r-n-jРоссийский неврологический журналRussian neurological journal2658-79472686-7192МИА10.30629/2658-7947-2020-25-6-47-52r-n-j-132Research ArticleЛЕКЦИЯLECTUREАктуальные вопросы питания в неврологической практикеТopical questions of nutrition in neurological practiceПырьеваЕ. А.PyrievaE. A.

109240, Москва

Moscow

epyrieva@mail.ruГБУН ФИЦ питания, биотехнологии и безопасности пищиРоссияFederal Research Center for Nutrition, Biotechnology and Food SafetyRussian Federation2020070120212564752Copyright © Пырьева Е.А., 20212021Пырьева Е.А.Pyrieva E.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.r-n-j.com/jour/article/view/132

Диетотерапия может внести существенный вклад в комплексное лечение неврологических расстройств. Высокая частота недостаточности питания среди больных неврологического профиля требует своевременной и адекватной организации им диетологической помощи с целью сохранения соматического здоровья, повышения качества жизни и эффективности лечебно-реабилитационных мероприятий. В статье представлены проблемы организации питания неврологических больных, особенности их нутритивного статуса и пути его оптимизации. Рассмотрены диетологические возможности в неврологической практике, включающие как вопросы организации нутритивной поддержки, так и альтернативные подходы к лечению отдельных патологических состояний, в частности использование кетогенной диеты в лечении фармакорезистентных эпилепсий.

Diet therapy can make a significant contribution to the comprehensive treatment of neurological disorders. The high frequency of malnutrition among patients with neurological profile requires timely and adequate organization of nutritional care in order to preserve somatic health, improve the quality of life and the effectiveness of treatment and rehabilitation measures. The article represents the problems of nutrition organization in neurological patients, the peculiarities of their nutritional status and ways of its optimization. Nutritional possibilities in neurological practice, including both, the organization of nutritional support and alternative approaches to the treatment of certain pathological conditions, and, in particular, the use of a ketogenic diet in the treatment of drug-resistant epilepsy, are considered.

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The authors declare that there are no conflicts of interest present.