营养不良,sarcopenia,sarcopenic肥胖,和sarcopenic营养不良:一个横截面的视图患者之前的整体关节关节整形手术
Matteo Briguglio1,2,3,4,5,6, Paolo Sirtori1,2,3,4,5,6, Laura Mangiavini1,2,3,4,5,6
1Matteo Briguglio, RDN, PhD, Laboratory of Nutritional Sciences, IRCCS Orthopedic Institute Galeazzi, Milan, Italy.
Orthopedic nursing
|September 25, 2024
概括
在接受关节置换的老年患者中,有三分之一的患者营养不良. 饮食习惯和白细胞计数区分了营养良好的人与营养不良的人,突出了对营养不良的进一步研究的需要.
科学领域:
- 老年医学 老年医学
- 营养科学 营养科学
- 整形外科手术 整形外科手术
背景情况:
- 对营养不良表型的最新诊断标准需要了解它们在外科患者群体中的患病率.
- 关节置换手术涉及那些面临营养不良风险的老年人.
- 识别营养不良对于定制诊断治疗途径至关重要.
研究的目的:
- 确定接受选择性关节置换的患者中营养不良的患病率及其表型.
- 探索营养不良和营养良好患者之间饮食行为,身体表现和实验室参数的差异.
主要方法:
- 60-85岁的60名接受选择性关节置换的患者在手术前进行了评估.
- 收集的数据包括饮食行为,人体测量,身体表现,实验室参数和患者报告的疼痛/功能.
- 营养不良的分类是基于更新的诊断标准.
主要成果:
- 18.75%的患者营养不良,13.34%的患者患有石,4.26%的患者患有石肥胖症,8.88%的患者既营养不良又患有石.
- 营养良好的患者消耗更多的谷物和肉,白细胞较少但淋巴细胞较多,并且报告部疼痛更大.
- 饮食行为和白细胞计数是营养不良和营养良好群体之间的关键歧视因素.
结论:
- 大约三分之一的接受关节置换的老年人表现出营养不良.
- 饮食行为和白细胞概况是区分营养状况的重要指标.
- 术前营养不良对手术结果的影响需要进一步调查.
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