Department of Psychiatry, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
J Hum Nutr Diet. 2011 Apr;24(2):144-53. doi: 10.1111/j.1365-277X.2010.01140.x. Epub 2011 Feb 21.
This review examines the current literature that is available on nutrition and dietetic practice in the treatment of eating disorders. Evidence-based guidelines on nutrition and dietetic practice in the management of eating disorder patients are lacking, as is detailed information on how to implement existing recommendations into day-to-day practice.
A search of databases was undertaken, with articles on nutrition and eating disorders being reviewed for strength of evidence, content and relevance to dietetic practice. Core dietetic skills used at the graduate level, such as dietary assessment, were not included in the literature review.
There were a total of 61 references reviewed that discussed nutrition and dietetic practice in the management of eating disorder patients. Most papers were descriptive papers, with few examining the effectiveness of nutrition intervention. Three papers were surveys that assessed the professional needs and challenges of dietitians who work with eating disorder clients.
Dietetic practice in the treatment of eating disorder patients is not well defined. Most publications are descriptions of practice, with few evaluating the effectiveness of dietetic work. Dietitians need to move from the clinical arena alone and become more involved in research, evaluating practice and defining a gold standard of nutritional treatment strategies that are best delivered by the dietitian. There is also a need for manualised approaches that can be prospectively examined.
本综述考察了目前关于营养和饮食实践在治疗饮食失调方面的文献。在饮食失调患者的管理中，缺乏营养和饮食实践的循证指南，也缺乏如何将现有建议详细纳入日常实践的信息。
对数据库进行了检索，对营养和饮食失调方面的文章进行了评估，以确定其证据强度、内容和与饮食实践的相关性。核心的营养技能（如饮食评估）在文献综述中未包括。
共综述了 61 篇讨论饮食失调患者管理中营养和饮食实践的参考文献。大多数论文是描述性论文，很少有研究评估营养干预的效果。有 3 篇论文是调查性论文，评估了与饮食失调患者一起工作的营养师的专业需求和挑战。
饮食失调患者治疗中的饮食实践尚未得到明确界定。大多数出版物是对实践的描述，很少评估饮食工作的有效性。营养师需要走出临床领域，更多地参与研究，评估实践并确定营养师最佳实施的营养治疗策略的黄金标准。还需要制定可以前瞻性检查的规范化方法。
