Position of the American Dietetic Association: Nutrition Intervention in the Treatment of Eating Disorders
Position of the American Dietetic Association: Nutrition Intervention in the Treatment of Eating Disorders
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DOI：
10.1016/j.jada.2011.06.016
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发表时间：
2011-08-01
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美国饮食协会的立场是，营养干预，包括由注册营养师（RD）提供的营养咨询，是在整个连续护理的评估和治疗过程中对神经性厌食症、神经性贪食症和其他饮食失调（EDs）患者进行团队治疗的重要组成部分。急诊科的诊断标准为急诊科的鉴别和治疗提供了重要的指导。此外，个人可能会经历饮食失调，从食物限制到部分疾病，再到诊断为急症。了解rd的角色和责任对于有效治疗ed患者至关重要。急诊科的复杂性，如流行病学因素、治疗指南、特殊人群和新兴趋势，突出了急诊科的本质，这需要一个由精神卫生、营养和医学专家组成的跨学科团队的合作方法。营养师是治疗团队不可或缺的成员，是唯一有资格为饮食模式和营养状况正常化提供医疗营养治疗的人。然而，这一角色需要了解急诊科的心理和神经生物学方面：需要高级培训才能有效地与这一人群合作。必须继续开展以证据为基础的研究，以改善与EDs相关的治疗结果，同时确定有效的一级和二级干预措施。这篇论文支持在www.eatwright.org/positions网站上发表的“美国饮食协会实践论文：饮食失调治疗中的营养干预”。[J]饮食协会。2011；111: 1236 - 1241。
It is the position of the American Dietetic Association that nutrition intervention, including nutritional counseling by a registered dietitian (RD), is an essential component of team treatment of patients with anorexia nervosa, bulimia nervosa, and other eating disorders (EDs) during assessment and treatment across the continuum of care. Diagnostic criteria for EDs provide important guidelines for identification and treatment. In addition, individuals may experience disordered eating that extends along a range from food restriction to partial conditions to diagnosed EDs. Understanding the roles and responsibilities of RDs is critical to the effective care of individuals with EDs. The complexities of EDs, such as epidemiologic factors, treatment guidelines, special populations, and emerging trends highlight the nature of EDs, which require a collaborative approach by an interdisciplinary team of mental health, nutrition, and medical specialists. RDs are integral members of treatment teams and are uniquely qualified to provide medical nutrition therapy for the normalization of eating patterns and nutritional status. However, this role requires understanding of the psychologic and neurobiologic aspects of EDs: Advanced training is needed to work effectively with this population. Further efforts with evidenced-based research must continue for improved treatment outcomes related to EDs, along with identification of effective primary and secondary interventions.This paper supports the "Practice Paper of the American Dietetic Association: Nutrition Intervention in the Treatment of Eating Disorders" published online at www.eatwright.org/positions. J Am Diet Assoc. 2011;111: 1236-1241.