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传染病研究中营养评估的ABCD原则

The ABCDs of Nutritional Assessment in Infectious Diseases Research.

作者信息

Locks Lindsey M, Parekh Aneri, Newell Katharine, Dauphinais Madolyn R, Cintron Chelsie, Maloomian Kimberly, Yu Elaine A, Finkelstein Julia L, Mehta Saurabh, Sinha Pranay

机构信息

Department of Health Sciences, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, Massachusetts, USA.

Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, USA.

出版信息

J Infect Dis. 2025 Mar 17;231(3):562-572. doi: 10.1093/infdis/jiae540.

Abstract

Malnutrition is the most common acquired cause of immunodeficiency worldwide. Nutritional deficiencies can blunt both the innate and adaptive immune response to pathogens. Furthermore, malnutrition is both a cause and consequence of infectious diseases. The bidirectional relationship between infectious diseases and undernutrition, as well as the inflammatory milieu of infectious diseases, can complicate nutritional assessment. This article aims to provide clinicians and researchers with an overview of commonly used tools to assess nutritional status, with a particular emphasis on their use in the context of infectious diseases. These tools include anthropometric, biochemical, clinical/physical, and dietary assessments to screen and evaluate undernutrition, diet quality, and food insecurity effectively.

摘要

营养不良是全球范围内免疫缺陷最常见的后天性病因。营养缺乏会削弱机体对病原体的固有免疫和适应性免疫反应。此外,营养不良既是传染病的病因,也是其后果。传染病与营养不良之间的双向关系,以及传染病的炎症环境,会使营养评估变得复杂。本文旨在为临床医生和研究人员提供常用营养状况评估工具的概述,特别强调这些工具在传染病背景下的应用。这些工具包括人体测量、生化、临床/体格和饮食评估,以有效筛查和评估营养不良、饮食质量和粮食不安全状况。

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本文引用的文献

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The Costly Vicious Cycle of Infections and Malnutrition.感染与营养不良的代价高昂的恶性循环
J Infect Dis. 2024 Jun 14;229(6):1611-1613. doi: 10.1093/infdis/jiad513.

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