• Clinical and Experimental Pediatrics
• /
• 제64권9호
• /
• pp.473-479
• /
• 2021

Background: Malnutrition has a high incidence among pediatric surgical patients and contributes to increased risks of postoperative complications and extended hospital stays. Purpose: The present study aimed to determine the influence of preoperative nutritional status on the postoperative outcomes of pediatric patients who underwent elective gastrointestinal (GI) surgery. Methods: This prospective observational study was conducted at Cairo University Specialized Pediatric Hospital. According to the designated inclusion criteria, 75 surgical cases of both sexes were included. A structured questionnaire was developed and administered. This questionnaire included 3 main sections: demographic data and nutritional status parameters at admission and discharge. Pre- and postoperative nutritional statuses were compared. Results: According to both the subjective global nutritional assessment and STRONGKIDS score Questioner, more than 60% of patients in the upper GI patient group were at risk of malnutrition. Wasting status was most common in the upper GI patient group (67%; vs. 39.1% in the lower GI group). Underweight status was more common in the hepatobiliary and upper GI patient groups (nearly 50% for each group) than in the lower GI group (30.4%). On the other hand, stunted patients had a higher incidence of complications and a prolonged hospital stay (P=0.003 and P=0.037, respectively), while underweight lower GI patients experienced a prolonged hospital stay (P=0.02). A higher proportion of patients with preoperative anemia than those without preoperative anemia required a blood transfusion (P=0.003). Conclusion: Nutritional assessment is a crucial component of pediatric surgical patient management. Both underweight and wasting statuses were more common among hepatobiliary and upper GI patients. Postoperative complications and a long hospital stay were more common among stunted patients.

• 한국식품영양학회지
• /
• 제29권5호
• /
• pp.724-734
• /
• 2016

The purpose of this study was to determine the health behaviors and nutritional status related to dyslipidemia in Korean middle-aged adults (between 50 and 64 years old) from the Korean National Health and Nutrition Examinations Survey data (2007~2010). A total of 4,721 subjects were analyzed in this study. The subjects were divided into three groups (normal, borderline, and dyslipidemia) according to serum lipid levels. Parameters included in this study were drinking and smoking, anthropometric parameters, blood and nutritional parameters. The latter parameter included food/nutrients intake. All data was adjusted by sex, region, education level, and age. General linear model and logistic regression model were used for statistical analysis. The dyslipidemia group was comprised of more men than women. By contrast, the borderline group was comprised of more women than men (p<0.001). No significant differences were observed for other general characteristics. There were more smokers and drinkers(drinking per time) in the dyslipidemia group (p<0.05). Anthropometric data showed significant difference, ie, height (p<0.05), weight, body mass index, waist circumference, percent body fat, and blood pressure were higher in the dyslipidemia group (p<0.001). Only blood urea nitrogen showed no significant difference among groups. The HbA1c (p<0.01), fasting blood glucose, GOT, GPT, creatinine levels were higher in the dyslipidemia group (p<0.001). So it is required for the management of obesity in dyslipidemia group. The dyslipidemia group ate less sea food (p<0.05). The nutrients intake of energy and protein, thiamin, riboflavin, niacin, calcium, phosphorus were lower in the dyslipidemia group (p<0.05). Therefore, to lower dyslipidemia prevalence rates, it is necessary to increase the intake of foods containing ${\omega}-3$ fatty acids. We also suggest a meal management program and nutritional education to recognize the risk of dyslipidemia, especially for people such as the individual in the borderline and dyslipidemia study groups.

• Asian-Australasian Journal of Animal Sciences
• /
• 제19권6호
• /
• pp.852-856
• /
• 2006

Four lactating Holstein cows were used in a $4{\times}4$ Latin-square design to determine the effects of various levels of whole cottonseed (WCS) in diets on parameters including milk (yield and fat content), rumen fluid (pH, ammonia and TVFA) and blood (${\beta}$-carotene, vit. A, vit. E, urea, $NH_3$, Ca, P and Mg levels). Cows consumed 0, 1, 2 or 3 kg WCS per day. No significant differences were observed among the groups on analysed parameters except plasma vitamin E concentration. In addition, when the amount of cottonseed was increased, milk yield and milk fat content also tended to increase but this increase was not statistically significant. In conclusion, feeding of WCS up to 3 kg per day with ad libitum maize silage did not cause negative effects on milk yield, milk fat and blood vitamin levels in the short term in dairy cows.

• International Journal of Industrial Entomology and Biomaterials
• /
• 제28권2호
• /
• pp.32-38
• /
• 2014

Food consumption and conversion efficiency of eri silkworm Samia ricini Donovan were studied during $4^{th}$ and $5^{th}$ larval instars by feeding castor leaves fortified with 100, 200, 300, 400 and 500 ppm concentrations of aqueous extracts of cyanobacteria Anabaena variabilis. The nutritional indices viz., ingesta, digesta, approximate digestibility (%), reference ratio and efficiency parameters like ECI and ECD were recorded which were significantly high at 400 ppm concentration treated batches of $4^{th}$ instar larvae over control batches. The decline in nutritional efficiency parameters of $5^{th}$ instar treated larvae might be due to higher utilization of the digested food for metabolic activities. Significant difference of ECI to cocoon % and non-significant difference of ECD to cocoon% and shell were observed between the treatments and control. Cyanabacteria feed supplement contains antibiotic and nutritions factors which has reflective effect on the biological parameters in eri silkworm and therefore has greater application in commercial eri silkworm rearing.

• 한국축산식품학회지
• /
• 제38권1호
• /
• pp.52-63
• /
• 2018

Cheese consumption has been gradually increased in China. However, both the manufacturing process of cheese and the utilization of its main by-product were not well developed. Based on the sensory evaluation, Box-Behnken Design (BBD) was performed in the present study to optimize the cheese processing, which was proved more suitable for Chinese. The optimal parameters were: rennet 0.052 g/L, start culture 0.025 g/L and $CaCl_2$ 0.1 g/L. The composition analysis of fresh bovine milk and whey showed that whey contained most of the soluble nutrients of milk, which indicated that whey was a potential resource of cyclic adenosine-3', 5'-monophosphate (cAMP). Thus, the cAMP was isolated from whey, the results of high-performance liquid chromatography (HPLC) analysis showed that the macroporous adsorption resins (MAR) D290 could increase the concentration of cAMP from $0.058{\mu}mol/mL$ to $0.095{\mu}mol/mL$. We firstly purified the cAMP from the whey, which could become a new source of cAMP.

• International Journal of Industrial Entomology and Biomaterials
• /
• 제9권1호
• /
• pp.111-115
• /
• 2004

Nutrition plays an important role in maintaining the larval health, cocoon quality and reproductive potential in Antheraea mylitta D. Nutritional efficiency greatly influenced if food is not adequate and of quality. A. mylitta silkworms were subjected to food deprivation for the period of 0 hr to 12 hrs /day to assess its effect on various nutritional parameters and indices, and its manifestation at different levels. Food ingesta, digesta, gain in body weight declined significantly at each level of deprivation, so also food utilization efficiency like consumption index (CI), growth rate (GR), approximate digestibility (AD), and efficiency of conversion of ingested food (ECI). This stress leads to decline in mean daily food ingesta by 16.73% to 39.76% and digesta by 28.98% to 54.01 % following a significant reduction in average daily body weight gain (27.68% to 55.09%). Food deprivation a1so caused significant loss in the silk gland weight, cocoon and shell weight (14.37% to 53.69%), lowered the fecundity (35.86 % to 83.59%) and in number of eggs laid per gram body weight, but simultaneously the number of non-chorionated eggs increased significantly.

• Journal of Nutrition and Health
• /
• 제16권3호
• /
• pp.216-227
• /
• 1983

As an attempt to improve the nutritional status of Korean rural pre-school children, anthropometry, clinical examination, and hematological parameters(Hb, Ht, and serum albumin) are measured. Six kinds of diet supplemented with 0, 2.5, 5.0, 7.5, 10.0 and 20.0 mg Fe(as ferrous sulfate) were used for 10 weeks. Subjects were 349 pre- school children aged from 1 to 5 years old living in An-gam-my-on and Bong-dang-myon, Hwa-seung-goo, Kyong-gi-duo, and the supplementary diet was a product of the Model Nutritional Enterprise Factory in Wuen-sueng-goon, Gang-won- duo. The results obtained were as follows : 1) Physical development of subject children were within normal range during the feeding trial period of 9 weeks. 2) From the results of clinical examination, no children showed nutritional deficiency signs. 3) Iron free supplementary diet group( control group ) among other subject children also showed some improvement of hemoglobin level ana frequency of anemia. 4) The amount of iron fortified as supplemental diet was effective in 5.0-7.5 mg Fe per child per day, no further effect was observed by adding of more iron. 5) The values of hematocrit and serum albumin also improved by providing the supplementary diet.

• Tuberculosis and Respiratory Diseases
• /
• 제44권1호
• /
• pp.93-103
• /
• 1997

연구배경 : 만성 폐쇄성 폐질환 환자에서 영양결핍이 흔히 나타나며, 그 원인기전은 섭취의 부족보다는 호흡근의 열량요구량의 증가에 따른 과신진대사로 인하여 상대적인 결핍이 초래되기 때문으로 알려져 있다. 또한 만성 패쇄성 폐질환에서 영양결핍은 폐기능, 근력 및 운동수행능 등의 생리적 척도와도 유의한 상관관계를 보이며, 나아가서는 예후에도 영향을 미치는 독립적인 인자로 보고된 바 있다. 방법 : 만성 폐쇄성 폐질환 환자와 유사연령의 건강한 대조군에서 영양섭취량을 조사하였고, 신체계측과 혈액검사 등의 영양상태의 지표를 평가하였으며, 영양상태의 평가지표들과 만성 폐쇄성 폐질환의 중요한 폐기능지표인 1초간 노력성 호기량과의 상관성을 조사하였다. 결과 : 1) 대상 환자는 남자 25예였으며, 평균연령은 66.1세였고, 1초간 노력성 호기량의 예측치에 대한 비율은 $42{\pm}14%$였다. 대조군은 폐기능이 정상인 건강한 남자 26예였고, 평균연령은 65.0세였다. 2) 1일 열량섭취량/열량요구량 비율은 환자군에서 $107{\pm}28%$, 대조군에서 $94{\pm}14%$로 환자군에서 높은 경향을 보였다(p=0.06). 3) 환자군과 대조군의 비만도가 92.8% 및 101.6%로(p=0.024), 신체비만지수가 $20.0kg/m^2$ 및 $21.9kg/m^2$ 로(p=0.015), 악력이 29.0kg 및 34.3kg으로(p=0.003), 환자군에서 유의하게 낮았으나, 상완삼두근부위 피부두겹두께, 상완위 근육둘레, 알부민 및 총림프구수는 두 군간에 유의한 차이가 없었다. 환자군에서 저체중군의 비율은 40%(10/25)였고, 대조군에서는 15%(4/26)였다. 4) 비만도, 신체비만지수, 상완삼두근부위 피부두겹두께, 상완위 근육둘레 등은 1초간 노력성 호기량과 유의한 상관성이 있었다. 결론 : 이상의 결과에서 만성 패쇄성 폐질환 환자는 저체중과 말초근력의 저하 등 영양결핍의 소견을 보이나, 그 원인이 섭취량은 부족에 기인하지 않음을 알 수 있었으며, 영양상태 평가의 지표들이 1초간 노력성 호기량과 유의하게 상관됨을 알 수 있었다.

• 한국임상약학회지
• /
• 제23권2호
• /
• pp.167-174
• /
• 2013

Objective: The study evaluated the impact of pharmacist inventions with the implementation of pharmacistinvolved nutritional support service at neonate intensive care unit in a tertiary teaching hospital. Method: A retrospective and observational study was carried out. The total of 58 infants in neonate intensive care unit was enrolled between January 2011 and October 2012. The pharmacist-involved total parenteral nutritional program was initiated in June of 2012. During the program, pharmacist actively participated in the multidisciplinary round with performing the interventions from reviewing the amount of combined total parenteral nutrition and enteral fluid intakes, the amount of total calories, the glucose infusion rate, and the amounts of proteins per weight in kilogram. The outcome was compared with the results from the control group which reflected the prior period of the program initiation. Result: The number of days of regaining birth weight was significantly shorter (14.5 vs. 19 days, p=0.049) and the percentage of total calorie days with >90 kcal/kg/day was increased significantly (40 vs. 13%, p=0.008) in intervention group compared to the values in control group. In addition, the total mean daily caloric intakes ($84.78{\pm}13.8$ vs. $74.86{\pm}15.36$ kcal/kg/day, p=0.018) was significantly higher in intervention group than those results in control group. There were no significant differences in safety parameters between two groups related to nutritional services of necrotizing enterocolitis, intraventricular hemorrhage, proven sepsis, and also parenteral nutrition-induced hepatotoxicity. Conclusion: Pharmacist-involved total parenteral nutrition managed program was successfully implemented. The outcome showed the improved effectiveness of total parenteral nutrition with pharmacist interventions and no differences in adverse reactions. This could prove the positive effects of pharmacist involvement on nutritional therapy for neonate population.

• 한국산학기술학회논문지
• /
• 제10권2호
• /
• pp.438-446
• /
• 2009

본 연구는 급성골수성백혈병의 우선적인 치료방법인 항암화학치료제 투여 후 발생되는 호중구 감소기간을 잘 관리하기 위하여 호중구감소증 정도와 영양상태와의 관련성을 규명한 서술적 조사연구이다. 본 연구는 B시 P대학병원에서 1차 강화항암화학치료까지 받고 회복한 성인환자 54명의 환자의 의무기록지를 열람하여 조사하였다. 연구결과, 항암화학요법 주기내의 호중구감소증이 지속되는 기간은 6일에서 28일(평균 14.78일)이었으며, 호중구감소증이 시작되는 시기는 5일째에서 15일째 사이(평균 9.54일)에 나타났으며, 최저백혈구수의 시기는 평균 18.41일째였으며, 27.8%에서 19일째 가장 적은 백혈구수를 보였다. 항암요법 주기내의 항암화학요법 시작시와 절대호중구수가 가장 낮은 시기의 총단백질량, 체중, 체질량지수와 같은 영양상태 변화는 거의 없었으며, 알부민, 콜레스테롤은 유의하게 감소하였다. 대상자의 일반적인 특성에 따른 호중구감소증은 성별, 나이, 동반질환유무, 체표면적에 따른 차이가 없었다. 호중구감소증과 영양상태간의 상관관계는 없었으나, 급성골수성백혈병 환자의 호중구감소 기간 동안의 영양상태에 대한 정보는 제공해 줄 수 있을 것으로 기대된다.