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Nutrition and Traumatic Brain Injury: Improving Acute and Subacute Health Outcomes in Military Personnel (2011)
Food and Nutrition Board (FNB)

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. "Appendix C: Workshop Speakers' Papers." Nutrition and Traumatic Brain Injury: Improving Acute and Subacute Health Outcomes in Military Personnel. Washington, DC: The National Academies Press, 2011.

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Nutrition and Traumatic Brain Injury: Improving Acute and Subacute Health Outcomes in Military Personnel

TABLE C-14 Illustration of Supplements Encountered Among TBI patients, Ranging from Mild to Severe Injuries (JAHVH from 8/20/2010–9/20/2010)

Antioxidant vitamins

Cinnamon

Ginseng

Omega-6 fatty acids

Apigenin

Citric Acid

Green tea

Resveratrol

B Vitamins (mega-doses)

CoEnzyme Q10

Huperzine

RNA

Baicalein Butcher’s Broom

Cognitex (a-glyceryl phosphoryl choline, ginger, rosemary, phosphatidylserine, pregnolone, vinpocentine, leucoselect phytosome, wild blueberry, sensoril ashwagandha, perluxan)

Individual amino acids or blends (most commonly: branched chain, tyrosine, glutamine, arginine)

Rutin

Caffeine

Corella

Lipoic acid

Spirulina

Capsaicin

Creatine

Luteolin

St. John’s wart

Carnitine (L-configuration)

Curcumin

Magnesium

Tocopherol

Carnosine (L-configuration)

D-Ribose

Milk thistle

Valarian root

Catechin

Feverfew

Mycelia extract

Vinpoceti

Choline

Ginkgo biloba

n-3 fatty acids

Zinc

CONCLUSION

Nutritional assessment, monitoring, and evaluation should be a priority throughout the course of TBI and polytrauma injuries among active-duty service members. Registered dietitians have the educational background to coordinate acute nutritional support and subacute nutritional management based on the variety of nutritional conditions prevalent following TBI. Furthermore, a multidisciplinary team approach is critical to discuss progress, treatment plans, and goals for overall best outcomes.

REFERENCES

Berry, A. 2009. Neurocritical Care 101: Learning the lingo for effective nutrition management. Support Line 31(6):3–11.

Blackman, J. A., P. D. Patrick, M. L. Buck, and R. S. Rust Jr. 2004. Paroxysmal autonomic instability with dystonia after brain injury. Archives of Neurology 61(3):321–328.

Bratton, S., D. Chestnut, J. Ghajar, F. Hammond, O. Harris, R. Hartl, J. Schouten, L. Shutter, S. Timmons, J. Ullman, W. Videtta, J. Wilberger, and D. Wright. 2007. Nutrition. Journal of Neurotrauma 24(1 Suppl.):S77–S82.

Cook, A., and J. Hatton. 2007. Neurological impairment. In The A.S.P.E.N. Nutrition support core curriculum: A case-based approach-the adult patient. 2nd ed., edited by M. Gottschlich, M. DeLegge, T. Mattox, C. Mueller and P. Worthingon. Silver Spring, MD: American Society for Parenteral and Enteral Nutrition. Pp. 424–439.

Cook, A. M., A. Peppard, and B. Magnuson. 2008. Nutrition considerations in traumatic brain injury. Nutrition in Clinical Practice 23(6):608–620.

Dickerson, R. N., and L. Roth-Yousey. 2005. Medication effects on metabolic rate: A systematic review (part 1). Journal of the American Dietetic Association 105(5):835–843.

Esper, D. 2004. Metabolic response and nutrition management in patients with severe head injury. Support Line 26(2):9–13.

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