背景:与非截肢者相比,下肢截肢者患心血管疾病的风险更高。膳食摄入量,心血管疾病风险的主要决定因素,以前没有在这个组中研究过。
目的:本研究的目的是调查成人下肢截肢者的膳食摄入量和超重/肥胖的患病率。
方法:采用横断面调查方法,调查生活在英国的下肢截肢成人的饮食摄入和超重/肥胖的患病率。
方法:使用食物频率问卷评估成年男性下肢截肢者(n=46,非血管障碍)的饮食摄入量,并将结果与英国的饮食参考值进行比较。根据2011年英国健康调查,通过体重指数和腰臀比评估超重/肥胖的患病率,并与普通人群进行比较。
结果:饮食摄入心血管疾病的危险因素,如糖(22.01%),总脂肪(34.87%),饱和脂肪(12.72%)和钠(2660.10mg/天)显著高于饮食参考值(分别为p<0.001,p<0.001,p=0.043,p<0.001;p<0.001).与2011年英国健康调查相比,超重/肥胖的患病率很高(82.8%),体重指数和腰臀比明显更高(p=0.027;p=0.001;分别)。
结论:高糖摄入量,膳食脂肪,糖和盐,在下肢截肢者中观察到的超重/肥胖的高患病率令人担忧。这些发现表明,康复计划应考虑更加重视饮食摄入。
结论:研究结果突出了下肢截肢者在脂肪方面的不良饮食习惯,糖和盐的摄入量,超重/肥胖也很高。考虑到在下肢截肢者的康复计划中更加重视饮食摄入并包括改变生活方式的干预措施,可能会降低肥胖和心血管疾病的风险。
BACKGROUND: Lower limb amputees are at higher risk of cardiovascular disease compared to non-amputees. Dietary intake, a major determinant of cardiovascular disease risk, has not previously been studied in this group.
OBJECTIVE: The aim of this study was to investigate dietary intakes and prevalence of overweight/obesity in adult lower limb amputees.
METHODS: A cross-sectional survey was used to investigate the dietary intake and prevalence of overweight/obesity in adults with lower limb amputations living in the United Kingdom.
METHODS: Dietary intakes of male adult lower limb amputees ( n = 46, non-dysvascular) were assessed using food frequency questionnaires and results were compared to dietary reference values in the United Kingdom. Prevalence of overweight/obesity was assessed through body mass index and waist-to-hip ratio and compared to the general population according to the Health Survey for England 2011.
RESULTS: Dietary intake risk factors for cardiovascular disease such as sugars (22.01%), total fat (34.87%), saturated fat (12.72%) and sodium (2660.10 mg/day) were significantly higher ( p < 0.001, p < 0.001, p = 0.043, p < 0.001; p < 0.001; respectively) than the dietary reference values. A high prevalence (82.8%) of overweight/obesity was found with a significantly higher body mass index and waist-to-hip ratio ( p = 0.027; p = 0.001; respectively) compared to the Health Survey for England 2011.
CONCLUSIONS: High intakes of sugars, dietary fats, sugars and salts, combined with high prevalence of overweight/obesity observed in lower limb amputees are concerning. These findings suggest that greater emphasis on dietary intakes should be considered for rehabilitation programmes.
CONCLUSIONS: Findings highlight poor dietary habits in lower limb amputees with respect to fat, sugar and salt intake, also high levels of overweight/obesity. Considering greater emphasis on dietary intake and including lifestyle changing interventions in rehabilitation programmes for lower limb amputees may lower the risk of obesity and CVD.