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在维持血液透析的患者中,肉类的患病率和严重程度:一个横截面研究
Yujie Yang1,2, Ying Zeng1,2, Wenmei Lv1,2
1Department of Nephrology, Institute of Kidney Diseases, West China Hospital of Sichuan University, Chengdu, 610041, China.
BMC nephrology
|October 30, 2024
概括
在维护血液透析患者中,肉类是普遍存在的,与低体力活动,BMI和高有关. 针对这些因素的干预措施可能有助于在这个人群中管理肉症.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 老年病的医生 老年病的医生
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 肌肉质量和力量的丧失,即萨尔科佩尼亚,在接受维持血液透析 (MHD) 的慢性病 (CKD) 患者中很常见.
- 减少体力活动和CKD中的代谢变化有助于萨尔科佩尼亚的发展.
- 这项研究调查了MHD患者的麻症患病率和严重程度,探讨了与身体活动,BMI和无机的联系.
研究的目的:
- 为了确定在维护血液透析的患者中可能和确诊的肉类的患病率和严重程度.
- 在这个群体中,确定肉类和体力活动,体重指数 (BMI) 和无机水平之间的相关性.
主要方法:
- 在2023年2月至4月期间,西中国医院对220名MHD患者进行了横截面研究.
- 追溯收集人口统计,身体测量和实验室数据.
- Sarcopenia评估使用了2019年亚洲和欧洲工作组的标准;体力活动通过国际体力活动问卷 (IPAQ) 测量.
主要成果:
- 在64.1%的患者 (141/220) 诊断出可能或确诊的肉类,其中10%患有严重的肉类.
- 萨尔科佩尼亚的独立预测因素包括身体活动 (IPAQ分数,OR=0.998),BMI (OR=0.868) 和无机 (OR=0.513).
- 身体活动和BMI显著与受影响患者的萨尔科佩尼亚严重程度相关.
结论:
- 在MHD患者群体中存在可能或确诊的肉类的显著流行率.
- 身体活动,BMI和无机水平独立地与MHD患者的肉类的存在和严重程度有关.
- 这些发现突出了干预措施的潜在目标,以减轻这种脆弱群体的肉类症.
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