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中国防痨杂志 ›› 2017, Vol. 39 ›› Issue (12): 1282-1285.doi: 10.3969/j.issn.1000-6621.2017.12.006

• 论著 • 上一篇    下一篇

2型糖尿病患者与其并发肺结核患者的膳食营养状况分析

吕和, 李雨泽, 闫雅更, 王婷, 侯绍英, 董凤丽   

  1. 150001 哈尔滨医科大学附属第一医院临床营养科(吕和、闫雅更、董凤丽),呼吸科(王婷);
    黑龙江省传染病防治院内四科(李雨泽);
    哈尔滨医科大学公共卫生学院营养与食品卫生学教研室(侯绍英)
  • 收稿日期:2017-09-16 修回日期:2018-01-10 出版日期:2017-12-10 发布日期:2018-01-11
  • 通信作者: 闫雅更,Email:13644511899@163.com
  • 基金资助:

    黑龙省卫生和计划生育委员会科研项目(2017-524)

Dietary nutritional status of patients with type 2 diabetes mellitus and those complicated with pulmonary tuberculosis

LYU He*, LI Yu-ze, YAN Ya-geng, WANG Ting, HOU Shao-ying, DONG Feng-li   

  1. *Department of Clinical Nutrition, First Affiliated Hospital of Harbin Medical University, Harbin 150001, China
  • Received:2017-09-16 Revised:2018-01-10 Online:2017-12-10 Published:2018-01-11
  • Contact: YAN Ya-geng, Email: 13644511899@163.com

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摘要： 目的 研究2型糖尿病(T2DM)患者与2型糖尿病并发肺结核(T2DM-PTB)患者膳食营养摄入状况,分析其膳食营养素摄入量存在的差异。方法 采用简化食物频率问卷(food frequency questionnaire,FFQ)法,对2017年1月至2017年7月在哈尔滨医科大学附属第一医院内分泌科住院的T2DM患者(140例),以及同时期在黑龙江省传染病防治院住院的T2DM-PTB患者(140例)进行膳食调查。结果 T2DM患者和T2DM-PTB患者能量摄入量(平均每天,以下同)分别为(8444.5±1507.1) kJ和(6424.9±2032.2) kJ(t=6.93,P=0.000);蛋白质的摄入量分别为(81.9±9.9) g和(57.3±18.5) g(t=9.78,P=0.000);脂肪摄入量分别为(63.2±35.7) g和(51.7±27.7) g(t=2.12,P=0.036);碳水化合物摄入量分别为(280.5±33.3) g和(210.3±40.3) g(t=11.23,P=0.000);铁的摄入量分别为(24.5±4.7) mg和(15.9±3.9) mg(t=11.80,P=0.000);锌的摄入量分别为(11.8±1.7) mg和(8.3±2.1) mg(t=10.93,P=0.000);硒的摄入量分别为(40.5±7.1) mg和(36.6±14.0) mg(t=2.07,P=0.041);钙的摄入量分别为(518.3±121.2) mg和(393.4±127.9) mg(t=5.93,P=0.000);维生素A的摄入量分别为(428.0±172.9) μg视黄醇当量(RE)和(346.8±145.5) μg RE(t=3.01,P=0.003);维生素D的摄入量分别为(1.9±0.9) μg和(3.8±4.5) μg(t=-3.19,P=0.001);维生素E的摄入量分别为(25.7±17.1) mg 和(18.7±12.5) mg(t=2.75,P=0.007);维生素B1的摄入量分别为(1.2±0.2) mg和(0.8±0.2) mg(t=10.92,P=0.005);维生素B2的摄入量分别为(0.9±0.1) mg和(0.7±0.3) mg(t=7.07,P=0.000);维生素B6的摄入量分别为(0.4±0.2) mg和(0.2±0.1) mg(t=8.28,P=0.000)。结论 T2DM-PTB患者膳食营养摄入状况较T2DM患者差;T2DM-PTB患者和T2DM患者均应增加富含各种维生素及微量元素食物的摄入。

关键词: 糖尿病,2型, 结核,肺, 共病现象, 膳食调查, 数据说明,统计

Abstract: Objective In order to study the dietary nutritional status of patients with type 2 diabetes mellitus (T2DM) and those complicated with pulmonary tuberculosis (T2DM-PTB),and to analyze the differences in dietary nutrient intake. Methods Using simplified Food Frequency Questionnaire (FFQ) method, a dietary survey was conducted in patients with T2DM (n=140) in the Department of Endocrinology, the First Affiliated Hospital of Harbin Medical University, and patients with T2DM-PTB (n=140) who were hospitalized in the Heilongjiang Province Infectious Disease Prevention and Treatment Hospital from January 2017 to July 2017. Results Energy intakes per day was (8444.5±1507.1) kJ in patients with T2DM and (6424.9±2032.2) kJ in patients with T2DM-PTB, respectively (t=6.93, P=0.000). The intake of protein was (81.9±9.9) g and (57.3±18.5) g, respectively (t=9.78, P=0.000). The intake of fat was (63.2±35.7) g and (51.7±27.7) g, respectively (t=2.12, P=0.036). Carbohydrate intake was (280.5±33.3) g and (210.3±40.3) g, respectively (t=11.23, P=0.000). The iron intake was (24.5±4.7) mg and (15.9±3.9) mg, respectively (t=11.80, P=0.000). The intake of zinc was (11.8±1.7) mg and (8.3±2.1) mg, respectively (t=10.93, P=0.000). The selenium intake was (40.5±7.1) mg and (36.6±14.0) mg, respectively (t=2.07, P=0.041). Calcium intake was (518.3±121.2) mg and (393.4±127.9) mg, respectively (t=5.93, P=0.000). Intake of vitamin A was (428.0±172.9) μg retinol equivalent (μg RE) and (346.8±145.5) μg RE, respectively (t=3.01, P=0.003). The intake of vitamin D was (1.9±0.9) μg and (3.8±4.5) μg, respectively (t=-3.19, P=0.001). The intake of vitamin E was (25.7±17.1) mg and (18.7±12.5) mg, respectively (t=2.75, P=0.007). The intake of vitamin B1 was (1.2±0.2) mg and (0.8±0.2) mg, respectively (t=10.92, P=0.005). The intake of vitamin B2 was (0.9±0.1) mg and (0.7±0.3) mg, respectively (t=7.07, P=0.000). The intake of vitamin B6 was (0.4±0.2) mg and (0.2±0.1) mg, respectively (t=8.28, P=0.000). Conclusion The dietary nutritional status of T2DM-PTB patients was worse than that of T2DM patients. Both T2DM-PTB and T2DM patients should increase the intake of foods rich in vitamins and trace elements.

Key words: Diabetes mellitus, type 2, Tuberculosis, pulmonary, Comorbidity, Diet surveys, Data interpretation, statistical

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