身体构成和相角:如何改善青少年皮肤肌炎患者的营养评估
Camila Pugliese1, Artur Figueiredo Delgado2, Katia Tomie Kozu3
1Nutrition Unit, Children and Adolescent's Institute, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Av. Dr. Enéas Carvalho de Aguiar, 647-Cerqueira César, São Paulo 05403-000, SP, Brazil.
与健康对照人群相比,青少年皮质肌肉炎 (JDM) 患者表现出下体脂肪和相角. 生物电阻分析对于监测JDM患者非常有价值,强调了身体活动和营养的重要性.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 营养科学 营养科学
- 身体组成分析 身体成分分析
背景情况:
- 青少年皮肤肌炎 (JDM) 是一种罕见的自身免疫性疾病,影响儿童.
- 身体成分和营养状况是JDM管理的关键方面.
- 了解这些因素可以影响疾病的进展和生活质量.
研究的目的:
- 用生物电阻来评估JDM患者的身体组成 (BC) 和食物摄入量.
- 评估BC,身体活动,疾病活动和JDM中的生活质量之间的关联.
- 为了确定生物电阻在JDM患者随访中的实用性.
主要方法:
- 一项涉及30名JDM患者和24名健康对照者的横截面研究.
- 数据收集包括人体测量,饮食摄入量,身体活动和生物电阻分析.
- 从医疗记录中提取了临床和治疗数据.
主要成果:
- 与对照组相比,JDM患者的高/非常高体脂频率明显较低 (p=0.046).
- 在JDM患者中,中位相角 (PhA) 显著较低 (p=0.016).
- 身体脂肪和瘦肉量与JDM患者的疾病持续时间和PhA正相关 (p<0.001).
- 患有PHA≥5.5的JDM患者的瘦体质较高 (p=0.001).
结论:
- 生物电阻分析是JDM中医疗和营养监测的宝贵辅助工具.
- 研究结果表明,身体组成,特别是瘦身量,受疾病持续时间和PHA的影响.
- 强调体育活动和健康饮食对于保持JDM患者的瘦身量很重要.
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