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KRONİK NÖROLOJİK HASTALIKLARDA BESLENME VE BESLENME DESTEĞİNİN ÖNEMİ

Year 2022, Volume: 2 Issue: 2, 50 - 60, 29.12.2022

Hilal Doğan Güney Nevin Şanlıer

Abstract

Yaşın ilerlemesiyle birlikte psikolojik, fizyolojik, sosyal ve bilişsel alanlarda değişiklikler oluşmakta ve bireyde kronik hastalıklar artmaktadır. Bu değişikliklerle seyreden 65 yaş ve üzeri bireyleri Dünya Sağlık Örgütü (DSÖ) yaşlılık dönemi olarak kabul etmektedir. Geriatrik bir hasta, spesifik olarak yaş ile tanımlı değildir, bunun yerine yüksek derecede kırılganlık ve 80 yaşın üzerindeki yaş grubunda daha yaygın hale gelen çoklu aktif hastalıklarla karakterizedirNörolojik hastalıkların etiyopatogenezi henüz tam olarak belli olmamakla birlikte; sosyal, çevresel, fizyolojik, anatomik, genetik, biyokimyasal ve diğer faktörlerin etiyolojide rol oynayabileceği düşünülmektedir. Ancak bu hastalıklar sıklıkla yutma bozuklukları ve yetersiz beslenme ile ilişkilendirilmektedir. Nörolojik hastalıkları olan hastalar yetersiz beslenmeye bağlı olarak makro ve mikro besin ögeleri eksikliği ve dehidrasyon riski altındadırlar. Orofaringeal disfaji, bilinç bozukluğu, bilişsel işlev bozukluğu vb. etkiler malnütrisyonun gelişmesine neden olabilmektedir. Nörolojik hastalıkları olan hastalarda tıbbi beslenme tedavisi önemlidir. Yaşlı bireylerde önemli bir sorun olan nörolojik hastalıklarda enerji, besin ögesi yetersizliği ve beslenememe önemli bir sorun olarak görülmektedir. Bu derleme amyotrofik lateral skleroz, parkinson hastalığı, inme, alzheimer ve multipl skleroz gibi kronik nörolojik hastalıklarda tıbbi beslenme tedavisi ile beslenme desteğinin önemini irdelemek ve konuya dikkat çekmek amacıyla planlanmış ve yürütülmüştür.

Keywords

Beslenme Malnutrisyon Nörolojik Hastalıklar

References

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Year 2022, Volume: 2 Issue: 2, 50 - 60, 29.12.2022

Hilal Doğan Güney Nevin Şanlıer

Abstract

References

  • 1. Dziewas, R., Beck, A. M., Clave, P., Hamdy, S., Heppner, H. J., Langmore, S. E., et al. (2017). Recognizing the importance of dysphagia: stumbling blocks and stepping stones in the twenty-first century. Dysphagia, 32(1), 78-82.
  • 2. Hoffmann, S., Malzahn, U., Harms, H., Koennecke, H. C., Berger, K., Kalic, M., et al. (2012). Development of a clinical score (A2DS2) to predict pneumonia in acute ischemic stroke. Stroke, 43(10), 2617-2623.
  • 3. Martino, R., Foley, N., Bhogal, S., Diamant, N., Speechley, M., & Teasell, R. (2005). Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke, 36(12), 2756-2763.
  • 4. Suntrup, S., Warnecke, T., Kemmling, A., Teismann, I. K., Hamacher, C., Oelenberg, S., & Dziewas, R. (2012). Dysphagia in patients with acute striatocapsular hemorrhage. Journal of neurology, 259(1), 93-99.
  • 5. Morgan, A. S., & Mackay, L. E. (1999). Causes and complications associated with swallowing disorders in traumatic brain injury. The Journal of head trauma rehabilitation, 14(5), 454-461.
  • 6. Mackay, L. E., Morgan, A. S., & Bernstein, B. A. (1999). Factors affecting oral feeding with severe traumatic brain injury. The Journal of head trauma rehabilitation, 14(5), 435-447.
  • 7. Müller, J., Wenning, G. K., Verny, M., McKee, A., Chaudhuri, K. R., Jellinger, K., et al. (2001). Progression of dysarthria and dysphagia in postmortem-confirmed parkinsonian disorders. Archives of neurology, 58(2), 259-264.
  • 8. Miller, N., Noble, E., Jones, D., & Burn, D. (2006). Hard to swallow: dysphagia in Parkinson’s disease. Age and ageing, 35(6), 614-618.
  • 9. Guan, X. L., Wang, H., Huang, H. S., & Meng, L. (2015). Prevalence of dysphagia in multiple sclerosis: a systematic review and meta-analysis. Neurological Sciences, 36(5), 671-681.
  • 10. Calcagno, P., Ruoppolo, G., Grasso, M. G., De Vincentiis, M., & Paolucci, S. (2002). Dysphagia in multiple sclerosis–prevalence and prognostic factors. Acta Neurologica Scandinavica, 105(1), 40-43.
  • 11. Kühnlein, P., Gdynia, H. J., Sperfeld, A. D., Lindner-Pfleghar, B., Ludolph, A. C., Prosiegel, M.,et al. (2008). Diagnosis and treatment of bulbar symptoms in amyotrophic lateral sclerosis. Nature clinical practice Neurology, 4(7), 366-374.
  • 12. Grob, D., Arsura, E. L., Brunner, N. G., & Namba, T. (1987). The course of myasthenia gravis and therapies affecting outcome. Annals of the New York Academy of Sciences, 505, 472-499.
  • 13. Mulcahy, K. P., Langdon, P. C., & Mastaglia, F. (2012). Dysphagia in inflammatory myopathy: self-report, incidence, and prevalence. Dysphagia, 27(1), 64-69.
  • 14. Tolep, K., Getch, C. L., & Criner, G. J. (1996). Swallowing dysfunction in patients receiving prolonged mechanical ventilation. Chest, 109(1), 167-172.
  • 15. Macht, M., Wimbish, T., Clark, B. J., Benson, A. B., Burnham, E. L., Williams, A., & Moss, M. (2011). Postextubation dysphagia is persistent and associated with poor outcomes in survivors of critical illness. Critical care, 15(5), 1-9.
  • 16. Wirth, R., Dziewas, R., Beck, A. M., Clavé, P., Hamdy, S., Heppner, H. J., et al. (2016). Oropharyngeal dysphagia in older persons–from pathophysiology to adequate intervention: a review and summary of an international expert meeting. Clinical interventions in aging, 11, 189.
  • 17. Bischoff, S. C., Singer, P., Koller, M., Barazzoni, R., Cederholm, T., & Van Gossum, A. (2015). Standard operating procedures for ESPEN guidelines and consensus papers. Clinical Nutrition, 34(6), 1043-1051.
  • 18. Wirth, R., Smoliner, C., Jäger, M., Warnecke, T., Leischker, A. H., & Dziewas, R. (2013). Guideline clinical nutrition in patients with stroke. Experimental & translational stroke medicine, 5(1), 1-11.
  • 19. Gomes, F., Hookway, C., & Weekes, C. E. (2014). Royal C ollege of P hysicians I ntercollegiate S troke W orking P arty evidence‐based guidelines for the nutritional support of patients who have had a stroke. Journal of Human Nutrition and Dietetics, 27(2), 107-121.
  • 20. Geeganage, C., Beavan, J., Ellender, S., & Bath, P. M. (2012). Interventions for dysphagia and nutritional support in acute and subacute stroke. Cochrane Database of Systematic Reviews, (10).
  • 21. Sign, S. I. G. N. (2011). 50: A guideline developers' handbook. SIGN.
  • 22. Cederholm, T., Barazzoni, R. O. C. C. O., Austin, P., Ballmer, P., Biolo, G. I. A. N. N. I., Bischoff, S. C., et al. (2017). ESPEN guidelines on definitions and terminology of clinical nutrition. Clinical nutrition, 36(1), 49-64.
  • 23. Couratier, P., Corcia, P., Lautrette, G., Nicol, M., Preux, P. M., & Marin, B. (2016). Epidemiology of amyotrophic lateral sclerosis: a review of literature. Revue neurologique, 172(1), 37-45.
  • 24. Zhou, M., Wang, H., Zeng, X., Yin, P., Zhu, J., Chen, W.,et al. (2019). Mortality, morbidity, and risk factors in China and its provinces, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 394(10204), 1145-1158.
  • 25. Chio, A., Logroscino, G., Hardiman, O., Swingler, R., Mitchell, D., Beghi, E., et al. (2009). Prognostic factors in ALS: a critical review. Amyotrophic lateral sclerosis, 10(5-6), 310-323.
  • 26. Desport, J. C., Marin, B., Funalot, B., Preux, P. M., & Couratier, P. (2008). Phase angle is a prognostic factor for survival in amyotrophic lateral sclerosis. Amyotrophic Lateral Sclerosis, 9(5), 273-278.
  • 27. Marin, B., Desport, J. C., Kajeu, P., Jésus, P., Nicolaud, B., Nicol, M., et al. (2011). Alteration of nutritional status at diagnosis is a prognostic factor for survival of amyotrophic lateral sclerosis patients. Journal of Neurology, Neurosurgery & Psychiatry, 82(6), 628-634.
  • 28. Marin, B., Arcuti, S., Jesus, P., Logroscino, G., Copetti, M., Fontana, A., et al. (2016). Population-based evidence that survival in amyotrophic lateral sclerosis is related to weight loss at diagnosis. Neurodegenerative diseases, 16(3-4), 225-234.
  • 29. Bouteloup, C., Desport, J. C., Clavelou, P., Guy, N., Derumeaux-Burel, H., Ferrier, A., & Couratier, P. (2009). Hypermetabolism in ALS patients: an early and persistent phenomenon. Journal of neurology, 256(8), 1236-1242.
  • 30. Chiò, A., Calvo, A., Bovio, G., Canosa, A., Bertuzzo, D., Galmozzi, F., et al. (2014). Amyotrophic lateral sclerosis outcome measures and the role of albumin and creatinine: a population-based study. JAMA neurology, 71(9), 1134-1142.
  • 31. Dupuis, L., Corcia, P., Fergani, A., De Aguilar, J. L. G., Bonnefont-Rousselot, D., Bittar, R., ... & Meininger, V. (2008). Dyslipidemia is a protective factor in amyotrophic lateral sclerosis. Neurology, 70(13), 1004-1009.
  • 32. Rafiq, M. K., Lee, E., Bradburn, M., McDermott, C. J., & Shaw, P. J. (2015). Effect of lipid profile on prognosis in the patients with amyotrophic lateral sclerosis: insights from the olesoxime clinical trial. Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, 16(7-8), 478-484.
  • 33. Dorst, J., Kühnlein, P., Hendrich, C., Kassubek, J., Sperfeld, A. D., & Ludolph, A. C. (2011). Patients with elevated triglyceride and cholesterol serum levels have a prolonged survival in amyotrophic lateral sclerosis. Journal of neurology, 258(4), 613-617.
  • 34. Desport, J. C., Preux, P. M., Truong, T. C., Vallat, J. M., Sautereau, D., & Couratier, P. (1999). Nutritional status is a prognostic factor for survival in ALS patients. Neurology, 53(5), 1059-1059.
  • 35. Paganoni, S., Deng, J., Jaffa, M., Cudkowicz, M. E., & Wills, A. M. (2011). Body mass index, not dyslipidemia, is an independent predictor of survival in amyotrophic lateral sclerosis. Muscle & nerve, 44(1), 20-24.
  • 36. Rio, A., Ellis, C., Shaw, C., Willey, E., Ampong, M. A., Wijesekera, L., ... & Al‐Chalabi, A. (2010). Nutritional factors associated with survival following enteral tube feeding in patients with motor neurone disease. Journal of human nutrition and dietetics, 23(4), 408-415.
  • 37. Shimizu, T., Nagaoka, U., Nakayama, Y., Kawata, A., Kugimoto, C., Kuroiwa, Y., et al. (2012). Reduction rate of body mass index predicts prognosis for survival in amyotrophic lateral sclerosis: a multicenter study in Japan. Amyotrophic Lateral Sclerosis, 13(4), 363-366.
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  • 39. Desport, J. C., Preux, P. M., Bouteloup-Demange, C., Clavelou, P., Beaufrère, B., Bonnet, C., & Couratier, P. P. (2003). Validation of bioelectrical impedance analysis in patients with amyotrophic lateral sclerosis. The American journal of clinical nutrition, 77(5), 1179-1185.
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There are 60 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Reviews
Authors

Hilal Doğan Güney 0000-0003-1770-711X

Nevin Şanlıer 0000-0001-5937-0485

Publication Date December 29, 2022
Submission Date May 30, 2022
Published in Issue Year 2022 Volume: 2 Issue: 2

Cite

APA Doğan Güney, H., & Şanlıer, N. (2022). KRONİK NÖROLOJİK HASTALIKLARDA BESLENME VE BESLENME DESTEĞİNİN ÖNEMİ. Muş Alparslan Üniversitesi Sağlık Bilimleri Dergisi, 2(2), 50-60.