{"title":"慢性心力衰竭的营养管理","authors":"H. Benalikhoudja, M. Abdelbaki","doi":"10.18535/cmhrj.v3i6.279","DOIUrl":null,"url":null,"abstract":"Chronic heart failure is associated with a nutritional syndrome which is often complicated by a state of cachexia. This nutritional syndrome plays a pejorative role. When obesity is moderate, it has favorable consequences on morbidity and mortality. Nutritional syndrome results directly from two processes linked to the development of heart failure. The first results in a neuroendocrine disruption which leads to a reduction in anabolic factors and an increase in catabolizing factors, resulting in a hypercatabolic state and leading to cachexia. The second is the reduction of caloric consumption and absorption with a decrease in energy production and an increase in demand. Specific dietary intakes or supplements have been carried out with some success, but a consensus remains to be established.","PeriodicalId":155428,"journal":{"name":"Clinical Medicine And Health Research Journal","volume":"57 ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Nutritional Management of Chronic Heart Failure\",\"authors\":\"H. Benalikhoudja, M. Abdelbaki\",\"doi\":\"10.18535/cmhrj.v3i6.279\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Chronic heart failure is associated with a nutritional syndrome which is often complicated by a state of cachexia. This nutritional syndrome plays a pejorative role. When obesity is moderate, it has favorable consequences on morbidity and mortality. Nutritional syndrome results directly from two processes linked to the development of heart failure. The first results in a neuroendocrine disruption which leads to a reduction in anabolic factors and an increase in catabolizing factors, resulting in a hypercatabolic state and leading to cachexia. The second is the reduction of caloric consumption and absorption with a decrease in energy production and an increase in demand. Specific dietary intakes or supplements have been carried out with some success, but a consensus remains to be established.\",\"PeriodicalId\":155428,\"journal\":{\"name\":\"Clinical Medicine And Health Research Journal\",\"volume\":\"57 \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-11-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Medicine And Health Research Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.18535/cmhrj.v3i6.279\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Medicine And Health Research Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18535/cmhrj.v3i6.279","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Chronic heart failure is associated with a nutritional syndrome which is often complicated by a state of cachexia. This nutritional syndrome plays a pejorative role. When obesity is moderate, it has favorable consequences on morbidity and mortality. Nutritional syndrome results directly from two processes linked to the development of heart failure. The first results in a neuroendocrine disruption which leads to a reduction in anabolic factors and an increase in catabolizing factors, resulting in a hypercatabolic state and leading to cachexia. The second is the reduction of caloric consumption and absorption with a decrease in energy production and an increase in demand. Specific dietary intakes or supplements have been carried out with some success, but a consensus remains to be established.