Nutrition and traumatic brain injury : improving acute and subacute health outcomes in military personnel

Nutrition and traumatic brain injury : improving acute and subacute health outcomes in military personnel [E-Book] - Washington, DC : National Academies Press, 2011. - 1 online resource (xii, 431 pages) : illustrations, map - Online access: NCBI NCBI Bookshelf. .

Includes bibliographical references.

Part I: Background -- Introduction -- Nutrition in Clinical Practice Guidelines for Traumatic Brain Injury -- Understanding Pathophysiological Changes -- Nutrition and TBI -- Approach for Selecting Nutritional Interventions: Mechanistic Targets -- Acquiring Resilience to TBI Prior to Injury -- Energy and Protein Needs During Early Feeding Following Traumatic Brain Injury -- Antioxidants -- Branched-Chain Amino Acids -- Choline -- Creatine -- Ketogenic Diet -- Magnesium -- Eicosapentaenoic Acid (EPA) and Docosahexaenoic Acid (DHA) -- Polyphenols -- Vitamin D -- Zinc -- Recommendations -- Summary of Recommendations -- Appendixes -- Agenda -- Evidence-Based Guidelines for Traumatic Brain Injury -- Workshop Speakers' Papers -- Glossary -- Acronyms -- Committee Member Biographical Sketches. 1. 2. 3. Part II: 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. Part III: 17. Appendix A: Appendix B: Appendix C: Appendix D: Appendix E: Appendix F:

Military personnel, especially those in combat zones, face a distinct risk of traumatic brain injury (TBI). The injuries can range from mild to severe, and their effects can appear within minutes or hours, or sometimes weeks or even years later. Although estimates of incidence and prevalence are elusive, some estimates suggest that TBI has accounted for up to one-third of combat-related injuries. TBI also is a major problem among civilians, especially those who engage in certain sports, with an estimated 1.6 to 3.8 million sports-related TBIs occurring annually. Despite such health tolls, the mechanisms and damaging effects of TBI on the brain are not fully understood. While some research has explained these mechanisms of injury, new information suggests that nutritional interventions could help in treating or even providing resilience against TBI. In this light, the Department of Defense (DoD) asked the IOM to review the potential role of nutrition in the treatment of and resilience against TBI. Given the complexity of TBI and the current gaps in scientific knowledge, the IOM could identify only one action that can immediately improve treatment efforts: early feeding to patients with severe TBI. Research has shown that feeding the severely injured soon after an injury is known to help in decreasing mortality. In addition, new information suggests that nutritional interventions could help in treating or even providing resilience against TBI. The IOM identified a number of other possible benefits for specific nutritional interventions and recommends that the DoD and other collaborates conduct more research.

9780309210096 0309210097 1283135116 9781283135115


Brain damage--Alternative treatment.
Brain--Wounds and injuries--Nutritional aspects.
Medicine, Military--United States.
Brain--Wounds and injuries--Patients--Rehabilitation.
Nutrition.
Diet therapy.
Brain Injuries--therapy
Nutrition Therapy
Military Personnel
Nutritional Physiological Phenomena
Diet Therapy


United States
United States.

RC387.5 / .N88 2011

2011 H-660 WL 354
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