day : 17/07/2019 20 results

Nutrição e ELA (Esclerose Lateral Amiotrófica) – Artigo 12

Enteral feeding through endoscopic gastrostomy in amyotrophic lateral sclerosis patients Nutrición enteral por gastrostomía endoscópica en pacientes con esclerosis lateral amiotrófica Resumen Introducción: la disfagia es común en pacientes con esclerosis lateral amiotrófi ca (ELA) y pude resultar en desnutrición. Se recomienda la gastrostomía endoscópica (PEG) cuando la alimentación oral no es más segura. Este trabajo tiene como objetivo evaluar la efi cacia y seguridad de la alimentación por PEG en la mejora de los parámetros nutricionales y de pronóstico en pacien...

Nutrição e ELA (Esclerose Lateral Amiotrófica) – Artigo 11

Disease-modifying and symptomatic treatment of amyotrophic lateral sclerosis Abstract: In this review, we summarize the most important recent developments in the treatment of amyotrophic lateral sclerosis (ALS). In terms of disease-modifying treatment options, several drugs such as dexpramipexole, pioglitazone, lithium, and many others have been tested in large multicenter trials, albeit with disappointing results. Therefore, riluzole remains the only directly disease-modifying drug. In addition, we discuss antisense oligonucleotides (ASOs) as a new and potentially causal treatment ...

Nutrição e ELA (Esclerose Lateral Amiotrófica) – Artigo 10

Diets for Patients with Amyotrophic Lateral Sclerosis: Pay Attention to Nutritional Intervention Summary In mutant SOD1 transgenic mouse models, a high‑caloric, high‑fat diet or ketogenic diet generally had protective effects on ALS; however, in the mouse models, the pathogenesis is mainly associated with oxidative stress. The effect of energy intake and diets on other ALS mechanisms should be further investigated. On the other hand, studies have provided certain evidences to support hypercaloric nutrition as a potential intervention for ALS patients, but large sample‑size, ...

Nutrição e ELA (Esclerose Lateral Amiotrófica) – Artigo 9

Dietary Vitamin D3 Restriction Exacerbates Disease Pathophysiology in the Spinal Cord of the G93A Mouse Model of Amyotrophic Lateral Sclerosis Abstract Background: Dietary vitamin D3 (D3) restriction reduces paw grip endurance and motor performance in G93A mice, and increases inflammation and apoptosis in the quadríceps of females. ALS, a neuromuscular disease, causes progressive degeneration of motor neurons in the brain and spinal cord. Objective: We analyzed the spinal cords of G93A mice following dietary D3 restriction at 2.5% the adequate intake (AI) for oxidative damage ...

Nutrição e ELA (Esclerose Lateral Amiotrófica) – Artigo 8

Dietary intake and zinc status in amyotrophic lateral sclerosis patients Ingesta dietética y estado de zinc en pacientes con esclerosis lateral amiotrófica Resumen Introducción: hay pruebas considerables de que los cambios en la homeostasis del zinc están relacionados con la patogénesis de la esclerosis lateral amiotrófica (ELA) y que la malnutrición es un factor pronóstico capaz de reducir la supervivencia de los pacientes con ELA. Objetivo: evaluar la ingesta dietética y el estado de zinc en pacientes con ELA, tratados en un centro de atención ambulatoria especializado en ...

Nutrição e ELA (Esclerose Lateral Amiotrófica) – Artigo 7

Complementary and Alternative Therapies in ALS Synopsis Given the severity of their illness and lack of effective disease modifying agents, it is not surprising that most patients with ALS consider trying complementary and alternative therapies. Some of the most commonly considered alternative therapies include special diets, nutritional supplements, cannabis, acupuncture, chelation and energy healing. This chapter reviews these in detail. We also describe 3 models by which physicians may frame discussions about alternative therapies: paternalism, autonomy and shared decision making. ...

Nutrição e ELA (Esclerose Lateral Amiotrófica) – Artigo 6

Blood Levels of Trace Metals and Amyotrophic Lateral Sclerosis Abstract Some trace metals may increase risk of amyotrophic lateral sclerosis (ALS), whereas others may be beneficial. Our goal was to examine associations of ALS with blood levels of selenium (Se), zinc (Zn), copper (Cu), and manganese (Mn). We conducted a case-control study of 163 neurologist confirmed patients from the National Registry of Veterans with ALS and 229 frequency-matched veteran controls. We measured metal levels in blood using inductively coupled plasma mass spectrometry and estimated odds ratios (ORs) and ...

Nutrição e ELA (Esclerose Lateral Amiotrófica) – Artigo 5

Blood hemoglobin A1c levels and amyotrophic lateral sclerosis survival Abstract Background: There are inconsistences regarding the correlation between diabetes or fasting blood glucose concentrations and the risk and survival of amyotrophic lateral sclerosis (ALS) in the previous studies. Moreover, the association between hemoglobin A1c (HbA1c) levels, which reflect long-term glycemic status, and ALS survival was not examined. Methods: A prospective cohort study including 450 Chinese sporadic ALS patients (254 men and 196 women; mean age: 55.4 y). We identified 223 deaths during average ...