Browse by Lectorate "Voeding, Diëtetiek en Leefstijl"

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Work engagement among Dutch dental hygienists
Buunk-Werkhoven, Y ; Hollaar, V.R.Y. ; Jongbloed-Zoet, C
2014, Article / Letter to editor (Journal of Public Health Dentistry, vol. 74, (2014), pp. 227-233)
What do screening tools measure? Lessons learned from SCREEN II and SNAQ(65+)
Borkent, J.W. ; Schuurman, LT ; Beelen, J. ; Linschooten, J.O ; Keller, HH ; Roodenburg, AJC ; Schueren, M.A.E. de van der
2020, Article / Letter to editor (Clinical nutrition ESPEN, vol. 38, (2020), pp. 172-177)Background: Over the last decade, different screening tools for malnutrition have been developed. Within these tools, a distinction can be made between tools that assess nutritional risk and tools that assess protein energy malnutrition. Insights in differences in characteristics of participants at risk and in differences in prevalence rates will aid in deciding which tool(s) to use in daily practice. Methods: Dutch community-dwelling older adults (n = 200, 78.2 +/- 6.9 years), not known to have specific nutrition problems, were recruited to participate in this cross-sectional study. SNAQ(65+) (low risk vs moderate/high risk) was used to assess risk of protein energy malnutrition and SCREEN II was used to assess nutrition risk (score <54 out of 64). Chi-square tests were used to test associations between demographic, health, physical and social factors and outcome of SNAQ(65+) and SCREEN II. Results: Of all participants 69.0% were at nutrition risk (SCREEN II), while 13.5% were at risk of protein energy malnutrition (SNAQ(65+)). Agreement between the two tools was poor (kappa < 0.20). Gender, BMI, living status, income, activity level and protein/energy intake were associated with SCREEN II; age, BMI, comorbidities, medication use, help at home, activity level and low basic mobility were associated with SNAQ(65+). Conclusion: SCREEN II and SNAQ(65+) measure different concepts of malnutrition and therefore identify different persons at risk. SCREEN II is more inclusive and comprises both undernutrition and overnutrition as well as different determinants that can impact on food intake, while SNAQ(65+) is solely focused on protein-energy malnutrition. (C) 2020 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.
Wetenschapsagenda 'Mondzorg voor ouderen' in Nederland en Vlaanderen
Visser, A ; van der Maarel-Wierink, C ; Janssens, B ; Niesten, D ; Jerković-Ćosić, K ; Duyck, J ; Gerritsen, A ; Hollaar, V.R.Y. ; Krausch-Hofmann, S ; van der Putten, GJ ; Weijenberg, RAF ; Listl, S ; Lobbezoo, F ; Schols, JMGA ; Bruers, JJM et al. sine al.
2019, Article / Letter to editor (Nederlands Tijdschrift voor Tandheelkunde, vol. 126, iss. 12, (2019), pp. 637-645)
Wetenschapper weegt effect van de strijd tegen de kilo's
Schueren, M.A.E. de van der
2020, Contribution for newspaper or weekly magazine (De Gelderlander, , pp. 10)
Wetenschappelijk bewijzen dat diëtetiek essentieel is, ook bij herstelzorg na Covid-19
Schueren, M.A.E. de van der
2021, Article / Letter to editor (Voeding Magazine, iss. 1, (2021))
Wat kan digitale voedingscoach LIZ bij kwetsbare ouderen thuis betekenen in de dieetbehandeling
Kotten-Lips, K. ; De Graaf-Spikmans, F. ; Schueren, M.A.E. de van der ; Vastenburg, M. ; De Kruif, A.
2022, Article / Letter to editor (Nederlands Tijdschrift voor Voeding & Diëtetiek, vol. 77, (2022), pp. 26-31)
Waarom stoppen cliënten met de behandeling bij de eerstelijnsdiëtist?
Linden, A. van der ; Naumann, E.
2018, Article / Letter to editor (Nederlands Tijdschrift voor Voeding & Diëtetiek, vol. 73, iss. 5, (2018), pp. 20-21)
Voedingstoffen en parodontale gezondheid
Hollaar, V.R.Y. ; Naumann, E.
2019, Article / Letter to editor (Nederlands Tijdschrift voor Mondhygiëne, (2019), pp. 26-29)
Verschillende onderzoekslijnen, gedeelde missie
Schueren, M.A.E. de van der
2020, Article / Letter to editor (MedNet Oncologie, vol. 11, (2020), pp. 10-11)
Verpleegkundigen snoepen te veel. Onregelmatige diensten beïnvloeden eetgedrag verpleegkundigen niet.
Verschuren, D. ; Naumann, E. ; Heerkens, Y.F. ; Engels, J.A.
2007, Article / Letter to editor (Arbo, iss. 10, (2007), pp. 20-23)
Validity of the "Rate-a-Plate" Method to Estimate Energy and Protein Intake in Acutely Ill, Hospitalized Patients.
Dekker, I.M. ; Langius, J.A.E. ; Stelten, S. ; Vet, H.C.W. de ; Kruizinga, H.M. ; Schueren, M.A.E. de van der
2019, Article / Letter to editor (Nutrition in Clinical Practice, (2019))
Validatie van eenvoudige monitoring van voedingsinname.
Langius, J.A.E. ; Dekker, I.M. ; Stelten, S. ; Kruizinga, H.M. ; Schueren, M.A.E. de van der
2019, Article / Letter to editor (Nederlands Tijdschrift voor Voeding & Diëtetiek, vol. 74, iss. 2, (2019), pp. 16-17)
Using the theoretical domains framework to inform strategies to support dietitians undertaking body composition assessments in routine clinical care
Jobber, CJD ; Wilkinson, SA ; Hughes, EK ; Nave, F ; Meij, B.S. van der
2021, Article / Letter to editor (BMC Health Services Research, vol. 21, iss. 1, (2021))BackgroundMalnutrition, sarcopenia and cachexia are clinical wasting syndromes characterised by muscle loss. Systematic monitoring by body composition assessment (BCA) is recommended for the diagnosis, treatment and monitoring of the syndrome(s). This study investigated practices, competency, and attitudes of Australian dietitians regarding BCA, to inform a local implementation process.MethodsApplying the Action cycle in the Knowledge to Action framework, surveys were distributed to the 26 dietitians of an 800-bed tertiary hospital. The survey assessed barriers and enablers to performing routine BCA in clinical care. Results were categorised using the Theoretical Domains Framework (TDF) and suitable interventions mapped using the Behaviour Change Wheel.ResultsTwenty-two dietitians (84.6%) completed the survey. Barriers to BCA were identified in all TDF domains, particularly in Knowledge, Skills, Social/professional role and identity, Beliefs about capabilities, and Environmental context and resources. Enablers existed in domains of: Skills; Beliefs about consequences; Goals; Environmental context and resources; Social influences; Intentions; Optimism; Reinforcement.ConclusionsThis study showed that hospital dietitians experience individual, team, and organisational barriers to adopt BCAs in clinical practice. We were able to formulate targeted implementation strategies to overcome these barriers to assist BCA adoption into routine practice.
Use and effects of oral nutritional supplements in patients with cancer
Schueren, M.A.E. de van der
2019, Article / Letter to editor (Nutrition, vol. 67-68, (2019))
Translating Evidence-Based Guidelines into Practice-Are We Getting It Right? A Multi-Centre Prospective International Audit of Nutrition Care in Patients with Foregut Tumors (INFORM)
Findlay, M ; Bauer, J. ; Dhaliwal, R ; Schueren, M.A.E. de van der ; Laviano, A. ; Widaman, A ; Martin, L ; Day, AG ; Gramlich, L.
2020, Article / Letter to editor (Nutrients, vol. 12, iss. 12, (2020))Malnutrition is highly prevalent in patients with foregut tumors comprising head and neck (HNC) and esophageal (EC) cancers, negatively impacting outcomes. International evidence-based guidelines (EBGs) for nutrition care exist; however, translation of research evidence into practice commonly presents considerable challenges and consequently lags. This study aimed to describe and evaluate current international nutrition care practices compared with the best-available evidence for patients with foregut tumors who are at high risk of malnutrition. A multi-centre prospective cohort study enrolled 170 patients commencing treatment of curative intent for HNC (n = 119) or EC (n = 51) in 11 cancer care settings in North America, Europe and Australia between 2016 and 2018. Adherence criteria were derived from relevant EBG recommendations with pooled results for participating centres reported according to the Nutrition Care Model at either system or patient levels. Adherence to EBG recommendations was: good (>= 80%) for performing baseline nutrition screening and assessment, perioperative nutrition assessment and nutrition prescription for energy and protein targets; moderate (>= 60 to 80%) for utilizing validated screening and assessment tools and pre-radiotherapy dietitian consultation; and poor (60%) for initiating post-operative nutrition support within 24 h and also dietetic consultation weekly during radiotherapy and fortnightly for 6 weeks post-radiotherapy. In conclusion, gaps in evidence-based cancer nutrition care remain; however, this may be improved by filling known evidence gaps through high-quality research with a concurrent evolution of EBGs to also encompass practical implementation guidance. These should aim to support multidisciplinary cancer clinicians to close evidence-practice gaps throughout the patient care trajectory with clearly defined roles and responsibilities that also address patient-reported concerns.
The Prediction of Deterioration of Nutritional Status during Chemoradiation Therapy in Patients with Esophageal Cancer
Rietveld, S.C.M. ; Witvliet-van Nierop, J.E. ; Ottens-Oussoren, K. ; Peet, D.L. van der ; Schueren, M.A.E. de van der
2018, Article / Letter to editor (Nutrition and Cancer-An International Journal, vol. 70, iss. 2, (2018), pp. 229-235)
The new ESPEN diagnostic criteria for malnutrition predict overall survival in hospitalized patients.
Rondel, A.L. ; Langius, J.A.E. ; Schueren, M.A.E. de van der ; Kruizinga, H.M.
2018, Article / Letter to editor (Clinical Nutrition, vol. 37, iss. 1, (2018), pp. 163-168)
The effect of oral omega-3 polyunsaturated fatty acid supplementation on muscle maintenance and quality of life in patients with cancer: A systematic review and meta-analysis
Nga Lam, C. van der ; Isenring, E. ; Schueren, M.A.E. de van der ; Meij, B.S. van der
2020, Article in monograph or in proceedings (42nd ESPEN Virtual Congress - Online, pp. 667)Rationale: Omega-3 polyunsaturated fatty acid (PUFA) supplementation is a promising therapy for cancer-relatedmalnutrition, which affects 20-70% of patients with cancer1,2. This systematic review aimed to examine the effects of oralomega-3 PUFA supplementation on muscle maintenance and quality of life in patients with cancer. Methods: Randomised controlled trials in cancer patients aged >18 years were retrieved from 5 electronic databases;MEDLINE (via PubMed), EMBASE, CENTRAL, CINAHL (via EBSCOhost), and Web of Science, from database inceptionuntil 31st of December 2019. Trials supplementing ≥600 mg/d omega-3 PUFA (oral capsules, pure fish oil or oralnutritional supplements) or a control intervention for ≥3 weeks were included. Meta-analyses were performed in RevManto determine the mean differences (MD) in muscle mass and quality of life between omega-3 PUFA and control groupswith 95% confidence intervals (CI) and I2 for heterogeneity. Results: We included 33 studies in patients with various types of cancers and degrees of malnutrition. The Cochrane riskof bias tool graded most trials as ‘unclear’ or ‘high’ risk of bias. Meta-analyses showed oral omega-3 PUFA supplementsimproved physical functioning (MD: 6.33; 95% CI: 0.32, 12.34, p=0.04; I2=0%) and potentially reduced fatigue (MD: -6.21;95% CI: -13.473, 1.05, p=0.09; I2=14%). However, there was no significant effect of omega-3 PUFA supplements on muscle mass, global health status, emotional functioning and symptoms (nausea and vomiting, loss of appetite anddiarrhoea). Conclusion: This review provides evidence for the benefits of oral omega-3 PUFA supplementation on quality of life butnot on muscle maintenance in patients with cancer. Well-designed large-scale randomised controlled trials inhomogenous patient cohorts are required to confirm these findings.
The effect of nutritional counseling on muscle mass and treatment outcome in patients with metastatic colorectal cancer undergoing chemotherapy: A randomized controlled trial
Werf, A. van der ; Langius, J.A.E. ; Beeker, A ; Tije, AJ ten ; Vulink, AJ ; Haringhuizen, A ; Berkhof, J ; Vliet, HJ van der ; Verheul, H.M.W. ; Schueren, M.A.E. de van der
2020, Article / Letter to editor (Clinical Nutrition, vol. 39, iss. 10, (2020), pp. 3005-3013)Background & aims: A low muscle mass before start of treatment and loss of muscle mass during chemotherapy is related to adverse outcomes in patients with cancer. In this randomized controlled trial, the effect of nutritional counseling on change in muscle mass and treatment outcome in patients with metastatic colorectal cancer during first-line chemotherapy was studied. Methods: Patients scheduled for first-line chemotherapy (n = 107) were randomly assigned to individualized nutritional counseling by a dietitian (NC) or usual care (UC). NC was aimed at sufficient protein-and energy intake, supported by oral supplements or enteral feeding if indicated. Furthermore, physical activity was encouraged. Outcomes were assessed at baseline (T0) and the time of the first (T1) and second (T2) regular follow-up computed tomography scans. The proportion of patients with a clinically relevant decrease in skeletal muscle area of >6.0 cm(2), measured by computed tomography, was the primary outcome. Secondary outcomes included body weight, quality of life, treatment toxicity and progression free and overall survival. Results: A total of 107 patients were enrolled (mean age, 65 years (SD, 11 years), 63% male). Mean change in skeletal muscle area from T0 till T1 was -2.5 (SD, 9.5) cm(2), with no difference between NC versus UC (p = 0.891). The proportion of patients with a clinically relevant decrease in skeletal muscle area of >= 6.0 cm(2) did not differ (NC 30% versus UC 31%, p = 0.467). NC compared with UC had a significant positive effect on body weight (B coefficient 1.7, p = 0.045), progression free survival (p = 0.039) and overall survival (p = 0.046). Conclusions: NC of patients undergoing chemotherapy for metastatic colorectal cancer had no effect on muscle mass. However, we found that NC may increase body weight and improve progression free survival and overall survival compared to UC in this group of patients. These findings need further evaluation in future clinical trials. (C) 2020 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
The effect of a daily application of a 0.05% chlorhexidine oral rinse solution on the incidence of aspiration pneumonia in nursing home residents: a multicenter study
Hollaar, V.R.Y. ; van der Putten, GJ ; van der Maarel-Wierink, C ; Bronkhorst, E.M. ; Swart, B de ; Creugers, C
2017, Article / Letter to editor (BMC Geriatrics, vol. 7, (2017), pp. 128)
The determinants of reduced dietary intake in hospitalised colorectal cancer patients.
Werf, A. van der ; Arthey, K. ; Hiesmayr, M. ; Sulz, I. ; Schindler, K. ; Laviano, A. ; Langius, J.A.E. ; Schueren, M.A.E. de van der
2018, Article / Letter to editor (Supportive Care in Cancer, vol. 26, iss. 6, (2018), pp. 2039-2047)
The ConsuMEER study: a randomised trial towards the effectiveness of protein-rich ready-made meals and protein-rich dairy products in increasing protein intake of community-dwelling older adults after switching from self-prepared meals towards ready-made meals.
Borkent, J.W. ; Beelen, J. ; Linschooten, J.O ; Roodenburg, J.A ; Schueren, M.A.E. de van der
2019, Article / Letter to editor (Journal of Nutritional Science, vol. 8, (2019))
The association of weight loss with one-year mortality in hospital patients, stratified by BMI and FFMI subgroups.
Schueren, M.A.E. de van der ; Smoker, M. de ; Leistra, E. ; Kruizinga, H.M.
2018, Article / Letter to editor (Clinical Nutrition, vol. 37, iss. 5, (2018), pp. 1518-1525)
The association between nutritional status and frailty characteristics among geriatric outpatients.
Kurkcu, M. ; Meijer, R.I. ; Lonterman, S. ; Muller, M. ; Schueren, M.A.E. de van der
2018, Article / Letter to editor (Clinical nutrition ESPEN, (2018), pp. 112-116)
The Association between Malnutrition and Oral Health in Older People: A Systematic Review
Algra, Y. ; Haverkort, L. ; Kok, W. ; Etten-Jamaludin, F van ; Schoot, L. ; Hollaar, V.R.Y. ; Naumann, E. ; Schueren, M.A.E. de van der ; Jerković-Ćosić, K
2021, Article / Letter to editor (Nutrients, vol. 13, (2021))
Testing an online self-management program for patients with CVR: an explorative RCT
Puijk-Hekman, S. ; Gaal, B.G.I. van ; Bredie, S.J.H. ; Nijhuis-van der Sanden, M.W.G. ; Dulmen, S. van
2016, Article / Letter to editor (Journal of Advanced Nursing, vol. 72, (2016), pp. 82)
Taste alterations during treatment with protein kinase inhibitors: a pilot study.
Werf, A. van der ; Schueren, M.A.E. de van der ; Rovithi, M. ; Labots, M. ; Hashemi, S.M.S. ; Langius, J.A.E. ; Verheul, H.M.W.
2018, Article / Letter to editor (Journal of Pain and Symptom Management, vol. 56, iss. 4, (2018))
State of the art: the role of citrulline as biomarker in patients with chemotherapy- or graft-versus-host-disease-induced mucositis
Dekker, I.M. ; Bruggink, H ; Meij, B.S. van der ; Wierdsma, N.
2021, Article / Letter to editor (Current Opinion in Clinical Nutrition and Metabolic Care, vol. 24, iss. 5, (2021), pp. 416-427)Purpose of review Serum or plasma citrulline levels are used as biomarker for a broad spectrum of intestinal functions. During high-dose chemotherapy, citrulline levels are decreased due to mucositis, a common side effect of chemotherapy. This may decrease intestinal function and result in diarrhea. In this review, most recent studies investigating citrulline as biomarker for intestinal function are discussed, with focus on patients with oncological diseases, specifically hematological malignancies with chemotherapy- or Graft-versus-Host-disease (GVHD)-induced mucositis. Recent findings Citrulline has recently been widely studied in relation to intestinal function and various clinical conditions. It seems therefore a promising noninvasive biomarker in clinical practice for more than intestinal function alone. The association between citrulline levels and intestinal function in patients with hematological malignancies, with or without mucositis remains unclear, as no other parameters of intestinal function for this purpose were assessed. In conclusion, citrulline seems to be a promising noninvasive biomarker for various intestinal conditions in general, and potentially for intestinal function in patients with chemotherapy- or GVHD-induced mucositis. It is unclear from recent literature whether high fecal volume or diarrhea as side effect, results in impaired intestinal function and severe malabsorption and if citrulline biomarkers can be useful to detect this.
Skeletal muscle analyses: agreement between non-contrast and contrast CT scan measurements of skeletal muscle area and mean muscle attenuation.
Werf, A. van der ; Dekker, I.M. ; Meijerink, M.R. ; Wierdsma, N.J. ; Schueren, M.A.E. de van der ; Langius, J.A.E.
2018, Article / Letter to editor (Clinical Physiology and Functional Imaging, vol. 38, iss. 3, (2018), pp. 366-372)
Sex- and race-specific associations of protein intake with change in muscle mass and physical function in older adults of the Health ABC Study
Elstgeest, L.E.M. ; Schaap, L.A. ; Heymans, M.W. ; Hengeveld, L.M. ; Naumann, E. ; Houston, D.K. ; Kritchevsky, S.B. ; Simonsick, E.M. ; Newman, A.B. ; Farsijani, S. ; Visser, M. ; Wijnhoven, H.A.H. et al. sine al.
2020, Article / Letter to editor (The American Journal of Clinical Nutrition, vol. 112, iss. 1, (2020), pp. 84-95)
Senioren onderschatten het belang van adequate eiwitinname
Linschooten, J. ; Verwijs, M. ; Schueren, M.A.E. de van der ; Roodenburg, A.
2021, Article / Letter to editor (Voeding Magazine, iss. 2, (2021), pp. 20-23)
Self-Management Support Program for Patients With Cardiovascular Diseases: User-Centered Development of the Tailored, Web-Based Program Vascular View
Puijk-Hekman, S. ; Gaal, B.G.I. van ; Bredie, S.J.H. ; Nijhuis-van der Sanden, M.W.G. ; Dulmen, S. van
2017, Article / Letter to editor (JMIR Research Protocols, vol. 6, iss. 2, (2017))Background: In addition to medical intervention and counseling, patients with cardiovascular disease (CVD) need to manage their disease and its consequences by themselves in daily life. Objective: The aim of this paper is to describe the development of "Vascular View," a comprehensive, multi-component, tailored, Web-based, self-management support program for patients with CVD, and how this program will be tested in an early randomized controlled trial (RCT). Methods: The Vascular View program was systematically developed in collaboration with an expert group of 6 patients, and separately with a group of 6 health professionals (medical, nursing, and allied health care professionals), according to the following steps of the intervention mapping (IM) framework: (1) conducting a needs assessment; (2) creating matrices of change objectives; (3) selecting theory-based intervention methods and practical applications; (4) organizing methods and applications into an intervention program; (5) planning the adaption, implementation, and sustainability of the program, and (6) generating an evaluation plan. Results: The needs assessment (Step 1) identified 9 general health problems and 8 determinants (knowledge, awareness, attitude, self-efficacy, subjective norm, intention, risk perception, and habits) of self-managing CVD. By defining performance and change objectives (Step 2), 6 topics were distinguished and incorporated into the courses included in Vascular View (Steps 3 and 4): (1) Coping With CVD and its Consequences; (2) Setting Boundaries in Daily Life; (3) Lifestyle (general and tobacco and harmful alcohol use); (4) Healthy Nutrition; (5) Being Physically Active in a Healthy Way; and (6) Interaction With Health Professionals. These courses were based on behavioral change techniques (BCTs) (eg, self-monitoring of behavior, modeling, re-evaluation of outcomes), which were incorporated in the courses through general written information: quotes from and videos of patients with CVD as role models and personalized feedback, diaries, and exercises. The adoption and implementation plan (Step 5) was set up in collaboration with the members of the two expert groups and consisted of a written and digital instruction manual, a flyer, bimonthly newsletters, and reminders by email and telephone to (re-) visit the program. The potential effectiveness of Vascular View will be evaluated (Step 6) in an early RCT to gain insight into relevant outcome variables and related effect sizes, and a process evaluation to identify intervention fidelity, potential working mechanisms, user statistics, and/or satisfaction. Conclusion: A comprehensive, multi-component, tailored, Web-based, self-management support program and an early RCT were developed in order to empower patients to self-manage their CVD.
Richtlijn Kwetsbare Ouderen. Praktische handvatten en kwalitatief betere zorg
Vreeken, H. ; Schueren, M.A.E. de van der
2022, Article / Letter to editor (Fysiopraxis, (2022), pp. 38-41)
Relevant outcomes for nutrition interventions to treat and prevent malnutrition in older people: a collaborative Senator-OnTOP and MaNuEL delphi study.
Correa-Pérez, A. ; Collingson, A. ; Dardevet, D. ; Schueren, M.A.E. de van der ; Groot, L. de ; Hebestreit, A. ; Hickson, M. ; Jaramillo-Hidalgo, J. ; Lozano-Montoy, I. ; Visser, M. ; Volkert, D. ; Wolders, M. ; Curz Jentoft, A.J. et al. sine al.
2018, Article / Letter to editor (European Geriatric Medicine, (2018))
Protein intake during hospital admission; Dutch national data on protein intake in 339,720 malnourished patients from 2009–2019
Kruizinga, H.M. ; Schager, M. ; Dronkelaar, C. van ; Naumann, E.
2022, Article / Letter to editor (Clinical Nutrition Open Science, vol. 41, (2022), pp. 74-81)
Protein Intake among Community-Dwelling Older Adults: The Influence of (Pre-) Motivational Determinants.
Verwijs, M.H. ; Haveman-Nies, A. ; Borkent, J.W. ; Linschooten, J.O ; Roodenburg, AJC ; Groot, L.C.P.G.M. de ; Schueren, M.A.E. de van der
2022, Article / Letter to editor (Nutrients, vol. 14, iss. 2, (2022))An adequate protein intake is important for healthy ageing, yet nearly 50% of Dutch community-dwelling older adults do not meet protein recommendations. This study explores protein intake in relation to eight behavioral determinants (I-Change model) among Dutch community-dwelling older adults. Data were collected through an online questionnaire from October 2019-October 2020. Protein intake was assessed by the Protein Screener 55+, indicating a high/low chance of a low protein intake (<1.0 g/kg body weight/day). The behavioral determinants of cognizance, knowledge, risk perception, perceived cues, attitude, social support, self-efficacy and intention were assessed by evaluating statements on a 7-point Likert scale. A total of 824 Dutch community-dwelling older adults were included, recruited via online newsletters, newspapers and by personal approach. Poisson regression was performed to calculate quartile-based prevalence ratios (PRs). Almost 40% of 824 respondents had a high chance of a low protein intake. Univariate analyses indicated that lower scores for all different behavioral determinants were associated with a higher chance of a low protein intake. Independent associations were observed for knowledge (Q4 OR = 0.71) and social support (Q4 OR = 0.71). Results of this study can be used in future interventions aiming to increase protein intake in which focus should lie on increasing knowledge and social support.
The protein gap-increasing protein intake in the diet of community-dwelling older adults: a simulation study.
Verwijs, M.H. ; Schueren, M.A.E. de van der ; Ocké, M.C. ; Ditewig, J. ; Linschooten, J.O ; Roodenburg, AJC ; Groot, L.C.P.G.M. de
2022, Article / Letter to editor (Public Health Nutrition, vol. 25, iss. 2, (2022), pp. 248-256)OBJECTIVE: Approximately 50 % of Dutch community-dwelling older adults does not meet protein recommendations. This study assesses the effect of replacing low protein foods with protein-rich alternatives on the protein intake of Dutch community-dwelling older adults. DESIGN: The Dutch National Food Consumption Survey-Older Adults 2010-2012 (DNFCS-OA) was used for scenario modelling. Dietary intake was estimated based on two 24-h recalls. Commonly consumed products were replaced by comparable products rich in protein (scenario 1), foods enriched in protein (scenario 2) and a combination of both (scenario 3). Replacement scenarios were confined to participants whose dietary protein intake was < 1•0 g/kg BW/d (n 391). Habitual protein intake of all older adults was estimated, adjusting for effects of within-person variation in the 2-d intake data. SETTING: A simulation study based on the DNFCS-OA. PARTICIPANTS: 727 Dutch community-dwelling older adults aged 70+. RESULTS: Mean protein intake of the total population increased from 1•0 to 1•2 g/kg BW/d (scenarios 1 and 2) and to 1•3 g/kg BW/d (scenario 3). The percentage of participants with intakes of ≥ 1•0 g/kg BW/d increased from 47•1 % to 91•4 %, 90•2 % and 94•6 %, respectively, in scenarios 1, 2 and 3. The largest increases in protein intake were due to replacements in food groups: yoghurt, cream desserts and pudding, potatoes, vegetables and legumes and non-alcoholic beverages and milk in scenario 1 and bread; yoghurt, cream desserts and pudding and soups in scenario 2. CONCLUSIONS: This simulation model shows that replacing low protein foods with comparable alternatives rich in protein can increase the protein intake of Dutch community-dwelling older adults considerably. Results can be used as a basis for nutritional counselling.
Prevalence and Determinants of Undernutrition in A Sample of Dutch Community-Dwelling Older Adults: Results from Two Online Screening Tools.
Borkent, J.W. ; Naumann, E. ; Vasse, Emmelyne ; Heijden, E. van der ; Schueren, M.A.E. de van der
2019, Article / Letter to editor (International Journal of Environmental Research and Public Health, vol. 16, iss. 9, (2019))
Presence or Absence of Skeletal Muscle Dysfunction in Chronic Obstructive Pulmonary Disease is Associated With Distinct Phenotypes
Cruthirds, C.L. ; Meij, B.S. van der ; Wierzchowska-McNew, A. ; Deutz, N.E.P. ; Engelen, M.P.K.J.
2021, Article / Letter to editor (Archivos de Bronconeumología, vol. 57, iss. 4, (2021), pp. 264-272)
Pilot study GLIM criteria for categorization of a malnutrition diagnosis of patients undergoing elective gastrointestinal operations: A pilot study of applicability and validation
Henrique, J.R. ; Pereira, R. ; Ferreira, R.S. ; Keller, H. ; Schueren, M.A.E. de van der ; Gonzalez, M.C. ; Meira, W. Jr ; Correia, M.I.T.D.
2020, Article / Letter to editor (Nutrition, (2020), pp. 79-80)
Perceptions of interprofessional collaboration in education of dentists and dental hygienists and the impact on dental practice in the Netherlands
Kersbergen, M.J. ; Creugers, N.H.J. ; Hollaar, V.R.Y. ; Laurant, M.G.H.
2020, Article / Letter to editor (European Journal of Dental Education, vol. 24, iss. 1, (2020), pp. 145-153)
Percentiles for skeletal muscle index, area and radiation attenuation based on computed tomography imaging in a healthy Caucasian population.
Werf, A. van der ; Langius, J.A.E. ; Schueren, M.A.E. de van der ; Nurmohamed, S.A. ; Pant, K.A.M.I. van der ; Blauwhoff-Buskermolen, S. ; Wierdsma, N.J.
2018, Article / Letter to editor (European Journal of Clinical Nutrition, vol. 72, iss. 2, (2018), pp. 288-296)
Pasteurised donor human milk audit: What is happening in the neonatal critical care unit?
Page, D. van der ; Gilroy, M. ; Joseph, R. ; Meij, B.S. van der
2021, Article / Letter to editor (Journal of Paediatrics and Child Health, (2021))Aim: Human milk with fortification, providing additional energy, protein and micronutrients, is considered the optimal form of nutrition for preterm infants as it provides protection against infections and improves outcomes. Mothers' own milk (MOM) is the preferred choice, however in situations where MOM is insufficient or contraindicated; Pasteurised donor human milk (PDHM) is the preferred alternative. This study aimed to identify whether PDHM during neonatal critical care unit (NCCU) admission is associated with discharge nutrition in preterm infants. Methods: A retrospective observational cohort study was conducted over a 12-month period in 2017. This included all inborn infants admitted to the NCCU with gestational age ≤ 28 weeks or ≤ 1000 g birthweight, who survived until discharge. Multivariate logistic models were used to detect the association between study groups (PDHM vs. No PDHM) and discharge nutrition. Results: Seventy-seven infants were included; 35 infants received PDHM during admission. At discharge, infants who received PDHM were significantly more likely to be on infant formula (IF) (86%) than infants who did not receive PDHM (26%). In contrast, infants who did not receive PDHM (No PDHM) were significantly more likely to be receiving MOM exclusively at discharge (74%), than those who did receive PDHM (14%). The odds of an infant being discharged on IF were 16.91 times higher if they received PDHM. Conclusion: In this study, infants born at ≤28 weeks or ≤ 1000 g who received PDHM were more likely to receive IF at NCCU discharge than infants who did not receive PDHM.
Onderzoek in de praktijk: Wat is belangrijk bij voedingsinnameregistratie?
Brakel, L. van ; Oers, S.M.D. van ; Verwijs, M.H. ; Schueren, M.A.E. de van der
2019, Article / Letter to editor (Nederlands Tijdschrift voor Voeding & Diëtetiek, vol. 74, iss. 3, (2019), pp. 44-45)
Ondervoeding: een groot onderschat probleem!
Naumann, E.
2018, Article / Letter to editor (Tijdschrift Maatschappij & Gezondheid, vol. 18, (2018), pp. 7-9)
Ondervoeding bij ouderen
Verwijs, M.H. ; Borkent, J ; Schueren, M.A.E. de van der
2020, Part of book or chapter of book (Informatorium voor Voeding en Dietetiek, supplement 106, december 2020)
Olfactory and gustatory functioning and food preferences of patients with Alzheimer's disease and mild cognitive impairment compared to controls: the NUDAD project
Doorduijn, A.S. ; Schueren, M.A.E. de van der ; Rest, O. van de ; Leeuw, F.A. de ; Fieldhouse, J.L.P. ; Kester, M.I. ; Teunissen, C.E. ; Scheltens, P. ; Flier, W.M. van der ; Visser, M. ; Boesveldt, S. et al. sine al.
2020, Article / Letter to editor (Journal of Neurology, vol. 267, iss. 1, (2020), pp. 144-152)Our aim is to compare olfactory and gustatory function and food preferences of patients with Mild Cognitive Impairment (MCI) and Alzheimer's disease (AD) with controls. We included 22 patients with MCI, 30 patients with AD and 40 controls and assessed olfactory threshold, odor discrimination and odor identification (Sniffin' Sticks), gustatory functioning (Taste Strips), and food preferences (Macronutrient and Taste Preference Ranking Task). Linear regression analyses were used to study associations of five cognitive domains or AD biomarkers with olfactory functioning. Groups did not differ in olfactory threshold, gustatory function and food preferences. Patients with MCI and AD scored lower on odor discrimination and identification than controls. Poorer memory, but no other cognitive domain, was associated with poorer odor discrimination and odor identification, but not with odor threshold. No associations with AD biomarkers were found. In conclusion, patients with MCI and AD have poorer odor discrimination and identification ability than controls, but similar detection thresholds. This is likely a consequence of poorer memory rather than directly caused by AD pathology.
Nutritional status and structural brain changes in Alzheimer's disease: The NUDAD project
Leeuw, F.A. de ; Doorduijn, A.S. ; Fieldhouse, J.L.P. ; Rest, O. van de ; Teunissen, C.E. ; Berckel, B. van ; Barkhof, F. ; Visser, M. ; Schueren, M.A.E. de van der ; Scheltens, P. ; Kester, M.I. ; Muller, M. ; Flier, W.M. van der et al. sine al.
2020, Article / Letter to editor (Alzheimer's & Dementia, (2020))
Nutritional problems of patients with COVID-19 receiving dietetic treatment in primary care.
Slotegraaf, A.I. ; Schueren, M.A.E. de van der ; Wierdsma, N.J. ; Weijs, P.J.M. ; Kruizenga, H.M.
2022, Article / Letter to editor (Journal of Human Nutrition and Dietetics, (2022))BACKGROUND: The nutritional problems of patients who are hospitalised for COVID-19 are becoming increasingly clear. However, a large group of patients have never been hospitalised and also appear to experience persistent nutritional problems. The present study describes the nutritional status, risk of sarcopaenia and nutrition-related complaints of patients recovering from COVID-19 receiving dietetic treatment in primary care. METHODS: In this retrospective observational study, data were collected during dietetic treatment by a primary care dietitian between April and December 2020. Both patients who had and had not been admitted to the hospital were included at their first visit to a primary care dietitian. Data on nutritional status, risk of sarcopaenia and nutrition-related complaints were collected longitudinally. RESULTS: Data from 246 patients with COVID-19 were collected. Mean ±SD age was 57 ±16 years and 61% of the patient population was female. At first consultation, two thirds of patients were classified as overweight or obese (body mass index >25nkg m(-2) ). The majority had experienced unintentional weight loss because of COVID-19. Additionally, 55% of hospitalised and 34% of non-hospitalised patients had a high risk of sarcopaenia. Most commonly reported nutrition-related complaints were decreased appetite, shortness of breath, changed or loss of taste and feeling of being full. Nutrition-related complaints decreased after the first consultation, but remained present over time. CONCLUSIONS: In conclusion, weight changes, risk of sarcopaenia and nutrition-related complaints were prevalent in patients with COVID-19, treated by a primary care dietitian. Nutrition-related complaints improved over time, but remained prevalent until several months after infection.
Nursing home-acquired pneumonia, dysphagia and associated diseases in nursing home residents: A retrospective, cross-sectional study
Hollaar, V.R.Y. ; Putten, GJ van der ; Van der Maarel -Wierink, CD ; Bronkhorst, E.M. ; Swart, B.J.M. de ; Baat, C de ; Creugers, N.H.J.
2017, Article / Letter to editor (Geriatric Nursing, vol. 38, (2017), pp. 437-441)

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