补充肌肉肌肉厚度与维护血液透析患者的身体功能,肌肉质量和营养状况无关
Débora Moreira Morais1, Isadora Cordeiro Trombim1, Cassiana Regina de Góes2
1Faculty of Medicine, Federal University of Uberlandia (UFU), Uberlandia, Brazil.
Frontiers in nutrition
|February 6, 2025
概括
在血液透析患者中,附带肌肉肌肉厚度 (APMT) 与身体功能,肌肉质量或营养状况无关. 在这个人群中,APMT不应该用于这些评估.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临床营养学 临床营养学
- 肌肉骨健康 肌肉骨健康
背景情况:
- 附带肌肉肌肉厚度 (APMT) 是血液透析患者肌肉强度和营养状况的潜在指标.
- 以前的研究还没有广泛探索APMT和各种身体功能测试,肌肉质量或营养状况之间的关系.
- APMT被认为是一种可靠的营养标志物,不受液体过载的影响,使其成为评估血液透析患者肌肉健康的候选者.
研究的目的:
- 为了研究 adductor pollicis 肌肉厚度 (APMT) 和身体功能之间的关联.
- 确定在接受血液透析的患者中APMT和肌肉质量之间的关系.
- 评估APMT与血液透析患者的营养状况之间的相关性.
主要方法:
- 用皮折尺来测量引肌肉的厚度 (APMT).
- 身体功能通过手握强度 (HGS),短物理性能电池 (SPPB),坐立测试,步行速度和计时上升和移动 (TUG) 来评估.
- 尾肌肉质量指数 (AMMI) 通过生物电阻估计,并使用营养不良炎症评分 (MIS) 评估营养状况.
主要成果:
- 在APMT和身体功能测试,尾肌肉质量指数 (AMMI) 或营养不良炎症评分 (MIS) 之间没有发现显著的相关性.
- 根据足够的身体功能或肌肉质量分类的组之间,APMT值没有差异.
- 多重线性回归分析,根据性别,年龄和糖尿病进行调整,证实APMT和HGS,步行速度,SPPB,TUG或AMMI之间没有显著的关联.
结论:
- 在接受血液透析的患者中,诱导肌肉厚度 (APMT) 与身体功能,肌肉质量或营养状况无关.
- 这些发现表明,APMT可能不是评估这个患者群体身体功能或营养状况的合适措施.
- 可能需要进一步的研究来确定可靠的指标来评估血液透析患者的肌肉健康和营养状况.
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