Problemi speciali
L’approccio nutrizionale nell’anoressia nervosa: dalla teoria alla pratica clinica
The nutritional approach in anorexia nervosa: from theory to clinical practice
Andrea Ballaben1, Eleonora Maurel2, Grazia Di Leo2, Giuseppe Abbracciavento2, Chiara Zanchi2
1Scuola di Specializzazione in Pediatria, Universitŕ di Trieste
2IRCCS Materno-Infantile “Burlo Garofolo”, Trieste
Ottobre 2023 - pagg. 501 -507 | DOI: 10.53126/MEB42501
Abstract
Anorexia nervosa is a common eating disorder characterized by a physical and psychosocial deterioration due to an altered pattern of food intake and weight control. The severity of malnutrition often requires hospitalization to start enteral artificial refeeding. The objective of this article is to review the scientific evidence about the refeeding process of malnourished inpatients with anorexia and to summarize up-to-date evidences, certainties, doubts and new proposals. Moreover, it gives advice and suggests strategies to manage malnutrition in the clinical practice.
Riassunto
L’anoressia nervosa č un disturbo del comportamento alimentare frequente negli adolescenti. Si correla spesso a numerose comorbilitŕ e porta spesso a necessitŕ di ricovero in ambito pediatrico/neuropsichiatrico. La gestione del paziente con anoressia nervosa č complessa per molti aspetti: dalla difficoltŕ dello stabilire un rapporto di fiducia agli aspetti pratici di nutrizione. In questo articolo si affronta l’approccio nutrizionale in regime di ricovero dell’anoressia nervosa, cercando di riassumere, attraverso linee guida ed evidenze scientifiche, quali sono le certezze, quali i dubbi, quali le novitŕ e proponendo infine dei consigli da seguire nella pratica clinica.
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Classificazione MeSH
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Corrispondenza: andreaballaben@gmail.com