{
  "version": "https://jsonfeed.org/version/1.1",
  "title": "GI Signals - Nutrition",
  "home_page_url": "https://siftingsignal.com/gisignals/",
  "feed_url": "https://siftingsignal.com/gisignals/feed/nutrition.json",
  "description": "Nutrition papers worth knowing in GI this week. A SiftingSignal publication.",
  "items": [
    {
      "id": "https://siftingsignal.com/gisignals/2026-W35/#card-pmid-42622081",
      "url": "https://siftingsignal.com/gisignals/2026-W35/#card-pmid-42622081",
      "title": "Survival of individuals with neurological and oncological diseases receiving home enteral nutrition: A descriptive cohort study.",
      "date_published": "2026-08-24T19:12:09Z",
      "content_text": "JPEN. Journal of parenteral and enteral nutrition. Risk-stratify HEN patients using age, comorbidity burden, diagnosis type (neurological vs. oncological), functional status, and tube type to personalize counseling and monitoring intensity. High-risk patients (older, multiple comorbidities, male, nasogastric tube, oncological disease) warrant more intensive monitoring and family counseling regarding expected prognosis."
    },
    {
      "id": "https://siftingsignal.com/gisignals/2026-W35/#card-pmid-42633537",
      "url": "https://siftingsignal.com/gisignals/2026-W35/#card-pmid-42633537",
      "title": "Association between preoperative malnutrition and hospital length of stay in adults with major lung resection: A prospective cohort study.",
      "date_published": "2026-08-24T19:12:09Z",
      "content_text": "JPEN. Journal of parenteral and enteral nutrition. Screen for preoperative malnutrition in patients scheduled for lung resection to identify those at high risk for prolonged hospitalization and infection. Consider referral for nutritional assessment and targeted interventions; however, evidence that intervention improves postoperative outcomes is not yet established."
    },
    {
      "id": "https://siftingsignal.com/gisignals/2026-W31/#card-pmid-42498599",
      "url": "https://siftingsignal.com/gisignals/2026-W31/#card-pmid-42498599",
      "title": "Evaluation and interpretation of Hawthorne and other trial-related effects in Celiac Disease: A systematic review and meta-analysis.",
      "date_published": "2026-07-30T22:01:39Z",
      "content_text": "Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver. Consider that structured monitoring alone may improve mucosal histology in CeD trials, independent of active intervention. No clinical action yet: this is a meta-analysis of trial effects."
    },
    {
      "id": "https://siftingsignal.com/gisignals/2026-W31/#card-pmid-42502881",
      "url": "https://siftingsignal.com/gisignals/2026-W31/#card-pmid-42502881",
      "title": "Prevalence, risk factors, and outcomes of refeeding-like syndrome in very low birth weight infants: A descriptive study.",
      "date_published": "2026-07-30T22:01:39Z",
      "content_text": "JPEN. Journal of parenteral and enteral nutrition. Monitor serum phosphate closely in VLBW infants (<1500 g), especially those <27 weeks gestation or small for gestational age, during the first week of parenteral nutrition to detect and manage RLS early. Consider preventive strategies (e.g., slower nutrient advancement) in high-risk infants."
    },
    {
      "id": "https://siftingsignal.com/gisignals/2026-W31/#card-pmid-42522101",
      "url": "https://siftingsignal.com/gisignals/2026-W31/#card-pmid-42522101",
      "title": "Review Article: Accelerating Coeliac Disease Clinical Trials-Beyond Celiac Meeting With Industry, Academics, Patients and the FDA.",
      "date_published": "2026-07-30T22:01:39Z",
      "content_text": "Alimentary pharmacology & therapeutics. No clinical action yet: this is a review of considerations for coeliac disease drug development, not a study of a new therapy in humans."
    },
    {
      "id": "https://siftingsignal.com/gisignals/2026-W30/#card-pmid-42475936",
      "url": "https://siftingsignal.com/gisignals/2026-W30/#card-pmid-42475936",
      "title": "The hierarchy of copper status in paediatric enteral tube feeding: A comparative retrospective cohort study of jejunal and gastric feeding.",
      "date_published": "2026-07-25T22:16:33Z",
      "content_text": "Clinical nutrition (Edinburgh, Scotland). Measure serum copper annually in pediatric patients on jejunal tube feeding. If depletion is identified, initiate copper sulphate supplementation via gastric or jejunal tube to restore normal levels and prevent cytopenia. Consider more frequent monitoring in patients with neurodisability or complex gastrointestinal comorbidities, as these groups have significantly higher depletion rates (up to 25%)."
    },
    {
      "id": "https://siftingsignal.com/gisignals/2026-W30/#card-pmid-42481997",
      "url": "https://siftingsignal.com/gisignals/2026-W30/#card-pmid-42481997",
      "title": "Gender differences in the relationship between dynapenic abdominal obesity and non-neoplastic digestive system diseases among middle-aged and older adults.",
      "date_published": "2026-07-25T22:16:33Z",
      "content_text": "BMC gastroenterology. In middle-aged and older women, identify low muscle strength combined with abdominal obesity as a marker of elevated digestive disease risk. Implement combined resistance and aerobic exercise programs to address both components. No specific indication for men based on this finding."
    },
    {
      "id": "https://siftingsignal.com/gisignals/2026-W26/#card-pmid-42387860",
      "url": "https://siftingsignal.com/gisignals/2026-W26/#card-pmid-42387860",
      "title": "Association between blood phosphorus level and clinical outcomes in critically ill patients: A systematic review and meta-analysis.",
      "date_published": "2026-07-09T16:47:07Z",
      "content_text": "JPEN. Journal of parenteral and enteral nutrition. In critically ill patients, phosphorus derangements are prognostic markers of illness severity rather than treatment targets, so continue routine monitoring and repletion of symptomatic hypophosphatemia but do not treat the number expecting a mortality benefit."
    },
    {
      "id": "https://siftingsignal.com/gisignals/2026-W26/#card-pmid-42396956",
      "url": "https://siftingsignal.com/gisignals/2026-W26/#card-pmid-42396956",
      "title": "Prevalence of Self-Reported Non-Coeliac Gluten Sensitivity and Its Association With Disorders of Gut-Brain Interaction and Disordered Eating.",
      "date_published": "2026-07-09T16:47:07Z",
      "content_text": "United European gastroenterology journal. When evaluating patients with self-reported NCGS, assess for comorbid DGBI and ARFID symptoms, particularly in those with high psychological distress, somatic symptom reporting, increased healthcare utilization, and reduced quality of life."
    },
    {
      "id": "https://siftingsignal.com/gisignals/2026-W26/#card-pmid-42411548",
      "url": "https://siftingsignal.com/gisignals/2026-W26/#card-pmid-42411548",
      "title": "Dermatitis Herpetiformis in Celiac Disease: A Systematic Review and Meta-Analysis.",
      "date_published": "2026-07-09T16:47:07Z",
      "content_text": "United European gastroenterology journal. Be aware that DH prevalence in CD is ~6.8% overall (higher in adults, lower in children), but no change to current diagnostic practice is recommended."
    }
  ]
}