Sviluppo di un toolkit per la tele-nutrizione nel follow-up delle malattie cardiovascolari
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Pubblicato:
Jun 26, 2023
Parole chiave:
telenutrizione, riabilitazione cardiologica, assistenza nutrizionale, dietista
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Abstract
INTRODUZIONE
Per garantire la continuità dell’assistenza nutrizionale in Riabilitazione Cardiologica (RC) durante l’epidemia da COVID 19, è stato elaborato un toolkit per il teleconsulto nutrizionale, rivolto a pazienti con fattori di rischio modificabili correlati alle abitudini alimentari ed a pazienti a rischio nutrizionale. Il metodo di riferimento del presente lavoro è quello del Nutrition Care Process Terminology dell’Academy of Nutrition and Dietetics (AND), che persegue l’obiettivo di implementare un’assistenza nutrizionale sicura, efficace, centrata sulla persona, tempestiva, efficiente ed equa.
MATERIALI E METODI
Il toolkit è composto da cartelle nutrizionali elettroniche per il follow-up telematico rivolte ai pazienti più fragili (a rischio di malnutrizione), o in sovrappeso/obesi, diabetici, dislipidemici, ipertesi. Inoltre, sono stati creati strumenti e materiale didattico informativo utili ai pazienti per lo svolgimento del consulto telefonico/videochiamata nutrizionale.
CONCLUSIONI
Il ricorso al teleconsulto potrebbe ottimizzare l’efficacia dell’assistenza nutrizionale e l’aderenza dei pazienti, tramite una riduzione delle distanze, dei tempi di attesa, dei costi e dei disagi in generale per i pazienti stessi. La nostra prospettiva è quella di sviluppare un progetto di ricerca presso i Centri di RC per stabilire l’efficacia dell’utilizzo del toolkit nella pratica clinica in termini di outcome desiderati e di tempo dedicato al follow-up dei pazienti.
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Come citare
Pierattini, V., Biffi, B., Agostini, S., Brazzo, S., Masini, M. L., Fattirolli, F., & da Vico, L. (2023). Sviluppo di un toolkit per la tele-nutrizione nel follow-up delle malattie cardiovascolari. Journal of Biomedical Practitioners, 7(1). https://doi.org/10.13135/2532-7925/7761
Fascicolo
Sezione
Scienze della Nutrizione e Dietetica
Gli autori mantengono i diritti sulla loro opera e cedono alla rivista il diritto di prima pubblicazione dell'opera, contemporaneamente licenziata sotto una Licenza Creative Commons - Attribuzione che permette ad altri di condividere l'opera indicando la paternità intellettuale e la prima pubblicazione su questa rivista.
Riferimenti bibliografici
[1] Visseren FLJ, Mach F, Smulders YM, et al. ESC Scientific Document Group. 2021 ESC Guidelines on cardiovascu-lar disease prevention in clinical practice. Eur J Prev Cardiol. 2022 Feb;29(1):5-115.
[2] McDonagh TA, Metra M, Adamo M, et al. ESC Scientific Document Group. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). With the special contribution of the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2022;24(1):4-131.
[3] Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022;145(18):e895-e1032.
[4] Volpe M, Gallo G, Modena MG, et al; Members of the Board of the Italian Society of Cardiovascular Prevention. Updated Recommendations on Cardiovascular Prevention in 2022: An Executive Document of the Italian Society of Cardiovascular Prevention. High Blood Press Cardiovasc Prev. 2022 Mar;29(2):91-102.
[5] Griffo R, Urbinati S, Giannuzzi P, et al. Linee guida nazionali su cardiologia riabilitativa e prevenzione secondaria delle malattie cardiovascolari: sommario esecutivo. G Ital Cardiol. 2008;9(4):286-97.
[6] Pedretti RFE, Fattirolli F, Griffo R, et al. Cardiac Prevention and Rehabilitation "3.0": From acute to chronic phase. Position Paper of the ltalian Association for Cardiovascular Prevention and Rehabilitation (GICR-IACPR). Monaldi Arch Chest Dis 2018;88:1004.
[7] Fattirolli F, Angelino E, Riccio C. La televisita per la cronicità in cardiologia: un “new normal” con molti benefici e qualche ostacolo. G Ital Cardiol 2021;22:931-941.
[8] Rozga M, Handu D, Kelley K, Jimenez EY, et al. Telehealth During the COVID-19 Pandemic: A Cross-Sectional Survey of Registered Dietitian Nutritionists. J Acad Nutr Diet. 2021 Dec;121(12):2524-2535.
[9] Hutchesson MJ, Rollo ME, Krukowski R, et al. eHealth interventions for the prevention and treatment of over-weight and obesity in adults: a systematic review with meta-analysis. Obes Rev 2015;16:376-92.
[10] Kelly JT, Reidlinger DP, Hoffmann TC, Campbell KL. Telehealth methods to deliver dietary interventions in adults with chronic disease: a systematic review and meta-analysis. Am J Clin Nutr 2016;104:1693-1702.
[11] Goode AD, Reeves MM, Eakin EG. Telephone-delivered interventions for physical activity and dietary behavior change: an updated systematic review. Am J Prev Med 2012;42:81-8.
[12] Kelly JT, Allman-Farinelli M, Chen J, et al. Dietitians Australia position statement on telehealth. Nutr Diet 2020;77:406-415.
[13] Ventura Marra M, Lilly CL, Nelson KR, et al. A Pilot Randomized Controlled Trial of a Telenutrition Weight Loss Intervention in Middle-Aged and Older Men with Multiple Risk Factors for Cardiovascular Disease. Nutrients 2019;11:229.
[14] Huang JW, Lin YY, Wu NY. The effectiveness of telemedicine on body mass index: A systematic review and me-ta-analysis. J Telemed Telecare 2019;25:389-401.
[15] Nagatomi Y, Ide T, Higuchi T, et al. Home-based cardiac rehabilitation using information and communication technology for heart failure patients with frailty. ESC Heart Fail 2022;9:2407-2418.
[16] Shah ND, Krupinski EA, Bernard J, Moyer MF. The evolution and utilization of telehealth in ambulatory nutrition practice. Nutr Clin Pract 2021; 36:739-749.
[17] Swan WI, Vivanti A, Hakel-Smith NA, et al. Nutrition Care Process and Model Update: Toward Realizing People-Centered Care and Outcomes Management. J Acad Nutr Diet 2017;117:2003-2014.
[18] Academy of Nutrition and Dietetics (2019) Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care. http://www.ncpro.org (accessed on 4 Octobre 2022).
[19] Agostini S, Biffi B, da Vico L, Masini ML. Capitolo: Processo di assistenza nutrizionale; da: Aggiornamenti in Cardiologia Riabilitativa per Medici, Fisioterapisti, Infermieri, Psicologi e Dietisti A. Galati. EDIZIONI A.L.E. ot-tobre 2020
[20] Manuale ANDID (Associazione Nazionale Dietisti). International Dietetics and Nutrition Terminology: Un linguag-gio condiviso per la pratica professionale. Rubiera (RE), IT: ANDID; 2014.
[21] Ferguson M, Capra S, Bauer J, Banks M. Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition 1999;15:458-464.
[22] Skipper A, Coltman A, Tomesko J, et al. Position of the Academy of Nutrition and Dietetics: Malnutrition (Under-nutrition) Screening Tools for All Adults. J Acad Nutr Diet 2020;120:709-713.
[23] Thompson FE, Subar AF, Loria CM, Reedy JL, Baranowski T. Need for technological innovation in dietary assess-ment. J Am Diet Assoc 2010 ;110:48-51.
[24] Desroches S, Lapointe A, Ratté S, Ghiaia K, Legaré F, Turcotte S. Interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults. Cochrane Database Syst Rev 2013;2:CD008722.
[25] Gilardini L, Cancello R, Caffetto K, Cottafava R, Gironi I, Invitti C. Nutrition knowledge is associated with great-er weight loss in obese patients following a multidisciplinary rehabilitation program. Minerva Endocrinol (Torino). 2021;46:296-302.
[26] Rosi C, Pennella S, Fantuzzi AL, et al. L'utilizzo del Questionario di Moynihan per la valutazione delle conoscen-ze alimentari nei pazienti sottoposti a riabilitazione dopo intervento cardiochirurgico [The usefulness of Moynihan questionnaire in the evaluation of knowledge on healthy diet of patients undergoing cardiology rehabilitation]. Monaldi Arch Chest Dis 2013;80:76-89. Italian.
[27] Mach F, Baigent C, Catapano AL, et al. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. Eur Heart J 2020;41:111–188.
[28] Knuuti J, Wijns W, Saraste A, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J 2020;41:407– 477.
[29] Centro di ricerca alimenti e nutrizione (Crea). Linee Guida per una sana alimentazione Dossier Scientifico. Ro-ma, IT: online; 2018.
[30] Bays HE, Kulkarni A, German C, et al. Ten things to know about ten cardiovascular disease risk factors - 2022. Am J Prev Cardiol 2022;10:100342.
[31] Visseren FLJ, Mach F, Smulders YM, et al. ESC National Cardiac Societies; ESC Scientific Document Group. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J 2021;42:3227-3337.
[32] Vezzosi S, Agostini S, Cecchetto G, et al. Position statement: L’importanza dei pasti ad aumentata densità ener-getica e proteica (c.d. pasti fortificati) nella prevenzione e trattamento della malnutrizione. Roma, IT: Studio Phaedra; 2019.
[33] Agostini S, Biffi B, Brazzo S, Da Vico L, Masini ML. The role of dietitian in cardiac rehabilitation and secondary prevention. Monaldi Arch Chest Dis 2014;82: 43-8.
[34] Da Vico L, Biffi B, Agostini S, et al. Validation of the Italian version of the questionnaire on nutrition knowledge by Moynihan. Monaldi Arch Chest Dis 2010;74:140-6.
[35] Fattirolli F, Bettinardi O, Angelino E, et al. What constitutes the 'Minimal Care' interventions of the nurse, physi-otherapist, dietician and psychologist in Cardiovascular Rehabilitation and secondary prevention: A position paper from the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology. Eur J Prev Cardiol 2018;25:1799-1810.
[36] Spahn JM, Reeves RS, Keim KS, et al. State of the Evidence Regarding Behavior Change Theorie and Strategies in Nutrition Counseling to Facilitate Health and Food Behaviour Change. JADA 2010;110:879-891.
[37] Harbury CM, Callister R, Collins CE. Nutrition "fat facts'' are not common knowledge. Health Promot J Austr 2018;29:93-99.
[38] Chiereghin F, Meneghini E, Pintaudi B, et al. Educating patients on carbohydrate counting: efficiency of distance support in type 1 diabetes La formazione dei pazienti al conteggio dei carboidrati: utilità di modalità a distanza nel diabete mellito di tipo 1. JAMD 2021;23:275-280.
[39] Fantuzzi AL, Chiuchiù MP, Bedogni G. Atlante fotografico delle porzioni degli alimenti. Milano, IT: Istituto Scotti Bassani; 2005.
[40] Fantuzzi AL, Chiuchiù MP, Cassatella C, Bedogni G. Atlante fotografico delle porzioni degli alimenti per l’età pe-diatrica. Milano, IT: Istituto Scotti Bassani; 2014.
[41] Marques-Vidal P, Jankowski P, De Bacquer D, Kotseva K. EUROASPIRE V collaborators. Dietary measures among patients with coronary heart disease in Europe. ESC EORP Euroaspire V. Int J Cardiol 2020;302:5-14.
[42] Brunton C, Arensberg MB, Drawert S, Badaracco C, Everett W, McCauley SM. Perspectives of Registered Dietitian Nutritionists on Adoption of Telehealth for Nutrition Care during the COVID-19 Pandemic. Healthcare (Basel) 2021;9:235.
[43] Ministero della Salute (2012) Telemedicina Linee di indirizzo nazionali. http://www.salute.gov.it/imgs/C_17_pubblicazioni_2129_allegato.pdf (accessed on 16 February 2022).
[44] Farid D. COVID-19 and Telenutrition: Remote Consultation in Clinical Nutrition Practice. Curr Dev Nutr 2020;4:nzaa124.
[45] Kelly JT, Collins PF, McCamley J, Ball L, Roberts S, Campbell KL. Digital disruption of dietetics: are we ready? J Hum Nutr Diet 2021;34:134-146.
[46] Gnagnarella P, Ferro Y, Monge T, et al. Telenutrition: Changes in Professional Practice and in the Nutritional As-sessments of Italian Dietitian Nutritionists in the COVID-19 Era. Nutrients 2022;14:1359.
[47] Barkmeijer A, Molder HT, Janssen M, Jager-Wittenaar H. Towards effective dietary counseling: a scoping re-view. Patient Educ Couns 2022;105:1801-1817.
[2] McDonagh TA, Metra M, Adamo M, et al. ESC Scientific Document Group. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). With the special contribution of the Heart Failure Association (HFA) of the ESC. Eur J Heart Fail. 2022;24(1):4-131.
[3] Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2022;145(18):e895-e1032.
[4] Volpe M, Gallo G, Modena MG, et al; Members of the Board of the Italian Society of Cardiovascular Prevention. Updated Recommendations on Cardiovascular Prevention in 2022: An Executive Document of the Italian Society of Cardiovascular Prevention. High Blood Press Cardiovasc Prev. 2022 Mar;29(2):91-102.
[5] Griffo R, Urbinati S, Giannuzzi P, et al. Linee guida nazionali su cardiologia riabilitativa e prevenzione secondaria delle malattie cardiovascolari: sommario esecutivo. G Ital Cardiol. 2008;9(4):286-97.
[6] Pedretti RFE, Fattirolli F, Griffo R, et al. Cardiac Prevention and Rehabilitation "3.0": From acute to chronic phase. Position Paper of the ltalian Association for Cardiovascular Prevention and Rehabilitation (GICR-IACPR). Monaldi Arch Chest Dis 2018;88:1004.
[7] Fattirolli F, Angelino E, Riccio C. La televisita per la cronicità in cardiologia: un “new normal” con molti benefici e qualche ostacolo. G Ital Cardiol 2021;22:931-941.
[8] Rozga M, Handu D, Kelley K, Jimenez EY, et al. Telehealth During the COVID-19 Pandemic: A Cross-Sectional Survey of Registered Dietitian Nutritionists. J Acad Nutr Diet. 2021 Dec;121(12):2524-2535.
[9] Hutchesson MJ, Rollo ME, Krukowski R, et al. eHealth interventions for the prevention and treatment of over-weight and obesity in adults: a systematic review with meta-analysis. Obes Rev 2015;16:376-92.
[10] Kelly JT, Reidlinger DP, Hoffmann TC, Campbell KL. Telehealth methods to deliver dietary interventions in adults with chronic disease: a systematic review and meta-analysis. Am J Clin Nutr 2016;104:1693-1702.
[11] Goode AD, Reeves MM, Eakin EG. Telephone-delivered interventions for physical activity and dietary behavior change: an updated systematic review. Am J Prev Med 2012;42:81-8.
[12] Kelly JT, Allman-Farinelli M, Chen J, et al. Dietitians Australia position statement on telehealth. Nutr Diet 2020;77:406-415.
[13] Ventura Marra M, Lilly CL, Nelson KR, et al. A Pilot Randomized Controlled Trial of a Telenutrition Weight Loss Intervention in Middle-Aged and Older Men with Multiple Risk Factors for Cardiovascular Disease. Nutrients 2019;11:229.
[14] Huang JW, Lin YY, Wu NY. The effectiveness of telemedicine on body mass index: A systematic review and me-ta-analysis. J Telemed Telecare 2019;25:389-401.
[15] Nagatomi Y, Ide T, Higuchi T, et al. Home-based cardiac rehabilitation using information and communication technology for heart failure patients with frailty. ESC Heart Fail 2022;9:2407-2418.
[16] Shah ND, Krupinski EA, Bernard J, Moyer MF. The evolution and utilization of telehealth in ambulatory nutrition practice. Nutr Clin Pract 2021; 36:739-749.
[17] Swan WI, Vivanti A, Hakel-Smith NA, et al. Nutrition Care Process and Model Update: Toward Realizing People-Centered Care and Outcomes Management. J Acad Nutr Diet 2017;117:2003-2014.
[18] Academy of Nutrition and Dietetics (2019) Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care. http://www.ncpro.org (accessed on 4 Octobre 2022).
[19] Agostini S, Biffi B, da Vico L, Masini ML. Capitolo: Processo di assistenza nutrizionale; da: Aggiornamenti in Cardiologia Riabilitativa per Medici, Fisioterapisti, Infermieri, Psicologi e Dietisti A. Galati. EDIZIONI A.L.E. ot-tobre 2020
[20] Manuale ANDID (Associazione Nazionale Dietisti). International Dietetics and Nutrition Terminology: Un linguag-gio condiviso per la pratica professionale. Rubiera (RE), IT: ANDID; 2014.
[21] Ferguson M, Capra S, Bauer J, Banks M. Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition 1999;15:458-464.
[22] Skipper A, Coltman A, Tomesko J, et al. Position of the Academy of Nutrition and Dietetics: Malnutrition (Under-nutrition) Screening Tools for All Adults. J Acad Nutr Diet 2020;120:709-713.
[23] Thompson FE, Subar AF, Loria CM, Reedy JL, Baranowski T. Need for technological innovation in dietary assess-ment. J Am Diet Assoc 2010 ;110:48-51.
[24] Desroches S, Lapointe A, Ratté S, Ghiaia K, Legaré F, Turcotte S. Interventions to enhance adherence to dietary advice for preventing and managing chronic diseases in adults. Cochrane Database Syst Rev 2013;2:CD008722.
[25] Gilardini L, Cancello R, Caffetto K, Cottafava R, Gironi I, Invitti C. Nutrition knowledge is associated with great-er weight loss in obese patients following a multidisciplinary rehabilitation program. Minerva Endocrinol (Torino). 2021;46:296-302.
[26] Rosi C, Pennella S, Fantuzzi AL, et al. L'utilizzo del Questionario di Moynihan per la valutazione delle conoscen-ze alimentari nei pazienti sottoposti a riabilitazione dopo intervento cardiochirurgico [The usefulness of Moynihan questionnaire in the evaluation of knowledge on healthy diet of patients undergoing cardiology rehabilitation]. Monaldi Arch Chest Dis 2013;80:76-89. Italian.
[27] Mach F, Baigent C, Catapano AL, et al. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. Eur Heart J 2020;41:111–188.
[28] Knuuti J, Wijns W, Saraste A, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J 2020;41:407– 477.
[29] Centro di ricerca alimenti e nutrizione (Crea). Linee Guida per una sana alimentazione Dossier Scientifico. Ro-ma, IT: online; 2018.
[30] Bays HE, Kulkarni A, German C, et al. Ten things to know about ten cardiovascular disease risk factors - 2022. Am J Prev Cardiol 2022;10:100342.
[31] Visseren FLJ, Mach F, Smulders YM, et al. ESC National Cardiac Societies; ESC Scientific Document Group. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J 2021;42:3227-3337.
[32] Vezzosi S, Agostini S, Cecchetto G, et al. Position statement: L’importanza dei pasti ad aumentata densità ener-getica e proteica (c.d. pasti fortificati) nella prevenzione e trattamento della malnutrizione. Roma, IT: Studio Phaedra; 2019.
[33] Agostini S, Biffi B, Brazzo S, Da Vico L, Masini ML. The role of dietitian in cardiac rehabilitation and secondary prevention. Monaldi Arch Chest Dis 2014;82: 43-8.
[34] Da Vico L, Biffi B, Agostini S, et al. Validation of the Italian version of the questionnaire on nutrition knowledge by Moynihan. Monaldi Arch Chest Dis 2010;74:140-6.
[35] Fattirolli F, Bettinardi O, Angelino E, et al. What constitutes the 'Minimal Care' interventions of the nurse, physi-otherapist, dietician and psychologist in Cardiovascular Rehabilitation and secondary prevention: A position paper from the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology. Eur J Prev Cardiol 2018;25:1799-1810.
[36] Spahn JM, Reeves RS, Keim KS, et al. State of the Evidence Regarding Behavior Change Theorie and Strategies in Nutrition Counseling to Facilitate Health and Food Behaviour Change. JADA 2010;110:879-891.
[37] Harbury CM, Callister R, Collins CE. Nutrition "fat facts'' are not common knowledge. Health Promot J Austr 2018;29:93-99.
[38] Chiereghin F, Meneghini E, Pintaudi B, et al. Educating patients on carbohydrate counting: efficiency of distance support in type 1 diabetes La formazione dei pazienti al conteggio dei carboidrati: utilità di modalità a distanza nel diabete mellito di tipo 1. JAMD 2021;23:275-280.
[39] Fantuzzi AL, Chiuchiù MP, Bedogni G. Atlante fotografico delle porzioni degli alimenti. Milano, IT: Istituto Scotti Bassani; 2005.
[40] Fantuzzi AL, Chiuchiù MP, Cassatella C, Bedogni G. Atlante fotografico delle porzioni degli alimenti per l’età pe-diatrica. Milano, IT: Istituto Scotti Bassani; 2014.
[41] Marques-Vidal P, Jankowski P, De Bacquer D, Kotseva K. EUROASPIRE V collaborators. Dietary measures among patients with coronary heart disease in Europe. ESC EORP Euroaspire V. Int J Cardiol 2020;302:5-14.
[42] Brunton C, Arensberg MB, Drawert S, Badaracco C, Everett W, McCauley SM. Perspectives of Registered Dietitian Nutritionists on Adoption of Telehealth for Nutrition Care during the COVID-19 Pandemic. Healthcare (Basel) 2021;9:235.
[43] Ministero della Salute (2012) Telemedicina Linee di indirizzo nazionali. http://www.salute.gov.it/imgs/C_17_pubblicazioni_2129_allegato.pdf (accessed on 16 February 2022).
[44] Farid D. COVID-19 and Telenutrition: Remote Consultation in Clinical Nutrition Practice. Curr Dev Nutr 2020;4:nzaa124.
[45] Kelly JT, Collins PF, McCamley J, Ball L, Roberts S, Campbell KL. Digital disruption of dietetics: are we ready? J Hum Nutr Diet 2021;34:134-146.
[46] Gnagnarella P, Ferro Y, Monge T, et al. Telenutrition: Changes in Professional Practice and in the Nutritional As-sessments of Italian Dietitian Nutritionists in the COVID-19 Era. Nutrients 2022;14:1359.
[47] Barkmeijer A, Molder HT, Janssen M, Jager-Wittenaar H. Towards effective dietary counseling: a scoping re-view. Patient Educ Couns 2022;105:1801-1817.