Annals of Clinical Nutrition and Metabolism

Nutritional therapy for critically ill children: Eunju Ha; Ann Clin Nutr Metab 2024;16(2):21-21. Published online August 1, 2024; DOI: https://doi.org/10.15747/ACNM.2024.16.2.21

PDF

2,899 View
154 Download

The 2024 Korean Enhanced Recovery After Surgery guidelines for colorectal cancer: Kil-yong Lee, Soo Young Lee, Miyoung Choi, Moonjin Kim, Ji Hong Kim, Ju Myung Song, Seung Yoon Yang, In Jun Yang, Moon Suk Choi, Seung Rim Han, Eon Chul Han, Sang Hyun Hong, Do Joong Park, Sang-Jae Park, The Korean Enhanced Recovery After Surgery (ERAS) Committee within the Korean Society of Surgical Metabolism and Nutrition; Ann Clin Nutr Metab 2024;16(2):22-42. Published online August 1, 2024; DOI: https://doi.org/10.15747/ACNM.2024.16.2.22

The Korean Enhanced Recovery After Surgery (ERAS) Committee within the Korean Society of Surgical Metabolism and Nutrition was established to develop ERAS guidelines tailored to the Korean context. This guideline focuses on creating the most current evidence-based practice guidelines for ERAS based on systematic reviews. All key questions targeted randomized controlled trials (RCTs) exclusively. If fewer than two RCTs were available, studies using propensity score matching were also included. Recommendations for each key question were marked with strength of recommendation and level of evidence following internal and external review processes by the committee.

Citations

Citations to this article as recorded by

Development of the Korean enhanced recovery after surgery audit program
Soo-Hyuk Yoon, Jae-Woo Ju, Ho-Jin Lee, Jeesun Kim, Min Jung Kim, Ji Won Park, Do Joong Park, Seung Yong Jeong
Scientific Reports.2025;[Epub] CrossRef
Optimizing postoperative pain management in minimally invasive colorectal surgery
Soo Young Lee
Annals of Coloproctology.2024; 40(6): 525. CrossRef

11,442 View
155 Download
2 Crossref

Dysphagia and quality of life: a narrative review: Jung Mi Song; Ann Clin Nutr Metab 2024;16(2):43-48. Published online August 1, 2024; DOI: https://doi.org/10.15747/ACNM.2024.16.2.43

Abstract PDF

Purpose: Dysphagia is a chronic health condition that causes impairment of eating and drinking functions. It occurs in various diseases such as stroke, neurodegenerative disease, brain tumor, and head and neck cancer, and can also occur during the normal aging process.
Current concept: As patients experience symptoms of dysphagia, they no longer feel the pleasure of eating, depression and anxiety increase, and self-esteem decreases. Prolonged loss of appetite can lead to malnutrition, which can lead to death due to serious complications such as aspiration pneumonia and airway obstruction. Dysphagia reduces quality of life by affecting basic activities of daily living, limitations in social life, nutritional deficiencies, and mood disorders.
Conclusion: Accordingly, I plan to conduct a literature review on the quality of life of patients with dysphagia. First, to determine the relationship between quality of life and sociodemographic, physical health, and mental health characteristics of patients with dysphagia. I also aim to review quality of life measurement tools and intervention programs for patients with dysphagia.

Citations

Citations to this article as recorded by

Incidence and Risk Factors of Dysphagia After Cardiac Surgery: A Scoping Review
Christos Kourek, Vania Labropoulou, Emilia Michou, Stavros Dimopoulos
Journal of Clinical Medicine.2025; 14(12): 4279. CrossRef
Psychometric Properties of the Spanish Version of the Swallowing Quality of Life Questionnaire in Fibromyalgia Patients
Irene Calles-Plata, Araceli Ortiz-Rubio, Laura Pérez-Gisbert, Irene Torres-Sánchez, Andrés Calvache Mateo, Marie Valenza, Alejandro Heredia-Ciuró
Healthcare.2025; 13(22): 2948. CrossRef
Association Between Swallowing Dysfunction and Multidimensional Quality of Life Among Community-Dwelling Healthy Korean Older Adults: A Pilot Cross-Sectional Study
Hyun-Ah Jang, Jun-Seon Choi
Healthcare.2025; 13(22): 2964. CrossRef

19,961 View
370 Download
3 Crossref

Definition, assessments, and current research on sarcopenia in children: a narrative review: Min-Jung Bang; Ann Clin Nutr Metab 2024;16(2):49-56. Published online August 1, 2024; DOI: https://doi.org/10.15747/ACNM.2024.16.2.49

Abstract PDF

Purpose: Sarcopenia is a well-established prognostic factor for the clinical outcomes of adult patients with cancer and chronic diseases and correlates with increased intensive care unit admissions and prolonged hospital stays. However, research on sarcopenia in children is limited due to its undefined criteria and a lack of studies exploring its impact on clinical outcomes.
Current concept: The challenges in pediatric sarcopenia research include the absence of standardized body composition methods to quantify muscle mass and muscular function, as well as inconsistencies in definitions. Additionally, there is a lack of age- and gender-specific normative data, particularly for young children and infants. Most studies also lack assessments of muscle function, which can lead to bias and misclassification of sarcopenia. The field is further hindered by poor study quality, limited outcome-focused research, and a dearth of longitudinal data. While some studies suggest that various diseases can affect children’s lean muscle mass, few have linked changes in muscle mass to clinical outcomes.
Conclusion: The existing literature on pediatric sarcopenia and its relationship with medical and surgical outcomes is sparse and indicates poorer outcomes associated with sarcopenia. Although extensive research has established a link between sarcopenia and adverse outcomes in adults, information on its impact in pediatric populations remains scarce. Further studies are needed to elucidate the association between muscle mass and outcomes in pediatric surgical patients.

Citations

Citations to this article as recorded by

Newer Insights on the Occurrence of Sarcopenia in Pediatric Patients with Cancer: A Systematic Review of the Past 5 Years of Literature
Georgios Kiosis, Despoina Ioannou, Kanellos Skourtsidis, Vasilis Fouskas, Konstantinos Stergiou, Dimitrios Kavvadas, Theodora Papamitsou, Sofia Karachrysafi, Maria Kourti
Cancers.2025; 17(19): 3188. CrossRef

4,879 View
100 Download
1 Crossref

Early nutritional support for inpatients reduces admission rates to intensive care units in Korea: a single-center case-control study: Hyun Suk Kim, Jae Do Yang, Se Wung Han, Mi Rin Lee, Da-Sol Kim, Sejin Lee, Seon-Hyeong Kim, Chan-Young Kim; Ann Clin Nutr Metab 2024;16(2):57-65. Published online August 1, 2024; DOI: https://doi.org/10.15747/ACNM.2024.16.2.57

Abstract PDF Supplementary Material: Purpose: Early nutritional support (ENS) for critically ill patients is promoted by many studies. However, there is a lack of data evaluating its necessity in general wards. This study aims to determine the impact of ENS on patients in general wards.
Methods: Patients aged 18 and above, admitted to the Jeonbuk National University Hospital in Jeonju from January 2020 to December 2020, who were eligible for nutritional support and hospitalized for at least 7 days were included in the study. We divided the patients into two groups: the ENS group, who received nutritional support within 48 hours of admission, and the control group, who received it after 48 hours.
Results: Among 1,077 patients, 146 met the inclusion criteria. The ENS group (n=38) and the control group (n=108) were compared retrospectively. There was a significant age difference between the two groups (P=0.028). The admission ratio to the intensive care unit (ICU) in the ENS group was significantly lower than that in the control group (10.2% vs. 26.3%, P=0.019). The calorie support rate (%) and protein support rate (%) in the ENS group were significantly higher than in the control group (50.12%±23.30% vs. 38.56%±18.02%, P=0.006; 44.61%±25.07% vs. 32.07%±22.76%, P=0.002, respectively). After propensity score matching, the ENS was significantly associated with ICU low admissions (odds ratio 0.08, 95% confidence interval 0.01–0.69, P=0.022).
Conclusion: A future multi-center study considering underlying diseases is needed to provide additional scientific evidence to support the effects of ENS.

2,947 View
26 Download

Prognostic significance of serum creatinine and sarcopenia for 5-year overall survival in patients with colorectal cancer in Korea: a comparative study: Jiahn Choi, Hye Sun Lee, Jeonghyun Kang; Ann Clin Nutr Metab 2024;16(2):66-77. Published online August 1, 2024; DOI: https://doi.org/10.15747/ACNM.2024.16.2.66

Abstract PDF Supplementary Material: Purpose: Previous studies have demonstrated that the serum creatinine level and skeletal muscle index (SMI) (correlated with the overall survival [OS] of patients with colorectal cancer [CRC]). However, the combined significance of these 2 factors is not fully understood. The goal of this study was to investigate the prognostic potential of the combination of these two factors in patients with CRC.
Methods: The patients were categorized into subgroups based on preoperative serum creatinine level, with a cut-off value of 1.01 mg/dL for males and 0.80 mg/dL for females. The patients were further categorized into 4 groups based on SMI. Data were analyzed using the Cox proportional hazards model and Harrell’s concordance index (C-index).
Results: Poor 5-year OS was observed in patients with high SMI and high serum creatinine levels (hazard ratio [HR]=1.676, 95% confidence interval [CI]=1.110–2.529, P=0.013), low SMI and low serum creatinine levels (HR=1.916, 95% CI=1.249–2.938, P=0.002), and low SMI and high serum creatinine levels (HR=2.172, 95% CI=1.279–3.687, P=0.004) compared to those of patients with high SMI and low serum creatinine levels. Grouping patients based on both SMI and serum creatinine levels led to improved prognostic stratification (C-index, 0.626; 95% CI=0.587–0.666) compared to grouping based on SMI (CI difference=0.062, 95% CI=0.031–0.103, P=0.0011) or serum creatinine (CI difference=0.043, 95% CI=0.017–0.081, P=0.0072) alone.
Conclusion: Incorporating both SMI and serum creatinine levels enhances the prognostic stratification for 5-year OS in patients with CRC, surpassing the prognostic power of grouping solely based on SMI or creatinine.

3,713 View
21 Download

Impact of immune-supplementation on muscle health and inflammation status of South Indian patients who have undergone gastrointestinal resection: a pilot randomized-controlled study: Nivedita Pavithran, Catherine Bompart, Alisa Alili, Sudheer Othiyil Vayoth; Ann Clin Nutr Metab 2024;16(2):78-86. Published online August 1, 2024; DOI: https://doi.org/10.15747/ACNM.2024.16.2.78

Abstract PDF: Purpose: Gastrointestinal (GI) resection significantly impacts nutritional and physical health, causing stress and inflammation that increase energy needs. Post-operative caloric intake often falls short, disrupting protein homeostasis and compromising muscle health. Nutritional supplementation is crucial to reduce inflammation and maintain muscle health. This study aimed to evaluate the impact of a three-week oral nutritional immuno-supplement (IMM) intervention compared to a control (CTL) on post-operative inflammatory status and muscle health in patients receiving limb and chest physiotherapy from June to August 2023.
Methods: A randomized, controlled, blinded cohort of 20 patients (ages 30–75) undergoing GI surgery was established. Participants were recruited on the day of surgery and assigned to either the CTL, which received standard protein supplementation, or the IMM group, which received protein immune-enriched supplementation for three weeks. All participants also received chest and limb physiotherapy. Follow-up and data collection were conducted at three post-surgery time points: 3 days, 7 days, and 3 weeks. Assessments included body composition, handgrip strength, basal metabolic rate, 24-hour dietary intake, and C-reactive protein (CRP) levels.
Results: Fifteen patients completed the study (IMM=9, CTL=6). After three weeks of supplementation, the IMM group showed a significant increase in lean mass percentage and handgrip strength, along with a significant decrease in CRP levels, compared to the CTL.
Conclusion: A 3-week oral immuno-supplement provided to patients post-GI resection, in conjunction with limb and chest physiotherapy, is more effective in reducing inflammation and preserving muscle health compared to standard protein supplementation.

2,775 View
14 Download

Pneumothorax due to malpositioned nasogastric enteral feeding tube: Hyebeen Kim, Suk-Kyung Hong; Ann Clin Nutr Metab 2024;16(2):87-88. Published online August 1, 2024; DOI: https://doi.org/10.15747/ACNM.2024.16.2.87

PDF

Citations

Citations to this article as recorded by

Bilateral Pneumothoraces During Nasogastric Tube Placement: A Case Report
Gideon Asaolu, Martin Aaron Tan, Jay Narula, Rajat Gupta, Sana Ahmed, Hardeep Singh, Dhaval Patel, Amr A. Arafat
Case Reports in Medicine.2026;[Epub] CrossRef

2,521 View
33 Download
1 Crossref

Previous issues