Fast Five Quiz: Are You Prepared to Manage Spinal Muscular Atrophy?

Stephen L. Nelson, Jr, MD, PhD

Disclosures

May 16, 2019

A 2016 study found that the majority of patients with SMA had suboptimal caloric, protein, and vitamin D intake. Because patients with SMA are prone to low bone density and subsequent fractures, supplementation with vitamin D and calcium are recommended. Some patients may also require bisphosphonate therapy.

Nutritional interventions vary and should be addressed on a case-by-case basis. Because patients with SMA often have limited mobility, a balanced diet and appropriate caloric intake are recommended to prevent obesity. With disease progression, patients often lose the ability to chew and swallow, necessitating nutritional support with a feeding tube (nasogastric, nasojejunal, or gastrotomy).

For more on nutritional management of patients with SMA, read here.

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