食欲と食物満足度アンケート (AFSQ) の評価;毎日の摂取量が減少した腹膜透析患者に対するスクリーニングのための簡単な食事ツール
1UCL Centre for Kidney & Bladder Health, Royal Free Hospital, University College London Medical School, London, UK.
Nutrition and health
|August 21, 2025
まとめ
食欲と食物満足度アンケート (AFSQ) は,腹膜透析 (PD) 患者の食欲低下を効果的にスクリーニングします. 高いAFSQスコアは低タンパク質摂取量と痩身量と相関しており,栄養士によるレビューの必要性を示しています.
科学分野:
- 腎臓科
- 栄養学
- 臨床評価
背景:
- 腹腔内透析 (PD) の患者は,食事制限と透析の副作用のために栄養不良のリスクに直面します.
- 食欲や食事の摂取量の低下を早期に特定することは PD患者の健康にとって極めて重要です.
研究 の 目的:
- PD患者の迅速なスクリーニングツールとして食欲と食物満足度アンケート (AFSQ) を評価する.
- AFSQスコアと栄養状態,食事によるタンパク質摂取量と体質の相関性を評価する.
主な方法:
- 画像とライカートスケールで6問のAFSQを177人のPD患者に投与した.
- 食事中のタンパク質摂取量 (nPNA),体組成 (バイオインペデンス),および透析の適度性は同時に評価された.
- AFSQスコアと臨床パラメータの関連性を特定するために,多変量分析を使用した.
主要な成果:
- AFSQは多民族のPD患者コホート (平均年齢61. 8歳,58. 2%が男性) によって完了しました.
- 高いAFSQスコア (≥7) の患者は,より低いスコア (0 - 3) の患者と比較して,食事による正常化タンパク質摂取量 (nPNA) が著しく低下し,24時間のナトリウム除去量も減少した.
- より高いAFSQスコアは,より低いnPNAと柔らかい痩身量指数と独立して関連していました.
結論:
- AFSQは様々な民族のPD患者にとって シンプルでよく耐えるツールです
- 高いAFSQスコアは,食事によるタンパク質の摂取量と痩せた組織量の減少を示し,潜在的栄養失調を示唆します.
- AFSQは,特にリソースが限られている環境で,PDの患者さんを特定するための貴重な迅速なスクリーニングツールとして機能することができます.
関連する概念動画
Peritoneal Dialysis III: Nursing Management
140
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
140
Assessment of the Gastrointestinal System II: Health Perception Pattern
162
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
162
Chronic Kidney Disease III: Interprofessional Care
78
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
78
Assessment of the Gastrointestinal System I: Subjective Data
279
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
279
Peritoneal Dialysis I: Introduction and Procedure
199
Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
199
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
105
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
105


