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越南慢性病患者营养干预的实用方法
Lan Huong Thi Nguyen1,2, Anh Kim Dang1,3, Giang Thu Nguyen4
1School of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
Asia Pacific journal of clinical nutrition
|May 25, 2024
概括
营养管理显著改善了慢性病 (CKD) 患者的健康状况,而不是接受脏替代疗法 (RRT). 这种干预改善了营养状况,改善了功能标志物,并缓解了疲劳等症状.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 综合营养管理对于慢性病 (CKD) 患者的良好结果至关重要.
- 该研究侧重于没有置换疗法 (RRT) 的患者,这一群体通常需要量身定制的营养支持.
- 评估营养干预措施对早期CKD疾病进展的影响至关重要.
研究的目的:
- 评估结构化营养管理计划对CKD患者营养状况的影响.
- 评估在没有RRT接受营养干预的CKD患者疾病进展标志物的变化.
- 确定营养治疗对非透析CKD患者症状和生活质量的影响.
主要方法:
- 在六个月内,对70名CKD患者 (3-5阶段) 进行了准实验性干预.
- 排除标准包括接受透析或移植的患者.
- 营养管理涉及咨询,饮食菜单和补充剂,使用主观全球评估 (SGA) 和血液测试进行评估.
主要成果:
- 营养不良和营养不良风险率显著降低 (分别从65.7%降至54.3%和25.7%降至5.7%).
- 血清尿素,肌素和副甲状腺激素水平显著下降.
- 改善了和铁的饮食摄入量,,和的摄入量减少;症状有所改善.
结论:
- 营养治疗有效地提高了CRD患者的营养状况,饮食质量和功能,而不是RRT.
- 早期实施营养教育和治疗可能会减缓CKD的进展.
- 这些发现表明,这种营养方法在类似的医疗保健环境中是可以应用的.
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