<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-06-14T03:44:43Z</responseDate><request verb="GetRecord" identifier="oai:repisalud.isciii.es:20.500.12105/18513" metadataPrefix="marc">https://repisalud.isciii.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:repisalud.isciii.es:20.500.12105/18513</identifier><datestamp>2024-11-28T14:48:26Z</datestamp><setSpec>com_20.500.12105_15322</setSpec><setSpec>com_20.500.12105_2051</setSpec><setSpec>col_20.500.12105_16927</setSpec></header><metadata><record xmlns="http://www.loc.gov/MARC21/slim" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/MARC21/slim http://www.loc.gov/standards/marcxml/schema/MARC21slim.xsd">
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      <subfield code="a">Cornejo-Pareja, Isabel</subfield>
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      <subfield code="a">Ramirez, Maria</subfield>
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      <subfield code="a">Camprubi-Robles, Maria</subfield>
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      <subfield code="a">Rueda, Ricardo</subfield>
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      <subfield code="a">Vegas-Aguilar, Isabel Maria</subfield>
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      <subfield code="a">Garcia-Almeida, Jose Manuel</subfield>
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      <subfield code="c">2021-12-03</subfield>
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      <subfield code="a">This is a retrospective study of data from clinical practice to observe the effect of a high-calorie, high-protein oral nutritional supplement (ONS) with β-hydroxy-β-methylbutyrate (HMB) on nutritional status, body weight, and muscle-related parameters in 283 adult patients with or at risk of malnutrition under standard of care, 63% being cancer patients. They were recommended to increase physical activity and energy and protein intake from regular diet plus two servings per day of a specialized ONS enriched with HMB or standard ONS for up to 6 months. Dietary records, adherence and tolerance to ONS, nutritional status, body composition, handgrip strength, and blood analysis at the beginning and the end of the intervention were recorded. This program improved nutritional status from 100% malnourished or at risk of malnutrition at baseline to 80% well-nourished at final visit. It also increased body weight by 3.6-3.8 kg, fat-free mass by 0.9 to 1.3 kg, and handgrip strength by 4.7 to 6.2 kg. In a subgroup of patients (n = 43), phase angle (PhA), and body cell mass (BCM) increased only in the patients receiving the ONS enriched with HMB (0.95 (0.13) vs. -0.36 (0.4), and 2.98 (0.5) vs. -0.6 (1.5) kg, mean difference (SE) from baseline for PhA and BCM, respectively), suggesting the potential efficacy of this supplement on muscle health.</subfield>
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      <subfield code="a">10.3390/nu13124355</subfield>
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      <subfield code="a">Nutrients</subfield>
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      <subfield code="a">http://hdl.handle.net/10668/4358</subfield>
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      <subfield code="a">http://hdl.handle.net/20.500.12105/18513</subfield>
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      <subfield code="a">Malnutrition</subfield>
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      <subfield code="a">Muscle loss</subfield>
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      <subfield code="a">Oral nutritional supplements</subfield>
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      <subfield code="a">β-hydroxy-β-methylbuty rate</subfield>
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      <subfield code="a">Phase angle</subfield>
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      <subfield code="a">Body cell mass</subfield>
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      <subfield code="a">Nutritional status</subfield>
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      <subfield code="a">Body composition</subfield>
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      <subfield code="a">Body weight</subfield>
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      <subfield code="a">Vitamin D</subfield>
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      <subfield code="a">Desnutrición</subfield>
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      <subfield code="a">Músculos</subfield>
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      <subfield code="a">Suplementos dietéticos</subfield>
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      <subfield code="a">Neoplasias</subfield>
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      <subfield code="a">Estado nutricional</subfield>
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      <subfield code="a">Composición corporal</subfield>
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      <subfield code="a">Peso corporal</subfield>
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      <subfield code="a">Vitamina D</subfield>
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      <subfield code="a">Effect on an Oral Nutritional Supplement with β-Hydroxy-β-methylbutyrate and Vitamin D on Morphofunctional Aspects, Body Composition, and Phase Angle in Malnourished Patients</subfield>
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