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移植后的糖尿病:营养状况和身体组成的发现
Laura Pereira Barretto1, Patrícia Moreira Gomes1, Natália Rossin Guidorizzi1
1Ribeirao Preto Medical School, University of São Paulo, Av. Bandeirantes, 3900, CEP 14049-900, Ribeirao Preto, Sao Paulo, Brazil.
Endocrinologia, diabetes y nutricion
|December 8, 2023
概括
患有糖尿病的移植接受者在手术后一年增加了体重和腹部脂肪. 非糖尿病患者的营养状况有所改善,这凸显了对移植受体的持续营养支持的需要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 代谢医学是一种代谢医学.
- 营养科学 营养科学
背景情况:
- 体重增加和身体组成的变化与移植后的糖尿病有关.
- 了解这些变化对于在移植后预防糖尿病至关重要.
研究的目的:
- 确定移植1年后的DM患病率.
- 分析移植患者的营养状况和身体组成的变化,包括DM和没有DM的移植患者.
主要方法:
- 对29名非糖尿病成年移植受体进行前性单中心队列研究.
- 评估人体测量,身体组成 (生物阻抗),生化学,以及在出院和移植后的一年后的饮食.
主要成果:
- 27.6%的患者在第一年内发展出DM,平均在移植后4个月诊断出来.
- 糖尿病患者体重和身体脂肪,特别是腹部脂肪的增加更大.
- 非糖尿病患者的营养标志物有所改善,包括增加相角和主要是无脂肪的体重增加.
结论:
- 两组都增加了体重,但非糖尿病患者的营养状况有所改善.
- 免疫抑制和饮食习惯有助于持续的糖尿病风险,需要对移植接受者提供优先的营养护理.
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