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对不同营养状况的精神分裂症女性患者日常食物定量中能量需求及所选常量和微量元素含量满意度的评估。

The assessment of satisfaction of energy demand and of chosen macro - and micro-element content in the daily food rations of women diagnosed with schizophrenia with varied nutritional states.

作者信息

Stefańska Ewa, Wendołowicz Agnieszka, Konarzewska Beata, Waszkiewicz Napoleon, Ostrowska Lucyna

机构信息

Uniwersytet Medyczny w Białymstoku, Zakład Dietetyki i Żywienia Klinicznego.

Uniwersytet Medyczny w Białymstoku, Klinika Psychiatrii.

出版信息

Psychiatr Pol. 2019 Jun 30;53(3):613-628. doi: 10.12740/PP/92586.

Abstract

OBJECTIVES

The aim of the study was to assess the degree of satisfaction of the daily demand for energy and chosen nutrients in the diets of women with schizophrenia, depending on the nutritional state of the subjects, assessed on the basis of the chosen anthropometric and metabolic parameters.

METHODS

The study covered 102 women aged 21-64 (50 women diagnosed with schizophrenia and 52 healthy volunteers) aged 21-64 years. A 24-hour diet recall was used in the quantitative nutritional assessment. The anthropometric and biochemical measurements and the body composition analysis were used in the assessment of the nutritional state.

RESULTS

The food rations of patients diagnosed with schizophrenia were characterized by a significantly higher intake of saturated fatty acids and a lower intake of vitamin C, B12, folates, and sodium as compared to healthy women. It was noted at the same time that the food rations of patients from both groups provided too low amounts of polyunsaturated fatty acids, vitamin D, folates, potassium, calcium, iron, and dietary fiber. Too high intake was observed in the case of vitamin A, B2, B6, sodium, and phosphorus in both groups. Total fat body mass of women with schizophrenia was significantly correlated with intake of saturated fatty acids, whereas the visceral adipose tissue content was significantly correlated with the carbohydrate intake, and the subcutaneous adipose tissue content - with the total fat and saturated fatty acids intake.

CONCLUSIONS

The diet of women diagnosed with schizophrenia did not deviate from the diet of healthy persons, although the nutritional mistakes that were made by them suggest to choose the nutritional therapy individually for each patient, after carrying out a detailed nutritional interview.

摘要

目的

本研究旨在根据通过选定的人体测量和代谢参数评估的受试者营养状况,评估精神分裂症女性饮食中每日能量和所选营养素需求的满足程度。

方法

该研究涵盖了102名年龄在21 - 64岁之间的女性(50名被诊断为精神分裂症的女性和52名健康志愿者)。定量营养评估采用24小时饮食回顾法。人体测量、生化测量和身体成分分析用于评估营养状况。

结果

与健康女性相比,被诊断为精神分裂症的患者的食物配给特点是饱和脂肪酸摄入量显著更高,而维生素C、B12、叶酸和钠的摄入量更低。同时注意到,两组患者的食物配给中多不饱和脂肪酸、维生素D、叶酸、钾、钙、铁和膳食纤维的含量都过低。两组中维生素A、B2、B6、钠和磷的摄入量都过高。精神分裂症女性的总体脂质量与饱和脂肪酸摄入量显著相关,而内脏脂肪组织含量与碳水化合物摄入量显著相关,皮下脂肪组织含量与总脂肪和饱和脂肪酸摄入量显著相关。

结论

被诊断为精神分裂症的女性的饮食与健康人的饮食没有偏差,尽管她们所犯的营养错误表明在进行详细的营养访谈后,应为每位患者单独选择营养治疗方法。

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