Emily Nagel, PhD, RD, LD
Postdoctoral Fellow, Division of Epidemiology and Community Health
Contact information
University of Minnesota
Biography
Dr. Nagel is a graduate of the doctoral program in Nutrition at the University of Minnesota and is currently studying maternal factors which influence human milk composition and infant health as a postdoctoral fellow in the School of Public Health. She is also a pediatric registered dietitian and is assisting with a study on preterm infant neurodevelopment in the neonatal intensive care unit. In her spare time, Dr. Nagel enjoys running and cycling and exploring the Twin Cities with her partner, Dave, and their rescue pup, Charlie.
Published articles
Emily M. Nagel - PubMed Articles
Malnutrition criteria and computed tomography-measured psoas muscle indices in adult liver transplant recipients
CONCLUSION: Malnutrition criteria seem to better reflect CT-derived measures of psoas muscle area compared to density. Including muscle density measures alongside malnutrition assessments may improve clinical outcome predictions in liver transplant patients and allow for development of more targeted nutrition interventions.
Gestational diabetes, human milk oligosaccharide concentrations, and their links to infant weight gain and the gut microbiome in a United States observational cohort
CONCLUSIONS: Mothers with a GDM diagnosis had higher milk concentrations of LNFP III and 6'SL, and 6'SL was in turn associated with increased infant growth rate, but neither HMO was associated with differential infant gut microbial abundances. The results suggest that the link between 6'SL and faster infant growth, if causal, occurs via mechanisms independent of the infant gut microbiome. This study was registered at clinicaltrials.gov as NCT03301753.
Accuracy and reliability of bioelectrical impedance analysis for determining body composition among preterm infants
CONCLUSION: BIA is a feasible tool for measuring body composition among preterm infants. Existing published equations demonstrate reasonable agreement with ADP but require a correction factor to adjust for bias. A novel prediction equation specific to preterm infants might offer improved agreement and reduced bias.
Body composition after implementation of an enhanced parenteral nutrition protocol in the neonatal intensive care unit: a randomised pilot trial
CONCLUSION: In this pilot trial, enhanced parenteral nutrition in the first week of life was not associated with significant differences in infant growth or body composition during hospitalisation.
An exploratory study of clinical factors associated with IGF-1 and IGFBP-3 in preterm infants
CONCLUSION: Optimization of early nutrient intake, and attention to route of delivery, may have a lasting influence on IGF-1/IGFBP-3, and in turn, long-term health outcomes.
Importance of human milk for infants in the clinical setting: Updates and mechanistic links
CONCLUSION: In this review, we affirm the importance of HM for all infants, especially clinical populations. An understanding of how HM composition is modulated by maternal and environmental factors is important to progress the field forward with respect to mechanistic links between HM biology and infant health outcomes.
Enhanced Parenteral Nutrition Is Feasible and Safe in Very Low Birth Weight Preterm Infants: A Randomized Trial
CONCLUSION: Utilization of an enhanced nutrition protocol during the first week of life resulted in increased caloric intake and was feasible with no evidence of harm. Follow-up of this cohort is needed to determine if enhanced PN will result in improved growth and neurodevelopment.
Randomized Trial of Early Enhanced Parenteral Nutrition and Later Neurodevelopment in Preterm Infants
Retrospective studies indicate that the parenteral provision of calories, proteins, and lipids in the first week of life is associated with improved later neurodevelopment. We aimed to determine whether infants randomized to an enhanced parenteral nutrition protocol had improved developmental outcomes at 4, 12, or 24 months corrected age (CA). In total, 90 preterm infants (<32 weeks gestational age and <1500 g) were randomized to receive enhanced parenteral nutrition (PN) or standard PN during...
Ultrasound measurements of abdominal muscle thickness are associated with postmenstrual age at full oral feedings in preterm infants: A preliminary study
CONCLUSION: Preliminary results suggest infants with greater abdominal muscle thickness may reach full oral feedings at an earlier PMA (nearly 1 week per millimeter). Thus, ultrasound measurements of abdominal muscle thickness may be helpful in assessing readiness for discharge in healthy preterm infants. Further research is needed for development and validation of a prediction equation.
Maternal Dietary Intake of Total Fat, Saturated Fat, and Added Sugar Is Associated with Infant Adiposity and Weight Status at 6 mo of Age
CONCLUSIONS: In a predominantly fully breastfeeding cohort of women, maternal intake of fat and added sugar during pregnancy and lactation were associated with small increases in infant adiposity and relative weight at 6 mo. Additional research is needed to determine if these relations persist later in infancy and if such elevations in adiposity are important for long-term obesity risk.
Diagnosing clinical malnutrition: Perspectives from the past and implications for the future
This review, intended for both researchers and clinicians, provides a history of the definition of clinical malnutrition. Despite global efforts, we remain without one clear, objective, internationally accepted definition; clarity in this regard will ultimately improve our evaluation and monitoring of nutritional status to achieve optimal patient outcomes. In this review we explore the development of the term malnutrition and its diagnosis and application in the setting of acute and chronic...
Preoperative Pectoralis Muscle Quantity and Attenuation by Computed Tomography Are Novel and Powerful Predictors of Mortality After Left Ventricular Assist Device Implantation
CONCLUSIONS: Pectoralis muscle size and attenuation were powerful predictors of outcomes after LVAD implantation in this data set. This one time, repeatable, internal assessment of patient substrate added valuable prognostic information that was not available on standard preoperative testing.