混合饮食的最新情况审查 - 现状和未来的方向
Sharon Weston1, Anushree Algotar2, Sara Karjoo3
1Department of Clinical Nutrition, Boston Children's Hospital, Boston, Massachusetts, USA.
概括
混合管料 (BTFs) 显示出改善儿科患者满意度和减少症状的前景,但营养素变异性带来了挑战. 需要进一步的研究,以建立在儿童中使用BTF的最佳实践.
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
- 饮食干预 饮食干预
背景情况:
- 混合管料 (BTF) 越来越多地被用作儿科护理中标准商业配方的替代品.
- 目前对BTF利用的理解和实践存在多个知识差距.
- 一个多学科的团队通过全面的文献审查来解决这些差距.
研究的目的:
- 为儿童群体提供当前使用混合管料 (BTFs) 的全面概述.
- 识别和解决有关BTF应用和结果的关键问题.
- 综合现有关于BTF使用相关的好处和挑战的证据.
主要方法:
- 一个由儿科胃肠病学和营养专家进行的最先进的审查.
- 开发12个关键问题,以指导文献搜索.
- 在PubMed,MEDLINE和Embase数据库中广泛搜索2000年至2023年间发表的研究.
主要成果:
- 有限高质量的随机临床试验;大多数证据来自观察性研究.
- 使用BTF与改善患者满意度,减少反流,吐口气,便秘和住院病例有关.
- 在BTF的营养成分和物理性质的显著变化,影响管理和结果的比较.
- 通过使用BTF观察到肠道微生物群多样性的增加.
结论:
- BTFs提供潜在的好处,但由于成分和管理的变化,需要标准化的指导方针.
- 进一步的研究对于建立BTF使用,监测和临床结果评估的最佳实践至关重要.
- 儿童医疗保健提供者必须确保营养充足,并优化在BTF上的儿童的分娩,以促进生长.
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