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精神性厌食症青少年的高卡路里再:一个叙事审查
C Roman1, R Aglave2, S Farine2
1Hôpital Erasme, Hôpital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Brussels, Belgium.
Acta gastro-enterologica Belgica
|August 30, 2024
概括
高热量再可能对有神经性厌食症 (AN) 和低再综合征风险的青少年来说是安全的,但需要更多的研究. 这种方法可以改善重量恢复,缩短住院时间.
科学领域:
- 儿童营养学 儿童营养学
- 饮食障碍管理 饮食障碍管理
- 临床研究方法论 临床研究方法论
背景情况:
- 最近的研究表明,高热量饮食可用于神经性厌食症 (AN) 的再养.
- 在住院儿科AN患者的初始再养管理需要更清晰的协议.
- 了解最佳的营养康复对于AN恢复至关重要.
研究的目的:
- 审查安纳的住院儿童和青少年的初始重新养策略.
- 开发一个高卡路里再养 (HCR) 的实用协议,在AN.
- 综合当前关于能量摄入和儿科AN再养结果的证据.
主要方法:
- 在PubMed,Cochrane图书馆,Embase. 在综合文献搜索 (2010-2023) 中.
- 关键词包括重新养综合征,能量摄入量,AN和儿科人口.
- 包括15篇论文,12篇观察性/回顾性,3篇随机对照试验.
主要成果:
- 最初的能量摄入量在每天500-2800卡路里之间,经常超过当前的建议.
- 在一些研究中,高热量再养 (HCR) 显示出更好的初始体重恢复和更短的住院时间.
- 低酸血是常见的,但临床再养综合征的报道较少.
结论:
- 对于患有AN和低再综合征风险的青少年来说,HCR是可行的,需要密切监测和电解质校正.
- 需要进一步的强大研究和统一的协议来确认HCR的安全性,特别是在严重营养不良的青少年中.
- 儿科AN中HCR的长期结果在很大程度上是未知的.
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