Internal Medicine and Dermatology, Dietetics and, Cystic Fibrosis Centre Utrecht, University Medical Centre Utrecht, Internal Address KH.01.419.0, P.O. Box 85500, 3508 GA Utrecht, The Netherlands.
Department of Paediatric Gastroenterology and, Cystic Fibrosis Centre Utrecht, University Medical Centre Utrecht, Internal Address KE.04.133.1, P.O. Box 85500, 3508 GA Utrecht, The Netherlands.
Clin Nutr. 2014 Jun;33(3):528-32. doi: 10.1016/j.clnu.2013.07.011. Epub 2013 Jul 20.
BACKGROUND & AIMS: The recommendation for caloric intake in CF patients is to obtain intakes between 110 and 200% of the estimated average requirement (EAR) for age groups and gender, of which 35-40 energy% should be from fat. It is questionable whether the advice is met.
1726 Completed 3-day dietary food records of 234 CF patients (111 girls) and 2860 completed two non-consecutive 24-h dietary assessments of healthy controls (1411 girls) were studied. The dietary intake in CF patients was compared with that of healthy controls by using independent sample t tests.
Caloric intake in children with CF varied highly with age (88-127% EAR), which is below or in the lower range of the recommended 110-200% EAR. However the absolute caloric intake in CF children was significantly higher compared to controls at all ages. In addition, apart from boys aged 1-3 years, all CF children had a fat intake of 35 energy% or more. This fat intake was significantly higher than in controls, as was the consumption of saturated fat, the latter being well above 10% of the total energy intake.
Although CF patients generally do not meet the EAR recommendations, they had a significantly higher caloric intake than controls. Moreover fat intake in CF patients does generally meet recommendations, but this resulted in a considerable consumption of saturated fat; a reduction of the latter seems appropriate.
CF 患者的热量摄入推荐量为达到年龄组和性别的估计平均需求量（EAR）的 110%至 200%，其中 35-40%的能量应来自脂肪。目前尚不清楚该建议是否得到满足。
研究了 234 名 CF 患者（111 名女孩）的 1726 份 3 天饮食记录和 2860 名健康对照者（1411 名女孩）的 2 份非连续 24 小时饮食评估。通过独立样本 t 检验比较 CF 患者和健康对照者的饮食摄入量。
CF 患儿的热量摄入随年龄变化很大（88-127%EAR），低于或处于推荐的 110-200%EAR 的下限。然而，所有年龄段的 CF 患儿的绝对热量摄入均明显高于对照组。此外，除了 1-3 岁的男孩外，所有 CF 患儿的脂肪摄入量均达到 35%或以上。这种脂肪摄入量明显高于对照组，饱和脂肪的摄入量也很高，后者超过总能量摄入量的 10%。
尽管 CF 患者通常不符合 EAR 推荐量，但他们的热量摄入明显高于对照组。此外，CF 患者的脂肪摄入量通常符合建议，但这导致了大量饱和脂肪的摄入；减少后者似乎是合适的。
