Relationship of Nutritional Status to Length of Stay, Hospital Costs, and Discharge Status of Patients Hospitalized in the Medicine Service

Chima, Cinda S.; Barco, Kathy; Dewitt, Marci L.A.; Maeda, Michelle; Teran, J.Carlos; Mullen, Kevin D.

doi:10.1016/s0002-8223(97)00235-6

Cited by 256 publications

(172 citation statements)

References 12 publications

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Section: The Pig Model In Human Nutritionmentioning

confidence: 99%

“…Moreover, poor nutritional status has been implicated in the development and progression of chronic diseases commonly affecting the elderly and leading to complications during hospitalization, poorer clinical outcome and increased mortality (Kagansky et al, 2005). Malnutrition is a predictor of long hospital stay and high mortality in geriatric and cancer patients (Chima et al, 1997;Kagansky et al, 2005).St-Arnaud-McKenzie et al (2004) suggest that the development of nutritional interventions to maintain hunger and reduce aversion may be necessary to ensure optimal food intake among hospitalized people (cancer patients, geriatric patients, etc.). For instance, Beckoff et al (2001) showed that the use of glucose or other carbohydrate supplements in the diet can increase the total energy intake of older subjects and thus prevent weight loss in the elderly.…”

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confidence: 99%

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Food preferences and aversions in human health and nutrition: how can pigs help the biomedical research?

Clouard

Meunier-Salaün

Val‐Laillet

2012

Animal

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The establishment of food preferences and aversions determines the modulation of eating behaviour and the optimization of food intake. These phenomena rely on the learning and memory abilities of the organism and depend on different psychobiological mechanisms such as associative conditionings and sociocultural influences. After summarizing the various behavioural and environmental determinants of the establishment of food preferences and aversions, this paper describes several issues encountered in human nutrition when preferences and aversions become detrimental to health: development of eating disorders and obesity, aversions and anorexia in chemotherapy-treated or elderly patients and poor palatability of medical substances and drugs. Most of the relevant biomedical research has been performed in rodent models, although this approach has severe limitations, especially in the nutritional field. Consequently, the final aim of this paper is to discuss the use of the pig model to investigate the behavioural and neurophysiological mechanisms underlying the establishment of food preferences and aversions by reviewing the literature supporting analogies at multiple levels (general physiology and anatomy, sensory sensitivity, digestive function, cognitive abilities, brain features) between pigs and humans.Keywords: pig, conditioned learning, eating behaviour, animal model, biomedical applications ImplicationsInvestigation of the behavioural and neurophysiological mechanisms of the establishment of food preferences and aversions can lead to important developments in the context of human nutrition and health. Because the rodent models are not always adequate in this field, there is a need to develop alternative experimental models. Pigs have numerous similarities with humans in terms of the physiology, anatomy, sensory sensitivity, cognitive abilities and brain functions. The aim of this paper is to promote the use of pigs for biomedical research in human nutrition. IntroductionFeeding is a complex behaviour, which can be described as 'the research and consumption of food and drink to maintain vital functions ' (Bellisle, 1999) and to 'fulfil the metabolic needs of the organism ' (Ferreira, 2004). Today, it is also well acknowledged that a high proportion of human food consumption in developed countries appears to be driven by pleasure (for a review, see Lowe and Butryn, 2007) and sociocultural influences. Food consumption is also involved in fundamental metabolic homeostasis regulation, as it controls the supply of energy and nutrients in the organism (Bellisle, 1999). According to Ferreira (2004), feeding behaviour implies that animals learn to consume high-energy foods and to avoid toxic foods. Establishment of food selection implies that, during its first experience with food, the organism memorizes the sensorial characteristics of the food (e.g. taste, odour, texture and visual cues) and the postingestive consequences of its ingestion, and associates these food characteristics with these consequences (Garcia et ...

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Section: The Pig Model In Human Nutritionmentioning

confidence: 99%

mentioning

confidence: 99%

Food preferences and aversions in human health and nutrition: how can pigs help the biomedical research?

Clouard

Meunier-Salaün

Val‐Laillet

2012

Animal

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“…Reduced dietary intake in the hospitalized elderly is considered a critical risk factor for protein-energy malnutrition (Morley and Silver, 1995;Incalzi et al, 1996;Sullivan et al, 1999;Barton et al, 2000;Kondrup et al, 2002), a condition associated with adverse clinical outcomes (Potter et al, 1995;Chima et al, 1997;Compan et al, 1999;Thomas et al, 2002;Crogan and Pasvogel, 2003;Visvanathan et al, 2004). Ensuring adequate food intake in institutions is contingent on a number of organizational factors (Paquet et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

Nutritional implications of patient–provider interactions in hospital settings: evidence from a within-subject assessment of mealtime exchanges and food intake in elderly patients

Dubé

Paquet

et al. 2006

Eur J Clin Nutr

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Objective: To examine the nutritional implications of the interactions taking place between patients and care providers during mealtimes in hospital settings. Specifically, we tested research propositions that the amount and nature of interpersonal behaviours exchanged between patients and providers impact patients' food intake. These propositions were derived from prior evidence of social influences on eating behaviour and a well-established framework that identifies two fundamental modalities of human interaction: striving for mastery and power (agency) and efforts to promote union with others (communion). Design: In a within-subject naturalistic study, participants were observed on multiple meals (n ¼ 1477, 46.2 meals/participant on average), during which participants' and providers' agency-and communion-related behaviours and patients' protein and energy intake were recorded. Meal-level frequency and complementarity of patients' and providers' behaviours were computed to test research propositions. Setting: Dining room of a geriatric rehabilitation unit. Subjects: Thirty-two elderly patients (21 females, mean age:78.8, 95% CI: 76.4, 81.1). Results: Meal-level frequency of patient-provider exchanges (P ¼ 0.016) and patients' agency-related behaviours (P ¼ 0.029), as well as mutual reciprocation of patients' and providers' communion-related behaviours (P ¼ 0.015) on a given meal were positively linked to protein intake. Higher energy intake was found during meals where patients expressed more agency-related behaviours (P ¼ 0.029). Conclusion: Results present evidence that the amount and nature of patient-provider interpersonal exchanges on a given meal influence the nutritional quality of food intake in hospitalized elderly. They provide insights into how to improve the design and delivery of routine care to this malnutrition-prone population.

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“…30,31 The spectrum of CVD in the setting of breast cancer therapy includes congestive heart failure (CHF), myocardial ischemia, hypertension, arrhythmias, QT prolongation, bradycardia, pericarditis, acute coronary syndrome, and thromboembolic events (TEs). [31][32][33][34] Anthracyclines: Doxorubicin and Epirubicin: Anthracyclines bind to the DNA of malignant cells, interfering with the replication process and resulting in cellular death. Anthracycline therapy has been shown to increase the development of CHF and cardiomyopathy by 2%, [34][35][36][37][38][39] doubling to 4% if used in conjunction or sequence with trastuzumab.…”

Section: Chemotherapymentioning

confidence: 99%

“…128,138,143 The most severe complication of trastuzumab therapy has been its potential to adversely affect cardiac function; however, the exact mechanism of its cardiotoxicity remains unclear. 31,144 The risk of trastuzumab-related cardiac events, as with other cardiotoxic agents, increases when additional CVD risk factors are noted, especially a history of coronary artery disease or impaired left ventricular dysfunction. 56, 145 On a positive note, it appears that the cardiotoxic effects of trastuzumab are reversible as long as they are identified early through rigorous monitoring during administration.…”

Section: Targeted Biologic Therapies: Trastuzumab and Lapatinibmentioning

confidence: 99%

Atrial Fibrillation and Cor Triatriatum Sinister: A Case Report

Tran¹,

Gordon²,

Alloggiamento

et al. 2015

TPJ

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Relationship of Nutritional Status to Length of Stay, Hospital Costs, and Discharge Status of Patients Hospitalized in the Medicine Service

Cited by 256 publications

References 12 publications

Food preferences and aversions in human health and nutrition: how can pigs help the biomedical research?

Food preferences and aversions in human health and nutrition: how can pigs help the biomedical research?

Nutritional implications of patient–provider interactions in hospital settings: evidence from a within-subject assessment of mealtime exchanges and food intake in elderly patients

Atrial Fibrillation and Cor Triatriatum Sinister: A Case Report

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