie Avanzate S.C. a R.L., Via Gaetano Salvatore 486, 80145 Naples, Italy
- Dipartimento di Biochimica e Biotecnologie Mediche, Università degli Studi di Napoli Federico II, Via Pansini 5, 80131 Naples, Italy
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Boccia S, Torre I, Santarpia L, Iervolino C, Del Piano C, Puggina A, Pastorino R, Dragic M, Amore R, Borriello T, Palladino R, Pennino F, Contaldo F, Pasanisi F. Intestinal microbiota in adult patients with Short Bowel Syndrome: Preliminary results from a pilot study. Clin Nutr 2017; 36:1707-1709. [DOI: 10.1016/j.clnu.2016.09.028] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2016] [Revised: 09/13/2016] [Accepted: 09/27/2016] [Indexed: 11/17/2022]
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Santarpia L, Pagano MC, Cioffi I, Alfonsi L, Cuomo R, Labruna G, Sacchetti L, Contaldo F, Pasanisi F. Impaired Enterohormone Response Following a Liquid Test Meal in Gastrectomized Patients. Ann Nutr Metab 2017; 71:211-216. [PMID: 29136633 DOI: 10.1159/000481919] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/02/2017] [Accepted: 09/20/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND Total gastrectomy (TG) is responsible for symptoms or disturbance of alimentary status (changes in body weight, food intake per meal and frequency of meal per day) which, in turn are responsible for weight loss and malnutrition. The study evaluates the gut hormone responses in totally gastrectomized (TG) patients after a liquid meal test. METHODS Twenty total gastrectomized cancer-free patients (12 M, 8 F, 56.4 ± 10.2 years, BMI 21.4 ± 2.2 kg/m2) and 10 healthy volunteers (4 M, 6 F, 48.0 ± 12.7 years, BMI 26.7 ± 3.0 kg/m2 ) drank a liquid meal (1.25 kcal/mL) at the rate of 50 mL/5' min for a maximum of 30 min. Satiety score was assessed and blood sample was taken at different time points. RESULTS The time response course, particularly for insulin, glucose-like pepetide-1, and cholecystokinin, significantly differed between TG patients and controls. CONCLUSIONS Our results may help to better understand hormone responses triggered by the faster arrival of nutrients in the small bowel and to explain some post-TG symptoms.
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Affiliation(s)
- Lidia Santarpia
- Internal Medicine and Clinical Nutrition Unit, Naples, Italy
| | | | - Iolanda Cioffi
- Internal Medicine and Clinical Nutrition Unit, Naples, Italy
| | - Lucia Alfonsi
- Internal Medicine and Clinical Nutrition Unit, Naples, Italy
| | - Rosario Cuomo
- Gastrenterology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy
| | - Giuseppe Labruna
- IRCCS SDN, Istituto di Ricerca Diagnostica e Nucleare, Naples, Italy
| | | | - Franco Contaldo
- Internal Medicine and Clinical Nutrition Unit, Naples, Italy.,Interuniversity Center for Obesity and Eating Disorders (CISRODCA), Naples, Italy
| | - Fabrizio Pasanisi
- Internal Medicine and Clinical Nutrition Unit, Naples, Italy.,Interuniversity Center for Obesity and Eating Disorders (CISRODCA), Naples, Italy
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Contaldo F, Santarpia L, Pasanisi F. Are bariatric and metabolic surgeries synonymous? - A nutritional view. Nutr Metab Cardiovasc Dis 2017; 27:1032-1034. [PMID: 28986078 DOI: 10.1016/j.numecd.2017.07.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2017] [Revised: 07/24/2017] [Accepted: 07/25/2017] [Indexed: 11/23/2022]
Affiliation(s)
- F Contaldo
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Interuniversity Center for Obesity and Eating Disorders (CISRODCA), Federico II University, Naples, Italy
| | - L Santarpia
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Interuniversity Center for Obesity and Eating Disorders (CISRODCA), Federico II University, Naples, Italy.
| | - F Pasanisi
- Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Interuniversity Center for Obesity and Eating Disorders (CISRODCA), Federico II University, Naples, Italy
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Cioffi I, Marra M, Sammarco R, Speranza E, Di Vincenzo O, Santarpia L, Contaldo F, Pasanisi F. SUN-P196: New Predictive Equations for Estimating Resting Energy Expenditure in Normal Weight and Overweight Subjects. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30432-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Sammarco R, Marra M, De Caprio C, De Filippo E, Pasanisi F, Contaldo F. PT05.6: Assessment of Resting Energy Expenditure and Body Composition in Underweight Males. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30689-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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35
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Speranza E, Cioffi I, Santarpia L, De Caprio C, Del Piano C, De Filippo E, Marra M, Pasanisi F, Contaldo F. SUN-P131: Fecal Short Chain Fatty Acids Concentrations and Dietary Intake in Females with Restrictive Anorexia Nervosa. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30496-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Montagnese C, Santarpia L, Iavarone F, Strangio F, Caldara AR, Silvestri E, Contaldo F, Pasanisi F. North and South American countries food-based dietary guidelines: A comparison. Nutrition 2017; 42:51-63. [PMID: 28870479 DOI: 10.1016/j.nut.2017.05.014] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2017] [Revised: 05/07/2017] [Accepted: 05/29/2017] [Indexed: 11/18/2022]
Abstract
Food-based dietary guidelines (FBDGs) are regularly updated educational documents that provide scientific information on nutritional needs and food composition to the general population. The aim of this study was to review the FBDGs of countries in the Americas and compare them based on their pictorial representation, food grouping, and associated messages on healthy eating and behavior, considering intercultural differences. FBDGs from 30 countries in the Americas were collected, representing 97% of the entire North and South American population. Of these FBDGs, 93% (28 of 30) have adopted a food guide illustration shape that conveys local traditions and classifies foods into six or seven groups. The main food groups are vegetables, fruits, cereals, starchy vegetables and fruits, legumes, milk and dairy, protein-rich foods, oils and fats, and sugar and sweeteners. Some differences include single food classifications. Despite the dietary pattern resulting from geographic conditions and cultural heritages, the main nutritional keypoints are similar among the different American FBDGs as follows: (1) Consume large amounts of fruits, vegetables, and cereals; and (2) limit intake of fat, simple sugars, and salt. Although there is general agreement on the basic nutritional messages, FBDGs remain insufficient regarding food groups and the identification of subgroup population nutritional requirements, particularly in countries where both excess and deficit malnutrition are present.
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Affiliation(s)
- Concetta Montagnese
- Clinical Nutrition and Internal Medicine, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
| | - Lidia Santarpia
- Clinical Nutrition and Internal Medicine, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy; Interuniversity Center for Obesity and Eating Disorders, Department of Clinical Nutrition and Internal Medicine, Federico II University, Naples, Italy
| | - Fabio Iavarone
- Clinical Nutrition and Internal Medicine, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy
| | - Francesca Strangio
- Clinical Nutrition and Internal Medicine, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy
| | - Anna Rita Caldara
- Clinical Nutrition and Internal Medicine, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy
| | - Eufemia Silvestri
- Clinical Nutrition and Internal Medicine, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy
| | - Franco Contaldo
- Clinical Nutrition and Internal Medicine, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy; Interuniversity Center for Obesity and Eating Disorders, Department of Clinical Nutrition and Internal Medicine, Federico II University, Naples, Italy
| | - Fabrizio Pasanisi
- Clinical Nutrition and Internal Medicine, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy; Interuniversity Center for Obesity and Eating Disorders, Department of Clinical Nutrition and Internal Medicine, Federico II University, Naples, Italy
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Marra M, Sammarco R, De Filippo E, Caldara A, Speranza E, Scalfi L, Contaldo F, Pasanisi F. Prediction of body composition in anorexia nervosa: Results from a retrospective study. Clin Nutr 2017; 37:1670-1674. [PMID: 28847608 DOI: 10.1016/j.clnu.2017.07.016] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2017] [Revised: 06/05/2017] [Accepted: 07/22/2017] [Indexed: 01/10/2023]
Abstract
BACKGROUND & AIMS The assessment of body composition is crucial in evaluating nutritional status in female subjects with anorexia nervosa (AN) and improving their clinical management. The aim of this retrospective study was to assess the accuracy of selected BIA (bioimpedance analysis) equations for fat-free mass (FFM) in female AN subjects and to formulate a specific equation for these subjects. METHODS Eighty-two restrictive female AN subjects (age 20.5 ± 3.7 yrs, BMI 15.7 ± 1.7 kg/m2) were studied. Body composition was determined with dual-energy X-ray absorptiometry (DXA) and estimated by BIA using five different equations. Linear correlation analysis was carried out to evaluate the association of FFM with selected variables. Multiple regression analysis was used to formulate specific equations to predict FFM in AN. RESULTS All predictive equations underestimated FFM at the population level with a bias from -5.6 to -11.7%, while the percentage of accurate predictions varied from 12.2% to 35.4%. More interestingly, multiple regression analysis clearly indicates that, in addition to weight, ZI100 or RI also emerged as independent predictors of DXA-derived FFM, increasing the prediction power of the equation well above that observed with anthropometric characteristics only. CONCLUSIONS This study shows that the selected predictive BIA equations considered exhibit an insufficient accuracy at the population and the individual level. Predictive formulas based on body weight plus BIA parameters such as RI and ZI100 offer a rather accurate prediction of FFM (with high R squared).
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Affiliation(s)
- Maurizio Marra
- Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
| | - Rosa Sammarco
- Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy.
| | - Emilia De Filippo
- Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
| | - Annarita Caldara
- Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
| | - Enza Speranza
- Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
| | - Luca Scalfi
- Department of Public Health, Federico II University of Naples, Italy
| | - Franco Contaldo
- Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy; Inter-University Centre for Obesity and Eating Disorders (CISRODCA), Federico II University of Naples, Italy
| | - Fabrizio Pasanisi
- Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy; Inter-University Centre for Obesity and Eating Disorders (CISRODCA), Federico II University of Naples, Italy
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Abstract
The dietary protein role in different clinical nutritional conditions and some physio-pathological perspectives is a current and hot topic to discuss. Recent Proceedings of the Protein Summit 2, joining more than 60 nutrition scientists, health experts, and nutrition educators, suggest to increase plant but, in particular, animal protein intake because richer in leucine and consequently more effective to influence anabolic protein metabolism. The Panel conclusions are in apparent contradiction with the nutritional ecology statements, which strongly sustain the reduction of animal origin foods in the human diet and are currently concerned about the excessive, mainly animal protein intake in western and westernized Countries. In conclusion, it is time to carefully evaluate protein and aminoacid intake accurately considering quality, digestibility, daily distribution and individual characteristics.
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Affiliation(s)
- Lidia Santarpia
- Interuniversity Centre for Obesity and Eating Disorders, Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and SurgeryFederico II UniversityNaplesItaly
| | - Franco Contaldo
- Interuniversity Centre for Obesity and Eating Disorders, Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and SurgeryFederico II UniversityNaplesItaly
| | - Fabrizio Pasanisi
- Interuniversity Centre for Obesity and Eating Disorders, Internal Medicine and Clinical Nutrition, Department of Clinical Medicine and SurgeryFederico II UniversityNaplesItaly
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Chiurazzi C, Cioffi I, De Caprio C, De Filippo E, Marra M, Sammarco R, Di Guglielmo ML, Contaldo F, Pasanisi F. Adequacy of nutrient intake in women with restrictive anorexia nervosa. Nutrition 2017; 38:80-84. [PMID: 28526387 DOI: 10.1016/j.nut.2017.02.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2016] [Revised: 02/06/2017] [Accepted: 02/11/2017] [Indexed: 11/27/2022]
Abstract
OBJECTIVE The aim of the present study was to assess energy and nutrient intake in a group of women with restrictive AN (r-AN) compared with a control group. METHODS Thirteen r-AN patients and 13 healthy female controls completed 7-d food records. Intake of macro- and micronutrients was compared between the two groups as well as to the Dietary Reference Intake for the Italian Population (LARN) for specific ages. Additionally, the r-AN patients underwent indirect calorimetry for measuring resting energy expenditure (REE). RESULTS Total energy intake was significantly lower in the r-AN group than in controls (906 ± 224 vs 1660 ± 139, respectively; P < 0.01). Nutrient composition significantly differed, as well. Mean intake of sodium, phosphorus, and zinc was higher in controls than in the women with r-AN (P < 0.01), but neither group of women met LARN recommendations for potassium, calcium, or iron intake. With respect to vitamins, no significant differences were found for riboflavin or vitamins A, B12, or C between groups, whereas levels of other vitamins differed (P < 0.01). Both groups failed to meet the LARN recommendation for vitamin D intake; moreover, none of the r-AN patients met recommended intake levels of vitamin E, thiamine, niacin, and folate. CONCLUSIONS Intakes reported by r-AN patients did not meet requirements for most micronutrients evaluated in this study and, as expected, both energy needs and specific dietary patterns differed between groups. Therefore, a careful evaluation of food consumption should be recommended to reduce nutritional gaps in these patients. According to these preliminary observations, nutritional counseling, mainly focused on calcium and vitamin D intake, should be suggested for healthy women, as well.
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Affiliation(s)
- Chiara Chiurazzi
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Iolanda Cioffi
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy.
| | - Carmela De Caprio
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Emilia De Filippo
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Maurizio Marra
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | - Rosa Sammarco
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy
| | | | - Franco Contaldo
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy; Interuniversity Centre for Obesity and Eating Disorders (CISRO), Federico II University Hospital, Naples, Italy
| | - Fabrizio Pasanisi
- Department of Clinical Medicine and Surgery, Federico II University Hospital, Naples, Italy; Interuniversity Centre for Obesity and Eating Disorders (CISRO), Federico II University Hospital, Naples, Italy
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Sammarco R, Marra M, Di Guglielmo ML, Naccarato M, Contaldo F, Poggiogalle E, Donini LM, Pasanisi F. Evaluation of Hypocaloric Diet With Protein Supplementation in Middle-Aged Sarcopenic Obese Women: A Pilot Study. Obes Facts 2017; 10:160-167. [PMID: 28528340 PMCID: PMC5644943 DOI: 10.1159/000468153] [Citation(s) in RCA: 44] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2016] [Accepted: 02/28/2017] [Indexed: 12/22/2022] Open
Abstract
OBJECTIVE The aim of this study was to evaluate the efficacy of a nutritional program, which is characterized by a different modulation of proteins, in adult patients with sarcopenic obesity. METHODS We studied 18 obese women aged 41-74 years. Obesity was diagnosed as fat mass > 34.8% and sarcopenia was defined when lean body mass was <90% of the subject's ideal fat free mass. All subjects were randomly assigned to different nutritional interventions: Hypocaloric diet plus placebo (A) and hypocaloric high-protein diet (1.2-1.4 g / kg body weight reference / day) (B). Anthropometric measurements, body composition, resting energy expenditure, handgrip test, Short Physical Performance Battery (SPPB), and SF-36 questionnaire were evaluated at baseline and after 4 months. RESULTS Weight significantly decreased in both groups. Women with high-protein diet preserved lean body mass compared to low-calorie diet and improved significantly muscle strength; SPPB score did not change in both groups. SF-36 test showed a significant change for general health after 4 months in group B. CONCLUSIONS In our study, sarcopenic obese patients with high-protein diet showed an improvement in muscle strength. Furthermore, dietary protein enrichment may represent a protection from the risk of sarcopenia following a hypocaloric diet.
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Affiliation(s)
- Rosa Sammarco
- Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
| | - Maurizio Marra
- Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
- *Dr. Maurizio Marra, BSc, PhD, Department of Clinical Medicine and Surgery, Federico II University Medical School, Via Pansini 5, 80131 Naples, Italy,
| | | | - Marianna Naccarato
- Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
| | - Franco Contaldo
- Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
- Interuniversity Centre for Obesity and Eating Disorders (CISRODCA), Federico II University of Naples, Naples, Italy
| | - Eleonora Poggiogalle
- Food Science and Human Nutrition Research Unit, Food Science and Endocrinology Section, Medical Pathophysiology, Experimental Medicine Department, Sapienza University of Rome, Rome, Italy
| | - Lorenzo Maria Donini
- Food Science and Human Nutrition Research Unit, Food Science and Endocrinology Section, Medical Pathophysiology, Experimental Medicine Department, Sapienza University of Rome, Rome, Italy
| | - Fabrizio Pasanisi
- Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy
- Interuniversity Centre for Obesity and Eating Disorders (CISRODCA), Federico II University of Naples, Naples, Italy
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Santarpia L, Buonomo A, Pagano MC, Alfonsi L, Foggia M, Mottola M, Marinosci GZ, Contaldo F, Pasanisi F. Central venous catheter related bloodstream infections in adult patients on home parenteral nutrition: Prevalence, predictive factors, therapeutic outcome. Clin Nutr 2016; 35:1394-1398. [DOI: 10.1016/j.clnu.2016.03.009] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2016] [Revised: 03/10/2016] [Accepted: 03/14/2016] [Indexed: 02/07/2023]
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Cioffi I, Ibrugger S, Bache J, Thomassen MT, Contaldo F, Pasanisi F, Kristensen M. Effects on satiation, satiety and food intake of wholegrain and refined grain pasta. Appetite 2016; 107:152-158. [DOI: 10.1016/j.appet.2016.08.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2015] [Revised: 05/11/2016] [Accepted: 08/01/2016] [Indexed: 12/24/2022]
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Sammarco R, Marra M, Cioffi I, Amato V, Pagano M, De Caprio C, Caldara A, Naccarato M, Contaldo F, Pasanisi F. MON-P156: The Prediction of Resting Energy Expenditure in Obese Patient Females. Clin Nutr 2016. [DOI: 10.1016/s0261-5614(16)30790-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Marra M, Cioffi I, Sammarco R, Santarpia L, Silvestri E, Caprio C, Rosa E, Chiurazzi C, Contaldo F, Pasanisi F. MON-P154: Role of Predictive Equations for Estimating Resting Energy Expenditure in Obese Adults Females. Clin Nutr 2016. [DOI: 10.1016/s0261-5614(16)30788-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Iacone R, Scanzano C, Santarpia L, D'Isanto A, Contaldo F, Pasanisi F. Micronutrient content in enteral nutrition formulas: comparison with the dietary reference values for healthy populations. Nutr J 2016; 15:30. [PMID: 27030466 PMCID: PMC4815166 DOI: 10.1186/s12937-016-0152-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2015] [Accepted: 03/22/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The micronutrient content in standard enteral mixtures should be closer to the dietary reference values for a healthy population since standard enteral diets are formulated for subjects with no special nutritional needs. This study compares the micronutrient content of the most common enteral nutrition (EN) formulas with European dietary reference values (DRVs) for healthy population. FINDINGS Sixty-two nutritionally complete enteral formulas were considered. The micronutrient content was calculated by multiplying the value reported on the nutritional information panel of each formula by the daily dose usually prescribed. The comparison between the micronutrient content of all enteral formulas evaluated and the DRVs indicates that daily fluoride and vitamin K requirements were not covered, while an oversupply of many other micronutrients was provided. Moreover, in some enteral formulas, at a dose of 2000 Kcal/day, zinc and vitamin A content exceeded the tolerable upper limits and, for one diabetes-specific enteral formula, the chromium content exceeded the relevant European standards in both 1500 and 2000 Kcal/day diets. CONCLUSIONS Most enteral formulas evaluated are generally suitable for patients on long-term total EN and formulas with higher content of a specific micronutrient may be a useful tool for patients affected by specific clinical conditions, at least for a period of time, then switching to standard enteral mixtures. The availability of nutritional enteral formulas, well balanced also for micronutrient intake, will further improve individualized treatments, particularly for patients on long-term total EN.
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Affiliation(s)
- Roberto Iacone
- Internal Medicine and Clinical Nutrition Unit - Department of Clinical Medicine and Surgery, "Federico II" University Medical School, via S. Pansini 5, 80131, Naples, Italy.
| | - Clelia Scanzano
- Internal Medicine and Clinical Nutrition Unit - Department of Clinical Medicine and Surgery, "Federico II" University Medical School, via S. Pansini 5, 80131, Naples, Italy
| | - Lidia Santarpia
- Internal Medicine and Clinical Nutrition Unit - Department of Clinical Medicine and Surgery, "Federico II" University Medical School, via S. Pansini 5, 80131, Naples, Italy
| | - Anna D'Isanto
- Internal Medicine and Clinical Nutrition Unit - Department of Clinical Medicine and Surgery, "Federico II" University Medical School, via S. Pansini 5, 80131, Naples, Italy
| | - Franco Contaldo
- Internal Medicine and Clinical Nutrition Unit - Department of Clinical Medicine and Surgery, "Federico II" University Medical School, via S. Pansini 5, 80131, Naples, Italy
| | - Fabrizio Pasanisi
- Internal Medicine and Clinical Nutrition Unit - Department of Clinical Medicine and Surgery, "Federico II" University Medical School, via S. Pansini 5, 80131, Naples, Italy
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Scanzano C, Iacone R, Santarpia L, Chiurazzi C, D’Isanto A, Frangipane I, Contaldo F, Pasanisi F. Amino acid composition of standard and personalized complete parenteral nutrition mixtures. Nutrition 2016. [DOI: 10.1016/j.nut.2015.12.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Sammarco R, Marra M, Pagano MC, Alfonsi L, Santarpia L, Cioffi I, Contaldo F, Pasanisi F. Resting energy expenditure in adult patients with Crohn's disease. Clin Nutr 2016; 36:467-470. [PMID: 26869381 DOI: 10.1016/j.clnu.2016.01.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2015] [Revised: 12/07/2015] [Accepted: 01/09/2016] [Indexed: 10/22/2022]
Abstract
BACKGROUND & AIMS Crohn's disease (CD) is a chronic intestinal disorder of unknown etiology involving any section of the gastrointestinal tract often associated with protein-energy malnutrition (PEM). Increased resting energy expenditure (REE) unmatched by adequate dietary intake is amongst the pathogenetic mechanisms proposed for PEM. Aim of this study was to evaluate REE in CD patients receiving or not immuno-suppressive therapy as compared to controls. METHODS 36 CD patients (22 M and 14 F, age range 18-55 years) clinically stable and without complications since at least 6 month were studied. REE was evaluated by indirect calorimetry and body composition by BIA. Full biochemistry was performed. Patients were divided into two groups: Group 1 (G1 = 12 patients) without and Group 2 (G2 = 24 patients) with immuno-suppressive therapy. RESULTS The two groups were similar for age, height and BMI whereas significantly differed for weight (G1 vs G2: 56.9 ± 7.44 vs 62.3 ± 8.34 kg), fat free mass (FFM: 40.4 ± 5.73 vs 48.2 ± 7.06 kg), fat mass (FM: 17.0 ± 3.55 vs 13.9 ± 5.54 kg) and phase angle (PA: 5.6 ± 1.4 vs 6.5 ± 1.0°). Serum inflammation parameters were significantly higher in G1 than in G2: hs-PCR: 7.76 ± 14.2 vs 7.16 ± 13.4 mg/dl; alfa 2-protein: 11.7 ± 3.69 vs 9.74 ± 2.08 mg/dl; fibrinogen: 424 ± 174 vs 334 ± 118 mg/dl (p < 0.05). REE was higher in G2 vs G1: 1383 ± 267 vs 1582 ± 253kcal/die (p < 0.05) both in men: 1579 ± 314 vs 1640 ± 203 and women: 1267 ± 140 vs 1380 ± 132. Nevertheless, when corrected for FFM, REE resulted higher in G1 than G2 (34.8 ± 4.89 vs 33.0 ± 4.35 kcal/kg, p < 0.05) group, also higher compared to our, age and sex matched, control population (REE/FFM: 30.9 ± 4.5 kcal/kg). CONCLUSIONS Our preliminary results show that REE when adjusted for FFM is increased in clinically stable CD patients and mildly reduced by immunosuppressive therapy possibly through a direct action on inflammation and on body composition characteristics.
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Affiliation(s)
| | | | | | | | | | | | - Franco Contaldo
- Department of Clinical Medicine and Surgery, Italy; Interuniversity Centre for Obesity and Eating Disorders (CISRODCA), Federico II University of Naples, Italy
| | - Fabrizio Pasanisi
- Department of Clinical Medicine and Surgery, Italy; Interuniversity Centre for Obesity and Eating Disorders (CISRODCA), Federico II University of Naples, Italy
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Cioffi I, Santarpia L, Vaccaro A, Iacone R, Labruna G, Marra M, Contaldo F, Kristensen M, Pasanisi F. Whole-grain pasta reduces appetite and meal-induced thermogenesis acutely: a pilot study. Appl Physiol Nutr Metab 2015; 41:277-83. [PMID: 26863235 DOI: 10.1139/apnm-2015-0446] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
In epidemiological studies, the intake of foods rich in dietary fiber is associated with a reduced risk of developing overweight and type 2 diabetes. This work aims to identify acute strategies to regulate appetite and improve glucose control by using different pasta meals. Hence, 4 different isocaloric lunch meals, consisting of (i) refined-grain pasta (RG+T), (ii) whole-grain pasta (WG+T), (iii) lemon juice-supplemented refined-grain pasta (LRG+T), and (iv) refined-grain pasta with legumes (RG+L), were administered to 8 healthy participants in a crossover design. On the test days, participants underwent baseline measurements, including appetite sensation, blood sample, and resting energy expenditure (EE), after which the test lunch was served. Subjective appetite was assessed and a blood sample was taken each hour for 240 min, and postprandial EE was measured for 3 h. In repeated-measures analysis of covariance (ANCOVA), postprandial fullness (p = 0.001) increased and hunger (p = 0.038) decreased. WG+T had a lower EE than did both LGR+T (p = 0.02) and RG+L (p < 0.001). Likewise, meal-induced thermogenesis was lower for WG+T compared with RG+L (58 ± 81 kJ vs 248 ± 188 kJ; p < 0.05). Plasma glucose (p = 0.001) was lower for RG+T, and triacylglycerols (p = 0.02) increased for LRG+T; however, insulin, C-peptide, and ghrelin were comparable in all other meals. In conclusion, our study indicates that acute consumption of whole-grain pasta may promote fullness and reduce hunger, lowering postprandial thermogenesis, and adding lemon juice to the pasta or legumes does not appear to affect appetite. However, none of pasta meal alterations improved the postprandial metabolic profile.
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Affiliation(s)
- Iolanda Cioffi
- a Internal Medicine and Clinical Nutrition Unit, Federico II University Hospital, 80131 Naples, Italy
| | - Lidia Santarpia
- a Internal Medicine and Clinical Nutrition Unit, Federico II University Hospital, 80131 Naples, Italy
| | - Andrea Vaccaro
- a Internal Medicine and Clinical Nutrition Unit, Federico II University Hospital, 80131 Naples, Italy
| | - Roberto Iacone
- a Internal Medicine and Clinical Nutrition Unit, Federico II University Hospital, 80131 Naples, Italy
| | - Giuseppe Labruna
- b IRCCS SDN, 80143 Naples, Italy; CEINGE-Biotecnologie Avanzate, 80145 Naples, Italy
| | - Maurizio Marra
- a Internal Medicine and Clinical Nutrition Unit, Federico II University Hospital, 80131 Naples, Italy
| | - Franco Contaldo
- a Internal Medicine and Clinical Nutrition Unit, Federico II University Hospital, 80131 Naples, Italy.,c Interuniversity Center for Obesity and Eating disorders (CISRO), Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy
| | - Mette Kristensen
- d Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, DK-1958 Frederiksberg C, Copenhagen, Denmark
| | - Fabrizio Pasanisi
- a Internal Medicine and Clinical Nutrition Unit, Federico II University Hospital, 80131 Naples, Italy.,c Interuniversity Center for Obesity and Eating disorders (CISRO), Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy
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Iacone R, Scanzano C, Chiurazzi C, D’Isanto A, Pastore E, Contaldo F, Santarpia L. MON-PP008: Amino Acid Composition in Standard and Personalized Parenteral Nutrition Mixtures Compared to Whey Protein. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30440-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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50
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Sammarco R, Marra M, Di Gugliemo M, Naccarato M, De Rosa E, Contaldo F, Pasanisi F. SUN-PP218: Dietary Intervention in Middle Age Obese Sarcopenic Females. Clin Nutr 2015. [DOI: 10.1016/s0261-5614(15)30369-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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