Reframing Micronutrient Deficiencies for Modern times: A Review.

IF 4.2 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Journal of General Internal Medicine Pub Date : 2025-06-01 Epub Date: 2025-03-31 DOI:10.1007/s11606-025-09481-y
Azadeh Lankarani-Fard, Maria Romanova, Zhaoping Li
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引用次数: 0

Abstract

Micronutrient deficiencies are often discounted in as an entity of the past when access to quality nutrition was scarce. However modern-day conditions such as hemodialysis, complex medication interactions, parenteral nutrition, gastrointestinal resections, institutional living, and substance use can place patients at risk. The metabolic demands of critical illness during prolonged hospitalization may provide added stressors. Food insecurity with reliance on inexpensive calorie-rich, nutrient poor diet may lead to deficiency without overt evidence of malnutrition. Moreover, clinical presentation may be subtle and easily attributed to other diagnoses. Increased awareness of current risk factors is essential for detection and treatment.

重新定义现代微量营养素缺乏:综述。
微量营养素缺乏症往往被认为是过去难以获得高质量营养的一个实体。然而,现代条件,如血液透析、复杂的药物相互作用、肠外营养、胃肠道切除术、机构生活和药物使用等,都可能使患者处于危险之中。危重疾病在长期住院期间的代谢需求可能提供额外的应激源。依赖廉价的高热量、低营养饮食的粮食不安全可能导致缺乏营养,而没有明显的营养不良证据。此外,临床表现可能是微妙的,很容易归因于其他诊断。提高对当前危险因素的认识对于发现和治疗至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of General Internal Medicine
Journal of General Internal Medicine 医学-医学:内科
CiteScore
7.70
自引率
5.30%
发文量
749
审稿时长
3-6 weeks
期刊介绍: The Journal of General Internal Medicine is the official journal of the Society of General Internal Medicine. It promotes improved patient care, research, and education in primary care, general internal medicine, and hospital medicine. Its articles focus on topics such as clinical medicine, epidemiology, prevention, health care delivery, curriculum development, and numerous other non-traditional themes, in addition to classic clinical research on problems in internal medicine.
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