Application of the body composition analysis in evaluating the nutritional status of patients with chronic radiation-induced intestinal injury
10.3760/cma.j.cn101480-20200623-00071
- VernacularTitle:人体成分分析在评估慢性放射性肠炎营养状态中的应用
- Author:
Ting YAN
1
;
Jiamin CHEN
;
Miaomiao ZHU
;
Lili CHU
;
Tenghui MA
;
Hui WANG
;
Huaiming WANG
Author Information
1. 中山大学附属第六医院临床营养科,广州 510655
- Publication Type:Journal Article
- Keywords:
Radiation-induced intestinal injury, chronic;
Malnutrition;
Body composition analysis;
Radiation enteritis;
Radiation proctitis
- From:
Chinese Journal of Inflammatory Bowel Diseases
2020;04(4):311-315
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the nutritional status of patients with chronic radiation-induced intestinal injury by using the body composition analysis and to explore the clinical application value.Methods:A group of 57 patients diagnosed as chronic radiation-induced intestinal injury in the Sixth Affiliated Hospital of Sun Yat-sen University from January 2013 to October 2017 were enrolled prospectively as chronic radiation-induced intestinal injury group, including 18 patients with radiation enteritis and 39 with radiation proctitis. And 57 healthy people were enrolled as the normal control group at the same time. The general data of the chronic radiation-induced intestinal injury group and normal control group were collected and the nutritional status was evaluated. The body compositions were detected by body composition analyzer. The differences in body composition between the chronic radiation-induced intestinal injury group and the normal control group were analyzed and the differences between radiation enteritis and radiation proctitis patients were analyzed as well.Results:Compared with the normal control group, the ratios of nutrition risk and malnutrition in chronic radiation-induced intestinal injury group were higher (all P<0.05) . The body composition analysis results showed that the intracellular fluid [ (15.42 ± 2.21) L vs (17.14 ± 2.21) L], total fluid [ (24.75 ± 3.69) L vs (27.14 ± 3.08) L], ratio of extracellular fluid (0.37 ± 0.01 vs 0.35 ± 0.02) , total protein content [ (7.54 ± 1.45) kg vs (8.53 ± 1.75) kg], total fat content [ (9.72 ± 4.53) kg vs (15.15 ± 5.86) kg], lean body mass [ (34.59 ± 4.95) kg vs (38.12 ± 4.40) kg], AMC [ (19.52 ± 1.40) kg vs (21.06 ± 2.00) kg], BMI [ (19.39 ± 3.51) kg vs (20.50 ± 3.10) kg] were lower in radiation enteritis group as compared with radiation proctitis group (all P<0.05) . Conclusions:The body composition analysiscan provide simple and accurate anthropometric measurements to evaluate the nutritional status of patients with chronic radiation-induced intestinal injury.