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评估肝硬化门诊患者的肉类和营养状况:诊断方法的一致性

Marina Demas Rezende Gischewski¹, Fernanda Lívia Cavalcante Araujo¹, Aryana Isabelle De Almeida Neves Siqueira¹

¹Universidade Federal de Alagoas (UFAL).

Nutricion hospitalaria

|February 3, 2025

概括

在肝硬化患者中诊断肉类是具有挑战性的. 与DXA肌肉耗尽相结合的坐立测试是有效的,但当DXA无法使用时,小腿周长提供了一个实用的替代方案.

科学领域:

肝病学肝病学是一种肝病学.
老年病的医生老年病的医生
营养科学营养科学

背景情况:

营养不良和肉症在肝硬化患者中很常见.
在肝硬化中诊断肉类症是很困难的,因为有限的可访问方法.
这项研究解决了在肝硬化门诊患者中需要有效的sarcopenia诊断工具的需求.

研究的目的:

确定对肝硬化门诊患者使用的最有效的肉症诊断方法.
评估主观和客观的萨科佩尼亚诊断工具之间的一致性.
提供关于在临床实践中可行的肉症查的指导.

主要方法:

包括患有肝硬化的18岁以上门诊患者,但不包括特殊情况.
使用主观工具 (RFH-NPT,SARC-F,SARC-Calf,RFH-GA) 和客观方法 (人体测量,HGS,坐立测试,DXA-ASMI) 评估肉症.
分析了尾骨肌量指数 (ASMI) 和传统方法之间的一致性.

主要成果:

分析了45名肝硬化患者;酒精性肝病是最常见的病因.
与DXA决定的肌肉衰竭的坐立测试 (15s) 确定了大多数肉类病例 (42.2%).
在DXA肌肉消耗和小腿周长 (CC) (κ = 0.581,p < 0.001) 之间观察到中度一致.

结论:

不建议使用SARC-F和SARC-CalF来对肝硬化门诊患者进行查.
通过DXA的尾骨肌肉质量指数 (ASMI) 是最可靠的诊断方法.
牛犊周长 (CC) 是一个可行的替代方案,当DXA是不可用的萨科佩尼亚评估.

关键词:

营养状况营养状况. 患有肝脏疾病. 营养不良的情况. 肌肉缩. 肌肉缩. 肌肉缩. 肌肉缩. 肌肉缩. 肌肉缩. 肝移植肝脏移植.

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