中国防痨杂志 ›› 2022, Vol. 44 ›› Issue (8): 855-859.doi: 10.19982/j.issn.1000-6621.20220140
刘晓童1,2, 王安素3, 蒋中艳3, 娄义姣1,2, 高奉琼1,2, 冯加义1,2, 夏同霞1,2()
收稿日期:
2022-04-18
出版日期:
2022-08-10
发布日期:
2022-08-03
通信作者:
夏同霞
E-mail:xtx0925@163.com
Liu Xiaotong1,2, Wang Ansu3, Jiang Zhongyan3, Lou Yijiao1,2, Gao Fengqiong1,2, Feng Jiayi1,2, Xia Tongxia1,2()
Received:
2022-04-18
Online:
2022-08-10
Published:
2022-08-03
Contact:
Xia Tongxia
E-mail:xtx0925@163.com
摘要:
我国是全球结核病负担第二大国家,营养不良对结核病的预后有着重大影响。当前,临床上有多种营养筛查和评估工具,为帮助临床工作人员选择合适的针对不同患者情况的营养评估工具,笔者就结核病常用的不同筛查评估工具的内容、适用范围、应用情况,以及各自的优点和限制进行综述。
中图分类号:
刘晓童, 王安素, 蒋中艳, 娄义姣, 高奉琼, 冯加义, 夏同霞. 结核病患者营养筛查和评估工具研究进展[J]. 中国防痨杂志, 2022, 44(8): 855-859. doi: 10.19982/j.issn.1000-6621.20220140
Liu Xiaotong, Wang Ansu, Jiang Zhongyan, Lou Yijiao, Gao Fengqiong, Feng Jiayi, Xia Tongxia. Research progress of nutrition screening and assessment tools for patients with tuberculosis[J]. Chinese Journal of Antituberculosis, 2022, 44(8): 855-859. doi: 10.19982/j.issn.1000-6621.20220140
[1] |
Jeremiah C, Petersen E, Nantanda R, et al. The WHO Global Tuberculosis 2021 Report-not so good news and turning the tide back to End TB. Int J Infect Dis, 2022: S1201-9712(22)00149-7. doi: 10.1016/j.ijid.2022.03.011.
doi: 10.1016/j.ijid.2022.03.011 |
[2] |
Sinha P, Lönnroth K, Bhargava A, et al. Food for thought: addressing undernutrition to end tuberculosis. Lancet Infect Dis, 2021, 21(10):e318-e325. doi: 10.1016/s1473-3099(20)30792-1.
doi: 10.1016/s1473-3099(20)30792-1 URL |
[3] |
杨雪蓝, 席淑新. 近10年我国人群营养风险筛查研究现状文献计量学分析. 解放军护理杂志, 2018, 35(21): 24-27. doi: 10.3969/j.issn.1008-9993.2018.21.006.
doi: 10.3969/j.issn.1008-9993.2018.21.006 |
[4] |
李娟, 周凡, 李玉肖, 等. 营养规范化诊疗培训对某院医护人员营养知识水平及营养干预行为的影响. 安徽医学, 2022, 43(3): 348-351. doi: 10.3969/j.issn.1000-0399.2022.03.023.
doi: 10.3969/j.issn.1000-0399.2022.03.023 |
[5] |
Yu EA, Finkelstein JL, Brannon PM, et al. Nutritional assessment among adult patients with suspected or confirmed active tuberculosis disease in rural India. PLoS One, 2020, 15(5): e0233306. doi: 10.1371/journal.pone.0233306.
doi: 10.1371/journal.pone.0233306 |
[6] |
Li Y, Yang F, Zhou H, et al. Clinical application of NRS—2002 in nutritional risk screening of tuberculosis inpatients. Ann Palliat Med, 2021, 10(5): 5322-5328. doi: 10.21037/apm-21-610.
doi: 10.21037/apm-21-610 URL |
[7] |
Feleke BE, Feleke TE, Biadglegne F. Nutritional status of tuberculosis patients, a comparative cross-sectional study. BMC Pulm Med, 2019, 19(1): 182. doi: 10.1186/s12890-019-0953-0.
doi: 10.1186/s12890-019-0953-0 URL |
[8] |
Odone A, Houben RM, White RG, et al. The effect of diabetes and undernutrition trends on reaching 2035 global tuberculosis targets. Lancet Diabetes Endocrinol, 2014, 2(9): 754-764. doi: 10.1016/s2213-8587(14)70164-0.
doi: 10.1016/s2213-8587(14)70164-0 URL |
[9] |
Ren Z, Zhao F, Chen H, et al. Nutritional intakes and associated factors among tuberculosis patients: a cross-sectional study in China. Bmc Infectious Diseases, 2019, 19(1): 907. doi: 10.1186/s12879-019-4481-6.
doi: 10.1186/s12879-019-4481-6 URL |
[10] |
Kondrup J, Allison SP, Elia M, et al. ESPEN guidelines for nutrition screening 2002. Clin Nutr, 2003, 22(4): 415-421. doi: 10.1016/s0261-5614(03)00098-0.
doi: 10.1016/s0261-5614(03)00098-0 pmid: 12880610 |
[11] | World Health Organization. Guideline: nutritional care and support for patients with tuberculosis. Geneva:World Health Organization, 2013. |
[12] |
中华医学会结核病学分会重症专业委员会. 结核病营养治疗专家共识. 中华结核和呼吸杂志, 2020, 43(1): 17-26. doi: 10.3760/cma.j.issn.1001-0939.2020.01.006.
doi: 10.3760/cma.j.issn.1001-0939.2020.01.006 |
[13] |
Schindler K, Pernicka E, Laviano A, et al. How nutritional risk is assessed and managed in European hospitals: a survey of 21,007 patients findings from the 2007—2008 cross-sectional nutritionDay survey. Clinical nutrition (Edinburgh, Scotland), 2010, 29(5): 552-529. doi: 10.1016/j.clnu.2010.04.001.
doi: 10.1016/j.clnu.2010.04.001 URL |
[14] |
Bhargava M, Bhargava A, Akshaya KM, et al. Nutritional assessment and counselling of tuberculosis patients at primary care in India: do we measure up? Int J Tuberc Lung Dis, 2019, 23(2): 147-150. doi: 10.5588/ijtld.18.0333.
doi: 10.5588/ijtld.18.0333 pmid: 30621811 |
[15] |
Harkin N, Johnston E, Mathews T, et al. Physicians’ Dietary Knowledge, Attitudes, and Counseling Practices: The Experience of a Single Health Care Center at Changing the Landscape for Dietary Education. Am J Lifestyle Med, 2018, 13(3): 292-300. doi: 10.1177/1559827618809934.
doi: 10.1177/1559827618809934 URL |
[16] |
郭海玲, 田润溪, 田君, 等. 结核科护士营养风险筛查临床应用的调查. 中华现代护理杂志, 2016, 22(27): 3928-3931. doi: 10.3760/cma.j.issn.1674-2907.2016.27.020.
doi: 10.3760/cma.j.issn.1674-2907.2016.27.020 |
[17] |
Kondrup J, Rasmussen HH, Hamberg O, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr, 2003, 22(3): 321-336. doi: 10.1016/s0261-5614(02)00214-5.
doi: 10.1016/s0261-5614(02)00214-5 pmid: 12765673 |
[18] |
方雪娥, 毛燕君, 汤玲玲, 等. 肺结核住院患者营养风险筛查和评估的最佳证据总结. 中华护理杂志, 2019, 54(9): 1406-1410. doi: 10.3761/j.issn.0254-1769.2019.09.025.
doi: 10.3761/j.issn.0254-1769.2019.09.025 |
[19] |
Miyata S, Tanaka M, Ihaku D. The prognostic significance of nutritional status using malnutrition universal screening tool in patients with pulmonary tuberculosis. Nutr J, 2013, 12: 42. doi: 10.1186/1475-2891-12-42.
doi: 10.1186/1475-2891-12-42 URL |
[20] |
Poulia K, Klek S, Doundoulakis I, et al. The two most popular malnutrition screening tools in the light of the new ESPEN consensus definition of the diagnostic criteria for malnutrition. Clinical nutrition (Edinburgh, Scotland), 2017, 36(4): 1130-1135. doi: 10.1016/j.clnu.2016.07.014.
doi: 10.1016/j.clnu.2016.07.014 URL |
[21] |
Cawood A, Elia M, Sharp S, et al. Malnutrition self-screening by using MUST in hospital outpatients: validity, reliability, and ease of use. Am J Clin Nutr, 2012, 96(5): 1000-1007. doi: 10.3945/ajcn.112.037853.
doi: 10.3945/ajcn.112.037853 pmid: 23034963 |
[22] |
马皎洁, 安军, 贺红, 等. 结核病患者营养状况及营养支持研究进展. 中国防痨杂志, 2016, 38(11): 995-999. doi: 10.3969/j.issn.1000-6621.2016.11.020.
doi: 10.3969/j.issn.1000-6621.2016.11.020 |
[23] |
Ko Y, Kim C, Park YB, et al. Changes in Nutritional Status in Pulmonary Tuberculosis: Longitudinal Changes in BMI According to Acid-Fast Bacilli Smear Positivity. J Clin Med, 2020, 9(12):4082. doi: 10.3390/jcm9124082.
doi: 10.3390/jcm9124082 URL |
[24] |
Oxlade O, Huang CC, Murray M. Estimating the Impact of Reducing Under-Nutrition on the Tuberculosis Epidemic in the Central Eastern States of India: A Dynamic Modeling Study. PLoS One, 2015, 10(6): e0128187. doi: 10.1371/journal.pone.0128187.
doi: 10.1371/journal.pone.0128187 |
[25] |
Choi H, Yoo JE, Han K, et al. Body Mass Index, Diabetes, and Risk of Tuberculosis: A Retrospective Cohort Study. Front Nutr, 2021, 8: 739766. doi: 10.3389/fnut.2021.739766.
doi: 10.3389/fnut.2021.739766 URL |
[26] |
Wessels J, Nel M, Walsh CM. A nutritional profile of patients with tuberculosis at Standerton Tuberculosis Specialised Hospital, Mpumalanga, South Africa. Health SA, 2021, 26: 1594. doi: 10.4102/hsag.v26i0.1594.
doi: 10.4102/hsag.v26i0.1594 |
[27] |
侯婧, 张妍蓓. 536例老年肺结核患者血清白蛋白、血红蛋白等相关指标分析. 实用医学杂志, 2016, 32(1): 134-136. doi: 10.3969/j.issn.1006-5725.2016.01.043.
doi: 10.3969/j.issn.1006-5725.2016.01.043 |
[28] |
Ukibe NR, Ndiuwem CK, Ogbu II, et al. Prognostic value of some serum protein fractions as Early Index of Clinical Recovery in Pulmonary Tuberculosis subjects. Indian J Tuberc, 2020, 67(2): 167-171. doi: 10.1016/j.ijtb.2019.08.015.
doi: 10.1016/j.ijtb.2019.08.015 URL |
[29] |
Bao YC, Yu M, Tang L, et al. Changes in Serum Prealbumin and Incision Complications Following Spinal Tuberculosis Surgery: A Preliminary Study. Orthop Surg, 2021, 13(2): 501-505. doi: 10.1111/os.12896.
doi: 10.1111/os.12896 pmid: 33570256 |
[30] |
Evans DC, Corkins MR, Malone A, et al. The Use of Visceral Proteins as Nutrition Markers: An ASPEN Position Paper. Nutr Clin Pract, 2021, 36(1): 22-28. doi: 10.1002/ncp.10588.
doi: 10.1002/ncp.10588 URL |
[31] |
何夏阳, 刘雪琴. 微型营养评估表和营养筛查表的信度和效度评价. 解放军护理杂志, 2010, 27(12): 894-896. doi: 10.3969/j.issn.1008-9993.2010.12.005.
doi: 10.3969/j.issn.1008-9993.2010.12.005 |
[32] |
House M, Gwaltney C. Malnutrition screening and diagnosis tools: Implications for practice. Nutr Clin Pract, 2022, 37(1): 12-22. doi: 10.1002/ncp.10801.
doi: 10.1002/ncp.10801 URL |
[33] |
Miyata S, Tanaka M, Ihaku D. Full mini nutritional assessment and prognosis in elderly patients with pulmonary tuberculosis. J Am Coll Nutr, 2013, 32(5): 307-311. doi: 10.1080/07315724.2013.826114.
doi: 10.1080/07315724.2013.826114 URL |
[34] |
周梦雯, 谭守勇, 李春燕, 等. 四种营养风险筛查工具对肺结核患者的适用性评价. 中国防痨杂志, 2017, 39(6): 626-629. doi: 10.3969/j.issn.1000-6621.2017.06.016.
doi: 10.3969/j.issn.1000-6621.2017.06.016 |
[35] |
Xu YC, Vincent JI. Clinical measurement properties of malnutrition assessment tools for use with patients in hospitals: a systematic review. Nutr J, 2020, 19(1): 106. doi: 10.1186/s12937-020-00613-0.
doi: 10.1186/s12937-020-00613-0 URL |
[36] |
Makhija S, Baker J. The Subjective Global Assessment: a review of its use in clinical practice. Nutr Clin Pract, 2008, 23(4): 405-409. doi: 10.1177/0884533608321214.
doi: 10.1177/0884533608321214 pmid: 18682592 |
[37] |
Miyata S, Tanaka M, Ihaku D. Subjective Global Assessment in Patients With Pulmonary Tuberculosis. Nutr Clin Pract, 2011, 26(1):55-60. doi: 10.1177/0884533610392380.
doi: 10.1177/0884533610392380 URL |
[38] |
Barbosa-Silva M, Barros A. Indications and limitations of the use of subjective global assessment in clinical practice: an update. Curr Opin Clin Nutr Metab Care, 2006, 9(3): 263-269. doi: 10.1097/01.mco.0000222109.53665.ed.
doi: 10.1097/01.mco.0000222109.53665.ed. URL |
[39] |
House M, Gwaltney C. Malnutrition screening and diagnosis tools: Implications for practice. Nutr Clin Pract, 2022, 37(1): 12-22. doi: 10.1002/ncp.10801.
doi: 10.1002/ncp.10801 URL |
[40] |
Lin HS, Lin MS, Chi CC, et al. Nutrition Assessment and Adverse Outcomes in Hospitalized Patients with Tuberculosis. J Clin Med, 2021, 10(12):2702. doi: 10.3390/jcm10122702.
doi: 10.3390/jcm10122702 URL |
[41] |
Sealy MJ, Ottery FD, Van Der Schans CP, et al. Evaluation of change in dietitians’ perceived comprehensibility and difficulty of the Patient-Generated Subjective Global Assessment (PG-SGA) after a single training in the use of the instrument. J Hum Nutr Diet, 2018, 31(1): 58-66. doi: 10.1111/jhn.12491.
doi: 10.1111/jhn.12491 pmid: 28653775 |
[42] |
Cederholm T, Jensen GL, Correia M, et al. GLIM criteria for the diagnosis of malnutrition-A consensus report from the global clinical nutrition community. Clin Nutr, 2019, 38(1): 1-9. doi: 10.1016/j.clnu.2018.08.002.
doi: S0261-5614(18)31344-X pmid: 30181091 |
[43] |
中华医学会肠外肠内营养学分会, 营养风险-不足-支持-结局-成本/效果多中心协作组, 张献娜, 等. 营养风险筛查和全球(营养)领导人发起的营养不良诊断(GLIM)第二、三步流程(共识2020). 中华临床营养杂志, 2020, 28(4): 193-200. doi: 10.3760/cma.j.cn115822-20200824-00199.
doi: 10.3760/cma.j.cn115822-20200824-00199 |
[44] |
Rosnes KS, Henriksen C, Hoidalen A, et al. Agreement between the GLIM criteria and PG-SGA in a mixed patient population at a nutrition outpatient clinic. Clin Nutr, 2021, 40(8): 5030-5037. doi: 10.1016/j.clnu.2021.07.019.
doi: 10.1016/j.clnu.2021.07.019 URL |
[45] |
Zhang KP, Tang M, Fu ZM, et al. Global Leadership Initiative on Malnutrition criteria as a nutrition assessment tool for patients with cancer. Nutrition, 2021, 91/92:111379. doi: 10.1016/j.nut.2021.111379.
doi: 10.1016/j.nut.2021.111379 URL |
[46] |
Ter Beek L, Bolhuis MS, Jager-Wittenaar H, et al. Malnutrition assessment methods in adult patients with tuberculosis: a systematic review. BMJ Open, 2021, 11(12):e049777. doi: 10.1136/bmjopen-2021-049777.
doi: 10.1136/bmjopen-2021-049777 |
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