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29 pages, 1435 KB  
Article
Effects of Feeding Ratio on the Co-Culture of European Sea Bass (Dicentrarchus labrax) and Glasswort (Salicornia europaea) in a Recirculating Brackish Aquaponic System
by Nikolaos Vlahos, Pier Psofakis, Ioannis Mitsopoulos, Anna Tampou, Anastasios Zotos, Eleni C. Mazarakioti and Panagiotis Berillis
Appl. Sci. 2026, 16(6), 2930; https://doi.org/10.3390/app16062930 - 18 Mar 2026
Viewed by 243
Abstract
Brackish aquaponics is expected to be a promising approach to sustainable food production, integrating saline water resources with simultaneous co-cultivation of fish and halophytes. The present study investigated the effects of three feeding ratios (FR1.5: 1.5%, FR3: 3%, and FR6: 6% b.w/d) on [...] Read more.
Brackish aquaponics is expected to be a promising approach to sustainable food production, integrating saline water resources with simultaneous co-cultivation of fish and halophytes. The present study investigated the effects of three feeding ratios (FR1.5: 1.5%, FR3: 3%, and FR6: 6% b.w/d) on the growth performance of European sea bass (Dicentrarchus labrax) and glasswort (Salicornia europaea) co-cultured in three autonomous one-loop recirculation aquaponic systems (180 L each) at 20 ppt salinity over 78 days. Each system comprised three fish-rearing tanks connected to a two-stage sump filter and a nutrient film technique (NFT) hydroponic subsystem. Sea bass fed at FR3 achieved significantly higher weight gain, specific growth rate, and feed conversion efficiency than FR1.5. At FR6, feed consumption nearly doubled compared to FR3 (3.79 vs. 1.91 g), yet the feed conversion ratio increased from 0.79 to 1.65, and protein efficiency ratio declined from 3.80 to 1.91, indicating overfeeding effects. Regarding glasswort, FR6 produced significantly higher chlorophyll a content and plant biomass, whereas FR1.5 showed superior ammonia removal efficiency. Overall, FR3 provided the best balance between fish growth, plant yield, and water quality maintenance. These findings highlight the critical role of feeding management in brackish aquaponics in order to optimize nutrient coupling between fish and halophyte production. Full article
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18 pages, 1315 KB  
Review
Intensive Care Unit Acquired Weakness as a Modifiable Organ Dysfunction? A Narrative Review of Evolving Diagnostic and Therapeutic Concepts
by Moritz L. Schmidbauer and Konstantinos Dimitriadis
Nutrients 2026, 18(5), 820; https://doi.org/10.3390/nu18050820 - 3 Mar 2026
Viewed by 1232
Abstract
Intensive Care Unit Acquired Weakness (ICUAW) is a highly prevalent neuromuscular complication affecting around 40% of critically ill patients, rising to over 80% in high-risk cohorts. It is independently associated with prolonged mechanical ventilation, increased intensive care unit (ICU) and hospital length of [...] Read more.
Intensive Care Unit Acquired Weakness (ICUAW) is a highly prevalent neuromuscular complication affecting around 40% of critically ill patients, rising to over 80% in high-risk cohorts. It is independently associated with prolonged mechanical ventilation, increased intensive care unit (ICU) and hospital length of stay, elevated mortality (in-hospital, 1-year, and 5-year), higher healthcare costs, and long-term functional impairment. ICUAW is clinically defined by symmetric flaccid tetraparesis, frequently involving respiratory muscles, and exhibits significant pathobiological heterogeneity. Further subclassification is based on neurotopographic patterns: Critical Illness Polyneuropathy (CIP), Myopathy (CIM), and Polyneuromyopathy (CIPNM). Diagnosis typically relies on the Medical Research Council (MRC) Sum Score, with a threshold of <48 indicating clinically relevant weakness. While adjunct modalities such as electromyography/nerve conduction studies support assessment, their utility may be limited by patient cooperation and availability. Preventive strategies center on modifiable metabolic factors. Caloric and protein deficits exacerbate catabolism, while overfeeding—linked to anabolic resistance and stress hyperglycemia—also impairs recovery. To date, pharmacologic interventions remain inconclusive. However, early mobilization and neuromuscular electrical stimulation are promising non-pharmacologic strategies. The multifactorial and heterogeneous pathophysiology of ICUAW highlights the need for a biologically refined definition that can guide future targeted therapeutic interventions. Comprehensive multimodal strategies, together with structured long-term follow-up in Post-Intensive Care Syndrome (PICS) clinics, are essential for improving outcomes in this prevalent complication of critical care. Full article
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13 pages, 290 KB  
Article
Poor Maternal Diet During Gestation Alters Offspring Muscle Morphometrics, Collagen Gene Expression, and Meat Tenderness in Sheep
by Mia Y. Kawaida, Amanda S. Reiter, Nicole M. Tillquist, Brandon I. Smith, Daniela A. Alambarrio, John M. Gonzalez, Stephanie N. Royko, Michela A. Brown, Shawn R. Re, Kristen E. Govoni, Steven A. Zinn and Sarah A. Reed
Animals 2026, 16(3), 486; https://doi.org/10.3390/ani16030486 - 4 Feb 2026
Viewed by 510
Abstract
We hypothesized that maternal overfeeding and restricted feeding during gestation would alter the collagen content, muscle fiber cross-sectional area (CSA), and meat tenderness in offspring. Pregnant ewes were fed 100% (CON), 60% (RES), or 140% (OVER) of their requirements from day 30 of [...] Read more.
We hypothesized that maternal overfeeding and restricted feeding during gestation would alter the collagen content, muscle fiber cross-sectional area (CSA), and meat tenderness in offspring. Pregnant ewes were fed 100% (CON), 60% (RES), or 140% (OVER) of their requirements from day 30 of gestation until parturition. Male offspring were necropsied at 282 ± 1.8 days of age. Gene expression and CSA were quantified in the longissimus (LM) and semitendinosus (STN) muscles. The Warner–Bratzler shear force (WBSF) was quantified in LM. Data were analyzed by one-way ANOVA, with diet as a fixed effect. Differences were considered significant at p ≤ 0.05 or a tendency at p ≤ 0.10. Semitendinosus CSA was smaller in OVER and RES than CON rams (p = 0.02). Longissimus CSA was larger in RES than OVER and CON rams (p = 0.002). OVER LM had reduced WBSF compared with CON rams (p = 0.03). Myogenic genes bone morphogenic protein 1 (BMP1) and paired box 7 were greater in RES LM than OVER (p ≤ 0.02). Maternal diet altered the fibrogenic genes fibronectin 1 (p = 0.07), lysyl oxidase (p = 0.07), and collagen 1A1 (COL1A1; p = 0.08) in the LM and COL1A1, COL3A1, and BMP1 (p ≤ 0.09) in the STN. Poor maternal diet during gestation alters muscle and meat characteristics that may impact meat quality. Full article
(This article belongs to the Special Issue Advancing Meat Quality Through Genetic and Nutritional Insights)
23 pages, 12474 KB  
Article
A Lightweight YOLO-PEGA-Based Method for Quantifying Fish Feeding Intensity
by Xinyu Ai, Shengmao Zhang, Shenglong Yang, Ai Guo, Zuli Wu, Xiumei Fan, Yumei Wu and Yongchuang Shi
Animals 2026, 16(3), 432; https://doi.org/10.3390/ani16030432 - 29 Jan 2026
Viewed by 460
Abstract
In aquaculture production, manual or fixed-schedule feeding often fails to match the real-time feeding level of fish schools, and overfeeding can lead to feed wastage and water-quality deterioration, which has become a major bottleneck for both large-scale farming efficiency and environmental sustainability. During [...] Read more.
In aquaculture production, manual or fixed-schedule feeding often fails to match the real-time feeding level of fish schools, and overfeeding can lead to feed wastage and water-quality deterioration, which has become a major bottleneck for both large-scale farming efficiency and environmental sustainability. During feeding, intense competition and jumping behaviors generate splashes of varying magnitudes, which can serve as an indirect visual proxy for hunger intensity. In this study, we constructed a frame-level splash-annotated dataset and performed data preprocessing. Building upon YOLO11 pretrained weights, we introduced a P2–P5 four-scale detection head to enhance small-splash recognition, injected EGMA into the backbone C3k2 blocks, and replaced stride-2 downsampling convolutions with a three-branch ADown operator. On the validation set, the proposed YOLO11-PEGA achieved a precision of 0.86 and a recall of 0.80, with mAP@0.5 exceeding 0.80 and mAP@0.5–0.95 exceeding 0.30. Compared with the baseline model, the parameter count was reduced by 72.3%. The results demonstrate that the proposed model maintains stable detection and evaluation performance under complex environmental conditions, providing actionable decision support for feeding-threshold setting, feeding-time determination, and feed-amount adjustment. Full article
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19 pages, 2744 KB  
Article
Weighted Gene Co-Expression Network Analysis and Alternative Splicing Analysis Reveal Key Genes Regulating Overfeeding-Induced Fatty Liver in Lion-Head Goose
by Jing Fu, Yezhi Lan, Yuwen Liang, Xiaoguang Yang, Ruize Tang, Yuchuan Wang, Yabiao Luo and Chunpeng Liu
Int. J. Mol. Sci. 2026, 27(1), 407; https://doi.org/10.3390/ijms27010407 - 30 Dec 2025
Viewed by 509
Abstract
Lion-head goose is a large-sized breed native to Guangdong Province, China, exhibits remarkable capacity for fatty liver production under overfeeding conditions and is highly valued by local farmers and consumers. However, the molecular mechanisms driving fatty liver development in this breed are still [...] Read more.
Lion-head goose is a large-sized breed native to Guangdong Province, China, exhibits remarkable capacity for fatty liver production under overfeeding conditions and is highly valued by local farmers and consumers. However, the molecular mechanisms driving fatty liver development in this breed are still unknown. In this study, we evaluated liver weight differences between normally fed and overfed Lion-head geese and further examined sex-specific differences following overfeeding. Overfeeding significantly increased liver weight more than 340%, and males possess a stronger capacity for lipid deposition under the same feeding regimen compared with females. RNA-Seq analysis identified 1476 differentially expressed genes (DEGs) shared by both sexes, which were mainly enriched in lipid and energy metabolism, oxidative stress, and mitochondrial pathways. In addition, 627 male-specific and 420 female-specific DEGs revealed sex-dependent differences, with males showing stronger transcriptional regulation and females exhibiting enhanced antioxidant and detoxification responses. Weighted gene co-expression network analysis (WGCNA) revealed 320 co-hub genes enriched in lipid and energy metabolism in overfeeding-induced fatty liver, along with 9 co-hub genes related to sex differences. Alternative splicing (AS) analysis detected 131 differentially spliced genes (DSGs). Integration of both approaches identified 7 overlapping genes, HYCC2 (Hyccin PI4KA lipid kinase complex subunit 2), AGL (Amylo-Alpha-1,6-Glucosidase and 4-Alpha-Glucanotransferase), CCDC62 (Coiled-coil domain containing 62), IGSF5 (Immunoglobulin superfamily member 5), MGARP (Mitochondria-localized glutamic acid-rich protein), CD80 (Cluster of Differentiation 80), and FPGS (Folylpolyglutamate synthase), as potential key regulators. These findings provide new insights into transcriptional and post-transcriptional regulation of overfeeding-induced fatty liver in geese. Full article
(This article belongs to the Section Molecular Genetics and Genomics)
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20 pages, 4770 KB  
Article
Lipidomic and Transcriptomic Reveals Variations in Lipid Deposition During Goose Fatty Liver Formation
by Qi Zhang, Chuning Bai, Mingai Zhang, Bin Yue, Jing Zhang, Min Kong, Binghan Wang, Baowei Wang and Wenlei Fan
Biology 2025, 14(11), 1617; https://doi.org/10.3390/biology14111617 - 18 Nov 2025
Cited by 1 | Viewed by 1044
Abstract
Goose foie gras production requires force-feeding with high-energy feed, disrupting hepatic lipid homeostasis and causing excessive lipid accumulation. To investigate the formation mechanism, we collected liver samples from Landes geese at pre-force-feeding (D0), mid-force-feeding (D16), and terminal-force-feeding (D25) stages. Overfeeding shifted liver color [...] Read more.
Goose foie gras production requires force-feeding with high-energy feed, disrupting hepatic lipid homeostasis and causing excessive lipid accumulation. To investigate the formation mechanism, we collected liver samples from Landes geese at pre-force-feeding (D0), mid-force-feeding (D16), and terminal-force-feeding (D25) stages. Overfeeding shifted liver color from reddish-brown to yellow, significantly increasing size and weight. Histological analysis revealed pronounced lipid droplet accumulation in hepatocytes. Biochemical analysis indicated force-feeding groups (D16, D25) exhibited continuous and significant decreases in liver moisture, crude ash, and crude protein content compared to D0, while crude fat increased substantially. Integrated transcriptomic and lipidomic analyses identified 497 differentially expressed genes (DEGs) and 368 differential lipid molecules (DLMs) between D16 and D0, and 303 DEGs and 172 DLMs between D25 and D16. KEGG enrichment highlighted four pathways associated with fatty liver formation: glycerolipid metabolism, adipocytokine signaling pathway, ErbB signaling pathway, and MAPK signaling pathway. Within these, key genes (DGAT2, LIPG, LPL, LPIN1, NFKBIA, SLC2A1, AREG, DUSP1, DUSP10, PPARGC1A, NR4A1, PAK5) potentially regulate critical lipid metabolites (1-acyl-sn-glycerol-3-phosphate, 1,2-diacyl-sn-glycerol-3-phosphate, diglyceride, triacylglycerol). These genes and metabolites likely play a dominant role in the development of goose fatty liver, collectively promoting hepatic triacylglycerol accumulation and the progression of goose fatty liver. Full article
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13 pages, 670 KB  
Review
Characteristic Gene Alterations During Fatty Acid Metabolism in the Goose Liver
by Anna Koseniuk
Genes 2025, 16(10), 1137; https://doi.org/10.3390/genes16101137 - 25 Sep 2025
Viewed by 1659
Abstract
The development of hepatic steatosis in geese is a complex, multistage process involving genes related to lipid synthesis, transport, storage, and metabolism. Key genes activated during this process include ME1 (malic enzyme 1), SCD1 (stearoyl-CoA desaturase), ACSL1 (acyl-CoA synthetase long-chain family member 1), [...] Read more.
The development of hepatic steatosis in geese is a complex, multistage process involving genes related to lipid synthesis, transport, storage, and metabolism. Key genes activated during this process include ME1 (malic enzyme 1), SCD1 (stearoyl-CoA desaturase), ACSL1 (acyl-CoA synthetase long-chain family member 1), and ELOVL6 (elongation of very-long-chain fatty acids protein 6). The expression of these genes varies depending on the tissue, breed, and metabolic context. Geese possess a unique ability to develop hepatic steatosis (fatty liver) without accompanying inflammation or liver damage. This condition typically arises from overfeeding, either through carbohydrates or fats, leading to significant triglyceride accumulation in hepatocytes. Importantly, this state remains reversible and is considered non-pathological. The physiological and molecular changes observed in overfed geese, particularly regarding liver lipid accumulation and serum enzyme activity, closely resemble those found in human non-alcoholic fatty liver disease (NAFLD). This similarity makes geese an excellent biomedical model for studying NAFLD. Overfeeding initiates a cascade of enzymatic reactions that regulate lipid metabolism at the genetic level. These reactions decrease circulating free fatty acids and glucose while promoting triglyceride storage in the liver. The aim of this study is to synthesize current knowledge on the genetic regulation of fatty acid metabolism in geese, highlighting how these genes coordinate the processes of activation, desaturation, synthesis, and elongation during induced steatosis. Moreover, the summarized effects of different diet supplements will enhance goose feeding strategies for foie gras production. Full article
(This article belongs to the Special Issue Genetic Breeding of Poultry)
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13 pages, 1832 KB  
Article
Novel Resting Energy Expenditure Prediction Equations for Multi-Ethnic Asian Older Adults with Multimorbidity
by Pei San Kua, Musfirah Albakri, Su Mei Tay, Phoebe Si-En Thong, Olivia Jiawen Xia, Wendelynn Hui Ping Chua, Kevin Chong, Nicholas Wei Kiat Tan, Xin Hui Loh, Jia Hui Tan and Lian Leng Low
Nutrients 2025, 17(13), 2144; https://doi.org/10.3390/nu17132144 - 27 Jun 2025
Cited by 1 | Viewed by 3305
Abstract
Background/Objectives: Malnutrition is prevalent among hospitalized older adults with multimorbidity, leading to adverse health outcomes and increased healthcare costs. An accurate assessment of resting energy expenditure (REE) is crucial because an inaccurate estimation of energy needs may result in unintentional underfeeding or overfeeding, [...] Read more.
Background/Objectives: Malnutrition is prevalent among hospitalized older adults with multimorbidity, leading to adverse health outcomes and increased healthcare costs. An accurate assessment of resting energy expenditure (REE) is crucial because an inaccurate estimation of energy needs may result in unintentional underfeeding or overfeeding, both of which can worsen nutritional status and clinical outcomes. While indirect calorimetry (IC) is the preferred method, its clinical applicability is limited. Prediction equations are commonly used, but their accuracy in older Asian patients with multimorbidity remains unclear. Methods: This multicenter, cross-sectional study enrolled 400 patients aged ≥65 years from March to December 2023 in Outram Community Hospital (OCH) and Sengkang Community Hospital (SKCH). Participants’ REE was measured using indirect calorimetry. We compared the performance of the newly developed novel prediction equations (PEs), derived from readily accessible or easily measured anthropometric data, against established equations. Statistical analysis included the calculation of R2, the root mean square error (RMSE), and the intraclass correlation coefficient (ICC) to assess reliability and goodness of fit. Results: A high prevalence (85%) of multimorbidity was observed among the participants. REE increased progressively with body mass index (BMI) across all groups (865.6–1269.4 kcal in females; 889.1–1269.4 kcal in males). The novel PEs (RMSE: 186–191; ICC: 0.5–0.52) demonstrated improved accuracy and stronger reliability compared to conventional equations (RMSE: 222–258; ICC: 0.271–0.460). Conclusions: Our newly developed PEs offer potentially valuable tools for precise REE estimation in hospitalized older Asian patients with multimorbidity. Further external validation and investigation in diverse populations are necessary to confirm these results. Full article
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10 pages, 607 KB  
Article
Energy Expenditure in Critically Ill Obese Patients—A Prospective Observational Study
by Geraldine de Heer, Christoph Burdelski, Constantin Ammon, Anna Leonie Doliwa, Pascal Hilbert, Stefan Kluge and Jörn Grensemann
Nutrients 2025, 17(13), 2060; https://doi.org/10.3390/nu17132060 - 20 Jun 2025
Cited by 1 | Viewed by 2845
Abstract
Introduction: In critically ill obese patients, both overfeeding and underfeeding have been associated with worsened outcomes, especially in mechanically ventilated patients. While indirect calorimetry (IC) is recommended to measure energy expenditure (EE), it is not widely available, and predictive formulas often lack accuracy. [...] Read more.
Introduction: In critically ill obese patients, both overfeeding and underfeeding have been associated with worsened outcomes, especially in mechanically ventilated patients. While indirect calorimetry (IC) is recommended to measure energy expenditure (EE), it is not widely available, and predictive formulas often lack accuracy. This study aimed to assess EE in critically ill obese patients and compare it with septic, non-obese patients as controls using IC. Methods: This prospective observational study was conducted at the University Medical Center Hamburg-Eppendorf, Germany, with 116 intensive care beds. EE was measured using IC at three timepoints: day 2–3 (acute phase), day 5–7 (end of acute phase), and day 10–15 (post-acute phase). Different reference weights were used to calculate EE, including ideal body weight (IBW), adjusted body weight (ABW), and total body weight (TBW). Nitrogen balance was also assessed to evaluate protein requirements. Results: We included 50 patients (28 obese and 22 controls). Equivalence between groups was found when ABW was calculated using 18% of excess body weight (EBW) at a mean of 24.4 kcal/kg/d for both groups. EE at the respective timepoints was 24.0 (95% confidence intervals: 22.1; 25.9), 24.2 (22.0; 26.5), 25.1 (21.4; 28.8) in obese and 24.9 (22.7; 27.0), 23.2 (20.7; 25.6), and 25.3 (21.8; 28.7) kcal/kg/d in control patients. Both groups exhibited a negative nitrogen balance, with the control group achieving nitrogen equilibrium by the post-acute phase. Conclusions: This study supports the ESPEN recommendation to base nutrition on ABW with 20% of EBW in obese critically ill patients when IC is unavailable. Further research is needed to determine optimal protein supplementation strategies and their timing to improve outcomes in this patient population. Full article
(This article belongs to the Special Issue Nutritional Intervention in the Intensive Care Unit: New Advances)
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33 pages, 1914 KB  
Review
Maternal Overnutrition in Beef Cattle: Effects on Fetal Programming, Metabolic Health, and Postnatal Outcomes
by Borhan Shokrollahi, Myungsun Park, Gi-Suk Jang, Shil Jin, Sung-Jin Moon, Kyung-Hwan Um, Sun-Sik Jang and Youl-Chang Baek
Biology 2025, 14(6), 645; https://doi.org/10.3390/biology14060645 - 2 Jun 2025
Cited by 8 | Viewed by 4143
Abstract
Maternal overnutrition and targeted supplements during pregnancy strongly affect fetal development in beef cattle, influencing gene expression, tissue development, and productivity after birth. As modern feeding practices often result in cows receiving energy and protein above requirements, understanding the balance between adequate nutrition [...] Read more.
Maternal overnutrition and targeted supplements during pregnancy strongly affect fetal development in beef cattle, influencing gene expression, tissue development, and productivity after birth. As modern feeding practices often result in cows receiving energy and protein above requirements, understanding the balance between adequate nutrition and overconditioning is critical for sustainable beef production. This review synthesizes findings from recent studies on maternal overnutrition and supplementation, focusing on macronutrients (energy, protein, methionine) and key micronutrients (e.g., selenium, zinc). It evaluates the timing and impact of supplementation during different gestational stages, with emphasis on fetal muscle and adipose tissue development, immune function, and metabolic programming. The role of epigenetic mechanisms, such as DNA methylation and non-coding RNAs, is also discussed in relation to maternal dietary inputs. Mid-gestation supplementation promotes muscle growth by activating muscle-specific genes, whereas late-gestation diets enhance marbling and carcass traits. However, maternal overnutrition may impair mitochondrial efficiency, encourage fat deposition over muscle, and promote collagen synthesis, reducing meat tenderness. Recent evidence highlights sex-specific fetal programming differences, the significant impact of maternal diets on offspring gut microbiomes, and breed-specific nutritional responses, and multi-OMICs integration reveals metabolic reprogramming mechanisms. Targeted trace mineral and methionine supplementation enhance antioxidant capacity, immune function, and reproductive performance. Precision feeding strategies aligned with gestational requirements improve feed efficiency and minimize overfeeding risks. Early interventions, including protein and vitamin supplementation, optimize placental function and fetal development, supporting stronger postnatal growth, immunity, and fertility. Balancing nutritional adequacy without excessive feeding supports animal welfare, profitability, and sustainability in beef cattle systems. Full article
(This article belongs to the Section Biochemistry and Molecular Biology)
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17 pages, 957 KB  
Review
A New Perspective on Overfeeding in the Intensive Care Unit (ICU): Challenges, Dangers and Prevention Methods
by Vlad-Dimitrie Cehan, Alina-Roxana Cehan, Mihai Claudiu Pui and Alexandra Lazar
Life 2025, 15(5), 828; https://doi.org/10.3390/life15050828 - 21 May 2025
Cited by 4 | Viewed by 8280
Abstract
Overfeeding, currently defined as providing excessive energy and nutrients beyond metabolic requirements, is a common yet often overlooked issue in the intensive care unit (ICU) setting. Understanding the factors contributing to overfeeding and implementing strategies to prevent it is essential for optimizing patient [...] Read more.
Overfeeding, currently defined as providing excessive energy and nutrients beyond metabolic requirements, is a common yet often overlooked issue in the intensive care unit (ICU) setting. Understanding the factors contributing to overfeeding and implementing strategies to prevent it is essential for optimizing patient care in the ICU. Several factors contribute to overfeeding in the ICU, including inaccurate estimation of energy requirements, formulaic feeding protocols, and failure to adjust nutritional support based on individual patient needs. Prolonged overfeeding can lead to insulin resistance and hepatic dysfunction, exacerbating glycemic control, increasing the risk of infectious complications, and worsening clinical outcomes. Clinically, overfeeding has been linked to delayed weaning from mechanical ventilation, prolonged ICU stay, and increased mortality rates. Regular review and adjustment of feeding protocols, incorporating advances in enteral and parenteral nutrition strategies, are essential for improving patient outcomes. Clinicians must be proficient in interpreting metabolic data, understanding the principles of energy balance, and implementing appropriate feeding algorithms. Interdisciplinary collaboration among critical care teams, including dieticians, physicians, and nurses, is crucial for ensuring consistent and effective nutritional management. Overfeeding remains a significant concern in the ICU after discharge as well, implying further complications for patient safety and integrity. By understanding the causes, consequences, and strategies for the prevention of overfeeding, healthcare providers can optimize nutrition therapy and mitigate the risk of metabolic complications. Through ongoing education, interdisciplinary collaboration, and evidence-based practice, the ICU community can strive to deliver personalized and precise nutritional support to critically ill patients. Full article
(This article belongs to the Special Issue Critical Issues in Intensive Care Medicine)
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93 pages, 4250 KB  
Review
White Adipocyte Stem Cell Expansion Through Infant Formula Feeding: New Insights into Epigenetic Programming Explaining the Early Protein Hypothesis of Obesity
by Bodo C. Melnik, Ralf Weiskirchen, Swen Malte John, Wolfgang Stremmel, Claus Leitzmann, Sabine Weiskirchen and Gerd Schmitz
Int. J. Mol. Sci. 2025, 26(10), 4493; https://doi.org/10.3390/ijms26104493 - 8 May 2025
Cited by 2 | Viewed by 4836
Abstract
Prolonged breastfeeding (BF), as opposed to artificial infant formula feeding (FF), has been shown to prevent the development of obesity later in life. The aim of our narrative review is to investigate the missing molecular link between postnatal protein overfeeding—often referred to as [...] Read more.
Prolonged breastfeeding (BF), as opposed to artificial infant formula feeding (FF), has been shown to prevent the development of obesity later in life. The aim of our narrative review is to investigate the missing molecular link between postnatal protein overfeeding—often referred to as the “early protein hypothesis”—and the subsequent transcriptional and epigenetic changes that accelerate the expansion of adipocyte stem cells (ASCs) in the adipose vascular niche during postnatal white adipose tissue (WAT) development. To achieve this, we conducted a search on the Web of Science, Google Scholar, and PubMed databases from 2000 to 2025 and reviewed 750 papers. Our findings revealed that the overactivation of mechanistic target of rapamycin complex 1 (mTORC1) and S6 kinase 1 (S6K1), which inhibits wingless (Wnt) signaling due to protein overfeeding, serves as the primary pathway promoting ASC commitment and increasing preadipocyte numbers. Moreover, excessive protein intake, combined with the upregulation of the fat mass and obesity-associated gene (FTO) and a deficiency of breast milk-derived microRNAs from lactation, disrupts the proper regulation of FTO and Wnt pathway components. This disruption enhances ASC expansion in WAT while inhibiting brown adipose tissue development. While BF has been shown to have protective effects against obesity, the postnatal transcriptional and epigenetic changes induced by excessive protein intake from FF may predispose infants to early and excessive ASC commitment in WAT, thereby increasing the risk of obesity later in life. Full article
(This article belongs to the Section Molecular Endocrinology and Metabolism)
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16 pages, 2158 KB  
Article
The Impact of Feeding Rates on the Growth, Stress Response, Antioxidant Capacity, and Immune Defense of Koi (Cyprinus carpio var. koi)
by Saixing Duan, Shengyu Gao, Xiaolong Xu, Qi Wei, Ze Tao, Gaoxiao Xu, Quanzhou Liu, Bing Wei and Chaofan He
Fishes 2025, 10(4), 181; https://doi.org/10.3390/fishes10040181 - 16 Apr 2025
Cited by 5 | Viewed by 4012
Abstract
The feeding rate is critical for fish growth and the feed conversion ratio (FCR). Prior research has primarily evaluated the optimal feeding rate by examining growth performance and the FCR. Given the high cost of koi as an ornamental fish, it is essential [...] Read more.
The feeding rate is critical for fish growth and the feed conversion ratio (FCR). Prior research has primarily evaluated the optimal feeding rate by examining growth performance and the FCR. Given the high cost of koi as an ornamental fish, it is essential to consider the effects of feeding rates on its welfare and health. This study aimed to examine the impact of the feeding rate on the growth, stress response, antioxidant capacity, and immune defense of koi. A total of 240 fish, with an initial body weight of 10.02 ± 0.18 g, were randomly assigned to six groups and fed expanded diets at 1%, 2%, 3%, 4%, 5%, and 6% of body weight per day (BW/day) for a duration of eight weeks. The study results indicated that the daily weight gain of fish at 3–4% BW/day was significantly greater than that of the other groups. Fish in both high and low feeding rate groups exhibited reduced antioxidant capacity and heightened inflammatory response, as indicated by a notable decrease in catalase (CAT) and superoxide dismutase (SOD) activity, along with diminished expression of cat and sod, as well as a significant increase in the expression of tnf-α, il1, and il10. The elevated feeding rate did not enhance immune defense mechanisms. Furthermore, a low feeding rate resulted in heightened stress and reduced immunity in koi, as indicated by a significant reduction in plasma cortisol (COR), complement C3, complement C4, total protein (TP), albumin (ALB), and globulin (GLO) levels, along with decreased activities of lysozyme (LZM) and myeloperoxidase (MPO). The optimal feeding rate for enhancing non-specific immunity in koi is a daily intake of 3–4% of body weight on extruded feed. Our findings reveal that underfeeding led to diminished antioxidants and immune defenses in koi, while overfeeding also proved detrimental. An optimal feeding rate of 3–4% body weight per day is necessary to enhance growth and health in this species. Full article
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7 pages, 354 KB  
Article
Infants’ Feeding Habits and Brief Resolved Unexplained Events (BRUEs): A Prospective Observational Study
by Paolo Quitadamo, Caterina Mosca, Alessandra Verde, Giulio De Marco, Valentina Giorgio, Francesco Valitutti, Pasquale Dolce, Marisa Piccirillo, Melania Evangelisti, Marialuisa Andreozzi, Ludovica Carangelo and Giovanni Di Nardo
J. Clin. Med. 2025, 14(6), 1910; https://doi.org/10.3390/jcm14061910 - 12 Mar 2025
Cited by 1 | Viewed by 1364
Abstract
Background: A brief resolved unexplained event (BRUE) is a brief, sudden episode occurring in infants younger than 1 year of age, characterized by some combination of absent, decreased, or irregular breathing, an altered level of responsiveness, color change, and change in muscle tone. [...] Read more.
Background: A brief resolved unexplained event (BRUE) is a brief, sudden episode occurring in infants younger than 1 year of age, characterized by some combination of absent, decreased, or irregular breathing, an altered level of responsiveness, color change, and change in muscle tone. Although inappropriate feeding has been suggested as playing a role in the occurrence of BRUEs, only anecdotal reports have been described. The main objective of our study was to objectively evaluate whether overfeeding may represent a risk factor for the occurrence of BRUEs. Methods: We enrolled 42 infants aged 0–6 months and admitted for BRUE episodes and the same number of age- and sex-matched healthy infants who served as controls. Data about feeding practices and auxological parameters of each enrolled infant were collected and analyzed, along with clinical data about the pre- and post-natal period. The primary outcome measures were mean daily body weight gain, daily number of feedings, mean volume of feedings, and average daily volume only for bottle-fed infants. Results: The mean (±SD) daily body weight gain, the only available and reliable parameter to assess feeding adequacy in both breast- and formula-fed infants, was 41 ± 15 g in infants with BRUEs vs. 35 ± 11 g in healthy infants (95% CI [0.21; 11.8], p = 0.042). Moreover, infants with BRUEs were more likely to receive mixed breastfeeding than controls, although this difference did not reach statistical significance (33% vs. 17%, 95 CI [−0.04; 0.37], p = 0.131). Conclusions: Overfeeding seems to be a risk factor for BRUEs, either through milk inhalation, choking, or GER worsening. Detecting inappropriate feeding practices and providing appropriate education may help prevent the BRUE produced by either scenario. Full article
(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
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21 pages, 1410 KB  
Review
The Influence of Physical Exercise, Ketogenic Diet, and Time-Restricted Eating on De Novo Lipogenesis: A Narrative Review
by Antonio Paoli
Nutrients 2025, 17(4), 663; https://doi.org/10.3390/nu17040663 - 13 Feb 2025
Cited by 14 | Viewed by 16722
Abstract
De novo lipogenesis (DNL) is a metabolic pathway that converts carbohydrates into fatty acids, primarily occurring in the liver and, to a lesser extent, in adipose tissue. While hepatic DNL is highly responsive to dietary carbohydrate intake and regulated by insulin via transcription [...] Read more.
De novo lipogenesis (DNL) is a metabolic pathway that converts carbohydrates into fatty acids, primarily occurring in the liver and, to a lesser extent, in adipose tissue. While hepatic DNL is highly responsive to dietary carbohydrate intake and regulated by insulin via transcription factors like SREBP-1c, adipose DNL is more modest and less sensitive to dietary overfeeding. Dysregulated DNL contributes to metabolic disorders, including metabolic dysfunction-associated steatotic liver disease (MASLD). Lifestyle interventions, such as physical exercise, ketogenic diets, and time-restricted eating (TRE) offer promising strategies to regulate DNL and improve metabolic health. Physical exercise enhances glucose uptake in muscles, reduces insulin levels, and promotes lipid oxidation, thereby suppressing hepatic DNL. Endurance and resistance training also improve mitochondrial function, further mitigating hepatic triglyceride accumulation. Ketogenic diets shift energy metabolism toward fatty acid oxidation and ketogenesis, lower insulin, and directly downregulate lipogenic enzyme activity in the liver. TRE aligns feeding with circadian rhythms by optimizing AMP-activated protein kinase (AMPK) activation during fasting periods, which suppresses DNL and enhances lipid metabolism. The combined effects of these interventions demonstrate significant potential for improving lipid profiles, reducing hepatic triglycerides, and preventing lipotoxicity. By addressing the distinct roles of the liver and adipose DNL, these strategies target systemic and localized lipid metabolism dysregulation. Although further research is needed to fully understand their long-term impact, these findings highlight the transformative potential of integrating these approaches into clinical practice to manage metabolic disorders and their associated complications. Full article
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