在慢性病患者中评估摄入量的方法之间达成协议
Maria Paula da Costa Brito1, Kelly Picard2, Márcia Regina Simas Torres Klein3
1Post Graduation Program in Medical Science, Rio de Janeiro State University, Rio de Janeiro, 20550-900, Brazil.
Clinical nutrition ESPEN
|January 11, 2025
概括
在慢性病 (CKD) 患者中使用食物记录或点尿样估计饮食摄入量,与24小时尿液采集有很好的一致性. 食品记录和川崎的情况
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 营养科学 营养科学
- 临床化学 临床化学
背景情况:
- 24小时尿液分泌量是一般人群估计摄入量的标准.
- 它在患有慢性病 (CKD) 患者的准确性,这些患者有高血症的风险,尚未得到充分确立.
- 本研究评估了估计患有CKD的成年人摄入量的方法.
研究的目的:
- 为了比较食物记录,24小时尿液收集和患有慢性病的成年人点滴尿液样本之间的摄入量估计的一致性.
- 确定最可靠的方法来评估这个人群的摄入量.
主要方法:
- 一项涉及60名患有3期和4期CKD的成年人的横截面研究.
- 参与者在同一天完成了食物记录和24小时尿液收集.
- 第二天收集了点滴尿样,并使用田中和川崎的方程估计了分泌量.
主要成果:
- 所有方法的平均摄入量估计都相似.
- 食品记录显示,与24小时尿液的一致性最高 (p=0.584),其次是川崎方程 (p=0.231).
- 与24小时尿液相比,Tanaka的方程表现出最高的偏差.
结论:
- 食物记录和川崎方程提供了对慢性病患者摄入量的可靠估计.
- 将食物记录与点尿测量 (Kawasaki方程) 结合起来,可能在临床上对评估慢性病的成年人饮食中的有用.
- 塔纳卡的方程在估计这个队列中的摄入量方面不那么可靠.
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