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Index
Cover
Table of Contents
Website
Title page
Copyright page
List of Contributors
Editors-in-Chief
Senior Editor
Managing Editor
Associate Editor
Contributors
Reviewers
Preface
Part I: Fundamentals of Nutrition Assessment
1: Overview of Nutrition Assessment in Clinical Care
Nutrition Assessment in Clinical Care
Integrating Nutrition into the Medical History and Physical Examination
Medical History
Physical Examination
Diagnosis and Assessment of Overweight and Obesity
Physical Examination Findings
Laboratory Data Used to Diagnose Nutritional and Medical Problems
Malnutrition: Protein Status
Assessment and Problem List: Medical Nutrition Therapy
Estimating Energy and Protein Requirements
Protein Needs of Hospitalized or Critically Ill Patients
Malnutrition
Diagnosis of Malnutrition
Prevalence of Malnutrition
Overweight and Obesity
Effective Counseling for Lifestyle and Behavior Change
Case 1 Obesity and Metabolic Syndrome
Case Questions
Answers to Questions: Case 1
Case 2 Obesity and Bariatric Surgery
Case Questions
Answers to Questions: Case 2
Chapter and Case References
2: Vitamins, Minerals, and Dietary Supplements
The Need for Vitamins
Vitamin Intake Standards
The Vitamins
Minerals
Case 1 Iron Deficiency Anemia in Women
Case Questions
Answers to Questions: Case 1
Case 2 Drug–Herb Interaction with St. John's Wort
Case Questions
Answers to Questions: Case 2
Case 3 Nutrient Deficiencies and Lead Poisoning in Children
Case Questions
Answers to Questions: Case 3
Chapter and Case References
Part II: Nutrition Throughout the Life Cycle
3: Nutrition in Pregnancy and Lactation
Introduction
Metabolic and Physiologic Consequences of Pregnancy
Integrating Nutrition into the Obstetric History
Nutrition Assessment in Pregnancy
Physical Examination
Maternal Weight-Gain Recommendations
Low Pre-conception BMI (underweight)
Overweight and Obesity
Adolescence
Laboratory Evaluation
Maternal Nutrient Needs: Current Recommendations
Common Nutrition-related Problems during Pregnancy
Pregnancy following Bariatric Surgery
Lactation
Benefits of Breastfeeding
Nutritional Recommendations for Lactating Women
Common Problems Experienced while Breastfeeding
Promotion and Support of Breastfeeding
Case 1 Prevention of Neural Tube Defects
Case Questions
Answers to Questions: Case 1
Case 2 Encouraging Breastfeeding
Case Questions
Chapter and Case References
4: Infants, Children, and Adolescents
Assessment of Nutritional Status and Dietary Intake in Children
Assessing Growth and Development
Evaluating Dietary Adequacy in Children
Pediatric Calorie and Nutrient Requirements
Adjustments for Activity and Illness
Laboratory Assessment
Infant Feeding
Psychosocial and Behavioral Implications and Recommendations
Nutrition During Adolescence
Malnutrition in Childhood and Adolescence
Undernutrition in Children
Treatment of Deficiencies
Overweight and Obesity in Children
Childhood Nutritional Factors in Preventing Adult Cardiovascular Disease
Vascular Disease and Dysfunction in Children and Adolescents
Dietary and Lifestyle Recommendations for Hyperlipidemia
Conclusion
Case 1 Overweight Child with Insulin Resistance
Case Questions
Answers to Questions: Case 1
Case 2 Malnutrition and Refeeding Syndrome in Children
Case Questions
Case 3 Eating Disorders in Adolescent Athletes
Case Questions
Answers to Questions: Case 3
Acknowledgment
Chapter and Case References
5: Older Adults
Introduction
Macronutrient Needs of Older Adults
Vitamin Needs of Older Adults
Mineral Needs of Older Adults
Identifying Individuals at Risk for Malnutrition
Nutrition Assessment of Older Adults
Functional Status
Oral Health Assessment
Physical Examination
Chronic Diseases
Interventions for Malnutrition and Nutritional Frailty
Supplements for Nutritional Frailty
Appetite Stimulants and Antidepressants
Conclusion
Case 1 Malnutrition and Depression
Case Questions
Case 2 Macular Degeneration
Case Questions
Case 3 Menopause and Weight Gain
Case Questions
Answers to Questions
Chapter and Case References
Part III: Integrative Systems and Disease
6: Cardiovascular Disease
Introduction
Evidence Base for Diet and Heart Disease
Dietary Lipids
Hyperlipidemia
Assessing Risk
Metabolic Syndrome
Medical Nutrition Therapy for Hyperlipidemia and Metabolic Syndrome
Other Nutritional Components
Medical Nutrition Therapy for CHD
Hypertriglyceridemia
Medical Nutrition Therapy for Hypertriglyceridemia
Physical Activity to Reduce the Risk of CVD
Hypertension
Obesity and Hypertension
Lower Dietary Sodium Intake
Heart Failure
Case 1 Disorders of Lipid Metabolism
Case Questions
Answers to Questions: Case 1
Case 2 Hypertension and Lifestyle Modifications
Case Questions
Answers to Questions: Case 2
Case 3 Metabolic Syndrome and Lp(a) Genetic Defect
Case Questions
Answers to Questions: Case 3
Chapter and Case References
7: Gastrointestinal Disease
Introduction
Digestion and Absorption
Malabsorption
Gastric Disorders
Small and Large Bowel Disorders
Inflammatory Bowel Disease
Irritable Bowel Syndrome
Diverticulosis
Liver Disease
Case 1 Alcohol and Vitamin Deficiencies
Case Questions
Answers to Questions: Case 1
Case 2 Malabsorption
Case Questions
Answers to Questions: Case 2
Case 3 Celiac Disease
Case Questions
Chapter and Case References
8: Endocrine Disease: Diabetes Mellitus
Introduction
Prevalence
Diagnosis of Diabetes Mellitus or Prediabetes
Testing for Prediabetes and Diabetes
Pathophysiology of Diabetes
Nutrition Therapy for the Prevention of Diabetes
Treatment of Diabetes
Monitoring of Metabolic Outcomes
Medical Nutrition Therapy
Prioritizing Nutrition Strategies for Diabetes
Macronutrient Recommendations
Micronutrient Recommendations
Physical Activity
Bariatric Surgery
Medications
Treatment of Hypoglycemia
Self-Management Education
Case 1 Type 1 Diabetes Mellitus and Diabetic Ketoacidosis
Case Questions
Answers to Questions: Case 1
Case 2 Type 2 Diabetes Mellitus
Case Questions
Answers to Questions: Case 2
Case 3 Polycystic Ovary Syndrome
Case Questions
Answers to Case Questions: Case 3
Chapter and Case References
9: Pulmonary Disease
Chronic Obstructive Pulmonary Disease
Mechanical Ventilation
Cystic Fibrosis
Obstructive Sleep Apnea
Lung Transplantation
Case 1 Chronic Obstructive Pulmonary Disease
Case Questions
Answers to Questions: Case 1
Case 2 Obstructive Sleep Apnea and Metabolic Syndrome
Case Questions
Answers to Questions: Case 2
Case 3: Cystic Fibrosis
Case Questions
Answers to Questions: Case 3
Chapter and Case References
10: Renal Disease
Acute Kidney Injury
Medical Nutrition Therapy for Acute Kidney Injury
Chronic Kidney Disease (Pre-Dialysis)
Medical Nutrition Therapy for CKD
Dialysis
Medical Nutrition Therapy for Dialysis
Renal Transplantation
Medical Nutrition Therapy for Renal Transplant
Herbal and Dietary Supplement Use in CKD
Nephrotic Syndrome
Medical Nutrition Therapy for Nephrotic Syndrome
Nephrolithiasis
Medical Nutrition Therapy for Nephrolithiasis
Case 1 Chronic Renal Failure Advancing to Dialysis
Case Questions
Answers to Questions: Case 1
Chapter and Case References
Part IV: Fundamentals of Oncology and Nutrition Support
11: Cancer Prevention and Treatment
Introduction
Obesity and Cancer
Nutrition and Cancer Prevention
Vitamins and Cancer Prevention
Minerals
Alcohol and Wine
Artificial Sweeteners
Food Processing and Preparation
Physical Activity Recommendations
Nutrition in Cancer Treatment
Diagnosing Malnutrition in Cancer Patients
Nutrition-Related Side Effects of Cancer Treatment
Medical Nutrition Therapy for Cancer Patients
Case 1 Prevention of Colon Cancer
Case Questions
Answers to Questions: Case 1
Chapter and Case References
12: Enteral Nutrition Support
Tube Feeding Indications
Tube Feeding Advantages
Nutritional Content of Tube Feeding Formula
Formula Selection
Selecting the Feeding Route
Administering Tube Feeding
Monitoring
Complications
Conclusion
Case 1 Enteral Feeding and Esophageal Cancer
Case Questions
Answers to Questions: Case 1
Chapter and Case References
13: Parenteral Nutrition Support
Indications for PN
Components of PN
Nutrition Requirements
Routes of Infusion
Administration
Medications
Monitoring and Management of Complications
Transition from PN to EN
Home PN
Long-Term Complications of HPN
Case 1 Colon Cancer and Post-Operative Care
Case Questions
Answers to Questions: Case 1
Chapter and Case References
Appendices
Review Questions
Chapter 1 Overview of Nutrition Assessment in Clinical Care
Chapter 2 Vitamins, Minerals, and Dietary Supplements
Chapter 3 Nutrition in Pregnancy and Lactation
Chapter 4 Infants, Children, and Adolescents
Chapter 5 Older Adults
Chapter 6 Cardiovascular Disease
Chapter 7 Gastrointestinal Disease
Chapter 8 Endocrine Disease: Diabetes Mellitus
Chapter 9 Pulmonary Disease
Chapter 10 Renal Disease
Chapter 11 Cancer Prevention and Treatment
Chapter 12 Enteral Nutrition Support
Chapter 13 Parenteral Nutrition Support
Review Answers
Chapter 1 Overview of Nutrition Assessment in Clinical Care
Chapter 2 Vitamins, Minerals, and Dietary Supplements
Chapter 3 Nutrition in Pregnancy and Lactation
Chapter 4 Infants, Children, and Adolescents
Chapter 5 Older Adults
Chapter 6 Cardiovascular Disease
Chapter 7 Gastrointestinal Disease
Chapter 8 Endocrine Disease: Diabetes Mellitus
Chapter 9 Pulmonary Disease
Chapter 10 Renal Disease
Chapter 11 Cancer Prevention and Treatment
Chapter 12 Enteral Nutrition Support
Chapter 13 Parenteral Nutrition Support
Registration Form for Dietitians and Dietetic Technicians
Answer Sheet: Medical Nutrition & Disease 5th Edition
Answer Sheet for Registered Dietitians
Index
End User License Agreement
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