95 research outputs found
Potential Applications of Food-Scanners in Fruit and Vegetable Supply Chains and Possible Consequences for the German Market
Originally advertised as tools for end-consumers, food-scanners have recently gained publicity and show potential as instruments for quality assessment along the fruit and vegetable supply chain. The current study explores preferences and concerns of chain actors regarding the implementation of this technology through semi-structured interviews. Results indicate that food-scanners could facilitate quality control at different levels of the fresh produce supply chain by providing fast, non-destructive and objective measurements. Concerns about the application of food-scanners could be identified with respect to potential additional requirements of trading companies resulting in more pressure on producers. The use of food-scanners by end-consumers is discussed critically. To further a goal-oriented and user-directed development of this new technology, future research should be directed at its impacts on perception of fruit quality along the chain as well as end-consumersâ readiness to use these devices in everyday life
Determination of tomato quality attributes using portable NIR-sensors
As part of a research project a multidisciplinary approach of different research institutes is followed to investigate the possibility of using a commercially available miniaturized NIR-sensor for the determination of tomato fruit quality parameters in postharvest. Correlation of spectra and tomato reference values of firmness, dry matter and total soluble solids showed good prediction accuracy. Additionally the decline of firmness over storage time with respect to storage temperature of tomatoes could be modelled. Therefore, the decline of firmness as an indicator for shelf-life can be predicted using this portable NIR-Sensor
Evaluating the practicability of commercial food-scanners for non-destructive quality assessment of tomato fruit
The assessment of tomato fruit quality depends on a variety of extrinsic and intrinsic quality parameters such as color, firmness and sugar content. Conventional measurement methods of these quality parameters are time consuming, require various measurement de-vices, and in case of intrinsic quality, involve destructive measurements. Latest research focused on the non-destructive determination of these parameters by using spectroscopic measurements. The goal of this study was to evaluate the capability of three commercially available portable and miniaturized VIS /NIR spectrometers, so called food-scanners, in predicting various tomato quality attributes in a non-destructive way. Additionally, this study evaluated the software provided by manufacturers for building of prediction models by comparing the results derived from those software tools to state-of-the-art software for multivariate analysis. Evaluation of food-scanner spectra resulted in prediction models of high accuracy (rÂČ > 0.90) for tomato fruit firmness, dry matter, total soluble solids and color values L*, a* and h°. Prediction models computed with manufacturerâs soft-ware showed similar accuracy to those derived from state-of-the-art evaluation software. Results of this study illustrate the great potential of commercial food-scanners for non-destructive quality measurement. Further important features of food-scanners with respect to the application along the fresh produce supply chain are addressed
Towards developing a Core Outcome Set for malnutrition intervention studies in older adults: a scoping review to identify frequently used research outcomes
Purpose: To conduct a scoping review to provide a systematic overview of outcomes used in nutritional intervention studies focused on the treatment of protein-energy malnutrition in older adults. // Methods: A systematic search of four electronic databases (Medline, EMBASE, CINAHL and Cochrane Central Register of Controlled Trials (CENTRAL) was performed to retrieve randomized controlled trials (RCTs), published until March 9, 2020, that evaluated the effect of nutritional interventions to treat protein-energy malnutrition in older adults and those at risk for malnutrition. Two authors screened titles, abstracts and full texts independently. One author extracted data that were cross-checked by another author. // Results: Sixty-three articles reporting 60 RCTs were identified. Most frequently used outcomes included body weight/body mass index (75.0% of RCTs), dietary intake (61.7%), functional limitations (48.3%), handgrip strength (46.7%), and body circumference (40.0%). The frequencies differed by setting (community, hospital and long-term care). For some outcomes there was a preferred assessment method (e.g., Barthel index for functional limitations), while for other outcomes (e.g., functional performance) a much greater variation was observed. // Conclusion: A large variation in outcomes, not only across but also within settings, was identified in nutritional intervention studies in malnourished older adults and those at risk. Furthermore, for many outcomes there was a large variation in the used assessment method. These results highlight the need for developing a Core Outcome Set for malnutrition intervention studies in older adults to facilitate future meta-analyses that may enhance our understanding on the effectiveness of treatment
a scoping review to identify frequently used research outcomes
© 2022. The Author(s).PURPOSE: To conduct a scoping review to provide a systematic overview of outcomes used in nutritional intervention studies focused on the treatment of protein-energy malnutrition in older adults. METHODS: A systematic search of four electronic databases (Medline, EMBASE, CINAHL and Cochrane Central Register of Controlled Trials (CENTRAL) was performed to retrieve randomized controlled trials (RCTs), published until March 9, 2020, that evaluated the effect of nutritional interventions to treat protein-energy malnutrition in older adults and those at risk for malnutrition. Two authors screened titles, abstracts and full texts independently. One author extracted data that were cross-checked by another author. RESULTS: Sixty-three articles reporting 60 RCTs were identified. Most frequently used outcomes included body weight/body mass index (75.0% of RCTs), dietary intake (61.7%), functional limitations (48.3%), handgrip strength (46.7%), and body circumference (40.0%). The frequencies differed by setting (community, hospital and long-term care). For some outcomes there was a preferred assessment method (e.g., Barthel index for functional limitations), while for other outcomes (e.g., functional performance) a much greater variation was observed. CONCLUSION: A large variation in outcomes, not only across but also within settings, was identified in nutritional intervention studies in malnourished older adults and those at risk. Furthermore, for many outcomes there was a large variation in the used assessment method. These results highlight the need for developing a Core Outcome Set for malnutrition intervention studies in older adults to facilitate future meta-analyses that may enhance our understanding on the effectiveness of treatment.publishersversionepub_ahead_of_prin
ESPEN Guideline on Clinical Nutrition and Hydration in Geriatrics
Background: Malnutrition and dehydration are widespread in older people, and obesity is an increasing problem. In clinical practice, it is often unclear which strategies are suitable and effective in counteracting these key health threats. Aim: To provide evidence-based recommendations for clinical nutrition and hydration in older persons in order to prevent and/or treat malnutrition and dehydration. Further, to address whether weight-reducing interventions are appropriate for overweight or obese older persons. Methods: This guideline was developed according to the standard operating procedure for ESPEN guidelines and consensus papers. A systematic literature search for systematic reviews and primary studies was performed based on 33 clinical questions in PICO format. Existing evidence was graded according to the SIGN grading system. Recommendations were developed and agreed in a multistage consensus process. Results: We provide eighty-two evidence-based recommendations for nutritional care in older persons, covering four main topics: Basic questions and general principles, recommendations for older persons with malnutrition or at risk of malnutrition, recommendations for older patients with specific diseases, and recommendations to prevent, identify and treat dehydration. Overall, we recommend that all older persons shall routinely be screened for malnutrition in order to identify an existing risk early. Oral nutrition can be supported by nursing interventions, education, nutritional counselling, food modification and oral nutritional supplements. Enteral nutrition should be initiated if oral, and parenteral if enteral nutrition is insufficient or impossible and the general prognosis is altogether favorable. Dietary restrictions should generally be avoided, and weight-reducing diets shall only be considered in obese older persons with weight-related health problems and combined with physical exercise. All older persons should be considered to be at risk of low-intake dehydration and encouraged to consume adequate amounts of drinks. Generally, interventions shall be individualized, comprehensive and part of a multimodal and multidisciplinary team approach. Conclusion: A range of effective interventions is available to support adequate nutrition and hydration in older persons in order to maintain or improve nutritional status and improve clinical course and quality of life. These interventions should be implemented in clinical practice and routinely used
Validation of a proxyâreported SARCâF questionnaire for current and retrospective screening of sarcopeniaârelated functional impairments
BACKGROUND: The strength, assistance walking, rise from a chair, climb stairs, and falls (SARCâF) questionnaire is a wellâestablished instrument for screening of sarcopenia and sarcopeniaârelated functional impairments. As it is based on selfâreporting, its use precludes patients who are unable to answer the questionnaire as a consequence of severe acute diseases or cognitive impairment. Therefore, we aimed to validate a proxyâreported version of the SARCâF for both adâhoc as well as retrospective screening for severe sarcopeniaârelated functional impairments. METHODS: Patients aged â„60 years completed the SARCâF and performed the short physical performance battery (SPPB) at baseline (T1). Proxies in Cohort A gave a simultaneous assessment of the patients' functional status with the proxyâreported SARCâF at T1 and again, retrospectively, after 3 months (T2). Proxies in Cohort B only completed the SARCâF retrospectively at T2. The questionnaires' performances were assessed through sensitivity/specificity analyses and receiver operating characteristic (ROC) curves. For nonâinferiority analyses, results of both the patientâreported and proxyâreported SARCâF were correlated with the SPPB total score as well as the results of the chairârise test subcategory; the respective correlation coefficients were tested against each other. RESULTS: One hundred and four patients and 135 proxies participated. Using a SPPB score < 9 points as the reference standard, the proxyâreported SARCâF identified patients at high risk for sarcopeniaârelated functional impairment with a sensitivity of 0.81 (adâhoc), 0.88 (retrospective Cohort A), and 0.87 (retrospective Cohort B) as well as a specificity of 0.89 (adâhoc), 0.78 (retrospective Cohort A), and 0.64 (retrospective Cohort B). Areas under the ROC curves were â„ 0.9 for the adâhoc proxyâreported SARCâF and the retrospective proxyâreported SARCâF in both cohorts. The proxyâreported SARCâF showed a nonâinferior correlation with the SPPB compared with the patientâreported SARCâF for adâhoc (P = <0.001) as well as retrospective screening for severe sarcopeniaârelated functional impairment in both Cohorts A (P = 0.007) and B (P = 0.026). CONCLUSIONS: Proxyâreported SARCâF is a valid instrument for both adâhoc as well as retrospective screening for sarcopeniaârelated functional impairment and could become the standard tool for evaluating this risk in older adults with severe acute disease, for example, in patients with quickly evolving haematological conditions
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