Mar Ruperto

Mar Ruperto
University Foundation San Pablo CEU | CEU · Pharmaceutical and Food Sciences

BSc Human Nutrition, MSc (Clinical Nutrition), PhD Nutrition

About

86
Publications
86,254
Reads
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497
Citations
Introduction
Additional affiliations
September 2018 - March 2020
University Foundation San Pablo CEU
Position
  • Professor
Description
  • Subjects. Clinical nutrition
September 2012 - September 2019
Universidad Alfonso X el Sabio
Position
  • Professor (Associate)
Description
  • Subjects: Clinical Nutrition, Diet Therapy and Research Methodology in Nutrition
Education
September 2004 - July 2009
Complutense University of Madrid
Field of study
  • Chonic kidney disease, hemodialysis , nutrition
June 2000 - June 2002
September 1998 - September 1999
Universidad Autónoma de Madrid
Field of study
  • Msc Clinical Nutrition

Publications

Publications (86)
Article
Full-text available
Nutritional and inflammatory disorders are factors that increase the risk of adverse clinical outcomes and mortality in elderly hemodialysis (HD) patients. This study aimed to examine nutritional and inflammation status as well as body composition in older adults on HD compared to matched controls. A case–control study was conducted on 168 older pa...
Article
Introduction: Elderly people on chronic drug treatment are one of the population groups with the highest risk of developing alterations in hydration status. One of the drugs most consumed by this population group and that can trigger the onset of dehydration are statins. However, up to date, these interactions have not been studied in depth. Object...
Poster
Background and Aims The increase in visceral fat is one of the factors that contribute to the increased cardiovascular risk associated with CKD. There are few data on the prevalence of hepatic steatosis in patients with CKD. The Maltron multifrequency BIA offers us the possibility of evaluating it. The purpose of this study was to determine the pre...
Article
Full-text available
Background Nutritional and inflammation status are significant predictors of morbidity and mortality risk in advanced chronic kidney disease (ACKD). To date, there are a limited number of clinical studies on the influence of nutritional status in ACKD stages 4–5 on the choice of renal replacement therapy (RRT) modality. Aim This study aimed to exa...
Article
Full-text available
The multiple roles of polyunsaturated fatty acids (PUFA) in growth and general health are well documented. However, available intake data for the Spanish population are limited and lack gender and age considerations. Therefore, our goal was to assess dietary intake adequacy of omega-3 and omega-6 PUFA, their determinants and their major food source...
Article
Full-text available
Noise-induced hearing loss is the most frequent and preventable occupational disease. Aviation pilots are a vulnerable population, as they spend many hours exposed to noise pollution in their working environment. Different studies suggest that certain dietary compounds may play a key role in the etiology and prevention of this pathology. We aimed t...
Article
Full-text available
Nutritional monitoring in advanced chronic kidney disease (ACKD) units provides personalized care and improves clinical outcomes. This study aimed to identify mortality risk factors in chronic kidney disease (CKD) patients on nutritional follow-up in the multidisciplinary ACKD unit. A retrospective cross-sectional observational study was conducted...
Article
Full-text available
Nutritional status is a predictor of adverse outcomes and mortality in patients with advanced chronic kidney disease (ACKD). This study aimed to explore and evaluate risk factors related to nutritional status, body composition, and inflammatory profile in patients with ACKD compared with age- and sex-matched controls in a Mediterranean cohort of th...
Article
Full-text available
Foods for special medical purposes (FSMPs) are commercially available formulations used as a source of nutrition when administered orally or by tube feeding. This study examines, for the first time, the nutritional composition of enteral formulae (EFs) according to European nutritional guidelines. We developed a descriptive study on 118 EFs from 20...
Article
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Gut microbiota has received significant attention owing to its decisive role in human health and disease. Diet exerts a significant influence on the variety and number of bacteria residing in the intestinal epithelium. On the other hand, as iron is a key micronutrient for blood formation and oxygen supply, its deficiency is highly prevalent worldwi...
Article
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The extracellular mass/body cell mass ratio (ECM/BCM ratio) is a novel indicator of nutritional and hydration status in hemodialysis (HD) patients. This study aimed to explore the ECM/BCM ratio as a predictor of mortality risk with nutritional-inflammatory markers in HD patients. A prospective observational study was conducted in 90 HD patients (ma...
Article
Full-text available
Older people are a high-risk group for coronavirus disease 2019 (COVID-19) because of a range of factors, including age-related changes in anatomical pulmonary and muscle function, decreased immunity and increased inflammation. These factors partly explain why older people with COVID-19 experience more severe symptoms and higher mortality than youn...
Article
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Cognitive impairment and Alzheimer’s Disease, among other cognitive dysfunctions, has been recognized as a major public health problem. Folic acid is a well-known essential nutrient whose deficiency has been linked to neurocognitive dysfunctions, owing to hyperhomocysteinemia, an independent risk factor for cardio- and cerebrovascular diseases, inc...
Article
Full-text available
Background Patients with cystic fibrosis (CF) and pancreatic insufficiency need pancreatic enzyme replacement therapy (PERT) for dietary lipids digestion. There is limited evidence for recommending the adequate PERT dose for every meal, and controlling steatorrhea remains a challenge. This study aimed to evaluate a new PERT dosing method supported...
Article
Background & aims Docohexanoic acid (DHA), a dietary n-3 polyunsaturated fatty-acid omega-3 (n-3, PUFA), showed potential beneficial effects in reducing all-cause mortality in hemodialysis (HD) patients. This randomized trial aimed to analyze whether DHA supplementation was a modulator of erythropoietin (EPO) response and inflammation in hemodialys...
Article
Full-text available
Introduction: The Nutrition Care Process (NCP) and NCP Terminology (NCPT) provides a performance protocol that allows encouraging critical thinking, promoting evidence-based professional practice, documenting it, measuring outcomes and evaluating the quality of nutritional care. Objective: To increase awareness of using NCP and NCPT, its basic elem...
Article
Background Most patients with cystic fibrosis (CF) suffer from pancreatic insufficiency (PI), leading to fat malabsorption, malnutrition, abdominal discomfort and impaired growth. Pancreatic enzyme replacement therapy (PERT) is effective, but evidence based guidelines for dose adjustment are lacking. A mobile app for self-management of PERT was dev...
Article
Full-text available
Background Most patients with cystic fibrosis (CF) suffer from pancreatic insufficiency, leading to fat malabsorption, malnutrition and abdominal discomfort. Until recently, no specific tool was available for assessing gastro-intestinal related quality of life (GI QOL) in patients with CF. As the Horizon2020 project MyCyFAPP aims to improve GI QOL...
Article
Background & aims: Extracellular mass-to-body cell mass ratio (ECM/BCM ratio) which differentiates the proportion between intraextracellular compartments, could be a nutrition index of being wasted overloaded in hemodialysis (HD) patients. This study aimed to describe a cut-off point of the ECM/BCM ratio and, to find out the relationship between t...
Article
Full-text available
Background A method to adjust Pancreatic Enzyme Replacement Therapy in Cystic Fibrosis is not currently available. Objectives To assess the in vivo efficacy of a method to adjust the dose of enzymatic supplement in CF extrapolated from previous in vitro digestion studies (theoretical optimal dose, TOD). Secondly, to assess how individual patient c...
Article
Background: Optimal nutrition for children with cystic fibrosis (CF) improves prognosis and survival, but an increased caloric intake recommendation for this population raises concerns about the nutrient profile of their diets. Objective: Our aim was to assess the relative contribution of food groups to the total macronutrient intake of European...
Article
Full-text available
Introduction A controlled protein intake has shown beneficial effects to preserve renal function and nutritional status in chronic kidney disease (CKD) patients. This study aimed to analyze usual dietary protein intake and its potential contribution to body composition in CKD patients in stages 3–5. Method Cross-sectional study in 134 CKD patients...
Article
Full-text available
Introduction: A controlled protein intake has shown beneficial effects to preserve renal function and nutritional status in chronic kidney disease (CKD) patients. This study aimed to analyze usual dietary protein intake and its potential contribution to body composition in CKD patients in stages 3-5. Method: Cross-sectional study in 134 CKD pati...
Article
Background: The New European guidelines have established the most updated recommendations on nutrition and pancreatic enzyme replacement therapy (PERT) in CF. In the context of MyCyFAPP project - a European study in children with CF aimed at developing specific tools for improvement of self-management - the objective of the current study was to as...
Article
Full-text available
Introducción: El sobrepeso y la obesidad son reconocidos factores de riesgo de mortalidad en la población general. El objetivo del estudio fue analizar la distribución fenotípica del índice de masa corporal (IMC), e identificar la prevalencia de desnutrición y los factores clínico-nutricionales relacionados con el IMC en ancianos autónomos instituc...
Article
Full-text available
Abdominal fat has been recognized as the most hormonally active tissue secreting a variety of adipocytokines and, therefore, potentially contributing to inflammation. The conicity index (Cindex) has been considered a valuable indicator of central obesity. This study aims to relate plasma concentrations of leptin, adiponectin, interleukin-6 (IL-6),...
Article
Full-text available
Introduction: meat products have been recognized to be adequate matrix for incorporating functional ingredients. The impact of meat products formulated by replacing animal fat with a combination of olive, linseed and fish oils on energy and nutrient intakes and anthropometric measurements were tested in a non-randomized-controlled- sequential stud...
Article
Full-text available
Background Protein-energy wasting (PEW) is a highly prevalent condition in haemodialysis patients (HD). The potential usefulness of nutritional-inflammatory markers in the diagnosis of PEW in chronic kidney disease has not been established completely. We hypothesised that a combination of serum albumin, percentage of mid-arm muscle circumference an...
Article
Full-text available
Introduction: Malnutrition/wasting/cachexia are complex-disease conditions that frequently remain undiagnosed and/or untreated in up to 75% of prevalent hemodialysis (HD) patients. The nutrition care process (NCP) based on assessment, diagnosis, intervention and monitoring of nutritional status is a systematic method that nutrition professionals u...
Article
Introduction: Bioelectrical impedance analysis (BIA) is a non-invasive, safe method used for body composition and hydration status assessment in hemodialysis patients (HD). Objective: To evaluate the influence of body size by measuring BMI and BIA-derived variables [fat mass (FM), phase angle (PA), and hydration status] in HD. Patients and methods:...
Article
Full-text available
Introduction: Abdominal fat mass is an important risk factor of inflammation in the general population as it is in haemodialysis (HD) patients. The aim of this study was to investigate the association of adiposity using the conicity index (Ci) with nutritional-inflammatory markers and to analyse whether these factors were related with the clinical...
Article
Full-text available
Prescription of protein intake in CKD is complicated by potential conflicts between goals to delay progression of CKD and preserve nutritional status. Providing a protein intake of about 0.75 g/kg/day appears reasonable in patients with GRF > 30 mL (CKD stages 1-3). In CKD stage 4 and 5, it is recommended to provide a protein intake of about 0.6 g/...
Article
Full-text available
Nuts have been included in human diets for ages. They are very appreciated and used as a central component of sweets and desserts. However, during the last decades, scientific interest in those foods has increased enormously as many epidemiologic studies show protective effects of nut consumption on coronary heart disease in different population gr...
Article
To assess the concordance between corporal self-perception and BMI calculated in a population of volunteers. Secondary objectives: to know the percentage of overweight, normoweight and obese individuals in this population. The study includes 160 volunteers recruited at the Gómez Ulla and Severo Ochoa Hospitals in Madrid during the 4th edition of th...
Article
Full-text available
Objectives: To assess the concordance between corpo- ral self-perception and BMI calculated in a population of volunteers. Secondary objectives: to know the percen- tage of overweight, normoweight and obese individuals in this population. Subjects: The study includes 160 volunteers recruited at the Gómez Ulla and Severo Ochoa Hospitals in Ma- drid...
Article
Full-text available
RESUMEN • La prescripción de la ingesta proteica en ERC es comple-ja por los conflictos potenciales existentes para retrasar la progresión de la ERC y preservar el estado nutricional. Proporcionar alrededor de 0,75 g proteínas/ kg/ día pa-rece razonable en pacientes con FG > 30 mL (ERC esta-dios 1-3). En estadios 4, 5 es recomendable proporcionar a...

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