Nutrition in Cystic Fibrosis A Guide for Clinicians

This comprehensive text fulfills an unmet need for practitioners who treat patients with cystic fibrosis (CF) by providing data-driven advice concerning the implementation of nutritional interventions to CF patients from infancy to adulthood. Nutritional

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Elizabeth H. Yen Amanda Radmer Leonard Editors

Nutrition in Cystic Fibrosis A Guide for Clinicians

Nutrition and Health Adrianne Bendich, Ph.D., FASN, FACN, Series Editor

More information about this series at http://www.springer.com/series/7659

Elizabeth H. Yen • Amanda Radmer Leonard Editors

Nutrition in Cystic Fibrosis A Guide for Clinicians

Editors Elizabeth H. Yen, M.D. Department of Pediatrics Division of Gastroenterology Hepatology and Nutrition University of California San Francisco, CA, USA

Amanda Radmer Leonard, M.P.H., R.D., L.D., C.D.E. The Johns Hopkins Children’s Center Department of Pediatrics Division of Gastroenterology and Nutrition Baltimore, MD, USA

Benioff Children’s Hospital San Francisco, CA, USA

Nutrition and Health ISBN 978-3-319-16386-4 ISBN 978-3-319-16387-1 DOI 10.1007/978-3-319-16387-1

(eBook)

Library of Congress Control Number: 2015952012 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Humana Press is a brand of Springer Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)

“We dedicate this book to all patients and families of patients with cystic fibrosis. Their dedication to their care and to the advancement of medicine and science in the field is exemplary and humbling.”

Preface

Over the past half-century, advances in the treatment of cystic fibrosis have resulted in remarkable improvements in patients’ quality of life and longevity. Nutritional therapies were key early interventions, and remain central to the well-being and survival of patients with cystic fibrosis. The nature of the disease causes significant alterations in a patient’s ability to process and assimilate nutrients. Furthermore, many factors contribute to higher metabolic demands throughout a patient’s life. In combination, maldigestion, malabsorption, and increased metabol