Nutrición, fibrosis quística y aparato digestivo


Autoria(s): Olveira, Gabriel; Olveira, Casilda
Data(s)

10/12/2012

10/12/2012

01/05/2008

Resumo

The prevalence of hyponutrition in cystic fibrosis is high although it may vary according to the different studies. Detection of hyponutrition should be done by combining different methods, depending on their availability. However, the simplest and most validated criterion is to measure at each visit the weight (and height in children) in order to calculate the body mass index and categorizing hyponutrition according to absolute criteria: in adults < 18.5 kg/m(2), and in children as percentiles of the body mass index. Worsening of the nutritional status is directly related with the decrease in lung function parameters and it has been proposed as a morbidity (and even mortality) predictive factor in people with cystic fibrosis, independently of the level of pulmonary dysfunction. Exocrine pancreatic insufficiency is present is approximately 70-90% of the patients with cystic fibrosis and the genotype-phenotype correlation is high. Most of the patients with exocrine pancreatic insufficiency tolerate a high-fat diet provided that they are treated with pancreatic enzymes at appropriate doses. The prevalence of diabetes increases with age, reaching up 40% of the cases in patients older than 30 years. Clinical liver involvement is less prevalent (it approximately affects 1/3 of the patients). Other intestinal complications such as meconial ileus, gastroesophageal reflux, obstruction of the distal intestine, or fibrosing colon disease may also condition malnourishment. In patients with cystic fibrosis, a usual high-fat diet providing 120%-150% of the recommended calories is advised. If the nutritional goals are not achieved or maintained with diet modifications, artificial supplements may be added, although the recommendation for their use has not been endorsed by solid scientific evidences. The most frequently used preparations usually are polymeric or hypercaloric. The indications for enteral (through a tube, especially gastrostomy) or parenteral nutritional support are similar to those used in other pathologies. Dietary and nutritional control should be included in a multidisciplinary program allowing the improvement of the functional capacity and the quality of life and reducing, at least from a theoretical viewpoint, the morbimortality associated to malnourishment in these patients.

Comparative Study; English Abstract; Review;

Identificador

Olveira G, Olveira C. Nutrición, fibrosis quística y aparato digestivo. Nutr Hosp. 2008; 23 Supl 2:71-86

0212-1611 (Print)

1699-5198 (Online)

WOS000257663200011

http://hdl.handle.net/10668/700

18714414

Idioma(s)

es

Publicador

Sociedad Española de Nutrición Parenteral y Enteral

Relação

Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral

http://www.nutricionhospitalaria.com/mostrarrevista.asp?id=328

Direitos

Acceso abierto

Palavras-Chave #Nutrition #Supplements #Diet #Nutrición #Fibrosis quística #Nutrición enteral #Suplementos #Dieta #Medical Subject Headings::Named Groups::Persons::Age Groups::Adult #Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Body Constitution::Body Weights and Measures::Body Mass Index #Medical Subject Headings::Named Groups::Persons::Age Groups::Child #Medical Subject Headings::Named Groups::Persons::Age Groups::Child::Child, Preschool #Medical Subject Headings::Diseases::Respiratory Tract Diseases::Lung Diseases::Cystic Fibrosis #Medical Subject Headings::Technology, Industry, Agriculture::Food and Beverages::Food::Dietary Supplements #Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Feeding Methods::Enteral Nutrition #Medical Subject Headings::Check Tags::Female #Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans #Medical Subject Headings::Named Groups::Persons::Age Groups::Infant #Medical Subject Headings::Named Groups::Persons::Age Groups::Infant::Infant, Newborn #Medical Subject Headings::Check Tags::Male #Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Middle Aged #Medical Subject Headings::Phenomena and Processes::Genetic Phenomena::Genetic Variation::Mutation #Medical Subject Headings::Diseases::Nutritional and Metabolic Diseases::Nutrition Disorders #Medical Subject Headings::Phenomena and Processes::Physiological Phenomena::Nutritional Physiological Phenomena::Nutritional Status #Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Nutrition Therapy::Nutritional Support #Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Feeding Methods::Parenteral Nutrition #Medical Subject Headings::Disciplines and Occupations::Social Sciences::Quality of Life #Medical Subject Headings::Named Groups::Persons::Age Groups::Adolescent
Tipo

info:eu-repo/semantics/article

info:eu-repo/semantics/published

Artículo