北京市房山区张坊村高血压患者营养素摄入比例对握力的影响及机制研究

发布时间：2018-02-13 06:36

本文关键词： 高血压握力膳食 C反应蛋白质体脂肪率　出处：《中国全科医学》2017年03期 　论文类型：期刊论文

【摘要】：目的探讨北京市房山区张坊村高血压患者营养素摄入比例对握力的影响及其可能的机制。方法2014年5月首都医科大学附属北京友谊医院营养科对北京市房山区张坊村村民进行义诊,按照入选标准最终选择69例高血压患者作为研究对象。检测其身体指标〔包括体质指数(BMI)、体脂肪(BF)、腰臀比(WHR)、上臂肌围(AMC)〕;应用握力计测量研究对象双手握力;记录饮酒、吸烟、活动情况、睡眠等;应用24 h膳食回顾法调查村民营养摄入情况〔包括碳水化合物摄入比例(CHO%)、蛋白质摄入比例(PRO%)、脂肪摄入比例(FAT%)〕;抽取空腹静脉血,检测超敏C反应蛋白(hs-CRP)。结果 CHO%与hs-CRP呈正相关(P0.05),PRO%、FAT%与hs-CRP呈负相关(P0.05)。CHO%与BF呈正相关(P0.05),与AMC呈负相关(P0.05);PRO%与BF呈负相关(P0.05),与AMC呈正相关(P0.05)。hs-CRP与左手握力呈负相关(P0.05),与右手握力呈负相关(P0.05)。身体指标中BF与握力呈负相关(P0.05),AMC与握力呈正相关(P0.05)。结论在高血压患者中,CHO%和PRO%可能通过改变机体炎性反应程度及人体成分这两个途径共同影响握力。改善饮食模式,增加PRO%,适当降低CHO%,可以减轻机体炎性反应,降低BF,增加肌肉含量,提高肌力,提高生活质量。
[Abstract]:Objective to investigate the effect of nutrient intake ratio on grip strength of hypertensive patients in Zhangfang Village, Fangshan District, Beijing, and its possible mechanism. Methods in May 2014, nutrition department of Beijing Friendship Hospital affiliated to Capital University of Medical Sciences treated Fangshan District of Beijing. The villagers of Zhangfang Village conducted free consultations. According to the selected criteria, 69 patients with hypertension were selected as the study subjects. The body indexes (including body mass index (BMI), body fat (BFF), waist to hip ratio (WHR), arm muscle circumference (AMC)) were determined. The grip strength of both hands was measured by gripping force meter, and drinking and smoking were recorded. Activities, sleep and so on; 24 h dietary review method was used to investigate the nutritional intake of villagers (including carbohydrate intake ratio, protein intake ratio and fat intake ratio); fasting venous blood was drawn. Results Cho% was positively correlated with hs-CRP, P 0.05% with hs-CRP, P 0.05% with hs-CRP, P 0.05% with AMC, P 0.05% with BF, P 0.05% with AMC, P 0.05% with AMC, P 0.05% with left hand and P 0.05 with right hand grip strength, P 0.05% with AMC, P 0.05% with AMC, P 0.05% with hs-CRP, P 0.05% with hs-CRP, P 0.05% with AMC, P 0.05% with AMC, P 0.05% with hs-CRP, P 0.05 with right hand grip, P 0.05% with AMC, P 0.05% with AMC. In body indexes, BF and grip strength were negatively correlated with grip strength. Conclusion in patients with hypertension, CHO% and PRO% may affect grip by changing the degree of inflammatory reaction and composition of human body. Improve dietary patterns, Increasing PROB and reducing Cho properly can reduce inflammatory reaction, decrease BF, increase muscle content, improve muscle strength and improve quality of life.
【作者单位】：首都医科大学附属北京友谊医院营养科;
【分类号】：R544.1

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