SUN-PP109: Changes in Serum Micronutrient Concentrations Among Sarcopenic Older Adults Consuming a Specific Oral Nutrition Supplement

2015 ◽  
Vol 34 ◽  
pp. S63-S64
Author(s):  
S. Verlaan ◽  
S. Wijers ◽  
J. Bauer ◽  
C. Sieber ◽  
T. Cederholm ◽  
...  
2018 ◽  
Vol 43 (6) ◽  
pp. 794-802 ◽  
Author(s):  
Brett R. Loman ◽  
Menghua Luo ◽  
Geraldine E. Baggs ◽  
Diane C. Mitchell ◽  
Jeffrey L. Nelson ◽  
...  

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
T. X. Wong ◽  
S. T. Chen ◽  
S. H. Ong ◽  
S. Shyam ◽  
P. Kandasami ◽  
...  

Abstract Background While it is well established that perioperative use of oral nutrition supplement (ONS) improves nutrition status among severely malnourished surgical cancer patients, the evidence requires further substantiation for non-severely malnourished patients with cancer. This protocol paper presents the rationale and design of a randomised controlled trial to evaluate the effectiveness of preoperative as well as an extended 90-day postoperative use of ONS on nutritional and clinical outcomes among patients undergoing elective surgery for breast and colorectal cancer. Methods Patients with primary breast and colorectal cancer undergoing elective surgery are recruited from two tertiary hospitals. Eligible patients are assigned into one of the three intervention arms: (i) Group SS will receive ONS in addition to their normal diet up to 14 days preoperatively and postoperatively up to discharge; (ii) Group SS-E will receive ONS in addition to their normal diet up to 14 days preoperatively, postoperatively up to discharge and for an extended 90 days after discharge; and (iii) Group DS will receive ONS in addition to their normal diet postoperatively up to discharge from the hospital. The ONS is a standard formula fortified with lactium to aid in sleep for recovery. The primary endpoints include changes in weight, body mass index (BMI), serum albumin and prealbumin levels, while secondary endpoints are body composition (muscle and fat mass), muscle strength (handgrip strength), energy and protein intake, sleep quality, haemoglobin, inflammatory markers (transferrin, high sensitivity C-reactive protein, interleukin-6), stress marker (saliva cortisol), length of hospital stay and postoperative complication rate. Discussion This trial is expected to provide evidence on whether perioperative supplementation in breast and colorectal cancer patients presenting with high BMI and not severely malnourished but undergoing the stress of surgery would be beneficial in terms of nutritional and clinical outcomes. Trial registration ClinicalTrial.gov NCT04400552. Registered on 22 May 2020, retrospectively registered


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Kristen Hicks-Roof

Abstract Objectives Introduction: Scar assessment scales are used for a number of scars related to surgical procedures, burns and trauma. These objective and subjective scales help to assess the physical characteristics, pathological wound healing and overall esthetics related to scarring. Select nutrients play a vital role in tissue repair and wound healing. Methods Case Description: A 28-year old female underwent a cesarean section delivery due to a frank breech positioning of the baby. The patient was considered to be within a healthy BMI range pre-pregnancy (BMI = 23.5) and consumed an overall healthy diet, as determined by the Dietary Guidelines for Americans. After surgery, she consumed two packets of Juven© daily mixed with 500–1000 mL water, for two weeks, to aid in wound healing. This oral nutrition supplement is composed of L-arginine, L-glutamine, collagen protein, β-hydroxy-β -methylbutyrate and vitamins and minerals; each nutrient with evidence-based support to boost wound healing. An obstetrician performed scar evaluations at two-weeks postpartum to identify short-term wound outcomes. The Stony Brook Scar Evaluation Scale (score 5 of 5) and the Manchester Scar Scale (score 8 of 18) revealed positive measures. Results Discussion: Pathological scarring can be associated with substantial physical and psychological complications. Women who undergo cesarean sections are seeking ways to minimize the physical scar appearance and pathological wound healing. A twice daily supplementation of Juven© can assist in improvement in the visual cosmetic appearance and overall physical characteristics of scarring due to cesarean section. According to the results from scar scales utilized in this case, this surgical incision indicates “best possible scar”. Conclusions An oral nutrition supplement, used as an intervention post-cesarean section, can optimize scar appearance and overall wound healing. This case report gives insight as to how nutrition can play a role in revitalizing standard treatment after surgery. While this is just one case, there is an opportunity to enhance the physiological and psychological recovery from surgical scars, such as from a cesarean section. Funding Sources No funding to report.


2013 ◽  
Vol 32 ◽  
pp. S39-S40
Author(s):  
A.H. Hamirudin ◽  
A. Carrie ◽  
K. Charlton ◽  
K. Walton ◽  
L. Tapsell ◽  
...  

2018 ◽  
Vol 07 (01) ◽  
Author(s):  
Shanthi Johnsona ◽  
Roseann Nasser ◽  
Cherith L McGregorb ◽  
Krista R Sawatzkyb ◽  
Kimberly T Thieub ◽  
...  

Author(s):  
D.A. de Luis ◽  
O. Izaola ◽  
A Castro ◽  
J.J. Lopez ◽  
B. Torres ◽  
...  

Abstract: The aim of our study was to evaluate a hypercaloric sweet milkbased oral nutrition supplement in a prospective 3 day-study designed to assess the taste preferences of this oral nutritional supplement (ONS) in elderly malnourished out-patients and the influence on adherence in daily intake during two months.A total of 28 out-patients with recent weight loss were included in this study. One flavour (chocolate, vanilla or strawberry) was administered each day in a random way during three consecutive days. In the first three days, patients were asked to fulfill two questionnaires in order to reflect ONS tolerance and acceptance. Sweet and aftertaste were better for chocolate flavour than for vanilla or strawberry flavours. Patients who chose vainilla took a total of 96.3+7.4 average bricks during outpatient followup (1.60+0.3 per day), patients who chose chocolate took 76.8+15.0 bricks (1.28+0.8 per day) and patients who chose strawberry bricks taken 60.3+19.5 bricks (1.10+0.7 per day), with a significant difference with vainilla flavour (p <0.01). The improvement of weight (vanilla +1.0+0.8 kg vs chocolate +0.5+0.8 kg vs 0.6+1.0 kg:p=0.03), tricipital skinfols (vanilla +1.5+0.3 mm vs chocolate +1.1+0.4 mm vs 0.7+0.3 mm:p=0.03), prealbumin levels (vanilla +4.2+0.8 mg/dl vs chocolate +3.9+0.7 mg/dl vs +3.6+1.0 mg/dl:p=0.01) and transferrin levels (vanilla +100.0+21.8 mg/dl vs chocolate +75.5+18.8 mg/dl vs 63.8+14.1 mg/dl:p=0.03) was higher in patients treated with vanilla ONS than chocolate or strawberry ONS. The three flavoured ONS taste preferences are similar although the consumption is high in vanilla flavoured ONS.


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