脊髄損傷の低栄養

脊髄損傷の低栄養に関するレビュー論文を紹介します。

Yannis Dionyssiotis: Malnutrition in Spinal Cord Injury: More Than Nutritional Deficiency. Journal of Clinical Medicine Research, 2012;4(4):227-236

下記のHPで全文PDFファイルで見れると思います。
http://www.jocmr.org/index.php/JOCMR/article/viewFile/924/490

脊髄損傷では低栄養も過栄養も問題となりますが、リハ病棟に入院している脊髄損傷患者の2/3に低栄養を認めるという報告もあります。そのため、低栄養・過栄養とも予防するような適切な栄養管理が重要です。

脊髄損傷では感染症、褥瘡など侵襲の原因となる合併症を生じやすいです。こういった合併症が頻回にある、もしくは持続する場合にも、低栄養への留意が必要です。

Abstract
Denervation of the spinal cord below the level of injury leads to complications producing malnutrition. Nutritional status affects mortality and pathology of injured subjects and it has been reported that two thirds of individuals enrolled in rehabilitation units are malnourished. Therefore, the aim should be either to maintain an optimal nutritional status, or supplement these subjects in order to overcome deficiencies in nutrients or prevent obesity. This paper reviews methods of nutritional assessment and describes the physiopathological mechanisms of malnutrition based on the assumption that spinal cord injured subjects need to receive adequate nutrition to promote optimal recovery, placing nutrition as a first line treatment and not an afterthought in the rehabilitation of spinal cord injury.