静息能量消耗测定在老年慢病人群中的应用
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摘要
人体每日能量消耗的精确测定有助于个体化营养治疗方案的制定,防止出现营养过剩或营养不良,使营养治疗受益最大化。影响静息能量消耗的因素有很多,如体型与机体构成、性别、年龄、疾病、环境条件等,本文主要对静息能量消耗测定在不同慢病时期老年人群中的临床应用加以综述。
Accurate energy consumption is a helpful indicator for guiding individualized nutrition support,preventing malnutrition or overnutrition, and achieving the best benefits of nutritional therapy. There are many factors influencing the resting energy expenditure,such as body composition, gender, age, disease and environmental conditions. In this paper, we reviewed the clinical application of resting energy expenditure measurement for the elderly at the different stages of chronic diseases.
Accurate energy consumption is a helpful indicator for guiding individualized nutrition support,preventing malnutrition or overnutrition, and achieving the best benefits of nutritional therapy. There are many factors influencing the resting energy expenditure,such as body composition, gender, age, disease and environmental conditions. In this paper, we reviewed the clinical application of resting energy expenditure measurement for the elderly at the different stages of chronic diseases.
引文
[1]焦广宇,蒋卓勤.临床营养学[M].北京:人民卫生出版社,2016:2.Jiao GY,Jiang ZQ.Clinical Nutrition[M].Beijing:People's Medical Publishing House,2016:2.
[2]饶志勇,伍晓汀,胡雯.健康成人公式预测法与间接测热法测定静息能量消耗的差异[J].中国组织工程研究与临床康复,2010,14(46):8707-8711.DOI:10.3969/j.issn.1673-8225.2010.46.038.Rao ZY,Wu XT,Hu W.Difference between predictive and measured resting energy expenditure in healthy subjects[J].J Clin Rehabil Tissue Eng Res,2010,14(46):8707-8711.DOI:10.3969/j.issn.1673-8225.2010.46.038.
[3]李杨.间接能量代谢测定仪的临床应用[J].肠外与肠内营养,2012,19(2):118-120.DOI:10.3969/j.issn.1007-810X.2012.02.017.Li Y.Indirect calorimetry in clinical practice[J].Parenter Enter Nutr,2012,19(2):118-120.DOI:10.3969/j.issn.1007-810X.2012.02.017.
[4]刘思彤,王新颖,彭南海.间接能量代谢的监测与护理[J].肠外与肠内营养,2015,22(1):63-64.DOI:10.16151/j.1007-810x.2015.01.019.Liu ST,Wang XY,Peng NH.Monitoring and nursing of indirect energy metabolism[J].Parenter Enter Nutr,2015,22(1):63-64.DOI:10.16151/j.1007-810x.2015.01.019.
[5]韩超,吴玉泉,张金鹏.高龄患者静息能量消耗的初步研究[J].中国实用医药,2015,10(28):103-105.DOI:10.14163/j.cnki.11-5547/r.2015.28.072.Han C,Wu YQ,Zhang JP.Preliminary study on resting energy expenditure of elderly patients[J].China Prac Med,2015,10(28):103-105.DOI:10.14163/j.cnki.11-5547/r.2015.28.072.
[6]胡雯.医疗膳疗学[M].北京:人民卫生出版社,2017:510.Hu W.Medical Diet[M].Beijing:People's Medical Publishing House,2017:510.
[7]王蓉,范利,胡亦新.肌肉减少症与炎性细胞因子的研究进展[J].中华保健医学杂志,2014,16(6):491-496.DOI:10.3969/.issn.1674-3245.2014.06.032.Wang R,Fan L,Hu YX.The research progress of sarcopenia and inflammatory cytokines[J].Chin J Health Care Med,2014,16(6):491-496.DOI:10.3969/.issn.1674-3245.2014.06.032.
[8]程博,汪明芳,孙明晓,等.不同性别成年人静息代谢率的比较及其影响因素分析[C].第十四届全国临床营养学术会议资料汇编,2014:210-211.Cheng B,Wang MF,Sun MX,et al.The comparison of resting metabolic rate between different gender adults and its influencing factor analysis[C].Data Compilation of the 14th National Conference on Clinical Nutrition,2014:210-211.
[9]中国抗癌协会肿瘤营养与支持治疗专业委员会.肌肉减少症营养治疗指南[J].肿瘤代谢与营养电子杂志,2015,2(3):32-36.Committee of Cancer Nutrition and Supportive Care of Chinese Cancer Society.The nutritionl therapy guide for sarco penia[J].Electron J Metab Nutr Cancer,2015,2(3):32-36.
[10]王世涛,李静.不同体重中老年人太极拳锻炼的能量消耗[J].中国老年学杂志,2013,33(20):5158-5159.DOI:10.3969/j.issn.1005-9202.2013.20.112.Wang ST,Li J.Energy expenditure of taijiquan exercise in different weight of the elderly[J].Chin J Gerontol,2013,33(20):5158-5159.DOI:10.3969/j.issn.1005-9202.2013.20.112.
[11]孙菁,刘英华,黄慧,等.高血压患者静息能量消耗变化及影响因素分析[J].解放军医学院学报,2016,37(1):39-42.DOI:10.3969/j.issn.2095-5227.2016.01.011.Sun J,Liu YH,Huang H,et al.Changes and influencing factors of resting energy expenditure in patients with hypertension[J].Acad J Chin PLA Med Sch,2016,37(1):39-42.DOI:10.3969/j.issn.2095-5227.2016.01.011.
[12]黄镇河,吕术昕,黎丽萍,等.血糖稳定的2型糖尿病患者的静息能量消耗[J].中华临床营养杂志,2010,18(5):284-288.DOI:10.3760/cma.j.issn.1674-635X.2010.05.007.Huang ZH,Lyu SX,Li LP,et al.Resting energy expenditure in patients with well controlled type 2 diabetes mellitus[J].Chin J Clin Nutr,2010,18(5):284-288.DOI:10.3760/cma.j.issn.1674-635X.2010.05.007.
[13]Lupinsky L,Singer P,Theilla M,et al.Comparison between two metabolic monitors in the measurement of resting energy expenditure and oxygen consumption in diabetic and non-diabetic ambulatory and hospitalized patients[J].Nutrition,2015,31(1):176-179.DOI:10.1016/j.nut.2014.07.013.
[14]韩明明,齐玉梅,孙学丽,等.2型糖尿病患者的静息能量消耗及底物氧化利用研究[J].天津医科大学学报,2011,17(2):255-258.DOI:10.3969/j.issn.1006-8147.2011.02.035.Han MM,Qi YM,Sun XL,et al.Resting energy expenditure and substrate utilization of protein,fat and carbohydrate in type 2diabetic patients[J].J Tianjin Med Univ,2011,17(2):255-258.DOI:10.3969/j.issn.1006-8147.2011.02.035.
[15]Ikeda K,Fujimoto S,Goto M,et al.Impact of endogenous and exogenous insulin on basal energy expenditure in patients with type2 diabetes under standard treatment[J].Am J Clin Nutr,2011,94(6):1513-1518.DOI:10.3945/ajcn.111.017889.
[16]Tan TM,Field BC,McCullough KA,et al.Coadministration of glucagon-like peptide-1 during glucagon infusion in humans results in increased energy expenditure and amelioration of hyperglycemia[J].Diabetes,2013,62(4):1131-1138.DOI:10.2337/db12-0797.
[17]Ikeda K,Fujimoto S,Goto M,et al.A new equation to estimate basal energy expenditure of patients with diabetes[J].Clin Nutr,2013,32(5):777-782.DOI:10.1016/j.clnu.2012.11.017.
[18]宗敏,孙建琴,张鑫毅,等.中老年糖尿病患者的静息能量消耗[J].重庆医学,2012,41(29):3086-3088.DOI:10.3969/j.issn.1671-8348.2012.29.028.Zong M,Sun JQ,Zhang XY,et al.The resting energy expenditure of middle-aged and elderly diabetics[J].Chongqing Med,2012,41(29):3086-3088.DOI:10.3969/j.issn.1671-8348.2012.29.028.
[19]梅克文,狄文娟,孙春梅,等.能量代谢测定指导老年卧床鼻饲患者合理营养的临床观察[J].中华老年医学杂志,2015,34(12):1354-1356.DOI:10.3760/cma.j.issn.0254-9026.2015.12.020.Mei KW,Di WJ,Sun CM,et al.Clinical significance of measuring resting energy expenditure for guiding an accurate nutritional support in elderly bedridden patients with nasal feeding[J].Chin J Geriatr,2015,34(12):1354-1356.DOI:10.3760/cma.j.issn.0254-9026.2015.12.020.
[20]张玉芹.稳定期COPD患者静息能量消耗和营养指标分析[J].当代医学,2015,21(3):374-375.DOI:10.3969/j.issn.1009-4393.2015.3.064.Zhang YQ.Analysis of resting energy consumption and nutrition index in patients with stable chronic obstructive pulmonary disease[J].Contemp Med,2015,21(3):374-375.DOI:10.3969/j.issn.1009-4393.2015.3.064.
[21]范旻,姚俊英,孙吉祥,等.机械通气危重症患者静息能量消耗测定及相关因素分析[J].中华临床营养杂志,2016,20(3):173-175.DOI:10.3760/cma.j.issn.1674-635X.2012.03.009.Fan M,Yao JY,Sun JX,et al.The resting energy expenditure measurement in ventilated critically ill patients and the analysis of related factors[J].Chin J Clin Nutr,2016,20(3):173-175.DOI:10.3760/cma.j.issn.1674-635X.2012.03.009.
[22]黄镇河,毛艳芳,徐明明,等.老年人静息能量消耗与心血管事件发生的相关性[J].广东医学,2015,36(22):3504-3506.Huang ZH,Mao YF,Xu MM,et al.The correlation between the resting energy expenditure of the elderly and the occurrence of cardiovascular events[J].Guangdong Med J,2015,36(22):3504-3506.
[23]李惠子,刘英华,张荣欣,等.老年胃肠道肿瘤患者静息能量代谢特点[J].军医进修学院学报,2011,32(1):41-43.Li HZ,Liu YH,Zhang RX,et al.Features of resting energy expenditure in elderly patients with gastrointestinal cancer[J].Acad J Chin PLA Postgrad Med Sch,2011,32(1):41-43.
[24]王玉侠,王人卫.恶性肿瘤患者静息能量代谢研究现状[J].中华临床营养杂志,2011,19(1):47-50.DOI:10.3760/cma.j.issn.1674-635X.2011.01.011.Wang YX,Wang RW.Resting energy expenditure in patients with malignant tumors[J].Chin J Clin Nutr,2011,19(1):47-50.DOI:10.3760/cma.j.issn.1674-635X.2011.01.011.
[25]de Jonge L,DeLany JP,Nguyen T,et al.Validation study of energy expenditure and intake during calorie restriction using doubly labeled water and changes in body composition[J].Am J Clin Nutr,2007,85(1):73-79.
[26]Barcel6 M,Torres O,MascaróJ,et al.Assessing nutritional status in the elderly evaluation of chumlea equations for weight[J].Nutr Hosp,2013,28(2):314-318.DOI:10.3305/nh.2013.28.2.6320.
[2]饶志勇,伍晓汀,胡雯.健康成人公式预测法与间接测热法测定静息能量消耗的差异[J].中国组织工程研究与临床康复,2010,14(46):8707-8711.DOI:10.3969/j.issn.1673-8225.2010.46.038.Rao ZY,Wu XT,Hu W.Difference between predictive and measured resting energy expenditure in healthy subjects[J].J Clin Rehabil Tissue Eng Res,2010,14(46):8707-8711.DOI:10.3969/j.issn.1673-8225.2010.46.038.
[3]李杨.间接能量代谢测定仪的临床应用[J].肠外与肠内营养,2012,19(2):118-120.DOI:10.3969/j.issn.1007-810X.2012.02.017.Li Y.Indirect calorimetry in clinical practice[J].Parenter Enter Nutr,2012,19(2):118-120.DOI:10.3969/j.issn.1007-810X.2012.02.017.
[4]刘思彤,王新颖,彭南海.间接能量代谢的监测与护理[J].肠外与肠内营养,2015,22(1):63-64.DOI:10.16151/j.1007-810x.2015.01.019.Liu ST,Wang XY,Peng NH.Monitoring and nursing of indirect energy metabolism[J].Parenter Enter Nutr,2015,22(1):63-64.DOI:10.16151/j.1007-810x.2015.01.019.
[5]韩超,吴玉泉,张金鹏.高龄患者静息能量消耗的初步研究[J].中国实用医药,2015,10(28):103-105.DOI:10.14163/j.cnki.11-5547/r.2015.28.072.Han C,Wu YQ,Zhang JP.Preliminary study on resting energy expenditure of elderly patients[J].China Prac Med,2015,10(28):103-105.DOI:10.14163/j.cnki.11-5547/r.2015.28.072.
[6]胡雯.医疗膳疗学[M].北京:人民卫生出版社,2017:510.Hu W.Medical Diet[M].Beijing:People's Medical Publishing House,2017:510.
[7]王蓉,范利,胡亦新.肌肉减少症与炎性细胞因子的研究进展[J].中华保健医学杂志,2014,16(6):491-496.DOI:10.3969/.issn.1674-3245.2014.06.032.Wang R,Fan L,Hu YX.The research progress of sarcopenia and inflammatory cytokines[J].Chin J Health Care Med,2014,16(6):491-496.DOI:10.3969/.issn.1674-3245.2014.06.032.
[8]程博,汪明芳,孙明晓,等.不同性别成年人静息代谢率的比较及其影响因素分析[C].第十四届全国临床营养学术会议资料汇编,2014:210-211.Cheng B,Wang MF,Sun MX,et al.The comparison of resting metabolic rate between different gender adults and its influencing factor analysis[C].Data Compilation of the 14th National Conference on Clinical Nutrition,2014:210-211.
[9]中国抗癌协会肿瘤营养与支持治疗专业委员会.肌肉减少症营养治疗指南[J].肿瘤代谢与营养电子杂志,2015,2(3):32-36.Committee of Cancer Nutrition and Supportive Care of Chinese Cancer Society.The nutritionl therapy guide for sarco penia[J].Electron J Metab Nutr Cancer,2015,2(3):32-36.
[10]王世涛,李静.不同体重中老年人太极拳锻炼的能量消耗[J].中国老年学杂志,2013,33(20):5158-5159.DOI:10.3969/j.issn.1005-9202.2013.20.112.Wang ST,Li J.Energy expenditure of taijiquan exercise in different weight of the elderly[J].Chin J Gerontol,2013,33(20):5158-5159.DOI:10.3969/j.issn.1005-9202.2013.20.112.
[11]孙菁,刘英华,黄慧,等.高血压患者静息能量消耗变化及影响因素分析[J].解放军医学院学报,2016,37(1):39-42.DOI:10.3969/j.issn.2095-5227.2016.01.011.Sun J,Liu YH,Huang H,et al.Changes and influencing factors of resting energy expenditure in patients with hypertension[J].Acad J Chin PLA Med Sch,2016,37(1):39-42.DOI:10.3969/j.issn.2095-5227.2016.01.011.
[12]黄镇河,吕术昕,黎丽萍,等.血糖稳定的2型糖尿病患者的静息能量消耗[J].中华临床营养杂志,2010,18(5):284-288.DOI:10.3760/cma.j.issn.1674-635X.2010.05.007.Huang ZH,Lyu SX,Li LP,et al.Resting energy expenditure in patients with well controlled type 2 diabetes mellitus[J].Chin J Clin Nutr,2010,18(5):284-288.DOI:10.3760/cma.j.issn.1674-635X.2010.05.007.
[13]Lupinsky L,Singer P,Theilla M,et al.Comparison between two metabolic monitors in the measurement of resting energy expenditure and oxygen consumption in diabetic and non-diabetic ambulatory and hospitalized patients[J].Nutrition,2015,31(1):176-179.DOI:10.1016/j.nut.2014.07.013.
[14]韩明明,齐玉梅,孙学丽,等.2型糖尿病患者的静息能量消耗及底物氧化利用研究[J].天津医科大学学报,2011,17(2):255-258.DOI:10.3969/j.issn.1006-8147.2011.02.035.Han MM,Qi YM,Sun XL,et al.Resting energy expenditure and substrate utilization of protein,fat and carbohydrate in type 2diabetic patients[J].J Tianjin Med Univ,2011,17(2):255-258.DOI:10.3969/j.issn.1006-8147.2011.02.035.
[15]Ikeda K,Fujimoto S,Goto M,et al.Impact of endogenous and exogenous insulin on basal energy expenditure in patients with type2 diabetes under standard treatment[J].Am J Clin Nutr,2011,94(6):1513-1518.DOI:10.3945/ajcn.111.017889.
[16]Tan TM,Field BC,McCullough KA,et al.Coadministration of glucagon-like peptide-1 during glucagon infusion in humans results in increased energy expenditure and amelioration of hyperglycemia[J].Diabetes,2013,62(4):1131-1138.DOI:10.2337/db12-0797.
[17]Ikeda K,Fujimoto S,Goto M,et al.A new equation to estimate basal energy expenditure of patients with diabetes[J].Clin Nutr,2013,32(5):777-782.DOI:10.1016/j.clnu.2012.11.017.
[18]宗敏,孙建琴,张鑫毅,等.中老年糖尿病患者的静息能量消耗[J].重庆医学,2012,41(29):3086-3088.DOI:10.3969/j.issn.1671-8348.2012.29.028.Zong M,Sun JQ,Zhang XY,et al.The resting energy expenditure of middle-aged and elderly diabetics[J].Chongqing Med,2012,41(29):3086-3088.DOI:10.3969/j.issn.1671-8348.2012.29.028.
[19]梅克文,狄文娟,孙春梅,等.能量代谢测定指导老年卧床鼻饲患者合理营养的临床观察[J].中华老年医学杂志,2015,34(12):1354-1356.DOI:10.3760/cma.j.issn.0254-9026.2015.12.020.Mei KW,Di WJ,Sun CM,et al.Clinical significance of measuring resting energy expenditure for guiding an accurate nutritional support in elderly bedridden patients with nasal feeding[J].Chin J Geriatr,2015,34(12):1354-1356.DOI:10.3760/cma.j.issn.0254-9026.2015.12.020.
[20]张玉芹.稳定期COPD患者静息能量消耗和营养指标分析[J].当代医学,2015,21(3):374-375.DOI:10.3969/j.issn.1009-4393.2015.3.064.Zhang YQ.Analysis of resting energy consumption and nutrition index in patients with stable chronic obstructive pulmonary disease[J].Contemp Med,2015,21(3):374-375.DOI:10.3969/j.issn.1009-4393.2015.3.064.
[21]范旻,姚俊英,孙吉祥,等.机械通气危重症患者静息能量消耗测定及相关因素分析[J].中华临床营养杂志,2016,20(3):173-175.DOI:10.3760/cma.j.issn.1674-635X.2012.03.009.Fan M,Yao JY,Sun JX,et al.The resting energy expenditure measurement in ventilated critically ill patients and the analysis of related factors[J].Chin J Clin Nutr,2016,20(3):173-175.DOI:10.3760/cma.j.issn.1674-635X.2012.03.009.
[22]黄镇河,毛艳芳,徐明明,等.老年人静息能量消耗与心血管事件发生的相关性[J].广东医学,2015,36(22):3504-3506.Huang ZH,Mao YF,Xu MM,et al.The correlation between the resting energy expenditure of the elderly and the occurrence of cardiovascular events[J].Guangdong Med J,2015,36(22):3504-3506.
[23]李惠子,刘英华,张荣欣,等.老年胃肠道肿瘤患者静息能量代谢特点[J].军医进修学院学报,2011,32(1):41-43.Li HZ,Liu YH,Zhang RX,et al.Features of resting energy expenditure in elderly patients with gastrointestinal cancer[J].Acad J Chin PLA Postgrad Med Sch,2011,32(1):41-43.
[24]王玉侠,王人卫.恶性肿瘤患者静息能量代谢研究现状[J].中华临床营养杂志,2011,19(1):47-50.DOI:10.3760/cma.j.issn.1674-635X.2011.01.011.Wang YX,Wang RW.Resting energy expenditure in patients with malignant tumors[J].Chin J Clin Nutr,2011,19(1):47-50.DOI:10.3760/cma.j.issn.1674-635X.2011.01.011.
[25]de Jonge L,DeLany JP,Nguyen T,et al.Validation study of energy expenditure and intake during calorie restriction using doubly labeled water and changes in body composition[J].Am J Clin Nutr,2007,85(1):73-79.
[26]Barcel6 M,Torres O,MascaróJ,et al.Assessing nutritional status in the elderly evaluation of chumlea equations for weight[J].Nutr Hosp,2013,28(2):314-318.DOI:10.3305/nh.2013.28.2.6320.