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2022, Number 2

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Rev cubana med 2022; 61 (2)

Clinical nutrition or nutrition clinic

Barreto PJ

Language: Spanish
References: 52
Page: 1-12
PDF size: 471.95 Kb.


ABSTRACT

Introduction: The diagnosis of malnutrition has had a difficult historical process and its concept has gone through numerous attempts to define it. The word undernourishment and especially the term malnutrition creates a lot of confusion among scholars of the subject. In the last decade, various consensuses have emerged to classify malnutrition associated with diseases together with the burden represented by overweight and obesity in the presence of chronic and acute diseases.
Objective: To identify how new technologies improve knowledge of nutritional disorders through the description and integration of their body compartments, but they are not available to health teams or patients in various work settings.
Findings: Nutrition is a science made up of a set of scientific disciplines that range from exact sciences to political sciences. The application of the clinical method as a modality of the scientific method makes it necessary to consider nutrition also with this vision and not as the last option of the doctor in a diagnostic or therapeutic intervention, contaminated by myths, taboos and cultural prejudices. Clinical medicine provides hard skills acquired in the form of knowledge and skills throughout pre-professional and postgraduate training, which together with soft skills will guarantee successful work, including hostile, toxic and/or chaotic cultural environments.
Conclusions: There are tendencies to follow patterns and guides of societies in countries with great financial and technological resources for research, which are not always in line with our realities. The appearance of the COVID-19 pandemic has posed new challenges and serious threats to both people and health systems globally, significantly affecting elderly patients, those with cancer and chronic diseases, along with the shock of the COVID-19 pandemic, obesity with that of the Coronavirus.


REFERENCES

  1. Magee HE. Discusión sobre la evaluación del estado de la nutrición. Proc Royal Soc Med. Journal 1935;28:713-29.

  2. Van Bokhorst, der, Van Schueren der, Mae Soeters PB, Reijven PL, Allison SP, Kondrup J. Diagnosis of malnutrition - screening and assessment. En: Basics in clinical nutrition. Fifth edition. Czech Republic: Galén. 2019. [acceso: 05/01/2022]; p.18-24. Disponible en: https://scielo.isciii.es/pdf/nh/v38n4/0212-1611-nh-38-4-765.pdf.2.

  3. Blössner M, de Onis M. Malnutrición: Quantifying the Health Impact at National and Local Levels. Ginebra, Suiza: Organización Mundial de la Salud; 2005. Environmental Burden of Disease Series; No. 12.3 La Organización Mundial de la Salud (OMS).2022 [acceso: 05/01/2022] Disponible en: Disponible en: https://apps.who.int/iris/rest/bitstreams/51175/retrieve 3.

  4. Jensen GL, Mirtallo J, Compher C; International Consensus Guideline Committee, et al. Adult starvation and disease-related malnutrition: a proposal for etiology-based diagnosis in the clinical practice setting from the International Consensus Guideline Committee. JPEN J Parenter Enteral Nutr 2010 [acceso: 05/01/2022];34:156-59. Disponible en: https://aspenjournals.onlinelibrary.wiley.com/doi/epdf/10.1177/01486071103619104.

  5. White J V, Guenter P, Jensen G, Malone A., Schofield M., Academy Malnutrition Work Group, A.S.P.E.N. Malnutrition Task Force, & A.S.P.E.N. Board of Directors (2012). Consensus statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). JPEN. Journal of parenteral and enteral nutrition. 2012 [acceso 05/01/2022];36(3):275-83. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22535923/5.

  6. Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff SC, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr. 2017 [acceso: 05/01/2022]36(1):49-64. Disponible en: https://www.sciencedirect.com/science/article/pii/S02615614163124206.

  7. Jensen GL, Cederholm T, Correia MITD, González MC, Fukushima R, Higashiguchi T, et al. GLIM Criteria for the Diagnosis of Malnutrition: A Consensus Report From the Global Clinical Nutrition Community. JPEN J Parenter Enteral Nutr. 2019;43(1):32-40. DOI:10.1002/jpen.1440.

  8. Cederholm T, Jensen GL, Correia M. GLIM criteria for the diagnosis of malnutrition-a consensus report from the global clinical nutrition community. J Cachexia Sarcopenia Muscle. 2019 [acceso: 05/01/2022];10(1):207-17. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30920778/

  9. Han A, Bokshan SL, Marcaccio SE, De Passe JM, Daniels AH. Diagnostic Criteria and Clinical Outcomes in Sarcopenia Research: A Literature Review J. Clin. Med. 2018 [acceso: 05/01/2022];7(4):70. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29642478/9.

  10. González MC, Correia MITD, Heymsfield SB. A requiem for BMI in the clinical setting. Curr Opin Clin Nutr Metab Care. 2017 [acceso: 05/01/2022];20(5):314-21. Disponible en:https://www.semanticscholar.org/paper/A-requiem-for-BMI-in-the-clinical-setting-Gonzalez-Correia/b7ea8a170f633de0b6c492d91c8bb69c6deae5aa10.

  11. Céspedes Feliciano EM, Kroenke CH, Caan BJ. The Obesity Paradox in Cancer: How Important Is Muscle? Annual Review of Nutrition 2018;38:1, 357-79. Disponible en: https://www.annualreviews.org/doi/abs/10.1146/annurev-nutr-082117-05172311.

  12. Stenholm S, Harris TB, Rantanen T, Visser M, Kritchevsky SB, Ferrucci L. Sarcopenic obesity: definition, cause and consequences. Curr Opin Clin Nutr Metab Care. 2008 [acceso: 05/01/2022];11(6):693-700. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2633408/12.

  13. Wang ZM, Pierson RN, Heymsfield SB. The five-level model: a new approach to organizing body-composition research. Am J Clin Nutr. 1992;56(1):19-28.

  14. Heymsfield SB, Baumgartner RN, Ross R, Allison DB, Wang ZM, Evaluation of total and regional body composition En: Handbook of Obesity. Bray GA, Bouchard C, James WPT (eds). Marcl Decker Inc. New York, 1998. pp: 41-77.

  15. Barreto Penie J, Santana PS, Espinosa BA. Composición corporal. Rev Acta Médica. 2003;11(1):1-15.

  16. Teigen LM, Kuchnia AJ, Mourtzakis M, Earthman CP. The Use of Technology for Estimating Body Composition Strengths and Weaknesses of Common Modalities in a Clinical Setting [Formula: see text]. Nutr Clin Pract. 2017 [acceso: 05/01/2022];32(1):20-9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27834282/16.

  17. Barreto Penié J, Santana Porbén S, Martínez González C, Espinosa Borrás A, Zamora Marín R, González Sánchez M. Alimentación, nutrición y metabolismo en el proceso salud y enfermedad. Acta Médica 2003;11(1):26-37.

  18. Pellegrino JW, M. L Hilton (eds.) Education for Life and Work: Developing Transferable Knowledge and Skills in the 21st Century, National Academies Press 2012, Washington, DC.; GFC Global. Hard Skills vs. Soft Skills. 2012 [acceso 04/01/2022] Disponible en: https://www.thebalancecareers.com/hard-skills-vs-soft-skills-206378018.

  19. Schmidt HG, Rikers RM. How expertise develops in medicine: knowledge encapsulation and illness script formation. Med Educ. 2007;41(12):1133-39. DOI:10.1111/j.1365-2923.2007.02915.

  20. Sullivan EA. Critical thinking in clinical nurse education: application of Paul's model of critical thinking. Nurs Ed Pract. 2012 [acceso: 05/01/2022];12:322-27. Disponible en: https://pubmed.ncbi.nlm.nih.gov/18004989/20.

  21. Charney PJ, Peterson SJ. (2013). Practice Paper of the Academy of Nutrition and Dietetics Abstract: Critical Thinking Skills in Nutrition Assessment and Diagnosis. Journal of the Academy of Nutrition and Dietetics. 2013;115(11):1545-59. DOI: 10.1016/J.JAND.2013.09.006

  22. Matarese LE, Charney P. Capturing the elusive diagnosis of malnutrition. Nutr Clin Pract 2017;32(1):11-14. DOI: 10.1177/0884533616671856

  23. Studley HO. Porcentaje de pérdida de peso: indicador básico de riesgos quirúrgicos en pacientes con úlcera péptica crónica. JAMA. 1936;106:458-60. Disponible en: https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.459.1103&rep=rep1&type=pdf23.

  24. Correia MITD, Perman MI, Waitzberg DL. Hospital malnutrition in Latin America: A systematic review. Clin Nutr 2017;36(4):958-67. DOI: 10.1016/j.clnu.2016.06.025

  25. Barreto Penié J.Cuban Group for the Study of Hospital Malnutrition. State of malnutrition in Cuban hospitals. Nutrition. 2005;21(4):487-97. DOI: 10.1016/j.nut.2004.08.019

  26. Santana Porbén S. The state of the provision of nutritional care to hospitalized patients-results from The Elan-Cuba Study. Clin Nutr. 2006;25(6):1015-29. DOI: 10.1016/j.clnu.2006.04.001.

  27. Tappenden KA, Quatrara B, Parkhurst ML, Malone AM, Fanjiang G, Ziegler TR. Critical role of nutrition in improving quality of care: an interdisciplinary call to action to address adult hospital malnutrition. JPEN J Parenter Enteral Nutr. 2013;37(4):482-97. DOI:10.1177/0148607113484066

  28. Barreto Penie J. La desnutrición en el Hospital "Hermanos Ameijeiras" en 3 momentos diferentes. RCAN 2013 [acceso 05/01/ 2022];23(2Supl):S17-2S4. Disponible en: http://www.revalnutricion.sld.cu/index.php/rcan/article/view/106628.

  29. Evans DC, Corkins MR, Malone A. The Use of Visceral Proteins as Nutrition Markers: An ASPEN Position Paper [published correction appears in Nutr Clin Pract. 2021;36(4):909]. DOI: 10.1002/ncp.10588

  30. Johns Hopkins Medicine. The four founding physicians. 2022 [acceso: 05/01/2022] Disponible en: http://www.hopkinsmedicine.org/about/history/history5.html30.

  31. Cook C. The lost art of the clinical examination: an overemphasis on clinical special tests. J Man Manip Ther. 2010;18(1):3-4. DOI: 10.1179/106698110X12595770849362.

  32. Bowen JL. Educational strategies to promote clinical diagnostic reasoning. N Engl J Med. 2006;355(21):2217-25. DOI:10.1056/NEJMra054782

  33. Ilizástegui Dupuy F. Sistema médico orientado al problema. En: "Práctica Clínica", Nasiff Hadad A, Rodríguez Silva HM, Moreno Rodríguez MA. La Habana: Edit. Ciencias Médicas. 2010:29-39.

  34. Ioannidis JPA, Stuart ME, Brownlee S, Strite SA. How to survive the medical misinformation mess. Eur J Clin Invest. 2017 [acceso: 05/01/2022];47:795-802. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28881000/34.

  35. Too many unreliable guidelines. Prescrire Int. 2013 [acceso: 05/01/2022];22(139):164. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23866364/35.

  36. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020 [acceso: 05/01/2022];382:727-33. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31978945/36.

  37. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in 386 Wuhan, China: a descriptive study. Lancet 2020 [acceso: 05/01/2022];395(10223):507-13. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32007143/37.

  38. Organización Mundial de la Salud (OMS). Preguntas y respuestas sobre la enfermedad por corona virus (COVID-19). 2019 [acceso: 05/01/2022] Disponible en: https://www.who.int/es/emergencies/diseases/novel-coronavirus-2019/advice-for-public/q-a-coronaviruses38.

  39. Zhu N, Zhang D, Wang W, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020 [acceso: 05/01/2022];382(8):727-33. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31978945/39.

  40. Singer P, Blaser AR, Berger MM, Alhazzani W, Calder PC, Casaer MP, et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr 2019;(38):48-79. DOI: 10.1016/j.clnu.2018.08.037.

  41. Correia MI, Waitzberg DL. The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Clin Nutr. 2003;22(3):235-39. DOI:10.1016/s0261-5614(02)00215-7

  42. Jie B, Jiang ZM, Nolan MT, Efron DT, Zhu SN, Yu K, et al. Impact of nutritional support on clinical outcome in patients at nutritional risk: a multicenter, prospective cohort study in Baltimore and Beijing teaching hospitals. Nutrition. 2010;26:1088-93. DOI: 10.1016/j.nut.2009.08.027

  43. Santana Porbén S. State of malnutrition in Cuban hospitals: a needed update. Nutr. Hosp. 2015;31(5):1900-09. DOI: 10.3305/nh.2015.31.5.8783 .

  44. García Espinosa L, Santana Porbén S. La desnutrición hospitalaria: la pieza perdida dentro del rompecabezas de la seguridad hospitalaria. Rev. Cuban. Aliment y Nutr. 2019 [acceso: 10/01/2022];29(2):[aprox.-14p.]. Disponible en: http://www.revalnutricion.sld.cu/index.php/rcan/article/view/93144.

  45. Volkert D, Beck AM, Cederholm T. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clin Nutr. 2019 [acceso: 10/01/2022];38(1):10-47. DOI: 10.1016/j.clnu.2018,05.024.Epub2018

  46. Anderson MR, Geleris J, Anderson DR, Zucker J, Nobel YR, Freedberg D, et al. Body Mass Index and Risk for Intubation or Death in SARS-CoV-2 Infection: A Retrospective Cohort Study. Ann Intern Med. 2020;173(10):782-90. DOI: 10.7326/M20-3214

  47. Kass DA. COVID-19 and Severe Obesity: A Big Problem? Ann Intern Med. 2020;173(10):840-41. DOI: 10.7326/M20-5677

  48. Papadimitriou Olivgeris M, Gkikopoulos N, Wvost M, Ballif A, Simonin V, Maulini M, et al. Predictors of mortality of influenza virus infections in a Swiss Hospital during four influenza seasons: role of quick sequential organ failure assessment. Eur J Intern Med 2019;(19):30460-61. DOI: 10.1016/j.ejim.2019.12.022. 48.

  49. Gombart AF, Pierre A, Maggini S. A Review of Micronutrients and the Immune System-Working in Harmony to Reduce the Risk of Infection. Nutrients. 2020;12(1):236. DOI: 10.3390/nu12010236.

  50. Zhang L, Liu Y. Potential interventions for novel coronavirus in China: A systematic review. J Med Virol. 2020;92(5):479-90. DOI: 10.1002/jmv.25707.

  51. Gomes F, Schuetz P, Bounoure L, Austin P, Ballesteros Pomar M, Cederholm T, et al. ESPEN guideline on nutritional support for polymorbid internal medicine patients. Clin Nutr. 2018;37:336-53. https://doi.org/10.1016/j.clnu.2017.06.025.51.

  52. T. D Correia MI. ¿Falta de ciencia o mala ciencia?. Rev. Nutr. Clínica Metabolismo. 2019;2(1):13-4. https://doi.org/10.35454/rncm.v2n1.05452. . https://revistanutricionclinicametabolismo.org/index.php/nutricionclinicametabolismo/article/view/rncm.v2n1.054




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