Health Economics and Outcomes Research (HEOR) series – part 4

Budget impact of a comprehensive nutrition-focused quality improvement program for malnourished hospitalized patients full article

Strategies to address hospital malnutrition in adult patients full article

Health Economics and Outcomes Research (HEOR) series – part 3

A comprehensive nutrition-focused quality improvement program reduces 30-day readmissions and length of stay in hospitalized patients. full article

Implementing medical nutrition therapy in everyday diabetes management
By Prof Winnie Chee, International Medical University full article

Health Economics and Outcomes Research (HEOR) series – part 2

Health system quality improvement: impact of prompt nutrition care on patient outcomes. full article

Sarcopenia assessment – comparison between European and Asian recommendations

Sarcopenia affects up to 30% of community-dwelling adults in Europe and 22% in Asia. full article

Health Economics and Outcomes Research (HEOR) series – part 1

Economic burden of disease-associated malnutrition at the state level. full article

Research update: Addressing disease-related malnutrition in hospitalized patients: a call for a national goal

Prevention or treatment of disease-related malnutrition in hospitalized patients can improve the quality of patient care, improve clinical outcomes and reduce costs. full article

Research Update: Glycaemic index and glycaemic load of selected popular foods consumed in Southeast Asia

The GI and GL values for some commonly consumed Southeast Asian foods were assessed in this recent study. full article

Research Update: Protein requirements and recommendations for older people: a review

Dietary protein recommendations typically do not differ across the adult age range, but this may not be appropriate for older people. full article

Research Update: Sarcopenia and critical illness: a deadly combination in the elderly

This new publication explores the underlying pathology of sarcopenia and how it affects outcomes in critically ill elderly patients. full article

Research Update: Milk intake and the risk of mortality and fractures in women and men: cohort studies

Cohort studies from Sweden found higher milk intake to be associated with increased risk of death and fractures. full article

Glycemic Index: your questions answered
By Kalpana Bhaskaran, Manager (Nutrition Research), Unit Head (Glycemic Index Research Unit),
School of Applied Science, Temasek Polytechnic full article

Research Update: Prediabetes and the risk of cancer: a meta-analysis

Is there an association between impaired fasting tolerance or impaired glucose tolerance and cancer? Do different definitions of prediabetes have an impact on the putative association? full article

Research Update: Preoperative Standard Oral Nutrition Supplements vs Immunonutrition: Results of a Systematic Review and Meta-Analysis

This latest systematic review attempts to reduce the heterogeneity of the current literature on preoperative immunonutrition. full article

Research Update: Malnutrition and its impact on cost of hospitalisation, length of stay, readmission and 3-year mortality
By Dr Lim Su Lin, Chief Dietitian, National University Hospital

A research by National University Hospital provided clear evidence that the adverse outcomes of malnutrition are not just a consequence of the disease process, and lead to substantial increases in length of hospital stay, readmission rate, mortality and hospitalisation cost when compared with well-nourished patients of similar diagnoses and complexities. full article

Local survey sheds light on diabetes management among overweight individuals

Weight control is a key strategy for managing blood glucose among people who are overweight or obese with type 2 diabetes. A survey was recently conducted in Singapore to better understand how overweight individuals with diabetes perceive and manage their condition. full article

Research Update: Malnutrition in older adults on financial assistance in an urban Asian country: a mixed methods study

Research by the National University of Singapore found a high risk of malnutrition among socio-economically disadvantaged Singaporeans. full article

Research Update: Severe hypoglycaemia and cardiovascular disease: systematic review and meta-analysis with bias analysis

This meta-analysis of observational studies found that severe hypoglycaemia is associated with approximately twice the risk of cardiovascular full article

Research Update: A randomized trial of glutamine and antioxidants in critically ill patients

There is evidence to suggest that glutamine and antioxidant supplementation in critically ill patients may be associated with a survival advantage, although current data are conflicting. A large, multi-centre randomised controlled trial was conducted to further evaluate this issue. full article

Research Update: Primary prevention of cardiovascular disease with a Mediterranean diet

Findings from a multicentre randomised trial support the benefits of the Mediterranean diet in reducing the incidence of cardiovascular events among individuals at high cardiovascular risk. full article

Nutrition for chronic wound healing
By Alvin Wong, Senior Clinical Dietitian, APD, CNSC, MSc (Clinical & Public Health Nutrition)
Department of Dietetic & Food Services, Changi General Hospital

Pressure ulcer is a major healthcare issue and is associated with high medical costs. Studies have shown that nutritional supplementation may improve wound healing rates or slow down the progression of wounds. full article

Research Update: Marine n-3 polyunsaturated fatty acids are inversely associated with risk of type 2 diabetes in Asians: a systematic review and meta-analysis

Fish and marine omega-3 polyunsaturated fatty acids (PUFA) consumption were found to be protective against type 2 diabetes among Asians – such an effect however was not observed in the Western population. full article

Oral nutritional supplements - what are the benefits?
Lim Meng Thiam, Manager, Nutrition Education
Abbott Nutrition International, Singapore

Malnutrition is prevalent in the different healthcare settings worldwide. Due to various reasons, some individuals may be unable to consume the energy and/or nutrients they require from food alone. There is compelling evidence to show that oral nutritional supplements can offer an effective strategy in the management of malnutrition, leading to improved health outcomes. full article

Research Update: Progression rate of newly diagnosed impaired fasting glycaemia to type 2 diabetes mellitus: a study using the National Healthcare Group Diabetes Registry in Singapore

Retrospective cohort study of patients with newly onset impaired fasting glycaemia in Singapore revealed a high progression rate to type 2 diabetes, and identified potential predictors for the development of the disease. full article

Glycaemia- targeted specialised nutrition formulas: changing the face of diabetes care
Lim Meng Thiam, Manager, Nutrition Education
Abbott Nutrition International, Singapore

Lifestyle modification, particularly dietary intervention, is well-recognised to be an integral part of the care plan for people with or are at risk of developing type 2 diabetes. Medical nutrition therapy plays a major role in helping to prevent diabetes, manage existing diabetes, and prevent or at least delay the development of diabetes complications. full article

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