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拉丁美洲认知障碍和痴呆症患者的微量和宏量营养素摄入量以及食物组频率:系统评价。

Micro- and Macronutrient Intake and Food Group Frequency Consumed by Subjects with Cognitive Impairment and Dementia in Latin America: A Systematic Review.

机构信息

Hospital Regional de Alta Especialidad de la Península de Yucatán (HRAEPY), Mérida, Yucatán, Mexico.

Facultad de Medicina, Universidad Autónoma de Yucatán (UADY), Mérida, Yucatán, Mexico.

出版信息

J Alzheimers Dis. 2023;94(2):425-439. doi: 10.3233/JAD-230231.

Abstract

BACKGROUND

Nutrition has relevant role in the pathogenesis of dementia. However, in Latin American Countries (LAC), it is unknown which type of diet the subjects with dementia and cognitive dysfunction have.

OBJECTIVE

The main purpose of this study was to determine micro- and macronutrients and food frequency intake among the LAC population with mild cognitive impairment (MCI) and dementia.

METHODS

A systematic review using PubMed, Cochrane, Lilacs, and Scielo databases. Energy intake as well as micro- and macronutrients intake were analyzed using a random-effect model and presented in a forest plot.

RESULTS

Nine articles were included, an estimated energy intake of 1598.47 kcal (95% CI 1351.07-1845.88) was obtained. A daily consumption of 73.64 g/day (95% CI 64.07-83.2) of protein; 262.17 g/day (95% CI 214.51-309.93) of carbohydrates, and 57.91 g/day (95% CI 49.16-66.66) of fats were reported. A micronutrients daily intake consumption of 201.35μg/day of vitamin B9 (95% CI 125.32-277.38); 5.61μg/day of vitamin B12 (95% CI 2.53-8.70), and 139.67 mg/day of vitamin C (95% CI 59.33-220.02). Mineral intake of 637.32 mg/day of calcium (95% CI 288.54-986.11) and 9 mg/day of iron (95% CI 2.28-15.71) was obtained. A low intake of fruits and vegetables was found.

CONCLUSION

Individuals with MCI and dementia from LAC have a nutritional deficiency characterized by a lower intake of fruits and vegetables, a high consumption of carbohydrates and protein, adequate fats intake and vitamins B12, vitamin C, and iron consumption, but a low intake of vitamin B9 and calcium.

摘要

背景

营养在痴呆症的发病机制中起重要作用。然而,在拉丁美洲国家(LAC),患有痴呆症和认知功能障碍的受试者的饮食类型尚不清楚。

目的

本研究的主要目的是确定轻度认知障碍(MCI)和痴呆症的 LAC 人群的微量和常量营养素以及食物频率摄入量。

方法

使用 PubMed、Cochrane、Lilacs 和 Scielo 数据库进行系统评价。使用随机效应模型分析能量摄入以及微量和常量营养素摄入,并以森林图表示。

结果

共纳入 9 篇文章,估计获得的能量摄入量为 1598.47kcal(95%CI 1351.07-1845.88)。报告了每天消耗 73.64g 蛋白质(95%CI 64.07-83.2);262.17g 碳水化合物(95%CI 214.51-309.93)和 57.91g 脂肪(95%CI 49.16-66.66)。每日微量营养素摄入量为 201.35μg 维生素 B9(95%CI 125.32-277.38);5.61μg 维生素 B12(95%CI 2.53-8.70)和 139.67mg 维生素 C(95%CI 59.33-220.02)。矿物质摄入量为 637.32mg 钙(95%CI 288.54-986.11)和 9mg 铁(95%CI 2.28-15.71)。发现水果和蔬菜的摄入量较低。

结论

来自 LAC 的 MCI 和痴呆症患者存在营养不足的情况,其特征是水果和蔬菜摄入量低,碳水化合物和蛋白质消耗高,脂肪摄入量充足,维生素 B12、维生素 C 和铁的摄入量充足,但维生素 B9 和钙的摄入量低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f05/10357157/1da3c07dc67f/jad-94-jad230231-g001.jpg

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