Condición nutricional de la langosta, Panulirus argus (Decapoda: Palinuridae): 60 años de índices extensivos y variación espacio-temporal en Cuba / Nutritional condition of the lobster, Panulirus argus (Decapoda: Palinuridae): 60 years of extensive indices and spatio-temporal variation in Cuba

Resumen Introducción: En el hábitat natural, el estado nutricional insatisfactorio de un número elevado de ejemplares es expresión de la influencia de factores desfavorables. Objetivo: Determinar variaciones espacio-temporales en el estado nutricional de langostas Panulirus argus, relacionarlas con variaciones reportadas en la comunidad bentónica y demostrar, mediante la aplicación de indicadores analíticos y morfométricos, que la variación de factores ambientales afecta a ambos grupos de índices; y que no todos los índices de condición nutricional evidencian por igual el impacto generalizado del proceso de deterioro ambiental en este golfo. Métodos: Las langostas se capturaron en seis áreas de pesca. La condición nutricional se estimó mediante tres índices no destructivos, poco costosos y de fácil y rápida aplicación (extensivos): índice de refracción de la hemolinfa (IRH), relación peso total / largo total = Klt, y factor de condición (FCA). Las variaciones a largo plazo (60 años) se determinaron mediante índices morfométricos (Klt y FCA). Se analizaron datos de los períodos 1963-1964 (N = 29 001), 1983-1993 (N = 3 123) y 2011-2017 (N = 3 600), separándolos en épocas de Lluvia y Seca. Resultados: En todos los períodos la condición nutricional varió significativamente entre áreas, pero sin similitudes entre períodos. Esto indica que los factores que impactan en el estado nutricional tienen una influencia estocástica más característica de factores ambientales. Aunque los tres índices fueron menores en 2017, sólo IRH disminuyó gradualmente entre 2011 y 2017, lo que sugiere que este índice, y los morfométricos, expresan diferente información. Todas las correlaciones fueron estadísticamente significativas, los coeficientes más altos se establecieron entre los índices morfométricos. El peso total y el Klt no mostraron diferencias entre Seca y Lluvia. Sin embargo, IRH y FCA resultaron mayores en Seca, hecho que se constató para cada sexo. FCA y Klt no presentaron diferencias entre el período 1963-1964 y el período 1983-1993, pero aumentaron (P < 0.05) en el período 2011-2017, lo que, dado el carácter morfométrico de estos índices, se atribuye a la presencia de langostas de mayor peso en las áreas de pesca. Conclusiones: Los menores valores en 2017 y la tendencia gradual al decrecimiento de IRH, corroboran el carácter generalizado del deterioro ambiental en el golfo de Batabanó, lo cual no fue igualmente expresado por los tres índices.

Abstract Introduction: Nutritional condition indices are morphophysiological estimators that quantify the nutritional status of organisms. In the natural habitat, unsatisfactory nutritional stage of numerous individuals is an expression of unfavorable factors. Objectives: Determine spatio-temporal variations in the nutritional condition of lobsters Panulirus argus, relate them to variations reported in the benthic community, and to demonstrate, through the application of analytical and morphometric indices, that variations of environmental factors affects both groups of indices due to its potential magnitude and its generalized nature. Methods: Lobsters were captured at six sites. Nutritional condition was estimated by three non-destructive, inexpensive and quick indices also easy to apply, which it means extensive indices: blood refractive index (BRI), relationship between total weight and total length (K), and condition factor (CFA). Because there are no historical records of BRI, long-term variations (60 years) were determined using morphometric indices (Klt and CFA). Data from the periods 1963-1964 (N = 29 001), 1983-1993 (N = 3 123) and 2011-2017 (N = 3 600) were analyzed, separating them in the rainy and dry seasons. Results: In all the periods the nutritional condition varied significantly between sites, but without similarities between periods. Despite this, it increased progressively in three sites. This indicates that factors impacting nutritional condition have a stochastic influence that is constantly changing, which is more characteristic of environmental factors than anthropogenic factors. Although the three indices showed a lower nutritional condition in 2017, only BRI gradually decreased between 2011 (16.6) and 2017 (14.2), which suggests that this index, and the morphometrics (Klt and CFA), express different information. All correlations were statistically significant but greatest coefficients were established between morphometric indices. The total weight and the Klt index did not show differences between rainy and dry seasons. However, BRI and CFA were statistically greater in dry season, a fact that was found for each sex. Both CFA and Klt decreased slightly (P > 0.05) between the first (1963-1964) and the second (1983-1993) period and then increased (P < 0.05) in the current period (2011-2017). Because they both are morphometric indices, this was attributed to the presence of greater weight lobsters. Conclusions: The lowest values in 2017 and gradually decreasing trend in BRI, corroborate the generalized nature of the environmental deterioration in the Gulf of Batabanó, but this was not equally expressed by the three indices.

Long Term Effects of Dialysis Adequacy, Residual Renal Function, Nutritional Indices on CAPD Patient Outcome / 대한신장학회잡지

PURPOSE: Several factors including dialysis adequacy are now known to be related to clinical outcomes of CAPD patients. In our study, the long term effects of dialysis adequacy, residual renal function, nutritional indices, and peritoneal membrane transport characteristics on the outcomes of CAPD patients were evaluated. METHODS: Prevalent or incident 127 patients were enrolled from February 1998 to January 1999. Follow-up was terminated in January 2003. In 41 patients, parameters of adequacy were reevaluated, and the effects of parameter change over time on patient outcomes were analyzed. RESULTS: Seventy-two were male. Twenty-nine (23%) were diabetic. Mean age was 47+/-2.9 years, and the mean follow up period was 45+/-.8 months. The baseline serum albumin was 3.7+/-.5 g/dL. nPCR was 0.8+/-.2 g/kg/d, and %lean body mass was 68.4+/-4.3. Kt/V was 2.0+/-.7, and Ccr was 64.5+/-8.8 L/wk/1.73 m2. The estimated GFR was 1.1+/-.3 mL/min. The multivariated analysis demonstrated that diabetes, serum albumin, and the patent residual renal function were independent factors of the patient and technique survival. Membrane transport characteristic was a predictor of technique survival. Among patients for whom the parameters of adequacy were reevaluated, a more rapid decrease of serum albumin and a more rapid increase of membrane transport characteristics were associated with increased risk of either death or technique failure. CONCIUSION: Nutritional indices and presence of residual renal function have a significant impact on the clinical outcome. The decrease of serum albumin and the increase of membrane transport characteristic have negative impacts on patient and technique survival.

Long Term Effects of Dialysis Adequacy, Residual Renal Function, Nutritional Indices on CAPD Patient Outcome / 대한신장학회잡지

PURPOSE: Several factors including dialysis adequacy are now known to be related to clinical outcomes of CAPD patients. In our study, the long term effects of dialysis adequacy, residual renal function, nutritional indices, and peritoneal membrane transport characteristics on the outcomes of CAPD patients were evaluated. METHODS: Prevalent or incident 127 patients were enrolled from February 1998 to January 1999. Follow-up was terminated in January 2003. In 41 patients, parameters of adequacy were reevaluated, and the effects of parameter change over time on patient outcomes were analyzed. RESULTS: Seventy-two were male. Twenty-nine (23%) were diabetic. Mean age was 47+/-2.9 years, and the mean follow up period was 45+/-.8 months. The baseline serum albumin was 3.7+/-.5 g/dL. nPCR was 0.8+/-.2 g/kg/d, and %lean body mass was 68.4+/-4.3. Kt/V was 2.0+/-.7, and Ccr was 64.5+/-8.8 L/wk/1.73 m2. The estimated GFR was 1.1+/-.3 mL/min. The multivariated analysis demonstrated that diabetes, serum albumin, and the patent residual renal function were independent factors of the patient and technique survival. Membrane transport characteristic was a predictor of technique survival. Among patients for whom the parameters of adequacy were reevaluated, a more rapid decrease of serum albumin and a more rapid increase of membrane transport characteristics were associated with increased risk of either death or technique failure. CONCIUSION: Nutritional indices and presence of residual renal function have a significant impact on the clinical outcome. The decrease of serum albumin and the increase of membrane transport characteristic have negative impacts on patient and technique survival.

Dietary protein intake(DPI) and Nutritional Indices in Predialysis Patients with Different Stages of Chronic Renal Insufficiency / 대한신장학회잡지

Although dietary protein restriction may protect against progression of renal failure, it is important to consider whether protein restriction can be attained without inducing malnutrition. We assessed the calculated dietary protein intake(cDPI) by 24 hour urinary collection and food intake, biochemical nutritional indices and the results of anthropometric measurement in 83 predialysis patients with different stages of chronic renal failure(CRF) and 84 controls. Dietary interventions were minimal. We categorized patients into three groups according to whether their creatinine clearance(Ccr) was greater than 25(group A), 10 to 25(group B), or less than 10ml/min(group C). 1) The mean(+/-SD) cDPI was significantly lower in group C(0.77+/-0.17g/kg/day) and group B(0.84+/- 0.16g/kg/day) than in group A(1.04+/-0.21g/kg/day) and controls(1.14+/-0.22g/kg/day)(P<0.05). The mean (+/-SD) high biologic value protein intake was significantly lower in group C(0.29+/-0.25g/kg/day) and group B(0.39+/-0.27g/kg/day) than in group A (0.48+/-0.35g/kg/day)(P<0.05). The cDPI(r=0.50, P< 0.05), high biologic value protein intake(r=0.39, P< 0.05) were positively correlated with the Ccr. 2) The mean (SD) total lymphocyte count (TLC) was significantly lower in group C(1,554+/-368/mm3) and group B(1,972+/-470/mm3) than in group A(2,111+/-540/mm3) and controls(2,177+/-589/mm3)(P<0.05). The TLC was positively correlated with the Ccr(r= 0.28, P<0.05). The levels of albumin and transferrin were lower in patients with CRF than in controls (P<0.05). There was no difference in the levels of albumin, transferrin, prealbumin, insulin-like growth factor-1, cholesterol and anthropometric measurements among the different stages of CRF. CONCLUSION: In predialysis patients with CRF, the dietary protein and high biologic value protein intake spontaneously decreases as renal function declines. Several nutritional indices, such as TLC, albumin and transferrin were lower in predialysis patient with CRF than controls. Therefore objective measurement of DPI should be considered to educate a low protein diet in predialysis patients with CRF.

The Effect of Preoperative Nutritional Depletion on Postoperative Complications in the patient with Multiple Injuries / 대한정형외과학회잡지

The importance of maintaining appropriate nutrition in the patient with serious multiple injuries may be overlooked by the orthopedic surgeon. Nutritional depletion has a significant effect on survival, wound healing, immunocompetence, fracture healing and rehabilitation of the patient. A prospective study was performed to determine the effect of preoperative nutritional status on the postoperative complications in forty patients who had been admitted to the hospital because of multiple injuries. The parameters that were used to determine the nutritional status included serum levels of albumin, transferrin, and hemoglobin; TCL(total lymphocyte count);and CHI(creatinine height index). The results were as follows: 1. Significant preoperative nutritional depletion of moderate or severe degree in at least one of the 5 indices was indentified in 25(62.5%) of the 40 patients. 2. Incidence of preoperative nutritional depletion ranged from 7.5% for hemoglobin to 52.5% for transferrin and the nutritional depletion averged 29.5% abnormality per nutritional index. 3. Twenty complications were observed in 18 patients. 4. The incidence of preoperative nutritional depletion was 83.3% in complication group and 45.5% in non-complication group. 5. Serum albumin level and serum transferrin level had significant predictive value of postoperative complication.