[Oral nutritional supplementation as an intervention in patients with hip fracture]. / Suplementación nutricional oral como intervención en pacientes con fractura de cadera.

Introduction: Fragility hip fracture (FHR) is an increasingly prevalent pathology in industrialized countries, with high social and health costs. Malnutrition or the risk of malnutrition in the population with FHR is too common and negatively impacts the clinical course, the rehabilitation process, and the resulting quality of life after discharge. Technological advances applied to the diagnosis of the nutritional status of patients with FHR contribute to achieving an early intervention of malnutrition and reducing associated morbidity and mortality. Oral nutritional supplementation with a high energy and protein intake could be a safe and effective action to improve the prognosis of patients with FHR, but further research is required to confirm this.

Introducción: La fractura de cadera por fragilidad (FCF) es una patología cada vez más prevalente en países industrializados, con un alto coste social y sanitario. La desnutrición o el riesgo de desnutrición en población con FCF es demasiado común y tiene un impacto negativo en la evolución clínica, en el proceso de rehabilitación y en la calidad de vida resultante tras el alta sanitaria. Los avances tecnológicos aplicados al diagnóstico del estado nutricional del paciente con FCF contribuyen a lograr una intervención precoz de la desnutrición y a reducir la morbimortalidad asociada. La suplementación nutricional oral de alto aporte energético y proteico podría ser una actuación segura y eficaz para mejorar el pronóstico del paciente con FCF, pero se requiere de más investigación que lo confirme.

Post-Pandemic Feeding Patterns and Mediterranean Diet Adherence in Spanish Toddlers.

During the last decade, feeding patterns, more specifically those of children, have worsened-affecting dietary habits and Mediterranean diet adherence. Here, we examine the post-pandemic feeding habits of Spanish toddlers. A total of 2465 parents of children aged between 12 and 36 months completed an online 25-item multiple-choice survey asking about dietary habits and Mediterranean diet adherence. Only 34 children (1.38%) had an adequate intake of all of the food groups included in the questionnaire. Adherence worsened as toddlers grew (p < 0.0001). Further, lower compliance was found in children with a higher intake of fast food (p < 0.001), those with siblings (p = 0.0045), and children who were the second or third child (p = 0.0005). The food group with the most commonly reported adequate intake was fish (88% of children), followed by pulses (80%), water (79%), and meat (78%). Cow's milk was the most commonly consumed dairy product among all age groups analyzed. Half of the children exhibited a low consumption of milk and dairy products. These results showed that a lack of adherence to a balanced diet is common among Spanish toddlers in the post-pandemic period and that greater parent education could improve the nutrition of toddlers.