在患有慢性病的儿童中进行结构化食欲评估
Matthew J Harmer1, Steve Wootton2, Rodney D Gilbert3
1Southampton Children's Hospital, University Hospital Southampton NHS Foundation Trust, Southampton, UK; University of Southampton, Southampton, UK; NIHR Southampton Biomedical Research Centre-Nutrition, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
概括
一个新的工具,修改的饥饿评估问卷 (ModSNAQ),有效地评估慢性病 (CKD) 的儿童的食欲. 这种经过验证的工具显示,食欲不佳在儿科CKD中很常见,与功能无关.
科学领域:
- 儿科脏病学 儿科脏病学
- 临床营养学 临床营养学
- 患者报告的结果
背景情况:
- 在儿科慢性病 (CKD) 中,食欲障碍很普遍.
- 目前的临床实践缺乏有效的工具来对这一群体进行结构化的食欲评估.
- 这项研究解决了需要一种可靠的方法来评估患有CKD的儿童的食欲.
研究的目的:
- 为了探索儿科CKD的食欲特征.
- 为了验证一个简化,用户友好的食欲评估工具,修改的饥饿评估问卷 (ModSNAQ).
- 评估食欲,饮食摄入量和患有CKD的儿童的临床结果之间的关系.
主要方法:
- 该ModSNAQ工具经过了内容有效性评估.
- 一项观察性,横截面研究招募了患有CKD的儿童.
- ModSNAQ评分根据饮食摄入量进行了验证,并与临床数据相关联,包括12个月的生长和功能结果.
主要成果:
- ModSNAQ展示了优秀的内容有效性.
- 近25%的患有CKD的儿童报告食欲不佳或非常不佳.
- ModSNAQ得分预测了足够的能量和蛋白质摄入量,并与身高相关,但不是功能. 胃口不佳与BMI增加有关,尽管12个月后身高和功能变化与ModSNAQ分数无关.
结论:
- ModSNAQ是儿童CKD结构化食欲评估的经过验证的工具.
- 儿科CKD中食欲低下比以前认为的更为常见.
- 儿科CKD的食欲障碍与功能障碍的程度没有直接相关.
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