关键词: Malnutrition Nutrition care process Nutritional risk

来  源:   DOI:10.1016/j.ijcrp.2024.200270   PDF(Pubmed)

Abstract:
UNASSIGNED: The prevalence and incidence of cardiovascular diseases significantly increase with age, and it is well-known that nutritional status affects the prognosis and treatment of these diseases. Therefore, evaluating nutritional status is essential for maintaining/regaining health. It is crucial to identify nutritional risk early, prevent and/or treat protein-energy malnutrition, and promote the modification of inappropriate dietary habits.
UNASSIGNED: Nutritional screening represents the first step of access to the Nutrition Care Process (NCP) adopted and managed by the dietitian; this tool must be simple, inexpensive, accessible, accurate, efficient, and validated. A globally accepted standardized definition of malnutrition is necessary, and for this reason, the Global Leadership Initiative on Malnutrition (GLIM) criteria have been recently introduced.The GLIM criteria, after confirming nutritional risk through screening, include both phenotypic and etiological criteria: to diagnose malnutrition, at least one of these must be present.A less commonly performed phenotypic criterion is the assessment of muscle mass, which should be studied as a significant component of sarcopenia.
UNASSIGNED: Greater attention to the identification and treatment of malnutrition would bring benefits to patients and ensure a saving in healthcare expenditure, but for this purpose, an implementation of clinical nutrition services is necessary.
摘要:
心血管疾病的患病率和发病率随着年龄的增长而显著增加,众所周知,营养状况会影响这些疾病的预后和治疗。因此,评估营养状况对于保持/恢复健康至关重要。早期识别营养风险至关重要,预防和/或治疗蛋白质能量营养不良,并促进改变不适当的饮食习惯。
营养筛查是获得营养师采用和管理的营养护理过程(NCP)的第一步;该工具必须简单,便宜,可访问,准确,高效,并经过验证。全球公认的营养不良标准化定义是必要的,出于这个原因,最近引入了全球营养不良领导力倡议(GLIM)标准。GLIM标准,在通过筛查确认营养风险后,包括表型和病因标准:诊断营养不良,其中至少一个必须在场。一个不太常见的表型标准是评估肌肉质量,应将其作为肌肉减少症的重要组成部分进行研究。
更加关注营养不良的识别和治疗将为患者带来好处,并确保节省医疗支出。但为了这个目的,实施临床营养服务是必要的。
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