中高架势八段锦结合精准营养干预对老年炎症性肠病患者营养状态和疲乏程度的影响

Effects of middle-upper posture Baduanjin combined with precision nutrition intervention on nutritional status and fatigue de-gree of elderly patients with inflammatory bowel disease

中文关键词: 老年  炎症性肠病  中高架势八段锦  精准营养干预  营养状态  疲乏程度

英文关键词: elderly  inflammatory bowel disease  middle-upper posture Baduanjin  precision nutrition intervention  nu-tritional status  fatigue degree

中文摘要:

      目的 探讨中高架势八段锦结合精准营养干预对老年炎症性肠病(IBD)患者营养状态和疲乏程度的影响.方法 选取2022年5月-2023年5月江苏省中医院收治的100例老年IBD患者作为研究对象,按照干预方法分为观察组和对照组,每组50例.对照组采用精准营养干预,观察组在与对照组相同干预的基础上加用中高架势八段锦.比较2组干预前后营养状态[血清白蛋白(ALB)、前白蛋白(PA)、体质量指数(BMI)、骨骼肌]、疲乏程度[采用多维疲劳量表(MFI-20)评估]和生活质量[采用炎症性肠病问卷(IBDQ)评估].结果 干预后,观察组BMI值、骨骼肌、ALB、PA水平高于对照组(P＜0.05);观察组总体疲劳、躯体疲劳、精神疲劳、活动减少和动机减少评分及总分均低于对照组(P＜0.05);观察组肠道状况、全身状况、情感功能评分均高于对照组(P＜0.05).结论 中高架势八段锦结合精准营养干预可改善老年IBD患者营养状况和疲乏程度,提高其生活质量.

英文摘要:

      Objective To explore the effects of middle-upper posture Baduanjin combined with precision nutrition inter-vention on nutritional status and fatigue degree of elderly patients with inflammatory bowel disease(IBD).Methods A total of 100 elderly IBD patients admitted to Jiangsu Provincial Hospital of Traditional Chinese Medicine from May 2022 to May 2023 were selected and divided into observation group(n=50)and control group(n=50)according to intervention methods.The control group received precise nutritional intervention,while the observation group practiced the middle-upper posture Bad-uanjin on the basis of the control group.The nutritional status[serum albumin(ALB),prealbumin(PA),body mass index(BMI),skeletal muscle],fatigue degree[assessed by the Multidimensional Fatigue Inventory-20(MFI-20)],and quality of life[assessed by the Inflammatory Bowel Disease Questionnaire(IBDQ)]were compared between the two groups before and after intervention.Results After intervention,the levels of BMI,skeletal muscle,ALB and PA in the observation group were higher than those in the control group(P＜0.05);the scores of overall fatigue,physical fatigue,mental fatigue,activity re-duction and motivation reduction and total score were lower than those in the control group(P＜0.05);the scores of intestinal status,systemic status and emotional function were higher than those in the control group(P＜0.05).Conclusion The com-bination of middle-upper posture Baduanjin and precise nutrition intervention can improve nutritional status,alleviate fatigue,and improve quality of life in elderly IBD patients.