| 老年2型糖尿病患者营养风险调查及其与膳食摄入、糖化血红蛋白的关系 |
| 投稿时间：2015-10-13 修订日期：2015-10-13 点此下载全文 |
| 引用本文：林兵,王亚非,石劢.老年2型糖尿病患者营养风险调查及其与膳食摄入、糖化血红蛋白的关系[J].医学研究杂志,2016,45(4):97-100 |
| DOI：
10.11969/j.issn.1673-548X.2016.04.026 |
| 摘要点击次数: 954 |
| 全文下载次数: 796 |
|
|
| 中文摘要:目的 评估老年2型糖尿病患者的营养状况,分析营养不良的发生与膳食摄入、糖化血红蛋白(HbA1c)的关系。方法 调查中日友好医院内分泌科2014年9月~2015年3月的诊断为2型糖尿病的年龄>55岁的住院患者,根据体重指数(BMI)分为低BMI组/营养不良组、正常组、超重组和肥胖组4组。入院当天采用24h膳食回顾法调查营养素的摄入量。检测血清白蛋白和HbA1c水平,计算营养风险指数(NRI),据此分为营养不良组和营养正常组,比较各组间患者的营养素摄入水平和糖化血红蛋白水平。结果 完成调查118例,基于BMI的营养不良发生率为5.9%(7/118),NRI评分的营养不良发生率为12.7%(15/118)。低BMI组患者每日摄入的能量、糖类和脂肪较肥胖组低(P<0.05),但是较正常组和超重组差异无统计学意义。NRI营养不良组较营养正常组的能量摄入和蛋白质均明显降低(P<0.05)。NRI营养不良组的血糖水平明显高于营养正常组,而低BMI组的HbA1c水平较低,随着BMI的增长,HbA1c%有升高的趋势,肥胖组的HbA1c水平明显高于低BMI组(P<0.05)。结论 老年2型糖尿病患者面临着营养不良的问题,且NRI营养不良患者的HbA1c%更高,而减轻体重有助于维持较低的HbA1c水平。限制膳食摄入有助于降低体重,同时也增加了NRI营养不良风险,评估患者营养风险是必要的。 |
| 中文关键词:营养风险指数 营养不良 糖尿病 糖化血红蛋白 膳食摄入 |
| |
| Investigation of Nutrition Risk in Diabetes and its Relationship with Dietary Intake and HbA1c |
|
|
| Abstract:Objective To evaluate the nutritional status in diabetes and investigate its relationship with dietary intake and HbA1c. Methods Inpatients of diabetes mellitus in the department of endocrinology were selected from September 2014 to March 2015. The patients were then divided into 4 groups according to their body mass index(BMI), <18.5 under weight/undernutrition, 18.5-24.0 normal, 24.0~28.0 overweight, >28.0 obesity. 24 hours dietary review was used to investigate dietary intake before the day. The total dietary energy, protein, fat, carbohydrates and dietary fiber calculated referring to NCCW nutrition statistics software. HbA1c and albumin were detected in the next day morning. Nutritional risk index (NRI) was then calculated to evaluate nutritional status of patients. All the patients divided into malnutrition group and normal group based on NRI. Between them contrastive analysis of nutrients intake and HbA1c levels was performed. Results 118 cases were investigated with the incidence of BMI malnutrition was 5.9% (7/118), correspondingly malnutrition of NRI was 12.4% (15/118). Daily intake of energy, carbohydrate and fat of under weight group was lower than in the obese group (P<0.05). No obvious difference was found between normal group and the overweight. NRI malnutrition group had a poorer dietary intake of protein and energy than normal group (P<0.05). HbA1c of NRI malnutrition group was obviously higher than that of normal nutrition group. In diabetes low BMI coupled with low HbA1c level. With the increase of BMI, HbA1c had a tendency to rise. HbA1c of obesity group was obviously higher than that of under weight groups (P<0.05). Conclusion HbA1c of patients with NRI malnutrition is higher than normal, while lower BMI is good for reducing. Limit of dietary intake is beneficial to lower BMI, which also increases the risk of NRI malnutrition. It is necessary to assess the nutritional status with NRI in diabetes. |
| keywords:Nutritional risk index Malnutrition Diabetes mellitus HbA1c Dietary intake |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
