儿童肠道衰竭中的身体组成和身体活动 开启和关闭 腹腔营养 腹腔营养
Dianna Yanchis1,2, Stephanie So1,2,3, Catherine Patterson1,2,3
1From Research Institute, The Hospital for Sick Children, Toronto, ON, Canada.
Journal of pediatric gastroenterology and nutrition
|July 12, 2023
概括
患有肠衰竭 (IF) 的儿童表现出明显降低的体力活动 (PA) 和改变的身体组成 (BC). 促进PA对于他们的康复和改善健康结果至关重要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 临床营养学 临床营养学
- 儿科物理治疗 儿科物理治疗
背景情况:
- 关于肠道衰竭 (IF) 的儿童体育活动 (PA) 和身体成分 (BC) 的数据有限.
- 了解这些因素对于优化这种脆弱人群的管理和康复至关重要.
研究的目的:
- 收集FI儿童的PA和BC数据,包括有关亲肠道营养 (PN) 和肠道养的数据.
- 评估这些儿童的PA和BC之间的关系.
主要方法:
- 一项涉及58名患有FI的儿童 (5-18岁) 的横截面研究.
- 用加速度计测量PA,用双能X射线吸收计测量BC.
- 数据与年龄和性别匹配的人口规范进行了比较;回归分析探索了PA-BC关系.
主要成果:
- 与文献对照相比,患有FI的儿童每天步骤显著减少 (7,972对11,749).
- 在PN和肠道养组之间没有发现PA的显著差异,但两者都比对照组活跃度低.
- IF患者的脂肪质量较高,无脂肪质量较低;PA显著影响BC (r2=0.32,P<0.001).
结论:
- 患有FI的儿童,无论养方式 (PN或肠道),都面临降低PA和改变BC的风险.
- 建议将PA纳入康复计划,以优化FI儿童的治疗结果.
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