First Clinical Nutrition Outpatient Consultation: A Review of Basic Principles in Nutritional Care of Adults with Hematologic Disease

da Silva Goncalves dos Santos, Julia; de Farias Meirelles, Barbara; de Souza da Costa Brum, Isabela; Zanchetta, Mariana; Xerem, Bruna; Braga, Lucas; Haiut, Marcia; Lanziani, Renata; Musa, Taha Hussein; Cordovil, Karen

doi:10.1155/2023/9303798

Cited by 3 publications

References 148 publications

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Managing gastrointestinal challenges: Diarrhea in sickle cell anemia

Obeagu,

Obeagu

2024

Medicine

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Sickle cell anemia (SCA), a hereditary hemoglobinopathy, is characterized by the presence of abnormal hemoglobin and has long been associated with a wide range of complications. While much attention has been given to the condition hematological aspects, gastrointestinal complications, particularly diarrhea, have been relatively understudied and often overlooked. This publication delves into the management of gastrointestinal challenges, with a focus on diarrhea, in individuals living with SCA. The pathophysiology of SCA is intrinsically linked to gastrointestinal complications, and diarrhea is a common manifestation of this condition. This abstract publication outlines the key elements discussed in the full-length work, which includes the clinical presentation of diarrhea in these patients, the diagnostic tools used to evaluate the condition, and various management strategies to alleviate symptoms and enhance the overall quality of life for affected individuals. The paper emphasizes the importance of patient education, offering healthcare professionals valuable insights into how to inform and support patients in managing their conditions effectively. It also highlights the need for continued research to further our understanding of gastrointestinal challenges in SCA and to identify potential areas for future therapeutic interventions. Ultimately, the comprehensive management of diarrhea in individuals with SCA is vital for their overall well-being. This publication serves as a valuable resource for healthcare providers, researchers, and caregivers in addressing the gastrointestinal challenges that accompany SCA, ultimately working toward a better quality of life for those affected by this condition.

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Managing gastrointestinal challenges: Diarrhea in sickle cell anemia

Obeagu,

Obeagu

2024

Medicine

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Challenges in Managing Malnutrition in the Elderly

Santos,

Cordovil

2024

Advances in Medical Diagnosis, Treatment, and Care

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Malnutrition in aging is currently considered a public health problem characterized by a multifactorial physiological state. Diverse and complex factors can contribute to the risk of developing malnutrition or even worsening. This chapter aims to provide a conceptual overview of malnutrition in elderly individuals, covering aspects related to nutritional assessment, monitoring, and recommendations, as well as possible challenges in managing this condition in clinical nutrition. The management is complicated and challenging. Nutritionists should perform interventions based on recommendations to prevent or minimize malnutrition in elderly individuals. Depending on the environment and the condition of the elderly patient, different therapeutic approaches will be needed to manage malnutrition. All family and health professionals involved with elderly care must stay engaged in preventing or identifying malnutrition in these patients.

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Pica in sickle cell disease: nutritional management and implications

Guimarães,

Machado,

Santos

et al. 2024

Nor. Afr. J. Food Nutr. Res.

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Background: Individuals with sickle cell disease (SCD) frequently experience nutritional disturbances, including deficiencies in essential micronutrients. Iron and zinc deficiency anemia has been specifically associated with pica, an atypical eating behavior. Aims: This systematic review aimed to characterize pica among individuals with SCD, focusing on potential nutritional causes. Methods: A comprehensive literature search was conducted across the MEDLINE (PubMed), Latin American and Caribbean Center on Health Sciences Information (Bireme), and Google Scholar databases from July 2017 to January 2024. Eligible articles included original observational studies, interventions, and case reports involving individuals with SCD across all age groups. Literature reviews, doctoral or master's theses, unrelated studies, and duplicate publications were excluded. Results: Ten studies were selected that described the occurrence of pica episodes in the SCD population and explored potential associated nutritional causes. The most prevalent genotype was Hb SS, with ages ranging from 2 to 23 years. Males were more predominant than females in the included studies. Approximately 51.05% of the studied population exhibited pica behavior. Some studies observed that children with pica behavior had low weight and/or height and abnormal laboratory test results. The most commonly consumed objects were paper, foam, fabric, dust, soil, clay, and rubber, although the quantity and frequency of object consumption were not reported in most studies. The most reported symptoms associated with pica behavior included abdominal pain, vomiting, constipation, vaso-occlusive events, dizziness, and fatigue. Clinical interventions in the studies were pain medication, intestinal cleansing, intestinal resection, intravenous hydration, antibiotic therapy, gastric "bezoar" removal, and cognitive-behavioral therapy. The majority of the studied population was monitored by health centers, with frequent return visits. In all studies, physicians were responsible for clinical care. Conclusion: A significant association between SCD and pica was evident in the reviewed studies. Iron and zinc deficiencies emerged as potential contributing factors to this atypical eating behavior. Keywords: Pica, sickle cell disease, iron, zinc, eating disorders.

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First Clinical Nutrition Outpatient Consultation: A Review of Basic Principles in Nutritional Care of Adults with Hematologic Disease

Cited by 3 publications

References 148 publications

Managing gastrointestinal challenges: Diarrhea in sickle cell anemia

Managing gastrointestinal challenges: Diarrhea in sickle cell anemia

Challenges in Managing Malnutrition in the Elderly

Pica in sickle cell disease: nutritional management and implications

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