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Disease-related malnutrition in systemic sclerosis: evidences and implications


1, 2, 3, 4, 5, 6, 7

 

  1. Unit of Rheumatology, IRCCS Foundation Policlinico San Matteo, University of Pavia, Pavia, Italy.
  2. Nutrition and Dietetics Service, IRCCS Foundation Policlinico San Matteo, University of Pavia, Pavia, Italy.
  3. Unit of Rheumatology, IRCCS Foundation Policlinico San Matteo, University of Pavia, Pavia, Italy.
  4. Nutrition and Dietetics Service, IRCCS Foundation Policlinico San Matteo, University of Pavia, Pavia, Italy.
  5. Unit of Rheumatology, IRCCS Foundation Policlinico San Matteo, University of Pavia, Pavia, Italy.
  6. Nutrition and Dietetics Service, IRCCS Foundation Policlinico San Matteo, University of Pavia, Pavia, Italy.
  7. Unit of Rheumatology, IRCCS Foundation Policlinico San Matteo, University of Pavia, Pavia, Italy. caporali@smatteo.pv.it

CER8588
2015 Vol.33, N°4 ,Suppl.91
PI 0190, PF 0194
Review

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PMID: 26339898 [PubMed]

Received: 07/05/2015
Accepted : 20/07/2015
In Press: 01/09/2015
Published: 01/09/2015

Abstract

The present review summarises evidences and provides recommendations for the screening and management of malnutrition in systemic sclerosis (SSc). This complication is frequently under-estimated 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.

Rheumatology Article