[新诊断的炎症性肠病儿童的营养状况及其影响因素]
Juan Zhou1, Xiong Xiao1, Yu Xia1
1Department of Gastroenterology and Nutrition, Hunan Children's Hospital, Changsha 410007, China.
概括
患有新诊断的炎症性肠病 (IBD) 的儿童经常患有营养不良,包括高贫血率和生长问题. 延迟诊断显著恶化了儿科IBD患者的营养不良.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 营养科学 营养科学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 炎症性肠病 (IBD) 显著影响儿科健康.
- 营养状况是新诊断IBD的儿童的一个关键问题.
- 了解影响营养不良的因素对于早期干预至关重要.
研究的目的:
- 评估新诊断IBD的儿童的营养状况.
- 确定导致该人口营养不良的关键因素.
- 调查诊断延迟在儿科IBD结果中的作用.
主要方法:
- 从125名儿科IBD患者 (2015-2021) 的临床数据进行了回顾性分析.
- 诊断延迟的定义是症状发作到诊断在上四分位数的诊断.
- 多变量后勤回归用于识别瘦身和生长迟缓的风险因素.
主要成果:
- 观察到高水平的营养不良,42.4%的瘦身,7.2%的增长迟缓,77.6%的贫血.
- 诊断延迟 (≥366天) 影响了24.8%的儿童.
- 诊断延迟是一个显著的风险因素,导致瘦身 (OR=2.73) 和增长迟缓 (OR=4.42).
结论:
- 新诊断的儿科IBD患者表现出严重的营养缺乏.
- 贫血,瘦身和生长迟缓在这个队列中很普遍.
- 延迟诊断与营养不良密切相关,强调需要及时检测IBD.
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