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Actividad Dietética最新文献

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Thematic Network DIETS mapping dietetic education in Europe 2006-2009: comparisons to the European Academic and Practitioner Standards for Dietetics 主题网络饮食映射欧洲2006-2009年的饮食教育:与欧洲营养学学术和从业者标准的比较
Pub Date : 2010-07-01 DOI: 10.1016/S1138-0322(10)70022-5
A. D. Looy, E. Naumann, E. Govers, Martine J. Jager, J. Liddell, I. Maramba, M. Cuervo
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引用次数: 4
¿Se cumplen los objetivos proteicos tras la cirugía bariátrica? 减肥手术后蛋白质目标是否达到?
Pub Date : 2010-07-01 DOI: 10.1016/S1138-0322(10)70024-9
Alba Andreu, Violeta Moizé, Lucía Rodríguez, Lilliam Flores, Josep Vidal

Introduction

The protein objective (PO) after bariatric surgery is reason for debate. The wide range of recommendations (60–80 g prot/day or 0.8-1.5 g prot/kg of ideal weight [IW]/day) illustrates the lack of consensus.

Objective

To assess the achievement of two different POs (60 g prot/day and 1.2 g prot/kg IW/day) after surgery on obesity and the effect of the protein supplements (PS) on the achievement of these POs.

Material and methods

101 people (75% women aged 43.2 ± 1 years old, with a BMI of 47.7 ± 0.7) are studied before surgery and, after 4, 8 and 12 months, an assessment is done on: the protein consumption (PC) and the recommended adherence to PS (a 3-day diet record).

Results

The PC (g of protein/day) before surgery was 97.9 ± 3.5 and, after 4, 8 and 12 months, it was 56.9 ± 1.9, 67.2 ± 1.8 and 71.3 ± 2.3. PO1 (60 g) was not achieved by 5, 45, 35 and 37% respectively. PO2 (1.2 g prot/ kg IW/day) was not achieved by 32, 87, 75 and 68% respectively. 63.4, 50.5 and 33.7% adhered to the PS after 4, 8 and 12 months after surgery and the fact that they were followed was significantly related to the achievement of the POs after each period (p < 0.05).

Conclusions

There are difficulties in achieving the proposed protein objectives after surgery on obesity. Protein supplementing helps to reach the protein objectives after bariatric surgery.

减肥手术后的蛋白质目标(PO)是争论的原因。广泛的建议(60-80克prot/天或0.8-1.5克prot/kg理想体重[IW]/天)表明缺乏共识。目的评估两种不同的成就POs (60 g港/天1.2 g港/公斤IW /天)手术后在肥胖和蛋白质补充剂的影响(PS)的成就这些POs.Material methods101人(75%的女性年龄在43.2±1岁,体重指数为47.7±0.7)研究了手术前,后4、8和12个月,完成评估:蛋白质消费(PC)和推荐的坚持PS(为期3天的饮食记录)。结果术前PC (g蛋白/天)为97.9±3.5,术后4、8、12个月分别为56.9±1.9、67.2±1.8、71.3±2.3。PO1 (60 g)分别为5%、45%、35%和37%。PO2 (1.2 g prot/ kg IW/day)分别达不到32%、87%、75%和68%。63.4、50.5、33.7%的患者在术后4个月、8个月、12个月后仍坚持治疗方案,随访与各期治疗方案的达成显著相关(p <0.05)。结论肥胖手术后蛋白质目标难以达到。补充蛋白质有助于达到减肥手术后的蛋白质目标。
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引用次数: 0
Preparación del paciente obeso mórbido para la cirugía: importancia de la pérdida de peso preoperatoria 病态肥胖患者手术准备:术前减肥的重要性
Pub Date : 2010-07-01 DOI: 10.1016/S1138-0322(10)70026-2
Norberto Cassinello Fernández, Joaquín Ortega Serrano

Surgery is the only effective treatment for those people with a body mass index (BMI) of over 40 or even more than 35 when there are associated diseases like diabetes or hypertension. The pre-operative preparation of these patients is vital for reducing the risks of the surgical procedure and for improving the post-operative results. The “acute” loss of weight before surgery, one of the fundamental pillars of this preparation, can be achieved through different means such as a very low-calorie diet or the placement of an intragastric balloon. In the following article, we shall analyse the advantages and disadvantages of each of them.

对于那些身体质量指数(BMI)超过40甚至超过35并伴有糖尿病或高血压等相关疾病的人来说,手术是唯一有效的治疗方法。这些患者的术前准备对于降低手术风险和改善术后效果至关重要。手术前的“急性”减肥是这项准备工作的基本支柱之一,可以通过不同的方式实现,如低热量饮食或放置胃内气囊。在下面的文章中,我们将分析它们各自的优点和缺点。
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引用次数: 7
Prevención de las alteraciones alimentarias: fundamentos teóricos y recursos prácticos 预防饮食改变:理论基础和实践资源
Pub Date : 2010-07-01 DOI: 10.1016/S1138-0322(10)70030-4
Gemma López-Guimerà, David Sánchez-Carracedo, Carmina Saldaña
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引用次数: 13
Tratamiento multidisciplinario en un caso complejo de obesidad mórbida: glomerulosclerosis segmentaria y focal 病态肥胖复杂病例的多学科治疗:节段性和局灶性肾小球硬化
Pub Date : 2010-07-01 DOI: 10.1016/S1138-0322(10)70023-7
M. M. G. Bernabe
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引用次数: 0
¿La cirugía bariátrica es el único tratamiento alternativo de la obesidad mórbida o extrema, o estamos frente a un círculo vicioso que obliga a una reflexión crítica? 减肥手术是病态或极端肥胖的唯一替代治疗方法,还是我们面临着一个需要批判性反思的恶性循环?
Pub Date : 2010-07-01 DOI: 10.1016/S1138-0322(10)70021-3
Nahyr Schinca
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引用次数: 0
Dtos de interés para escribir en Actividad Dietética 对饮食活动感兴趣的Dtos
Pub Date : 2010-07-01 DOI: 10.1016/S1138-0322(10)70031-6
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引用次数: 0
La Federación Española de Sociedades de Nutrición Alimentación y Dietética (FESNAD), un órgano nacional y multidisciplinario activo
Pub Date : 2010-04-01 DOI: 10.1016/S1138-0322(10)70010-9
Irene Breton, Manuel Gargallo, Carlos Iglesias, Herminia Lorenzo, Mercè Planas, Isabel Polanco, Joan Quiles, M. Dolores Romero de Ávila, Giussepe Russolillo, Antonio Villarino, José Alfredo Martínez
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引用次数: 1
Para ti, información práctica 给你,实用的信息
Pub Date : 2010-04-01 DOI: 10.1016/S1138-0322(10)70019-5
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引用次数: 0
Tratamiento nutricional del niño con trastorno neuromotor 神经运动障碍患儿的营养治疗
Pub Date : 2010-04-01 DOI: 10.1016/S1138-0322(10)70012-2
Isabel Polanco Allué

The risk of suffering malnutrition is very high in children and adolescents who suffer a certain type of neuromotor pathology (NP) due to different factors that occur in them: motor coordination disorders in the different stages of deglutition, gastroesophageal reflux, oesophagitis, gastritis, gastrocolic reflex alteration, constipation, anorexia, etc. These disorders alter the desirable proportionality between the amount of food given to the patient and the net intakes of it. As a result, the following is necessary: a) the periodic systematic assessment of the nutritional state, adapted to this type of patient and, based on the data obtained; b) taking the appropriate decisions with reference to his/her diet: nutritional needs, options for nutritional support, the route of administration and, finally, c) treatment of the digestive complications, if there are any. With these procedures, help will be given to improve his/her quality of life and to reduce the level of stress that the people in charge of looking after and feeding him/her experience. It is very important to correctly deal with the peculiarities of his/her feeding behaviour. These steps, some of which are complex to tackle, require an inter-disciplinary focus. This work is meant to contribute to these objectives.

患有某种神经运动病理(NP)的儿童和青少年发生营养不良的风险非常高,原因有不同:吞咽不同阶段的运动协调障碍、胃食管反流、食管炎、胃炎、胃结肠反射改变、便秘、厌食症等。这些疾病改变了给病人的食物量和净摄入量之间的理想比例。因此,有必要进行以下工作:a)根据所获得的数据,对这类患者的营养状况进行定期系统评估;B)根据他/她的饮食做出适当的决定:营养需求,营养支持的选择,给药途径,最后,c)消化系统并发症的治疗,如果有的话。通过这些程序,将有助于改善他/她的生活质量,并减少负责照顾和喂养他/她的人所经历的压力水平。正确处理他/她进食行为的特殊性是非常重要的。这些步骤,其中一些处理起来很复杂,需要跨学科的关注。这项工作旨在为实现这些目标作出贡献。
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引用次数: 0
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Actividad Dietética
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