ESPEN guideline clinical nutrition in neurology

被引：390

作者：

Burgos, Rosa ^{[1
]}

Breton, Irene ^{[2
]}

Cereda, Emanuele ^{[3
,4
]}

Desport, Jean Claude ^{[5
]}

Dziewas, Rainer ^{[6
]}

Genton, Laurence ^{[7
]}

Gomes, Filomena ^{[8
,9
]}

Jesus, Pierre ^{[5
]}

Leischker, Andreas ^{[10
]}

Muscaritoli, Maurizio ^{[11
]}

Poulia, Kalliopi-Anna ^{[12
]}

Preiser, Jean Charles ^{[13
]}

Van der Marck, Marjolein ^{[14
]}

Wirth, Rainer ^{[15
]}

Singer, Pierre ^{[16
,17
]}

Bischoff, Stephan C. ^{[18
]}

机构：

[1] Univ Hosp Vall dHebron, Nutr Support Unit, Pg Vall dHebron 119-129, Barcelona 08025, Spain

[2] Univ Hosp Gregorio Maranon, Inst Invest Sanitaria Gregorio Maranon, Nutr Unit, Madrid, Spain

[3] Fdn IRCCS Policlin San Matteo, Nutr & Dietet Serv, Pavia, Italy

[4] Fdn Grigioni Morbo Parkinson, Milan, Italy

[5] Univ Hosp Limoges, ALS Ctr, Nutr Unit, Limoges, France

[6] Univ Hosp Munster, Dept Neurol, Munster, Germany

[7] Geneva Univ Hosp, Clin Nutr, Geneva, Switzerland

[8] Kantonsspital Aarau, Cereneo Ctr Neurol & Rehabil, Aarau, Switzerland

[9] Kantonsspital Aarau, Univ Dept Internal Med, Aarau, Switzerland

[10] Alexianer Hosp Krefeld, Dept Geriatr, Krefeld, Germany

[11] Sapienza Univ Rome, Dept Clin Med, Rome, Italy

[12] Laikon Gen Hosp, Dept Nutr, Athens, Greece

[13] Univ Libre Bruxelles, Erasme Univ Hosp, Dept Intens Care, Brussels, Belgium

[14] Radboud Univ Nijmegen, Med Ctr, Dept Geriatr Med, Nijmegen, Netherlands

[15] Ruhr Univ Bochum, Marien Hosp Herne, Dept Geriatr Med, Bochum, Germany

[16] Tel Aviv Univ, Beilinson Hosp, Rabin Med Ctr, Dept Gen Intens Care, Petah Tiqwa, Israel

[17] Tel Aviv Univ, Beilinson Hosp, Rabin Med Ctr, Inst Nutr Res, Petah Tiqwa, Israel

[18] Univ Hohenheim, Inst Nutr Med, Stuttgart, Germany

来源：

CLINICAL NUTRITION | 2018年 / 37卷 / 01期

关键词：

Amyotrophic lateral sclerosis; Multiple sclerosis; Parkinson's disease; Stroke; Oropharyngeal dysphagia; AMYOTROPHIC-LATERAL-SCLEROSIS; PERCUTANEOUS ENDOSCOPIC GASTROSTOMY; NEUROMUSCULAR ELECTRICAL-STIMULATION; POLYUNSATURATED FATTY-ACIDS; PARKINSONS-DISEASE PATIENTS; BODY-MASS INDEX; QUALITY-OF-LIFE; PLASMA HOMOCYSTEINE LEVELS; ACUTE-STROKE PATIENTS; NONINVASIVE BRAIN-STIMULATION;

D O I：

10.1016/j.clnu.2017.09.003

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Neurological diseases are frequently associated with swallowing disorders and malnutrition. Moreover, patients with neurological diseases are at increased risk of micronutrient deficiency and dehydration. On the other hand, nutritional factors may be involved in the pathogenesis of neurological diseases. Multiple causes for the development of malnutrition in patients with neurological diseases are known including oropharyngeal dysphagia, impaired consciousness, perception deficits, cognitive dysfunction, and increased needs. The present evidence- and consensus-based guideline addresses clinical questions on best medical nutrition therapy in patients with neurological diseases. Among them, management of oropharyngeal dysphagia plays a pivotal role. The guideline has been written by a multidisciplinary team and offers 88 recommendations for use in clinical practice for amyotrophic lateral sclerosis, Parkinson's disease, stroke and multiple sclerosis. (C) 2017 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

引用

页码：354 / 396

页数：43

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