智力和发育障碍 (IDDs) 的严重程度之间的关系在成年人IDDs和饮食问题和营养状况
1Department of Nutrition and Dietetics, Faculty of Health Sciences, Karamanoğlu Mehmetbey University, Karaman, Turkey.
Journal of intellectual disability research : JIDR
|January 6, 2024
概括
智力和发育障碍 (IDDs) 的成年人可能有食挑战,但在IDD严重程度上,营养状况和摄入量是相似的. 早期干预可以防止营养不足和养问题在这个人群中.
科学领域:
- 营养科学 营养科学
- 发育障碍研究 发育障碍研究
- 临床营养学 临床营养学
背景情况:
- 智力和发育障碍 (IDDs) 的成年人经常经历吃,喝和吞困难.
- 这些挑战可能会对营养状况产生负面影响,导致摄入不足和营养不良等问题.
- 了解IDD严重程度与这些问题之间的关系对于有针对性的干预至关重要.
研究的目的:
- 研究智力和发育障碍 (IDDs) 的程度与饮食,饮酒和吞问题的存在之间的关联.
- 确定IDD严重程度,食困难和IDD成年人的营养状况之间的关系.
- 确定与IDD成年人营养结果相关的潜在风险因素和保护因素.
主要方法:
- 评估了71名患有IDD (轻度,中度,严重) 的成年人队列.
- 使用查食问题的工具 (STEP) 尺度对护理人员进行诊断,确定了食问题.
- 营养状况通过人体测量 (BMI,手臂周长) 和24小时的饮食回忆来评估.
主要成果:
- 与轻度IDD患者相比,严重IDD患者在"与营养相关的行为"和"饮食技能缺陷"分量表中得分更高.
- 在"拒绝食物和选择性"分量级分数或严重程度组之间的厌食症患病率中没有发现显著差异.
- 尽管养技能缺陷存在差异,但人类测量和每日能量和营养摄入量在IDD严重程度上并没有显著差异.
结论:
- 患有严重IDD的成年人比患有轻度IDD的成年人表现出更多的饮食技能缺陷和与营养有关的行为.
- 然而,整体吃,喝和吞问题以及营养状况在IDD严重程度上是可比的.
- 这些发现表明,通过适当的支持和干预,在IDD的成年人中,营养缺乏和行为问题可能是可以预防的.
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