总能量和蛋白质摄入量相对于慢性脊髓损伤的估计需求的比较
Gary J Farkas1, Arthur S Berg2, Alicia Sneij1
1Department of Physical Medicine and Rehabilitation, University of Miami Miller School of Medicine, Miami, FL, USA.
The British journal of nutrition
|September 19, 2023
概括
在慢性脊髓损伤 (SCI) 中估计能量需求至关重要. 一种特定于SCI的方法显示能量摄入的准确性更好,并确定大多数SCI患者不符合蛋白质指南.
科学领域:
- 营养科学 营养科学
- 康复医学 康复医学 康复医学
- 临床研究 临床研究
背景情况:
- 慢性脊髓损伤 (SCI) 与未被认可的饮食不足有关.
- 精确评估能量需求和营养摄入量对于管理SCI患者的健康至关重要.
研究的目的:
- 评估慢性SCI中估计能源需求 (EER) 和估计能源摄入 (EEI) 的不同方法之间的一致性.
- 为了确定饮食中的蛋白质摄入量是否符合已确定的SCI特定指南.
主要方法:
- 43名慢性SCI患者完成了为期3天的食物记录,以评估EEI和蛋白质摄入量.
- 使用Long,医学研究所 (IOM) 和特定于SCI的Farkas方法来计算EER.
- 蛋白质需求量为0.8-1.0g/kg体重/天;报告准确性和偏差被分析.
主要成果:
- 与Long (94.8%, -5.24%) 和IOM (64.1%, -35.4%) 方法相比,SCI特定方法显示出更高的报告准确性 (98.9%) 和最小偏差 (-1.12%).
- 只有16%的参与者符合蛋白质摄入指南.
- 随着体重增加,饮食中的蛋白质摄入量下降,这与SCI蛋白质需求相反.
结论:
- 特定于SCI的方法为患有慢性SCI的个体提供了最准确的能量需求估计.
- 很大一部分慢性SCI患者没有达到建议的蛋白质摄入量.
- 在这个人群中,体重与蛋白质摄入量充足度有负相关性,突出了关键的营养差距.
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