摘要
目的:总结肌少性肥胖病人营养管理的相关证据,为制订科学、有效的肌少性肥胖病人营养管理方案提供循证依据。方法:计算机检索UpToDate、DynaMed循证医学临床决策网站、BMJ最佳临床实践(BMJ Best Practice)、加拿大医学会临床实践指南网、中国医脉通指南网、美国国立指南库、世界卫生组织指南网、加拿大安大略注册护士协会网站、中国生物医学文献数据库、中国知网、万方数据库、维普数据库、PubMed、EMbase、Web of Science、the Cochrane Library中关于肌少性肥胖病人营养管理措施的相关证据,检索时限为建库至2024年12月1日。结果:共纳入18篇文献,包括1篇指南、2篇临床决策、5篇专家共识、7篇系统评价、3篇Meta分析。总结了包含筛查与评估、饮食调整、营养补充、健康教育与监测随访4个方面的32条证据。结论:总结的肌少性肥胖病人营养管理的最佳证据有助于指导肌少性肥胖病人安全、有效地改善机体营养状况,提高生活质量,降低残疾率和死亡率。
Objective:To summarize the best available evidence on nutritional management for patients with sarcopenic obesity,so as to provide an evidence-based foundation for developing scientific and effective nutritional intervention strategies.Methods:A comprehensive search was conducted across multiple databases,including UpToDate,DynaMed,BMJ Best Practice,CMA Infobase(Canadian Medical Association),Chinese Medical Guideline Network,National Guideline Clearinghouse(USA),WHO Guidelines Database,RNAO(Registered Nurses′Association of Ontario),CBM(Chinese Biomedical Literature Database),CNKI,Wanfang Data,VIP Database,PubMed,EMbase,Web of Science,and Cochrane Library.The retrieval period spanned from database setup to December 1,2024.Studies focusing on nutritional interventions for sarcopenic obesity were included.Results:A total of 18 studies were included,comprising 1 clinical guideline,2 evidence-based clinical decision documents,5 expert consensus statements,7 systematic reviews,and 3 meta-analyses.The evidence was synthesized into 32 key recommendations across four domains:screening and assessment,dietary modifications,nutritional supplementation,health education and follow-up monitoring.Conclusions:The summarized best evidence on nutritional management for sarcopenic obesity can guide healthcare providers in safely and effectively improve patients′nutritional status,enhance quality of life,and reduce disability and mortality rates.
作者
寇婷媛
王晓云
张苗苗
李旭霞
李丽霞
吕婷
刘三娇
郑彭燕
KOU Tingyuan;WANG Xiaoyun;ZHANG Miaomiao;LI Xuxia;LI Lixia;LYU Ting;LIU Sanjiao;ZHENG Pengyan(School of Nursing,Shanxi Medical University,Shanxi 030001 China;The Fifth Clinical Medical College of Shanxi Medical University/Shanxi Provincial People′s Hospital;Shanxi University of Chinese Medicine)
出处
《护理研究》
北大核心
2025年第17期2930-2937,共8页
Chinese Nursing Research
基金
山西省科技战略研究专项项目,编号:202104031402129。
关键词
肌少性肥胖
营养管理
营养不良
饮食
证据总结
循证护理
sarcopenic obesity
nutritional management
malnutrition
diet
evidence summary
evidence-based nursing
