Nutritional status in patients with cystic fibrosis: Possibilities of correction


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Abstract

The major risk factor for death in cystic fibrosis (CF) is a progressive lung injury; however, low nutritional status (NS) remains an important and underestimated problem in the management of these patients. The NS of a patient with CF is impaired by many factors, such as chronic malabsorption, pancreatic failure, chronic inflammation, and recurrent pulmonary infection – they all lead to higher energy demand in the presence of lower intake of nutrients. The NS of those with CF plays an important role in maintaining lung function. The patients with higher NS have longer life expectancies. According to the Russian National Registry, both pediatric and adult patients with CF have shorter life expectancies. The article discusses various nutritional support regimens and their impact on lung function parameters.

References

  1. Ratjen F, Döring G. Cystic fibrosis. Lancet. 2003;361:681. doi: 10.1016/s0140-6736(03)12567-6
  2. Шерман В.Д., Капранов Н.И., Кусова З.А. Неонатальный скриниг на муковисцидоз в Российской Федерации Опыт Московского Центра Муковисцидоза. XI национальный конгресс «Муковисцидоз у детей и взрослых» 24—25 мая 2013 года. Москва; 2013.
  3. Zemel BS. Prospective Evaluation Resting Energy Expenditure, Nutritional status, Pulmonary function and Genotype in children with Cystic fibrosis. Pediatr Res. 1996;40:578-586. doi: 10.1203/00006450-199610000-00011
  4. Matel JL, Milla CE. Nutrition in Cystic Fibrosis. Med. 2009;30(5):579-586. doi:10.35/s-0029-1238916
  5. Steinkamp G, Wiedemann B, on behalf of the German Group 2002. Relationship between nutritional status and lung function in Cystic Fibrosis: cross sectional and longitudinal analyses from the German CF quality assurance (CFQA) project. Thorax. 2002;57(7)596-601. doi: 10.1136/thorax.57.7.596
  6. Pencharz PB, Durie PR. Pathogenesis of malnutrition in Cystic Fibrosis and its treatment. Clin Nutr. 2000;19(6):387-394. doi: 10.1054/cinu.0079
  7. White H, Morton AM, Peckham DG, Conway SP. Dietary intakes in adult patients with cystic fibrosis — do they achive guidelines? J Cyst Fibros. 2004;3(1):1-7. doi: 10.1016/j.jcf.2003.12.002
  8. Haack A, Carvaiho Garbi Novaes MR. Multidisciplinary care in Cystic Fibrosis, a clinical nutrition review. Nutr Hosp. 2012. doi: 10.1590/s0212-16112012000200005
  9. Peterson ML, Jacobs DR, Milla CE. Longitudinal changes in growth parameters are correlated with changes in pulmonary function in children with cystic fibrosis. Pediatrics. 2003 doi: 10.1016/mpd.2000.107891
  10. Milla CE. Association of nutritional status and pulmonary function in children with cystic fibrosis. Curr Opin Pulm Med. 2004;10(6):505-509. doi: 10.1097/01.mcp.0000138995.08494.69
  11. Gozdzik J. Relationship between nutritional status and pulmonary function in adult cystic fibrosis patients. J Physiol Pharmacol. 2008;59(6):253-260. PMID: 19218649
  12. Turck D, Braegger CP, Colombo C, Declercq D, Morton A, Pancheva R, Robberech E, Sterm M, Strandvik B, Wolfe S, Schneider SM, Wilschanski M. ESPEN — ESPGHAN — ESFS guidelines on nutrition care for infants, children and adults with cystic fibrosis. Clin Nutr. 2016;35:557-577. doi: 10.1016/j.clnu.2016.03.004
  13. Kalnins D, Wilschanski M. Maintenance of nutritional status in patients with cystic fibrosis: new end emerging therapies. Drug Des Devel Ther. 2012;6:151-161. doi: 10.2147/DDDT.S9258
  14. Bell SC, Shepherd RW. Optimising nutrition in cystic fibrosis. J CystFibros. 2002;2:47-50. doi: 10.1016/s1569-1993(02)00031-0
  15. Sinaasappel M, Stern M, Littlewood J, Wolfe S, Stainkamp G, Heijreman HG, Robberecht E, Döring G. Nutrition in patients with cystic fibrosis: a European Consensus. J Cystic Fibr. 2002;51-75. doi: 10.1016/s-1569-1993-(02)00032-2

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