Alimentation and prevention of nutritional diseases

A.Y. 2021/2022
Overall hours
BIO/13 MED/13 MED/49
Learning objectives
The purpose of the course is to provide an overall picture of the current perspectives in terms of diagnosis, prevention and therapeutic support of malnutrition in complex diseases characterized by dysfunctional eating behavior, and chronic diseases with a significant impact on energy consumption and macro and micronutrients requirement.
Expected learning outcomes
At the end of the course the student must be able to know and apply the principles underlying the diagnosis, prevention and treatment of nutritional disorders and malnutrition condition, responsible for serious consequences on the state of health.
Course syllabus and organization

Single session

Lesson period
Second semester
More specific information on the delivery modes of training activities for academic year 2021/22 will be provided over the coming months, based on the evolution of the public health situation.
Course syllabus
Interdisciplinary nature of food science

Strategies for managing the Nutritionist - Patient relationship
Control of hunger and satiety:
· Homeostatic and Hedonic hunger, satiation, satiety, appetite
· Feeding Center and Satiety Center signaling

Nutritional status assessment

Anthropometric assessment

Body composition assessment

Energy expenditure evaluation

Welfare diseases: Obesity
· Classification criteria, aetiopathogenesis, Obesity and genetics.
· Italian standards for the treatment of obesity.

Metabolic bariatric surgery:
· Endogastric balloon
· Adjustable gastric banding
· Sleeve Gastrectomy (SV) and Vertical sleeve gastrectomy
· Bilio-Pancreatic Diversion; variants to the standard intervention
· Roux-en-Y gastric bypass surgery; variants to the standard intervention

Relationships between obesity and eating disorders

Risk factors for eating disorders

Anorexia Nervosa:
· comorbidities, physical symptoms, diagnostic criteria according to the DSM 5, severity levels; manifestations

Bulimia Nervosa:
· onset, comorbidities, physical symptoms, diagnostic criteria according to the dsm-5, severity levels, manifestations

Link between anorexia nervosa and bulimia nervosa

Binge Eating Disorder (BED):
· Symptoms, BED and obesity, comorbidities, correlations with anorexia nervosa and bulimia nervosa, physical symptoms, prognosis, diagnostic criteria according to the dsm-5, severity levels

Avoidant Restrictive Food Intake Disorder: Diagnostic Criteria

Pica: diagnostic criteria

Rumination disorder in the dsm-5

Nutritional rehabilitation in eating disorders:
· importance of the multidisciplinary approach
· ACDs nutritional rehabilitation

Nutritional rehabilitation in Anorexia Nervosa:
· counseling
· weight goal to be achieved
· organic and functional evaluation
· oral nutritional supplements
· the refeeding syndrome (rfs)
· drug treatment

Nutritional Rehabilitation in Bulimia Nervosa
· main objectives
· psychotherapy
· drug treatment
Nutritional Rehabilitation in Binge-Eating Disorder:
· psychotherapy,
· bariatric surgery
· pharmacological treatment

Obesity and BED Association: need for a differential diagnosis

OSFED (Other Specified Feeding or Eating Disorders) Nutrition

.UFED (Unspecified Feeding or Eating Disorders)

Night Eating Syndrome

Orthorexia Nervosa

Reverse Anorexia or Muscular Dysmorphy or Vigoressia or Bigorexia

Drunkorexia or Drunkorexia

Oncological Nutrition:
· prevalence of malnutrition in cancer patients
· main catabolic alterations in cancer patients
· nutritional assessment and diagnosis of malnutrition
· Early diagnosis of nutritional needs and ESPEN intervention programs
· guidelines for oncological nutrition
· use of nutraceuticals

, Artificial Nutrition Support:
· protein-calorie malnutrition
· Pharmaconutrition
· Nutritional Screening test:
o malnutrition universal screening tool (must)
o nutritional risk screening 2002 (nrs-2002)
o mini nutritional assessment (mna)
· Energy, protein, water, electrolytes, vitamins and trace elements needs
· administration methods
Prerequisites for admission
Prior knowledge of elements of biochemistry, human physiology and anatomy; firm understanding of nutrition.
Teaching methods
Frontal lectures with the aid of slide projection.
Teaching Resources
Reference material is presented during frontal lectures (slides and scientific articles). Lecture slides will be uploaded to the Ariel portal.
Assessment methods and Criteria
Written exam: the student will be asked to carry out two themes among those proposed, related to the program of the course. 120 minutes duration.
To pass the exam, the total grade must be at least 18/30.
BIO/13 - EXPERIMENTAL BIOLOGY - University credits: 0
MED/13 - ENDOCRINOLOGY AND METABOLISM - University credits: 0
MED/49 - FOOD AND DIETETIC SCIENCES - University credits: 0
Lessons: 48 hours