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慢性乙型肝炎的个性化饮食自我管理及其对疾病进展的影响

Personalized Dietary Self-Management and Its Influence on Disease Progression in Chronic Hepatitis B.

作者信息

Wang Yuan-Yuan, Yao Yu-Qian, Sun Yue, Qian Xiang-Yun

机构信息

Nantong Third People's Hospital, Nantong, China.

Nantong University College of Medicine, Nantong, China.

出版信息

J Nutr Metab. 2025 Jul 17;2025:5585004. doi: 10.1155/jnme/5585004. eCollection 2025.

Abstract

Clinical treatment of chronic hepatitis B (CHB) patients nowadays is still focusing on the clearance ratio of HBsAg. However, the quality of the CHB patients' lives and the recovery of their liver organs also need to be considered in the clinic, especially in the nursing field. Here, we evaluated a newly personalized dietary self-management, which emphasized vegetable oil rather than the oneness requirement of a low-oil diet for the patients, accommodating the thinner patient group for their sufficient energy intake. An observational study was conducted with 90 individual CHB patients through the double-arm randomized study method. The newly personalized dietary self-management education was performed among the participants in the refined group, and their physiological detection results after 6 months from enrollment would be compared with those of the control group participants who received traditional dietary self-management education. Compared to the control group with traditional dietary self-management education, we found that the results in the refined group presented a faster reduction speed in ALT, AST, and TBIL. The results of this study showed the benefit of the vegetable oil for CHB patients when it appropriately served as the way of energy intake, during the patients' treatment period. A larger scale of this personalized dietary self-management education should be permitted for further assessment.

摘要

目前慢性乙型肝炎(CHB)患者的临床治疗仍聚焦于HBsAg清除率。然而,临床中也需要考虑CHB患者的生活质量及其肝脏器官的恢复情况,尤其是在护理领域。在此,我们评估了一种新的个性化饮食自我管理方法,该方法强调植物油,而非要求患者严格遵循低油饮食,以适应较瘦患者群体对足够能量摄入的需求。通过双臂随机研究方法对90例CHB患者进行了一项观察性研究。在精细化组的参与者中开展了新的个性化饮食自我管理教育,并将入组6个月后的生理检测结果与接受传统饮食自我管理教育的对照组参与者的结果进行比较。与接受传统饮食自我管理教育的对照组相比,我们发现精细化组的ALT、AST和TBIL下降速度更快。本研究结果表明,在CHB患者的治疗期间,植物油作为能量摄入方式适度使用时对患者有益。应允许开展更大规模的这种个性化饮食自我管理教育以进行进一步评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2476/12289363/ffe43cf7d39d/JNME2025-5585004.001.jpg

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