Search

Background/Objectives: Type 2 diabetes (T2D) is one of the most common global diseases, with an ever-growing need for prevention and treatment solutions. Kale (Brassica oleracea L. var. acephala) offers a good source of fiber, minerals, bioavailable calcium, unsaturated fatty acids, prebiotic carbohydrates, vitamins, health-promoting secondary plant metabolites, as well as higher amounts of proteins and essential amino acids compared to other vegetables. The objective of this study was to investigate whether daily intake of freeze-dried kale powder can provide health benefits for T2D patients vs. placebo. Methods: This study was designed as a 12-week, blinded, randomized, controlled trial. Thirty T2D patients were randomly assigned to either a placebo bar (control) or a kale bar (intervention). Participants in the intervention group were instructed to consume three bars/day, each containing 26.25 g of freeze-dried kale (corresponding to approx. 341 g fresh kale/day). At baseline and 12 weeks, all participants underwent an oral glucose tolerance test (OGTT), 24 h blood pressure measurements, DEXA scans, and fasted blood samples were taken. Results: A significant reduction in HbA1c, insulin resistance, body weight, and calorie intake was observed in the intervention group compared to control. Positive trends were detected in fasted blood glucose and LDL-cholesterol for those in the kale intervention group. No significant differences were found in total body fat mass and area under the curve glucose 240 min OGTT. Conclusions: Given the positive effects of high daily kale intake observed in this study, further research with a larger sample size is needed to better understand the health benefits of kale bars. This could potentially lead to new dietary recommendations for patients with T2D. [ABSTRACT FROM AUTHOR]

This study investigates the existence of a calorie gap (CG) within gender, caste, and religion groups utilising an entitlement framework. We employed National Sample Survey data on consumer expenditure spanning from 2004–05 to 2011–12 and applied the Oaxaca-Blinder decomposition technique for our analysis. The results of the Oaxaca decomposition indicate that entitlement failure plays a significant role in expanding the CG amongst gender and caste groups in both rural and urban areas, while its impact is only seen within religious groups in urban areas. The failure of exchange entitlement intensifies the CG amongst caste and religious groups in rural areas. Moreover, our quantile-specific Oaxaca decomposition findings reveal that the contributions of entitlement and exchange entitlement gaps to the overall CG fluctuate across quantiles. We propose that increased social awareness and public exposure aimed at reducing caste and religion-based discrimination, alongside programmes and policies designed to enhance the resource base of female-headed households, minority castes, and religious minorities, may aid in the reduction of the CG. [ABSTRACT FROM AUTHOR]

Among major development organizations, the unchallenged consensus is that war and conflict are development issues ravaging local economies, often leading to forced migration, refugee populations, and acute food insecurity. Food insecurity when caused by a rise in food prices is a threat for violent conflict. This study was conducted in Nigeria using three types of quantitative data which are the general household panel data, monthly retailed commodity prices, and violent conflict data from 2010 to 2019. This study examines the linkages between conflict, food price shocks, and food security outcomes of households in Nigeria. Per capita daily calorie intake, household dietary diversity, and per capita monthly food consumption were the three food security outcomes used for this study. Fixed effects panel regression models were used to determine the effects of conflict-induced food price shocks on the food security outcomes of households. I was found that dietary diversity appeared to be higher in the first wave than in the other three waves. The measure of dietary diversity for the post-harvests were slightly higher than the post-plantings. The high dietary diversity associated with the post-harvest periods is partly related to the relatively higher net value of foods consumed during the same season. This is because the amount of food calories consumed during the post-harvest periods are relatively lower than the amount consumed during the post-planting periods. Regardless of the conflict level in Nigeria, an increase in conflict-induced price shock of wheat, and rice is associated with a decline in calorie intake, dietary diversity, and the actual food value consumed. The conflict-induced price shocks of other cereals negatively influence the actual food value consumed, and dietary diversity. It is concluded that violent conflict influences some aspects of food insecurity, through adjustment in diets in response to price increases. Conflict-induced price shocks is a necessary condition for food security. Therefore, policy issues aimed at improving the food security outcomes of households in the face of conflict-induced price shocks should focus on price scheme that will stabilise price placing a price floor on food commodities. [ABSTRACT FROM AUTHOR]

There is a consistent association between dietary diversity, both in terms of quantity and pattern of food consumption, and inadequate growth, development and long-term health outcomes. A total of 16 villages in the Bundelkhand region were chosen to evaluate calorie and nutrition intake using a 24-hour recall time. Caloric and nutrient intake in Chitrakoot district deviated from the recommended dietary allowance, with insufficient dietary diversity. This deficiency, excluding protein and phosphorus consumption, adversely affected the under-nutrition status among beneficiaries of the public distribution system. [ABSTRACT FROM AUTHOR]

While therapies based on endogenous gut peptides such as glucagon-like peptide-1 (GLP-1) receptor agonists (GLP-1RAs) have been compelling therapeutic agents for obesity and type 2 diabetes (T2D), only a few have achieved long-term weight loss and all have shown significant side-effects, including nausea/malaise and gastrointestinal ailments. As the pathophysiology of obesity is driven by dysregulation of multiple, inter-related, pathways, we tested a novel peptide targeting multiple receptors of complementary neurocircuits regulating the controls of energy balance. Response to daily injections of GEP44, a GLP-1R and neuropeptide Y1R and Y2R receptor (Y1R/Y2R) triple agonist was tested vs. the GLP-1R agonist liraglutide (LIRA) in diet-induced obese (DIO) male and female rats. Glucose tolerance tests after intraperitoneal injection of glucose (IPGTT) were performed at baseline and after 14-d of treatment in GEP44 treated rats. Other metabolic parameters were assessed in blood at the end of a 28-d intervention. Upon conclusion at 28-d, body weight reduction compared to vehicle was −15.6%/-11.9% in response to GEP44, vs. −9.7%/-5.1% after LIRA, males, and females, respectively. Significant reductions of cumulative food intake occurred over 28-d in female rats treated with GEP44 (−30%; p < 0.0001), vs. LIRA (−10%), and in male rats GEP44 (−39%; p < 0.0001), vs. LIRA (−20%; p = 0.003). In IPGTTs, a similar stimulation glucose induced insulin secretion was noted in rats treated with GEP44 and LIRA. The strong reductions of body weight in response to long-term applications of the triple agonist GEP44 confirms the therapeutic potential of targeting multiple receptors for achieving more robust and potentially more sustained improvement of energy balance. • Novel therapeutic obesity drug concept addressing multiple inter-related pathways. • GEP44 is a GLP-1 receptor and neuropeptide Y1 and Y2 receptor triple agonist. • Daily GEP44 outperformed LIRA on reduction of food intake and body weight. • GEP44 was safe in chronic testing up to 28-d in diet-induced obese rats. [ABSTRACT FROM AUTHOR]

Objective: To examine the relationship between pressure injury (PI) development and achievement of nutritional goals (protein and caloric), as well as consider the clinical conditions, hospitalisation factors, and risk assessment for PI development in patients who are critically ill and receiving enteral nutrition (EN) in the intensive care unit (ICU). Method: An observational cohort study was conducted in the ICU of the University Hospital in São Paulo, Brazil. Inclusion criteria were as follows: age ≥18 years; length of ICU stay ≥24 hours; without PI at ICU admission; and receiving EN exclusively during ICU stay. The development of PI was considered the dependent variable. The Chi-squared test was applied to compare categorical variables, and the Mann–Whitney U test was used to compare continuous variables between groups of patients with and without a PI. The analysis of the achievement of nutritional goals was performed using Fisher's exact test. A significance level of 5% (p-value<0.05) and a confidence interval (CI) of 95% was adopted in all statistical tests. Results: A total of 181 patients met the inclusion criteria, of whom 102 (56.4%) were male and 79 (43.6%) were female. Mean age was 55.1 years, and mean length of ICU stay was 17.5 days. PI development was associated with not achieving nutritional goals. There was a higher percentage (65.3%) of patients without a PI when both protein and caloric goals were achieved. In contrast, 45.6% of patients developed a PI when the goals were not achieved. The mean days for sedation, vasoactive drugs and mechanical ventilation were all significantly higher in patients who developed a PI (p<0.001). Conclusion: There was a significant association between patients developing a PI and deficits in caloric and protein intake. Patients who did not develop PIs had a greater calorie and protein intake compared with those who developed a PI. [ABSTRACT FROM AUTHOR]

Copyright of Irrigation & Drainage is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Indonesia's economy has developed rapidly, but it has not solved undernourishment issues among low-income people. Therefore, similar to other developing countries, Indonesia has instituted a food price subsidy program known as Rice for the Poor (RASKIN) to help low-income families meet their needs and alleviate some of their financial burdens. This study examined how RASKIN affected the intake of calories and three macronutrients of Indonesian households using the representative National Socioeconomic Survey (SUSENAS) data. In comparison to intake without the subsidy, the estimation results based on the endogenous switching regression model suggested that receiving the subsidy raised the household calorie intake by 368.4 Kcal/day for recipients and 454.6 Kcal/day for nonrecipients. Likewise, households receiving the subsidy raised their macronutrient intake, encompassing protein, carbohydrate, and fat, compared to those not receiving it. Therefore, RASKIN contributed to raising the intake of calories and three macronutrients. However, a certain portion of non-poor households were found to receive RASKIN owing to mistargeting, suggesting that the government should rectify targeting errors to enhance the effectiveness of the subsidy and attain the key purpose of improving the well-being of people with low incomes.

Food insecurity in peri-urban areas is exacerbated by high living costs, limited access to healthy food, and economic inequality. Despite its growing prevalence due to factors like land loss from urban expansion, food insecurity has received limited attention. In Ethiopia, drastic urbanization creates competition for land between agriculture and urban development, which is becoming extreme in peri-urban areas., This study aims to assess the impact of urban expansion on food security among expropriated peri-urban households in Ethiopia. Using a calorie intake-based food security line, we categorize respondents as food-secure or -insecure. The research analyzed data from 350 expropriated peri-urban households through a structured questionnaire, employing descriptive statistics and binary logistic regression. About 67% of the respondents were classified as food-insecure. The binary logit model identified several significant determinants of food security, including compensation amount and type, household head demographics, agricultural land rent participation, irrigation and credit access, off-farm income, and organic fertilizer use. To address food insecurity among expropriated households, policymakers must prioritize these factors. Government attention and policy consideration are crucial to ensure the well-being of these vulnerable populations.

Background: Human growth and maturation are continuous processes, and transition from childhood into adulthood is not abrupt, the period of adolescence encompasses rapid changes in physical changes and maturation, and in psychological development. Objective: To study the dietary habit, mean calorie intake and mean protein intake of last 24 hours in the study population. Materials and Methods: The present cross- sectional study was conducted in the field practice areas of Rural Health Training Centre, Jawan and Urban Health Training Centre, Aligarh, of the Department of Community Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University. Results: Majority of students (91.6%) used to take meals three times a day and only 8.4% used to had meal twice a day, out of them most of them were from rural area. mean calorie and mean protein intake being less in whole age group of 10-19 years than the reference values given by ICMR 2010. Total mean calorie of 10-19 years age group was 1995.09 in urban and 2056.07 in rural area. Total mean protein intake of 10-19 years age group was 44.56 gm/day in urban and 41.44 gm/day in rural area. Conclusion: Overall 98.77% rural and 94.92% urban students were found to be deficit in calorie intake in 24 hours recall method and protein intake was deficit in 84.37% urban and 93.44% rural students. [ABSTRACT FROM AUTHOR]

Introduction The Department of Veterans Affairs (VA) Million Veteran Program (MVP) nutrition data is derived from dietary food/beverage intake information collected through a semiquantitative food frequency questionnaire (SFFQ). Methods Estimates of dietary energy, nutrient, and non-nutritive food components intakes data were derived from an extensively validated SFFQ, which assessed the habitual frequency of consumption of 61 food items, added sugar, fried food frequency, and 21 nutritional supplements over the 12 months preceding questionnaire administration. Results Complete nutrition data was available for 353,418 MVP participants as of 30th September 2021. Overall, 91.5% of MVP participants with nutrition data were male with an average age of 65.7 years at enrollment. Participants who completed the SFFQ were primarily White (82.5%), and Blacks accounted for 13.2% of the responders. Mean ± SD energy intake for 353, 418 MVP participants was 1428 ±616 kcal/day, which was 1434 ±617 kcal/day for males and 1364 ±601 kcal/day for females. Energy intake and information on 322 nutrients and non-nutritive food components is available through contact with MVP for research collaborations at www.research.va.gov/mvp. Conclusions The energy and nutrient data derived from MVP SFFQ are an invaluable resource for Veteran health and research. In conjunction with the MVP Lifestyle Survey, electronic health records, and genomic data, MVP nutrition data may be used to assess nutritional status and related risk factors, disease prevalence, and determinants of health that can provide scientific support for the development of evidence-based public health policy and health promotion programs and services for Veterans and general population.

This research aims to investigate the role of meal timing on calorie intake. A database of a company's cafeteria was used to track employees' food-purchasing behaviors. The findings show that starting meals early leads to an overall reduction in total daily calorie intake. However, the effect of meal timing differed between meals, with breakfast timing having the most significant impact followed by lunch and dinner timings. In terms of calorie intake per meal, breakfast timing was a decisive factor, followed by dinner, and lunch timing showed a weaker correlation to lunch intake. This result implied that early breakfast and dinner were important in managing calorie intake, while lunch timing had a lower impact. This research is a guide on how to lose weight or boost overall health through an appropriate dietary habit. [ABSTRACT FROM AUTHOR]

Rising food prices have raised concerns about declining food security and increasing food poverty, thereby increasing the vulnerability of the poor to food insecurity. Chicken meat is highly consumed in Iran and plays a key role in the Iranian food basket. Therefore, the explosion in its price in 2020 has posed a threat to the country's food security. Iran's chicken industry is highly dependent on imported inputs, so any increase in exchange rates, global prices, and import restrictions will increase the final price of chicken. In this context, the current study examined the impact of the chicken price explosion and compensation strategies on the amount of calories consumed by consumers. For this purpose, a multi-market equilibrium simulation model was used. The chicken market is linked to the red meat market (beef and sheep). The results showed that an 84% increase in the price of chicken in 2020 would lead to a 41%, 6%, and 14% decrease in the consumption of chicken, beef, and sheep, respectively. In addition, an increase in the price of chicken meat led to a decrease in per capita calorie intake by around 27%. These results indicate that beef and sheep products are not considered viable alternatives to chicken in Iran. Comparing policies that increase nominal income with policies that increase products on the market, the results show that policies that increase products on the market through increased production or imports have more favorable effects on food security. The results also revealed that improving policies related to the import of products will lead to favorable effects on food security compared to nominal income enhancement policies. The results of this study provide policy and decision makers with appropriate adaptation strategies to deal with price shocks in the food sector of the countries. [ABSTRACT FROM AUTHOR]

The study was conducted during 2022-23 to assess the level of food insecurity and income status among farm households. Data from 474 farmers through personal interview method were collected. Agriculture was the primary occupation for most households followed by off-farm activities. Average per capita annual income (Rs. 1,00,073) was lower than the national average. The per capita annual income was Rs. 73,303, Rs. 93,256 and Rs. 1,44,456 for marginal, small, and medium farmers, respectively. About 47 per cent of the expenditure was made on consumption. A comparison of calorie intake to recommended calorie intake indicated that food insecurity was prevailing among 26 percent of the farmers. The major contribution to calorie intake was from cereals, the consumption of vegetables and fruits was low. A decision tree model using machine learning algorithms was used to identify the factors influencing food security. Per capita income, family size, consumption expenditure, social participation, and land holdings had significant importance in classifying the households as food secure and insecure. Diversifying farm activities and creating additional opportunities in rural areas, teaching households about balanced diets, promoting home gardening, and institutional policies to improve food security may be the strategic points. [ABSTRACT FROM AUTHOR]

Objectives: Nutritional support is a fundamental component of holistic patient care in the intensive care unit (ICU). There is a paucity of local data pertaining to nutritional support practices at ICUs in South Africa. The aim of this study was to determine nutritional support practices at an academic hospital ICU in Johannesburg, South Africa. Methods: In this cross-sectional, descriptive and retrospective study, a simple random sampling method was utilised to select 50 data collection days from a three-month period (1 August–31 October 2018). Data relevant to the study were extracted from the ICU charts of patients who received formulae-based enteral and/or parenteral nutrition on the selected days. Charts were categorised into acute phase days (≤ 72 hours from ICU admission) and recovery phase days (> 72 hours from ICU admission). Results: A total of 387 ICU charts were included in the final sample, comprising 114 acute phase and 273 recovery phase days. Overall, enteral nutrition was prescribed on 296 (76.5%) chart days while parenteral nutrition was prescribed on 111 (28.7%) chart days. The median daily fluid balance was approximately 600 ml positive. Target protein and calorie intake was achieved on 67 (17.3%) and 110 (28.4%) chart days respectively. Conclusion: Although protein and calorie intake was suboptimal in comparison with the recommended targets, it is in keeping with general international trends. Regular audits, training of staff, attention to minimising feeding interruptions and encouraging the timely initiation of enteral nutrition are recommended interventions that may be useful in achieving nutritional targets.

Nutritional support is a fundamental component of holistic patient care in the intensive care unit (ICU). There is a paucity of local data pertaining to nutritional support practices at ICUs in South Africa. The aim of this study was to determine nutritional support practices at an academic hospital ICU in Johannesburg, South Africa. In this cross-sectional, descriptive and retrospective study, a simple random sampling method was utilised to select 50 data collection days from a three-month period (1 August–31 October 2018). Data relevant to the study were extracted from the ICU charts of patients who received formulae-based enteral and/or parenteral nutrition on the selected days. Charts were categorised into acute phase days (≤ 72 hours from ICU admission) and recovery phase days (> 72 hours from ICU admission). A total of 387 ICU charts were included in the final sample, comprising 114 acute phase and 273 recovery phase days. Overall, enteral nutrition was prescribed on 296 (76.5%) chart days while parenteral nutrition was prescribed on 111 (28.7%) chart days. The median daily fluid balance was approximately 600 ml positive. Target protein and calorie intake was achieved on 67 (17.3%) and 110 (28.4%) chart days respectively. Although protein and calorie intake was suboptimal in comparison with the recommended targets, it is in keeping with general international trends. Regular audits, training of staff, attention to minimising feeding interruptions and encouraging the timely initiation of enteral nutrition are recommended interventions that may be useful in achieving nutritional targets. [ABSTRACT FROM AUTHOR]

IntroductionMalnutrition is defined as a pathological condition arising from deficient or imbalanced intake of nutritional elements. Factors such as increasing metabolic demands during the disease course in the hospitalized patients and inadequate calorie intake increase the risk of malnutrition. The aim of the present study is to evaluate nutritional status of patients admitted to pediatric intensive care units (PICU) in Turkey, examine the effect of nutrition on the treatment process and draw attention to the need for regulating nutritional support of patients while continuing existing therapies.Material and MethodIn this prospective multicenter study, the data was collected over a period of one month from PICUs participating in the PICU Nutrition Study Group in Turkey. Anthropometric data of the patients, calorie intake, 90-day mortality, need for mechanical ventilation, length of hospital stay and length of stay in intensive care unit were recorded and the relationship between these parameters was examined.ResultsOf the 614 patients included in the study, malnutrition was detected in 45.4% of the patients. Enteral feeding was initiated in 40.6% (n = 249) of the patients at day one upon admission to the intensive care unit. In the first 48 h, 86.82% (n = 533) of the patients achieved the target calorie intake, and 81.65% (n = 307) of the 376 patients remaining in the intensive care unit achieved the target calorie intake at the end of one week. The risk of mortality decreased with increasing upper mid-arm circumference and triceps skin fold thickness Z-score (OR = 0.871/0.894; p = 0.027/0.024). The risk of mortality was 2.723 times higher in patients who did not achieve the target calorie intake at first 48 h (p = 0.006) and the risk was 3.829 times higher in patients who did not achieve the target calorie intake at the end of one week (p = 0.001). The risk of mortality decreased with increasing triceps skin fold thickness Z-score (OR = 0.894; p = 0.024).ConclusionTimely and appropriate nutritional support in critically ill patients favorably affects the clinical course. The results of the present study suggest that mortality rate is higher in patients who fail to achieve the target calorie intake at first 48 h and day seven of admission to the intensive care unit. The risk of mortality decreases with increasing triceps skin fold thickness Z-score.

Food security issues have become a critical concern and top priority for developing countries, particularly Ethiopia. To this end, the main objective of this study was to analyze the food security situation of households and their coping strategies among rural households in the Kembata Tembaro Zone, Kedida Gamela district. A systematic random sampling technique was used to collect data from 150 randomly selected sample households in the study area. This study used primary and secondary data collected through interview schedules, focus group discussions (FGD), key informant interviews (KII), and a review of various documents. Descriptive statistics and data analysis econometric methods were employed. Descriptive statistics revealed that 43.33% of the households had food security, while the remaining 56.67% were food-insecure. In addition to this, the results of this study revealed that households in the study area used different coping strategies in the time of food shortages, including the sale of livestock, the sale of productive assets, the receipt of remittances or food aid, the participation in small trade, the reduction in the number of meals, temporary migration, etc. Furthermore, the results of the binary logit model indicated that education level, sex of the household, age of the household head, cultivable land size, access to extension services, livestock ownership, and credit services were found to positively and significantly determine the food security of the household in the study area. To strengthen their resilience to food insecurity, households should be encouraged to diversify their income sources and generate both capital and social assets.

This research aims to investigate the role of meal timing on calorie intake. A database of a company’s cafeteria was used to track employees’ food-purchasing behaviors. The findings show that starting meals early leads to an overall reduction in total daily calorie intake. However, the effect of meal timing differed between meals, with breakfast timing having the most significant impact followed by lunch and dinner timings. In terms of calorie intake per meal, breakfast timing was a decisive factor, followed by dinner, and lunch timing showed a weaker correlation to lunch intake. This result implied that early breakfast and dinner were important in managing calorie intake, while lunch timing had a lower impact. This research is a guide on how to lose weight or boost overall health through an appropriate dietary habit.

Concerns about household food security of developing countries has been greatly intensified with rising food prices derives from various causes, such as market failure, climate change, political instability, the presence of poor financial institutions, and emerging challenges. It is very important, the development and evaluation of required policy responses such as income compensation policy to cope with foodstuff price increases. It is necessary to pay attention to different household groups regarding income, occupation, and urban/rural conditions in order to evaluate the effects of shocks and policies according to the different responses of households. This paper employes a multimarket equilibrium simulation model and evaluates the effect of price hikes with/without households' nominal income compensation policy on the calorie intake of different household groups. To this end, Iranian households that have suffered from severe food inflation and their nominal income compensation policy has always been the focus of government officials were investigated. First, we noticed that poor rural households with government occupations bear the brunt of ensuing the price hike of foodstuffs. Second, we found that households food security is highly reliant on the price of livestock products compared to other foodstuffs. Finally, we concluded that income compensation policy plays the role of a threat to food security for some households and a driver for others. Therefore, based on the different responses of households to foodstuff price and income increase, we recommended the design of more precise interventions in the market of foodstuff in a more targeted and efficient manner.

Background: Currently, the supporting evidence for dietary counseling is insufficient. The aim of this study is to evaluate the impact of individualized dietary counseling on nutritional outcomes and quality of life (QOL) in patients undergoing surgery for gastric cancer. Methods: This study was a prospective, single-center, randomized controlled trial. The patients after surgery for gastric cancer were randomly assigned (1:1) to the intervention group and the control group. In the intervention group, patients receive individualized dietary counseling based on individual calorie needs and symptom assessment at 24 h before discharge, 14, 21, 30, and 60 days postoperatively. Patients in the control group received routine dietary counseling. The primary endpoint was body mass index (BMI) loss at 30, 60, and 90 days after surgery; the secondary endpoints were calorie and protein intake at 30 and 60 days after surgery, blood parameters, the 90-day readmission rate, and QOL at 90 days after surgery. Results: One hundred thirty patients were enrolled; 67 patients were assigned to the intervention group and 63 patients to the control group. Compared with the control group, patients in the intervention group were significantly less BMI loss at 30 days (-0.84 ± 0.65 vs. -1.29 ± 0.83), 60 days (-1.29 ± 0.92 vs. -1.77 ± 1.13), and 90 days (-1.37 ± 1.05 vs. -1.92 ± 1.66) after surgery (all P< 0.05). Subgroups analysis by surgery type showed that the intervention could significantly reduce BMI loss in patients undergoing total and proximal gastrectomy at 30 days (-0.75 ± 0.47 vs. -1.55 ± 1.10), 60 days (-1.59 ± 1.02 vs. -2.55 ± 1.16), and 90 days (-1.44 ± 1.19 vs. -3.26 ± 1.46) after surgery (all P< 0.05). At 60 days after surgery, calorie goals were reached in 35 patients (77.8%) in the intervention group and 14 patients (40.0%) in the control group (P = 0.001), and protein goals were reached in 40 patients (88.9%) in the intervention group and 17 patients (48.6%) in the control group (P< 0.001). Regarding the QOL at 90 days after surgery, the patients in the intervention group had a significantly lower level of fatigue, shortness of breath and stomach pain, better physical function, and cognitive function (P< 0.05). Conclusions: Post-discharge individualized dietary counseling is an effective intervention to reduce post-gastrectomy patient weight loss and to elevate calorie intake, protein intake, and QOL. [ABSTRACT FROM AUTHOR]

The use of indirect calorimetry to measure resting energy expenditure (mREE) is widely recommended as opposed to calculating REE (cREE) by predictive equations (PE). The aim of this study was to compare mREE with cREE in critically ill, mechanically ventilated patients aged ≥ 75 years and a healthy control group matched by age, gender and body mass index. The primary outcome was the PE accuracy rate of mREE/cREE, derived using Bland Altman plots. Secondary analyses included linear regression analyses for determinants of intraindividual mREE/cREE differences in the critically ill and interindividual mREE differences in the matched healthy cohort. In this retrospective study, 90 critically ill patients (median age 80 years) and 58 matched healthy persons were included. Median mREE was significantly higher in the critically ill (1457 kcal/d) versus the healthy cohort (1351 kcal/d), with low PE accuracy rates (21% to 49%). Independent predictors of mREE/cREE differences in the critically ill were body temperature, heart rate, FiO2, hematocrit, serum sodium and urea. Body temperature, respiratory rate, and FiO2 were independent predictors of interindividual mREE differences (critically ill versus healthy control). In conclusion, the commonly used PE in the elderly critically ill are inaccurate. Respiratory, metabolic and energy homeostasis variables may explain intraindividual mREE/cREE as well as interindividual mREE differences. [ABSTRACT FROM AUTHOR]

The 2018 Federal Menu Labeling regulations require restaurants and similar retail food establishments that are part of a chain with 20 or more locations to provide calorie and other nutrition information for standard menu items. In this study, we describe the sociodemographic correlates of prevalence of menu label use at Food-Away-From-Home (FAFH) establishments and estimate the association between menu label use and calorie intake. We use nationally representative data spanning the years 2007–2018 and multivariable logit regression and ordinary least squares regression models. For FAFH establishments, we find that female respondents have about 26% (95% CI = [1.14, 1.39]) higher odds of using menu labels. Respondents with high school degree have 51 percent higher odds (95% CI = [1.24, 1.85]), respondents with some college education have 107 percent higher odds (95% CI = [1.74, 2.47]) of seeing menu labels. Higher income is associated with 12% (95% CI = [1.08, 1.15]) greater odds of seeing menu labels. Hispanic respondents have 29% (95% CI = [0.62, 0.81]) lower odds of seeing and 79% (95% CI = [1.41, 2.29]) higher odds of using menu labels. Black respondents have 54% (95% CI = [1.35,1.75] higher odds of seeing menu labels at sit-down restaurants. Menu label users at fast-food restaurants reported consuming 202 kcal (95% CI = [-252,-153]) fewer total calories than nonusers and menu label users at sit-down restaurants reported using 181 kcal (95% CI = [-256,-106]) fewer total calories than nonusers. Our findings highlight the sociodemographic disparities in menu label use and provide baseline estimates for future studies evaluating the federal menu labeling regulation. [ABSTRACT FROM AUTHOR]

Malaysia has been experiencing smoke-haze episodes almost annually for the past few decades. PM2.5 is the main component in haze and causes harmful impacts on health due to its small aerodynamic size. This study aimed to explore the implications of PM2.5 exposure on the dietary intake of working individuals. Two phased 13-weeks follow-up study was conducted involving 440 participants, consisting of two cohorts of outdoor and indoor workers. Ambient PM2.5 concentrations were monitored using DustTrakTM DRX Aerosol Monitor. Data on Simplified Nutritional Appetite Questionnaire (SNAQ) and 24 h diet recall were collected weekly. The highest PM2.5 concentration of 122.90 ± 2.07 µg/m3 was recorded in August, and it vastly exceeded the standard value stipulated by US EPA and WHO. SNAQ scores and calorie intake were found to be significantly (p < 0.05) associated with changes in PM2.5 exposure of outdoor workers. Several moderate and positive correlations (R-value ranged from 0.4 to 0.6) were established between SNAQ scores, calorie intake and PM2.5 exposure. Overall findings suggested that long hours of PM2.5 exposure affect personal dietary intake, potentially increasing the risk of metabolic syndromes and other undesired health conditions. The current policy should be strengthened to safeguard the well-being of outdoor workers. [ABSTRACT FROM AUTHOR]

All members of the United Nations have pledged to achieve no poverty and zero hunger within the sustainable development goals (SDG) agenda by 2030. This study looks at the SDG objectives and linkages between poverty, food insecurity, and education. We constructed a composite food security index to capture the multidimensional concept of food security. The link between poverty and food security is then examined using the new food security index and the robustness of the link is compared with the conventional unidimensional food security measure. Using a recursive, simultaneous-equations model and data from a nationally representative household survey in Cameroon, we find a strong link at the national and in both urban and rural regions. The results show the important driver role of education, better education not only contributes to poverty reduction but also enhances food security. The absolute marginal effects of tertiary education are clearly stronger in rural areas. Compared to access to credit, the benefits of education are much more substantial. These findings are in favour of an integrated and targeted approach to address food security and emphasise the driver role of education in enabling sustainable development. [ABSTRACT FROM AUTHOR]

Based on the provincial panel data from 2008 to 2019, this paper constructs a mediating effect model to analyze the impact of China's agricultural insurance development on the nutritional status of rural residents theoretically and empirically. This study found that agricultural insurance significantly affects the nutritional status of rural residents through two mediators: increased income level and the regional crop diversity. Meanwhile, regional heterogeneity exists in the impact of agricultural insurance on the nutritional status of rural residents. Overall, this paper argues that agricultural insurance should be one of the tools to improve the nutritional status of rural residents in China. Specifically, the design and implementation process of policy-based agricultural insurance should put the nutritional health of rural residents and their complex impact into consideration. Therefore, this paper suggests that even though agricultural insurance can facilitate rural residents' income stability and generation, relevant stakeholders also need to draw awareness, popularize the importance of nutrition and health, and optimize the supply structure of agricultural products. [ABSTRACT FROM AUTHOR]

Food security and its side effects is an issue that has directly or indirectly posed serious challenges to all countries in the world, especially developing countries such as Iran. Given the importance of nutrition and food consumption in household budget planning and the direct impact of prices on it, this article seeks to examine the effects of price shocks along with the nominal income compensation policy on household food security. To achieve this goal, four food groups are cereals (bread, rice and pasta), livestock products (red meat, white meat, dairy and eggs), and other agricultural products (potatoes, vegetables, fruits). Cereals and processed products (oil and sugar) were considered due to their high share in the household food basket. Using the multi-market equilibrium model, the effects of price shocks of this group of products along with the nominal income compensation policy on the amount of calories received by households were evaluated separately for urban and rural income groups. The results showed that the increase in income will lead the consumption pattern of poor households to consume more livestock products assuming the price of these products is stable and the consumption pattern of middle households to more consumption of agricultural products despite the increase in prices of these products. In this regard, the results showed that the sensitivity of poor households in the community, especially poor rural households to changes in income is very high. And increasing or decreasing the income of this group of households can play a decisive role in improving or weakening their food security. Therefore, it is suggested that the government men play an important role in supporting these households in the conditions of inflation in products and food, by granting subsidies and allocating the necessary funds to poor households, especially the rural poor. Due to the different influence of households with different income levels, it is necessary to establish the necessary support policies based on the income level of the household. Based on this, it is suggested to use support policies that are a combination of price and income policies for household consumption management. [ABSTRACT FROM AUTHOR]

We use a time-series dataset to examine the relationship between remittances and calorie intake in Bangladesh over the period between 1976 and 2013. We employ the Johansen cointegration and Toda-Yamamoto causality tests and arrive at two key results. First, we find evidence of long run cointegration between remittances, calorie consumption, and other control variables. Second, the Toda-Yamamoto test supports the finding of unidirectional causality, running from remittances to calorie intake. Our results have important policy implications for Bangladesh and other remittancereceiving developing countries. [ABSTRACT FROM AUTHOR]

The decrease of nutritional status has affected one-third hospitalized patients, while there is no widely used definition of malnutrition. Refeeding syndrome is a severe complication of refeeding in people with malnutrition, it includes a series of electrolyte disorders and clinical symptoms. Further research is warranted to determine whether refeeding syndrome prolongs the length of stay, and to verify the effect of different energy intakes during refeeding on the length of stay in people with malnutrition. Our review aimed to explore the effects of refeeding syndrome and initial calorie intake on the length of stay in patients with malnutrition. This study aids the understanding of clinical nutrition strategies to prevent and treat refeeding syndrome. PubMed, Embase, Cochrane Library, Web of Knowledge, and two Chinese databases were systematically searched until October 2021. Controlled studies of patients' refeeding process with the outcome of length of stay were included. Effect sizes were expressed as 95% confidence intervals (CIs) and calculated using random-effects models. Eighteen studies involving 3868 participants were included in our review. The pooled length of stay of 2965 patients with refeeding syndrome in 11 studies was 25.55 (95% CI , 20.20–30.90) days. The pooled impact of refeeding syndrome on length of stay of 2634 patients in 10 studies was weighted mean difference (WMD) = 2.91 (95% CI , −0.18 – 6.00; P = 0.065) days. The pooled effect of higher calorie intake of 1234 patients in 8 studies was WMD = −3.04 (95% CI , −5.10 to −0.99, P = 0.003) days. The average length of stay in patients with refeeding syndrome was 25.55 days with a very high heterogeneity between studies. Refeeding syndrome affects the length of stay in part of, but not all, patients. In the present review, we concluded that higher initial calorie intake may help shorten the length of stay in patients with malnutrition. More well-designed randomized controlled trials are needed to explore the effect of calorie intake during refeeding. [ABSTRACT FROM AUTHOR]

Background: Estimating the actual impact of eating out on calorie intake poses challenges due to the potential endogeneity of eating out. Controlling for endogeneity is essential to obtain more precise estimates. Aim: This study estimates the effect of eating out on calorie intake, specifically focusing on dinner among the three daily meals. Methods: The endogenous treatment effect model is employed, utilizing restricted-access data from the 2017 to 2020 Korea National Health and Nutrition Examination Survey. To aid model identification, daily precipitation is used as an instrumental variable influencing the decision to eat dinner out. Results: Eating dinner out results in an additional intake of 388.39 Kcal compared to eating at home, whereas the model that does not control for the endogeneity estimates a 261 Kcal increase. The increase in calorie intake from eating dinner out varies significantly depending on individual characteristics. Conclusion: Eating out leads to a substantial amount of calorie intake. Managing the frequency of eating out at a reasonable level could play a crucial role in preventing obesity., Competing Interests: Declaration of conflicting interestsThe author declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

This study aimed to investigate the association of calorie and carbohydrate intake with tumour grade in early detection of breast cancer (BC) in Iranian women. This case–control study carried out on 62 women with high grade BC and 93 women with low grade BC. Information about confounding variables was collected through a questionnaire. Dietary intake of calorie and macronutrients was assessed by a valid 122-item semi-quantitative food frequency questionnaire. Individuals with high grade BC had significantly lower calorie (0.16, 0.04–0.61) and higher carbohydrate intake (4.02; 1.28–12.63) compared with those with low grade BC after controlling for age. This correlation remained significant after adjusting for confounding factors. Our results showed that lower intakes of calorie and higher carbohydrate are directly related to the high grade of tumour at the early detection of people with BC after modifying a wide range of confounding factors. [ABSTRACT FROM AUTHOR]

Increasing junk food (JF) consumption (JFC) among school-aged children is a public health issue that may affect the quality of their diet. The purpose of this study is to identify the factors associated with high-energy intake from JFC in children aged 7 to 8 years with different socioeconomic backgrounds and examine the relationship among JFC, healthy food consumption, and obesity. The hypothesis of the study is that JFC index is related to consumption of staple foods and body mass index. This cross-sectional study was conducted between October 2018 and April 2019 with the participation of 524 children and their parents with low or high socioeconomic status. The data collected with "Healthy Food and JFC Frequency Parents" "Views Form" and "24-Hour Dietary Recall Child Form" were analyzed using multiple analysis methods with P ≤.05 significance level. Among the children, 53.1% were female, 14.1% were children with obesity, and 18.5% consumed at least one of the JF groups daily. A difference was observed between the calorie intake from JF in children with obesity (292.90 kcal/d) and children without obesity (395.76 kcal/d). The consumption of salty food is associated with low-income levels and consumption of fast food is associated with high-income levels. According to the variables of usually having snacks at home, not receiving pocket money every day, and consuming dairy products at the recommended level, usually having JF at home (odds ratio [OR] = 3.90; 95% confidence interval [CI], 1.40-10.86), receiving pocket money (OR = 2.96; 95% CI, 1.97-4.48), and consuming dairy products at a the recommended level (OR = 1.60; 95% CI, 1.03-2.49) were found to be better predictors of high level of calorie intake from JF (P <.05). Consumption of fruits, dairy products, and protein-rich foods is associated with JFC (P <.05). Regardless of obesity status, a significant portion of the daily calorie needs of children from any socioeconomic level is met with JFC. Those who consume JF frequently and in large amounts also consume a lot of dairy products and protein-rich foods and very little fruit. The long-term effects of JFC on those who consume staple foods at an adequate level should also be investigated. The consumption of salty food is associated with low income and consumption of fast food is associated with high income. Consumption of junk food at home, receiving a daily allowance, going to school by vehicle, and high dairy consumption increase the possibility of high-energy intake through junk food. The highest junk food consumption is found among those consuming the ''at the recommended level'' of dairy, those consuming the ''below the recommended level'' of protein, and those consuming the ''below the recommended level'' of fruit. [Display omitted] [ABSTRACT FROM AUTHOR]

The paper makes an attempt to analyze the food consumption pattern, food security status, and factors influencing food security. The study revealed that, among different items of consumption, the use of cereals was higher among the households across the gradients. Rural households derived most of their calorie from cereals. Across rural–urban interface, total consumption was relatively higher in urban area (38.44 kg/CU/month) followed by transition and rural areas. The total energy derived from the consumption of different food items was the highest in urban area (2491.90 Kcal/capita/day) followed by transition (2415.82 Kcal/capita/day) and rural area (2383.28 Kcal/capita/day). The households residing in urban area showed higher Simpson Index of Dietary Diversity (0.81) followed by transition (0.80) and rural (0.77) areas. The percentage of food secure households was highest in urban areas (76.25%) followed by transition (63.75%) and rural (58.75%) areas. Regression analysis revealed that education, monthly income of the sample households, and their localization in urban area were significant determinants of food security. The study concludes the prevalence of food insecurity and suggested the need for strengthening existing food security programmes, besides creating awareness among households to move toward balanced diet by diversifying their production, income, and consumption pattern. [ABSTRACT FROM AUTHOR]

Calorie restriction (CR) has been considered the most effective non-pharmacological intervention to counteract aging-related diseases and improve longevity. This intervention has shown beneficial effects in the prevention and treatment of several chronic diseases and functional declines related to aging, such as Parkinson's, Alzheimer's, and neuroendocrine disorders. However, the effects of CR on cognition show controversial results since its effects vary according to intensity, duration, and the period of CR. This review focuses on the main studies published in the last ten years regarding the consequences of CR on cognition in different neurological diseases and conditions of experimental animals. Also, possible CR mimetics are discussed. These findings highlight the potential beneficial effects of CR of up to 40 % on cognition when started early in life in non human animals.

Introduction: Obesity results from an imbalance in the intake and expenditure of calories that leads to lifestyle-related diseases. Although genome-wide association studies (GWAS) have revealed many obesity-related genetic factors, the interactions of these factors and calorie intake remain unknown. This study aimed to investigate interactions between calorie intake and the polygenic risk score (PRS) of BMI. Methods: Three cohorts, i.e., from the Korea Association REsource (KARE; n = 8,736), CArdioVAscular Disease Association Study (CAVAS; n = 9,334), and Health EXAminee (HEXA; n = 28,445), were used for this study. BMI-related genetic loci were selected from previous GWAS. Two scores, PRS, and association (a)PRS, were used; the former was determined from 193 single-nucleotide polymorphisms (SNPs) from 5 GWAS datasets, and the latter from 62 SNPs (potentially associated) from 3 Korean cohorts (meta-analysis, p < 0.01). Results: PRS and aPRS were significantly associated with BMI in all 3 cohorts but did not exhibit a significant interaction with total calorie intake. Similar results were obtained for obesity. PRS and aPRS were significantly associated with obesity but did not show a significant interaction with total calorie intake. We further analyzed the interaction with protein, fat, and carbohydrate intake. The results were similar to those for total calorie intake, with PRS and aPRS found to not be associated with the interaction of any of the 3 nutrition components for either BMI or obesity. Discussion: The interaction of BMI PRS with calorie intake was investigated in 3 independent Korean cohorts (total n = 35,094) and no interactions were found between PRS and calorie intake for obesity.

Background and AimMalnutrition and its complications is usually neglected in critically ill COVID-19 patients. We conducted the present study to investigate the prevalence of refeeding syndrome and its related factors in this group of patients.MethodsIn this prospective cohort study, 327 patients were assessed for being at risk and developing refeeding syndrome. The criteria was ASPEN consensus recommendations for refeeding syndrome released in 2020. Malnutrition was assessed based on global leadership initiative on malnutrition (GLIM) criteria. The relation between actual protein, calorie intake, and refeeding syndrome was also evaluated via cox regression model. The data concerning calorie and protein intake were gathered for 5 days after initiating feeding. The daily protein and calorie intake were divided by kilogram body weight in order to calculate the actual protein (g/kg/day) and energy (kcal/kg/day) intake.ResultsAmong the subjects, 268 (82%) were at risk of refeeding syndrome and 116 (36%) got involved in this syndrome. Malnutrition, according to the GLIM criteria, was found in 193 (59%) of the subjects. In the at-risk population, the risk of refeeding syndrome was reduced by 90% with the rise in protein intake (CI; 0.021–0.436, P = 0.002), increased by 1.04 times with the increase in age (CI; 1.032–1.067, P < 0.001), and by 1.19 times with the rise in the days from illness onset to admission (CI; 1.081–1.312, P < 0.001) in adjusted cox model analysis.ConclusionThe incidence of refeeding syndrome is relatively high, which threatens the majority of critically ill COVID-19 patients. Increased protein intake was found to reduce the occurrence of refeeding syndrome.

Diet is one of the modifiable risk factors for cognitive decline. However, human studies on total energy intake and cognitive function have remained limited and studies on fat intake and cognitive decline have been inconclusive. We aimed to examine prospectively the associations between long-term intakes of total energy and fat with subsequent subjective cognitive decline (SCD). A total of 49,493 women from the Nurses' Health Study and 27,842 men from the Health Professionals Follow-up Study were followed for over 20 years. Average dietary intake was calculated based on repeated food frequency questionnaires (SFFQs), and Poisson regression was used to evaluate associations. Higher total energy intake was significantly associated with greater odds of SCD in both cohorts. Comparing the highest with lowest quintiles of total energy intake, the pooled multivariable-adjusted ORs (95% CIs) for a 3-unit increment in SCD, corresponding to poor versus normal SCD, was 2.77 (2.53, 2.94). Each 500 kcal/day greater intake of total energy was associated with 48% higher odds of SCD. Intakes of both total fat and total carbohydrate appeared to contribute to the positive association between total energy intake and SCD although for the same percent of energy, the association was stronger for total fat. In conclusion, higher intakes of total energy, total fat, and total carbohydrate were adversely associated with SCD. Whether these associations are causal is unclear and deserves further investigation. [ABSTRACT FROM AUTHOR]

Background: The role of music on energy intake is conflicting, and recent research has suggested a positive association between classical music listening and mindfulness. Objective: The purpose of the present study was to investigate the effect of music, specifically classical music on state mindfulness and calorie intake of energy-dense foods. Method: One hundred participants were randomly assigned to either a classical, popular or no music condition, and were served a variety of sweet (i.e., chocolate and cookies) and savoury (i.e., crisps) energy-dense foods. Results: The results found no significant differences in state mindfulness, overall calorie intake, or intake of sweet foods across the three conditions. However, participants in the classical music condition did consume significantly less savoury food than those in the no music condition. Conclusion: Playing classical music may be beneficial in reducing intake of savoury foods, but not through the association to changes in state mindfulness. Future research should explore extended sessions of music listening on state mindfulness and other experiential evaluations of mindfulness to conclude on the direct and indirect effects of music on sweet and savoury foods. [ABSTRACT FROM AUTHOR]

Abstract Background Various diets and dietary compounds, through their inflammatory properties, are involved in the pathogenesis of chronic diseases including Cardiovascular Diseases (CVDs). Dietary Inflammatory Index (DII) can evaluate the inflammatory properties of diet. The purpose of this study was to determine the association between DII and CVDs in participants of the Ravansar Non-Communicable Diseases (RaNCD) cohort study, Kermanshah, Iran. Materials The present cross-sectional study was conducted using the recruitment phase data of the RaNCD cohort study on 6369 participants aged 35 to 65 years. The Food Frequency Questionnaire (FFQ) was used to assess diet. The DII scores were calculated using FFQ data. Participants with a history of myocardial infarction, stroke and coronary artery disease, and/or taking medications for the CVDs were considered as the CVDs patients. Results Of the 6369 studied participants, 9% (n = 579) had CVDs history. The mean DII score in this study was − 0.84 ± 1.6. Odds ratio (OR) of CVDs in women was 1.6 times higher than in men (CI 95% = 1.3–1.9), which this association was remained after adjusting for confounding variables (OR = 1.5, CI% = 1.2–1.9). The risk of CVDs in the fourth quartile of DII was 1.4 times higher than the first quartile of DII (OR: 1.4, CI 95% = 1.1–1.8). We found that higher adhere to DII was associated with risk of CVDs. Conclusion According to current documents, given the role of diet through inflammatory properties on the risk of CVDs, it is recommended to use DII as an appropriate index to measure the effect of diet on CVDs in Iranian population. In addition, a diet with lower DII may be healthier diet for cardiovascular health.

Purpose: Malnutrition is a common problem among hospitalized patients, especially among traumatic brain injury (TBI) patients. It is developed from hypermetabolism and the condition may worsen under the circumstance of underfeeding or incompatible dietary management. However, the data of nutrient intake especially calorie and protein among TBI patients were scarce. Hence, this study aimed to determine the calorie and protein intake among acute and sub-acute TBI patients receiving medical nutrition therapy in hospital Sultanah Nur Zahirah, Terengganu. Methods: This observational study involved 50 patients recruited from the neurosurgical ward. Method of 24 h dietary recall was utilized and combined with self-administered food diaries for 2–8 days. Food consumptions including calorie intake and protein intake were analyzed using Nutritionist PRO™ (Woodinville, USA) and manual calculation based on the Malaysian food composition database (2015). Results: Patients consisted of 56% males and 44% females with the median age of 28.0 (IQR = 22.8-36.5) years, of which 92% were diagnosed as mild TBI and the remaining (8%) as moderate TBI. The Glasgow coma scale (GCS) was adopted to classify TBI severity with the score 13–15 being mild and 9–12 being moderate. The median length of hospital stay was 2 (IQR = 2.0–3.3) days. Calorie and protein intake improved significantly from day 1 to discharge day. However, the intake during discharge day was still considered as suboptimal, i.e. 75% of calorie requirement, whilst the median protein intake was only 61.3% relative to protein requirement. Moreover, the average percentages of calorie and protein intakes throughout hospitalization were remarkably lower, i.e. 52.2% and 41.0%, respectively. Conclusion: Although the calorie and protein intakes had increased from baseline, hospitalized TBI patients were still at a risk to develop malnutrition as the average intakes were considerably low as compared to their requirements. Optimum nutrient intakes especially calorie and protein are crucial to ensure optimum recovery process as well as to minimize risks of infection and complications.

Background & Aims: Exploration whether Motivational Interviewing (MI) could be learned and implemented with ease within a surgical in-hospital setting and whether participation in the intervention led to significantly higher compliance with ERAS®-recommended protein intake goals. The individual healing process of many patients is delayed because they fail to cover their calorie requirement, which could be counteracted by a patient-centered conversational intervention that is new in perioperative practice., Methods: This patient-blinded pilot-RCT included 60 patients (≥18 years) following the certified ERAS® bowel protocol for colorectal surgery between March and August 2022. Five perioperative MI interventions were conducted by two health employees certified to perform MI. Key endpoints were the number of protein shakes drunk, calories of proteins ingested and overall calorie intake., Results: A total of 60 patients (34 men [56.7%]; mean [SD] age, 60.7 [13.3] years) were randomized. MI patient-group had significantly higher protein shake intake on all postoperative days except day 3. For days 0-3 MI group drank significantly more shakes overall (median 5.5 vs. 2.0; P = 0.004) and consumed more calories (median 1650.0 vs. 600.0 kcal; P = 0.004) and proteins (median 110.0 vs. 40.0 g; P = 0.005). Total calorie intake for each day by shakes and dietary intake was significantly higher in the MI-intervention group on day 2 (mean 1772.3 vs. 1358.9 kcal; P = 0.03)., Conclusions: MI may contribute to improve compliance with nutritional goals in the certified ERAS® protocol by increasing protein and calorie intake. The findings suggest further investigation of MI to help patients achieve their perioperative nutrition goals in different clinical settings., Trial Registration: DRKS - Deutsches Register Klinischer Studien; DRKS-ID: DRKS00027863; https://drks.de/search/de/trial/DRKS00027863., Competing Interests: Declaration of competing interest No potential conflicts of interest relevant to this article were reported by the authors., (Copyright © 2024 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.)