在患有慢性脏病的儿科患者中,我们是否应该考虑萨尔科佩尼亚? 一个初步的横截面分析
Ana Carolina C Barbosa1, Raquel S Brison1,2, Carolina C Gomes1
1Hospital da Criança de Brasília José Alencar, Brasília, Federal District, Brazil.
Pediatric nephrology (Berlin, Germany)
|August 11, 2023
概括
肌肉消耗的疾病 - - 萨科佩尼亚 - - 在患有慢性脏病 (CKD) 的儿科患者中非常普遍. 由于这些儿童经常出现身体障碍和营养状况不佳,建议由科医生进行早期评估.
科学领域:
- 儿科脏病学 儿科脏病学
- 临床营养学 临床营养学
- 肌肉骨健康 肌肉骨健康
背景情况:
- 患有慢性病 (CKD) 的儿科患者经常表现出不理想的营养状况和肌肉骨缺陷.
- 标志着肌肉损失的萨尔科佩尼亚在儿科CKD人群中越来越令人担忧.
- 调查肉症及其相关特征对于了解患有CKD的儿童的健康状况至关重要.
研究的目的:
- 调查诊断为慢性脏病 (CKD) 的儿科患者中缩症和相关特征的患病率.
- 评估患有CKD的儿童和青少年的身体功能和身体组成.
- 为了确定sarcopenia指标和儿科CKD的临床参数之间的潜在关联.
主要方法:
- 一项涉及患有CKD的儿科患者 (4~17岁) 的横截面研究.
- 通过手握强度和60秒的坐立测试 (STS-60) 评估身体功能.
- 使用生物电阻分析和中上臂周长 (MUAC) 评估的身体构成;由低肌肉强度和低MUAC定义的肉症.
主要成果:
- 59%的儿科CKD患者表现出手握强度较低,100%的STS-60表现受损.
- 77%的参与者表现出低的MUAC,可能有9%的参与者患有肉眼,50%的参与者患有肉眼.
- 手握强度与MUAC有很强的相关性 (r=0.90,p<0.001),但STS-60与身体组成指标没有显著的关联.
结论:
- 在患有慢性脏病 (CKD) 的儿科患者中观察到高发病率的肉类和相关特征.
- 科专业人员应考虑在儿科慢性病患者中进行例行查.
- 需要进一步的研究,以确定萨科佩尼亚在这个脆弱人群中的预后影响.
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