儿科瘤患者的腹腔营养:有没有性别差异?
Laura De Nardi1, Mariavittoria Sala1, Federico Turoldo1
1Department of Medicine, Surgery and Health Sciences, University of Trieste, Piazzale Europa 1, 34127 Trieste, Italy.
Nutrients
|September 9, 2023
概括
接受全方位肠道营养 (TPN) 的儿科患者在营养需求和并发症方面表现出性别差异. 男人患上更高的高三糖血和胆固醇,而女性需要更高的酸盐摄入量.
科学领域:
- 儿科医学 儿科医学
- 营养科学 营养科学
- 基于性别的医学 基于性别的医学
背景情况:
- 基于性别的医学正在获得引力,但儿科研究,特别是关于全腹腔营养 (TPN) 的性别差异,仍然有限.
- 了解这些差异对于优化儿童营养支持至关重要.
研究的目的:
- 调查TPN组成和儿科患者临床结果的基于性别的差异.
- 在儿科护理中为未来的性别特定营养指南奠定基础.
主要方法:
- 对145名接受TPN的儿科患者 (87名男性,58名女性) 的回顾性分析.
- 收集的数据包括患者人口统计,TPN细节,营养成分组成,以及代谢变化,肝损伤,败血症和血栓形成等临床结果.
主要成果:
- 女性需要更高的每日酸盐摄入量和必需氨基酸补充剂.
- 男人表现出更高的过高甘油三血和胆固醇的发病率.
- 没有移植的男性有更高的败血症发病率.
结论:
- 在儿科患者的TPN组成和结果中存在显著的性别差异.
- 这些发现凸显了针对儿童TPN进行量身定制的,基于性别的营养策略的需要.
- 需要进一步的研究来完善这些性别特异性建议.
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