标准的高热量,高蛋白与氨酸丰富的口服补充剂在患有癌症诱导的肉症的患者,一个随机临床试验
Aura D Herrera-Martínez1,2, Soraya León Idougourram1,2, Concepción Muñoz Jiménez1,2
1Maimonides Institute for Biomedical Research of Cordoba (IMIBIC), 14004 Cordoba, Spain.
Nutrients
|June 28, 2023
概括
标准的口服补充剂 (OS) 含有乳清蛋白和维生素D,可维持癌症患者的身体组成和改善功能. 氨酸丰富的OS没有显示出对癌症患者营养支持的显著额外益处.
科学领域:
- 在瘤学瘤学.
- 临床营养学 临床营养学
- 代谢过程中的代谢.
背景情况:
- 癌症患者中普遍存在营养不良,对治疗结果产生负面影响.
- 早期营养干预对于接受全身治疗的癌症患者至关重要.
- 关于特定口服补充剂 (OS) 的证据,包括氨酸丰富的选择,是有限的.
研究的目的:
- 在癌症患者中,比较基于标准乳清蛋白的OS与氨酸丰富的OS的临床效应.
- 评估这些补充剂对形态功能营养状况的影响.
- 评估身体组成,功能和生活质量的变化.
主要方法:
- 开放式,受控的临床研究,包括46名接受全身治疗的癌症患者.
- 随机分配接受基于标准乳清蛋白的OS或12周的氨酸丰富的OS.
- 综合评估包括人体测量,超声波和生物化学标记;维生素D补充剂适用于所有人.
主要成果:
- 营养参数在两组中保持稳定;细胞外质量显示出与氨酸丰富的OS增加的趋势.
- 在所有患者中,功能显著改善 (p < 0.001).
- 标准OS组显示了前专辑蛋白,转激素和脂肪组织的增加 (p < 0.05);生活质量普遍改善 (p < 0.001).
结论:
- 高热量,高蛋白OS与乳清蛋白和维生素D支持维持身体组成,改善癌症患者的功能和生活质量.
- 在这个患者队列中,与基于标准乳清蛋白的OS相比,没有观察到氨酸丰富的OS的显著优势.
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