饮食维生素C摄入量以及老年人疼痛频率,严重程度和位置的变化
Mario Delgado-Velandia1,2, Rosario Ortolá1,2, Esther García-Esquinas2,3
1Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.
概括
更高的饮食维生素C摄入量可能会改善老年人的慢性疼痛. 增加维生素C的摄入量与更好的疼痛结果有关,包括减少疼痛频率和减少疼痛位置.
科学领域:
- 营养科学 营养科学
- 老年学是一门学科.
- 疼痛管理 疼痛管理
背景情况:
- 口服维生素C补充剂显示有望减少术后疼痛.
- 饮食维生素C对非手术环境中的慢性疼痛的影响尚不清楚.
研究的目的:
- 检查饮食维生素C摄入量与慢性疼痛随时间变化之间的关联.
- 研究维生素C对老年人 (60岁以上) 疼痛特征的影响.
主要方法:
- 来自两个队列 (Seniors-ENRICA-1和Seniors-ENRICA-2) 的数据汇总,涉及1726名参与者.
- 通过饮食史和食物成分表来评估饮食维生素C摄入量.
- 使用测量频率,严重程度和疼痛位置数量的尺度评估疼痛变化;用多项逻辑回归分析.
主要成果:
- 在平均2.6年的随访后,40.3%的患者经历了疼痛恶化,42.5%的患者经历了改善,17.2%的患者没有变化.
- 饮食维生素C摄入量最高的参与者显示,整体疼痛改善的可能性显著更高 (RRR 1.61).
- 较高的维生素C摄入量与疼痛频率降低 (RRR 1.57) 和疼痛位置减少 (RRR 1.75) 相相关.
结论:
- 饮食中增加的维生素C摄入量与老年人的疼痛改善有关.
- 较高的维生素C摄入量与疼痛频率降低和疼痛位置减少有关.
- 需要进一步进行临床试验,以测试旨在增加饮食维生素C的营养干预措施,以控制疼痛.
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