Cover

The Importance of Nutrition as an Integral Partof Disease Management

Contents

Preface

Foreword

Contributors

Basics in Clinical Medical Nutrition

Abstract

Introduction

Nutritional Screening and Assessment

Nutritional Interventions

Conclusion

Disclosure Statement

References

Macronutrient Metabolism in Starvation and Stress

Abstract

Introduction

Protein Metabolism

Changes in Amino Acid Metabolism as a Consequence of Stress

The Protein-Glucose Connection

Protein-Glucose Sparing and Insulin Resistance

Fat Metabolism

Nutritional and Metabolic Consequences

Disclosure Statement

References

Noncaloric Benefits of Carbohydrates

Abstract

Introduction

Definition of Dietary Fibers

Carbohydrates and the Digestive System

Mechanisms of Noncaloric Benefits of Carbohydrates

Concluding Remarks

Disclosure Statement

References

The Biological Value of Protein

Abstract

Introduction

Biological Value of Proteins

Absorption of Protein and Nitrogen Retention

Protein Ingestion and Muscle Protein Synthesis in Healthy Volunteers

Protein Ingestion and Muscle Protein Synthesis in the Elderly

Protein and Amino-Acid Ingestion and Muscle Metabolism in Exercise

Concluding Remarks

Disclosure Statement

References

Enteral Nutrition: Whom, Why, When, What and Where to Feed?

Abstract

Introduction

Definition of Enteral Nutrition

Whom to Feed

Why to Feed

When to Feed

What to Feed

Where to Feed

Enteral Nutrition Protocols [5]

Conclusion

Disclosure Statement

References

Management of the Metabolic Syndrome and the Obese Patient with Metabolic Disturbances: South Asian Perspective

Abstract

Introduction

Definitions

Management

Cautions Regarding Physical Activity

Therapeutic Management

Conclusions

Disclosure Statement

References

Nutritional Issues in the Short Bowel Syndrome – Total Parenteral Nutrition, Enteral Nutrition and the Role of Transplantation

Abstract

Introduction

Definition of Severe Short Bowel Syndrome or Short Bowel Syndrome and Intestinal Failure

Prediction of Short Bowel Syndrome and Intestinal Failure

Clinical Determination of Short Bowel and Intestinal Failure

Adaptation

General Principles of Management

Practical Management

Problems with Home Parenteral Nutrition

Small Bowel Transplantation

Conclusion

Disclosure Statement

References

Nutrition in Cancer

Abstract

Malignancy

Tumor Burden, Metabolic Dysfunction and Symptoms

The Impact of Cancer Wasting

Nutrition Intervention

Disclosure Statement

References

Nutritional Therapy for Critically Ill Patients

Abstract

Introduction

Enteral Nutrition Therapy

What Is the Optimal Formula for the Intensive Care Unit Setting?

Impediments to Early Enteral Feeding

Strategies to Promote Optimal Nutrition Delivery

What Is the Current Role of Parenteral Nutrition in the Intensive Care Unit Setting?

Future Trends

Conclusions

Disclosure Statement

References

Perioperative Nutritional Intervention: Where Are We?

Abstract

Introduction

Preoperative Nutrition Preparation

Preoperative Supplements Modulating Immune and Metabolic Responses

Parenteral Nutrition in the Surgical Setting

Preoperative Carbohydrate Loading

Postoperative Nutrition: Early Enteral Feeding

Role of Parenteral Nutrition in the Postoperative Setting

Probiotics in the Postoperative Setting

Conclusion

Disclosure Statement

References

Health Economics in Medical Nutrition: An Emerging Science

Abstract

Rationale

Background

Health Economics

Health Economic Modeling in Medical Nutrition

Discussion

Disclosure Statement

References

Nutrition, Frailty, Cognitive Frailty and Prevention of Disabilities with Aging

Abstract

Introduction

The Frailty Syndrome: A Common Clinical Situation

Nutrition and Frailty

Physical Activity and Frailty

Multidomain Approach

Implementing Frailty into Clinical Practice

Disclosure Statement

References

Subject Index

Cover