CAJ | 학술논문

目的了解上海城区2型糖尿病患者膳食营养状况.方法 2012年10月采用连续3d24h膳食回顾法对上海杨浦区400例2型糖尿病患者的膳食进行调查,了解患者的膳食情况与各营养素状况.组间比较采用t检验或x2检验.结果糖尿病患者人群能量供给量不足,仅达到成人参考摄入量的62.8％(男性为72.4％,女性为56.5％).每日三大产热营养素的供能比分别为蛋白质14.4％、脂肪33.9％、碳水化合物51.7％,脂肪供热比相对偏高.早餐、中餐与晚餐的供能比分别为23.4％、38.0％与38.6％,早餐供能不足,晚餐供能过多.维生素E、铁、钠、锰、磷和胆固醇的摄入量是超过成人推荐摄入量,分别达到推荐量的149.6％、138.1％、137.1％、132.5％、127.5％和122.0％;而蛋白质、脂肪、碳水化合物、膳食纤维、钙、锌、铜、镁、钾、维生素A、维生素B1、维生素B2和维生素C的摄入量均未达到成人推荐摄入量,分别仅为推荐量的77.9％、90.3％、57.1％、50.79％、49.3％、81.4％、75.7％、75.7％、77.5％、77.0％、55.0％、58.2％和67.6％.结论上海城区2型糖尿病患者能量供应不足,营养摄入欠合理,需进一步加强患者的营养教育与膳食指导.
목적 료해상해성구2형당뇨병환자선식영양상황.방법 2012년10월채용련속3d24h선식회고법대상해양포구400례2형당뇨병환자적선식진행조사,료해환자적선식정황여각영양소상황.조간비교채용t검험혹x2검험.결과 당뇨병환자인군능량공급량불족,부체도성인삼고섭입량적62.8％(남성위72.4％,녀성위56.5％).매일삼대산열영양소적공능비분별위단백질14.4％、지방33.9％、탄수화합물51.7％,지방공열비상대편고.조찬、중찬여만찬적공능비분별위23.4％、38.0％여38.6％,조찬공능불족,만찬공능과다.유생소E、철、납、맹、린화담고순적섭입량시초과성인추천섭입량,분별체도추천량적149.6％、138.1％、137.1％、132.5％、127.5％화122.0％;이단백질、지방、탄수화합물、선식섬유、개、자、동、미、갑、유생소A、유생소B1、유생소B2화유생소C적섭입량균미체도성인추천섭입량,분별부위추천량적77.9％、90.3％、57.1％、50.79％、49.3％、81.4％、75.7％、75.7％、77.5％、77.0％、55.0％、58.2％화67.6％.결론 상해성구2형당뇨병환자능량공응불족,영양섭입흠합리,수진일보가강환자적영양교육여선식지도.
Objective To explore the nutritional status of patients with type 2 diabetes in urban community of Yangpu district in Shanghai.Methods Diet status of 400 patients with type 2 diabetes were investigated by the way of 24-hour dietary recall method for 3 consecutive days,and assess their dietary nutrients.The t test or x2 test was applied in data comparisons among the groups.Results The dietary energy intake of patients with type 2 diabetes was low,only reach to 62.8％ of the recommended standard of adult diet nutrients (male 72.4％; female 56.5％).The energy ratio provided by protein,fat and carbohydrate was 14.4％,33.9％ and 51.7％,respectively,and the fat intake was relatively higher.The energy ratio provided by breakfast,lunch and supper dinner was 23.4％,38.0％ and 38.6％,respectively,and the breakfast was relatively lower,supper dinner was relatively higher.The ratio reach to the recommended standard of adult diet of vitamin E,Ferrum,Niacin,Manganese,phosphorus and cholesterol were 149.6％,138.1％,137.1％,132.5％,127.5％ and 122.0％,respectively.But the ratio reach to the recommended standard of protein,fat,carbohydrate,dietary fiber,Calcium,Zinc,Cuprum,Magnesium,Potassium,vitamin A,vitamin B1,vitamin B2 and vitamin C were 77.87％,90.31％,57.06％,50.69％,49.28％,81.43％,75.67％,75.69％,77.50％,77.03％,55.05％,58.17％ and 67.63％,respectively.Conclusion The energy provided by diet in patients with type 2 diabetes was low,and some dietary nutrients intake of these patients was unreasonable.Education and instruction of diet and nutrition should be enforced in these patients.