患有慢性肠衰竭的成年人接受家庭亲肠养的身体组成:描述性队列研究
Julia Wilhelmina Korzilius1, Monique Johanna Margaretha Dorothea van Asseldonk1, Geert Jacobus Antonius Wanten1
1Department of Gastroenterology and Hepatology - Dietetics, Radboud University Medical Center, Nijmegen, the Netherlands.
JPEN. Journal of parenteral and enteral nutrition
|June 8, 2024
概括
患有慢性肠衰竭 (CIF) 的成年人经常体质不佳,包括高脂肪百分比和低无脂肪质量指数 (FFMI),即使BMI正常. 这凸显了需要详细的营养评估和潜在的运动干预措施的需要.
科学领域:
- 临床营养学 临床营养学
- 身体组成分析 身体成分分析
- 胃肠病学 胃肠病学
背景情况:
- 慢性肠衰竭 (CIF) 显著影响营养吸收,导致营养不良和脱水.
- 关于CIF患者面临的特定身体组成挑战的研究有限.
- 了解身体成分对于管理CIF的长期健康至关重要.
研究的目的:
- 评估诊断为慢性肠衰竭的成年患者的身体组成.
- 为了确定这个患者群体中常见的身体组成异常.
主要方法:
- 在高等推中心进行回顾性描述性队列研究.
- 利用了在日常护理期间 (2019-2023) 收集的生物电阻分析 (BIA) 数据.
- 评估的身体质量指数 (BMI),无脂肪质量指数 (FFMI) 和脂肪百分比 (脂肪%).
主要成果:
- 包括147名成人CIF患者;69%是女性,中位数年龄为58岁.
- 平均BMI为22.1kg/m2,但63%的FFMI低,48%的脂肪含量高.
- 在男性和女性之间观察到FFMI和脂肪%的显著差异.
结论:
- 大多数成人CIF患者表现出不良的身体组成 (高脂肪%,低FFMI),尽管正常的平均BMI.
- 包括BIA在内的深入的营养评估对于CIF管理至关重要.
- 未来的研究应该探索运动干预措施,以改善FFMI和CIF患者的整体体质.
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