慢性心力衰竭的营养管理

H. Benalikhoudja, M. Abdelbaki
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引用次数: 0

摘要

慢性心力衰竭与营养综合征有关,而营养综合征往往因恶病质状态而复杂化。这种营养综合征具有贬义作用。如果肥胖程度适中,则会对发病率和死亡率产生有利影响。营养综合征直接源于与心力衰竭发展相关的两个过程。第一个过程是神经内分泌紊乱,导致合成代谢因子减少,分解代谢因子增加,形成高分解代谢状态,导致恶病质。其次是热量消耗和吸收减少,能量产生减少,需求增加。特定的膳食摄入或补充已取得了一些成功,但仍有待达成共识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nutritional Management of Chronic Heart Failure
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.
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