期刊
MOLECULAR GENETICS AND METABOLISM
卷 131, 期 1-2, 页码 23-37出版社
ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.ymgme.2020.10.001
关键词
Very-long chain acyl-CoA dehydrogenase deficiency; VLCAD deficiency; Nutrition therapy/diet therapy; Long-chain fatty acid oxidation; Practice guidelines; Inborn errors of metabolism
资金
- Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS)
The nutrition management guideline for very-long chain acyl-CoA dehydrogenase deficiency (VLCAD) is the fourth in a series of web-based guidelines focusing on the diet treatment for inherited metabolic disorders and follows previous publication of guidelines for maple syrup urine disease (2014), phenylketonuria (2016) and propionic acidemia (2019). The purpose of this guideline is to establish harmonization in the treatment and monitoring of individuals with VLCAD of all ages in order to improve clinical outcomes. Six research questions were identified to support guideline development on: nutrition recommendations for the healthy individual, illness management, supplementation, monitoring, physical activity and management during pregnancy. This report describes the methodology used in its development including review, critical appraisal and abstraction of peer-reviewed studies and unpublished practice literature; expert input through two Delphi surveys and a nominal group process; and external review from metabolic physicians and dietitians. It includes the summary statements of the nutrition management recommendations for each research question, followed by a standardized rating based on the strength of the evidence.
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