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系统性红斑狼疮的营养问题与心血管风险。

Nutritional aspects and cardiovascular risk in systemic lupus erythematosus.

机构信息

Universidade Federal do Rio Grande do Sul, Departamento de Nutrição - Porto Alegre (RS), Brazil.

Hospital de Clínicas de Porto Alegre, Serviço de Reumatologia - Porto Alegre (RS), Brazil.

出版信息

Rev Assoc Med Bras (1992). 2021 Jun;67(5):656-660. doi: 10.1590/1806-9282.20200817.

Abstract

OBJECTIVE

Patients with systemic lupus erythematosus present with a higher number of classic risk factors for coronary diseases and a higher prevalence of metabolic syndrome resulting from the disease itself. To evaluate the nutritional indicators of the cardiovascular risk of patients with systemic lupus erythematosus by analyzing eating habits, anthropometry, laboratory data, and disease activity and to describe the prevalence of patients fulfilling the criteria for metabolic syndrome.

METHODS

Anthropometric measurements including waist circumference, food recall, and laboratory tests.

RESULTS

The population presented an insufficient daily intake of micronutrients. Anthropometry revealed that 37.5% of the patients were classified with degree II obesity by body mass index and 76.8% by abdominal obesity. Regarding metabolic syndrome, 18 patients (16%) fulfilled the diagnostic criteria.

CONCLUSIONS

Individuals with systemic lupus erythematosus presented with increased risk factors, as determined using anthropometric measurements and laboratory tests, for cardiovascular disease, indicating the need for nutritional guidance in this population to reduce cardiovascular risk, increase the quality of life, and increase survival of these patients.

摘要

目的

红斑狼疮患者存在较多的冠心病经典危险因素,且由于疾病本身存在代谢综合征的高发率。通过分析饮食习惯、人体测量学、实验室数据和疾病活动,评估系统性红斑狼疮患者的心血管风险的营养指标,并描述符合代谢综合征标准的患者的患病率。

方法

人体测量学包括腰围、食物回忆和实验室检查。

结果

患者的微量营养素摄入不足。人体测量学显示,37.5%的患者按体重指数和 76.8%按腹型肥胖程度分类为 II 度肥胖。关于代谢综合征,18 名患者(16%)符合诊断标准。

结论

通过人体测量学和实验室检查,红斑狼疮患者的心血管疾病危险因素增加,表明需要对该人群进行营养指导,以降低心血管风险、提高生活质量并增加这些患者的生存率。

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