Activity Instructions: Read the full article and take the exam by clicking the "CE Information" tab.

CE Credit: CE credit available for dietitians, nurses, pharmacists and physicians

Total Credit Hours: 1.0

Release Date: March 1, 2023

Expiration Date (all CE credit must be claimed by the expiration date): March 31, 2024

Issue: 3

Volume: 47

Journal: Journal of Parenteral and Enteral Nutrition (JPEN)

Author (s):

Arzu Okyar Baş MD, Geriatrics Clinical and Research Fellow, Department of Internal Medicine, Division of Geriatrics, Hacettepe University Medical School, Ankara, Turkey

Hakan Baş MD, Faculty of Medicine, Department of Radiology, Ankara Gazi Mustafa Kemal Occupational and Environmental Diseases Hospital, Ankara, Turkey

Serdar Ceylan MD, Geriatrics Clinical and Research Fellow, Department of Internal Medicine, Division of Geriatrics, Hacettepe University Medical School, Ankara, Turkey

Merve Güner Oytun MD, Geriatric Medicine Research Assistant, Department of Internal Medicine, Division of Geriatrics, Hacettepe University Medical School, Ankara, Turkey

Meltem Koca MD, Specialist Physician Geriatric Medicine, Department of Internal Medicine, Division of Geriatrics, Hacettepe University Medical School, Ankara, Turkey

Merve Hafızoğlu MD, Geriatric Medicine Research Assistant, Department of Internal Medicine, Division of Geriatrics, Hacettepe University Medical School, Ankara, Turkey

Zeynep Şahiner MD, Geriatric Medicine Research Assistant, Department of Internal Medicine, Division of Geriatrics, Hacettepe University Medical School, Ankara, Turkey

Yelda Öztürk MD, Geriatrics Clinical and Research Fellow, Department of Internal Medicine, Division of Geriatrics, Hacettepe University Medical School, Ankara, Turkey

Cafer Balcı MD, Associate Professor, Department of Internal Medicine, Division of Geriatrics, Hacettepe University Medical School, Ankara, Turkey

Burcu Balam Doğu MD, Academician, Department of Internal Medicine, Division of Geriatrics, Hacettepe University Medical School, Ankara, Turkey

Mustafa Cankurtaran MD, Medical Doctor, Geriatric Medicine Specialist, Department of Internal Medicine, Division of Geriatrics, Hacettepe University Medical School, Ankara, Turkey

Meltem Gülhan Halil MD, Professor and Faculty of Medicine, Department of Internal Medicine, Division of Geriatrics, Hacettepe University Medical School, Ankara, Turkey

Link to article: Changes in muscle quality identified by shear‐wave elastography and association with sarcopenia - Okyar Baş - 2023 - Journal of Parenteral and Enteral Nutrition - Wiley Online Library

Journal-based CE Activity Overall Goal:
The JPEN Editor, in concurrence with ASPEN’s Education and Professional Development Committee, selected this article to be offered for CE credit to fill an observed learning need in the arena of clinical nutrition and metabolism. This CE activity serves to promote the process of life-long learning for physicians, dietitians, pharmacists, and nurses by providing peer-reviewed journal articles that fully qualify for continuing education credits.

Goal and Target Audience:
This educational activity is directed toward clinical nutrition and metabolism professionals and others who wish to update their knowledge of clinical nutrition and metabolism. By participating in this educational activity, the reader may expect to:

Acquire knowledge in the area of clinical nutrition and metabolism research.
Update or confirm your understanding of appropriate clinical nutrition and metabolism practices.
Identify further learning needs as they relate to the subject matter.

Learning Objectives:

Define the components of sarcopenia and how to assess them
Name the aging-related factors (i.e., myosteatosis, fibrosis) affecting muscle quality
List the methods and recommendations to evaluate muscle quality
Define why shear-wave elastography is a proper tool for muscle quality assessment
List the possible challenges of using shear wave elastography in muscle evaluation

Requirements for Successful Completion:

To obtain CE credit for this activity, attendees must read the journal article in its entirety, complete an online assessment for each article and achieve a score of 100%, and complete an online activity evaluation. All are located in ASPEN’s eLearning Center (www.nutritioncare.org/elearning). All CE credit must be claimed prior to the expiration date, no exceptions. Pharmacists must provide their birthday (MMDD) and NABP e-PID. Details are available at http://www.nutritioncare.org/Continuing_Education/Claim_CE_Credit/Continuing_Education_Credit/.

Accreditation Statement

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In support of improving patient care, the American Society for Parenteral and Enteral Nutrition (ASPEN) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

ASPEN designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credits TM per article. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Pharmacists: ASPEN designates this activity for a maximum of 1.0 contact hours/0.1 CEUs. ACPE UAN: JA0002345-0000-23-034-H99-P. Knowledge Activity.

Nurses: ASPEN designates this activity for a maximum of 1.0 nursing contact hours. ASPEN is approved as a provider of continuing nursing education by the California Board of Nursing, provider number CEP3970.

Dietitians: ASPEN designates this activity for a maximum of 1.0 CPEUs

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This activity was planned by and for the healthcare team, and learners will receive 1 Interprofessional Continuing Education (IPCE) credit for learning and change.

Policies and Information:

Non-Commercialism: ASPEN subscribes to the Standards for Integrity and Independence in Accredited Continuing Education. ASPEN does not provide programs that constitute advertisement or include promotional materials. ASPEN does not endorse any products.

Computer Requirements and Technical Support: Participants will need a computer with internet connection to access the online assessment and evaluation for each journal article. If the journal article is read electronically, then the ability to read a PDF document is also necessary. Users should enable pop-ups if attempting to read article electronically.

For technical difficulties, please contact Broadcastmed Customer Support:

by phone: 1.860.953.2900
Phone support is available 8am-8pm EST Monday through Friday.
by email: support@broadcastmed.io

Privacy and Confidentiality: ASPEN respects the privacy of its members and website visitors. Companies that receive personal information from ASPEN in order to execute the business of ASPEN may use personal information only for that purpose.

Refund Policy: Refunds are not available.

Grievances: Grievances must be submitted in writing to Director of Education at ASPEN 8401 Colesville Road, Ste 510, Silver Spring, MD 20910

Commercial Support and Sponsorship:

No commercial support or sponsorship has been received for this continuing education activity.

Commercial Relationships Disclosures and Conflicts of Interest (COI) of Authors and Editor-in-Chief and Associate Editors

The following individuals have no financial relationships with ineligible companies: Arzu Okyar Baş, Hakan Baş, Serdar Ceylan, Merve Oytun Güner, Meltem Koca, Yelda Ozturk, Merve Hafızoğlu, Zeynep Şahiner, Cafer Balci, Mustafa Cankurtaran, Meltem Halil, Burcu Yavuz

Among the JPEN Associate Editors, Jean-Charles Preiser, Vanessa Garcia-Larsen, Jamie Robertson, Russell de Souza, Simone CM Silvestre, Djøra Soeteman have no financial relationships with ineligible companies.

JPEN EIC, Kenneth Christopher has no financial relationships with ineligible companies.

ASPEN staff have no financial relationships with ineligible companies.

Marion Winkler: VectivBio, independent consultant

Manpreet Mundi: Fresenius Kabi, research grant; Nestle, research grant; Rockfield, research grant; VectivBio, research grant; NorthSea, advisory board.

Isabel Correia: Abbott, speaker; Nestle speaker, relationship ended; Danone speaker, relationship ended; Fresenius, consulting; Baxter, speaker, relationship ended

Annika Reintam Blaser: Nutricia Danone, speaker, relationship ended; VIPUN Medical, consultant, relationship ended

Olav Rooyackers: Nutricia, advisory meeting, speaker, relationship ended; Fresenius Kabi, research grant, consultant, speaker/teacher; Baxter, speaker/teacher, relationship ended; Nestle, speaker/teacher, relationship ended

All relevant financial relationships have been mitigated via the journal peer review process.

Note: an ineligible company is one whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. For specific examples of ineligible companies visit accme.org/standards.

Financial relationships are relevant if the following three conditions are met for the prospective person who will control content of the education:

A financial relationship, in any amount, exists between the person in control of content and an ineligible company.
The financial relationship existed during the past 24 months.

The content of the education is related to the products of an ineligible company with whom the person has a financial relationship.