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采用饮食平衡指数-16评估重症脑血管病患者的饮食质量

Evaluation of dietary quality of patients with severe cerebrovascular disease by diet balance index-16.

作者信息

Yu Siwei, Song Qiong, Gu Wei

机构信息

Department of Critical Care Medicine, Shanghai Electric Power Hospital Shanghai 200050, China.

Department of Critical Care Medicine, Shanghai Pudong New Area Gongli Hospital Shanghai 200050, China.

出版信息

Am J Transl Res. 2023 Apr 15;15(4):2903-2910. eCollection 2023.

Abstract

OBJECTIVE

To assess the dietary quality of patients with severe cerebrovascular disease using Diet Balance Index-16 (DBI-16) and to provide scientific evidence for the establishment of targeted dietary intervention and related dietary nutritional education for patients.

METHODS

The general information of 214 hospitalized patients with severe cerebrovascular disease, including gender and age etc., were investigated by a self-made questionnaire on health risk factors, and the dietary quality conditions of patients was evaluated by DBI-16 scoring method.

RESULTS

The dietary quality of patients with severe cerebrovascular disease had low levels of imbalanced conditions, accompanied with low levels of inadequate intake and excessive intake. The degree of excessive intake in female patients was clearly less than that in male patients. The degree of inadequate intake and total scores in patients younger than 55 years old was lower than those in the other two groups. The intake of vegetables, fruits, milk and soybeans in most of patients did not reach the recommended nutrient intake and the animal product amount was insufficient. In addition, the intake of low quality food and condiments such as oil and salt were excessive in patients with severe cerebrovascular disease. Dietary pattern A was the main model.

CONCLUSIONS

The overall diet structure of patients with severe cerebrovascular disease is not rational. It is recommended to appropriately balance the intake of grains and animal products, increase the intake of milk, soybeans, vegetables and fruits, and strictly control the amount of oil and salt.

摘要

目的

采用饮食平衡指数-16(DBI-16)评估重症脑血管病患者的饮食质量,为制定针对性饮食干预措施及开展相关饮食营养教育提供科学依据。

方法

通过自制健康危险因素调查问卷,对214例住院重症脑血管病患者的性别、年龄等一般资料进行调查,并采用DBI-16评分法评估患者的饮食质量状况。

结果

重症脑血管病患者饮食质量不均衡状况处于较低水平,同时存在摄入不足和摄入过量情况。女性患者摄入过量程度明显低于男性患者。55岁以下患者摄入不足程度及总分低于其他两组。多数患者蔬菜、水果、奶类及大豆类食物摄入量未达到推荐营养素摄入量,动物性食物量不足。此外,重症脑血管病患者低质量食物及油、盐等调味品摄入量过多。饮食模式A为主要模式。

结论

重症脑血管病患者总体饮食结构不合理。建议适当平衡谷类和动物性食物摄入量,增加奶类、大豆类、蔬菜及水果摄入量,并严格控制油、盐量。

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