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南非成年人中营养缺乏,计划进行腹手术
Prabash Sadhai1, Ankia Coetzee1,2, Marli Conradie-Smit1,2
1Tygerberg Hospital, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Frontiers in endocrinology
|June 9, 2023
概括
在全球范围内,肥胖率正在上升. 代谢手术可以加剧营养缺乏症,在南非患者中,25~OH) D和铁缺乏症最常见. 建议对这些和2型糖尿病进行基线查.
科学领域:
- 营养科学 营养科学
- 腹部外科 腹部外科
- 内分泌学 在内分泌学.
背景情况:
- 全球肥胖率的上升增加了发病率和死亡率.
- 代谢手术虽然可以降低死亡率,但却会加剧营养缺乏.
- 关于中低收入国家接受代谢手术的缺陷的数据有限.
研究的目的:
- 确定在南非开普敦接受代谢手术的患者中微量营养素和维生素缺乏的患病率.
- 评估肥胖分类与营养缺乏之间的关系.
- 在资源有限的环境中为基线营养评估准则提供信息.
主要方法:
- 对154名预定接受代谢手术的参与者的横截面研究.
- 基线实验室测量包括维生素B12,25-氧维生素D,叶酸,铁等.
- 收集关于人口统计,BMI和2型糖尿病状况的数据.
主要成果:
- 患有25~OH) D缺乏症 (57%) 和缺铁症 (44%) 的高患病率.
- 叶酸缺乏影响了18%的参与者;维生素B12,,和酸盐缺乏是罕见的 (≤1%).
- 在BMI≥40kg/m2的参与者中观察到更高的叶酸和25(OH) D缺乏的患病率.
结论:
- 某些微量营养素缺乏的发生率高于发达国家.
- 推的基线评估包括25~OH) D,铁研究,叶酸和T2D查.
- 为了全面了解和基于证据的护理,需要在全国范围内进行纵向数据收集.
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