NUTRICIÓN BASADA EN LA EVIDENCIA
Abstract
La Nutrición Basada en la Evidencia puede concebirse como la aplicación en nuestra disciplina de los principios de la Medicina Basada en la Evidencia (MBE), definida ésta como la “aplicación consciente, explícita y juiciosa de la mejor evidencia científica disponible para tomar decisiones sobre la atención de los pacientes, y cuya práctica integra la experiencia del clínico con la mejor
evidencia externa disponible procedente de una investigación sistemática. La Nutrición Basada en la Evidencia tiene que ver con hacer bien las cosas adecuadas para las personas indicadas en el momento pertinente. La práctica basada en la evidencia es un proceso por etapas, que comienza cuando necesitamos información para resolver cualquier problema en el proceso de atención
sanitaria, de un paciente o una población. La primera etapa es convertir la información que necesitamos en una pregunta que pueda ser contestada, y la segunda encontrar la evidencia que mejor nos permita responder a esa cuestión. La tercera etapa es la valoración formal de ésta, lo que se ha dado en llamar evaluación crítica; la cuarta etapa, contempla integrar esta evaluación
con nuestra experiencia clínica y las preferencias de los pacientes, o los valores y prioridades a nivel poblacional, y aplicar el resultado. Por último, la quinta etapa, que consiste en evaluar todo el proceso, con el objetivo de mejorar nuestras decisiones la próxima ocasión en que repitamos de nuevo el ciclo en etapas de práctica basada en la evidencia.
Palabras calve: nutrición basada en la evidencia Evidence-based Nutrition.
Downloads
References
Sackett DL, WM Rosenberg, JA Gray, RB Haynes and WS Richardson 1996.. Evidence based medicine: what it is and what it isn’t. BMJ; 312:71-72. Disponible en URL: http://bmj.bmjjournals.com/cgi/content/full/312/7023/71
Evidence-based Medicine Working Group. 1992.Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA; 268: 2420-2425. Disponible en URL: http://www.cche.net/usersguides/ebm.asp
Muir Gray JA. 2004. Evidence-based policy making. BMJ; 329: 988-989. Disponible en URL: http://bmj.bmjjournals.com/cgi/content/full/329/7473/988
Muir Gray JA. 2001. Evidence-based health care. How to make health policy and management decisions. 2nd ed. Edinburgh: Churchill Livingstone.
Sackett DL, SE Straus, WS Richardson, W Rosenberg and RB Haynes 2000. Evidence based medicine: how to practice and teach EBM. 2nd ed. Edinburgh: Churchill Livingstone.
Grahame-Smith D. 1995. Evidence based medicine: socratic dissent. BMJ; 310:1126-1127. Disponible en URL: http://bmj.bmjjournals.com/cgi/content/full/310/6987/1126
Straus SE. 2004 What's the E for EBM? BMJ; 328:535-536. Disponible en URL: http://bmj.bmjjournals.com/cgi/content/full/328/7439/535
Kahneman D, P Slovic and A Tversky editors. 1982. Judgment under uncertainty: heuristics and biases. Cambridge: Cambridge University Press.
Mayer D. 2004 Essential evidence-based medicine. Cambridge: Cambridge University Press.
Charlton BG.1997. Restoring the balance: evidence-based medicine put in its place. J Eval Clin m Pract; 3:87-98. Disponible en URL: http://www.blackwellsynergy. com/links/doi/10.1046/j.1365-
1997.00097.x/abs/
Haynes B and A. Haines 1998. Barriers and bridges to evidence based clinical practice. BMJ; 317:273-6. Disponible en URL: http://bmj.bmjjournals.com/cgi/content/full/317/7153/273
Jacobson LD, AG Edwards, SK Granier and CC Butler 1997. Evidence-based medicine and general practice. Br J Gen Pract; 47:449-452.
Hampton JR. 1997. Evidence-based medicine, practice variations and clinical freedom. J Eval Clin Pract; 3:123-131. Disponible en URL: http://www.blackwellsynergy. com/links/doi/10.1046/j.1365-2753.1997.00094.x/abs/
Sackett DL and SE Straus 1998. Finding and applying evidence during clinical rounds: the "evidence cart". JAMA; 280:1336-1338.
The Cochrane Collaboration [Página en Internet]. What is the Cochrane Collaboration? Oxford: The Cochrane Collaboration Secretariat; [acceso 14 ene 2005]. Disponible en URL:
http://www.cochrane.org/docs/descrip.htm
Centro Cochrane Iberoamericano [Página en Internet]. Barcelona: Hospital de la Santa Creu i Sant Pau; [acceso 14 ene 2005]. Disponible en URL: http://www.cochrane.es/Castellano/
Straus SE and FA McAlister 2000. Evidence-based medicine: a commentary on common criticisms. CMAJ.; 163: 837-841. Disponible en URL: http://www.cmaj.ca/cgi/content/full/163/7/837
Sehon SR, and DE Stanley 2003. A philosophical analysis of the evidence-based medicine debate. BMC Health Serv Res, 3:14. Disponible en URL: http://www.biomedcentral.com/1472-
/3/14
Glasziou P. 2005. Evidence based medicine: does it make a difference? Make it evidence informed practice with a little wisdom. BMJ; 330:92. Disponible en URL: http://bmj.bmjjournals.com/cgi/content/full/330/7482/92-a
Cochrane AL. 1972. Effectiveness and efficiency: random reflection on health services. London: Nuffield Provincial Hospitals Trust.
Khan KS, G ter Riet, J Glanville, AJ Sowden and J Kleijnen, editors. 2001 Undertakingsystematic reviews of research on effectiveness. 2nd ed. York: Centre for Reviews and Dissemination (CRD). CRD Report Number 4. Disponible en URL:
http://www.york.ac.uk/inst/crd/report4.htm
Egger M, G Davey Smith and DG Altman DG. 2001. Systematic reviews in health care. Metaanalysis in context. 2nd ed. London: BMJ.
Jenicek M and DL Hitchcock 2005. Logic and critical thinking in medicine. Chicago: American Medical Association.
McKibbon A, A Eady A and S. Marks 1999. PDQ Evidence-based principles and practice. Ontario: BC Decker.
Guyatt G and D. Rennie editors. 2002.Users' guide to the medical literature. A manual for Evidence-Based Clinical Practice. Chicago: American Medical Association.
Dawes M, P Davies, A Gray, J Mant, K Seers and R Snowball 1999. Evidence-based practice. A primer for health care professionals. Edinburgh: Churchill Livingstone.
Black N. 2001. Evidence based policy: proceed with care. BMJ; 323:275-279. Disponible en URL: http://bmj.bmjjournals.com/cgi/content/full/323/7307/275
Serra-Majem Ll. 2000. Nutrición basada en la evidencia. Rev Esp Nutr Comunitaria; 6:5-6
Downloads
Published
How to Cite
Issue
Section
License
The rights of the work belong to the author or authors, however, by sending it for publication in the Public Health and Nutrition Magazine of the Faculty of Public Health and Nutrition of the Autonomous University of Nuevo León, they grant the right for its first publication in between electronic, and possibly, in print to the Public Health and Nutrition Magazine. The license used is the Creative Commons attribution, which allows third parties to use what is published whenever the authorship of the work is mentioned and the first publication that is in the Public Health and Nutrition Magazine. Likewise, the author or authors will take into account that it will not be allowed to send the publication to any other journal, regardless of the format. The authors will be able to make other independent and additional contractual agreements for the non-exclusive distribution of the version of the article published in the Public Health and Nutrition Magazine (e.g., institutional repository or publication in a book) provided they clearly state that The work was published for the first time in the Public Health Magazine, Magazine of the Faculty of Public Health and Nutrition of the Autonomous University of Nuevo León.
