Nutritional support for enhanced recovery programs in orthopedics: Future perspectives for implementing clinical practice

Briguglio, Matteo; Gianola, Silvia; Aguirre, Maryem Fama Ismael; Sirtori, Paolo; Perazzo, Paolo; Pennestrì, Federico; Brayda-Bruno, Marco; Sansone, Valerio; Banfi, Giuseppe

doi:10.1016/j.nupar.2019.04.002

Cited by 22 publications

(33 citation statements)

References 61 publications

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“…HEPAS may certainly account for other non-communicable disease associated with the longest years lived with disability, such as musculoskeletal disorders (ie, osteosarcopenia in older adults with mild cognitive impairment), diabetes, kidney and cardiovascular diseases that are often comorbid with neuropsychiatric disorders. 154,155 Single HEPAS components were reported to provide various advantages also in neuropsychiatric populations, but no study ever investigated all of the three components.…”

Section: Disadvantages Barriers Advantagesmentioning

confidence: 99%

<p>Healthy Eating, Physical Activity, and Sleep Hygiene (HEPAS) as the Winning Triad for Sustaining Physical and Mental Health in Patients at Risk for or with Neuropsychiatric Disorders: Considerations for Clinical Practice</p>

Briguglio¹,

Vitale²,

Galentino³

et al. 2020

NDT

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Neuropsychiatric disorders stem from gene-environment interaction and their development can be, at least in some cases, prevented by the adoption of healthy and protective lifestyles. Once full blown, neuropsychiatric disorders are prevalent conditions that patients live with a great burden of disability. Indeed, the determinants that increase the affliction of neuropsychiatric disorders are various, with unhealthy lifestyles providing a significant contribution in the interplay between genetic, epigenetic, and environmental factors that ultimately represent the pathophysiological basis of these impairing conditions. On one hand, the adoption of Healthy Eating education, Physical Activity programs, and Sleep hygiene promotion (HEPAS) has the potential to become one of the most suitable interventions to reduce the risk to develop neuropsychiatric disorders, while, on the other hand, its integration with pharmacological and psychological therapies seems to be essential in the overall management of neuropsychiatric disorders in order to reduce the disability and improve the quality of life of affected patients. We present an overview of the current evidence in relation to HEPAS components in the prevention and management of neuropsychiatric disorders and provide suggestions for clinical practice.

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Section: Disadvantages Barriers Advantagesmentioning

confidence: 99%

<p>Healthy Eating, Physical Activity, and Sleep Hygiene (HEPAS) as the Winning Triad for Sustaining Physical and Mental Health in Patients at Risk for or with Neuropsychiatric Disorders: Considerations for Clinical Practice</p>

Briguglio¹,

Vitale²,

Galentino³

et al. 2020

NDT

Self Cite

View full text Add to dashboard Cite

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“…In the mid-1990s, a state of malnutrition was already recognized as a risk for negative outcomes in surgical patients [ 26 ]. Malnutrition in Orthopedics may be detected through biochemical, anthropometric, functional, or dietetic assessments [ 10 ]. Nonetheless, it is sometimes preferred to adopt a population medicine approach in which all patients undergo nutritional optimization, regardless of their nutritional status.…”

Section: Resultsmentioning

confidence: 99%

“…The hospital Environment further exposes the patient to stress, prolonged bed rest, and poor nutrition [ 9 ]. Food interventions to counteract bone and muscle loss or avert distinct nutrient deficits are, therefore, accessible (e.g., tailored diets, dietary supplements) [ 10 ]. Conversely, Food is almost considered an extra during pioneering space missions [ 11 , 12 ], because the human body acclimatizes fairly well to the short-term flights (i.e., near-Earth explorations, within 120 miles above Earth [ 13 ]).…”

Section: Introductionmentioning

confidence: 99%

Nutritional Orthopedics and Space Nutrition as Two Sides of the Same Coin: A Scoping Review

Briguglio

2021

Nutrients

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Since the Moon landing, nutritional research has been charged with the task of guaranteeing human health in space. In addition, nutrition applied to Orthopedics has developed in recent years, driven by the need to improve the efficiency of the treatment path by enhancing the recovery after surgery. As a result, nutritional sciences have specialized into two distinct fields of research: Nutritional Orthopedics and Space Nutrition. The former primarily deals with the nutritional requirements of old patients in hospitals, whereas the latter focuses on the varied food challenges of space travelers heading to deep space. Although they may seem disconnected, they both investigate similar nutritional issues. This scoping review shows what these two disciplines have in common, highlighting the mutual features between (1) pre-operative vs. pre-launch nutritional programs, (2) hospital-based vs. space station nutritional issues, and (3) post-discharge vs. deep space nutritional resilience. PubMed and Google Scholar were used to collect documents published from 1950 to 2020, from which 44 references were selected on Nutritional Orthopedics and 44 on Space Nutrition. Both the orthopedic patient and the astronaut were found to suffer from food insecurity, malnutrition, musculoskeletal involution, flavor/pleasure issues, fluid shifts, metabolic stresses, and isolation/confinement. Both fields of research aid the planning of demand-driven food systems and advanced nutritional approaches, like tailored diets with nutrients of interest (e.g., vitamin D and calcium). The nutritional features of orthopedic patients on Earth and of astronauts in space are undeniably related. Consequently, it is important to initiate close collaborations between orthopedic nutritionists and space experts, with the musculoskeletal-related dedications playing as common fuel.

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“…The sTfR is less influenced by inflammation, but other acute-phase mechanisms, such as hypoxia or iron-limited erythropoiesis, are known to possibly affect its circulating levels [ 45 ]. Regardless of the etiology, frank anemic conditions represent risk factors for bad conditions, especially in fragile individuals undergoing orthopedic surgery [ 46 , 47 ], and specific diagnostic algorithms are available to categorize the type to properly tailoring the intervention.…”

Section: Current Knowledge On Iron Homeostasismentioning

confidence: 99%

The Central Role of Iron in Human Nutrition: From Folk to Contemporary Medicine

et al. 2020

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Iron is a fundamental element in human history, from the dawn of civilization to contemporary days. The ancients used the metal to shape tools, to forge weapons, and even as a dietary supplement. This last indication has been handed down until today, when martial therapy is considered fundamental to correct deficiency states of anemia. The improvement of the martial status is mainly targeted with dietary supplements that often couple diverse co-factors, but other methods are available, such as parenteral preparations, dietary interventions, or real-world approaches. The oral absorption of this metal occurs in the duodenum and is highly dependent upon its oxidation state, with many absorption influencers possibly interfering with the intestinal uptake. Bone marrow and spleen represent the initial and ultimate step of iron metabolism, respectively, and the most part of body iron circulates bound to specific proteins and mainly serves to synthesize hemoglobin for new red blood cells. Whatever the martial status is, today’s knowledge about iron biochemistry allows us to embrace exceedingly personalized interventions, which however owe their success to the mythical and historical events that always accompanied this metal.

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Nutritional support for enhanced recovery programs in orthopedics: Future perspectives for implementing clinical practice

Cited by 22 publications

References 61 publications

<p>Healthy Eating, Physical Activity, and Sleep Hygiene (HEPAS) as the Winning Triad for Sustaining Physical and Mental Health in Patients at Risk for or with Neuropsychiatric Disorders: Considerations for Clinical Practice</p>

<p>Healthy Eating, Physical Activity, and Sleep Hygiene (HEPAS) as the Winning Triad for Sustaining Physical and Mental Health in Patients at Risk for or with Neuropsychiatric Disorders: Considerations for Clinical Practice</p>

Nutritional Orthopedics and Space Nutrition as Two Sides of the Same Coin: A Scoping Review

The Central Role of Iron in Human Nutrition: From Folk to Contemporary Medicine

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