吸收不良患者的微量营养素补充。

IF 2.1 4区 医学 Q3 NUTRITION & DIETETICS Nutrition in Clinical Practice Pub Date : 2024-10-01 Epub Date: 2024-07-14 DOI:10.1002/ncp.11190
Gabriela Gardner
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引用次数: 0

摘要

吸收不良的患者即使通过肠内或肠外营养获得维生素、矿物质或微量元素,也会出现微量营养素缺乏症。此外,临床医生在肠外营养品短缺时以及病人从肠外营养过渡到肠内/口服营养时,也面临着微量营养素补充的挑战。通过实验室指标来评估微量营养素缺乏症有各种局限性,包括许多指标是急性期反应物,可能无法反映储存状态,或者在临床实践中可能无法随时获得。此外,临床医生可能会因为维生素和矿物质产品种类繁多、这些产品的剂量和成分各不相同而不知所措,最后,胃肠道受损也会带来固有的挑战。本综述将讨论临床医生在临床实践中对吸收不良患者进行微量营养素补充的评估、评价和处方时可能遇到的一些挑战。
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Micronutrient supplementation in patients with malabsorptive conditions.

Patients with malabsorptive conditions can develop micronutrient deficiencies, even if they receive vitamins, minerals, or trace elements through their enteral or parenteral nutrition. Additionally, clinicians have faced challenges with micronutrient supplementation during parenteral product shortages and when transitioning patients from parenteral to enteral/oral nutrition. Evaluating micronutrient deficiencies through laboratory markers has various limitations, including that many are acute phase reactants, may not reflect storage status, or may not be readily available in clinical practice. Furthermore, clinicians can become overwhelmed with the variety of vitamin and mineral products available, the differences in dosages and ingredients in these products, and lastly, the inherent challenges associated with an impaired gastrointestinal tract. The current review will discuss some challenges clinicians may encounter in clinical practice during the evaluation, assessment, and prescription of micronutrient supplementation in patients with malabsorptive conditions.

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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).
期刊最新文献
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