老年营养风险指数:一种更强大的指数,用于确定类风湿性关节炎患者的肌肉质量损失
Jie Pan1, Tao Wu1, Jian-Da Ma1
1Department of Rheumatology and Immunology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, 107 Yan Jiang West Road, Guangzhou, Guangdong, People's Republic of China.
Clinical rheumatology
|March 3, 2024
概括
老年营养风险指数 (GNRI) 有效地识别了类风湿性关节炎 (RA) 患者的肌肉质量损失 (肌肉缺失). 与传统的蛋白质指标相比,GNRI在检测肌盲症方面表现出更好的能力.
科学领域:
- 类风湿病学 类风湿病学
- 老年人的营养养生
- 身体组成分析 身体成分分析
背景情况:
- 类风湿性关节炎 (RA) 与肌肉质量损失 (肌) 有关.
- 精确识别肌是关键的管理RA患者.
- 传统的蛋白质指标可能无法完全捕捉与肌肉衰竭相关的营养状况.
研究的目的:
- 调查老年营养风险指数 (GNRI) 与 RA 患者肌的相关性.
- 为了比较GNRI在识别肌的有效性与各种蛋白质指标.
主要方法:
- 一项对中国RA队列 (n=789) 的横截面研究.
- 收集的临床数据和蛋白质指标 (白蛋白,血球蛋白,前白蛋白,血红蛋白).
- 通过生物电阻分析和从血清白蛋白和体重计算的GNRI来评估肌.
主要成果:
- 超过一半 (51.5%) 的RA患者患有肌肉衰竭.
- 高GNRI定义的营养风险与肌患病率的增加有显著的相关性.
- GNRI显示出比血清白蛋白 (AUC=0.66) 和其他蛋白质标记物更好地识别肌 (AUC=0.79).
结论:
- GNRI是一种有价值,客观和方便的工具,用于识别RA患者的肌.
- 根据GNRI的确定,与营养相关的重大风险与肌肉质量损失的最高患病率密切相关.
- 在这种RA队列中,GNRI在检测肌症方面优于传统的蛋白质指标.
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