目的:分析血清脂联素浓度与血清脂联素浓度的关系,坚持地中海饮食(MD),脊髓损伤(SCI)患者停止高血压(DASH)饮食依从性的饮食方法。患者和方法:33例SCI患者(21例男性,12名女性;平均年龄:33岁;范围,18至65岁)和33岁-,sex-,和体重指数匹配的健康对照(21名男性,12名女性;平均年龄:33岁;范围,18至64岁)被纳入2021年3月至2022年3月之间的这项横断面研究。测量所有参与者的血清脂联素浓度。体重,高度,脖子,臀部,腰部,测量上臂中周度。研究人员获得了24小时的饮食记录,以评估营养状况。测量每个参与者的DASH饮食评分和MD评分。结果:大多数SCI病例是由于机动车碰撞(n=12,36.4%)和完全截瘫。中上臂周长,腰围,臀围,患者组颈围明显高于对照组(p=0.020,p=0.002,p=0.042,p<0.001)。患者组的地中海饮食评分和DASH饮食评分显著高于对照组(分别为p<0.001和p=0.031)。患者血清脂联素浓度明显高于对照组(p=0.049)。脂联素浓度之间没有检测到相关性,MD得分,和DASH饮食评分两组。结论:虽然目前研究中的相关性分析没有显示营养与脂联素浓度之间的显著关系,SCI患者的营养,如对MD和DASH的更高依从性所证明的,可能对脂联素浓度提供了积极的影响。未来的研究集中在健康饮食干预对血清脂联素浓度的影响是有必要的。
Objectives: The study aimed to analyze the relationship between serum
adiponectin concentration, Mediterranean diet (MD) adherence, and Dietary Approaches to Stop Hypertension (DASH) diet adherence in patients with spinal cord injury (SCI). Patients and methods: Thirty-three SCI patients (21 males, 12 females; median age: 33 years; range, 18 to 65 years) and 33 age-, sex-, and body mass index-matched healthy controls (21 males, 12 females; median age: 33 years; range, 18 to 64 years) were included in this cross-sectional study between March 2021 and March 2022. Serum
adiponectin concentrations of all participants were measured. Body weight, height, and neck, hip, waist, and mid-upper arm circumferences were measured. Twenty-four-hour dietary records were obtained by the researchers for evaluation of the nutritional status. The DASH diet score and MD score were measured for each participant. Results: Most of the cases of SCI were due to motor vehicle collisions (n=12, 36.4%) and complete paraplegic. Mid-upper arm circumference, waist circumference, hip circumference, and neck circumference of the patient group were significantly higher than the control group (p=0.020, p=0.002, p=0.042, and p<0.001, respectively). Mediterranean diet scores and DASH diet scores of the patient group were significantly higher than the control group (p<0.001 and p=0.031, respectively). Serum
adiponectin concentration of patients was significantly higher than the control group (p=0.049). No correlation was detected between
adiponectin concentration, MD score, and DASH diet score in both groups. Conclusion: Although correlation analysis in the current research did not show significant relation between nutrition and adiponectin concentrations, nutrition of patients with SCI, as demonstrated by higher adherence to MD and DASH, may have provided positive effects on adiponectin concentrations. Future studies focused on the effect of a healthy diet intervention on serum
adiponectin concentration is warranted.