疾病相关的营养不良在儿科 - 什么是新的?
Koen Huysentruyt1, Jessie M Hulst2,3, Konstantinos Gerasimidis4
1Department of Pediatric Gastroenterology, UZ Brussel, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Current opinion in clinical nutrition and metabolic care
|February 18, 2025
概括
儿童与疾病相关的营养不良 (DAM) 需要综合人类测量和临床评估的综合评估. 对重症儿童的营养支持必须是个性化的,间歇性养可能有好处,但需要谨慎管理.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 临床营养学 临床营养学
- 儿童疾病管理 儿童疾病管理
背景情况:
- 与疾病相关的营养不良 (DAM) 是住院和慢性病儿童面临的重大挑战.
- 最近的文献 (2023年以后) 提供了对DAM管理的最新见解.
- 了解DAM对于改善儿科患者的治疗结果至关重要.
研究的目的:
- 审查关于儿童群体中DAM患病率,评估和治疗的最新研究.
- 综合营养评估方法的发现及其与临床结果的相关性.
- 评估当前对重症儿童营养支持的策略.
主要方法:
- 自2023年以来出版的儿科文献的系统审查.
- 对DAM患病率的研究分析,肉症评估和临床结果的分析.
- 对重症儿童营养管理的研究进行审查,包括养策略.
主要成果:
- DAM患病率受到多种因素的影响,各种评估方法显示与肉症和结果的联系.
- 正在探索营养管理策略,与重症儿童的代谢变化相关.
- 食不耐受,肠道营养障碍和食计划 (连续或间歇) 是关键的研究领域.
结论:
- 建议采用综合方法,结合人体测量,营养史和体检,以评估儿科患者的营养不良,虚弱和肉眼症.
- 对重症儿童的营养支持需要与疾病阶段保持一致的定制策略.
- 间歇性食对症和昼夜节律的调整有希望,但需要谨慎监测以避免营养缺陷.
相关概念视频
Overview of Protein Metabolism
683
Proteins are broken down into amino acids during digestion. Unlike fats and carbohydrates, which are stored for later use, proteins are not. Instead, amino acids are either used to produce ATP through oxidation or contribute to the creation of new proteins for the growth and repair of the body. Any surplus amino acids from the diet are converted into glucose or triglycerides rather than excreted.
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
683
Anorexia Nervosa
43
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
43
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
85
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
85
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
54
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
54
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
301
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
301
Nature and Nurture
20.3K
Many human characteristics, like height, are shaped by both nature—in other words, by our genes—and by nurture, or our environment. For example, chronic stress during childhood inhibits the production of growth hormones and consequently reduces bone growth and height. Scientists estimate that 70-90% of variation in height is due to genetic differences among individuals, and 10-30% of variation in height is due to differences in the environments that individuals experience,...
20.3K


