营养不良的内科住院患者的营养管理及结局：神经性厌食症
Nutritional Management and Outcomes in Malnourished Medical Inpatients: Anorexia Nervosa.
作者信息
Cuerda Cristina, Vasiloglou Maria F, Arhip Loredana
机构信息
Nutrition Unit, Instituto de Investigación Sanitaria Gregorio Marañón, Hospital General Universitario Gregorio Marañón, Calle del Dr. Esquerdo, 46, 28007 Madrid, Spain.
Diabetes Technology Research Group, ARTORG Center for Biomedical Engineering Research, University of Bern, Murtenstrasse 50, 3008 Bern, Switzerland.
出版信息
J Clin Med. 2019 Jul 17;8(7):1042. doi: 10.3390/jcm8071042.
BACKGROUND
Anorexia Nervosa (AN) is a psychiatric disorder characterised by a physical and psychosocial deterioration due to an altered pattern on the intake and weight control. The severity of the disease is based on the degree of malnutrition. The objective of this article is to review the scientific evidence of the refeeding process of malnourished inpatients with AN; focusing on the clinical outcome.
METHODS
We conducted an extensive search in Medline and Cochrane; on April 22; 2019; using different search terms. After screening all abstracts; we identified 19 papers that corresponded to our inclusion criteria.
RESULTS
The article focuses on evidence on the characteristics of malnutrition and changes in body composition; energy and protein requirements; nutritional treatment; physical activity programmes; models of organisation of the nutritional treatment and nutritional support related outcomes in AN patients.
CONCLUSION
Evidence-based standards for clinical practice with clear outcomes are needed to improve the management of these patients and standardise the healthcare process.
背景
神经性厌食症（AN）是一种精神疾病，其特征是由于饮食摄入和体重控制模式改变导致身体和心理社会功能衰退。该疾病的严重程度基于营养不良的程度。本文的目的是回顾营养不良的神经性厌食症住院患者重新进食过程的科学证据；重点关注临床结果。
方法
2019年4月22日，我们在Medline和Cochrane中进行了广泛检索，使用了不同的检索词。在筛选所有摘要后，我们确定了19篇符合纳入标准的论文。
结果
本文重点关注营养不良的特征、身体成分变化、能量和蛋白质需求、营养治疗、体育活动计划、营养治疗组织模式以及神经性厌食症患者营养支持相关结果的证据。
结论
需要基于证据的临床实践标准以及明确的结果，以改善这些患者的管理并规范医疗过程。
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