Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral
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Review Meta Analysis
Systematic review of the clinical efficacy of sibutramine and orlistat in weigth loss, quality of life and its adverse effects in obese adolescents.
The prevalence of obesity, a serious public health problem, is increasing among teenagers and thus also increases cardiovascular morbidity and mortality in adulthood. ⋯ Sibutramine and orlistat in combination with a hypocaloric diet and changes in lifestyle in obese adolescents achieve a short-term loss of weight greater than that achieved through the dietary-behavioral therapy alone.
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Multicenter Study
[Incidence of nutritional support complications in critical patients: multicenter study].
Nutritional support (NS) leads complications that must be detected and prompt treated. ⋯ complications of highest incidence were the high gastric residue for EN and hypophosphatemia for the PN; the withdrawal of the tube is a complication that claims further monitoring. The duration of the NS was the variable that showed greater association with the complications studied. Is a must to get consensus on complications definitions for comparisons establishment and best international standards target, furthermore propose protocols in order to decrease complications incidence of NS to fulfill the critical ill patient requirements.
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Glycemic alterations are known as a risk condition of death in several diseases, such as ischemic cardiovascular and neurological disorders. The fact that its tight control under narrow normality levels decreases mortality and morbidity have led to further studies seeking to confirm the results and expand them to other disease areas. ⋯ Hyperglycemia is a predominant phenomenon in critically ill patients. Hypoglycemia is less frequent and is associated with higher mortality rates. Initial glucose blood level, by itself, was not a mortality risk factor in the multivariate study and at none of the studied levels. Average glycemia did not add any prediction power. The changes in glucose blood levels seemed to be an adaptation process, which determined by itself a risk for the patient's discharge, at least in the first 24 hours period after ICU admission.
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Randomized Controlled Trial
Safety of oral glutamine in the abbreviation of preoperative fasting: a double-blind, controlled, randomized clinical trial.
No study so far has tested a beverage containing glutamine 2 h before anesthesia in patients undergoing surgery. ⋯ The abbreviation of preoperative fasting to 2 h with carbohydrate and L-glutamine is safe and does not increase the RGV during induction of anesthesia.