饮食中的多不和脂肪酸摄入与早期类风湿性关节炎的骨矿物质密度和四肢结构变化有关吗?
Annika Valner1,2, Raili Müller1,2, Mart Kull3
1Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.
Nutrition and metabolic insights
|June 29, 2023
概括
在早期类风湿性关节炎 (ERA) 患者中,饮食中的多不和脂肪酸 (PUFA) 摄入可能有助于减少手臂脂肪质量,并可能增加腰部骨矿物质密度 (BMD). 需要进一步的研究来证实这些预防结构变化的好处.
科学领域:
- 类风湿病学 类风湿病学
- 营养科学 营养科学
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 类风湿性关节炎 (RA) 是一种炎症状况,与骨质侵蚀,瘦肉量减少和脂肪量增加有关.
- 多不和脂肪酸 (PUFA) 在各种健康状况下被研究其潜在的抗炎性质.
研究的目的:
- 研究早期类风湿性关节炎 (ERA) 中饮食中PUFA摄入量与骨矿物质密度 (BMD) 之间的关联.
- 检查与对照组相比,ERA患者的饮食中PUFA摄入量和四肢结构变化之间的关系.
主要方法:
- 双能X射线吸收计 (DXA) 用于测量83名ERA患者和321名对照者的BMD和四肢组成 (脂肪,瘦身,骨质).
- 评估了饮食习惯和炎症标志物,以了解它们对骨硬化和结构变化的影响.
主要成果:
- 在ERA患者中,较高的PUFA消耗与手臂脂肪质量减少相关 (P=.02).
- 在较高的PUFA摄入量和增加的腰部BMD (P=.058) 之间观察到一种潜在的关联.
- 没有发现PUFA摄入量与四肢骨或肌肉质量变化之间存在显著的关联.
结论:
- 在早期的RA中,PUFA的消费可能在管理身体组成和骨健康方面发挥作用.
- 需要进一步的研究来证实PUFA在预防RA相关结构损伤,特别是手部的益处.
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