Protocolo diferenciado para terapia nutricional na esclerose lateral amiotrófica
Objective: To discuss the nutritional therapy in AmyotrophicLateral Sclerosis (ALS), sharing a protocol performed and usedby a specialized ambulatory care service. Material and Methods:The theoretical foundation of this paper was based on theliterature published in both P...
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| Principais autores: | , , , , , |
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| Formato: | article |
| Idioma: | pt_BR |
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Revista Brasileira de Ciências da Saúde
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/54256 |
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| Resumo: | Objective: To discuss the nutritional therapy in AmyotrophicLateral Sclerosis (ALS), sharing a protocol performed and usedby a specialized ambulatory care service. Material and Methods:The theoretical foundation of this paper was based on theliterature published in both PubMed and ISI Web of Science,using “amyrotrophic lateral sclerosis” and “nutrition” as key-wor ds. R esul ts and D i scussi on: In br i ef , ALS i s a r ar eneurodegenerative disease with poor prognosis and palliativetreatment. Malnutrition is very common in these patients andincreases the risk of death among them. Nutritional therapy isessential and must be integrated into a multidisciplinary care.Nutritional monitoring is recommended at least once everythree months. Nutritional assessment, high-calorie and high-protein diet with an adequate amount of water and fiber arer ecom m ended. In addi ti on, m i cr onutr i ents, especi al l yantioxidants, must reach the Recommended Dietary Allowances.A diet texture modification for dysphagia is indicated and enteralnutrition should be demystified to patients and care giversduring the follow-up care. ALS patients are potential candidatesto use enteral nutrition, which should be indicated in cases ofsignificant dysphagia or impaired respiratory function associatedwith low food intake, body mass index less than 18.5 or 22.0kg/m² (for adults or elderlies, respectively), and/or body weightloss above 10%. Conclusion: W e suggest the standardizationof nutritional therapy in ALS and the establishment of a distinctprotocol in clinical practice. Thus, malnutrition can be avoidedor minimized, contributing to a better quality of life and survivalof these patients. |
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