TY - JOUR
T1 - Disease-related malnutrition in systemic sclerosis
T2 - Evidences and implications
AU - Codullo, Veronica
AU - Cereda, Emanuele
AU - Crepaldi, Gloria
AU - Cappello, Silvia
AU - Montecucco, Carlomaurizio
AU - Caccialanza, Riccardo
AU - Caporali, Roberto
PY - 2015
Y1 - 2015
N2 - The present review summarises evidences and provides recommendations for the screening and management of malnutrition in systemic sclerosis (SSc). This complication is frequently underestimated when assessing patients and this may lead to an impaired estimation of prognosis. The presence of malnutrition is indicated by anthropometric and biohumoral changes reflecting protein stores (low serum prealbumin) and influenced by organ involvement in SSc (skin and the gastrointestinal tract). Patients at high risk of malnutrition or with low prealbumin levels have shown increased mortality risk and, therefore, a nutritional assessment is mandatory in every SSc patient. This screening is especially important as malnutrition represents a potentially modifiable risk factor with nutritional interventions. The pillars of nutritional treatment are also discussed.
AB - The present review summarises evidences and provides recommendations for the screening and management of malnutrition in systemic sclerosis (SSc). This complication is frequently underestimated when assessing patients and this may lead to an impaired estimation of prognosis. The presence of malnutrition is indicated by anthropometric and biohumoral changes reflecting protein stores (low serum prealbumin) and influenced by organ involvement in SSc (skin and the gastrointestinal tract). Patients at high risk of malnutrition or with low prealbumin levels have shown increased mortality risk and, therefore, a nutritional assessment is mandatory in every SSc patient. This screening is especially important as malnutrition represents a potentially modifiable risk factor with nutritional interventions. The pillars of nutritional treatment are also discussed.
KW - Malnutrition
KW - Malnutrition universal screening tool
KW - Prealbumin
KW - Systemic sclerosis
UR - http://www.scopus.com/inward/record.url?scp=84946239006&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84946239006&partnerID=8YFLogxK
M3 - Article
C2 - 26339898
AN - SCOPUS:84946239006
VL - 33
SP - 190
EP - 194
JO - Clinical and Experimental Rheumatology
JF - Clinical and Experimental Rheumatology
SN - 0392-856X
ER -