一项系统性审查,以管理儿童胃肠道学实践中避免/限制性食物摄入障碍
Ugo Cucinotta1, Claudio Romano1, Valeria Dipasquale1
1Pediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, 98124 Messina, Italy.
Healthcare (Basel, Switzerland)
|August 26, 2023
概括
避免/限制性食物摄入障碍 (ARFID) 的营养康复是有效的,耐受性良好,优先考虑口服养. 积极的再养方案是安全的,严重营养不良的患者可以考虑补充,以防止再养综合征.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 临床营养学 临床营养学
- 精神病学是一个精神病学.
背景情况:
- 避免性/限制性食物摄入障碍 (ARFID) 是一种影响儿童和成人的饮食障碍,导致严重的身体和心理健康问题.
- 目前,ARFID尚未得到充分的认可和治疗,并且在基于证据的治疗方法中存在重大差距.
- 由于ARFID的营养管理缺乏标准化的指导方针,因此需要进一步研究有效的干预措施.
研究的目的:
- 系统地审查儿童和青少年ARFID的营养干预措施.
- 评估各种营养康复策略的有效性和耐受性.
- 为ARFID患者确定最佳的再食方案.
主要方法:
- 系统的文献综述七个回顾性队列研究.
- 在医院环境中对患有饮食和食障碍的患者进行营养康复的分析,包括ARFID.
- 评估口服与肠道养路径以及再养方案的攻击性.
主要成果:
- 针对ARFID的营养干预措施在研究中显示出类似的疗效和耐受性.
- 要开始重新养,最好采用口服途径;对于不合规或不稳定的患者,只采用肠道途径.
- 积极的再食方案被很好地容忍,没有增加再食综合征 (RS) 的风险.
结论:
- 口服再是ARFID患者的首选方法.
- 积极的营养康复是安全有效的,严重营养不良的人建议补充,以防止电解质失衡和RS.
- 需要进一步的研究来制定标准化的ARFID治疗指南.
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