评估慢性阻塞性肺病患者的营养风险和营养不良率:一个横截面研究
Buse Sarıkaya1, Şule Aktaç2, Erdoğan Çetinkaya3
1Department of Nutrition and Dietetics, Faculty of Health Sciences, Amasya University, Amasya, Turkey.
在慢性阻塞性肺病 (COPD) 患者中,营养不良很普遍,影响BMI和肌肉质量. 准确的评估需要考虑COPD特定的生理变化,以获得更好的患者结果.
科学领域:
- 临床营养学 临床营养学
- 肺部病理学 肺部病理学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 营养查对于管理慢性阻塞性肺病 (COPD) 至关重要.
- 了解COPD不同严重程度的营养状况对于有效的患者护理至关重要.
- 这项研究调查了营养不良的患病率及其与COPD患者疾病严重程度的关联.
研究的目的:
- 评估COPD患者的营养状况.
- 评估微型营养评估简单表格 (MNA-SF) 和全球营养不良领导倡议 (GLIM) 标准在确定COPD营养不良的有效性.
- 探索营养不良,COPD严重程度和临床结果之间的关系.
主要方法:
- 一项涉及52名年龄在50-80岁的慢性慢性病患者的横截面研究.
- 根据全球慢性阻塞性肺病倡议 (GOLD) 标准,使用1秒内强制呼吸量 (FEV) 确定COPD的严重程度.
- 用MNA-SF和GLIM标准评估营养状况,通过生物电阻分析 (BIA) 分析身体成分.
主要成果:
- 在MNA-SF中,23.1%的患者被确定为有风险的患者,而GLIM在13.5%的患者中诊断出营养不良.
- 与营养良好的人相比,营养不良患者的体重指数 (BMI) 和骨肌量显著下降.
- 严重的COPD与较低的BMI和无脂肪质量指数 (FFMI) 有关,营养不良与更长的住院时间和降低FEV相关.
结论:
- 目前的查工具,如MNA-SF和GLIM在准确评估COPD患者的营养不良方面存在局限性.
- GLIM标准可能受到COPD相关并发症的影响,MNA-SF忽略了疾病特异性因素.
- 为了精确评估这一群体的营养不良,需要采用综合性评估方法,包括COPD特有的生理变化.
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