Intérêt de l’alimentation entérale à faible débit continu dans le traitement de l’anorexie mentale
作者:
J.L. Richard,
J. Bringer,
J. Mirouze,
L. Monnier,
M.H. Bellet,
期刊:
Annals of Nutrition and Metabolism
(Karger Available online 1983)
卷期:
Volume 27,
issue 1
页码: 19-25
ISSN:0250-6807
年代: 1983
DOI:10.1159/000176620
出版商: S. Karger AG
关键词: Anorexia nervosa;Malnutrition;Marasm;Enteral feeding;3-Methylhistidine;Creatinine-height index
数据来源: Karger
摘要:
Metabolic studies were performed in 8 of 14 patients with severe anorexia nervosa (AN) before and after nutritional therapy. The decrease of lean body mass, as judged by the low values of the creatinine-height index (CHI), and the normal levels of visceral proteins demonstrate the marasmic pattern of undernutrition in AN. Low 24-hour urinary 3-methyl-histidine and urea levels agree with adaptation to malnutrition by decreasing in muscular breakdown. With enteral and oral feeding, weight gain was impressive and CHI reached normal values; 3-methylhistidine increased, reflecting enhancement of myofibrillar protein metabolism. By the end of refeeding, the levels of rapid-turnover proteins (prealbumin, retinol-binding protein) were higher than normal. Thus enteral feeding appears to be an efficient treatment of malnutrition in severe AN.
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