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Dietary manipulation and testosterone replacement therapy may explain changes in body composition after spinal cord injury: A retrospective case report
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作者 Ashraf S Gorgey Robert M Lester +2 位作者 Mina P Ghatas Sakita N Sistrun Timothy Lavis 《World Journal of Clinical Cases》 SCIE 2019年第17期2427-2437,共11页
BACKGROUND Reduced level of physical activity,high-fat diet and skeletal muscle atrophy are key factors that are likely to contribute to deleterious changes in body composition and metabolic following spinal cord inju... BACKGROUND Reduced level of physical activity,high-fat diet and skeletal muscle atrophy are key factors that are likely to contribute to deleterious changes in body composition and metabolic following spinal cord injury (SCI).Reduced caloric intake with lowering percentage macronutrients of fat and increasing protein intake may likely to improve body composition parameters and decrease ectopic adiposity after SCI.AIM To highlight the effects of dietary manipulation and testosterone replacement therapy (TRT) on body composition after SCI METHODS A 31-year-old male with T5 SCI was administered transdermal TRT daily for 16 wk.Caloric intake and percentage macronutrients were analyzed using dietary recalls.Magnetic resonance imaging and dual-energy x-ray absorptiometry were used to measure changes in body composition.RESULTS Caloric intake and fat percentage were reduced by 445 kcal/d and 6.5%,respectively.Total body weight decreased by 8%,body fat decreased by 29%,and lean mass increased by 7%.Thigh subcutaneous adipose tissue cross-sectional area was reduced by 31%.CONCLUSION Manipulation of caloric intake,fat percentage,and protein percentage may have influenced body composition after SCI. 展开更多
关键词 Spinal CORD injury diet High-protein low-fat NUTRIENTS BASAL metabolic rate Case report
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青中年患者低盐低脂饮食干预与脑卒中发生发展的关联分析
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作者 王焦 贾丹 《河北医药》 CAS 2024年第6期849-852,857,共5页
目的研究青中年患者低盐低脂饮食干预与脑卒中发生发展的关联性。方法选取2021年7月至2023年2月住院的青中年脑卒中患者共计120例作为研究对象,遵循随机化原则分为观察组和对照组,每组60例。对照组运用常规营养支持医护模式;观察组运用... 目的研究青中年患者低盐低脂饮食干预与脑卒中发生发展的关联性。方法选取2021年7月至2023年2月住院的青中年脑卒中患者共计120例作为研究对象,遵循随机化原则分为观察组和对照组,每组60例。对照组运用常规营养支持医护模式;观察组运用低盐低脂饮食指导的医护理念。入院时和干预结束后3个月,评估2组患者的低盐低脂饮食指导指数。比较2组患者入院时、干预3周、干预结束时血红蛋白、血清白蛋白、总蛋白的变化。入院时、干预结束时、干预结束后3个月患者主观整体评估(PG-SGA)评分,并进行人体组成成分测定。结果低盐低脂饮食指导干预结束后3个月与入院时比较,2组自我保健、健康知识、生活方式、精神健康、生活技能及总分均有提高(P<0.05)。观察组与对照组相比,自我保健、生活方式、精神健康及总分提高的程度更明显(P<0.05)。2组从入院时干预3周、指导干预结束时血红蛋白、血清白蛋白、总蛋白呈明显下降趋势(P<0.05)。交互效应均有统计学意义(P<0.05),遂认为不同组间血红蛋白、血清白蛋白、总蛋白变化的趋势受到观察时间的影响。2组从入院时、干预3周、干预结束时PG-SGA得分呈明显下降趋势(P<0.05)。交互效应有统计学意义(P<0.05),遂认为不同组间PG-SGA得分变化的趋势受到观察时间的影响。2组从入院时干预3周、干预结束时体脂率、体重、BMI均呈明显下降趋势(P<0.05)。交互效应均有统计学意义(P<0.05),认为不同组间体脂率、体重、BMI变化的趋势受到观察时间的影响。结论对脑卒中采用低盐低脂饮食指导提高了患者的生活质量,具有良好、广阔的推广应用前景。 展开更多
关键词 青中年 低盐低脂饮食 脑卒中 疾病发展 关联性
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老年冠心病患者低盐低脂饮食现状及其影响因素分析 被引量:3
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作者 鲁安康 于淼 +4 位作者 董建秀 马佳慧 常文红 韩静 王建辉 《中国医院统计》 2021年第6期491-495,共5页
目的分析出院1年的老年冠心病患者的低盐低脂饮食现状,并分析影响其低盐低脂饮食的因素,为科学有效指导老年冠心病患者健康饮食提供理论依据。方法调查2017年7月至11月河北省3地区出院1年的714例老年冠心病患者,通过调查问卷、冠心病自... 目的分析出院1年的老年冠心病患者的低盐低脂饮食现状,并分析影响其低盐低脂饮食的因素,为科学有效指导老年冠心病患者健康饮食提供理论依据。方法调查2017年7月至11月河北省3地区出院1年的714例老年冠心病患者,通过调查问卷、冠心病自我管理量表等方法收集患者信息,分析其饮食状况,并通过logistics回归分析影响老年冠心病患者饮食的因素。结果714例患者中男性522例(73.1%),女性192例(26.9%);年龄范围60~95岁。225人(31.5%)出院1年后仍坚持低盐低脂饮食,且老年冠心病患者低脂低盐饮食状况在病变血管数量、抑郁、吸烟、饮酒等方面分布存在差异(P<0.05)。logistics回归分析结果显示,病变血管数量(OR_(双支病变)=0.567,95%CI:0.353~0.911;OR_(多支病变)=2.418,95%CI:1.351~4.328)、抑郁(OR_(轻度)=5.367,95%CI:2.594~11.107;OR_(中重度)=3.782,95%CI:1.826~7.835)、吸烟(OR_(偶尔)=4.105,95%CI:2.261~7.456;OR_(经常)=1.985,95%CI:0.973~4.051)是老年冠心病患者坚持低盐低脂饮食的影响因素。结论老年冠心病患者坚持低盐低脂饮食现状不理想,多支病变、伴有抑郁、吸烟的老年冠心病患者低盐低脂饮食长期执行率差。 展开更多
关键词 冠心病 低盐低脂饮食 影响因素 老年患者
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Liver fibrosis in primary intestinal lymphangiectasia: An undervalued topic
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作者 Raffaele Licinio Mariabeatrice Principi +1 位作者 Enzo Ierardi Alfredo Di Leo 《World Journal of Hepatology》 CAS 2014年第9期685-687,共3页
The relationship between primary intestinal lymphangiectasia(PIL) and liver fibrosis is an emerging topic with many obscure aspects due to the rarity of the disorder.A recent paper reported that a six-month lowfat die... The relationship between primary intestinal lymphangiectasia(PIL) and liver fibrosis is an emerging topic with many obscure aspects due to the rarity of the disorder.A recent paper reported that a six-month lowfat diet improved liver fibrosis.We report the case of a 17-year-old girl affected by PIL whose hepatic fibrosis progressively worsened within one year,despite dietetic support.This and the previous case report describe extraordinary events,which do not allow clear-cut clinical aspects to be established.Nevertheless,both cases suggest that in patients with PIL,it is necessary to closely monitor liver morphology with in-depth investigations including not only ultrasonography,but also elastography. 展开更多
关键词 Hepatic transient ELASTOGRAPHY Liver FIBROSIS low-fat diet Primary intestinal LYMPHANGIECTASIA
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益肾活血方联合常规治疗慢性肾脏疾病随机平行对照研究
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作者 潘梅 《实用中医内科杂志》 2013年第8期39-41,共3页
[目的]观察益肾活血方联合常规治疗慢性肾脏疾病疗效。[方法]使用随机平行对照方法,将84例门诊及住院患者按抽签法分为两组。对照组42例常规治疗。低脂低盐低蛋白饮食,帮助患者降压,纠正水电解质和贫血,改善微循环,利尿消肿。治疗组42... [目的]观察益肾活血方联合常规治疗慢性肾脏疾病疗效。[方法]使用随机平行对照方法,将84例门诊及住院患者按抽签法分为两组。对照组42例常规治疗。低脂低盐低蛋白饮食,帮助患者降压,纠正水电解质和贫血,改善微循环,利尿消肿。治疗组42例益肾活血方(黄芪40g,丹参30g,党参、茯苓、淫羊藿各20g,山茱萸、白术、泽兰、山药各15g,大黄、杏仁各10g),1剂/d,水煎300mL,早晚口服。西医治疗同对照组。连续治疗56为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。随访1年,观测复发率、并发症发生率。[结果]治疗组显效17例,有效23例,无效2例,总有效率95.24%。对照组显效12例,有效17例,无效13例,总有效率69.05。治疗组疗效优于对照组(P<0.05)。[结论]益肾活血方联合常规治疗慢性肾脏疾病效果显著,值得推广。 展开更多
关键词 慢性肾脏疾病 益肾活血方 低脂低盐低蛋白饮食 降压 微循环 水电解质 贫血 随机平行对照研究
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Dietary lysophospholipids improves growth performance and hepatic lipid metabolism of largemouth bass(Micropterus salmoides)
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作者 Mingxiao Che Ziye Lu +3 位作者 Liang Liu Ning Li Lina Ren Shuyan Chi 《Animal Nutrition》 SCIE CAS CSCD 2023年第2期426-434,共9页
This study was conducted to evaluate the influence of dietary lysophospholipids combined with 1%dietary fish oil reduction on the growth performance and hepatic lipid metabolism of largemouth bass(Micropterus salmoide... This study was conducted to evaluate the influence of dietary lysophospholipids combined with 1%dietary fish oil reduction on the growth performance and hepatic lipid metabolism of largemouth bass(Micropterus salmoides).Five isonitrogenous feeds were prepared with lysophospholipids at 0%(fish oil group,FO),0.05%(L-0.05),0.1%(L-0.1),0.15%(L-0.15)and 0.2%(L-0.2),respectively.The dietary lipid was 11%in the FO diet and 10%in the other diets.Largemouth bass were fed for 68 d(initial body weight=6.04±0.01 g)with 4 replicates per group and 30 fish per replicate.The results showed that the fish fed diet containing 0.1%lysophospholipids had higher digestive enzyme activity and obtained better growth performance compared to the fish fed FO diet(P<0.05).The feed conversion rate in the L-0.1 group was significantly lower than that in the other groups.Serum total protein and triglyceride contents in L-0.1 group were significantly higher than those in other groups(P<0.05)and the contents of total cholesterol and low-density lipoprotein cholesterol in L-0.1 group were significantly lower than those in FO group(P<0.05).The activity and genes expression of hepatic glucolipid metabolizing enzymes in L-0.15 group were significantly increased compared to those in FO group(P<0.05).Reducing 1%fish oil along with 0.1%lysophospholipids added to the feed could improve the digestion and absorption of nutrients,enhance the activity of liver glycolipid metabolizing enzymes,and thus effectively promote the growth of largemouth bass. 展开更多
关键词 Micropterus salmoides LYSOPHOSPHOLIPIDS GROWTH low-fat diet Lipid metabolism
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