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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Infant,Malnutrition,Newborn,fetal,Growth Chart
- چکیده:
- چکیده انگلیسی: Several complications during childhood is associated with nutritional status of infants at birth. Therefore, nutritional status of newborns must be evaluated properly after birth. Assessment of the nutritional status of neonates based on anthropometric and physical indices is simple and inexpensive without the need for advanced medical equipment. However, no previous studies have focused on the assessment methods of the nutritional status of infants via anthropometric and physical indices. This study aimed to review some of the key methods used to determine the nutritional status of neonates using anthropometric and physical indices. To date, most studies have focused on the diagnosis of fetal malnutrition (FM) and growth monitoring. In order to diagnose FM, researchers have used growth charts and Ponderal index (PI) based on anthropometric indices, as well as Clinical Assessment of Nutritional (CAN) Score based on physical features. Moreover, in order to assess the growth status of infants, growth charts were used. According to the findings of this study, standard intrauterine growth curves and the PI are common measurement tools in the diagnosis of FM. Furthermore, CAN score is widely used in the evaluation of the nutritional status of neonates. Given the differences in the physical features of term and preterm infants, this index should be adjusted for preterm neonates. Longitudinal growth charts are one of the most prominent methods used for monitoring of the growth patterns of infants.
- انتشار مقاله: 14-02-1395
- نویسندگان: Ali Asghar Rashidi,Abdolreza Norouzy,Bahare Imani,Mohsen Nematy,Mohammad Heidarzadeh,Ali Taghipour
- مشاهده
- جایگاه : پژوهشی
- مجله: Reviews in Clinical Medicine
- نوع مقاله: Journal Article
- کلمات کلیدی: Infant,Malnutrition,Newborn,fetal,Growth Chart
- چکیده:
- چکیده انگلیسی: Several complications during childhood is associated with nutritional status of infants at birth. Therefore, nutritional status of newborns must be evaluated properly after birth. Assessment of the nutritional status of neonates based on anthropometric and physical indices is simple and inexpensive without the need for advanced medical equipment. However, no previous studies have focused on the assessment methods of the nutritional status of infants via anthropometric and physical indices. This study aimed to review some of the key methods used to determine the nutritional status of neonates using anthropometric and physical indices. To date, most studies have focused on the diagnosis of fetal malnutrition (FM) and growth monitoring. In order to diagnose FM, researchers have used growth charts and Ponderal index (PI) based on anthropometric indices, as well as Clinical Assessment of Nutritional (CAN) Score based on physical features. Moreover, in order to assess the growth status of infants, growth charts were used. According to the findings of this study, standard intrauterine growth curves and the PI are common measurement tools in the diagnosis of FM. Furthermore, CAN score is widely used in the evaluation of the nutritional status of neonates. Given the differences in the physical features of term and preterm infants, this index should be adjusted for preterm neonates. Longitudinal growth charts are one of the most prominent methods used for monitoring of the growth patterns of infants.
- انتشار مقاله: 14-02-1395
- نویسندگان: Ali Asghar Rashidi,Abdolreza Norouzy,Bahare Imani,Mohsen Nematy,Mohammad Heidarzadeh,Ali Taghipour
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Patient Safety & Quality Improvement
- نوع مقاله: Journal Article
- کلمات کلیدی: Intensive Care Unit,Enteral Nutrition,Nutrika supplement
- چکیده:
- چکیده انگلیسی: Introduction: Malnutrition is a general problem in hospitalized patients. Enteral feeding in Intensive Care Unit (ICU) has been stated to decrease the metabolic response to stress, decline bacterial translocation, and preserve gut mucosal integrity. To assess the efficacy and complications of Nutrika supplement for enteral feeding in Intensive Care unit.
Materials and Methods: Nutrika is an enteral nutritional supplement. 12 patients (six male, six female) who received Nutrika supplement through Nasogastric Tube (NGT) in ICU department of Ghaem Hospital were studied. Evaluating gastrointestinal tolerance, biochemical tests, daily calorie intake and the measurement of arm circumference were done daily. Mean admission duration of these hospitalized patients was ten days and it should be noted that the average amount of received gavage was 200 ml/2h.
Results: four patients (two male, two female) had diarrhea when they received this supplement in consecutive meals. Two patients (female) experienced abdominal pain after consuming this supplement; however the prevalence of all gastrointestinal intolerance symptoms among patients were not statistically significant (P=0.25, P=0.50, P=0.50). Albumin and Urea level alter significantly during supplementation (P=0.001, P=0.002). Rest of the laboratory values did not change significantly. In two patients (one male, one female) who were completely intolerant to this solution, arm circumference had two cm decrease.
Conclusion: Although this supplement has some complication including distension and diarrhea, however it is strongly suggested to use due to severe malnutrition in ICU ward and plays a significant role in improving general condition of these patients.- انتشار مقاله: 20-07-1393
- نویسندگان: Peyman Rezaie,Samaneh Sadat Ayoubi,Mohsen Mazidi,Abdolreza Norouzy
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Patient Safety & Quality Improvement
- نوع مقاله: Journal Article
- کلمات کلیدی: Diarrhea,Enteral Nutrition,formula
- چکیده:
- چکیده انگلیسی: Introduction: Malnutrition is common in intensive care unit, occurring in (30% to 50%) of hospitalized patients. To prevent malnutrition, nutritionists recommend industrials formula for patients who cannot eat but with functional gastrointestinal track, But due to verbal nurse`s reports standard enteral formula is inducing diarrhea. In this study our purpose is to evaluate the incidence of diarrhea in hospitalized patients with standard Enteral Nutrition (EN) formula intake.
Materials and Methods:13 patients participated in our study. We used Milatech brand as entral formula. Formula administration was depended 200 or 250 cc every two or three hours a day in dependent to patients needs and tolerance. Gastro Intestinal (GI) complications were recorded by nursing stuff in patients medical records. Complication frequencies were considered during three days for each person.
Results: No patients have diarrhea, only residue was seen in four patients.
Conclusion: Evaluation of patients receiving Milatech standard formula showed that diarrhea wasn’t seen in hospitalized patients. Diarrhea was reported by the nurses may refer to other diarrhea genic causes including of long length of stay, entral duration or medical side effects or infections.- انتشار مقاله: 16-04-1393
- نویسندگان: Shabbu Ahmadi Bonakdar,Mahdieh Pouryazdanpanah,Zahra Ganie Far,Saba Ghazanfari,Abdolreza Norouzy
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Patient Safety & Quality Improvement
- نوع مقاله: Journal Article
- کلمات کلیدی: Malnutrition,Hospitalized patients,Negative interruption,Protected mealtime
- چکیده:
- چکیده انگلیسی: Introduction: Malnutrition is a prevalent problem in hospitalized patients, causing a wide range of negative clinical and economic challenges. Protected mealtimes (PM) aim to enhance the quality of mealtime experience, improve nutrient status in hospitalized patients, and limit all non-essential interruptions so that patients might eat in a clean, quiet, and safe environment. Materials and Methods: This study is a clinical audit and was conducted in Mashhad teaching hospitals in order to evaluate mealtime interruptions that occurred among non-nutritional staff and influenced their food intake. Data were collected by direct observation. Lunchtime was chosen for audit because medical interruptions were more likely to happen during this meal. Two researchers (one dietitian, student and one dietetic assistant) observed lunch mealtime. The mealtime environment was monitored, and every negative interruption was registered. Exclusion criteria included patients who were nil-by-mouth or received enteral or parenteral nutrition. Results:A total of 208 patients were involved in the audit. The recorded negative interruptions included medical round, educational round, nurses’ change-of-shift, and activities of environmental service workers. Among interruptions, both medical round and nurses’ change-of-shift were the most frequent. All mealtime interruptions summarized to medical round (2.5%) (including serum replace, drug injection, and IV replace), change-of-shift (2.5%), environmental-service-worker activities (2%), and educational round (2%). Conclusion: Our study demonstrated that non-urgent interruptions during mealtimes were not adhered to PM guidelines, indicating the importance of addressing mealtime related issues in hospitals.
- انتشار مقاله: 28-02-1395
- نویسندگان: Mehrane Mehramiz,Tannaz Jami Alahmadi,Mohsen Nematy,Abdolreza Norouzy
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Nutrition,Fasting and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Overweight,BMI,Obesity,ALA,DHA,EPA
- چکیده:
- چکیده انگلیسی: Background: Obesity is a common health problem associated with a number of diseases, such as hypertension, cardiovascular disease, hyperlipidemia, diabetes, gout, gall bladder and liver disease, cancer, and depression. The prevalence of obesity is dramatically increasing around the world, especially in the Asia Pacific region. omega-3 is a type of polyunsaturated fatty acids that have several beneficial effects on some diseases such as diabetes, hypertension, rheumatoid arthritis, bipolar disorder and asthma. Therefore, the main objective of the present study was to determine the levels of omega-3 fatty acids in subjects with different categories of BMI (healthy- weight, overweight, and obese) and WC (not at risk, increased risk, and substantially increased risk). Method: In the current study, a total of 151 individuals consist of 58 men and 93 women (aged 18-65 year) were randomly recruited from patients attending the nutrition clinics of Mashhad, Iran. Participants were divided into three groups according to body mass index (BMI) (healthy-weight, overweight, and obese) and WC categories (not at risk, increased risk, and substantially increased risk). Plasma levels of omega-3 fatty acids were analyzed in blood sample of all participants by gas chromatography apparatus equipped with a flame ionization detector (GC-FID). The protocol was approved by the Ethics Committee of the Mashhad University of Medical Science (MUMS) and written informed consent was obtained from all individuals. Results: Alpha-linolenic acid (ALA), eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA) were inverse association with increasing both overall (p<0.001, pConclusion: Plasma omega-3 polyunsaturated free fatty acids were inversely in relation with anthropometric measures of obesity including BMI and WC. Further studies are needed to identify the possible mechanism(s) that links plasma omega-3 fatty acids with overall and abdominal obesity.
- انتشار مقاله: 26-06-1397
- نویسندگان: Fatemeh Ahmadi,Mohsen Nematy,Mojtaba Shafiee,Seyed Mostafa Arabi,Abdolreza Norouzy,Maryam Tayefi,Habibollah Esmaeili,Mohammad Hashemi
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Nutrition,Fasting and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: dietary intake,Burn patients,Nutritional requirements
- چکیده:
- چکیده انگلیسی: Introduction: Nutritional support of the burn patient is essential to optimize, host immune defenses and to promote prompt wound healing. Furthermore, the increased needs in calorie requirement of burned patients, the composition of proteins, carbohydrates and fats in their diet is important. The purpose of this study was to evaluate energy, macronutrient and micronutrient intake and comparing with Reference Daily Intake (RDI) in adult burn patients. Methods: Sixty thermally injured patients who were hospitalized in a burn care Imam Reza hospital in Mashhad, Iran, were included in this cross-sectional study. Information about actual intake was collected by ‘nutrient intake analysis (NIA) through direct observation. Individual nutritional intakes were assessed with the use of nutritionist 4 software and Data was analyzed by SPSS version 18. Results: The mean of energy, carbohydrate and protein intake was significantly lower than the mean total energy requirement and carbohydrate and protein RDA (p<0.001). While the mean fat intake was inside the range of RDI (20.5±8.3%). The mean of vitamins A and folate and C intake were significantly lower than the RDI (All p<0.001). Conclusions: This study showed that the energy, protein and carbohydrate intake in patients with major burn were lower than the RDA but the amount of fat intake was inside the range of RDA. In addition, we found that the vitamins and minerals intake in adult with major burn was lower than RDI and may decelerate wound healing and increase the duration of hospitalization.
- انتشار مقاله: 26-05-1397
- نویسندگان: Abdolreza Norouzy,Zahra Khorasanchi,Mina Safari Bidokhti,Negar Mozaffarirad,Zahra Dehnavi,Seyed Mostafa Arabi,Alireza Sedaghat
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Nutrition,Fasting and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Ready-to-eat,Compact Food bars,Emergency Food Product,Ready-to-Use Therapeutic Food,Military Operation
- چکیده:
- چکیده انگلیسی: Compact FoodBars (CFB) are part of the diets that are named according to the purpose of use, Meal Ready-to-Eat (MRE) used during the maneuvers and military operations, Emergency Food Product (EFP) used in emergencies and crises such as natural disasters and warfare leading to the promotion of crisis management, and Ready-to-Use Therapeutic Food (RUTF) used for therapeutic purposes in malnourished individuals and AIDS patients. Some of the characteristics of CFB include high nutritional value, high nutrient content, high energy density, no need for preparation, ready to use, long lasting, low spoilage percentage due to low moisture content, low volume and weight and ease of transportation and distribution. The energy level, the type and amount of fat, protein, carbohydrates, fiber and micronutrients should be taken into account in the formulation of CFB . The main ingredients of these diets consist of cereal, skim milk, soy and its products, vegetable oil, sugar and plant nutrients. The products based on this purposes are very valuable to people in these circumstances. In fact, it should be noted that victims of war and natural disasters will have a new chance to live by eating the CFB . Therefore, it is essential to check and plan for the production of Compact Foodwith the described characteristics.
- انتشار مقاله: 17-05-1397
- نویسندگان: Vahid Hadi,Abdolreza Norouzy,Mostafa Mazaheri Tehrani,Mohsen Nematy,Saeid Hadi
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Nutrition,Fasting and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Hematopoietic stem cell transplantation,Bacterial contamination,Food-borne,Neutropenic diet
- چکیده:
- چکیده انگلیسی: Background: The use of a neutropenic diet after hematopoietic stem cell transplantation (HSCT) was instituted more than 30 years ago. This diet was targeted toward preventing from infection with organisms colonizing the gastrointestinal tract and the food-borne pathogens, which are the most important cause of illness and death in developing countries. Regarding this, the present study aimed to evaluate neutropenic diet in patients undergoing bone marrow transplantation in a selected hospital. This study also sought to investigate the role of hospital foods in the transmission of clinically important bacteria to the hospitalized patients. Materials and Methods: This cross-sectional study was conducted on the specimens of the foods served in the Bone Marrow Transplant Department of Shariati Hospital, Tehran, Iran. The samples were evaluated in terms of bacterial contamination using the standard method of American Public Health Association and Food and Drug Administration (FDA). Results: According to total bacteria and coliform counts, No contamination was detected in any of the tested specimens. Conclusion: As the findings indicated, the neutropenic diet, was found to be fully in line with the standards of the Ministry of Health and FDA both in terms of guidelines and food analysis.
- انتشار مقاله: 15-04-1397
- نویسندگان: Mahsa Tousi,Abdolreza Norouzy,Mohammad Vaezi,Ali Ghasemi,Maryam Khosravi,Ardeshir Ghavamzade
- مشاهده
- جایگاه : پژوهشی
- مجله: Journal of Nutrition,Fasting and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Myocardial Infarction,Prooxidant-antioxidant balance,Nutritional risk screening (NRS-2002),Suboptimal nutrition
- چکیده:
- چکیده انگلیسی: Introduction: The present study aimed to evaluate the effects of hospitalization on the nutritional status and prooxidant-antioxidant balance (PAB) of the patients with myocardial infarction (MI).Methods: This study was conducted on 57 patients diagnosed with MI with the mean age of 58.44±12.80 years. The patients were admitted to the cardiac care unit (CCU) of Ghaem Hospital in Mashhad, Iran. Nutritional status of the patients was assessed using the nutritional risk screening (NRS-2002) questionnaire. In addition, anthropometric and biochemical parameters and their changes were evaluated. PAB was also assessed as an oxidative stress marker. In total, 15 patients stayed in the hospital for more than one week. The measurements were performed upon admission and discharge.Results: Upon admission, 49.1% of the patients were well-nourished, and 50.9% were at nutritional risk. As expected, the patients were overweight (36.8%) or obese (19.2%), and all the measures of adiposity were high. Well-nourished patients had lower serum PAB comparatively, while the difference was not statistically significant. The prevalence of the suboptimal nutrition index increased from 46.7% upon admission to 53.3% upon discharge. However, the increase was not considered significant due to the small sample size. Serum PAB increased within one week after admission, while the change was not significant (P=0.249).Conclusion: According to the results, the prevalence of suboptimal nutrition was high in the MI patients in Iran and increases during hospitalization.
- انتشار مقاله: 29-02-1397
- نویسندگان: Mohsen Nematy,Seyed Mostafa Parizadeh,Mohammad Safarian,Abdolreza Norouzy,Seyed Mohammad Reza Parizadeh,Mohsen Mouhebati,Maryam Ghandehari,Shima Tavalaie,Majid Ghayour Mobarhan,Gordon Ferns
- مشاهده