在成年人中运行营养不良的慢性疾病模型.
Jeffrey I Mechanick1, Jamie Bering2, Stephen A McClave3
1Kravis Center for Clinical Cardiovascular Health at Mount Sinai Fuster Heart Hospital, and Division of Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY 10029.
Clinical nutrition ESPEN
|February 25, 2026
概括
基于营养不良的慢性疾病 (MBCD) 模型为成人营养护理提供了一个新的框架,解决营养不良,过度营养和微量营养素问题. 它提供了一种结构化的方法来优化营养干预措施并改善患者的治疗结果.
科学领域:
- 营养科学 营养科学
- 慢性疾病流行病学 慢性疾病流行病学
- 临床营养学 临床营养学
背景情况:
- 在成人营养研究,知识和实践中存在持续的差距.
- 现有的模型没有完全解决营养不良的三重负担 (营养不良,营养过度,微量营养素失调).
- 需要一个全面的框架来指导营养护理和优化患者的结果.
研究的目的:
- 为成年人运行基于营养不良的慢性疾病 (MBCD) 模型.
- 为MBCD模型实施提供基于证据的,特定阶段的指标和干预措施.
- 为了使MBCD模型与当前的营养医学进步和跨学科方法保持一致.
主要方法:
- 从5月1日到2025年11月1日进行了系统的文献搜索.
- 该研究综合了流行病学分类器,病理生理学机制和临床证据.
- 定义了MBCD模型的四个阶段 (营养风险,失衡,疾病,并发症) 和驱动因素.
主要成果:
- 在MBCD模型整合了营养不良的三重负担和一个以并发症为中心的方法.
- 针对MBCD模型实施的特定阶段的指标和干预措施的证据.
- 该模型旨在消除营养医学术语的模两可,并确定早期预防机会.
结论:
- 操作化的MBCD模型为优化成人营养护理提供了一个框架.
- 该模型与人工智能支持的信息学和营养医学中的跨学科团队方法保持一致.
- 在不同环境下进一步实施和验证对于MBCD模型的改进和更广泛的应用至关重要.
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