摘要:

There have been reports of liver enzyme abnormalities among enterally fed patients. The aim of this study was to determine the pattern of liver function tests (LFTs) in patients on enteral nutrition support receiving a minimum of 1500 kcal/day for at least two weeks. In addition, factors which might be responsible for such changes were defined. Patients with normal LFTs at the start of the study period had liver function tests repeated weekly during nutritional support. Body weight, arm muscle circumference, triceps skinfold and serum albumin were measured on entry to the study.Nineteen patients fulfilled the study entry criteria. Eleven patients (Group 1) developed abnormal LFTs; in the remaining eight patients LFTs remained normal (Group 2). There was no significant difference between the two groups at the start of enteral feeding with respect to anthropometric measurements or serum albumin. Six of the 11 patients in Group 1 developed septic complications. No patient in Group 2 had clinical or bacterial evidence of infection during nutritional support.Abnormalities in LFTs are more likely to be due to associated clinical complications than the enteral nutritional support alone.

ISSN:0952-3871    

DOI:10.1111/j.1365-277X.1988.tb00194.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

A nutritional health education leaflet EAT WELL, BE WELL was written and produced by a Wessex working party on diet and health. The leaflet's effectiveness in changing people's knowledge about, and attitudes towards, healthy eating was evaluated by means of a postal survey. Half of a random sample of electors were sent the nutritional leaflet. A few weeks later, the whole sample were sent a short ‘Eating and Health’ questionnaire. There was a 62 per cent response rate, with no significant difference between the group who had previously received the leaflet and the group who had not.The mean scores on the factual questions did not differ significantly between the two groups, providing little evidence that the nutritional leaflet increased public knowledge. The evaluation suggests that the mass distribution of this leaflet is not an effective method of health education.The survey did indicate that previous nutrition education has successfully put across the message to eat less sugar, fat and salt, and more fibre. It also showed, however, that there is still confusion about some aspects of healthy eating, including the place of starchy foods in the d

ISSN:0952-3871    

DOI:10.1111/j.1365-277X.1988.tb00195.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Test meals with 10.9 g dietary fibre from sugar beet and corresponding control meals were given to eight healthy subjects, aged 67 ± 9 years. The postprandial glucose, triglyceride, hormone and glycerol responses were monitored during 3 hours. After the beet fibre meal the insulin and C‐peptide areas were reduced by 28 (P0.05). Further, the maximum relative postprandial reduction of plasma glycerol levels was less evident after the fibre‐rich meal than after the control meal (36 ± 4% v. 46 ± 4%,P<0.05). There was no apparent difference in the overall glycaemic response between the meals. The triglyceride levels were similar after both test meals.Suspension of beet fibre bread given to rats by oro‐gastric intubation induced lower blood glucose response than a control bread at 15 and 30 min (P<0.001), respectively, but a similar insulin response.The results suggest an effect of beet fibre on the rate of carbohydrate absorption, expressed as a lower insulin response in the healthy volunteers and a reduced glucose response in the rat.The mechanism behind this effect in healthy subjects could possibly be mediated by an increased somatostatin

ISSN:0952-3871    

DOI:10.1111/j.1365-277X.1988.tb00196.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0952-3871    

DOI:10.1111/j.1365-277X.1988.tb00197.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0952-3871    

DOI:10.1111/j.1365-277X.1988.tb00199.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0952-3871    

DOI:10.1111/j.1365-277X.1988.tb00200.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY