Assessment of dietary adequacy for important brain micronutrients in patients presenting to a traumatic brain injury clinic for evaluation
Assessment of dietary adequacy for important brain micronutrients in patients presenting to a traumatic brain injury clinic for evaluation
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评估前往创伤性脑损伤诊所进行评估的患者重要脑微量营养素的膳食充足性
DOI：
10.1179/1476830513y.0000000088
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发表时间：
2014
影响因子：
3.6
通讯作者：
L. Snetselaar
中科院分区：
文献类型：
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作者：
T. Wahls;L. Rubenstein;Michael J. Hall;L. Snetselaar
摘要目的评价创伤性脑损伤（TBI）门诊患者的膳食充足性。我们确定了14种关键的微量营养素，并确定了膳食摄入量参考范围，这些营养素被认为对大脑健康很重要。成年患者完成了简短的NutritionQuest食物频率问卷（FFQ），以计算估计的营养摄入量。对诊断、身体质量指数和神经行为子量表评分的医疗记录进行提取。对营养素进行单独评估，并汇总为汇总评分。评估了个体营养素、总营养素摄入量和神经行为评分之间的关系。结果受试者共完成39份FFQ，其中25份（64%）记录了神经行为评分。没有受试者符合所有14种微量营养素的推荐膳食供给量（RDA）。10份（26%）符合6种或更少营养素的RDA，10份符合11-12种营养素的RDA。在12种具有足够样本量进行分析的营养素中，11种（92%）与平均躯体评分较差相关，9种（75%）与认知评分较差相关，8种（67%）与营养素摄入量最低的人的情感评分较差相关。然而，只有四种营养素与躯体平均评分有统计学相关性：叶酸（P = 0.010）、镁（P = 0.082）、维生素C（P = 0.021）和维生素K（P = 0.024）。没有一个与认知或情感得分有关。在TBI门诊中，饮食不符合重要脑营养素的RDA是常见的，这些患者的平均神经行为评分最差，不符合估计的平均需求。
Abstract Objective To evaluate dietary adequacy of patients presenting for evaluation at an outpatient traumatic brain injury (TBI) clinic. Methods We identified 14 key micronutrients with defined dietary intake reference ranges that are considered important for brain health. Adult patients completed the Brief NutritionQuest Food Frequency Questionnaire (FFQ) to calculate estimated nutrient intake. Medical records were abstracted for diagnoses, body mass index, and neurobehavioral subscale scores. Nutrients were assessed individually and were also summarized into a summary score. Associations between individual nutrients, summary nutrient intake, and neurobehavioral scores were assessed. Results A total of 39 FFQs were completed by subjects, and 25 (64%) had recorded neurobehavioral scores. No subjects met the recommended dietary allowances (RDAs) for all 14 micronutrients. Ten (26%) met the RDAs for 6 or fewer nutrients, and 10 met the RDAs for 11–12 nutrients. Of 12 nutrients with sufficient sample size for analysis, 11 (92%) were associated with worse mean somatic scores, 9 (75%) were associated with worse cognitive scores, and 8 (67%) were linked with worse affective scores for those with the lowest nutrient intake compared with those who had the highest intake. However, only four nutrients were statistically associated with the somatic mean score: folate (P = 0.010), magnesium (P = 0.082), vitamin C (P = 0.021), and vitamin K (P = 0.024). None were linked with cognitive or affective scores. Discussion Diets failing to meet RDAs for important brain nutrients were common in an outpatient TBI clinic, with the worst mean neurobehavioral scores for those patients not meeting the estimated average requirements.
DOI：
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发表时间：
2006-09
期刊：
The journal of nutrition, health & aging
影响因子：
--
作者：
J. Bourre
通讯作者：
J. Bourre
影响因子：
7.1
作者：
Skarupski, Kimberly A.;Tangney, Christine;Morris, Martha Clare
通讯作者：
Morris, Martha Clare