Summary of evidence-based nutritional recommendations of the Clinical Practice Guideline for the management of patients with Parkinson's disease

Objectives: To announce the Human Nutrition and Dietetics (NHyD) recommendations of the Clinical Practice Guideline in the management of Parkinson's disease in the Spanish National health system, and promoting its dissemination and implementation in practice. To point out the implication of NHyD professionals in the quoted guideline was the secondary objective. Material and methods: The following items were carried out according to the Methodological Manual for Clinical Practice Guidelines Preparation in the Spanish National health system: formulating the clinical questions, systematic search for each question in databases (PubMed/Medline, Embase, Cochrane Library, CRD, LILACS, IBECS and ClinicalTrials), definition of eligibility criteria, studies were selected by at least two researchers, critical reading of the literature was made using evidence summary tables, and corresponding recommendations were established. Results: 14 questions directly related with Parkinson's disease and NHyD were proposed; only 3 of which could be finally included. It was formulated a question related to speech therapy for Parkinson's disease patients with swallowing disorders. Human Nutrition and Dietetics professionals got involved in this treatment. Only 2 of the 642 articles were included to answer the corresponding questions. According to evidence found, 11 recommendations were proposed with the active involvement of Human Nutrition and Dietetics. Conclusions: Multidisciplinary healthcare professionals' implication improves the final result of the guidelineand the health care results in patients. It is necessary that Human Nutrition and Dietetics healthcare professionals get involved in this kind of initiatives, based on the best evidence available, and they should be a member of multidisciplinary work teams.