在炎症性肠病中优化营养不良风险检测:对连续营养查工具的纵向分析
Agnese Favale1,2, Valentina Orrù1,2, Nicola Lutzu1,2
1Department of Medical Science and Public Health, University of Cagliari, 09042 Monserrato, Cagliari, Italy.
在炎症性肠病 (IBD) 患者中,对营养不良的连续营养查显著提高了检测特异性. 建议使用MUST或SaskIBD-NR工具进行重复评估,以获得更好的IBD门诊护理.
科学领域:
- 胃肠病学 胃肠病学
- 营养科学 营养科学
- 临床医学 临床医学
背景情况:
- 在缓解期间,炎症性肠病 (IBD) 患者经常忽视营养不良,这会影响结果.
- 早期发现和管理营养不良对于改善IBD患者的生活质量至关重要.
研究的目的:
- 评估五种营养查工具 (NST) 对IBD门诊患者营养不良的诊断性能.
- 评估NST连续 (重复) 给药对营养不良检测准确性的影响.
主要方法:
- 一项前性,单中心的队列研究,涉及66名IBD患者 (克罗恩病和性结肠炎).
- 营养查工具 (NST) 和身体成分分析在基线和六个月后进行.
- 对ESPEN,GLIM标准和低FFMI的NST灵敏度,特异性,预测值和准确性的评估.
主要成果:
- 在六个月内,营养不良的患病率从基线 (25.7% ESPEN,9% GLIM) 增加到 53% (ESPEN) 和 16.6% (GLIM).
- MUST和SaskIBD-NR在营养不良检测方面表现出最高的特异性.
- 与单个评估相比,连续NST管理显著提高了所有测试工具的特异性.
结论:
- 使用MUST或SaskIBD-NR重复的营养查可以提高IBD缓解期患者的营养不良风险检测特异性.
- 将连续营养评估纳入IBD门诊护理是提高查有效性的实际策略.
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