不同年龄性别代谢综合征患者能量负平衡特点的调查分析  

Survey of characteristics in negative energy balance in different-aged patients with metabolic syndrome

作　　者：张金惠[1] 张晓燕[2] 吕阳梅[3] 缪艳霞[3] 乔良美[3] 周玲[4] 成淑英[1] 

机构地区：[1]西安交通大学医学院附属西安市中心医院内分泌科 [2]西安交通大学医学院附属西安市中心医院体检中心 [3]西安交通大学医学院附属西安市中心医院营养科 [4]西安交通大学医学院公共卫生学院,陕西西安710003

出　　处：《现代临床护理》2014年第10期1-6,共6页Modern Clinical Nursing

基　　金：国家自然科学基金项目;项目编号为NO81273051

摘　　要：目的：探讨不同年龄性别代谢综合征（metabolic syndrome，MS）患者能量负平衡特点，并提出相应护理对策。方法采用24h膳食回顾法、国际体力活动问卷测量384例MS患者摄入量和消耗能量，采用人体组成分析仪测算患者脂肪含量、脂肪百分比、瘦体质等。比较不同年龄性别MS患者体重指数（body mass index，BMI）、腰围/身高、脂肪百分比含量、瘦体质、能量摄入及能量消耗的差异。结果51岁以上女性MS患者腰围/身高低于男性患者（P＜0.05）。各年龄组女性MS患者脂肪百分比含量大于男性患者（P＜0.01）。女性MS患者的瘦体质小于男性患者（P＜0.01）。各年龄组女性患者能量摄入低于男性患者（P＜0.05）。21～30岁男性患者能量摄入高于其他年龄组同性患者（P＜0.05）。21～70岁男性患者能量摄入均高于71～80岁男性患者（P＜0.05）。结论加强疾病知识的教育，根据患者的腰围身高比、身体成分、能量摄入量及能量消耗量等自身特点建立能量负平衡，对MS的预防与控制具有重要的意义。ObjectiveTo study the characteristics in negative energy balance in different-aged patients with metabolic syndrome （MS） and come out with nursing countermeasures.Methods Twenty-four hour dietary data reviewing and the international physical activity questionnaire were used to investigate energy intake and consumption among 384 MS patients.The fat content,fat percentage and lean body mass were measured by the human body composition analyzer.Body mass index （BMI）,waist/height,fat percentage,lean body mass,energy intake and energy consumption were compared between different ages and sexes.Results In the group aged over 51 years,the waist/height of female MS patients was significantly smaller than their male counterparts （P〈0.05）.For all groups of different ages,the percentage of fat in the female patients was significantly larger,their lean body mass was less（P〈0.01）, their intake of energy was significantly lower than that of the males （P〈0.05）.The intake of energy among the male patients at the group aged 21~30was significantly larger than the males of other age groups and so it was with the energy intake of the males aged 21-70 years as compared to the males aged 71~80 years （P〈0.05）.Conclusion Education on disease knowledge should be strengthened among healthy people so as to realize the negative energy balance based on the rate of waist/height,body composition,energy intake and energy consumption,which is of great significance for the prevention and control of metabolic syndromes.

关 键 词：代谢综合征 能量负平衡 护理 

分 类 号：R473.5[医药卫生—护理学]