Nutrition
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Oncology may be the most rapidly expanding field in medicine, with several innovative diagnostic and therapeutic procedures appearing daily. Advances in oncology have improved the survival rate for patients with cancer and promoting quality of life is now one of the goals in the care of these patients. Patients face a variety of disease- and treatment-related side effects, including anorexia, nausea, vomiting, recurring infections, and sleep difficulties. ⋯ Alterations in the tryptophan kynurenine pathway have been shown to impair cognitive skills in several mental illnesses. However, its possible function in CRCI has yet to be investigated. The aim of this was to examine the possible interactions between tryptophan catabolism and CRCI.
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Triceps skinfold thickness (TSF) is an economical and effective anthropometric method for estimating cellulite. It has attracted increasing attention as a parameter to assess cancer prognosis. Owing to physiologic differences, the sex-specific value of TSF in the prognostic assessment of colorectal cancer (CRC) is unclear. The aim of this study was to explore the sex differences in the association of TSF and CRC mortality and provide practical clinical guidelines for optimizing prognostic strategies and nutritional guidance for patients with CRC. ⋯ TSF is an independent factor affecting the prognosis of women with CRC; however, the prognostic value of TSF in men with CRC may be limited.
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Non-alcoholic fatty liver disease (NAFLD) represents an excessively rising entity of chronic liver disease and is a leading cause of mortality among patients with metabolic syndrome. The duodenal-jejunal bypass liner (DJBL) is a minimally invasive endoscopic treatment option for patients with obesity and type 2 diabetes (T2DM). Although beneficial effects of DJBL therapy on body weight reduction and glycemic control have been described, the effects of DJBL implantation on NAFLD is unknown. The aim of this study was to to evaluate the effects of DJBL implantation for 6 to 9 months on biochemical and clinical biomarkers of NAFLD in a large cohort of patients. ⋯ To our knowledge, this is the first study to demonstrate significant effects of DJBL treatment on biochemical and clinical markers of NAFLD activity. Significant effects of DJBL treatment on NAFLD fibrosis and APRI score further suggests protective effects of DJBL on liver-related morbidity and mortality in patients with obesity and T2DM.
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High stoma output is a significant complication after bowel surgery that causes dehydration, resulting in acute kidney injury, electrolyte imbalances, unintentional weight loss, and malnutrition. This study evaluates the postoperative ileostomy output among patients with colorectal cancer after being supplemented with partially hydrolyzed guar gum. ⋯ Partially hydrolyzed guar gum fiber acts as an agent to hold water, reduce the speed of gastrointestinal tract transit, increase effluent viscosity, and potentially decrease water losses. Supplementation with PHGG fiber appeared to minimize ileostomy output and improve clinical outcomes among postoperative ileostomy patients. This needs to be evaluated further with a randomized controlled trial to confirm this preliminary finding.
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Review
Nutritional strategies for autophagy activation and health consequences of autophagy impairment.
Currently, the plague of chronic diseases, such as overweight, obesity, diabetes, and cardiovascular diseases, is associated with chronic inflammation as an effect of homeostasis disbalance. One of the processes involved in homeostasis maintenance is autophagy, which is also referred to as self-eating or cellular recycling. Due to the correlation between the epidemic scale of chronic diseases and autophagy impairment, strategies for autophagy activation are urgently needed. ⋯ Autophagy is involved in different dysfunctions and diseases; thus, activation strategies are urgently needed. A high potential in the prevention and therapies of chronic diseases by means of autophagy induction can be expected from nutritional behaviors. To date, most studies were carried out in vitro or in a murine model. Thus, further, well-designed, clinical trials are needed to provide the missing understanding of the nutritional potential to regulate specific signaling pathways that keep autophagy running smoothly.