应用膳食平衡指数评价溃疡性结肠炎患者膳食质量及营养状况

doi:10.3969/j.issn.1000-8535.2018.04.009

广州医药 ›› 2018, Vol. 49 ›› Issue (4): 34-38.DOI: 10.3969/j.issn.1000-8535.2018.04.009

应用膳食平衡指数评价溃疡性结肠炎患者膳食质量及营养状况

潘丹峰, 苍玉珍

广州市第一人民医院临床营养科(广州 510180)

收稿日期:2018-03-04 出版日期:2018-07-20 发布日期:2021-11-29
通讯作者: 潘丹峰,E-mail:pdfdr@21cn.com
基金资助:
广东省中医药科技项目(20181195)

Evaluation of diet quality with DBI-07 and nutritional status of patients with ulcerative colitis

PAN Danfeng, CANG Yuzhen

Department of Clinical Nutrition, Guangzhou Fisrt People's Hospital, Guangzhou 510180, China

Received:2018-03-04 Online:2018-07-20 Published:2021-11-29

摘要/Abstract

摘要： 目的应用中国膳食平衡指数(DBI-07)对活动期溃疡性结肠炎(Ulcerative Colitis,UC)患者进行膳食质量评价,并分析其与营养指标、活动度等的关系,为UC患者制订科学的营养干预措施提供依据。方法选取我院符合纳入标准的82例UC患者进行研究,用食物频率法对患者进行膳食调查,应用膳食平衡指数DBI-07评分系统进行评价,同时进行人体测量及营养指标测定。数据用SPSS 17.0软件进行处理分析。结果本研究中68.3%的UC患者体质量近半年有不同程度降低,40.2%的患者存低白蛋白血症,34.1%的合并贫血。UC患者TS平均值-20.02±7.97; LBS平均值-22.15±6.78, 其中54.9%存在轻度膳食摄入不足、37.8%存在中度摄入不足;DQD平均值24.27±6.21,其中轻、中度失衡分别占80.5%、17.1%。LBS绝对值与体质量减轻程度呈正相关,P<0.05,与血清白蛋白负相关,P<0.01;DQD与白蛋白呈负相关,P<0.01;4 UC患者LBS绝对值与UC活动度呈正相关,P<0.01;DQD值与UC活动度负相关,P<0.01。结论以中国膳食平衡指数DBI-07评价UC患者膳食质量,92.7%的患者存在低、中度摄入不足,97.6%的UC患者存在膳食失衡,均明显高于健康人群。摄入不足是UC患者营养不良的重要原因,应对UC患者进行营养补充或营养支持。

关键词: 溃疡性结肠炎, 膳食平衡指数, 营养

Abstract: Objective To survey the diet quality of UC patients using Chinese diet balance index(DBI-07) and explore their relationship with nutritional index and activity of disease, thereby to provide evidences of nutritional therapy for UC patients. Methods 82 adult UC patients who met the inclusion criteria were included in our study. They were investigated with food frequency questionnaires(FFQ) and diet quality was assessed with DBI-07. Anthropometric measurement and blood examinations were done. Data were analyzed with SPSS 17 software. Results 68.3% of the UC patients loss their weight during the recent 6 months. 40.2% of the patients were found hypoalbuminemia and 34.1% were complicated with anemia. The mean TS,LBS and DQD were -20.02±7.97, -22.15±6.78 and 24.27±6.21 respectively. Percentage of patients in slightly or moderately deficit of food intake were 54.9% and 37.8%. Percentage of the UC patients in slightly or moderately dietary imbalance were 80.5% and 17.1%.The absolute value of LBS and DQD were negatively correlated with serum albumin respectively, and both of them were positively correlated with activity of UC. Conclusion Evaluating the quality of UC with DBI-07,92.7% of UC patients were in slightly or moderately deficit of food intake,97.6% were in slightly or moderately dietary imbalance. These percentages were higher than that of healthy people. It indicated that deficit of food intake is an important reason resulting in malnutrition. Nutrition therapy is essential for UC patients.

Key words: Ulcerative Colitis UC, Diet balance index, Nutrition

潘丹峰, 苍玉珍. 应用膳食平衡指数评价溃疡性结肠炎患者膳食质量及营养状况[J]. 广州医药, 2018, 49(4): 34-38.

PAN Danfeng, CANG Yuzhen. Evaluation of diet quality with DBI-07 and nutritional status of patients with ulcerative colitis[J]. Guangzhou Medical Journal, 2018, 49(4): 34-38.

参考文献

[1] NG S C,TANG W,LEONG R W,et al. Environmental risk factors in inflammatory bowel disease:a population-based case-control study in Asia Pacific[J]. Gut,2015,64(7):1063-1071.
[2] MASSIRONI S,ROSSI R E,CAVALCOLI F A,et al. Nutritional deficiencies inflammatory bowel disease:therapeutic approaches[J]. Clin Nutr,2013,32(6):904-910.
[3] 段若男,刘言,薛红妹,等.膳食整体质量评价方法-膳食指数法[J]. 卫生研究, 2014, 43(4):653-656.
[4] 何宇纳,翟凤英,杨晓光,等.修订中国膳食平衡指数[J]. 营养学报,2009,31(6):532-536.
[5] 中华医学会消化病学分会炎症性肠病学组.中国炎症性肠病诊断治疗规范的共识意见(2012年广州)[J]. 中华内科杂志,2012,51(10):818-828.
[6] 卫生部疾病预防控制局,中国疾病预防控制中心营养与食品安全所. 中国居民营养与健康状况监测工作手册[R]. 北京:2010.
[7] 于健春.炎性肠病的营养支持治疗[J]. 外科理论与实践, 2014(1):1-5.
[8] 中华中医药学会脾胃病分会. 溃疡性结肠炎中医诊疗共识(2009)[J]. 中国中西医结合杂志,2010,30(5):527-532.
[9] METTE H,HENRIK H R,BIRGITTE S L. Can the patient perspective contribute to quality of nutritional care?[J]. Food Nutr Sci,2014(25): 176-184.
[10] 张爽,梅俏,许建明,等.活动期溃疡性结肠炎患者营养风险与临床特征的调查与分析[J]. 安徽医科大学学报,2011,46( 6):593-595.
[11] 陈夏威,郭艳,蔡春生,等.基于膳食平衡指数的中山市成年居民膳食质量研究[J]. 海峡预防医学杂志,2017,23(4):10-12.
[12] 麻新灵,魏力,刘刚,等.溃疡性结肠炎患者术前营养状况调查分析[J]. 《中国全科医学》,2013,16(2 ):667-669.
[13] BACH U, JENSEN H N, RASMUSSEN H H.Dietary habits in patients with ulcerative colitis-cause of nutrient deficiency?[J]. Food Nutr Sci, 2014, 5(20):1945-1950.
[14] LUCENDO A J,de REZENDE L C.Importance of nutrition in inflammatory bowel disease[J]. World J Gastroenteral, 2009,15(17):2081-2088.
[15] 王芳, 赵海英, 张澍田. 营养治疗对溃疡性结肠炎肠道免疫屏障的疗效[J]. 胃肠病学和肝病学杂志,2009 ,18(1):83-86.
[16] HARTMAN C,ELIAKIM R, SHAMIR R.Nutritional status and nutritional therapy in inflammatory bowel diseases[J]. World J Gastroenteral, 2009,15(21):2570-2578.

应用膳食平衡指数评价溃疡性结肠炎患者膳食质量及营养状况

Evaluation of diet quality with DBI-07 and nutritional status of patients with ulcerative colitis

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 8

编辑推荐

Metrics

本文评价

[1]	黄俏, 洪宝珊, 罗利霞, 黄婷, 黄丹佳, 杨永红. 品管圈活动在降低肠内营养相关性腹泻发生率中的应用[J]. 广州医药, 2021, 52(3): 71-73.
[2]	李宝瑜, 谭楚婷, 黄彩玲, 宋杰丽, 刘艳红. 运用品管圈模式提高临床全肠外营养合理应用率的效果评价[J]. 广州医药, 2021, 52(1): 123-129.
[3]	梁倩芳, 潘丹峰, 沈峰, 黄文静. 黄陈枳术汤合肠内营养对胃肠道肿瘤手术患者RBP/ALB/CRP的影响[J]. 广州医药, 2020, 51(6): 71-74.
[4]	张惠丽, 成秋生, 陈希, 李泽. 一个以心脏损害为首发症状的杜氏肌营养不良症家系的遗传学及临床研究[J]. 广州医药, 2020, 51(3): 36-41.
[5]	陈梅霞, 楼慧玲, 袁辉辉, 周艳颜. 广州地区老年住院患者营养状态与日常生活能力相关性研究[J]. 广州医药, 2020, 51(2): 68-72.
[6]	彭慧芸, 袁瑜, 谢文瑞, 吴礼浩. 早期经鼻肠内营养对中-重度急性胰腺炎患者的疗效观察[J]. 广州医药, 2020, 51(2): 77-80.
[7]	植自勤, 吴劲东, 林泉. 某院中期早产儿肠外营养及体格发育状况分析[J]. 广州医药, 2020, 51(1): 39-41.
[8]	万卫红, 吴锦晖, 罗丽红, 张思苑, 孙静. 出院后营养管理对新生儿肠道术后体格追赶的效果及其相关因素分析[J]. 广州医药, 2018, 49(5): 18-23.