Нутритивная недостаточность в онкогериатрии
Аннотация
Благодаря достижениям в клинической онкологии возрастает доля пациентов пожилого и старческого возраста, подвергающихся специальному противоопухолевому лечению. На практике онкологи оценивают возраст пациента лишь в фокусе коморбидного фона, в то время как надлежит широко применять специализированный гериатрический осмотр, привлекая для его реализации и интерпретации команду специалистов. Для оценки нутритивного статуса предложено использовать скрининговую шкалу Mini Nutritional Assessment (MNA). Основная задача нутритивной поддержки в онкогериатрии, которая должна носить анаболическую направленность, это обеспечение организма высококачественным белком из расчета 1,2-2,0 г/кг в сутки. Важно, чтобы адекватная нутритивная поддержка в сочетании с физическими упражнениями стала неотъемлемой частью комплексной поддерживающей терапии для пациентов пожилого и старческого возраста в онкологии.
Об авторах
М. Ю. Кукош
ФГАОУ ВО «Российский университет дружбы народов»; ГБУЗ «Городская клиническая больница № 40» Департамента здравоохранения г. Москвы
Россия
Россия
М. Д. Тер-Ованесов
ФГАОУ ВО «Российский университет дружбы народов»; ГБУЗ «Городская клиническая больница № 40» Департамента здравоохранения г. Москвы
Россия
Россия
Зраибиа Арбиа
ФГАОУ ВО «Российский университет дружбы народов»
Россия
Россия
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Рецензия
Для цитирования:
Кукош М.Ю., Тер-Ованесов М.Д., Зраибиа Арбиа Нутритивная недостаточность в онкогериатрии. Медицинский алфавит. 2017;3(35):29-35.
For citation:
Kukosh M.Yu., Ter-Ovanesov M.D., Zraibia Arbia Malnutrition in geriatric oncology. Medical alphabet. 2017;3(35):29-35. (In Russ.)
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