探索虚弱、肌肉疏松症和恶病质与营养不良的交集。

IF 2.1 4区 医学 Q3 NUTRITION & DIETETICS
Nutrition in Clinical Practice Pub Date : 2024-12-01 Epub Date: 2024-06-27 DOI:10.1002/ncp.11180
Gordon L Jensen, Tommy Cederholm
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引用次数: 0

摘要

本综述探讨了我们目前对虚弱症、肌肉疏松症和恶病质的共识定义的理解,以及它们与营养不良的重叠。患有这些综合征的患者往往符合营养不良的标准。这些重叠综合征经常被从业人员误用,而缺乏通用的营养不良语言又进一步加剧了混淆。为了解决后一个问题,我们建议使用独立的全球营养不良领导倡议(GLIM)框架,或根据偏好和可用资源,将 GLIM 共识标准与其他公认方法相结合。既定的护理标准应指导营养不良的识别和治疗,以促进最佳临床效果和生活质量。在严重急性炎症和伴有恶病质的疾病晚期,营养干预的效果可能会降低。不过,此类干预措施仍可帮助患者耐受针对重叠综合征潜在病因的治疗,并有助于改善选定的临床疗效和生活质量。最近,经过精心设计的大型随机对照试验表明,医学营养疗法具有令人信服的积极临床效果。因此,同时进行营养不良风险筛查和评估是当务之急。必须针对这些重叠综合征的潜在机制采取具体的干预措施,同时诊断和解决营养不良问题。必须强调的是,要确保虚弱、肌肉疏松症和恶病质的治疗效果,还需要采取非营养干预措施,如综合护理计划、药物治疗和处方运动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the intersections of frailty, sarcopenia, and cachexia with malnutrition.

This review examines our current understanding of consensus definitions for frailty, sarcopenia, and cachexia and their perceived overlap with malnutrition. Patients with these syndromes will often meet the criteria for malnutrition. It is common for these overlap syndromes to be misapplied by practitioners, and confusion has been further exacerbated by the lack of a common malnutrition language. To address the latter concern, we recommend using either the standalone Global Leadership Initiative in Malnutrition (GLIM) framework or the GLIM consensus criteria integrated with other accepted approaches as dictated by preference and available resources. Established care standards should guide the recognition and treatment of malnutrition to promote optimal clinical outcomes and quality of life. The effectiveness of nutrition interventions may be reduced in settings of severe acute inflammation and in end-stage disease that is associated with cachexia. However, such interventions may still assist patients to tolerate treatments that target the underlying etiology for an overlap syndrome, and they may help to improve select clinical outcomes and quality of life. Recent, large, well-designed randomized controlled trials have demonstrated the compelling positive clinical effects of medical nutrition therapy. The application of concurrent malnutrition risk screening and assessment is therefore a high priority. The necessity to deliver specific interventions that target the underlying mechanisms of these overlap syndromes and also diagnose and address malnutrition is paramount. It must be highlighted that securing beneficial outcomes for frailty, sarcopenia, and cachexia will also require nonnutrition interventions, like comprehensive care plans, pharmacologic agents, and prescribed exercise.

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来源期刊
CiteScore
6.00
自引率
9.70%
发文量
128
审稿时长
3 months
期刊介绍: NCP is a peer-reviewed, interdisciplinary publication that publishes articles about the scientific basis and clinical application of nutrition and nutrition support. NCP contains comprehensive reviews, clinical research, case observations, and other types of papers written by experts in the field of nutrition and health care practitioners involved in the delivery of specialized nutrition support. This journal is a member of the Committee on Publication Ethics (COPE).
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