阶段角度与亚急性中风患者在康复开始时的营养风险有关
Olivia Di Vincenzo1, Ermenegilda Pagano2, Giada Ballarin3
1Department of Public Health, Federico II University of Naples, Italy.
Nutrition (Burbank, Los Angeles County, Calif.)
|December 18, 2024
概括
在中风患者中,低相角 (PhA) 表明营养风险高. 这种生物电阻分析措施在康复早期进行评估,可以可靠地评估营养状况并预测结果.
科学领域:
- 临床营养学 临床营养学
- 神经学 神经学
- 生物医学工程 生物医学工程
背景情况:
- 营养不良显著影响中风患者的结果.
- 来自生物电阻分析 (BIA) 的相角 (PhA) 是肌肉质量和营养状况的关键指标.
研究的目的:
- 调查全身和四肢PhA与亚急性中风患者的营养风险之间的关联.
- 在这个人群中确定PhA的独立预测因子.
主要方法:
- 对272名亚急性中风患者 (≥50岁) 的回顾性分析.
- 使用老年营养风险指数,预后营养指数和控制营养状况评分来评估营养风险.
- 全身和四肢PHAs测量50kHz;通过单变量/多变量模型分析的关联.
主要成果:
- 整个身体和四肢的PHA与所有营养风险指数都有显著的相关性 (P < 0.001).
- 在被确定为营养风险较高的患者中,低PhA值普遍存在.
- 年龄,性别,高血压,糖尿病,消化不良和中风发作时间是独立的PhA预测因素 (R2 = 0.468).
- 在所有查工具中,PhA有效地预测了高营养风险,全身PhA的最佳切割距离约为4.08°.
结论:
- 低PhA与中风患者的高营养风险密切相关.
- 在康复早期的PhA测量是评估中风幸存者的营养状况的宝贵工具.
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