Jensen GL

Idioma: Ingles.
Referencias bibliográficas: 65
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RESUMEN

Se presenta un resumen de mi Conferencia de Rhoads 2014 que explora nuestro progreso en la comprensión de la compleja interacción de la desnutrición y la inflamación. Se proporciona una perspectiva histórica que pone de relieve las contribuciones de algunos de los principales pioneros en el campo de la evaluación nutricional. Los avances en la agricultura, la educación, la salud pública, la asistencia sanitaria, y los niveles de vida han afectado a la configuración tradicional de la desnutrición. Las condiciones crónicas de la enfermedad, cirugía y lesiones que están asociadas con la atención sanitaria moderna son cada vez más la configuración prevalentes de la desnutrición. Una consecuencia ha sido la creciente evaluación de las contribuciones de la inflamación a la desnutrición en esta situación clínica. Este reconocimiento ha impulsado una nueva mirada a cómo definimos y pensamos en los síndromes de mala nutrición. Está incluido un componente inflamatorio en las definiciones propuestas en el informe de consenso de la reciente Academia de Nutrición y Dietética y la Sociedad Americana de Nutrición Parenteral y Enteral que también describe las características recomendadas para la identificación y documentación de la desnutrición. Actualmente se está trabajando para evaluar la viabilidad y la validez de este enfoque. Los recientes avances en la investigación ponen de manifiesto el profundo impacto de la erosión mediada por la inflamación de la masa muscular en los resultados clínicos. La investigación para identificar mejores marcadores biológicos de la inflamación y la desnutrición debe ser una de las principales prioridades. Los nuevos enfoques "ómicos" son una vía especialmente prometedora de investigación de los biomarcadores. La inflamación puede ser una buena cosa; vamos a tratar de que lo siga siendo. (JPEN J Parenter Enteral Nutr. 2015;39:56-62)

REFERENCIAS (EN ESTE ARTÍCULO)

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