炎症性肠道疾病患者的身体脂肪组成:皮肤和超声波之间的比较研究
Isadora Sayuri Macedo Tuma1, Maria Paula Carlin Cambi1, Thyago Proença de Moraes1
1Pontifícia Universidade Católica do Paraná, Unidade de Cirurgia Colorretal, Ambulatório de DII, Curitiba, PR, Brasil.
Arquivos de gastroenterologia
|March 7, 2024
概括
在炎症性肠道疾病 (IBD) 中的身体脂肪评估在皮和超声波方法之间有所不同. 持续使用单一方法对于准确的纵向监测IBD患者的身体组成至关重要.
科学领域:
- 营养科学 营养科学
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 炎症性肠病 (IBD) 显著影响患者的营养状况.
- 身体成分评估对于管理IBD至关重要.
- 皮肤折叠测量和超声波都是评估身体脂肪的既定方法.
研究的目的:
- 在IBD患者中比较皮和超声波方法之间的身体脂肪组成测量.
- 评估这两种人类计量技术的一致性和相关性.
主要方法:
- 一个单中心的横截面研究,涉及101名IBD患者 (克罗恩病和性结肠炎).
- 使用皮 (脂肪计) 和超声波,评估了身体脂肪百分比.
- 用布兰德-阿尔特曼方法分析了两种测量技术之间的一致性.
主要成果:
- 超过一半的IBD患者体脂肪水平高于正常范围,克罗恩病和性结肠炎之间没有显著差异.
- 布兰德-阿尔特曼分析表明,皮肤折叠和超声波方法之间缺乏完全一致的身体脂肪百分比 (P=0.001).
- 尽管存在分歧,但两种方法都显示出强烈的相关性 (CC 0.961;P=0.000).
结论:
- 在IBD患者的体脂百分比测量在皮和超声波评估之间有所不同.
- 虽然这两种方法对于评估IBD的体脂有用,但一致的纵向监测需要在整个过程中使用相同的技术.
- 需要进行进一步的前性研究,以澄清这些方法在IBD身体组成监测中的确切作用.
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