综述

脊髓损伤后营养代谢状况及干预的研究进展

  • 张丽河 ,
  • 洪毅 ,
  • 王方永
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  • 1.首都医科大学康复医学院,北京市 100068;
    2.中国康复研究中心北京博爱医院脊柱脊髓外科,北京市 100068
张丽河(1990-),女,汉族,江西抚州市人,硕士研究生,主要研究方向:脊柱脊髓损伤康复。

收稿日期: 2018-06-04

  修回日期: 2018-07-19

  网络出版日期: 2018-09-27

基金资助

中央级公益性科研院所基本科研业务费专项资金项目(No. 2015CZ-10)

Advance in Nutritional Problems and Intervention after Spinal Cord Injury (review)

  • ZHANG Li-he ,
  • HONG Yi ,
  • WANG Fang-yong
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  • 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China;
    2. Department of Spine and Spinal Cord Surgery, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China

Received date: 2018-06-04

  Revised date: 2018-07-19

  Online published: 2018-09-27

摘要

脊髓损伤后机体代谢发生改变,导致血脂异常、糖尿病和心血管疾病等发生率增加。饮食结构欠合理会促进代谢异常发生,并诱发继发性病损,增加早期脊髓损伤患者死亡率。需运动、饮食和膳食补充剂进行综合干预。

本文引用格式

张丽河 , 洪毅 , 王方永 . 脊髓损伤后营养代谢状况及干预的研究进展[J]. 中国康复理论与实践, 2018 , 24(9) : 1039 -1042 . DOI: 10.3969/j.issn.1006-9771.2018.09.009

Abstract

Changes in metabolism after spinal cord injury cause many nutritional problems, leading to an increased incidence of dyslipidemia, diabetes and cardiovascular diseases. Unreasonable diet structure will promote the occurrence of metabolic abnormalities, induce secondary lesions, and increase mortality in patients with spinal cord injury at early stage. A comprehensive intervention including exercise, diet and dietary supplements is needed .

参考文献

[1] Jazayeri SB, Beygi S, Shokraneh F, et al.Incidence of traumatic spinal cord injury worldwide: a systematic review[J]. Eur Spine J, 2015, 24(5): 905-918.
[2] Gorgey AS, Dolbow DR, Dolbow JD, et al.Effects of spinal cord injury on body composition and metabolic profile–Part I[J]. J Am Paraplegia Soc, 2014, 37(6): 693-702.
[3] Eser P, Frotzler A, Zehnder Y, et al.Assessment of anthropometric systemic and lifestyle factors influencing bone status in the legs of spinal cord injured individuals[J]. Osteoporos Int, 2005, 16(1): 26-34.
[4] Gater DR Jr.Obesity after spinal cord injury[J]. Phys Med Rehabil Clin N Am, 2007, 18(2): 333-351.
[5] Maruyama Y, Mizuguchi M, Yaginuma T, et al.Serum leptin abdominal obesity and the metabolic syndrome in individuals with chronic spinal cord injury[J]. Spinal Cord, 2008, 46(7): 494-499
[6] Wong S, Kenssous N, Hillier C, et al.Detecting malnutrition risk and obesity after spinal cord injury: a quality improvement project and systematic review[J]. Eur J Clin Nutr, 2018. doi: 10.1038/s41430-018-0194-y.[Epub ahead of print]
[7] Elder CP, Apple DF, Bickel CS, et al.Intramuscular fat and glucose tolerance after spinal cord injury–a cross-sectional study[J]. Spinal Cord, 2004, 42(12): 711-716.
[8] Emmons RR, Garber CE, Cirnigliaro CM, et al.The influence of visceral fat on the postprandial lipemic response in men with paraplegia[J]. J Am Coll Nutr, 2010, 29(5): 476-481.
[9] Gorgey AS, Mather KJ, Gater DR.Central adiposity associations to carbohydrate and lipid metabolism in individuals with complete motor spinal cord injury[J]. Metabolism, 2011, 60(6): 843-851
[10] Levine AM, Nash MS, Green BA, et al.An examination of dietary intakes and nutritional status of chronic healthy spinal cord injured individuals[J]. Spinal Cord, 1992, 30(12): 880-889.
[11] Perret C, Stoffel-Kurt N.Comparison of nutritional intake between individuals with acute and chronic spinal cord injury[J]. J Spinal Cord Med, 2011, 34(6): 569-575.
[12] Sabour H, Javidan AN, Soltani Z, et al.The effect of behavioral intervention and nutrition education program on serum lipid profile body weight and blood pressure in Iranian individuals with spinal cord injury: a randomized clinical trial[J]. J Spinal Cord Med, 2018, 41(1): 28-35.
[13] Wilt TJ, Carlson KF, Goldish GD, et al.Carbohydrate and lipid disorders and relevant considerations in persons with spinal cord injury[J]. Evid Rep Technol Assess (Full Rep), 2008, 63(163): 1-95.
[14] Yarar-Fisher C, Polston KF, Eraslan M, et al.Paralytic and non-paralytic muscle adaptations to exercise training vs. high protein diet in individuals with long-standing spinal cord injury[J]. J Appl Phys, 2018, 125(1): 64-72.
[15] Myslinski MJ.Evidence-based exercise prescription for individuals with spinal cord injury[J]. J Neurol Phys Ther, 2005, 29(2): 104-106.
[16] Nash M, Gater D.Exercise to reduce obesity in SCI[J]. Top Spinal Cord Inj Rehabil, 2007, 12(4): 76-93.
[17] Gorgey AS, Martin H, Metz A, et al.Longitudinal changes in body composition and metabolic profile between exercise clinical trials in men with chronic spinal cord injury[J]. J Spinal Cord Med, 2016, 39(6): 699-712.
[18] Gorgey AS, Harnish CR, Daniels JA, et al.A report of anticipated benefits of functional electrical stimulation after spinal cord injury[J]. J Spinal Cord Med, 2012, 35(2): 107-112.
[19] Saris WH, Astrup A, Prentice AM, et al.Randomized controlled trial of changes in dietary carbohydrate/fat ratio and simple vs complex carbohydrates on body weight and blood lipids: the CARMEN study[J]. Int J Obes Relat Metab Disord, 2000, 24(10): 1310-1318.
[20] Tsunoda N, Inayama T, Hata K, et al.Vegetable dishes, dairy products and fruits are key items mediating adequate dietary intake for Japanese adults with spinal cord injury[J]. Spinal Cord, 2015, 53(11): 786-790.
[21] Ramkumar KM.Health promotion by dietary restriction–a focus[J]. J Basic Clin Phys Pharmcol, 2006, 17(2): 101-114.
[22] Goss AM, Gower BA, Soleymani T, et al.Effects of an egg-based, carbohydrate-restricted diet on body composition, fat distribution, and metabolic health in older adults with obesity: preliminary results from a randomized controlled trial [J]. FASEB J, 2017, 31(S1). Effects of an egg-based, carbohydrate-restricted diet on body composition, fat distribution, and metabolic health in older adults with obesity: preliminary results from a randomized controlled trial [J]. FASEB J, 2017, 31(S1). http://www.fasebj.org/content/31/1_Supplement/lb320.long.
[23] Boden G, Sargrad K, Homko C, et al.Effect of a low-carbohydrate diet on appetite, blood glucose levels, and insulin resistance in obese patients with type 2 diabetes[J]. Ann Inter Med, 2005, 142(6): 403-411.
[24] Zajac A, Poprzecki S, Maszczyk A, et al.The effects of a ketogenic diet on exercise metabolism and physical performance in off-road cyclists[J]. Nutrients, 2014, 6(7): 2493-2508.
[25] Pani G.Neuroprotective effects of dietary restriction: evidence and mechanisms[J]. Semin Cell Dev Biol, 2015, 40: 106-114.
[26] Plunet WT, Streijger F, Lam CK, et al.Dietary restriction started after spinal cord injury improves functional recovery[J]. Exp Neurol, 2008, 213(1): 28-35.
[27] Streijger F, Plunet WT, Lee JH, et al.Ketogenic diet improves forelimb motor function after spinal cord injury in rodents[J]. PLoS One, 2013, 8(11): e78765-e78784.
[28] Opperman EA, Buchholz AC, Darlington GA, et al.Dietary supplement use in the spinal cord injury population[J]. Spinal Cord, 2010, 48(1): 60-64.
[29] Beal C, Gorgey A, Moore P, et al.Higher dietary intake of vitamin D may influence total cholesterol and carbohydrate profile independent of body composition in men with chronic spinal cord injury[J]. J Spinal Cord Med, 2018, 41(4): 459-470.
[30] Walters JL, Buchholz AC, Martin Ginis KA, et al.Evidence of dietary inadequacy in adults with chronic spinal cord injury[J]. Spinal Cord, 2009, 47(4): 318-322.
[31] Cordero K, Coronel GG, Serrano-Illán M, et al.Effects of dietary vitamin E supplementation in bladder function and spasticity during spinal cord injury[J]. Brain Sci, 2018, 8(3): 38-58.
[32] Holly LT, Blaskiewicz D, Wu A, et al.Dietary therapy to promote neuroprotection in chronic spinal cord injury[J]. J Neurosurg Spine, 2012, 17(2): 134-140.
[33] Rabchevsky AG, Sullivan PG, Fugaccia I, et al.Creatine diet supplement for spinal cord injury: influences on functional recovery and tissue sparing in rats[J]. J Neurotrauma, 2003, 20(7): 659-669.
[34] Amorim S, Teixeira VH, Corredeira R, et al.Creatine or vitamin D supplementation in individuals with a spinal cord injury undergoing resistance training: a double-blinded randomized pilot trial[J]. J Spinal Cord Med, 2017, 13(3): 1-8.
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