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Clin Nutr. 2018 Feb;37(1):354-396. doi: 10.1016/j.clnu.2017.09.003. Epub 2017 Sep 22.

ESPEN guideline clinical nutrition in neurology.

Author information

1
Nutritional Support Unit, University Hospital Vall d'Hebron, Barcelona, Spain. Electronic address: rburgos@vhebron.net.
2
Nutrition Unit, University Hospital Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.
3
Nutrition and Dietetics Service, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Fondazione Grigioni per il Morbo di Parkinson, Milano, Italy.
4
Nutrition Unit, ALS Centre, University Hospital of Limoges, Limoges, France.
5
Department of Neurology, University Hospital Münster, Germany.
6
Clinical Nutrition, Geneva University Hospitals, Geneva, Switzerland.
7
Cereneo (Center for Neurology and Rehabilitation) and University Department of Internal Medicine, Kantonsspital Aarau, Switzerland.
8
Department of Geriatrics, Alexianer Hospital Krefeld, Krefeld, Germany.
9
Department of Clinical Medicine, Sapienza, University of Rome, Rome, Italy.
10
Department of Nutrition, Laikon General Hospital, Athens, Greece.
11
Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
12
Department of Geriatric Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
13
Department of Geriatric Medicine, Marien Hospital Herne, Ruhr-University Bochum, Germany.
14
Department of General Intensive Care and Institute for Nutrition Research, Rabin Medical Center, Beilinson Hospital, Tel Aviv University, Petah Tikva, Israel.
15
Institute of Nutritional Medicine, University of Hohenheim, Stuttgart, Germany.

Abstract

Neurological diseases are frequently associated with swallowing disorders and malnutrition. Moreover, patients with neurological diseases are at increased risk of micronutrient deficiency and dehydration. On the other hand, nutritional factors may be involved in the pathogenesis of neurological diseases. Multiple causes for the development of malnutrition in patients with neurological diseases are known including oropharyngeal dysphagia, impaired consciousness, perception deficits, cognitive dysfunction, and increased needs. The present evidence- and consensus-based guideline addresses clinical questions on best medical nutrition therapy in patients with neurological diseases. Among them, management of oropharyngeal dysphagia plays a pivotal role. The guideline has been written by a multidisciplinary team and offers 88 recommendations for use in clinical practice for amyotrophic lateral sclerosis, Parkinson's disease, stroke and multiple sclerosis.

KEYWORDS:

Amyotrophic lateral sclerosis; Multiple sclerosis; Oropharyngeal dysphagia; Parkinson's disease; Stroke

PMID:
29274834
DOI:
10.1016/j.clnu.2017.09.003
[Indexed for MEDLINE]

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