Nutrition in Cystic Fibrosis: A Guide for Clinicians by Elizabeth H. Yen, Amanda Radmer Leonard
By Elizabeth H. Yen, Amanda Radmer Leonard
Nutritional treatments were key early interventions, and stay principal to the healthiness and survival of sufferers with cystic fibrosis. the character of the disorder explanations major changes in a patient’s skill to procedure and assimilate meals. in addition, many elements give a contribution to raised metabolic calls for all through a patient’s existence. together, maldigestion, malabsorption, and elevated metabolic calls for pose a excessive hurdle for the sufferer to beat with a view to continue optimum dietary status.
Nutrition in Cystic Fibrosis: A consultant for Clinicians is a wonderful source for physicians, nurses and dietitians who bring take care of sufferers with cystic fibrosis. The booklet presents an advent to cystic fibrosis and dietary exams. it's going to additionally function a complete advisor to the dietary tracking and administration of sufferers with cystic fibrosis together with specified populations inside cystic fibrosis that require extra issues. The chapters are written through specialists of their fields and contain the hottest medical and scientific information.
Nutrition in Cystic Fibrosis: A advisor for Clinicians goals pediatric and grownup pulmonologists and gastroenterologists, citizens and fellows, internists, pediatricians, nurses, dietitians and common practitioners who deal with sufferers with cystic fibrosis.
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Additional info for Nutrition in Cystic Fibrosis: A Guide for Clinicians
Enteral formulas high in carbohydrate can lead to an increased production of carbon dioxide, which may exacerbate the pulmonary status of patients with advanced lung disease [87, 88]. In studies comparing the use of different formulas in CF patients, the formulas which were higher in fat and lower in carbohydrate resulted in lower carbon dioxide production, lower respiratory quotient (RQ), and lower minute ventilation compared to higher carbohydrate, lower fat formulas [88, 89]. Of note, due to the increased minute ventilation on the higher carbohydrate formulas, the patients studied were able to breathe off the additional carbon dioxide to avoid increased carbon dioxide retention and hypoxia .
It has been noted that the percentage of calories from fat may not correlate well with total calorie intake and overall nutritional status [70, 74]. Several investigators did not ﬁnd an association between percent of calories provided by fat and the percentage of the recommended energy index consumed  or the percentage of ideal body weight . Grams of fat consumed per day did positively correlate with total daily energy intake and percent ideal body weight, thus it was concluded that it would be more beneﬁcial to set an actual daily fat gram goal for patients to achieve [70, 74].
Patients, especially those with high energy needs, may beneﬁt from a diet higher in fat (approximately 35% of total calories). 5–2 times greater than the recommended daily allowance or ~15% of total calories. • There are no speciﬁc recommendations for carbohydrate provision and intake is generally adequate in people with CF. • With adequate enzyme intake, no clear beneﬁt of medium chain fats or hydrolyzed proteins has been found compared to long chain fats except for in patients with additional digestive and/or allergic issues.