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患有慢性病的儿童的营养:如何壮成长?
Robert H Mak1, Arpana Iyengar2, Wai Ming Lai3
1Division of Pediatric Nephrology, Rady Children's Hospital, University of California San Diego, La Jolla.
概括
优化儿童慢性病 (CKD) 的营养需要一个多学科的团队. 目前的指导方针缺乏强有力的证据,强调需要更多的研究来确保患有CKD的儿童壮成长.
科学领域:
- 儿科脏病学 儿科脏病学
- 临床营养学 临床营养学
- 慢性病管理 慢性病管理
背景情况:
- 儿科慢性病 (CKD) 的营养状况和管理是复杂的.
- 涉及医生,营养学家,护士和治疗师的多学科团队方法至关重要.
- 国际特别工作组的现有指导方针在很大程度上是基于意见,而不是基于证据.
研究的目的:
- 突出了儿科CKD营养管理的复杂性.
- 强调需要基于证据的建议.
- 强调正在进行的旨在改善CKD儿童营养结果的研究.
主要方法:
- 对前性观察性研究的审查 (例如,美国患有CKD的儿童,4C研究,IPPN).
- 分析当前的国际指导方针和工作组建议.
- 确定儿科脏营养方面的研究缺口.
主要成果:
- 前性研究有助于人们更好地了解儿科CKD.
- 目前的建议与基于证据的实践之间存在很大的差距.
- 该领域需要更强大的研究来支持营养指南.
结论:
- 儿科CKD的营养管理需要一种以团队为基础的协作方法.
- 迫切需要从基于意见的指导方针转向基于证据的指导方针.
- 为了为患有CKD的儿童制定有效的营养策略,进一步的研究至关重要.
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