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在Roux-en-Y胃绕道手术后,无脂肪质量,蛋白质摄入量和习惯性身体活动的变化:一项前性研究
Malou A H Nuijten1,2, Thijs M H Eijsvogels1, Boy Sanders2
1Department of Medical BioSciences (Route 928), Radboud University Medical Center, P.O. Box 1901, 6500 HB, Nijmegen, The Netherlands.
Obesity surgery
|May 30, 2023
概括
腹部外科手术后无脂肪质量损失 (FFML) 与更高的体力活动有关,而不是蛋白质摄入量. 大多数患者的蛋白质摄入量较低,这表明需要采取干预措施来提高摄入量和活动水平.
科学领域:
- 腹部外科手术的结果
- 身体组成变化 身体成分变化
- 营养科学 营养科学
背景情况:
- 在腹部外科手术后的无脂肪质量损失 (FFML) 中存在显著的变化.
- 蛋白质摄入量和体力活动水平是导致这些变化的潜在因素.
研究的目的:
- 在接受Roux-en-Y胃旁路手术的患者中,研究蛋白质摄入量,体力活动和FFML之间的关系.
- 在手术后六个月内评估蛋白质摄入量和中度至强度体力活动 (MVPA) 的变化.
主要方法:
- 在28名患者中,通过生物阻抗评估FFML,通过24小时召回蛋白质摄入量和使用activPAL使用MVPA.
- 手术前和手术后的1,3,6个月进行了测量.
- 统计分析包括变化混合模型和FFML关联的单变量回归.
主要成果:
- 六个月的FFML平均为-7.3公斤.
- 手术后蛋白质摄入量显著下降,并且仍然很低,只有25%的患者在6个月后达到60g/天.
- MVPA水平没有显著变化,而较高的MVPA/步数与较低的FFML有关.
结论:
- 术后较低的FFML与较高的体力活动水平有关,而不是蛋白质摄入量.
- 总体较低的蛋白质摄入量和不充分实现蛋白质目标可能解释了缺乏关联.
- 未来的研究应该集中在增加蛋白质摄入量和中度至强度体力活动的干预措施上.
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