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Topic Review
ω-3 PUFA on colon cancer
Substantial human and animal studies support the beneficial effects of ω-3 polyunsaturated fatty acids (PUFAs) on colonic inflammation and colorectal cancer (CRC). However, there are inconsistent results, which have shown that ω-3 PUFAs have no effect or even detrimental effects, making it difficult to effectively implement ω-3 PUFAs for disease prevention. A better understanding of the molecular mechanisms for the anti-inflammatory and anticancer effects of ω-3 PUFAs will help to clarify their potential health-promoting effects, provide a scientific base for cautions for their use, and establish dietary recommendations.
  • 1.3K
  • 17 Nov 2020
Topic Review
Nutritional Therapies on the Intestinal Microbiome
Inflammatory bowel disease (IBD) is a chronic, autoimmune disorder of the gastrointestinal tract with numerous genetic and environmental risk factors. Patients with Crohn’s disease (CD) or ulcerative colitis (UC) often demonstrate marked disruptions of their gut microbiome. The intestinal microbiota is strongly influenced by diet. The association between the increasing incidence of IBD worldwide and increased consumption of a westernized diet suggests host nutrition may influence the progression or treatment of IBD via the microbiome. Several nutritional therapies have been studied for the treatment of CD and UC. While their mechanisms of action are only partially understood, existing studies do suggest that diet-driven changes in microbial composition and function underlie the diverse mechanisms of nutritional therapy. Despite existing therapies for IBD focusing heavily on immune suppression, nutrition is an important treatment option due to its superior safety profile, potentially low cost, and benefits for growth and development. These benefits are increasingly important to patients. In this entry, we will describe the clinical efficacy of the different nutritional therapies that have been described for the treatment of CD and UC. 
  • 1.3K
  • 05 Jan 2022
Topic Review
Energy Drinks
Energy drinks have a high caffeine content which is normally combined with large amounts of vitamins, minerals, taurine, amino acids, and different mixtures of phytochemicals.
  • 1.3K
  • 22 Mar 2021
Topic Review
Nutrition Care of IBD Patients
Malnutrition is highly prevalent in inflammatory bowel disease (IBD) patients and disproportionately affects those admitted to hospital. Malnutrition is a risk factor for many complications in IBD, including prolonged hospitalization, infection, greater need for surgery, development of venous thromboembolism, post-operative complications, and mortality. Early screening for malnutrition and prompt nutrition intervention if indicated has been shown to prevent or mitigate many of these outlined risk factors. There are many causes of malnutrition in IBD including reduced oral food intake, medications, active inflammation, and prior surgical resections. Hospitalization can further compound pre-existing malnutrition through inappropriate diet restrictions, nil per os (NPO) for endoscopy and imaging, or partial bowel obstruction, resulting in “post-hospital syndrome” after discharge and readmission. 
  • 1.3K
  • 01 Jun 2021
Topic Review
Healthy Meals Interventions in Restaurants/Canteens
Out-of-home eating is increasing, but evidence about its healthiness is limited. The present systematic review and meta-analysis aimed to elucidate the effectiveness of full-service restaurant and canteen-based interventions in increasing the dietary intake, food availability, and food purchase of healthy meals. Studies from 2000–2020 were searched in Medline, Scopus, and Cochrane Library using the PRISMA checklist. A total of 35 randomized controlled trials (RCTs) and 6 non-RCTs were included in the systematic review and analyzed by outcome, intervention strategies, and settings (school, community, workplace). The meta-analysis included 16 RCTs (excluding non-RCTs for higher quality). For dietary intake, the included RCTs increased healthy foods (+0.20 servings/day; 0.12 to 0.29; p < 0.001) and decreased fat intake (−9.90 g/day; −12.61 to −7.19; p < 0.001), favoring the intervention group. For food availability, intervention schools reduced the risk of offering unhealthy menu items by 47% (RR 0.53; 0.34 to 0.85; p = 0.008). For food purchases, a systematic review showed that interventions could be partially effective in improving healthy foods. Lastly, restaurant- and canteen-based interventions improved the dietary intake of healthy foods, reduced fat intake, and increased the availability of healthy menus, mainly in schools. Higher-quality RCTs are needed to strengthen the results. Moreover, from our results, intervention strategy recommendations are provided.
  • 1.3K
  • 23 Jun 2021
Topic Review
Dietary Fats and MicroRNA expression
Dietary fatty acids (DFAs) play key roles in different metabolic processes in humans and other mammals. DFAs have been considered beneficial for health, particularly polyunsaturated (PUFAs) and monounsaturated fatty acids (MUFAs).However both polyunsatyrated and saturated DFAs are both present in normal diet. On the other hand , microRNAs (miRNAs) exert their function on DFA metabolism by modulating gene expression and have drawn great attention for their potential as biomarkers and therapeutic targets. DFAs have been shown to induce and repress miRNA expression associated with metabolic disease and inflammation in different cell types and organisms, both in vivo and in vitro, depending on varying combinations of DFAs, doses, and the duration of treatment.  
  • 1.3K
  • 17 Jun 2021
Topic Review
Effect of Ginger on Inflammatory Diseases
Ulcerative colitis, Crohn’s disease, rheumatoid arthritis, psoriasis, and lupus erythematosus are some of common inflammatory diseases. These affections are highly disabling and share signals such as inflammatory sequences and immune dysregulation. The use of foods with anti-inflammatory properties such as ginger (Zingiber officinale Roscoe) could improve the quality of life of these patients. Ginger is a plant widely used and known by its bioactive compounds. There is enough evidence to prove that ginger possesses multiple biological activities, especially antioxidant and anti-inflammatory capacities.
  • 1.3K
  • 09 Jan 2023
Topic Review
Energy Intake in CKD-MBD
This study is aimed to review current knowledge about the influence of energy intake on mineral metabolism focussing on four aspects of major interest for the chronic kidney disease-metabolic bone disease (CKD-MBD) patient: (a) phosphate (P) handling, (b) fibroblast growth factor 23 (FGF23) and calcitriol synthesis and secretion, (c) metabolic bone disease, and (d) vascular calcification (VC). High caloric intake promotes P retention, while caloric restriction decreases plasma P concentrations. A direct correlation between energy intake and FGF23 has been shown in animals and humans while plasma calcitriol concentrations are inversely proportional to caloric intake. The effect of energy intake on bone is controversial. High caloric intake has been reported to increase bone mass, but the associated changes in adipokines and cytokines may as well be deleterious for bone. Low caloric intake tends to reduce bone mass but also may provide indirect beneficial effects on bone. Finally, while VC has been shown to be exacerbated by diets with high energy content, the opposite has not been demonstrated with low calorie intake. In conclusion, although prospective studies in humans are needed, when planning caloric intake for a CKD-MBD patient, it is important to take into consideration the associated changes in mineral metabolism.
  • 1.3K
  • 11 Jan 2021
Topic Review
Metabolic Syndrome
Metabolic syndrome is a cluster of metabolic risk factors, characterized by abdominal obesity, dyslipidemia, low levels of HDL-c, hypertension, and insulin resistance. Lifestyle modifications, especially dietary habits, are the main therapeutic strategy for the treatment and management of metabolic syndrome, but the most effective dietary pattern for its management has not been established. Specific dietary modifications, such as improving the quality of the foods or changing macronutrient distribution, showed beneficial effects on metabolic syndrome conditions and individual parameters. On comparing low-fat and restricted diets, the scientific evidence supports the use of the Mediterranean DASH diet intervention as the new paradigm for metabolic syndrome prevention and treatment. The nutritional distribution and quality of these healthy diets allows health professionals to provide easy-to-follow dietary advice without the need for restricted diets. Nonetheless, energy-restricted dietary patterns and improvements in physical activity are crucial to improve the metabolic disturbances observed in metabolic syndrome patients.
  • 1.3K
  • 21 Oct 2020
Topic Review
NAFLD and Nutrition
NAFLD is the world’s most common chronic liver disease, and its increasing prevalence parallels the global rise in diabetes and obesity. It is characterised by fat accumulation in the liver evolving to non-alcoholic steatohepatitis (NASH), an inflammatory subtype that can lead to liver fibrosis and cirrhosis.  An unhealthy diet rich in calories, sugars and saturated fats, and low in polyunsaturated fatty acids, fibre, and micronutrients plays a critical role in the development and progression of this disease. Currently, there is no effective pharmacotherapeutic treatment for NAFLD. Treatment is therefore based on lifestyle modifications including changes to diet and exercise, although it is unclear what the most effective form of intervention is.
  • 1.3K
  • 06 May 2021
Topic Review
Fruit Juices and Sugar-Sweetened Beverages
Free sugars overconsumption is associated with an increased prevalence of risk factors for metabolic diseases such as the alteration of the blood lipid levels. Natural fruit juices have a free sugar composition quite similar to that of sugar-sweetened beverages. Despite the similarity of fruits juices to sugar-sweetened beverages in terms of free sugars content, it remains unclear whether they lead to the same metabolic consequences if consumed in equal dose.
  • 1.3K
  • 11 Jan 2022
Topic Review
Interventions for Hemodialysis Patients
The hemodialytic clinic must today be directed towards a greater biocompatibility tecnology , the evaluation of the most valid tools to evaluate the nutritional status of patients on every kind of extracorporeal substitutive treatments. Good nutrition is a cultural background that must represent the daily routine of nephrologists. In our opinion, the loss of amino acids up to 1 kg / year is a good starting point. Many parameters used for nutritional outcomes are uncertain and by now the figure of the nutritionist must support tthe nephrologist from pre-dialysis, to dialysis and also in the course of the transplant.
  • 1.3K
  • 05 Nov 2020
Topic Review
The Relationship between Iron and Inflammatory Bowel Diseases
Inflammatory Bowel Diseases, including ulcerative colitis (UC) and Crohn’s disease (CD), are chronic, relapsing inflammatory conditions of the gastrointestinal (GI) tract. Interactions between the environmental factors and commensal intestinal microflora in genetically predisposed individuals are considered the leading cause of an inappropriate immune response and as a result, the development of inflammatory disease. Iron is an indispensable nutrient for life. A lack of it leads to iron deficiency anaemia (IDA), which currently affects about 1.2 billion people worldwide. The primary means of IDA treatment is oral or parenteral iron supplementation. This can be burdened with numerous side effects such as oxidative stress, systemic and local-intestinal inflammation, dysbiosis, carcinogenic processes and gastrointestinal adverse events.
  • 1.3K
  • 15 Sep 2022
Topic Review
IDA in Celiac Disease
The iron absorption process develops mainly in the proximal duodenum. This portion of the intestine is typically destroyed in celiac disease (CD), resulting in a reduction in absorption of iron and subsequent iron deficiency anemia (IDA). In fact, the most frequent extra-intestinal manifestation (EIM) of CD is IDA, with a prevalence between 12 and 82% (in relation with the various reports) in patients with new CD diagnosis. The primary treatment of CD is the gluten-free diet (GFD), which is associated with adequate management of IDA, if present. Iron replacement treatment historically has been based on oral products containing ferrous sulphate (FS). However, the absorption of FS is limited in patients with active CD and unpredictable in patients on a GFD. Furthermore, a poor tolerability of this kind of ferrous is particularly frequent in patients with CD or with other inflammatory bowel diseases. Normalization from anemic state typically occurs after at least 6 months of GFD, but the process can take up to 2 years for iron stores to replenish.
  • 1.3K
  • 03 Jun 2021
Topic Review
Bioactive Compounds Present in Oilseeds
Oilseeds are a great source of affordable and potent bioactive compounds (e.g., carotenes, flavonoids, PUFAs, organosulphur compounds, phytosterols, and polyphenols) generally used in the pharmaceutical (anti-microbial toxins, adjuvants for cancer therapy, cholesterol-lowering therapeutics), agricultural (animal welfare) and cosmetic (oil-based creams) industries. However, oilseeds also contain certain molecules called anti-nutrients, which are toxic compounds synthesized by plants as a defense mechanism. Controlling these compound’s amounts, namely glucosinolates and phytic acid, is essential to maximize beneficial effects over toxicity.
  • 1.3K
  • 01 Jul 2022
Topic Review
Sugary Food Consumption on Pregnancy
Obesity in pregnancy has been directly associated with an increased risk of almost all pregnancy complications such as gestational hypertension, preeclampsia, gestational diabetes mellitus (GDM), and premature delivery. Thereby, according to current evidence available, life-style interventions to prevent pre-pregnancy overweight and obesity in women of fertile age are necessary to reduce the negative impact of obesity on mother and child health. Unhealthy dietary patterns, together with the increased consumption of processed foods rich in simple sugar and sweeteners are some of the responsible, among others, for the increase in obesity rates during the last years. Nevertheless, how its consumption can affect pregnancy outcomes and long-term children's health is still uncertain.
  • 1.3K
  • 25 Nov 2020
Topic Review
Dietary Interventions for Complementing Celiac Disease and Beyond
Celiac Disease (CeD) is a chronic small intestinal immune-mediated enteropathy caused by ingesting dietary gluten proteins in genetically susceptible individuals. CeD is one of the most common autoimmune diseases, affecting around 1.4% of the population globally. The only acceptable treatment for CeD is strict, lifelong adherence to a gluten-free diet (GFD). However, in some cases, GFD does not alter gluten-induced symptoms. In addition, strict adherence to a GFD reduces patients’ quality of life and is often a socio-economic burden. Therefore, dietary and non-dietary interventions are investigated. This entry concentrates on the recent research on the degradation of gluten through enzymes, the modulation of the microbiome, and the different types of “biotics” strategies, from probiotics to the less explored “viromebiotics” as possible beneficial complementary interventions for CeD management and other less understood gluten-related disorders beyond the GFD.
  • 1.3K
  • 03 Jan 2023
Topic Review
SGLT-2 Inhibitors in Diabetes Mellitus Therapy
The primary treatment for autoimmune Diabetes Mellitus (Type 1 Diabetes Mellitus-T1DM) is insulin therapy. Unfortunately, a multitude of clinical cases has demonstrated that the use of insulin as a sole therapeutic intervention fails to address all issues comprehensively. Therefore, non-insulin adjunct treatment has been investigated and shown successful results in clinical trials. Various hypoglycemia-inducing drugs such as Metformin, glucagon-like peptide 1 (GLP-1) receptor agonists, dipeptidyl peptidase-4 (DPP-4) inhibitors, amylin analogs, and Sodium-Glucose Cotransporters 2 (SGLT-2) inhibitors, developed good outcomes in patients with T1DM. SGLT-2 inhibitors have remarkably improved the treatment of patients with diabetes by preventing cardiovascular events, heart failure hospitalization, and progression of renal disease. However, their pharmacological potential has not been explored enough. 
  • 1.3K
  • 23 Feb 2024
Topic Review
Vitamin C in COVID-19
There are limited proven therapies for COVID-19. Vitamin C’s antioxidant, anti-inflammatory and immunomodulating effects make it a potential therapeutic candidate, both for the prevention and amelioration of COVID-19 infection, and as an adjunctive therapy in the critical care of COVID-19. This literature review focuses on vitamin C deficiency in respiratory infections, including COVID-19, and the mechanisms of action in infectious disease, including support of the stress response, its role in preventing and treating colds and pneumonia, and its role in treating sepsis and COVID-19. The evidence to date indicates that oral vitamin C (2–8 g/day) may reduce the incidence and duration of respiratory infections and intravenous vitamin C (6–24 g/day) has been shown to reduce mortality, intensive care unit (ICU) and hospital stays, and time on mechanical ventilation for severe respiratory infections. Further trials are urgently warranted. Given the favourable safety profile and low cost of vitamin C, and the frequency of vitamin C deficiency in respiratory infections, it may be worthwhile testing patients’ vitamin C status and treating them accordingly with intravenous administration within ICUs and oral administration in hospitalised persons with COVID-19.
  • 1.3K
  • 17 Dec 2020
Topic Review
Diet for Gut Microbiota and Dyslipidemia
Diet is understood to be the most important determinant in shaping the microbiota ecosystem as balanced diets of fruits and vegetables are shown to increase gut bacterial richness and diversity. As such, lifestyle changes specifically through dietary interventions represent an effective therapeutic modality for dyslipidemia by creating targeted and beneficial changes in gut microbial composition. Although many dietary choices influence the composition of the gut microbiota, two particular diets have been studied extensively and can lead to significant, yet opposite effects. In this section, the metabolic changes seen in Western Diet (WD)-induced dyslipidemia followed by the role of plant-based diets was first described,  such as the Mediterranean diet (MD) play in optimizing gut microbial composition to restore defective metabolic states.
  • 1.3K
  • 29 Jan 2023
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