用不同的诊断工具评估的多发性硬化症患者营养状况不佳的患病率
Natalia Mogiłko1, Sylwia Malgorzewicz2
1epartment of Neurology and Clinical Neuroimmunology of the Specialist Hospital in Grudziadz, Grudziądz, Poland.
Acta biochimica Polonica
|May 31, 2023
概括
许多多发性硬化症 (MS) 患者面临营养问题,87.8%的人表现出恶化. 尽管超重和肥胖率很高,但营养不良的风险很大,需要定期评估饮食.
科学领域:
- 神经学 神经学
- 临床营养学 临床营养学
- 公共卫生 公共卫生
背景情况:
- 多发性硬化症 (MS) 患者表现出广泛的营养问题,包括肥胖和营养不良.
- 了解营养状况对于管理多发性硬化患者的健康结果至关重要.
研究的目的:
- 使用NRS-2002和全球营养不良领导倡议 (GLIM) 标准评估多发性硬化症患者的营养状况.
- 确定该人口中营养不良和营养风险的流行程度.
主要方法:
- 该研究包括147名被诊断患有多发性硬化症的患者.
- 用NRS-2002查工具,GLIM标准和身体成分分析来评估营养状况.
- 测量了常规的生化参数,以补充营养评估.
主要成果:
- 关于87.8%的MS患者显示营养状况恶化.
- 根据GLIM标准,20%的患者被归类为营养不良,80%的患者存在营养风险.
- 虽然46.8%的人超重或肥胖,但6.6%的人体重不足. 营养不良风险与低脂肪组织,低BMI和最近的体重减轻相关. 白蛋白和CRP水平也与营养不良有显著的相关性.
结论:
- 很大一部分多发性硬化症患者超重或肥胖,但这并不能否定同时出现营养不良的风险.
- 在多发性硬化症的整个过程中,持续的饮食管理和定期的门诊营养评估至关重要.
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