Factores de riesgo de origen nutricional asociados al desarrollo de debilidad adquirida en la unidad de cuidados intensivos: revisión narrativa

Alan Garcia-Grimaldo; Alejandra Desirée Huerta-Vega; Luis César Reyes-Moreno; Jaciel Gallardo Gómez; Marycarmen Godínez-Victoria

doi:10.35454/rncm.v6n2.503

Authors

Alan Garcia-Grimaldo Instituto Nacional de Enfermedades Respiratorias https://orcid.org/0000-0002-2842-0731
Alejandra Desirée Huerta-Vega Hospital General de Acámbaro Miguel Hidalgo
Luis César Reyes-Moreno Hospital Star Médica Roma
Jaciel Gallardo Gómez Hospital General Regional "Dr Bernardo Sepúlveda Gutiérrez"
Marycarmen Godínez-Victoria , Instituto Politécnico Nacional

DOI:

https://doi.org/10.35454/rncm.v6n2.503

Keywords:

Acquired polyneuropathy, Critical illness, Body composition, Hyperglycemia, Autophagy, Caloric restriction

Abstract

Intensive Care Unit-Acquired Weakness (ICU-AW) is defined as the decrease in muscle strength and functionality in critically ill patients with no other possible cause than their critical condition. Different risk factors associated with the development of ICU-AW have been reported, which have a partial or total effect on the deterioration of muscle fibers; however, some of the risk factors associated with nutritional status continue to be given a low priority, given the lack of awareness regarding the clinical benefits of addressing them. The aim of this narrative review is to collect information on modifiable risk factors of nutritional origin related to the development of ICU-AW and provide recommendations for its prevention. A search was conducted of scientific literature in English and Spanish in databases and search engines (PubMed, Springer Link and Medline) using the MeSH terms: “acquired polyneuropathy”, “critical illness”, “body composition”, “hyperglycemia”, “autophagy”, “caloric restriction”. Although different risk factors of nutritional origin have been proposed, however, there is no conclusive evidence regarding their relationship with the prevention of ICU-AW. The identification of risk factors for the development of weakness, mainly those that are potentially modifiable, is the main strategy for the prevention of this clinical entity. Additional information is required on the relationship between these risk factors, especially those of nutritional origin, and the development of ICU-AW, especially those of nutritional origin.

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