维持血液透析患者的饮食营养摄入量和营养状况:一个多中心横截面调查
Zhi-Qian Chen1, Li Luo2, Xin-Xin Chen3
1Nursing Department, Peking University Third Hospital, Beijing, China.
Renal failure
|June 14, 2024
概括
许多血液透析患者的蛋白质和能量摄入量不足,对他们的健康产生负面影响. 优化营养摄入对于改善这一群体的营养状况和疾病控制至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 临床营养学 临床营养学
- 饮食评估 饮食评估
背景情况:
- 维持血液透析 (MHD) 患者经常面临影响其健康结果的营养挑战.
- 了解饮食营养摄入模式对于治疗透析的慢性病 (CKD) 患者至关重要.
- 之前的研究强调了在MHD人群中需要更好的营养策略.
研究的目的:
- 调查维持血液透析 (MHD) 患者的饮食营养摄入量.
- 确定影响MHD患者营养摄入量的因素.
- 探索饮食摄入量与营养/疾病控制指标之间的相关性.
主要方法:
- 一项涉及382名MHD患者的多中心横截面研究.
- 通过三天的饮食记录和专门的饮食管理软件来评估饮食摄入量.
- 营养状况和疾病控制使用主观的全球评估,手握强度,血液测试和透析充分性 (Kt/V) 进行评估.
主要成果:
- 超过58%的MHD患者与指导方针相比,蛋白质和能量摄入不足.
- 糖尿病并发症负面影响了正常的每日能量和蛋白质摄入量.
- 饮食中的蛋白质,能量,,和纤维摄入量与各种临床指标显著相关,包括Kt/V,血清肌,血清和手握强度.
结论:
- 患有MHD患者的饮食营养摄入量不足,需要进行改善.
- 低于最佳的营养摄入量可能会对血液检测结果和整体营养状况产生不利影响.
- 优化饮食摄入量对于提高MHD患者的健康结果和福祉至关重要.
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