Critical Appraisals - Nutrition & Dietetics

Clinical Scenario
What is the evidence for the effectiveness of Bioelectrical Impedance Analysis compared to DEXA scales for the evaluation of body composition?

Scafoglieri, A, Clarys, J, Bauer, J, Verlaan, S, Malderen, L, Vantieghem, S, Cederholm, T, Sieber, C, Mets, T, & Bautmans, I, 2017, 'Predicting appendicular lean and fat mass with bioelectrical impedance analysis in older adults with physical function decline – the PROVIDE study', Clinical Nutrition, vol. 36, pp. 869-875 

What is the effect of PEG feeding on clinical outcomes for people with motor neurone disease?

Fasano, A, Fini, N, Ferraro, D, Ferri, L, Vinceti, M, Errals and Mandrioli, J 2017, 'Percutaneous endoscopic gastrostomy, body weight loss and survival in amyotrophic lateral sclerosis: a population-based registry study', Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, vol. 18, no. 3, pp. 233-242.

What is the survival time from percutaneous endoscopic gastronomy (PEG) recommendation to death or tracheostomy in patients with amyotrophic lateral sclerosis who needed PEG feeding?

Fasano, A, Fini, N, Ferraro, D, Ferri, L, Vinceti, M, Errals & Mandrioli, J 2017, ‘Percutaneous endoscopic gastrostomy, body weight loss and survival in amyotrophic lateral sclerosis: a population-based registry study’, Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, vol. 18, no. 3-4, pp.233-242.

What is the effect of saturated and unsaturated dats on heart disease?

Hooper, L, Martin, N, Abdelhamid & A, Davey Smith, G 2015, 'Reduction in saturated fat intake for cardiovascular disease', The Cochrane Library.

What is the evidence for nutritional interventions for frail community dwellers?

Denison, H, Cooper, C, Sayer, A & Robinson, S 2015, 'Prevention and optimal management of sarcopenia: a review of combined exercise and nutrition interventions to improve muscle outcomes in older people', Clinical Interventions in Aging, vol. 10, pp. 859.

What are the true food allergy symptoms?

Turnbull, J, Adams, H & Gorard, D 2015, 'The diagnosis and management of food allergy and food intolerances', Alimentary pharmacology & therapeutics, vol. 41, no. 1, pp. 3-25.

Does argine, zinc and antioxidants help heal pressure ulcers?

Cereda, E, Klersy, C, Serioli, M, Crespi, A & D'andrea, F 2015, 'A nutritional formula enriched with arginine, zinc, and antioxidants for the healing of pressure ulcers: a randomized trial', Annals of Internal Medicine, vol. 162, no. 3, pp.167-174.

What is the evidence for the energy and protein requirements for adults with cachexia?

Van Dijk, D, van de Poll, M, Moses, A, Preston, T, Olde Damink, S, Rensen, S, Deutz, N, Soeters, P, Ross, J, Fearon, K & Dejong, C 2015, 'Effects of oral meal feeding on whole body protein breakdown and protein synthesis in cachectic pancreatic cancer patients', Journal of cachexia, sarcopenia and muscle, vol. 6, no. 3, pp. 212-221.

Is it appropriate to adjust BMI classifications for people aged ≥ 65 years?

Winter, J, MacInnis, R, Wattanapenpaiboon, N & Nowson, C 2014, 'BMI and all-cause mortality in older adults: a meta-analysis', The American Journal of Clinical Nutrition, vol. 99, no. 4, pp. 875-890.

Are energy/protein requirements elevated in the acute phase post fractured neck of femur?

Bell, J, Bauer, J, Capra, S & Pulle, R 2014, 'Multidisciplinary, multi-modal nutritional care in acute hip fracture inpatients–results of a pragmatic intervention', Clinical Nutrition, vol. 33, no. 6, pp.1101-1107.

Does whey protein supplementation post resistance exercise increase muscular strength in older hospitalised adults, compared to placebo/no protein?

Arnarson, A, Geirsdottir, O, Ramel, A, Briem, K, Jonsson, P & Thorsdottir I 2013, 'Effects of whey proteins and carbohydrates on the efficacy of resistance training in elderly people: double blind, randomized controlled trial’, European Journal of Clinical Nutrition, vol. 67, pp. 821-826.

What are the recommendations for nutrition in adult patients with acute renal failure +/- on intensive/critical care?

Casaer, M, Mesotten, D, Hermans, G et al. 2011, 'Early versus late parenteral nutrition in critically ill adults', The New England Journal of Medicine, vol. 365, pp. 506-17.

What is the evidence for (or against) using a Medpass (nutrition as medication) program in patients with dementia?

Hanson, L, Ersek, M, Gilliam, R & Carey, T, 2011, ‘Oral feeding options for people with dementia: A systematic review’, Journal of the American Geriatrics Society, vol. 59, pp. 463-472.

Does Dietetic intervention and nutrition support reduce the impact and prevalence of malnutrition in Adult patients with Chronic Obstructive Airways Disease?

Collins, P, Stratton, R, & Marinos, E 2012, ‘Nutritional support in chronic obstructive pulmonary disease: a systematic review and meta-analysis’, The American Journal of Clinical Nutrition, vol. 95, pp.1385-95.

In patients with Oesophageal cancer undergoing radio therapy +/- chemo therapy with does an enteral tube feeding +/- prophylactic tube placement intervention decrease malnutrition risk and/or improve outcomes in enterally tube fed patients?

Orphanidou, C, Biggs, K, Johnston, ME, Wright, JR, Bowman, A, Hotte, SJ, et al.  2011, ‘Prophylactic feeding tubes for patients with locally advanced head-and-neck cancer undergoing combined chemotherapy and radiotherapy—systematic review and recommendations for clinical practice’, Current Oncology, vol. 18, no. 4, pp. e191- e201.

What is the occurrence of refeeding syndrome in adults started on artificial nutrition support?

Rio, A, Whelan, K, Goff, L, Reidlinger, DP & Smeeton, N 2013, ‘Occurrence of refeeding syndrome in adults started on artificial nutrition support: prospective cohort study’, BMJ Open, vol. 3, pp. 1-9 <e-pub>.

Timing of protein intake and levodopa/carbidopa in elderly patients with Parkinsons

Cereda, E, Barichella, M, Pedrolli, C, & Pezzoli, G 2010, 'Low-Protein and Protein-Redistribution Diets for Parkinson’s Disease Patients with Motor Fluctuations: A Systematic Review', Movement Disorders, vol. 25, No. 13, pp. 2021-2034.

What is the evidence regarding saturated fat (full fat dairy, meat products, butter) vs unsaturated fats from margarines?

Siri-Tarino, P, Sun, Q, Hu, F & Krauss, R 2010 ‘Meta-analysis of prospective cohort studies evaluating the association of saturated fat with cardiovascular disease’, American Journal of Clinical Nutrition, vol. 91, no. 3, pp. 535-546.

iCAHE will continually update this compendium of critically appraised research publications as a resource for health services interested in implementing journal clubs within their health services.

DOHSA Librarian Contact Details

The International Centre for Allied Health Evidence aims to make iCAHE Journal Club Critically Appraised articles available for review and consideration by South Australian Department of Health employees.

In order to access the articles South Australian Department of Health (DoHSA) employees will need to contact the DoHSA Librarian:

South Australian Department of Health 
Library & Information Services
Level 2 162 Grenfell Street Adelaide SA
PO Box 287 Rundle Mall Adelaide SA 5000 
Phone 08 8226 6070 Fax 08 8226 6677
Email health.library@health.sa.gov.au 
Department of Health, South Australia, Library website

Areas of study and research

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