Acesso livre
Acesso livre

Nutrição

Meu paciente internado precisa de jejum absoluto após a meia-noite antes de uma cirurgia?

4 Fev, 2022 | 17:31h

Does my hospitalized patient need an NPO-after-midnight order preoperatively? – Cleveland Clinic Journal of Medicine

Conteúdos relacionados:

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

Análise transversal | Aumento do tecido adiposo visceral em adultos está associado a escores cognitivos reduzidos.

4 Fev, 2022 | 16:35h

Evaluation of Adiposity and Cognitive Function in Adults – JAMA Network Open

Comentários:

Excess Body Fat Tied to Lower Cognitive Scores in Adults – HealthDay

Expert reaction to study looking at the association between body fat and cognition in adults – Science Media Centre

 

Comentário no Twitter

 

Um estudo randomizado pragmático mostrou baixa adesão e nenhum benefício adicional em se prescrever dieta muito baixa em proteínas para pacientes com doença renal crônica avançada.

4 Fev, 2022 | 16:20h

No additional benefit of prescribing a very low-protein diet in patients with advanced Chronic Kidney Disease under regular nephrology care: a pragmatic, randomized, controlled trial – American Journal of Clinical Nutrition (link para o resumo – $ para o texto completo)

Revisão | Prevenção da aterosclerose a partir da infância.

4 Fev, 2022 | 15:33h

Prevention of atherosclerosis from childhood – Nature Reviews Cardiology (se o acesso a este link for pago, tente este)

M-A | Associação entre dieta antenatal e intervenções baseadas em atividade física com o ganho de peso gestacional e a gestação.

4 Fev, 2022 | 14:23h

Association of Antenatal Diet and Physical Activity–Based Interventions With Gestational Weight Gain and Pregnancy Outcomes: A Systematic Review and Meta-analysis – JAMA Internal Medicine

Comunicado de imprensa: New evidence shows the importance of healthy lifestyle programs in pregnancy – University of Monash

 

Comentário no Twitter

 

Estudo randomizado | Suplementação de vitamina D para idosos (média de idade: 67 anos) por 5 anos reduziu o risco de doenças autoimunes em 22%. O risco absoluto no grupo em tratamento foi de 0,95% vs. 1,19% no grupo placebo.

31 Jan, 2022 | 08:51h

Vitamin D and marine omega 3 fatty acid supplementation and incident autoimmune disease: VITAL randomized controlled trial – The BMJ

Comentário: Vitamin D and fish oil supplements may help prevent autoimmune disease, study says – CNN

Conteúdos relacionados:

RCT: Oral Vitamin D supplementation (60.000 IU per month) did not reduce mortality in patients 60 years or older (unscreened individuals in Australia, many without insufficiency, average 30ng/mL). Exploratory analyses pointed towards an increased risk of death from cancer.

RCT: Vitamin D supplementation is not beneficial for the prevention of cardiovascular disease and cancer.

USPSTF Draft Statement: Insufficient evidence to recommend multivitamin supplements for the prevention of CVD or cancer. The statement also recommends against the use of beta-carotene (increases risk of CVD mortality and lung cancer) or vitamin E (clear evidence of no benefit)

USPSTF Statement: Insufficient evidence to recommend Vitamin D deficiency screening

Vitamin D, calcium, other vitamins, and supplements do not prevent cardiovascular diseases

Revisão sistemática | Dietas com baixo carboidrato vs. dietas com carboidrato equilibrado para redução de peso e de risco cardiovascular.

31 Jan, 2022 | 08:49h

Low‐carbohydrate versus balanced‐carbohydrate diets for reducing weight and cardiovascular risk – Cochrane Library

Resumo: Low-carbohydrate diets or balanced-carbohydrate diets: which works better for weight loss and heart disease risks? – Cochrane Library

Comentário: Featured review: Low-carbohydrate versus balanced-carbohydrate diets for reducing weight and cardiovascular risk – Cochrane Library

 

Comentário no Twitter

 

Diretrizes práticas da ESPEN | Nutrição enteral domiciliar.

31 Jan, 2022 | 08:46h

ESPEN practical guideline: Home enteral nutrition – Clinical Nutrition

 

10 erros no tratamento dietético da síndrome do intestino irritável e como evitá-los.

31 Jan, 2022 | 08:29h

Mistakes in dietary management of IBS and how to avoid them – United European Gastroenterology

Conteúdos relacionados:

Supplement: Irritable bowel syndrome and related conditions.

RCT: FODMAPs, but not gluten, elicit modest symptoms of irritable bowel syndrome.

RCT: Among patients with diarrhea-predominant irritable bowel syndrome, a low FODMAP diet achieved earlier symptomatic improvements in stool frequency and excessive wind.

British Society of Gastroenterology guidelines on the management of irritable bowel syndrome

Guidelines for the treatment of irritable bowel syndrome

ACG Clinical Guideline: Management of irritable bowel syndrome

M-A: Efficacy of a low-FODMAP diet in adult irritable bowel syndrome

 

Comentário no Twitter (fio – clique para saber mais)

 

Diretriz de posicionamento ESC | Efeitos cardiovasculares de substâncias ligadas ao “doping”, medicações normalmente prescritas e recursos ergogênicos relacionados a esportes.

28 Jan, 2022 | 16:18h

Cardiovascular effects of doping substances, commonly prescribed medications and ergogenic aids in relation to sports: a position statement of the sport cardiology and exercise nucleus of the European Association of Preventive Cardiology – European Journal of Preventive Cardiology

Comunicado de imprensa: Athletes warned against potential dangers of natural supplements – European Society of Cardiology

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