Impacto del abordaje nutricional en pacientes con enfermedad neurodegenerativa de Parkinson. Revisión de la literatura
Artículo de Revisión
Abstract
The term "malnutrition" encompasses two situations of nutritional imbalance; on the one hand, obesity generated by excess, and on the other hand malnutrition, generated by deficiency, the latter is recognized as the world's leading cause of immunodeficiency. On the other hand, the risk factors that have been mainly associated with malnutrition in Parkinson's are: weight loss, time of treatment with levodopa, anxiety, the presence of symptoms related to dysautonomia (dysphagia, constipation, sialorrhea), severity of the disease, etc. Objective: To describe the influence of the nutritional approach in patients with Parkinson's neurodegenerative disease. Methodology: It is a retrospective descriptive bibliographic review study, the study will be carried out through a meticulous search and analysis of original scientific articles in languages such as Spanish and English indexed in medical information databases such as: Pubmed, Web of Science, Bvs, Scholar, Medline, Scielo, etc. Results: Through a database screening of 37 scientific articles, taking into account inclusion and exclusion criteria, 9 investigations with a high level of evidence were introduced to this study as part of the discussion of the nutritional approach in Parkinson. Conclusions: Research mentions the use of guided diets depending on the nutritional status of the person with PD and the progress of their disease. The evidence supports the Mediterranean diet as a feasible option for nutritional support in Parkinson's. In addition, they recommend a diet that can be modified in consistency of liquids and solids.
References
Rabanal Gutierrez JJ. Programa de educación nutricional, con abordaje multidisciplinario, para desarrollar la cultura alimentaria en estudiantes de educación secundaria- Huamachuco, 2017. Repositorio Institucional de la Universidad Nacional de Trujillo. 2019;: p. 1-87.
Álvarez J, Lallena S, Bernal M. Nutrición y pandemia de la COVID-19. Medicine - Progra-ma de Formación Médica Continuada Acreditado. 2020 Diciembre; 13(23): p. 1311-1321.
Ramos L, Loureiro V, Piriz Alvarez G. Aspectos psicológicos del abordaje nutricional de los pacientes en cuidados paliativos. Revista de Nutrición Clínica y Metabolismo. 2021; 4(2): p. 19-23.
Özata Uyar G, Yildiran H. A nutritional approach to microbiota in Parkinson's disease. Biosci Microbiota Food Health. 2019; 38(4): p. 115-127.
Aguilar Agudo A, Herruzo Cabrera J, Pino Ozuna MJ. Estilos de cuidados y la implicación como protector psicológico del cuidador de personas con Parkinson en España. Interdisciplinaria. 2022 Enero; 39(1): p. 27.
Duarte de Freitas Tavares E, Gonçalves de Souza Balbino J, Florentino Silva R. Disfagia na doença de Parkinson: Revisão Bibliográfica. Repositorio Institucional de la FACSETE. 2022 Septiembre;: p. 1-11.
Schindler A, Pizzorni N, Cereda E, Cosentino G, Avenali M, Montomoli C. Consensus on the treatment of dysphagia in Parkinson’s disease. J Neurol Sci. 2021 Noviembre; 15(430): p. 120008.
Tenorio Jiménez C, Sánchez Sánchez V, Medina MdD, Arraiza Irigoyen C, Martínez Ramí-rez MJ. Nutrición en la enfermedad de Parkinson. Nutr Clin Med. 2017; 11(2): p. 96-113.
Femat Roldán G. Análisis del Estado Nutricional y Metabólico de una cohorte de 64 pa-cientes con Enfermedad de Parkinson y 52 controles. Repositorio Institucional del Tecnólogico de Monterrey. 2020 Junio;: p. 1-93.
Hirayama M, Ohno K. Parkinson's Disease and Gut Microbiota. Ann Nutr Metab. 2021; 77(2): p. 28-35.
Agnihotri A, Aruoma O. Alzheimer's Disease and Parkinson's Disease: A Nutritional Toxi-cology Perspective of the Impact of Oxidative Stress, Mitochondrial Dysfunction, Nutri-genomics and Environmental Chemicals. J Am Coll Nutr. 2020 Enero; 39(1): p. 16-27.
Terapia Intensiva del Hospital Miguel Enríquez. Guías de Prácticas clínicas de Soporte Nu-tricional. [Online].; 2015 [cited 2023 02 26. Available from: https://instituciones.sld.cu/hospmiguelenriquez/files/2015/09/Nutricion-en-el-paciente-cr%C3%ADtico.pdf.
Marcos Plasencial LM, Padrón Sánchez A. Protocolo para la alimentación- nutrición en la atención integral al paciente con enfermedad de Parkinson. Medisur. 2011 Mayo-Junio; 9(3).
Mangiafave VA, Naso LD, Senese A. El rol del licenciado en Nutrición dentro del equipo de cuidados paliativos en el abordaje de las enfermedades neurodegenerativas. DIAETA. 2022 Septiembre; 40(e22040013): p. 1-13.
Delfín-Ramos AJ, Blasco-López G. Enfermedad de Parkinson: Aspectos Generales y Nutri-cionales. Salud y Administración. 2019 Enero-Abril; 6(16): p. 33-43.
Liu YH, Jensen GL, Na M, Mitchell DC, Wood GC, Still CD, et al. Diet Quality and Risk of Parkinson’s Disease: A Prospective Study and Meta-Analysis. Curr Dev Nutr. 2020 Junio; 4(2): p. 1442.
Talebi S, Ghoreishy SM, Jayedi A, Travica N, Mohammadi H. Dietary Antioxidants and Risk of Parkinson’s Disease: A Systematic Review and Dose–Response Meta-analysis of Obser-vational Studies. Adv Nutr. 2022 Octubre; 13(5): p. 1493–1504.
Kacprzyk KW, Milewska M, Zarnowska A, Panczyk M, Rokicka G, Szostak-Wegierek D. Prevalence of Malnutrition in Patients with Parkinson’s Disease: A Systematic Review. Nutri-ents. 2022; 14(23): p. 5194.
Krikorian R, Shidler MD, Summer SS, Sullivan PG, Duker AP, Isaacson RS, et al. Nutri-tional ketosis for mild cognitive impairment in Parkinson's disease: A controlled pilot trial. Clini-cal Parkinsonism & Related Disorders. 2019; 1: p. 41-47.
Budrewicz S, Zmarz?y A, R?czka D, Szczepa?ska A, Koziorowska-Gawron E, S?otwi?ski K, et al. Clinical and nutritional correlations in Parkinson’s disease: Preliminary report. Adv Clin Exp Med. 2019; 28(2): p. 193–198.
Barichella M, Cereda E, Pinelli G, Iorio L, Caroli D, Masiero I. Muscle-targeted nutritional support for rehabilitation in patients with parkinsonian syndrome. Neurology. 2019 Julio; 93(5): p. e1-e12.
Paknahad Z, Sheklabadi E, Derakhshan Y, Bagherniya M, Chitsaz A. The effect of the Mediterranean diet on cognitive function in patients with Parkinson’s disease: A randomized clinical controlled trial. Complementary Therapies in Medicine. 2020 Marzo; 50: p. 102366.
Yu L, Wang W, Pang W, Xiao Z, Jiang Y, Hong Y. Dietary Lycopene Supplementation Improves Cognitive Performances in Tau Transgenic Mice Expressing P301L Mutation via Inhib-iting Oxidative Stress and Tau Hyperphosphorylation. Journal of Alzheimer's Disease. 2017 Enero; 57(2): p. 475-482.
Zhang DM, Ye JX, Mu JS, Cui XP. Efficacy of Vitamin B Supplementation on Cognition in Elderly Patients With Cognitive-Related Diseases. J Geriatr Psychiatry Neurol. 2017 Enero; 30(1): p. 50-59.
Zhao N, Yang Y, Zhang L, Zhang Q, Balbuena L, Ungvari GS, et al. Quality of life in Parkinson's disease: A systematic review and meta-analysis of comparative studies. CNS Neuro-sci Ther. 2021; 27(3): p. 270–279.
Rajan R, Brennan L, Bloem BR, Dahodwala N, Gardner J, Goldman JG. Integrated Care in Parkinson’s Disease: A Systematic Review and Meta-Analysis. Movement Disorders. 2020 Julio; 35(9): p. 1509-1531.
Gruber MT, Witte OW, Grosskreutz J, Prell T. Association between malnutrition, clinical parameters and health-related quality of life in elderly hospitalized patients with Parkinson’s disease: A cross-sectional study. PLoS ONE. 2020 Mayo; 15(5): p. e0232764.
Håglin L, Domell€of M, B€ackman L, Forsgren L. Low plasma thiamine and phosphate in male patients with Parkinson's disease is associated with mild cognitive impairment. Clinical Nu-trition ESPEN. 2020 Junio; 37: p. 93-99.
Yang T, Zhan Z, Zhang L, Zhu J, Liu Y, Zhang L. Prevalence and Risk Factors for Malnu-trition in Patients With Parkinson’s Disease. Front. Neurol. 2020 Diciembre; 11: p. 533731.
Singh Paul B, Singh T, Paul G, Jain D, Singh G, Kaushal S, et al. Prevalence of Malnutrition in Parkinson’s Disease and Correlation with Gastrointestinal Symptoms. Ann Indian Acad Neu-rol. 2019 Octubre-Diciembre; 22(4): p. 447–452.
Umemoto G, Furuya H. Management of Dysphagia in Patients with Parkinson's Disease and Related Disorders. Intern Med. 2020 Enero; 59(1): p. 7-14.
Li P, Song C. Potential treatment of Parkinson's disease with omega-3 polyunsaturated fatty acids. Nutr Neurosci. 2022 Enero; 25(1): p. 180-191.
Pérez Visñuk D, Savoy de Giori G, LeBlanc JG, De Moreno de LeBlanc A. Neuroprotective effects associated with immune modulation by selected lactic acid bacteria in a Parkinson's dis-ease model. Nutrition. 2020 Noviembre-Diciembre; 79(80): p. 110995.
Boulos C, Yaghi N, El Hayeck R, Nha Heraoui G, Fakhoury-Sayegh N. Nutritional Risk Factors, Microbiota and Parkinson's Disease: What Is the Current Evidence? Nutrients. 2019 Agosto; 11(8): p. 1896.
Bianchi VE, Herrera PF, Laura R. Effect of nutrition on neurodegenerative diseases. A sys-tematic review. Nutr Neurosci. 2021 Octubre; 24(10): p. 810-834.
Lange KW, Nakamura Y, Chen N, Guo J, Kanaya S. Diet and medical foods in Parkinson’s disease. Food Science and Human Wellness. 2019 Junio; 8(2): p. 83-95.
Ciulla M, Marinelli L, Cacciatore I. Role of Dietary Supplements in the Management of Parkinson's Disease. Biomolecules. 2019 Julio; 9(7): p. 271.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
This is a human-readable summary of (and not a substitute for) the license.
You are free to:
Share — copy and redistribute the material in any medium or format
Adapt — remix, transform, and build upon the material
The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
NonCommercial — You may not use the material for commercial purposes.
ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
