Fibrosis quística: aspectos nutricionales
Cystic fibrosis: Nutritional consideration
M. Molina Arias
, G. Prieto Bozano, J. Sarría Osés, I. Polanco Allué
Autor para correspondencia
molinaarias@worldonline.es
Correspondencia: Servicio de Gastroenterología y Nutrición. Hospital Infantil Universitario La Paz. P.° de la Castellana, 261. 28046 Madrid.
Correspondencia: Servicio de Gastroenterología y Nutrición. Hospital Infantil Universitario La Paz. P.° de la Castellana, 261. 28046 Madrid.
Servicio de Gastroenterología y Nutrición. Hospital Infantil Universitario La Paz. Madrid.
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Polanco Allué" "autores" => array:4 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Molina Arias" "email" => array:1 [ 0 => "molinaarias@worldonline.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Prieto Bozano" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Sarría Osés" ] 3 => array:2 [ "nombre" => "I." "apellidos" => "Polanco Allué" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Gastroenterología y Nutrición. Hospital Infantil Universitario La Paz. Madrid." ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Gastroenterología y Nutrición. Hospital Infantil Universitario La Paz. P.° de la Castellana, 261. 28046 Madrid." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Cystic fibrosis: Nutritional consideration" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-12-31" "fechaAceptado" => "2001-01-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186686" "palabras" => array:4 [ 0 => "Fibrosis quística" 1 => "Malnutrición" 2 => "Balance energético" 3 => "Soporte nutricional" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186687" "palabras" => array:4 [ 0 => "Cystic fibrosis" 1 => "Malnutrition" 2 => "Energy balance" 3 => "Nutritional support" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La mejora durante las últimas décadas de las técnicas de tratamiento y de soporte nutricional de los pacientes con fibrosis quística ha permitido prolongar la supervivencia y aumentar la calidad de vida de estos pacientes. Existe una clara relación entre el desarrollo de la malnutrición y la disminución de los parámetros de función respiratoria y ambos se asocian con un peor pronóstico de la enfermedad.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La malnutrición es una complicación muy frecuente, presente al menos en el 20 % de los pacientes. Esto se debe a que, con frecuencia, se establece un balance energético y proteico negativo originado por el aumento del gasto energético y el aumento de las necesidades nutricionales junto con una disminución de los aportes ingeridos.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Debe monitorizarse de forma periódica el estado nutricional desde el punto de vista clínico, antropométrico y analítico, asegurando que la ingesta alcance los requerimientos y realizando un soporte nutricional más específico en aquellas situaciones en las que se produzca un fracaso nutricional.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La dieta del paciente con fibrosis quística debe ser hipercalórica e hiperproteica, rica en grasa, con aporte normal de hidratos de carbono y con aporte de suplementos pancreáticos y de vitaminas liposolubles cuando exista insuficiencia pancreática.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">During the last few decades, improved treatment measures and nutritional support in cystic fibrosis have increased survival and quality of life in these patients. There is a clear relationship between the development of malnutrition and worsening in respiratory function and both factors have been related to poor disease outcome. Malnutrition is a very frequent complication of this disease and is found in 20 % of patients, due to negative energy-proteic balance. This disequilibrium can be explained by increased energy expenditure, high nutritional requirements and decreased oral intake. Periodic monitoring of clinical, anthropometrical and functional nutritional status is mandatory. Intake must be greater than requirements and specific nutritional support should be established when required. Patients with cystic fibrosis must receive a hypercaloric and hyperproteotic diet, with a high fat content, a normal quantity of carbohydrates and with pancreatic and liposoluble vitamin supplements in case of pancreatic insufficiency.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:39 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "The Cystic Fibrosis Foundation, Patient Registry 1997 Annual Data Report. Bethesda, 1999" ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Levy LD, Durie PR, Pencharz PB, Corey M. Effects of long-term nutritional rehabilitation on body composition and clinical status in malnourished children and adolescents with cystic fibrosis. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 9 | 15 | 24 |
| 2024 Octubre | 67 | 76 | 143 |
| 2024 Septiembre | 66 | 84 | 150 |
| 2024 Agosto | 97 | 105 | 202 |
| 2024 Julio | 52 | 57 | 109 |
| 2024 Junio | 68 | 59 | 127 |
| 2024 Mayo | 50 | 60 | 110 |
| 2024 Abril | 42 | 53 | 95 |
| 2024 Marzo | 32 | 58 | 90 |
| 2024 Febrero | 44 | 58 | 102 |
| 2024 Enero | 50 | 35 | 85 |
| 2023 Diciembre | 28 | 32 | 60 |
| 2023 Noviembre | 28 | 43 | 71 |
| 2023 Octubre | 34 | 32 | 66 |
| 2023 Septiembre | 18 | 24 | 42 |
| 2023 Agosto | 28 | 28 | 56 |
| 2023 Julio | 36 | 43 | 79 |
| 2023 Junio | 32 | 22 | 54 |
| 2023 Mayo | 44 | 29 | 73 |
| 2023 Abril | 46 | 23 | 69 |
| 2023 Marzo | 49 | 33 | 82 |
| 2023 Febrero | 56 | 20 | 76 |
| 2023 Enero | 44 | 28 | 72 |
| 2022 Diciembre | 54 | 36 | 90 |
| 2022 Noviembre | 56 | 33 | 89 |
| 2022 Octubre | 76 | 53 | 129 |
| 2022 Septiembre | 84 | 34 | 118 |
| 2022 Agosto | 45 | 49 | 94 |
| 2022 Julio | 26 | 42 | 68 |
| 2022 Junio | 35 | 50 | 85 |
| 2022 Mayo | 34 | 47 | 81 |
| 2022 Abril | 44 | 63 | 107 |
| 2022 Marzo | 33 | 37 | 70 |
| 2022 Febrero | 18 | 42 | 60 |
| 2022 Enero | 26 | 49 | 75 |
| 2021 Diciembre | 27 | 55 | 82 |
| 2021 Noviembre | 34 | 66 | 100 |
| 2021 Octubre | 33 | 92 | 125 |
| 2021 Septiembre | 31 | 65 | 96 |
| 2021 Agosto | 23 | 38 | 61 |
| 2021 Julio | 28 | 59 | 87 |
| 2021 Junio | 31 | 69 | 100 |
| 2021 Mayo | 47 | 66 | 113 |
| 2021 Abril | 68 | 86 | 154 |
| 2021 Marzo | 76 | 27 | 103 |
| 2021 Febrero | 84 | 16 | 100 |
| 2021 Enero | 73 | 27 | 100 |
| 2020 Diciembre | 31 | 18 | 49 |
| 2020 Noviembre | 16 | 20 | 36 |
| 2020 Octubre | 28 | 19 | 47 |
| 2020 Septiembre | 35 | 18 | 53 |
| 2020 Agosto | 18 | 16 | 34 |
| 2020 Julio | 39 | 24 | 63 |
| 2020 Junio | 54 | 22 | 76 |
| 2020 Mayo | 29 | 34 | 63 |
| 2020 Abril | 30 | 11 | 41 |
| 2020 Marzo | 21 | 17 | 38 |
| 2020 Febrero | 18 | 22 | 40 |
| 2020 Enero | 46 | 20 | 66 |
| 2019 Diciembre | 50 | 26 | 76 |
| 2019 Noviembre | 24 | 16 | 40 |
| 2019 Octubre | 23 | 24 | 47 |
| 2019 Septiembre | 19 | 34 | 53 |
| 2019 Agosto | 27 | 43 | 70 |
| 2019 Julio | 41 | 124 | 165 |
| 2019 Junio | 33 | 128 | 161 |
| 2019 Mayo | 113 | 176 | 289 |
| 2019 Abril | 74 | 196 | 270 |
| 2019 Marzo | 29 | 132 | 161 |
| 2019 Febrero | 33 | 102 | 135 |
| 2019 Enero | 22 | 136 | 158 |
| 2018 Diciembre | 21 | 107 | 128 |
| 2018 Noviembre | 22 | 123 | 145 |
| 2018 Octubre | 30 | 29 | 59 |
| 2018 Septiembre | 17 | 21 | 38 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Julio | 2 | 0 | 2 |
| 2018 Junio | 3 | 0 | 3 |
| 2018 Mayo | 3 | 0 | 3 |
| 2018 Abril | 3 | 0 | 3 |
| 2018 Marzo | 15 | 1 | 16 |
| 2018 Febrero | 14 | 0 | 14 |
| 2018 Enero | 5 | 0 | 5 |
| 2017 Diciembre | 7 | 0 | 7 |
| 2017 Noviembre | 4 | 0 | 4 |
| 2017 Octubre | 9 | 1 | 10 |
| 2017 Septiembre | 10 | 0 | 10 |
| 2017 Agosto | 4 | 0 | 4 |
| 2017 Julio | 14 | 4 | 18 |
| 2017 Junio | 20 | 134 | 154 |
| 2017 Mayo | 18 | 123 | 141 |
| 2017 Abril | 17 | 131 | 148 |
| 2017 Marzo | 17 | 163 | 180 |
| 2017 Febrero | 9 | 185 | 194 |
| 2017 Enero | 4 | 70 | 74 |
| 2016 Diciembre | 29 | 99 | 128 |
| 2016 Noviembre | 35 | 179 | 214 |
| 2016 Octubre | 33 | 122 | 155 |
| 2016 Septiembre | 43 | 81 | 124 |
| 2016 Agosto | 55 | 48 | 103 |
| 2016 Julio | 32 | 34 | 66 |
| 2016 Junio | 1 | 0 | 1 |
| 2016 Mayo | 2 | 42 | 44 |
| 2016 Abril | 2 | 0 | 2 |
| 2016 Marzo | 3 | 0 | 3 |
| 2016 Febrero | 6 | 0 | 6 |
| 2016 Enero | 2 | 0 | 2 |
| 2015 Diciembre | 4 | 0 | 4 |
| 2015 Noviembre | 2 | 26 | 28 |
| 2015 Octubre | 3 | 23 | 26 |
| 2015 Septiembre | 4 | 23 | 27 |
| 2015 Agosto | 4 | 16 | 20 |
| 2015 Julio | 7 | 18 | 25 |
| 2015 Junio | 9 | 12 | 21 |
| 2015 Mayo | 8 | 0 | 8 |
| 2015 Abril | 15 | 12 | 27 |
| 2015 Marzo | 7 | 9 | 16 |
| 2015 Febrero | 4 | 13 | 17 |
| 2015 Enero | 12 | 4 | 16 |
| 2014 Diciembre | 18 | 4 | 22 |
| 2014 Noviembre | 11 | 2 | 13 |
| 2014 Octubre | 24 | 2 | 26 |
| 2014 Septiembre | 24 | 3 | 27 |
| 2014 Agosto | 45 | 3 | 48 |
| 2014 Julio | 34 | 2 | 36 |
| 2014 Junio | 74 | 7 | 81 |
| 2014 Mayo | 96 | 8 | 104 |
| 2014 Abril | 66 | 4 | 70 |
| 2014 Marzo | 106 | 7 | 113 |
| 2014 Febrero | 64 | 6 | 70 |
| 2014 Enero | 67 | 4 | 71 |
| 2013 Diciembre | 76 | 8 | 84 |
| 2013 Noviembre | 84 | 7 | 91 |
| 2013 Octubre | 51 | 12 | 63 |
| 2013 Septiembre | 30 | 10 | 40 |
| 2013 Agosto | 43 | 8 | 51 |
| 2013 Julio | 41 | 6 | 47 |
| 2013 Junio | 1 | 2 | 3 |
| 2013 Mayo | 2 | 1 | 3 |
| 2013 Abril | 2 | 3 | 5 |
| 2013 Marzo | 9 | 4 | 13 |
| 2013 Febrero | 23 | 2 | 25 |
| 2013 Enero | 13 | 2 | 15 |
| 2012 Diciembre | 29 | 2 | 31 |
| 2012 Noviembre | 13 | 2 | 15 |
| 2012 Octubre | 2 | 1 | 3 |
| 2012 Septiembre | 2 | 0 | 2 |
| 2012 Agosto | 2 | 1 | 3 |
| 2012 Julio | 1 | 0 | 1 |
| 2001 Mayo | 2370 | 0 | 2370 |
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