UNIGE document Scientific Article - Meta-analysis
previous document  unige:24495  next document
add to browser collection
Title

Nutritional state, energy intakes and energy expenditure of amyotrophic lateral sclerosis (ALS) patients

Authors
Viatte, V.
Héritier, A-C
Published in Clinical Nutrition. 2011, vol. 30, no. 5, p. 553-9
Abstract Amyotrophic lateral sclerosis (ALS) alters nutritional state, energy intake and energy expenditure. This article aims at reviewing present knowledge on these topics in order to determine energy requirements for maintaining a neutral energy balance in ALS patients. Maintaining a neutral energy balance prevents malnutrition and its complications and may improve physical functioning, quality of life and survival. Prevalence of malnutrition varies between 16 and 55% in ALS patients. Energy intakes are below recommended dietary allowances in 70% of ALS patients at least. These elements suggest a chronic negative energy balance with an imbalance between requirements and intakes. While insufficient intakes can be compensated with nutritional support, the energy requirements are unclear. Studies generally report hypermetabolism in ALS patients. Estimation of total energy expenditure and as a corollary energy needs, necessitates taking into account this hypermetabolism, physical activity and possibly mechanical ventilation. The review suggests a flow chart for optimal nutritional follow-up in clinics. Further studies are required to assess whether optimal nutritional follow-up improves outcome.
Keywords Amyotrophic Lateral Sclerosis/diet therapy/metabolism/physiopathology/therapyBasal MetabolismBody CompositionDecision TreesEnergy IntakeEnergy MetabolismFemaleHumansMaleMalnutrition/etiology/prevention & controlMotor ActivityNutrition AssessmentNutritional StatusRespiration, ArtificialRespiratory System/physiopathology
Identifiers
PMID: 21798636
Full text
Article (Published version) (218 Kb) - private document Private access
Structures
Research group Nutrition clinique (597)
Citation
(ISO format)
GENTON GRAF, Laurence et al. Nutritional state, energy intakes and energy expenditure of amyotrophic lateral sclerosis (ALS) patients. In: Clinical Nutrition, 2011, vol. 30, n° 5, p. 553-9. https://archive-ouverte.unige.ch/unige:24495

177 hits

0 download

Update

Deposited on : 2012-12-12

Export document
Format :
Citation style :