PDF(Pubmed)
Abstract：
Systematic detection of risky nutrition behaviors after sports surgery may better promote healing for return-to-sport. The purpose of this study was to assess nutritional behavior differences between patients following anterior cruciate ligament reconstruction (ACLR) and following other lower-extremity orthopedic surgeries. One pediatric sports medicine center was reviewed for a custom Sports Nutrition Assessment for Consultation, which investigates nutrition-related risk factors for youth athletes at their first post-operative visit. Patients reported \"Yes\" or \"No\" to eight questions, after which they were offered a nutrition consultation for any response indicating risk. A total of 243 post-ACLR and 242 non-ACLR patients were reviewed. The post-ACLR patients more often reported a change in appetite (p = 0.021), recent weight changes (p = 0.011), a desire to better understand nutrition (p = 0.004), and recommendations to change their body composition (p = 0.032). More post-ACLR patients were identified for a nutrition consultation (p = 0.002), though an equal percentage accepted the consultation between groups. Age and sex were not determined to be significant confounders after matched sub-analysis. The post-ACLR patients more often reported nutrition risks, specifically weight-related issues, regardless of age or sex. Sports surgeons should regularly inquire about nutrition-related concerns with patients and refer to sports dietitians for recovery nutrition support as needed, particularly after ACLR.
摘要：
运动手术后对危险营养行为的系统检测可以更好地促进恢复运动的愈合。这项研究的目的是评估前交叉韧带重建（ACLR）和其他下肢骨科手术后患者之间的营养行为差异。一家儿科运动医学中心接受了定制的运动营养评估咨询，该研究调查了青年运动员术后首次访视时的营养相关危险因素。患者对八个问题报告“是”或“否”，之后，为他们提供了营养咨询，以了解任何表明风险的反应。总共对243例ACLR后患者和242例非ACLR患者进行了回顾。ACLR后患者更常报告食欲变化（p=0.021），最近的体重变化(p=0.011)，希望更好地了解营养（p=0.004），并建议改变他们的身体成分（p=0.032）。确定了更多的ACLR后患者进行营养咨询（p=0.002），虽然有同等比例的人接受了团体之间的协商。在匹配的亚分析后，年龄和性别未被确定为显著的混杂因素。ACLR后患者更经常报告营养风险，特别是体重相关的问题，无论年龄或性别。运动外科医生应定期向患者询问与营养有关的问题，并根据需要向运动营养师咨询恢复营养支持，特别是在ACLR之后。
