ワカバヤシ　ヒデタカ   Wakabayashi Hidetaka   若林　秀隆    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	総説
言語種別	英語
査読の有無	査読あり
表題	The concept of aggressive nutrition therapy and clinical indication: A position paper.
掲載誌名	正式名：Clinical nutrition ESPEN 略　 称：Clin Nutr ESPEN ISSNコード：24054577/24054577
掲載区分	国外
巻・号・頁	52,pp.322-330
著者・共著者	Nishioka Shinta, Nakahara Saori, Takasaki Miyuki, Shiohama Nahoko, Kokura Yoji, Suzuki Tatsuro, Yokoi-Yoshimura Yuri, Nii Maria, Maeda Keisuke, Wakabayashi Hidetaka
担当区分	最終著者
発行年月	2022/12
概要	Aggressive nutrition therapy is a nutritional management method that sets energy intake requirements by adding the amount of energy accumulated to energy consumption. It is used to treat patients with undernutrition and sarcopenia. However, evidence for aggressive nutrition therapy is insufficient, and validation through high-quality clinical research is essential. Therefore, this paper aimed to clarify the concept of aggressive nutrition therapy, present indications and contraindications; and describe the effects, limitations, and the need to individualize aggressive nutrition therapy for different pathological conditions. Aggressive nutrition therapy should be accompanied by the etiology of undernutrition, sarcopenia, and nutritional metabolism in various states. In addition to calculating nutritional requirements, the nutritional management methods of oral intake, tube feeding, and parenteral nutrition should be appropriately selected. A nutrition plan with the amount of energy accumulated should also be a vital issue. This position paper was authored by the Registered Dietitian Subcommittee of the Japanese Association of Rehabilitation Nutrition and was approved by the Japanese Association of Rehabilitation Nutrition.
DOI	10.1016/j.clnesp.2022.09.013
PMID	36513472