营养摄入对骨矿物质密度和骨质量的影响,在患有骨红病的患者
Natália Nachbar Hupalowski1, Claudia Pinheiro Sanches Rocha1, Vicente Florentino Castaldo2
1Health Sciences and Internal Medicine Postgraduation Program, Department of Internal Medicine, Federal University of Paraná, Curitiba, Paraná, Brazil.
Clinical nutrition ESPEN
|March 28, 2025
概括
患有壮症的患者表现出骨质不佳和骨折风险增加,原因是营养摄入不足和饮食质量不佳. 优化营养对于壮病患者的骨健康至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 营养科学 营养科学
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 巨症的特点是生长激素 (GH) 和胰岛素类生长因子1 (IGF-1) 的分泌过多,破坏了骨重塑.
- 这种干扰与脊椎骨折的风险增加有关.
研究的目的:
- 为了评估壮症患者的饮食质量.
- 为了确定饮食对骨密度,骨质量和骨折发病率的影响.
主要方法:
- 一项横截面的观察性研究,比较了壮病患者 (AG) 与匹配的对照组 (CG).
- 通过食物频率问卷 (FFQ) 评估的食物摄入量,并与饮食参考摄入量 (DRI) 相比.
- 用DXA测量骨矿物质密度 (BMD) 和骨骨分数 (TBS);通过问卷收集骨折史.
主要成果:
- 两组人都没有足够摄入关键营养素和矿物质.
- 与对照人群相比,壮症患者的碳水化合物和反式脂肪摄入量较高,但与对照人群相比, BMD 类似.
- 壮症患者的骨折数量显著增加,TBS状况较差.
结论:
- 尽管有足够的骨质量,但壮症患者的骨质质量较差,骨折发生率较高.
- 抗氧化剂/抗炎化合物的摄入不足以及过度的反式脂肪/低碳水化合物的摄入导致骨健康不佳.
- 侧重于营养丰富和抗炎食物的饮食干预措施可能对壮症患者的骨健康有益.
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