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长期脊髓损伤患者的身体成分与静息能量消耗

Body composition and resting energy expenditure in long term spinal cord injury.

作者信息

Sedlock D A, Laventure S J

机构信息

Exercise Physiology Laboratory, Purdue University, West Lafayette, Indiana 47907.

出版信息

Paraplegia. 1990 Sep;28(7):448-54. doi: 10.1038/sc.1990.60.

DOI:10.1038/sc.1990.60
PMID:2250987
Abstract

Body composition and resting metabolic rate (RMR) were measured in 4 spinal cord injured (SCI) paraplegic men. The level of lesion ranged from T4 to L1, and the duration of disability averaged 7.4 +/- 3.3 (SEM) years. Hydrodensitometry was used to determine percent body fat, fat mass and lean body mass (LBM). RMR was measured following a 12-hour fast and 24 hours post-exercise using a ventilated hood. RMR was also predicted from LBM values based on the equation of Cunningham (1980). Results of the body composition measurements indicated a greater than average amount of body fat for men of this age group. RMR and LBM were significantly correlated (r = 0.98, p less than 0.02). However, measured RMR values were lower than predicted in 3 of the 4 subjects, especially when LBM was relatively low. Further investigation into the relationship between LBM and RMR in SCI individuals is warranted using a larger sample size and with subjects representing a wide range of lesion level.

摘要

对4名脊髓损伤(SCI)截瘫男性进行了身体成分和静息代谢率(RMR)测量。损伤平面从T4到L1,残疾持续时间平均为7.4±3.3(标准误)年。采用水下密度测量法测定体脂百分比、脂肪量和去脂体重(LBM)。在禁食12小时和运动后24小时,使用通风面罩测量RMR。还根据坎宁安(1980年)的公式,从LBM值预测RMR。身体成分测量结果表明,该年龄组男性的体脂量高于平均水平。RMR与LBM显著相关(r = 0.98,p < 0.02)。然而,4名受试者中有3名的实测RMR值低于预测值,尤其是当LBM相对较低时。有必要使用更大的样本量并涵盖广泛损伤平面的受试者,进一步研究SCI个体中LBM与RMR之间的关系。

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