Nutritional state, energy intakes and energy expenditure of amyotrophic lateral sclerosis (ALS) patients
Summary Amyotrophic lateral sclerosis (ALS) alters nutritional state, energy intake and energy expenditure. This article aims at reviewing present knowledge on these topics in order to determine energy requirements for maintaining a neutral energy balance in ALS patients. Maintaining a neutral energ...
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| Veröffentlicht in: | Clinical nutrition (Edinburgh, Scotland) Scotland), 2011-10, Vol.30 (5), p.553-559 |
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| creator | Genton, L Viatte, V Janssens, J.-P Héritier, A.-C Pichard, C |
| description | Summary Amyotrophic lateral sclerosis (ALS) alters nutritional state, energy intake and energy expenditure. This article aims at reviewing present knowledge on these topics in order to determine energy requirements for maintaining a neutral energy balance in ALS patients. Maintaining a neutral energy balance prevents malnutrition and its complications and may improve physical functioning, quality of life and survival. Prevalence of malnutrition varies between 16 and 55% in ALS patients. Energy intakes are below recommended dietary allowances in 70% of ALS patients at least. These elements suggest a chronic negative energy balance with an imbalance between requirements and intakes. While insufficient intakes can be compensated with nutritional support, the energy requirements are unclear. Studies generally report hypermetabolism in ALS patients. Estimation of total energy expenditure and as a corollary energy needs, necessitates taking into account this hypermetabolism, physical activity and possibly mechanical ventilation. The review suggests a flow chart for optimal nutritional follow-up in clinics. Further studies are required to assess whether optimal nutritional follow-up improves outcome. |
| doi_str_mv | 10.1016/j.clnu.2011.06.004 |
| format | Article |
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This article aims at reviewing present knowledge on these topics in order to determine energy requirements for maintaining a neutral energy balance in ALS patients. Maintaining a neutral energy balance prevents malnutrition and its complications and may improve physical functioning, quality of life and survival. Prevalence of malnutrition varies between 16 and 55% in ALS patients. Energy intakes are below recommended dietary allowances in 70% of ALS patients at least. These elements suggest a chronic negative energy balance with an imbalance between requirements and intakes. While insufficient intakes can be compensated with nutritional support, the energy requirements are unclear. Studies generally report hypermetabolism in ALS patients. Estimation of total energy expenditure and as a corollary energy needs, necessitates taking into account this hypermetabolism, physical activity and possibly mechanical ventilation. The review suggests a flow chart for optimal nutritional follow-up in clinics. Further studies are required to assess whether optimal nutritional follow-up improves outcome.</description><identifier>ISSN: 0261-5614</identifier><identifier>EISSN: 1532-1983</identifier><identifier>DOI: 10.1016/j.clnu.2011.06.004</identifier><identifier>PMID: 21798636</identifier><identifier>CODEN: CLNUDP</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>ALS ; Amyotrophic Lateral Sclerosis - diet therapy ; Amyotrophic Lateral Sclerosis - metabolism ; Amyotrophic Lateral Sclerosis - physiopathology ; Amyotrophic Lateral Sclerosis - therapy ; Basal Metabolism ; Biological and medical sciences ; Body Composition ; Cerebrospinal fluid. Meninges. Spinal cord ; Decision Trees ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Energy expenditure ; Energy Intake ; Energy intakes ; Energy Metabolism ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Gastroenterology and Hepatology ; Humans ; Indirect calorimetry ; Male ; Malnutrition - etiology ; Malnutrition - prevention & control ; Medical sciences ; Motor Activity ; Nervous system (semeiology, syndromes) ; Neurology ; Nutrition Assessment ; Nutritional Status ; Respiration, Artificial ; Respiratory System - physiopathology ; Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><ispartof>Clinical nutrition (Edinburgh, Scotland), 2011-10, Vol.30 (5), p.553-559</ispartof><rights>Elsevier Ltd and European Society for Clinical Nutrition and Metabolism</rights><rights>2011 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-4a178b19f188789a106a9a5aabb34782caef833532bb30f195426a68936e76bd3</citedby><cites>FETCH-LOGICAL-c440t-4a178b19f188789a106a9a5aabb34782caef833532bb30f195426a68936e76bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0261561411001051$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24627134$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21798636$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Genton, L</creatorcontrib><creatorcontrib>Viatte, V</creatorcontrib><creatorcontrib>Janssens, J.-P</creatorcontrib><creatorcontrib>Héritier, A.-C</creatorcontrib><creatorcontrib>Pichard, C</creatorcontrib><title>Nutritional state, energy intakes and energy expenditure of amyotrophic lateral sclerosis (ALS) patients</title><title>Clinical nutrition (Edinburgh, Scotland)</title><addtitle>Clin Nutr</addtitle><description>Summary Amyotrophic lateral sclerosis (ALS) alters nutritional state, energy intake and energy expenditure. This article aims at reviewing present knowledge on these topics in order to determine energy requirements for maintaining a neutral energy balance in ALS patients. Maintaining a neutral energy balance prevents malnutrition and its complications and may improve physical functioning, quality of life and survival. Prevalence of malnutrition varies between 16 and 55% in ALS patients. Energy intakes are below recommended dietary allowances in 70% of ALS patients at least. These elements suggest a chronic negative energy balance with an imbalance between requirements and intakes. While insufficient intakes can be compensated with nutritional support, the energy requirements are unclear. Studies generally report hypermetabolism in ALS patients. Estimation of total energy expenditure and as a corollary energy needs, necessitates taking into account this hypermetabolism, physical activity and possibly mechanical ventilation. The review suggests a flow chart for optimal nutritional follow-up in clinics. Further studies are required to assess whether optimal nutritional follow-up improves outcome.</description><subject>ALS</subject><subject>Amyotrophic Lateral Sclerosis - diet therapy</subject><subject>Amyotrophic Lateral Sclerosis - metabolism</subject><subject>Amyotrophic Lateral Sclerosis - physiopathology</subject><subject>Amyotrophic Lateral Sclerosis - therapy</subject><subject>Basal Metabolism</subject><subject>Biological and medical sciences</subject><subject>Body Composition</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Decision Trees</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Energy expenditure</subject><subject>Energy Intake</subject><subject>Energy intakes</subject><subject>Energy Metabolism</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology and Hepatology</subject><subject>Humans</subject><subject>Indirect calorimetry</subject><subject>Male</subject><subject>Malnutrition - etiology</subject><subject>Malnutrition - prevention & control</subject><subject>Medical sciences</subject><subject>Motor Activity</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status</subject><subject>Respiration, Artificial</subject><subject>Respiratory System - physiopathology</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><issn>0261-5614</issn><issn>1532-1983</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kl-L1TAQxYMo7nX1C_ggfREVbJ1p2jQFEZbFf3DRh9XnkKZTN3d7026Sivfbm3LvKvjg08BwzpnJL8PYU4QCAcWbXWFGtxQlIBYgCoDqHttgzcscW8nvsw2UAvNaYHXGHoWwA4CaN_IhOyuxaaXgYsOuvyzR22gnp8csRB3pdUaO_I9DZl3UNxQy7fq7Fv2ayfU2Lp6yacj0_jBFP83X1mRjsvo1w4zkp2BD9vJie_Uqm3W05GJ4zB4Megz05FTP2fcP779dfsq3Xz9-vrzY5qaqIOaVxkZ22A4oZSNbjSB0q2utu45XjSyNpkFynh6ZGjBgW1el0EK2XFAjup6fsxfH3NlPtwuFqPY2GBpH7WhagmqBi7ppa56U5VFp0r7B06Bmb_faHxSCWgGrnVoBqxWwAqES4GR6dopfuj31fyx3RJPg-Umgg9Hj4LUzNvzVVaJskK9Bb486SjB-WvIqmATKUG89maj6yf5_j3f_2M1onU0Tb-hAYTctPv1oUKhCqUBdraewXgIiAEKN_Dcakq6V</recordid><startdate>20111001</startdate><enddate>20111001</enddate><creator>Genton, L</creator><creator>Viatte, V</creator><creator>Janssens, J.-P</creator><creator>Héritier, A.-C</creator><creator>Pichard, C</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20111001</creationdate><title>Nutritional state, energy intakes and energy expenditure of amyotrophic lateral sclerosis (ALS) patients</title><author>Genton, L ; Viatte, V ; Janssens, J.-P ; Héritier, A.-C ; Pichard, C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-4a178b19f188789a106a9a5aabb34782caef833532bb30f195426a68936e76bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>ALS</topic><topic>Amyotrophic Lateral Sclerosis - diet therapy</topic><topic>Amyotrophic Lateral Sclerosis - metabolism</topic><topic>Amyotrophic Lateral Sclerosis - physiopathology</topic><topic>Amyotrophic Lateral Sclerosis - therapy</topic><topic>Basal Metabolism</topic><topic>Biological and medical sciences</topic><topic>Body Composition</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Decision Trees</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>Energy expenditure</topic><topic>Energy Intake</topic><topic>Energy intakes</topic><topic>Energy Metabolism</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology and Hepatology</topic><topic>Humans</topic><topic>Indirect calorimetry</topic><topic>Male</topic><topic>Malnutrition - etiology</topic><topic>Malnutrition - prevention & control</topic><topic>Medical sciences</topic><topic>Motor Activity</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Nutrition Assessment</topic><topic>Nutritional Status</topic><topic>Respiration, Artificial</topic><topic>Respiratory System - physiopathology</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Genton, L</creatorcontrib><creatorcontrib>Viatte, V</creatorcontrib><creatorcontrib>Janssens, J.-P</creatorcontrib><creatorcontrib>Héritier, A.-C</creatorcontrib><creatorcontrib>Pichard, C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nutrition (Edinburgh, Scotland)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Genton, L</au><au>Viatte, V</au><au>Janssens, J.-P</au><au>Héritier, A.-C</au><au>Pichard, C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nutritional state, energy intakes and energy expenditure of amyotrophic lateral sclerosis (ALS) patients</atitle><jtitle>Clinical nutrition (Edinburgh, Scotland)</jtitle><addtitle>Clin Nutr</addtitle><date>2011-10-01</date><risdate>2011</risdate><volume>30</volume><issue>5</issue><spage>553</spage><epage>559</epage><pages>553-559</pages><issn>0261-5614</issn><eissn>1532-1983</eissn><coden>CLNUDP</coden><abstract>Summary Amyotrophic lateral sclerosis (ALS) alters nutritional state, energy intake and energy expenditure. This article aims at reviewing present knowledge on these topics in order to determine energy requirements for maintaining a neutral energy balance in ALS patients. Maintaining a neutral energy balance prevents malnutrition and its complications and may improve physical functioning, quality of life and survival. Prevalence of malnutrition varies between 16 and 55% in ALS patients. Energy intakes are below recommended dietary allowances in 70% of ALS patients at least. These elements suggest a chronic negative energy balance with an imbalance between requirements and intakes. While insufficient intakes can be compensated with nutritional support, the energy requirements are unclear. Studies generally report hypermetabolism in ALS patients. Estimation of total energy expenditure and as a corollary energy needs, necessitates taking into account this hypermetabolism, physical activity and possibly mechanical ventilation. The review suggests a flow chart for optimal nutritional follow-up in clinics. Further studies are required to assess whether optimal nutritional follow-up improves outcome.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>21798636</pmid><doi>10.1016/j.clnu.2011.06.004</doi><tpages>7</tpages></addata></record> |
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| ispartof | Clinical nutrition (Edinburgh, Scotland), 2011-10, Vol.30 (5), p.553-559 |
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| subjects | ALS Amyotrophic Lateral Sclerosis - diet therapy Amyotrophic Lateral Sclerosis - metabolism Amyotrophic Lateral Sclerosis - physiopathology Amyotrophic Lateral Sclerosis - therapy Basal Metabolism Biological and medical sciences Body Composition Cerebrospinal fluid. Meninges. Spinal cord Decision Trees Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Energy expenditure Energy Intake Energy intakes Energy Metabolism Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Gastroenterology and Hepatology Humans Indirect calorimetry Male Malnutrition - etiology Malnutrition - prevention & control Medical sciences Motor Activity Nervous system (semeiology, syndromes) Neurology Nutrition Assessment Nutritional Status Respiration, Artificial Respiratory System - physiopathology Vertebrates: anatomy and physiology, studies on body, several organs or systems |
| title | Nutritional state, energy intakes and energy expenditure of amyotrophic lateral sclerosis (ALS) patients |
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