Nutritional Advice on the Prevention and Control of New Coronavirus Pneumonia - Clinical Nutrition Branch of the Chinese Academy of Nutrition.

is currently in a critical period of containment of new coronavirus, everyone's health determines the current effectiveness of prevention and control work and the development of the epidemic. In addition to personal prevention and medical drugs, a proper nutritional diet is an important part of improving an individual's nutritional status, increasing resistance, and possibly improving the prognosticity of the disease. The Chinese Academy of Nutrition Clinical Nutrition Branch of the comprehensive nutrition expert opinion, put forward the following nutritional recommendations.
1. Dietary management in the general type or during
should adhere to a reasonable diet and improve their own resistance through balanced nutrition. Nutritional "prescriptions" are made in the light of the Dietary Guidelines for Chinese Residents (2016) issued by the Chinese Nutrition Society. In the current special case, the following entries also apply to the general population.
(a) cereals should be 250 to 400g daily, including rice, wheat, corn, buckwheat, sweet potatoes, potatoes, etc.
(ii) High-quality protein food should be adequate, including lean meat, fish, shrimp, eggs, etc., 150 to 200g protein food per day, milk, soy food to choose more, adhere to one egg per day.
(iii) eat more fresh vegetables and fruits, more than 5 kinds a day, preferably more than 500 grams. Half of them are dark fruits and vegetables.
(iv) increase high-quality fat intake in moderation, including cooking nuts rich in n-9 fatty acids vegetable oils and hard fruit poly-oil foods such as peanuts, walnuts, etc., total fat energy ratio reached 25 to 30% of the total energy of the diet.
(v) to ensure adequate drinking water, 1500 to 2000 ml per day, many times a small amount, effective drinking water; Pre-dinner soup, fish soup, chicken soup, etc. are also good choices.
(vi) Do not come into contact with the purchase and consumption of wild animals, pay attention to kitchen food handling raw and separate, animal food should be cooked, cooked through, family meals, the implementation of meal- split or the use of public chopsticks and other measures to avoid mutual transmission with the family. Do not smoke alcohol, avoid spicy stimulation of food.
(7) Fresh vegetables, fruits and nuts and other plant crops rich in B vitamins, vitamin C, vitamin E, etc. , with strong antioxidant, anti-immune effect, should pay attention to supplementation. Nutrient supplements can also be added in moderation.
(viii) Soybeans and products, mushroom foods, dates, jaundice and other foods contain flavonoids, beet alkali and other antioxidant substances, lean cattle, lamb rich in protein, L-carnitine are helpful to enhance resistance.
(9) those who eat less than they have a poor appetite should pay attention to supplementing B vitamins with micronutrients such as vitamin C, vitamin A and vitamin D.
(10) maintain moderate outdoor activities (do not participate in group activities) and increase lighting time.
2. Severe nutrition treatment
Severe patients often accompanied by decreased appetite, insufficient eating, so that the original weaker resistance is more "worse", for this reason put forward five principles of nutrition treatment.
(i) fluid foods are more likely to be swallowed and digested.
(ii) a small number of meals, 6 to 7 times a day of fluid food, eggs, tofu, dairy products, fruit juice, vegetable juice, rice flour and other ingredients.
(iii) If nutritional needs are not met, deficiencies may be supplemented by in-intestinal nutritional preparations (special medically used formulated foods).
(iv) For critically ill patients who are unable to eat normally through the mouth, the nasal gastric tube or nasal empty intestine tube may be placed, and gravity drip or intraintestinal nutrition infusion pump can be used to pump into the nutrient solution. For patients with severe gastrointestinal dysfunction, extraintestinal nutrition is required to maintain basic nutritional needs. In the early stage recommended perishable low heat card program, to reach 60% to 80% of the nutritional intake, the disease is reduced and then gradually replenished energy and nutrients to reach full.
(v) in the process of gradually alleviating the disease, can be ingested semi-fluid state, easy to chew and digest food. A small number of meals, 5 to 6 meals a day, to supplement a sufficient amount of high-quality protein. Gradually transition to a normal diet as your condition improves.
to pass on the nutritional message to the people around you is also a way to fight the outbreak!
. This article was organized by the Clinical Nutrition Branch of the Chinese Academy of Nutrition
C chen Wei
Chairman of the Clinical Nutrition Branch of the Chinese Academy of Nutrition
Deputy Director of the Clinical Nutrition Department of Beijing Concord Hospital of the Chinese Academy of Medical Sciences
Liu Jingfang
Vice Chairman of the Clinical Nutrition Branch of the Chinese Academy of Nutrition
Director of the Clinical Nutrition Department of Huashan Hospital affiliated with Fudan University Liu Yinghua
Vice Chairman of the Clinical Nutrition Branch of the Chinese Academy of Nutrition
Director of nutrition department of the First Medical Center of the PLA General Hospital
Zhang Zhangqihong
Vice Chairman of the Clinical Nutrition Branch of the Chinese Nutrition Society
Director of the Nutrition Department of the Second Hospital affiliated with Zhejiang University Medical College
Zhang Qian
Deputy Director of the Clinical Nutrition Branch of the Chinese Nutrition Society
Director of the Clinical Nutrition Department of Beijing Tongren Hospital affiliated with Capital Medical University
Yao Ying
Vice Chairman of the Clinical Nutrition Branch of the Chinese Nutrition
Society. Director of the Clinical Nutrition Department of Tongji Hospital, Affiliated with Tongji Medical College, Chinese
.