Mękal Dominika, Deptała Andrzej
Division of Cancer Prevention, Medical University of Warsaw, Poland.
Pol Merkur Lekarski. 2021 Feb 24;49(289):40-43.
Systemic sclerosis (SSc) is a multi-organ disease with significant mortality. Diagnosis of malnutrition is sometimes difficult, and gastrointestinal disorders in patients with SSc may play a significant role in deteriorating nutritional status. Many factors can contribute to the development of eating disorders in this group of patients, including mood disorders, depression, anxiety - may reduce appetite, ulceration and skin changes, may cause difficulties in preparing and eating meals.
The aim of the study was to assess the nutritional status of patients with SSc.
The study included 32 patients with diagnosed SSc, mean age 52.9±15.9 years. Anthropometric measurements were performed in all SSc patients and body composition was assessed using electrical bioimpedance (BIA). The hand grip strength range was measured using a dynamometer.
Obesity was diagnosed in one patient (3.1%) with SSc. Most patients with SSc, as many as 19 (59.4%), had normal body weight based on BMI. 10 (31.5%) SSc patients were overweight. 2 (6.3%) patients with SSc were diagnosed with malnutrition based on BMI. In the group of patients with SSc, 2 people had deficiencies in lean body mass calculated on the basis of the Fat Free Mass Index (FFMI), while on the basis of the BMI analysis their body mass was normal. In 26 patients with SSc, the content of lean mass assessed on the basis of the FFMI index was normal, while one of these persons had a BMI below the norm and on this basis was diagnosed with malnutrition.
Nutritional disorders are common in patients with SSc. The most common disturbance in nutritional status in SSc patients was overweight, which was present in 31,5 of patients.
系统性硬化症（SSc）是一种具有较高死亡率的多器官疾病。营养不良的诊断有时较为困难，SSc患者的胃肠道疾病可能在营养状况恶化中起重要作用。许多因素可导致该组患者出现饮食失调，包括情绪障碍、抑郁、焦虑——可能会降低食欲，溃疡和皮肤变化，可能会导致准备和进食困难。
本研究旨在评估SSc患者的营养状况。
该研究纳入了32例确诊为SSc的患者，平均年龄52.9±15.9岁。对所有SSc患者进行人体测量，并使用生物电阻抗分析法（BIA）评估身体成分。使用测力计测量握力范围。
1例（3.1%）SSc患者被诊断为肥胖。大多数SSc患者，多达19例（59.4%），根据BMI体重正常。10例（31.5%）SSc患者超重。2例（6.3%）SSc患者根据BMI被诊断为营养不良。在SSc患者组中，2人根据去脂体重指数（FFMI）计算的瘦体重不足，而根据BMI分析他们的体重正常。在26例SSc患者中，根据FFMI指数评估的瘦体重含量正常，其中1人BMI低于正常范围，据此被诊断为营养不良。
营养障碍在SSc患者中很常见。SSc患者最常见的营养状况紊乱是超重，31.5%的患者存在超重情况。
