河北医科大学学报 ›› 2024, Vol. 45 ›› Issue (8): 968-973.doi: 10.3969/j.issn.1007-3205.2024.08.018

• • 上一篇    下一篇

人体成分分析在住院精神疾病患者营养诊断中的应用研究

  

  1. 河北医科大学第一医院临床营养科,河北省营养与健康重点实验室,河北 石家庄 050031

  • 出版日期:2024-08-25 发布日期:2024-09-04
  • 作者简介:宋世明(1995-),男,河北巨鹿人,河北医科大学第一医院主治医师,医学硕士,从事临床营养学研究。
  • 基金资助:
    “十三五”国家科技支撑计划——国家重点研发计划项目(2019YFC1606400);河北省引进国外智力项目(YZ202307)

The study of application of body composition analysis in nutritional diagnosis of hospitalized mental patients

  1. Department of Clinical Nutrition, the First Hospital of Hebei Medical University/Hebei Province Key 
    Laboratory of Nutrition and Health,  Shijiazhuang 050031, China

  • Online:2024-08-25 Published:2024-09-04

摘要: 目的 探讨人体成分分析在住院精神疾病患者营养诊断中的作用。
方法 纳入住院精神疾病患者100例为病例组,同时招募与病例组年龄、性别等相匹配的健康者100例为对照组。利用生物电阻抗技术进行人体成分检测,并对比分析各组的检测结果。
结果 病例组男性与女性的身体质量指数(21.05 vs. 24.30;18.40 vs.23.30)、蛋白质(9.40 vs.10.70;6.85 vs.7.95)、无机盐(3.02  vs. 3.74;2.48vs.2.94)、骨矿物质含量(2.46 vs. 3.10;2.05 vs. 2.47)、上臂围度(28.85 vs. 31.10;25.05 vs. 28.60)、相位角(4.95 vs. 6.00;4.70 vs. 5.19)、身体细胞量(24.65 vs. 35.45;24.50 vs. 26.45)、细胞内水分比率(0.61 vs. 0.62;0.61 vs. 0.62)、去脂体重(38.25 vs. 53.95;38.05 vs. 40.75)、骨骼肌质量(20.45 vs. 30.30;20.30 vs. 22.10)、无脂肪质量指数(14.39 vs. 18.80;14.57 vs. 15.70)、骨骼肌质量指数(7.58 vs. 10.50;7.78 vs. 8.55)及身体脂肪量(11.45 vs. 15.60;12.60 vs.17.95)分别低于对照组(P<0.05),而细胞外水分比率(0.39 vs. 0.38;0.39 vs. 0.38)高于对照组(P<0.05);病例组与对照组中,男性与女性的相位角与细胞内水分、细胞内外水分比率、蛋白质、骨骼肌质量及身体细胞量均呈正相关(P<0.05)。
结论 病例组男性与女性的人体成分分析结果较对照组差,因此可用于住院精神疾病患者的营养诊断。


关键词: 精神病性障碍, 人体成分分析, 相位角

Abstract: Objective To investigate the role of body composition analysis in the nutritional diagnosis of hospitalized mental patients. 
Methods A total of 100 hospitalized mental patients were enrolled as the case group, and 100 age- and gender-matched healthy individuals were recruited as the control group. Bioelectrical impedance analysis was used to detect body composition, and the test results of each group were compared. 
Results The body mass index (BMI) (21.05 vs. 24.30; 18.40 vs. 23.30), protein (9.40 vs. 10.70; 6.85 vs. 7.95), minerals (3.02 vs. 3.74; 2.48 vs. 2.94), bone mineral content (2.46 vs. 3.10; 2.05 vs. 2.47), arm circumference (28.85 vs. 31.10; 25.05 vs. 28.60), phase angle (4.95 vs. 6.00; 4.70 vs. 5.19), body cell mass (24.65 vs. 35.45; 24.50 vs. 26.45), intracellular water (ICW) ratio (0.61 vs. 0.62; 0.61 vs. 0.62), fat-free mass (FFM) (38.25 vs. 53.95; 38.05 vs. 40.75), skeletal muscle mass (20.45 vs. 30.30; 20.30 vs. 22.10), FFM index (14.39 vs. 18.80; 14.57 vs. 15.70), skeletal muscle mass index (7.58 vs. 10.50; 7.78 vs. 8.55) and body fat mass (11.45 vs. 15.60; 12.60 vs. 17.95) in the case group were lower than those in the control group (P<0.05), while the extracellular water ratio (0.39 vs. 0.38; 0.39 vs. 0.38) was higher than that in the control group (P<0.05). In case and control groups, the phase angles of men and women were positively correlated with ICW, ICW ratio, protein, skeletal muscle mass and body cell mass (P<0.05). 
Conclusion The body composition analysis results of men and women in the case group are worse than those in the control group; therefore, it can be used for the nutritional diagnosis of hospitalized mental patients. 


Key words: psychotic disorders, body composition analysis, phase angles