腹腔透析患者的饮食炎症指数和营养不良状态之间的关联:一个横截面研究
Jiaqian Zhong1,2,3, Chuang Fan1, Lin Li4
1Department of Nutrition, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, China.
Frontiers in nutrition
|February 12, 2026
概括
食纤维摄入量和低炎症饮食与腹膜透析 (PD) 患者营养不良风险的降低有关. 相反,促炎症饮食会增加营养不良的风险,强调饮食选择对PD患者健康的重要性.
科学领域:
- 营养科学 营养科学
- 临床营养学 临床营养学
- 脏营养 脏营养
背景情况:
- 慢性炎症在腹膜透析 (PD) 患者中很常见.
- 与饮食相关的炎症对PD患者营养不良的影响尚未得到充分研究.
研究的目的:
- 调查能量调整的饮食炎症指数 (E-DII) 与PD患者营养不良之间的关联.
- 确定与PD患者营养不良风险相关的关键饮食营养素.
主要方法:
- 在147名PD患者的横截面研究中.
- 使用食品频率问卷 (FFQ) 计算的E-DII.
- 使用营养不良-炎症评分 (MIS) 评估营养不良;进行LASSO和后勤回归分析.
主要成果:
- 营养不良的流行率为48.3%.
- 较高的总纤维摄入量与较低的营养不良风险相关 (OR = 0.29).
- 较高的E-DII得分 (促炎性饮食) 与营养不良的风险增加有关 (OR = 3.64).
结论:
- 富含总纤维的饮食可能会降低PD患者营养不良的风险.
- 促炎症饮食与这一群体中营养不良的风险更高有关.
- 需要进一步的研究来制定减少PD患者饮食炎症负荷的策略.
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