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Rev. bras. med. esporte ; 29: e2022_0167, 2023. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1394838


ABSTRACT Introduction: Skiing is a sport that demands the high performance of motor coordination with high energy consumption, factors that strongly influence muscle fatigue. Athletes who experience this phenomenon tend to present a decline in performance, generating psychological irritability and impairment in concentration. Diet is closely related to athletic performance, but the proper prescription for skiing athletes still lacks studies. Objective: To explore the methods of recovery from sports fatigue in skiers by providing up-to-date perspectives for effective nutritional intervention during the recovery stage. Methods: Seven young male skiers were selected as research subjects, and caloric intake, among other conditions, was recorded in detail. After three weeks, indices of body weight, body fat rate, serum metabolism, cardiopulmonary capacity, and energy metabolism, among other relevant information, were duly recorded and compared. Results: The intervention did not significantly impact lean body mass indices (p>0.05). The athletes' body weight decreased significantly, and the body fat rate decreased significantly after the nutritional intervention; The analyzed biomarkers were positively impacted, except the urea nitrogen concentration that showed a tendency to increase after the nutritional intervention, an effect that may be linked to the proportional increase of protein intake. Conclusion: The proposed nutritional intervention positively impacted the skiers' energy metabolism, directly impacting the athletes' recovery from sports fatigue. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

RESUMO Introdução: O esqui é um esporte que exige alto desempenho de coordenação motora com um elevado consumo de energia, fatores que influenciam fortemente a fadiga muscular. Atletas que experienciam esse fenômeno, tendem a apresentar um declínio no nível do desempenho, gerando irritabilidade psicológica e prejuízos na concentração. A dieta está intimamente relacionada ao desempenho atlético, porém a receita adequada para os atletas em esqui ainda carece de estudos. Objetivo: Explorar os métodos de recuperação da fadiga esportiva nos esquiadores fornecendo perspectivas atualizadas para uma intervenção nutricional eficaz durante a etapa de recuperação. Métodos: Sete jovens esquiadores do sexo masculino foram selecionados como sujeitos da pesquisa, e a ingestão calórica, entre outras condições foram detalhadamente registradas. Após três semanas, índices de peso corporal, taxa de gordura corporal, metabolismo sérico, capacidade cardiopulmonar, metabolismo energético, entre outras informações relevantes foram devidamente registradas e comparadas. Resultados: A intervenção não impactou significativamente nos índices de massa magra corporal (p>0,05). O peso corporal dos atletas diminuiu significativamente e a taxa de gordura corporal diminuiu significativamente após a intervenção nutricional; os biomarcadores analisados foram positivamente impactados, a exceção da concentração de nitrogênio ureico que apresentou tendência de alta após a intervenção nutricional, efeito que pode estar atrelado ao aumento proporcional da ingesta proteica. Conclusão: A proposta de intervenção nutricional apresentou impactos positivos no metabolismo energético dos esquiadores, impactando diretamente na recuperação da fadiga esportiva dos atletas. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

RESUMEN Introducción: El esquí es un deporte que exige un alto rendimiento de coordinación motora con un elevado consumo de energía, factores que influyen fuertemente en la fatiga muscular. Los deportistas que experimentan este fenómeno, tienden a presentar un descenso en el nivel de rendimiento, generando irritabilidad psicológica y daños en la concentración. La dieta está estrechamente relacionada con el rendimiento deportivo, pero la prescripción adecuada para los atletas de esquí aún carece de estudios. Objetivo: Explorar los métodos de recuperación de la fatiga deportiva en los esquiadores proporcionando perspectivas actualizadas para una intervención nutricional eficaz durante la etapa de recuperación. Métodos: Se seleccionaron siete jóvenes esquiadores varones como sujetos de investigación, y se registró detalladamente la ingesta calórica, entre otras condiciones. Al cabo de tres semanas, se registraron y compararon debidamente los índices de peso corporal, el índice de grasa corporal, el metabolismo sérico, la capacidad cardiopulmonar y el metabolismo energético, entre otros datos relevantes. Resultados: La intervención no tuvo un impacto significativo en los índices de masa corporal magra (p>0,05). El peso corporal de los atletas disminuyó significativamente y el índice de grasa corporal disminuyó significativamente después de la intervención nutricional. Los biomarcadores analizados tuvieron un impacto positivo, con la excepción de la concentración de nitrógeno ureico que mostró una tendencia a aumentar después de la intervención nutricional, efecto que puede estar relacionado con el aumento proporcional de la ingesta de proteínas. Conclusión: La propuesta de intervención nutricional presentó impactos positivos en el metabolismo energético de los esquiadores, impactando directamente en la recuperación de la fatiga deportiva de los atletas. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.

Humanos , Masculino , Adulto Jovem , Esqui/fisiologia , Fadiga Muscular/fisiologia , Terapia Nutricional/métodos , Desempenho Atlético/fisiologia , Recomendações Nutricionais
J Acad Nutr Diet ; 122(11): 2134-2149.e50, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36272737


Pediatrics spans the first 2 decades of life and is a dynamic period with rapid changes in size and physical ability, cognitive development, behavior, and nutrient needs. Registered dietitian nutritionists (RDNs) who work with the pediatric population provide the nutrition knowledge and support needed to promote optimal health and nutrition during this time across a variety of settings. The Pediatric Nutrition Practice Group, along with the Academy of Nutrition and Dietetics Quality Management Committee, have updated the Standards of Practice (SOP) and Standards of Professional Performance (SOPP) for RDNs working with pediatric populations. The SOP and SOPP for RDNs in Pediatric Nutrition provide indicators that describe 3 levels of practice: competent, proficient, and expert. The SOP uses the Nutrition Care Process and clinical workflow elements for delivering patient/client care. The SOPP describes the 6 domains that focus on professional performance. Specific indicators outlined in the SOP and SOPP illustrate how these standards apply to practice. The SOP and SOPP are intended to be used as a self-evaluation tool for assuring competent practice in pediatric nutrition and for determining potential education and training needs for advancement to a higher practice level in a variety of settings.

Dietética , Terapia Nutricional , Nutricionistas , Humanos , Criança , Competência Clínica , Academias e Institutos
Artigo em Inglês | MEDLINE | ID: mdl-36232232


Cases of diabetes mellitus have seen a global increase in prevalence, but there are inherent differences in the pathology and management of different types of diabetes. Type 2 and gestational diabetes have the most similar pathophysiology. For that reason, many similar management strategies exist between type 2 and gestational diabetes, including nutrition-based interventions. Diabetes self-management education and medical nutrition therapy have been advanced as cost-effective interventions to manage hyperglycemia. Many of these interventions, however, were designed for type 2 diabetes and adapted for diabetes in gestation. Nutrition-education-based interventions in gestational diabetes have not been fully elucidated. We scrutinized this gap by conducting a scoping review of recently published peer-reviewed studies that evaluated clinical endpoints in cases of gestational diabetes with nutrition-education-based interventions. The search yielded 621 articles, and the 12 articles included were published between 2012 and 2022. The nutrition information varied across the heterogeneous diabetes self-management education, whereas the medical nutrition therapy studies were more consistent. Our literature search revealed similar outcomes across self-management education and medical nutrition therapy interventions implemented during the third trimester of pregnancies with diabetes. These results suggest that both generalized and personalized approaches to nutrition education in gestational diabetes can manage hyperglycemia and offset its adverse consequences.

Diabetes Mellitus Tipo 2 , Diabetes Gestacional , Hiperglicemia , Terapia Nutricional , Diabetes Mellitus Tipo 2/terapia , Diabetes Gestacional/terapia , Feminino , Educação em Saúde , Humanos , Gravidez
Phys Med Rehabil Clin N Am ; 33(4): 811-822, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36243472


Nutrition is an important component of health and well-being. A compromised nutritional status has been linked to increased risk for wound development, difficulty managing, and decreased wound healing rate. Malnutrition contributes to an immunocompromised system, reduced collagen synthesis, and diminished tensile strength during the wound healing process. This is why assessment and optimization of nutritional status should be incorporated as part of a comprehensive treatment plan for individuals with wounds. The nutrition care plan must include individualized interventions designed to address the individual's nutrition diagnosis. This article reviews the role of nutrition in wound prevention, management, and treatment.

Desnutrição , Terapia Nutricional , Colágeno , Humanos , Desnutrição/diagnóstico , Desnutrição/prevenção & controle , Avaliação Nutricional , Estado Nutricional , Cicatrização
Acta Med Okayama ; 76(4): 423-428, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36123157


We compared the effects of an exercise intervention with that of exercise combined with nutrition therapy in patients with possible malnutrition and sarcopenia admitted to a recovery rehabilitation ward, and we examined the differences in the patients' physical function and activities of daily living (ADLs). There were 16 patients in the Exercise group with exercise therapy and ADL exercises, and 14 patients in the Combined intervention group with exercise therapy, ADL exercises, and nutrition therapy. The survey items were body weight, body mass index, grip strength, lower-leg circumference, gait speed, and ADLs, each of which was measured at the baseline and at 2 weeks, 4 weeks, and at discharge. Significant improvements in grip strength were observed in the Combined intervention group as follows: at 4 weeks>at 2 weeks (p<0.05), and at discharge>baseline and 2 weeks (p<0.05). There were no significant changes in the Exercise group, and an interaction was recognized in both groups. Comprehensive rehabilitation including nutrition therapy is necessary for patients with possible malnutrition and/or sarcopenia, as our results indicate that nutrition therapy in addition to exercise therapy has the effect of promoting improvements of physical function in such patients.

Desnutrição , Terapia Nutricional , Sarcopenia , Atividades Cotidianas , Terapia por Exercício/métodos , Humanos , Desnutrição/terapia , Sarcopenia/terapia
BMJ Open ; 12(9): e061866, 2022 09 14.
Artigo em Inglês | MEDLINE | ID: mdl-36104140


INTRODUCTION: Terminally ill patients with cancer experience a variety of symptoms, and their families experience certain caregiver burdens. Most studies on this topic have focused on the symptoms experienced by patients with cancer. There is little established evidence to show how nursing support affects these symptoms and burdens. Nurses provide support by extrapolating their clinical experience, practical knowledge and insights gained from the treatment phase of patients with cancer, regardless of the existence or degree of evidence. This study presents a scoping review protocol with the aim of categorising the feasibility of nursing support from the initial to the terminal phases in the trajectory of cancer care. METHOD AND ANALYSIS: This review will be guided by Arksey and O'Malley's five-stage scoping review framework and Levac's extension. Our research project team will focus on the pain, dyspnoea, nausea and vomiting, constipation, delirium, fatigue and skin disorders experienced by patients with cancer as well as the burdens experienced by caregivers of such patients. All available published articles from database inception to 31 January 2022 will be systematically searched using the following electrical databases: PubMed, CINAHL, CENTRAL in the Cochrane Library and Ichushi-Web of the Japan Medical Abstract Society databases. In addition, we will assess relevant studies from the reference list and manually search each key journal. The formula creation phase of the literature search involves working with a librarian to identify relevant keywords. At least two reviewers will independently screen and review articles and extract data using a data chart form. Results will be mapped according to study design and analysed for adaptation in the field of terminal cancer. ETHICS AND DISSEMINATION: This review does not require ethical approval as it is a secondary analysis of pre-existing, published data. The findings will be disseminated through peer-reviewed publications and conference presentations.

Neoplasias , Terapia Nutricional , Fardo do Cuidador , Cuidadores , Humanos , Projetos de Pesquisa , Revisões Sistemáticas como Assunto
Support Care Cancer ; 30(11): 9359-9368, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36109395


PURPOSE: To understand and compare the nutrition care experiences of carers supporting patients throughout surgery and radiation treatment for head and neck cancer (HNC) to inform changes to service delivery in the inpatient and outpatient setting to ensure carers needs in their supportive role throughout the treatment and survivorship period are met. METHODS: As part of a larger study, narrative interviews were completed with fourteen carers of patients diagnosed with HNC at 2 weeks, 3 months and 12 months post-treatment completion. Reflexive thematic analysis was used to interpret and understand differences in carer experiences of nutrition care between surgery and radiation treatment. RESULTS: Two main themes across each treatment modality were identified: (1) access to information and support from healthcare professionals and (2) adjustment to the physical and psychological impact of treatment. CONCLUSION: This study highlights the increasing need to ensure carers are included in the provision of nutrition information and support to patients throughout and beyond their treatment trajectory. Having structured support available to patients and carers throughout radiation treatment meant that carer needs were reduced. However, without the opportunity for structured support in the inpatient setting, many carers expressed high care needs in supporting patients in the post-surgical phase. IMPLICATIONS FOR CANCER SURVIVORS: Providing carers with access to structured support for nutrition care in the inpatient and outpatient setting can reduce their supportive care needs throughout the treatment and survivorship period.

Neoplasias de Cabeça e Pescoço , Terapia Nutricional , Humanos , Cuidadores/psicologia , Sobrevivência , Neoplasias de Cabeça e Pescoço/radioterapia , Neoplasias de Cabeça e Pescoço/cirurgia , Pessoal de Saúde , Pesquisa Qualitativa
Nutrients ; 14(17)2022 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-36079795


Delivering care that meets patients' preferences, needs and values, and that is safe and effective is key to good-quality healthcare. Disease-related malnutrition (DRM) has profound effects on patients and families, but often what matters to patients is not captured in the research, where the focus is often on measuring the adverse clinical and economic consequences of DRM. Differences in the terminology used to describe care that meets patients' preferences, needs and values confounds the problem. Individualised nutritional care (INC) is nutritional care that is tailored to a patient's specific needs, preferences, values and goals. Four key pillars underpin INC: what matters to patients, shared decision making, evidence informed multi-modal nutritional care and effective monitoring of outcomes. Although INC is incorporated in nutrition guidelines and studies of oral nutritional intervention for DRM in adults, the descriptions and the degree to which it is included varies. Studies in specific patient groups show that INC improves health outcomes. The nutrition care process (NCP) offers a practical model to help healthcare professionals individualise nutritional care. The model can be used by all healthcare disciplines across all healthcare settings. Interdisciplinary team approaches provide nutritional care that delivers on what matters to patients, without increased resources and can be adapted to include INC. This review is of relevance to all involved in the design, delivery and evaluation of nutritional care for all patients, regardless of whether they need first-line nutritional care or complex, highly specialised nutritional care.

Desnutrição , Terapia Nutricional , Adulto , Atenção à Saúde , Humanos , Desnutrição/etiologia , Desnutrição/terapia , Apoio Nutricional , Qualidade da Assistência à Saúde
Crit Care ; 26(1): 283, 2022 09 20.
Artigo em Inglês | MEDLINE | ID: mdl-36127715


BACKGROUND: This review has been developed following a panel discussion with an international group of experts in the care of patients with obesity in the critical care setting and focuses on current best practices in malnutrition screening and assessment, estimation of energy needs for patients with obesity, the risks and management of sarcopenic obesity, the value of tailored nutrition recommendations, and the emerging role of immunonutrition. Patients admitted to the intensive care unit (ICU) increasingly present with overweight and obesity that require individualized nutrition considerations due to underlying comorbidities, immunological factors such as inflammation, and changes in energy expenditure and other aspects of metabolism. While research continues to accumulate, important knowledge gaps persist in recognizing and managing the complex nutritional needs in ICU patients with obesity. Available malnutrition screening and assessment tools are limited in patients with obesity due to a lack of validation and heterogeneous factors impacting nutrition status in this population. Estimations of energy and protein demands are also complex in patients with obesity and may include estimations based upon ideal, actual, or adjusted body weight. Evidence is still sparse on the role of immunonutrition in patients with obesity, but the presence of inflammation that impacts immune function may suggest a role for these nutrients in hemodynamically stable ICU patients. Educational efforts are needed for all clinicians who care for complex cases of critically ill patients with obesity, with a focus on strategies for optimal nutrition and the consideration of issues such as weight stigma and bias impacting the delivery of care. CONCLUSIONS: Current nutritional strategies for these patients should be undertaken with a focus on individualized care that considers the whole person, including the possibility of preexisting comorbidities, altered metabolism, and chronic stigma, which may impact the provision of nutritional care. Additional research should focus on the applicability of current guidelines and evidence for nutrition therapy in populations with obesity, especially in the setting of critical illness.

Desnutrição , Terapia Nutricional , Cuidados Críticos , Estado Terminal/terapia , Humanos , Inflamação , Desnutrição/terapia , Estado Nutricional , Obesidade/complicações , Obesidade/terapia , Lacunas da Prática Profissional
Nutr Clin Pract ; 37(5): 1152-1161, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36073835


BACKGROUND: Gastrointestinal and sensory manifestations (GSMs) of coronavirus disease 2019 (COVID-19) may affect food intake, resulting in malnutrition and poor outcomes. We characterized the impact of GSMs and oral nutrition supplementation on energy-protein intake (EPI) and hospital discharge in adult patients with COVID-19. METHODS: Patients from two hospitals were enrolled (n = 357). We recorded the presence and type of GSM at admission, estimated energy requirements (EER) and the EPI based on regular food intake (plate diagram sheets) during hospital stays. Patients not achieving 60% of their EER from food over 2 consecutive days received oral nutrition supplementation (ONS) with a high-energy-protein oral drink. RESULTS: Most patients (63.6%) presented with GSMs at admission. Anorexia was the most common manifestation (44%). Patients with anorexia or more than one GSMs were more likely to not achieve 60% EER on the first day of follow-up and to require the ONS intervention (P ≤ 0.050). Prevalence of at least one GSM was higher in patients who did not achieve hospital discharge than in patients who achieved it (74.2% vs 54.6%, P = 0.038). The patients requiring ONS (26.9%) demonstrated good adherence to the intervention (79.3%), achieved their EER during 95.7% of the supplementation time, and presented with hospital discharge rates similar to patients not requiring ONS (92.2% vs 91.9%, respectively; P = 1.000). CONCLUSIONS: GSM were prevalent in COVID-19 and it impaired EER attendance and patient recovery. ONS was well-tolerated, aided EER attendance, and potentially facilitated hospital discharge.

COVID-19 , Desnutrição , Terapia Nutricional , Adulto , Anorexia/epidemiologia , Anorexia/etiologia , Anorexia/terapia , COVID-19/terapia , Ingestão de Energia , Humanos
Nutr Hosp ; 39(5): 1166-1189, 2022 Oct 17.
Artigo em Espanhol | MEDLINE | ID: mdl-36062594


Introduction: Medical nutrition therapy is a very useful tool in maintaining and recovering the health of patients with disease-related malnutrition, although its implementation can be complex and is not without risks. Quality processes are understood as sets of activities that are related or interact to transform input elements into results. From the SENPE Management Work Group we present the process of medical nutrition therapy (PMNT), which aims to facilitate the management of clinical nutrition of a multidisciplinary nutrition support team in a hospital setting. This paper describes the seven sub-processes PMNT is comprised of, in addition to a previous nutritional screening sub-process. Each sub-process is divided into a first section with a technical sheet detailing its general aspects, while a second section proposes key objectives, quality indicators, and standards for their evaluation. .

Introducción: El tratamiento médico nutricional es de gran utilidad en el mantenimiento y recuperación de la salud de los pacientes con desnutrición relacionada con la enfermedad, aunque su implementación puede ser compleja y no está exenta de riesgos. Se entiende por proceso aquel conjunto de actividades que están mutuamente relacionadas o que interactúan para transformar elementos de entrada en resultados. Desde el Grupo de Trabajo de Gestión de la SENPE presentamos el Proceso de Tratamiento Médico Nutricional (PTMN), que tiene por objetivo facilitar la gestión de la nutrición clínica, pensando en un equipo de soporte nutricional multidisciplinar de atención al paciente hospitalizado. En este documento se describen los siete subprocesos que constituyen el PTMN, además de un subproceso previo de cribado nutricional. Cada subproceso se divide en una primera sección con una ficha técnica en la que se detallan sus aspectos generales, mientras que en la segunda sección se proponen objetivos clave, indicadores de calidad y estándares para su evaluación.

Desnutrição , Terapia Nutricional , Humanos , Desnutrição/terapia , Avaliação Nutricional , Estado Nutricional , Apoio Nutricional/métodos
Nutr. hosp ; 39(4): 905-909, jul. - ago. 2022.
Artigo em Inglês | IBECS | ID: ibc-ADZ-860


Background: nutrition therapy is a complex area of healthcare systems that encompasses patient characteristics, medical decision making, nutritional formula characteristics, and costs, composing a complex ecosystem. The integration of these different domains is actualized in medical prescription in a heuristic and iterative way, taking into account patient characteristics and formulas, with a limited capacity for in-scale calculations and inclusion of factors involved in the prescription of nutritional formulas and other ecosystem elements. From a practical standpoint, depicting the four areas as equalities could provide the necessary equivalence to study dependence and consequence from left- and right-side terms. Objectives: the objective of this theoretical study is to provide a mathematical model that describes and integrates different aspects of nutrition therapy. Methods: in this theoretical study, we deducted a mathematical representation for nutrition therapy using first-grade equations and simple calculus techniques. Results: a formula that coordinates four elements of the nutrition therapy ecosystem was found: cashflow, compliance adherence, patient, and macronutrient mass, formula density and unitary cost. Conclusion factors involving decision-making in nutrition therapy can be unified in a mathematical model (AU)

Antecedentes: la terapia nutricional es un área compleja de los sistemas de salud que abarca las características del paciente, la toma de decisiones médicas, las características de la fórmula nutricional y los costos, componiendo un ecosistema complejo. La integración de estos diferentes dominios se actualiza en la prescripción médica de forma heurística e iterativa, teniendo en cuenta las características y fórmulas del paciente, con una capacidad limitada para cálculos a escala e inclusión de otros factores relacionados con la prescripción de la terapia nutricional y los elementos del ecosistema. Desde un punto de vista práctico, describir las cuatro áreas como igualdades podría proporcionar la equivalencia necesaria para estudiar la dependencia y la consecuencia de los términos del lado izquierdo y derecho. Objetivos: el objetivo de este estudio teórico es brindar un modelo matemático que describa e integre diferentes aspectos de la terapia nutricional. Métodos: en este estudio teórico se dedujo una representación matemática para la terapia nutricional utilizando ecuaciones de primer grado y técnicas de cálculo simple. Resultados: se encontró una fórmula que coordina cuatro elementos del ecosistema de la terapia nutricional: flujo de caja, adherencia al cumplimiento, masa del paciente y macronutrientes, densidad de la fórmula y costo unitario. Conclusión: los factores que involucran la toma de decisiones en la terapia nutricional se pueden unificar en un modelo matemático (AU)

Humanos , Modelos Teóricos , Terapia Nutricional , Apoio Nutricional , Cooperação do Paciente
BMJ Open ; 12(8): e064086, 2022 08 25.
Artigo em Inglês | MEDLINE | ID: mdl-36008057


INTRODUCTION: Amyotrophic lateral sclerosis (ALS) is a complex neurodegenerative disease characterised by the degeneration of motor neurons. Nutritional interventions in ALS are essential and must be based on scientific evidence to provide quality of healthcare, improve the quality of life and increase survival time. Therefore, this protocol of systematic reviews and meta-analyses aims to present a synthesis of evidence-based recommendations to support adequate nutrition therapy for patients with ALS. METHODS AND ANALYSIS: The search will be performed using the following databases: PubMed, Excerpta Medica Database (Embase), Scopus, SciELO, Web of Science, LILACS, Cochrane Central Register of Controlled Trials (CENTRAL), ScienceDirect, ProQuest and Google Scholar. We will include clinical practice guidelines, treatment protocols, systematic reviews and clinical trials according to the three research questions to be answered related to nutrition therapy and interventions in patients with ALS. This protocol will be developed in accordance with the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols. To evaluate the methodological quality of the studies, Appraisal of Guidelines, Research and Evaluation II, Cochrane Risk of Bias 2.0 and Risk of Bias In Non-randomized Studies of Interventions (ROBINS-I) tools will be used. In addition, the Grading of Recommendations Assessment, Development and Evaluation will be used to assess the quality of evidence and the strength of the recommendations. The findings will be summarised and presented descriptively according to the Cochrane Collaboration Handbook and the standard statistical meta-analysis techniques. ETHICS AND DISSEMINATION: Ethical approval and human consent are not required because this is a protocol for systematic review and only secondary data will be used. Findings will be published in a peer-reviewed journal and presented at conferences. In case of any changes in this protocol, amendments will be updated in International Prospective Register of Systematic Reviews (PROSPERO) and the modifications will be explained in the final report of this review. PROSPERO REGISTRATION NUMBER: CRD42021233088.

Esclerose Amiotrófica Lateral , Terapia Nutricional , Esclerose Amiotrófica Lateral/terapia , Humanos , Metanálise como Assunto , Revisões Sistemáticas como Assunto
JBI Evid Synth ; 20(8): 2055-2063, 2022 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-35971203


OBJECTIVE: This systematic review will evaluate the effectiveness of nutrition care interventions delivered by general practitioners versus usual care or no care on dietary and health outcomes in adults with diet-related chronic conditions or risk states. INTRODUCTION: General practitioners are usually the first contacts in the health care system for patients with diet-related chronic conditions. While there is some evidence that general practitioners can be effective in delivering nutrition care for a number of outcomes, to inform future care, an update of the evidence is required as well as an examination of which components are associated with positive outcomes. INCLUSION CRITERIA: Published studies will be included if they report on adults with or at risk of diet-related chronic conditions; one-on-one nutrition care interventions individually delivered by general practitioners during primary care consultations; usual or no care as comparators; dietary and/or health outcomes with a minimum three-month follow-up; and randomized controlled trials. Included studies will be available in, or able to be translated into, English and will have no date restrictions. METHODS: The databases to be searched will include CINAHL, Embase, MEDLINE, and ProQuest Nursing and Allied Health. Following deduplication, two reviewers will independently screen the titles and abstracts in Covidence, followed by the full texts of potentially relevant studies. Disagreements will be resolved through discussion or with a third reviewer. Included studies will be critically appraised and data will be extracted using a modified JBI tool. Findings will be reported in tables and narrative synthesis, and pooled with statistical meta-analysis, where possible. SYSTEMATIC REVIEW REGISTRATION NUMBER: PROSPERO CRD42021289011.

Clínicos Gerais , Terapia Nutricional , Adulto , Doença Crônica , Dieta , Humanos , Metanálise como Assunto , Avaliação de Resultados em Cuidados de Saúde , Revisões Sistemáticas como Assunto