The Experts below are selected from a list of 57468 Experts worldwide ranked by ideXlab platform
Samuel Klein - One of the best experts on this subject based on the ideXlab platform.
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weight management through lifestyle modification for the prevention and management of type 2 diabetes rationale and strategies a statement of the american diabetes association the north american association for the study of obesity and the american society for Clinical Nutrition
The American Journal of Clinical Nutrition, 2004Co-Authors: Samuel Klein, Nancy F Sheard, Xavier Pisunyer, Anne Daly, Judith Wylierosett, Karmeen Kulkarni, Nathaniel G ClarkAbstract:Overweight and obesity are important risk factors for type 2 diabetes. The marked increase in the prevalence of overweight and obesity is presumably responsible for the recent increase in the prevalence of type 2 diabetes. Lifestyle modification aimed at reducing energy intake and increasing physical activity is the principal therapy for overweight and obese patients with type 2 diabetes. Even moderate weight loss in combination with increased activity can improve insulin sensitivity and glycemic control in patients with type 2 diabetes and prevent the development of type 2 diabetes in high-risk persons (ie, those with impaired glucose tolerance). The American Diabetes Association, the North American Association for the Study of Obesity, and the American Society for Clinical Nutrition have joined together to issue this statement on the use of lifestyle modification in the prevention and management of type 2 diabetes.
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Nutrition support in Clinical practice review of published data and recommendations for future research directions summary of a conference sponsored by the national institutes of health american society for parenteral and enteral Nutrition and american society for Clinical Nutrition
The American Journal of Clinical Nutrition, 1997Co-Authors: Samuel Klein, Khursheed Jeejeebhoy, David H Alpers, Mark Hellerstein, John M Kinney, Michael J Murray, Patrick L TwomeyAbstract:Abstract In the last 30 years, marked advances in enteral feeding techniques, venous access, and enteral and parenteral nutrient formulations have made it possible to provide Nutrition support to almost all patients. Despite the abundant medical literature and widespread use of Nutritional therapy, many areas of Nutrition support remain controversial. Therefore, the leadership at the National Institutes of Health, The American Society for Parenteral and Enteral Nutrition, and The American Society for Clinical Nutrition convened an advisory committee to perform a critical review of the current medical literature evaluating the Clinical use of Nutrition support; the goal was to assess our current body of knowledge and to identify the issues that deserve further investigation. The panel was divided into five groups to evaluate the following areas: Nutrition assessment, Nutrition support in patients with gastrointestinal diseases, Nutrition support in wasting diseases, Nutrition support in critically ill patients, and perioperative Nutrition support. The findings from each group are summarized in this report. This document is not meant to establish practice guidelines for Nutrition support. The use of Nutritional therapy requires a careful integration of data from pertinent Clinical trials, Clinical expertise in the illness or injury being treated, Clinical expertise in Nutritional therapy, and input from the patient and his/her family. (Journal of Parenteral and Enteral Nutrition 21:133-156, 1997).
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Nutrition support in Clinical practice review of published data and recommendations for future research directions summary of a conference sponsored by the national institutes of health american society for parenteral and enteral Nutrition and american society for Clinical Nutrition
Journal of Parenteral and Enteral Nutrition, 1997Co-Authors: Samuel Klein, John Kinney, Khursheed Jeejeebhoy, David H Alpers, Mark Hellerstein, Michael Murray, Patrick TwomeyAbstract:In the last 30 years, marked advances in enteral feeding techniques, venous access, and enteral and parenteral nutrient formulations have made it possible to provide Nutrition support to almost all patients. Despite the abundant medical literature and widespread use of Nutritional therapy, many areas of Nutrition support remain controversial. Therefore, the leadership at the National Institutes of Health, The American Society for Parenteral and Enteral Nutrition, and The American Society for Clinical Nutrition convened an advisory committee to perform a critical review of the current medical literature evaluating the Clinical use of Nutrition support; the goal was to assess our current body of knowledge and to identify the issues that deserve further investigation. The panel was divided into five groups to evaluate the following areas: Nutrition assessment, Nutrition support in patients with gastrointestinal diseases, Nutrition support in wasting diseases, Nutrition support in critically ill patients, and perioperative Nutrition support. The findings from each group are summarized in this report. This document is not meant to establish practice guidelines for Nutrition support. The use of Nutritional therapy requires a careful integration of data from pertinent Clinical trials, Clinical expertise in the illness or injury being treated, Clinical expertise in Nutritional therapy, and input from the patient and his/her family.
Takashi Higashiguchi - One of the best experts on this subject based on the ideXlab platform.
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response to the letter comment on glim criteria for the diagnosis of malNutrition a consensus report from the global Clinical Nutrition community some considerations about the glim criteria a consensus report for the diagnosis of malNutrition by drs lb da silva passos and da de souza
Clinical Nutrition, 2019Co-Authors: Tommy Cederholm, Ryoji Fukushima, Takashi Higashiguchi, Charlene Compher, Maria Isabel Toulson Davisson Correia, Maria Cristina Gonzalez, A Van Gossum, Gordon L JensenAbstract:Response to the letter: Comment on "GLIM criteria for the diagnosis of malNutrition - A consensus report from the global Clinical Nutrition community" : Some considerations about the GLIM criteria - A consensus report for the diagnosis of malNutrition by Drs. LB da Silva Passos and DA De -Souza
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glim criteria for the diagnosis of malNutrition a consensus report from the global Clinical Nutrition community
Journal of Parenteral and Enteral Nutrition, 2019Co-Authors: Gordon L Jensen, Tommy Cederholm, Isabel M T D Correia, Christina M Gonzalez, Ryoji Fukushima, Takashi Higashiguchi, Gertrudis Baptista, Rocco Barazzoni, Renee Blaauw, Andrew J S CoatsAbstract:Summary Rationale This initiative is focused on building a global consensus around core diagnostic criteria for malNutrition in adults in Clinical settings. Methods In January 2016, the Global Leadership Initiative on MalNutrition (GLIM) was convened by several of the major global Clinical Nutrition societies. GLIM appointed a core leadership committee and a supporting working group with representatives bringing additional global diversity and expertise. Empirical consensus was reached through a series of face-to-face meetings, telephone conferences, and e-mail communications. Results A two-step approach for the malNutrition diagnosis was selected, i.e., first screening to identify “at risk” status by the use of any validated screening tool, and second, assessment for diagnosis and grading the severity of malNutrition. The malNutrition criteria for consideration were retrieved from existing approaches for screening and assessment. Potential criteria were subjected to a ballot among the GLIM core and supporting working group members. The top five ranked criteria included three phenotypic criteria (non-volitional weight loss, low body mass index, and reduced muscle mass) and two etiologic criteria (reduced food intake or assimilation, and inflammation or disease burden). To diagnose malNutrition at least one phenotypic criterion and one etiologic criterion should be present. Phenotypic metrics for grading severity as Stage 1 (moderate) and Stage 2 (severe) malNutrition are proposed. It is recommended that the etiologic criteria be used to guide intervention and anticipated outcomes. The recommended approach supports classification of malNutrition into four etiology-related diagnosis categories. Conclusion A consensus scheme for diagnosing malNutrition in adults in Clinical settings on a global scale is proposed. Next steps are to secure further collaboration and endorsements from leading Nutrition professional societies, to identify overlaps with syndromes like cachexia and sarcopenia, and to promote dissemination, validation studies, and feedback. The diagnostic construct should be re-considered every 3–5 years.
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espen guideline Clinical Nutrition in surgery
Clinical Nutrition, 2017Co-Authors: Arved Weimann, Takashi Higashiguchi, Stanislaw Klek, M Braga, Franco Carli, Martin Hubner, Alessandro Laviano, Olle Ljungqvist, Dileep N Lobo, Robert G MartindaleAbstract:Early oral feeding is the preferred mode of Nutrition for surgical patients. Avoidanc'e of any Nutritional therapy bears the risk of underfeeding during the postoperative course after major surgery ...
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espen guidelines on definitions and terminology of Clinical Nutrition
Clinical Nutrition, 2017Co-Authors: Tommy Cederholm, Rocco Barazzoni, P Austin, P E Ballmer, Gianni Biolo, Stephan C Bischoff, Charlene Compher, I Correia, Takashi HigashiguchiAbstract:BackgroundA lack of agreement on definitions and terminology used for Nutrition-related concepts and procedures limits the development of Clinical Nutrition practice and research.ObjectiveThis init ...
Steven H Zeisel - One of the best experts on this subject based on the ideXlab platform.
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highlights of the 2012 research workshop using nutrigenomics and metabolomics in Clinical Nutrition research
Journal of Parenteral and Enteral Nutrition, 2013Co-Authors: Steven H Zeisel, Deborah M Muoio, Robert A Waterland, Jose M. Ordovas, Anthony A FodorAbstract:: The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Research Workshop, "Using Nutrigenomics and Metabolomics in Clinical Nutrition Research," was held on January 21, 2012, in Orlando, Florida. The conference brought together experts in human Nutrition who use nutrigenomic and metabolomic methods to better understand metabolic individuality and Nutrition effects on health. We are beginning to understand how genetic variation and epigenetic events alter requirements for and responses to foods in our diet (the field of nutrigenetics/nutrigenomics and epigenetics). At the same time, methods for profiling almost all of the products of metabolism in plasma, urine, and tissues (metabolomics) are being refined. The relationships between diet and nutrigenomic-metabolomic profiles, as well as between these profiles and health, are being elucidated, and this will dramatically alter Clinical practice in Nutrition.
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highlights of the 2012 research workshop using nutrigenomics and metabolomics in Clinical Nutrition research
Journal of Parenteral and Enteral Nutrition, 2013Co-Authors: Steven H Zeisel, Deborah M Muoio, Robert A Waterland, Jose M. Ordovas, Anthony A FodorAbstract:: The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Research Workshop, "Using Nutrigenomics and Metabolomics in Clinical Nutrition Research," was held on January 21, 2012, in Orlando, Florida. The conference brought together experts in human Nutrition who use nutrigenomic and metabolomic methods to better understand metabolic individuality and Nutrition effects on health. We are beginning to understand how genetic variation and epigenetic events alter requirements for and responses to foods in our diet (the field of nutrigenetics/nutrigenomics and epigenetics). At the same time, methods for profiling almost all of the products of metabolism in plasma, urine, and tissues (metabolomics) are being refined. The relationships between diet and nutrigenomic-metabolomic profiles, as well as between these profiles and health, are being elucidated, and this will dramatically alter Clinical practice in Nutrition.
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nutrigenomics and metabolomics will change Clinical Nutrition and public health practice insights from studies on dietary requirements for choline
The American Journal of Clinical Nutrition, 2007Co-Authors: Steven H ZeiselAbstract:Science is beginning to understand how genetic variation and epigenetic events alter requirements for, and responses to, nutrients (nutrigenomics). At the same time, methods for profiling almost all of the products of metabolism in a single sample of blood or urine are being developed (metabolomics). Relations between diet and nutrigenomic and metabolomic profiles and between those profiles and health have become important components of research that could change Clinical practice in Nutrition. Most Nutrition studies assume that all persons have average dietary requirements, and the studies often do not plan for a large subset of subjects who differ in requirements for a nutrient. Large variances in responses that occur when such a population exists can result in statistical analyses that argue for a null effect. If Nutrition studies could better identify responders and differentiate them from nonresponders on the basis of nutrigenomic or metabolomic profiles, the sensitivity to detect differences between groups could be greatly increased, and the resulting dietary recommendations could be appropriately targeted. It is not certain that Nutrition will be the Clinical specialty primarily responsible for nutrigenomics or metabolomics, because other disciplines currently dominate the development of portions of these fields. However, Nutrition scientists' depth of understanding of human metabolism can be used to establish a role in the research and Clinical programs that will arise from nutrigenomic and metabolomic profiling. Investments made today in training programs and in research methods could ensure a new foundation for Clinical Nutrition in the future.
Anthony A Fodor - One of the best experts on this subject based on the ideXlab platform.
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highlights of the 2012 research workshop using nutrigenomics and metabolomics in Clinical Nutrition research
Journal of Parenteral and Enteral Nutrition, 2013Co-Authors: Steven H Zeisel, Deborah M Muoio, Robert A Waterland, Jose M. Ordovas, Anthony A FodorAbstract:: The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Research Workshop, "Using Nutrigenomics and Metabolomics in Clinical Nutrition Research," was held on January 21, 2012, in Orlando, Florida. The conference brought together experts in human Nutrition who use nutrigenomic and metabolomic methods to better understand metabolic individuality and Nutrition effects on health. We are beginning to understand how genetic variation and epigenetic events alter requirements for and responses to foods in our diet (the field of nutrigenetics/nutrigenomics and epigenetics). At the same time, methods for profiling almost all of the products of metabolism in plasma, urine, and tissues (metabolomics) are being refined. The relationships between diet and nutrigenomic-metabolomic profiles, as well as between these profiles and health, are being elucidated, and this will dramatically alter Clinical practice in Nutrition.
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highlights of the 2012 research workshop using nutrigenomics and metabolomics in Clinical Nutrition research
Journal of Parenteral and Enteral Nutrition, 2013Co-Authors: Steven H Zeisel, Deborah M Muoio, Robert A Waterland, Jose M. Ordovas, Anthony A FodorAbstract:: The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Research Workshop, "Using Nutrigenomics and Metabolomics in Clinical Nutrition Research," was held on January 21, 2012, in Orlando, Florida. The conference brought together experts in human Nutrition who use nutrigenomic and metabolomic methods to better understand metabolic individuality and Nutrition effects on health. We are beginning to understand how genetic variation and epigenetic events alter requirements for and responses to foods in our diet (the field of nutrigenetics/nutrigenomics and epigenetics). At the same time, methods for profiling almost all of the products of metabolism in plasma, urine, and tissues (metabolomics) are being refined. The relationships between diet and nutrigenomic-metabolomic profiles, as well as between these profiles and health, are being elucidated, and this will dramatically alter Clinical practice in Nutrition.
Claude Pichard - One of the best experts on this subject based on the ideXlab platform.
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espen guideline on Clinical Nutrition in the intensive care unit
Clinical Nutrition, 2019Co-Authors: Pierre Singer, Annika Reintam Blaser, Mette M Berger, Waleed Alhazzani, Philip C Calder, Michael P Casaer, M Hiesmayr, Konstantin Mayer, J C Montejo, Claude PichardAbstract:Following the new ESPEN Standard Operating Procedures, the previous guidelines to provide best medical Nutritional therapy to critically ill patients have been updated. These guidelines define who are the patients at risk, how to assess Nutritional status of an ICU patient, how to define the amount of energy to provide, the route to choose and how to adapt according to various Clinical conditions. When to start and how to progress in the administration of adequate provision of nutrients is also described. The best determination of amount and nature of carbohydrates, fat and protein are suggested. Special attention is given to glutamine and omega-3 fatty acids. Particular conditions frequently observed in intensive care such as patients with dysphagia, frail patients, multiple trauma patients, abdominal surgery, sepsis, and obesity are discussed to guide the practitioner toward the best evidence based therapy. Monitoring of this Nutritional therapy is discussed in a separate document.
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introductory to the espen guidelines on enteral Nutrition terminology definitions and general topics
Clinical Nutrition, 2006Co-Authors: Herbert Lochs, Jens Kondrup, Simon Allison, Remy Meier, Matthias Pirlich, St Schneider, G Van Den Berghe, Claude PichardAbstract:The ESPEN guidelines on enteral Nutrition are the first evidence-based European recommendations for enteral Nutrition. They were established by European experts for a variety of disease groups. During guideline development it became evident that terms and definitions in Clinical Nutrition have been used inconsistently depending on medical disciplines as well as regional and personal preferences. Therefore, to increase explanatory accuracy it was necessary to unify them. In this chapter terms and definitions used throughout all guidelines are explained. Additionally answers to more general questions, which might be important in most indications are dealt with, i.e. use of fibre containing and diabetes formulae.