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营养不良-额外进食(MEAM)饮食对血液透析患者血清白蛋白和 C 反应蛋白水平的影响。

Effects of the Malnutrition-Eat Additional Meal (MEAM) Diet on the Serum Levels of Albumin and C-Reactive Protein in Hemodialysis Patients.

机构信息

Laboratory of Human Metabolism Research, Department of Dietetics, Warsaw University of Life Sciences, 02776 Warsaw, Poland.

Department of Environmental and Biological Monitoring, Nofer Institute of Occupational Medicine, 91348 Lodz, Poland.

出版信息

Nutrients. 2022 Dec 16;14(24):5352. doi: 10.3390/nu14245352.

Abstract

The main objective of this project was to evaluate the efficiency of two kinds of nutritional intervention implemented in hemodialysis patients for 24 weeks (traditional nutritional intervention without a meal served before dialysis for group HG1, and nutritional intervention involving a meal served before dialysis for group HG2), and their impact on nutritional status and serum concentrations of C-reactive protein (CRP). Nutritional status and serum biochemical parameters were analyzed in the control group (CG, = 70) and in two homogeneous groups of patients, HG1 ( = 35) and HG2 ( = 35). There was an interesting trend in both groups of patients connected with increased intake, mainly of energy and protein. In HG1, the greatest increase in energy intake was observed on Sundays, and in HG2 on the days with dialysis. In HG2, after 24 weeks of the nutritional intervention, an increase in serum albumin ( = 0.0157) and a decrease in CRP concentration ( = 0.0306) were observed, whereas in HG1 there was a decrease in serum albumin concentration ( = 0.0043) with no significant change in CRP concentration. The nutritional intervention applied, called the Malnutrition-Eat Additional Meal (MEAM) diet with an easily digestible meal served before dialysis, was aimed at improving the patients' nutritional status and the obtained results indicate the need not only for substantial reeducation of hemodialysis patients in the area of their diet, but also for undertaking further research and discussions on the possibility of ensuring adequate meals for hemodialysis patients before the dialysis procedure.

摘要

本项目的主要目标是评估两种营养干预措施在血液透析患者中的实施效果,为期 24 周(传统营养干预,即 HG1 组在透析前不提供餐食;营养干预,即 HG2 组在透析前提供餐食),以及它们对营养状况和血清 C 反应蛋白(CRP)浓度的影响。在对照组(CG,n=70)和两个同质患者组 HG1(n=35)和 HG2(n=35)中分析了营养状况和血清生化参数。两组患者均呈现出有趣的趋势,即摄入量增加,主要是能量和蛋白质。在 HG1 组中,能量摄入的最大增加出现在周日,而在 HG2 组中则出现在透析日。在 HG2 组中,经过 24 周的营养干预后,血清白蛋白水平升高( = 0.0157),CRP 浓度降低( = 0.0306),而 HG1 组则出现血清白蛋白浓度降低( = 0.0043),CRP 浓度无显著变化。应用的营养干预措施称为营养不良-额外餐(MEAM)饮食,即在透析前提供易消化的餐食,旨在改善患者的营养状况,所得结果表明,不仅需要对血液透析患者进行饮食方面的大量再教育,还需要进一步研究和讨论在透析前为血液透析患者提供充足餐食的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f7e/9782191/f108148682e1/nutrients-14-05352-g001.jpg

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