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外科患者蛋白质营养状况评估——人体测量学的价值

Assessment of protein nutrition in surgical patients--the value of anthropometrics.

作者信息

Collins J P, McCarthy I D, Hill G L

出版信息

Am J Clin Nutr. 1979 Jul;32(7):1527-30. doi: 10.1093/ajcn/32.7.1527.

DOI:10.1093/ajcn/32.7.1527
PMID:110131
Abstract

In order to evaluate the reliability of anthropometry in assessing protein stores we have compared, in 10 normal adults and 82 surgical patients with varying degrees of weight loss, measurements of weight/height, arm circumference, arm muscle circumference, and arm muscle area with direct measurements of body nitrogen using in vivo neutron activation analysis. Anthropometry is reliable for the assessment of protein nutrition in groups of patients (for 100 patients 95% confidence limits are +/- 30 g nitrogen) but the magnitude of variance shown makes it inappropriate for assessing the individual as a single measurement (95% confidence limits are +/- 300 g nitrogen). Repeat measurements were made after 2 weeks on 35 patients and there was no correlation between changes in body nitrogen and changes in the anthropometric measurements. Anthropometry is not reliable in following changes in body nitrogen in individual patients over short periods of time.

摘要

为了评估人体测量学在评估蛋白质储备方面的可靠性,我们对10名正常成年人和82名不同程度体重减轻的外科患者进行了比较,将体重/身高、上臂围、上臂肌肉围和上臂肌肉面积的测量值与使用体内中子活化分析直接测量的身体氮含量进行了对比。人体测量学对于评估患者群体的蛋白质营养状况是可靠的(对于100名患者,95%置信区间为±30克氮),但所显示的方差大小使其不适用于将个体作为单一测量对象进行评估(95%置信区间为±300克氮)。对35名患者在2周后进行了重复测量,身体氮含量的变化与人体测量学测量值的变化之间没有相关性。人体测量学在短期内跟踪个体患者身体氮含量的变化方面不可靠。

相似文献

1
Assessment of protein nutrition in surgical patients--the value of anthropometrics.外科患者蛋白质营养状况评估——人体测量学的价值
Am J Clin Nutr. 1979 Jul;32(7):1527-30. doi: 10.1093/ajcn/32.7.1527.
2
Protein status of general surgical patients.普通外科患者的蛋白质状况。
JAMA. 1974 Nov 11;230(6):858-60.
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Anthropometrics revisited.人体测量学再探讨。
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Creatinine arm index as alternative for creatinine height index.肌酐臂指数作为肌酐身高指数的替代指标。
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[Nutritional rehabilitation and evaluation of the nutritional state. Validity of anthropometric measures for following, in hospitalized patients, the course of nutritional status and of body compartments during nutritional recovery].[营养康复与营养状况评估。住院患者营养恢复期间人体测量指标对跟踪营养状况和身体组成部分变化过程的有效性]
Arch Latinoam Nutr. 1983 Dec;33(4):755-69.
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Changes in anthropometric measurements of children recovering from protein-energy malnutrition.蛋白质 - 能量营养不良恢复期儿童人体测量指标的变化
Proc Nutr Soc. 1975 May;34(1):35A-36A.
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An evaluation of upper arm measurements used in nutritional assessment.
Am J Clin Nutr. 1979 Oct;32(10):2136-42. doi: 10.1093/ajcn/32.10.2136.
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Marginal malnutrition in school-aged Colombian boys: anthropometry and maturation.哥伦比亚学龄男孩的边缘性营养不良:人体测量与成熟度
Am J Clin Nutr. 1983 Jan;37(1):119-32. doi: 10.1093/ajcn/37.1.119.
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[Study of weight/height correlation to identify mild protein-energy malnutrition children 9 years old].[通过体重/身高相关性研究识别9岁轻度蛋白质-能量营养不良儿童]
Zhonghua Yu Fang Yi Xue Za Zhi. 1991 Jan;25(1):15-8.

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Gut. 1983 Jan;24(1):78-84. doi: 10.1136/gut.24.1.78.
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Dietary history and nutritional state in treated coeliac patients.接受治疗的乳糜泻患者的饮食史和营养状况。
J R Soc Med. 1986 Apr;79(4):206-9. doi: 10.1177/014107688607900406.