排序方式: 共有23条查询结果,搜索用时 31 毫秒
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Juan J. Carrero Fridtjof Thomas Kristóf Nagy Fatiu Arogundade Carla M. Avesani Maria Chan Michal Chmielewski Antonio C. Cordeiro Angeles Espinosa-Cuevas Enrico Fiaccadori Fitsum Guebre-Egziabher Rosa K. Hand Adriana M. Hung Talat A. Ikizler Lina R. Johansson Kamyar Kalantar-Zadeh Tilakavati Karupaiah Bengt Lindholm Csaba P. Kovesdy 《Journal of renal nutrition》2018,28(6):380-392
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Tanjina Rahman Ban-Hock Khor Sharmela Sahathevan Deepinder Kaur Eno Latifi Mousume Afroz Esrat Jahan Mitali Bayan Tashkandi Nura Afza Salma Begum Tasnuva Sarah Kashem Shakib Uz Zaman Arefin Zulfitri Azuan Mat Daud Tilakavati Karupaiah Harun Ur Rashid Pramod Khosla 《Nutrients》2022,14(7)
Malnutrition is associated with high rates of mortality among patients with end stage kidney disease (ESKD). There is a paucity of data from Bangladesh, where around 35,000–40,000 people reach ESKD annually. We assessed protein-energy wasting (PEW) amongst 133 patients at a single hemodialysis setting in Dhaka. Patients were 49% male, age 50 ± 13 years, 62% were on twice-weekly hemodialysis. Anthropometric, biochemical, and laboratory evaluations revealed: BMI 24.1 ± 5.2 kg/m2, mid-arm muscle circumference (MAMC) 21.6 ± 3.6 cm, and serum albumin 3.7 ± 0.6 g/dL. Based on published criteria, 18% patients had PEW and for these patients, BMI (19.8 ± 2.4 vs. 25.2 ± 5.2 kg/m2), MAMC (19.4 ± 2.4 vs. 22.2 ± 3.8 cm), serum albumin (3.5 ± 0.7 vs. 3.8 ± 0.5 g/dL), and total cholesterol (135 ± 34 vs. 159 ± 40 mg/dL), were significantly lower as compared to non-PEW patients, while hand grip strength was similar (19.5 ± 7.6 vs. 19.7 ± 7.3 kg). Inflammatory C-reactive protein levels tended to be higher in the PEW group (20.0 ± 34.8 vs. 10.0 ± 13.9 p = 0.065). Lipoprotein analyses revealed PEW patients had significantly lower low density lipoprotein cholesterol (71 ± 29 vs. 88 ± 31 mg/dL, p < 0.05) and plasma triglyceride (132 ± 51 vs. 189 ± 103 mg/dL, p < 0.05), while high density lipoprotein cholesterol was similar. Nutritional assessments using a single 24 h recall were possible from 115 of the patients, but only 66 of these were acceptable reporters. Amongst these, while no major differences were noted between PEW and non-PEW patients, the majority of patients did not meet dietary recommendations for energy, protein, fiber, and several micronutrients (in some cases intakes were 60–90% below recommendations). Malnutrition Inflammation Scores were significantly higher in PEW patients (7.6 ± 3.1 vs. 5.3 ± 2.7 p < 0.004). No discernible differences were apparent in measured parameters between patients on twice- vs. thrice-weekly dialysis. Data from a larger cohort are needed prior to establishing patient-management guidelines for PEW in this population. 相似文献
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Stefanie Vandevijvere Simon Barquera Gabriela Caceres Camila Corvalan Tilakavati Karupaiah Maria Fernanda Kroker‐Lobos Mary L'Abb See Hoe Ng Sirinya Phulkerd Manuel Ramirez‐Zea Salome A. Rebello Marcela Reyes Gary Sacks Carmen María Snchez Nchez Karina Sanchez David Sanders Mark Spires Rina Swart Viroj Tangcharoensathien Zoey Tay Anna Taylor Lizbeth Tolentino‐Mayo Rob Van Dam Lana Vanderlee Fiona Watson Clare Whitton Boyd Swinburn 《Obesity reviews》2019,20(Z2):57-66
The Healthy Food Environment Policy Index (Food‐EPI) aims to assess the extent of implementation of recommended food environment policies by governments compared with international best practices and prioritize actions to fill implementation gaps. The Food‐EPI was applied in 11 countries across six regions (2015‐2018). National public health nutrition panels (n = 11‐101 experts) rated the extent of implementation of 47 policy and infrastructure support good practice indicators by their government(s) against best practices, using an evidence document verified by government officials. Experts identified and prioritized actions to address implementation gaps. The proportion of indicators at “very low if any,” “low,” “medium,” and “high” implementation, overall Food‐EPI scores, and priority action areas were compared across countries. Inter‐rater reliability was good (GwetAC2 = 0.6‐0.8). Chile had the highest proportion of policies (13%) rated at “high” implementation, while Guatemala had the highest proportion of policies (83%) rated at “very low if any” implementation. The overall Food‐EPI score was “medium” for Australia, England, Chile, and Singapore, while “very low if any” for Guatemala. Policy areas most frequently prioritized included taxes on unhealthy foods, restricting unhealthy food promotion and front‐of‐pack labelling. The Food‐EPI was found to be a robust tool and process to benchmark governments' progress to create healthy food environments. 相似文献
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Sharmela Sahathevan Ban-Hock Khor Birinder Kaur Sadu Singh Alice Sabatino Enrico Fiaccadori Zulfitri Azuan Mat Daud Mohammad Syafiq Ali Sreelakshmi Sankara Narayanan Dina Tallman Karuthan Chinna Bak-Leong Goh Abdul Halim Abdul Gafor Ghazali Ahmad Zaki Morad Pramod Khosla Tilakavati Karupaiah 《Nutrients》2020,12(11)
This study aimed to assess muscle wasting and risk of protein energy wasting (PEW) in hemodialysis (HD) patients using an ultrasound (US) imaging method. PEW was identified using the ISRNM criteria in 351 HD patients. Quadriceps muscle thickness of rectus femoris (RF) and vastus intermedius (VI) muscles and cross-sectional area (CSA) of the RF muscle (RFCSA) were measured using US and compared with other physical measures. Associations of US indices with PEW were determined by logistic regression. Irrespective of gender, PEW vs. non-PEW patients had smaller RF, VI muscles, and RFCSA (all p < 0.001). US muscle sites (all p < 0.001) discriminated PEW from non-PEW patients, but the RFCSA compared to bio-impedance spectroscopy had a greater area under the curve (AUC, 0.686 vs. 0.581), sensitivity (72.8% vs. 65.8%), and specificity (55.6% vs. 53.9%). AUC of the RFCSA was greatest for PEW risk in men (0.74, 95% CI: 0.66–0.82) and women (0.80, 95% CI: 0.70–0.90) (both p < 0.001). Gender-specific RFCSA values (men < 6.00 cm2; women < 4.47 cm2) indicated HD patients with smaller RFCSA were 8 times more likely to have PEW (AOR = 8.63, 95% CI: 4.80–15.50, p < 0.001). The US approach enabled discrimination of muscle wasting in HD patients with PEW. The RFCSA was identified as the best US site with gender-specific RFCSA values to associate with PEW risk, suggesting potential diagnostic criteria for muscle wasting. 相似文献
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Chee WS Chong PN Chuah KA Karupaiah T Mustafa N Suniza S Chinna K Horcajada MN Ameye L Offord-Cavin E 《Malaysian journal of nutrition》2010,16(2):233-242
Bone health status was investigated in 178 free-living Chinese post-menopausal women in Kuala Lumpur. Body mass index (BMI), body composition (using whole body DXA), calcium intake and serum 25-OH vitamin D status were measured along with biochemical markers of bone turnover, that is, pro-collagen Type 1 N-terminal peptide (P1NP), osteocalcin (OC) and C-telopeptide β cross link of Type 1 collagen (CTX- β). Bone mineral density (BMD) was measured using DXA (Hologic, USA) at the lumbar spine, femoral neck and total hip. Results showed that osteopenia was present in 50% of the subjects at the spine and 57.9% at the femoral neck. Osteoporosis was diagnosed in 10% of the subjects at both the femoral neck and spine. A total of 29.3% of the subjects had high levels of CTX- β. Mean serum level of 25-OH vitamin D was 60.4+15.6 nmol/L and 50.6% of the subjects had hypovitaminosis D (defined as < 50 nmol/l). Mean total calcium intake of the subjects was 497 + 233 mg, of which only 14% met the RNI for calcium with the additional intake of calcium supplements. Body fat was also significantly correlated (r=0.181, p< 0.05) with BMD at the spine but not BMD at the femoral neck. Lean body mass was positively correlated with BMD at the spine (r=0.289, p< 0.001) and femoral neck (r=0.295, p< 0.001). CTX-β was negatively correlated with BMD at the spine (r= -0.235, p< 0.001), whereas P1NP (r=-0.215, p< 0.001) and osteocalcin (r=-0.265, p< 0.001) were both negatively correlated with BMD at the femoral neck. Generally, the study found that women with osteopenia had higher levels of bone turnover markers, less lean body mass and lower calcium intake than women with normal BMD. In conclusion, this study demonstrated that the majority of free living Chinese post-menopausal women in Kuala Lumpur have low calcium intake, low 25-OH vitamin D status and low bone mass and elevated biochemical markers of bone turnover. 相似文献
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Anthropometric and growth assessment of children receiving renal replacement therapy in Malaysia. 总被引:2,自引:0,他引:2
Tilakavati Karupaiah Chee Hoe Chooi Yam Ngo Lim Zaki Morad 《Journal of renal nutrition》2002,12(2):113-121
OBJECTIVE: To report on the anthropometric and growth status of children receiving renal replacement therapy (RRT) in Malaysia. DESIGN: Cross-sectional study with some retrospective elements. SETTING: Outpatients' clinics in a major referral hospital in Malaysia. PATIENTS: Fifteen renal transplants (mean age, 13.3 +/- 2.8 years) and 35 continuous ambulatory peritoneal dialysis (CAPD) patients (mean age, 12.6 +/- 3.0 years) participated. The RRT period ranged between 3 months to 6 years for both groups. INTERVENTION: None. MAIN OUTCOME MEASURES: Body mass index (BMI), percent body fat (% BF), triceps skinfold (TSF), mid upper-arm circumference (MUAC), arm muscle area (AMA), and z scores for height and weight. RESULTS: BMI for age indicated 7% of transplant subjects (TS) versus 40% of CAPD subjects were below the 5th percentile, whereas only 7% of TS were above the 95th percentile. % BF was higher for TS compared with the CAPD group for both sexes (boys, 19.5% and girls, 29.8% v boys, 12.4% and girls, 21.5%). Despite higher percentiles for TSF, transplant subjects still showed depleted muscle mass based on MUAC and AMA. z scores for height showed 93% of transplant subjects and 62% of CAPD subjects below -2 standard deviation (SD), whereas for weight these were 27% and 54%, respectively. Sixty-four percent of TS experienced catch-up growth for height and 86% for weight. These percentages were approximately halved for the CAPD group (32% and 43%, respectively). CONCLUSION: Patterns of growth and body composition appear distinctly different with the different RRT modalities. Serial anthropometric evaluation appears vital in pre- and post-RRT monitoring in pediatric renal populations. 相似文献
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Perspectives on the nutritional management of renal disease in Asia: people, practice, and programs.
The high prevalence of end-stage renal disease (ESRD) in many Asian countries is attributed to diabetes and hypertension. Health care expenditure in relation to per capita income and government share of this expenditure vary among Asian countries and are affected by large populations and the poverty factor. The impact of ESRD on nutritional management in Asia reveals the need for clinicians to balance the requirements for higher standards of dietetic practice as they implement optimal care algorithms with the goal of improving outcomes, against the backdrop of staffing limitations, limited expertise in renal nutrition practice, and cultural diversity among Asian people. This paper discusses current aspects of dietetic practice and the likelihood that a change in practice is required if dietitians are to play an active role in preventing or slowing down ESRD. 相似文献
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Bridget Kelly Stefanie Vandevijvere SeeHoe Ng Jean Adams Lorena Allemandi Liliana Bahena‐Espina Simon Barquera Emma Boyland Paul Calleja Isabel Cristina Carmona‐Garcs Luciana Castronuovo Daniel Cauchi Teresa Correa Camila Corvaln Emma Lucia Cosenza‐Quintana Carlos Fernndez‐Escobar Laura I. Gonzlez‐Zapata Jason Halford Nongnuch Jaichuen Melissa L. Jensen Tilakavati Karupaiah Asha Kaur María F. Kroker‐Lobos Zandile Mchiza Krista Miklavec Whadi‐ah Parker Monique Potvin Kent Igor Pravst Manuel Ramírez‐Zea Sascha Reiff Marcela Reyes Miguel ngel Royo‐Bordonada Putthipanya Rueangsom Peter Scarborough Maria Victoria Tiscornia Lizbeth Tolentino‐Mayo Jillian Wate Martin White Irina Zamora‐Corrales Lingxia Zeng Boyd Swinburn 《Obesity reviews》2019,20(Z2):116-128
Restricting children's exposures to marketing of unhealthy foods and beverages is a global obesity prevention priority. Monitoring marketing exposures supports informed policymaking. This study presents a global overview of children's television advertising exposure to healthy and unhealthy products. Twenty‐two countries contributed data, captured between 2008 and 2017. Advertisements were coded for the nature of foods and beverages, using the 2015 World Health Organization (WHO) Europe Nutrient Profile Model (should be permitted/not‐permitted to be advertised). Peak viewing times were defined as the top five hour timeslots for children. On average, there were four times more advertisements for foods/beverages that should not be permitted than for permitted foods/beverages. The frequency of food/beverages advertisements that should not be permitted per hour was higher during peak viewing times compared with other times (P < 0.001). During peak viewing times, food and beverage advertisements that should not be permitted were higher in countries with industry self‐regulatory programmes for responsible advertising compared with countries with no policies. Globally, children are exposed to a large volume of television advertisements for unhealthy foods and beverages, despite the implementation of food industry programmes. Governments should enact regulation to protect children from television advertising of unhealthy products that undermine their health. 相似文献