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Association between Alternative Healthy Eating Index (AHEI) with semen quality of men attending fertility clinics: A cross-sectional study 替代健康饮食指数(AHEI)与参加生育诊所的男性精液质量之间的关系:一项横断面研究
IF 0.5 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-01-24 DOI: 10.1016/j.nupar.2024.10.005
Hawal Lateef Fateh , Dyari H. Ahmed , Hardy H. Rasul , Hassan M. Tawfeeq

Background

Infertility is a significant global health issue, with males contributing to 40–50% of cases. Male infertility is often linked to abnormal semen parameters, which are influenced by various environmental, nutritional, and lifestyle factors. Although individual nutrients have been shown to affect male fertility, thus the present study aimed to evaluate the association between Alternative Healthy Eating Index (AHEI) with semen quality of men attending fertility clinics.

Methods

This cross-sectional study was to evaluate the correlation between the Alternative Healthy Eating Index-2010 (AHEI-2010) and the quality of semen in a sample of 408 males who visited reproductive clinics in Kalar city, Kurdistan. The AHEI-2010 results categorize the participants into tertiles. A comprehensive assessment of semen quality conducted by measuring viscosity, volume, concentration, total sperm count, motility, and morphology. Dietary intake assessed by administering a 147-item food frequency questionnaire and computed AHEI-2010 scores after accounting for total energy consumption.

Results

Significant differences in semen parameters were observed across AHEI-2010 tertiles. Men in the highest tertile had a higher sperm concentration (35.9 ± 7.1 M/mL) and total sperm number (83.4 ± 18.7 M) compared to those in the lowest tertile with sperm concentration (15.3 ± 5.2 M/mL) and total sperm number (38.2 ± 12.6 M). Logistic regression analysis showed that men in highest tertile had significantly better odds of normal sperm motility (OR = 1.38, 95% CI: 1.11–1.71) and morphology (OR = 1.50, 95% CI: 1.22–1.85) compared to lowest tertile.

Conclusion

Higher AHEI-2010 scores are associated with improved semen quality among Kurdish men. These findings suggest that adherence to a healthier diet could be an effective strategy for improving male fertility in this population.
生育能力低下是一个重大的全球健康问题,男性占病例的40-50%。男性不育通常与精液参数异常有关,而精液参数异常受各种环境、营养和生活方式因素的影响。虽然个别营养素已被证明会影响男性的生育能力,因此本研究旨在评估替代性健康饮食指数(AHEI)与参加生育诊所的男性精液质量之间的关系。方法本横断面研究旨在评估替代性健康饮食指数-2010 (AHEI-2010)与在库尔德斯坦卡拉尔市生殖诊所就诊的408名男性精液质量的相关性。AHEI-2010的结果将参与者分为几类。精液质量的综合评估,通过测量粘度、体积、浓度、精子总数、活力和形态来进行。膳食摄入量评估通过管理147项食物频率问卷,并计算总能量消耗后的AHEI-2010分数。结果AHEI-2010品种间精液参数存在显著差异。精子浓度(15.3±5.2 M/mL)和总精子数(38.2±12.6 M)均高于精子浓度(35.9±7.1 M/mL)和总精子数(83.4±18.7 M), Logistic回归分析显示,精子活力(OR = 1.38, 95% CI: 1.11-1.71)和形态(OR = 1.50, 95% CI: 1.22-1.85)正常的几率高于精子浓度(15.3±5.2 M/mL)和总精子数(38.2±12.6 M)最低的男性。结论库尔德男性AHEI-2010评分越高,精液质量越好。这些发现表明,坚持健康饮食可能是提高这一人群男性生育能力的有效策略。
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引用次数: 0
Le statut iodé des femmes enceintes dans une zone d’endémie goitreuse à l’origine de dysthyroïdie dans la ville de Man (République de Côte d’Ivoire) 科特迪瓦马恩市甲状腺肿流行地区孕妇的碘化状况
IF 0.5 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-01-24 DOI: 10.1016/j.nupar.2024.10.007
Souleymane Tandamba , Assita Yao , Joceline Danho , Nafi Ballo , Gnomblesson Georges Tiahou , Mouna Hanachi , Jacko Abodo

Introduction

In Côte d’Ivoire, the prevalence of hypothyroidism is 11.3% in the general population. There have been no studies of iodine levels in pregnant women, in whom iodine deficiency or excess is responsible for dysthyroidism and potentially severe complications.

Main objective

To assess the prevalence of dysthyroidism and iodine status in pregnant women.

Material and method

Descriptive cross-sectional study over 1 month (October 2023), measuring TSH, 24-hour ioduria and the iodine content of cooking salt in FE in 5 health facilities in the town of Man.

Results

One hundred and six FE were included: mean age 27 years ± 6.5 (min/max: 14/41). Biological hypothyroidism and hyperthyroidism were found respectively in 6.6% and 8.5% of EFs according to the ATA 2017 standard. Twenty-four-hour ioduria was below WHO standards (150 to 249 μg/L) in 66% of FEs (median/extreme: 130 μg/L/[80; 400]). Iodine deficiency assessed by ioduria/24 h was correlated with the iodine content of cooking salt (76.5% of salt < 15 ppm, 23.5% within the standard (WHO N:15 to 40 ppm). Sixty-five percent (65%) of EFs had ioduria/24 h below the recommended standard (P = 0.03).

Conclusion

The high prevalence of hypothyroidism in FE is associated with iodine deficiency in cooking salt, the main source of iodine intake, in areas far from the sea. Preventive measures in line with UNICEF recommendations (systematic iodine supplementation) should be implemented.
在Côte科特迪瓦,一般人群中甲状腺功能减退的患病率为11.3%。目前还没有关于孕妇碘水平的研究,在孕妇中,碘缺乏或过量会导致甲状腺功能障碍和潜在的严重并发症。主要目的了解孕妇甲状腺功能障碍的患病率及碘含量。材料与方法描述性横断面研究(2023年10月)历时1个月,测定了曼镇5个卫生机构FE中TSH、24小时碘含量和烹饪盐碘含量。结果共纳入106例FE患者,平均年龄27岁±6.5岁(min/max: 14/41)。根据ATA 2017标准,EFs中分别有6.6%和8.5%存在生物性甲状腺功能减退和甲状腺功能亢进。66%的FEs 24小时碘含量低于WHO标准(150 ~ 249 μg/L)(中位/极值:130 μg/L/[80;400])。碘尿量/24 h评价的碘缺乏与烹饪盐的碘含量相关(76.5%的盐<;15 ppm, 23.5%在标准范围内(WHO N:15至40 ppm)。65%的EFs患者碘尿/24 h低于推荐标准(P = 0.03)。结论FE甲减高发与远离海洋地区主要碘摄入来源烹调盐缺碘有关。应执行符合儿童基金会建议的预防措施(系统补充碘)。
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引用次数: 0
The impact of L-arginine supplementation on kidney functions and body weight indicators: Systematic review and meta-regression analysis of 16 randomized controlled trials 补充l -精氨酸对肾功能和体重指标的影响:16项随机对照试验的系统评价和meta回归分析
IF 0.5 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-01-24 DOI: 10.1016/j.nupar.2024.10.008
Dyari H. Ahmed , Hawal Lateef Fateh , Hardy H. Rasul
Since the effects of L-arginine supplementation on kidney function markers and body weight indicators are still controversial, a meta-analysis of randomized controlled trials was conducted in the present study to assess the effect of L-arginine supplementation on kidney function markers and body weight indicators. The study was designed, conducted, and reported according to the guidelines of the 2020 preferred reporting items for systematic reviews and meta-analysis (PRISMA) statements. A systematic and comprehensive search was performed in several databases from inception up to May 18, 2024. The meta-analysis on the impact of L-arginine supplementation on kidney function markers and body weight indicators indicates that the overall effect of L-arginine supplementation on serum urea, combining different doses, revealed a significant reduction with a WMD of 62.23 (41.08, 83.038) and a P-value of 0.001. serum creatinine demonstrated a positive effect, with an overall WMD of 2.12 (0.84, 3.41) and a P-value of 0.001. The body weight markers waist circumference and total body weight displayed reductions in their levels, with overall WMDs of −9.25 (−21.85, 3.33) and −5.62 (−10.29, −0.95) respectively. Subgroup analysis based on dosage revealed more pronounced reductions in waist circumference for doses of more than 15 grams/day. Findings from this study suggest that an L-Arginine supplement might be beneficial to modulating kidney biomarkers and body weight indices such as waist circumference and total body weight.
由于补充l -精氨酸对肾功能指标和体重指标的影响仍存在争议,本研究通过随机对照试验的meta分析来评估补充l -精氨酸对肾功能指标和体重指标的影响。本研究是根据2020年系统评价和荟萃分析(PRISMA)首选报告项目的指南设计、实施和报告的。从成立到2024年5月18日,在多个数据库中进行了系统全面的搜索。补充l -精氨酸对肾功能指标和体重指标影响的meta分析显示,不同剂量补充l -精氨酸对血清尿素的总体影响显著降低,WMD为62.23 (41.08,83.038),p值为0.001。血清肌酐表现出积极作用,总WMD为2.12 (0.84,3.41),p值为0.001。体重指标腰围和总体重水平下降,总wmd分别为- 9.25(- 21.85,3.33)和- 5.62(- 10.29,- 0.95)。基于剂量的亚组分析显示,剂量超过15克/天的腰围减少更为明显。本研究的结果表明,补充l -精氨酸可能有利于调节肾脏生物标志物和体重指数,如腰围和体重。
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引用次数: 0
L’espace éthique de la SFNCM SFNCM的道德空间
IF 0.5 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-01-20 DOI: 10.1016/j.nupar.2025.01.001
Diana Cardenas , Florian Poullenot , Francisca Joly
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引用次数: 0
Dietary supplement consumption and associated factors among Algerian population residing in Tebessa: Cross-sectional survey 居住在特贝萨的阿尔及利亚人的膳食补充剂消费量及相关因素:横断面调查
IF 0.5 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-11-01 DOI: 10.1016/j.nupar.2024.10.004
Fadhila Mansour , Hanane Kadi , Amira Messaadia , Silvia Lisciani , Chafika Rezkallah , Abdelhak Lakehal

Objective

This study aimed to assess the prevalence of dietary supplement consumption among Algerians in Tebessa.

Materials and methods

This was a descriptive cross-sectional survey carried out over two months. The study included 216 Algerian men and women selected via simple random sampling. Approximately half of the participants were under 27 years old, with a mean age of 30 years. Variables assessed included the use of dietary supplements, reasons for consumption, frequency of use, types of supplements used, sources of purchase, and sources of advice regarding consumption. Continuous and categorical variables were compared using the Mann–Whitney test and Chi2 test, respectively. Logistic regression was employed to examine associations between dietary supplement consumption and explanatory variables, including socioeconomic factors.

Results

The prevalence of dietary supplement use was 88.4%. The most common reasons cited for consumption were muscle mass enhancement and fatigue reduction. Vitamins were the most frequently used supplements, followed by trace elements. Consumption patterns were significantly associated with socioeconomic factors.

Conclusions

A large part of the population has consumed food supplements for different reasons. This consumption could be beneficial for their health. Therefore, information-based on scientific evidence is important to prevent inappropriate use of dietary supplements by consumers. This study could serve as the foundation for a nationwide multicenter study to gain a better understanding of dietary supplement use among Algerians.
材料和方法这是一项描述性横断面调查,历时两个月。研究对象包括通过简单随机抽样选出的 216 名阿尔及利亚男性和女性。大约一半的参与者年龄在 27 岁以下,平均年龄为 30 岁。评估的变量包括膳食补充剂的使用情况、消费原因、使用频率、使用的补充剂类型、购买来源和消费建议来源。连续变量和分类变量分别采用 Mann-Whitney 检验和 Chi2 检验进行比较。采用逻辑回归法研究膳食补充剂消费与包括社会经济因素在内的解释变量之间的关联。服用补充剂最常见的原因是增强肌肉质量和减轻疲劳。维生素是最常用的补充剂,其次是微量元素。消费模式与社会经济因素密切相关。这种消费可能对他们的健康有益。因此,基于科学证据的信息对于防止消费者不当使用食物补充剂非常重要。这项研究可以作为一项全国性多中心研究的基础,以便更好地了解阿尔及利亚人使用膳食补充剂的情况。
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引用次数: 0
Issue contents 议题内容
IF 0.5 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-11-01 DOI: 10.1016/S0985-0562(24)00130-4
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引用次数: 0
Association of dietary insulinemic potential with disease severity and symptoms in patients with COVID-19 饮食胰岛素血症潜能值与 COVID-19 患者疾病严重程度和症状的关系
IF 0.5 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-11-01 DOI: 10.1016/j.nupar.2024.07.003
Fatemeh Almasi , Mohammad Nemati , Minoo Akbarzadeh Morshedi , Zahra Karimzade , Armin Ebrahimzadeh , Seyed Gholam Abbas Mousavi , Azadeh Aminianfar , Alireza Milajerdi

Aim

COVID-19 has threatened people's lives in world. Studies showed that level of insulin is related to function of immune system and level of inflammation in body. In this study we aimed to evaluate the association between dietary insulinemic potential and level of inflammatory biomarkers, severity and symptoms of COVID-19.

Methods

Participants of this cross-sectional study were 684 people who recovered from COVID-19. Dietary intake of participants was assessed using 168-item food frequency questionnaire during telephone interview, then dietary insulinemic index and load (DII and DIL) calculated for each participants. Data related to study outcomes, include levels of inflammatory biomarkers, disease symptoms, lung infection, saturation of peripheral oxygen, Respiratory Rate, need for respiratory support, duration of disease, hospitalization, recovery from disease and need for respiratory support and score of life satisfaction were collected through an interview with participants and review of their medical records.

Results

After controlling for confounders, participants in the highest quartile of DIL had a significantly higher risk of severe COVID-19 (OR: 2.66, 95% CI: 1.01–7.04, Ptrend = 0.035), risk of hospitalization (OR: 3.44, 95% CI: 2.27-7.64, Ptrend > 0.001), fever (OR: 2.91, 95% CI: 8.08–1.05, Ptrend = 0.042), chills (OR: 4.68, 95% CI: 1.77–12.37, Ptrend = 0.002) and lower risk of weakness (OR: 0.28, 95% CI: 0.10–0.74, Ptrend = 0.012) and myalgia (OR:0.26, CI: 0.10–0.45, Ptrend = 0.006) compared to the lowest quartile. In addition our findings showed a significant positive association between DII and risk of fever (OR: 1.71 95% CI: 2.84–1.03, Ptrend = 0.049). Our finding failed to find a significand association between DII and risk of sever COVID-19 and hospitalization. Moreover we did not find significant association between DII/DIL and duration of disease, other symptoms and outcomes.

Conclusions

Our findings showed that higher DIL was associated with greater risk of sever COVID-19 and hospitalization. More detailed cohort studies are needed to confirm the findings.
AimCOVID-19 已威胁到全世界人民的生命。研究表明,胰岛素水平与免疫系统功能和体内炎症水平有关。本研究旨在评估膳食胰岛素潜能与炎症生物标志物水平、COVID-19 的严重程度和症状之间的关系。通过电话访问,使用 168 项食物频率问卷评估参与者的膳食摄入量,然后计算每位参与者的膳食胰岛素血症指数和负荷(DII 和 DIL)。与研究结果相关的数据包括炎症生物标志物水平、疾病症状、肺部感染、外周血氧饱和度、呼吸频率、呼吸支持需求、病程、住院时间、疾病恢复和呼吸支持需求以及生活满意度评分,这些数据是通过与参与者面谈和查阅其病历收集的。结果在控制了混杂因素后,DIL最高四分位数的参与者发生严重COVID-19(OR:2.66,95% CI:1.01-7.04,Ptrend = 0.035)、住院风险(OR:3.44,95% CI:2.27-7.64,Ptrend >0.001)、发热(OR:2.91,95% CI:8.08-1.05,Ptrend = 0.042)、寒战(OR:4.68,95% CI:1.77-12.37,Ptrend = 0.002),与最低四分位数相比,乏力(OR:0.28,95% CI:0.10-0.74,Ptrend = 0.012)和肌痛(OR:0.26,CI:0.10-0.45,Ptrend = 0.006)的风险较低。此外,我们的研究结果表明,DII 与发烧风险之间存在明显的正相关关系(OR:1.71 95% CI:2.84-1.03,Ptrend = 0.049)。我们的研究结果未能发现 DII 与严重 COVID-19 和住院风险之间存在显著关联。此外,我们也没有发现 DII/DIL 与病程、其他症状和预后之间存在明显关联。需要更详细的队列研究来证实这些发现。
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引用次数: 0
Transmettre l’héritage actif : influence de l’activité physique parentale sur celle de sa progéniture 传承积极的遗产:父母体育锻炼对后代体育锻炼的影响
IF 0.5 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-11-01 DOI: 10.1016/j.nupar.2024.10.002
Zineb Djaafri , Meriem Bencharif , Ibrahim Sersar , Narimane Amokrane , Rym Ferial Nedjma Bendjama , Maroua Bentaleb

Objectives

Parents’ habits can have an impact on those of their children. The objective of was to evaluate the general knowledge and motivations of parents regarding physical activity and to study the behavior of their children during adolescence.

Materials and methods

A cross-sectional study was carried on 123 adolescents and their parents. A survey including background information, practice of sport and a physical activity diary for calculating the physical activity level (PAL). Questions on knowledge in relation to physical activity, sedentary lifestyle and motivations for the practice were asked. Anthropometric measurements were recorded. The significance level was P < 0.05.

Results

Overweight and obesity were present among parents and adolescents with respectively 32.5% vs 8.1% (P = 0.0000) and 13.0% vs 4.9% (P = 0.0255). Adolescents practiced a sporting activity more than their parents (P = 0.0000). For the PAL, it was higher in parents (P = 0.0054). A positive association was shown between the PAL of parents and that of their children (r = 0.1302; P = 0.1534). Regarding parents’ knowledge, 66.7% (P = 0.0000) believed that there was no age limit for practicing sport, and 52.8% of parents thought that time spent sitting in front of a computer is not a sedentary activity (P = 0.3720). For adolescents, 55.3% had an average score between 1 and 2 representing behavior related to physical activity that needs to be improved.

Conclusion

The results suggest awareness-raising and information actions for parents to raise awareness of the benefits of physical activity and the disadvantages of a sedentary lifestyle, so that they can correct the behavior of their offspring.
目的 父母的生活习惯会对子女的生活习惯产生影响。本研究旨在评估家长对体育锻炼的一般知识和动机,并研究其子女在青春期的体育锻炼行为。调查内容包括背景信息、运动实践和用于计算体力活动水平(PAL)的体力活动日记。还询问了有关体育锻炼的知识、久坐不动的生活方式和锻炼动机等问题。此外,还记录了人体测量数据。结果父母和青少年中存在超重和肥胖的比例分别为 32.5% vs 8.1% (P = 0.0000) 和 13.0% vs 4.9% (P = 0.0255)。青少年参加体育活动的比例高于其父母(P = 0.0000)。父母的 PAL 值较高 (P = 0.0054)。父母的 PAL 与子女的 PAL 之间呈正相关(r = 0.1302;P = 0.1534)。在家长的知识方面,66.7%的家长(P = 0.0000)认为从事体育运动没有年龄限制,52.8%的家长认为坐在电脑前的时间不是久坐不动的活动(P = 0.3720)。对于青少年,55.3%的人平均得分在 1 到 2 分之间,代表与体育锻炼有关的行为需要改进。结论:研究结果表明,家长应采取提高认识和宣传行动,提高对体育锻炼益处和久坐生活方式弊端的认识,从而纠正子女的行为。
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引用次数: 0
Association of nutritional counselling with the severity of radiation-induced oral mucositis in patients with nasopharyngeal carcinoma: a retrospective study 营养咨询与鼻咽癌患者因辐射引发的口腔黏膜炎严重程度的关系:一项回顾性研究
IF 0.5 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-11-01 DOI: 10.1016/j.nupar.2024.09.001
Shu-an Wang , Ya-hui Zhu , Wen-jing Liu , Ijaz ul Haq , Jing-yue Gu , Liang Qi , Mi Yang , Jia-yao Yang

Background

Radiation oral mucositis (RIOM) is one of the most common side effects of radiotherapy (RT) in patients with nasopharyngeal carcinoma (NPC). The nutritional status of the body is an important factor affecting the efficacy of radiotherapy and chemotherapy, as well as the prognosis of patients. The aim of the study was to explore the relationship between nutrition counseling (NC) and radiation-induced oral mucositis (RIOM), and to provide a reference for the prevention and treatment of RIOM in clinical practice.

Methods

We conducted a retrospective cohort study using the data among 147 NPC patients who received radical radiotherapy. Patients were divided into NC group and control group and radiation-induced Oral Mucositis (RIOM) classification i.e. mild RIOM (grade 0–1 group) and severe RIOM (grade  2 group). Univariate and multivariate analyses were used to analyze the association between baseline data of the patients and severity of RIOM.

Results

Of the 147 patients with NPC, there were 46.9% (69/147) patients who received NC, while control group accounted for 53.1% (78/147). There was no statistically significant difference in age, gender, stage, smoking, drinking, body mass index (BMI) before RT, Patient Generated Subjective Global Assessment (PG-SGA) score and Hospital Anxiety and Depression Scale (HADS) score between NC group and control group. However, there was a significant difference in the incidence of severe RIOM patients between NC group and control group (40.6% vs. 69.2%). Univariate analysis showed that NPC patients had PG-SGA score  4 (P < 0.001; HR : 0.14; 95% CI: 0.04–0.45), the amplitude of weight loss (WL)  ≥ 3% (P < 0.001; HR: 0.62; 95% CI: 0.50–0.77), lower hemoglobin (P = 0.01; HR: 0.97; 95% CI: 0.95–0.99) and patients with NC (P < 0.001; HR: 3.24; 95% CI: 1.64–6.40) were significantly associated with severe RIOM. Multivariate analysis showed that PG-SGA  4 (P = 0.23; HR: 0.23; 95% CI: 0.06–0.86) and WL  3% (P < 0.001; HR: 0.63; 95% CI: 0.50–0.80) were risk factors for severe RIOM, whereas receiving nutrition consultation was a protective factor (P = 0.03; HR: 2.49; 95% CI: 1.09–5.66).

Conclusion

NC was beneficial in reducing severe RIOM and PG-SGA  4. WL  3% exacerbate severe RIOM.
背景放射治疗口腔黏膜炎(RIOM)是鼻咽癌(NPC)患者放疗(RT)最常见的副作用之一。机体的营养状况是影响放疗和化疗疗效以及患者预后的重要因素。本研究旨在探讨营养咨询(NC)与放射诱发口腔黏膜炎(RIOM)之间的关系,为临床实践中预防和治疗 RIOM 提供参考。我们将患者分为NC组和对照组,并对放射诱发口腔黏膜炎(RIOM)进行了分类,即轻度RIOM(0-1级组)和重度RIOM(≥2级组)。结果 在147名鼻咽癌患者中,接受NC治疗的患者占46.9%(69/147),而对照组占53.1%(78/147)。NC组与对照组在年龄、性别、分期、吸烟、饮酒、RT前体重指数(BMI)、患者主观全面评估(PG-SGA)评分和医院焦虑抑郁量表(HADS)评分方面无统计学差异。然而,NC 组与对照组严重 RIOM 患者的发生率存在显著差异(40.6% 对 69.2%)。单变量分析显示,NPC 患者的 PG-SGA 评分≥4(P < 0.001; HR : 0.14; 95% CI: 0.04-0.45)、体重减轻(WL)幅度≥3%(P < 0.001; HR: 0.62; 95% CI: 0.50-0.77)、血红蛋白较低(P = 0.01;HR:0.97;95% CI:0.95-0.99)和NC患者(P <;0.001;HR:3.24;95% CI:1.64-6.40)与严重RIOM显著相关。多变量分析显示,PG-SGA ≥ 4 (P = 0.23; HR: 0.23; 95% CI: 0.06-0.86) 和 WL ≥ 3% (P < 0.001; HR: 0.63; 95% CI: 0.50-0.80) 是严重 RIOM 的危险因素,而接受营养咨询是保护因素 (P = 0.03; HR: 2.49; 95% CI: 1.09-5.66)。WL≥3%会加重严重RIOM。
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引用次数: 0
L’éditorial de la présidente de la SNFCM SNFCM 主席的社论
IF 0.5 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-11-01 DOI: 10.1016/j.nupar.2024.11.001
Francisca Joly
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引用次数: 0
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Nutrition Clinique et Metabolisme
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