慢性阻塞性肺病中的医学营养疗法:叙述性综述
Patricia Savino-Lloreda1, David López-Daza1, Alejandro Casas-Herrera2
1Centro Latinoamericano de Nutrición (CELAN), Chía, (Cundinamarca), Colombia.
适当的营养对于管理慢性阻塞性肺病 (COPD) 至关重要. 营养干预和评估有助于保持肌肉质量和体重,改善COPD患者的治疗结果.
科学领域:
- 肺部病理学 肺部病理学
- 营养科学 营养科学
- 老年学是指老年学的学科.
背景情况:
- 慢性阻塞性肺病 (COPD) 是一种进展性肺部疾病,影响全球数百万人,死亡率很高.
- 慢性肺炎与心血管,代谢和肌肉骨问题有关,使患者管理复杂化.
- 营养状况是COPD的关键预后因素,影响疾病和死亡率.
研究的目的:
- 审查COPD患者的营养表型.
- 强调营养干预对COPD管理的重要性.
- 探索综合性COPD护理的多式联络方法.
主要方法:
- 关于COPD和营养现有文献的叙事综述.
- 分析COPD中不同体质成分表型的分析 (缓症,肥胖症,肉症).
- 检查营养干预措施,包括口服补充剂及其影响.
主要成果:
- 身体成分评估对于识别风险和保持呼吸功能至关重要的肌肉质量至关重要.
- 非自愿的体重减轻和减少无脂肪质量与慢性肺炎的死亡率增加相关.
- 营养干预措施,包括蛋白质,欧米茄-3脂肪酸和抗氧化剂,以及肺部康复,增强肌肉力量和运动耐受性.
结论:
- 应将COPD视为多病症综合征,需要综合临床和营养评估.
- 在COPD患者中,营养干预对于保持肌肉质量和体重至关重要.
- 结合营养支持,运动和药物治疗的多模式策略是有效的COPD和并发性疾病管理的关键.
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