Metabolic Issues of Clinical Nutrition

Front Cover
Simon P. Allison, Vay Liang W. Go
Karger Medical and Scientific Publishers, Jan 1, 2004 - Health & Fitness - 271 pages
As widely spread health problems related to over-and undernutrition have grown nowadays to an epidemic extent and even prevail over infectious diseases, a better knowledge of the metabolic basis of clinical nutrition has become essential. The extremes of the nutritional spectrum, undernutrition and obesity, are no longer considered as isolated opposites with different effects on separate risk groups, but paradoxically prove to be interacting in a setting of rapidly changing lifestyles, as is presently the case worldwide. Recurring issues such as insulin resistance, changes in intermediary metabolism, fluid and electrolyte physiology, genetic and non-genetic inheritance are highlighted, as well as the biological linkage between maternal undernutrition and the development of obesity, diabetes and cardiovascular disease in later life. The problems at stake present a new and enormous challenge for future healthcare policies and, therefore, are better tackled today. This book will be an interesting source of knowledge for internists, family physicians, pediatricians, dieticians, endocrinologists, gastroenterologists, and public health officers.
 

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Selected pages

Contents

A Global Perspective
1
Environmental Influences on Diseases in Later Life
19
Normal and Abnormal
37
Insulin Resistance in Catabolic Diseases
53
Mechanisms of InsulinInduced Alterations in Metabolism during Critical Illness
69
The Metabolic Syndrome as a Clinical Problem
77
The Effect of Exercise and Diet on Glucose Intolerance and Substrate Utilization?
93
Muscle Mass and Protein Metabolism
111
From Insulin Resistance to Diabetes mellitus
141
The Multifactorial Approach
155
The Role of Minerals and Trace Elements in Relation to LongTerm Health and Chronic Disease
169
Fluid and Electrolytes in the Clinical Setting
187
A Nutritional Goal
205
Challenges and Opportunities in the Postgenomic Era
227
Nutrition and Genomics
243
Subject Index
265

Fatty Acid Isomers in Lipid Metabolism
125

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