在患有慢性脊髓损伤的人群中,正能量和负能量过剩
Ashraf S Gorgey1,2, Refka E Khalil2
1Spinal Cord Injury and Disorder Service, Department of Veterans Affairs, Central Virginia VA Healthcare System, Richmond, Virginia.
The British journal of nutrition
|December 26, 2025
概括
脊髓损伤 (SCI) 患者表现出不同的能量平衡模式. 了解这些能量余分布对于SCI患者的有效饮食干预至关重要.
科学领域:
- 代谢研究研究 代谢研究
- 营养科学 营养科学
- 临床研究 临床研究
背景情况:
- 脊髓损伤 (SCI) 患者的总能耗 (TEE) 通常使用基底代谢率 (BMR) 和SCI特定因子来估计.
- 之前的研究还没有完全阐明TEE和总能量摄入量 (TEI) 在这个人群中的协议.
- 了解能量平衡对于管理SCI患者的健康结果至关重要.
研究的目的:
- 调查慢性SCI的男性能量平衡的分布 (正与负能量余) .
- 确定与SCI不同能源平衡状态相关的因素.
- 制定关于在SCI中平衡TEI与TEE的建议.
主要方法:
- 使用BMR和SCI特定因子评估TEE.
- 在3天内使用营养数据系统研究软件分析TEI和宏观营养素摄入量.
- 通过双能X射线吸收计测量身体成分.
主要成果:
- 57%的参与者属于负能量余组,与正能量组相比,TEI较低.
- 负能量组表现出更高的BMR,体重,总体肌肉质量和更高的蛋白质摄入量.
- 蛋白质摄入率显著解释了能量余的差异,TEI调整为无脂肪质量是一个强有力的预测指标.
结论:
- 有SCI的个人分为不同的负或正能量余类别.
- 较高的体重和较高的蛋白质消耗是负能量组的特征.
- 临床医生在为SCI患者设计饮食计划时,应考虑能量平衡的范围.
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