Kyle U G, Nicod L, Raguso C, Hans D, Pichard C
Clinical Nutrition, Geneva University Hospital, Geneva, Switzerland.
Acta Diabetol. 2003 Oct;40 Suppl 1:S258-60. doi: 10.1007/s00592-003-0080-4.
The aim of this study was to determine the prevalence of low fat-free mass index (FFMI) and high and very high body fat mass index (BFMI) after lung transplantation (LTR). A total of 37 LTR patients were assessed prior to and at 1 month, 1 year and 2 years for FFM and compared to 37 matched volunteers (VOL). FFM was calculated by the Geneva equation and normalized for height (kg/m(2)). Subjects were classified as FFMI "low", <or=17.4 in men and <or=15.0 in women; BFMI "high", 5.2-8.1 in men and 8.3-11.7 in women; or "very high" >8.2 kg/m(2) in men and >11.8 kg/m(2) in women. In 23 M/14 F, body mass index (BMI) was 22.3+/-4.4 and 20.1+/-4.9 kg/m(2), respectively. The prevalence of low FFMI was 80% at 1 month and 33% at 2 years after LTR. Prevalence of very high BFMI increased and was higher in patients than VOL after LTR. The prevalence of low FFMI was high prior to and remained important 2 years after LTR, whereas BFMI was lower prior to and higher 2 years after LTR.
本研究的目的是确定肺移植（LTR）后低脂瘦体重指数（FFMI）以及高和非常高体脂质量指数（BFMI）的患病率。共有37例LTR患者在术前、术后1个月、1年和2年接受了瘦体重（FFM）评估，并与37名匹配的志愿者（VOL）进行比较。FFM通过日内瓦方程计算，并根据身高进行标准化（kg/m²）。受试者被分类为FFMI“低”，男性≤17.4，女性≤15.0；BFMI“高”，男性5.2 - 8.1，女性8.3 - 11.7；或“非常高”，男性＞8.2 kg/m²，女性＞11.8 kg/m²。23名男性/14名女性的体重指数（BMI）分别为22.3±4.4和20.1±4.9 kg/m²。LTR后1个月时低FFMI的患病率为80%，2年时为33%。LTR后非常高BFMI的患病率增加，且患者高于VOL。LTR术前低FFMI的患病率较高，术后2年仍很显著，而BFMI术前较低，术后2年较高。
