Сorrelation肝硬化患者体型与体脂变化之间的关系

Y. Zharikov, R. Maslennikov, A. N. Gadzhiakhmedova, A. Aliyeva, V. Nikolenko, V. Ivashkin
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引用次数: 0

摘要

目标。目的:评价不同体型肝硬化患者体脂组成变化的性质。材料和方法。分析了46例肝硬化患者和20名志愿者的数据。根据方法学要求进行人体测量,采用ABC-01 Medass系统(NTC Medass,俄罗斯)进行生物阻抗分析,评估患者的身体组成。根据Heath-Carter法测定体型。躯体型量表的等级是根据自同态得分的增加而分配的。Spearman秩相关用于确定变量之间的关系。使用Mann-Whitney检验确定连续变量之间的差异。统计学分析采用Statistica 10 (StatSoft Inc., USA)。男性和女性的Child-Pugh得分分别为9分(7.3-11.8)和7分(6-9)。肝硬化患者体脂率(BFP)男性为27.7%(23.3-33),女性为41.2%(33.6-46.3)。在健康志愿者中,男性BFP为21.9%(13.9-26.3),女性为32.7%(29.3-41.6)。评估肝硬化严重程度与体脂之间的关系时,相关系数r = -0.47528 (p值< 0.001)。Child-Pugh评分肝硬化严重程度与躯体型呈显著负相关(r = -0.30536, p = 0.03905)。本研究结果强调了不同严重程度肝硬化患者的躯体类型与BFP变化之间的相关性。Child-Pugh评分与自同态指标的总和呈反比关系,在建立肝硬化个体化预后的数学模型时必须考虑到这一点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Сorrelation between somatotypes and body fat changes in patients with liver cirrhosis
Objective. To evaluate the nature of changes in body fat composition in cirrhotic patients of various somatotypes.Materials and methods. The data of 46 cirrhotic patients and 20 volunteers were analyzed. Anthropometric examination was carried out according to methodological requirements with assessing the body composition of patients by means of bioimpedance analysis using ABC-01 Medass system (NTC Medass, Russia). Somatotypes were determined according to the Heath–Carter method. Ranks for the somatotype scale were assigned as endomorphy scores increased. Spearman rank correlation was used to identify the relationships between the variables. Differences between continuous variables were determined using the Mann–Whitney test. Statistical analysis was performed using Statistica 10 (StatSoft Inc., USA).Results. Child–Pugh scores for men and women were 9 (7.3–11.8) and 7 (6–9), respectively. Body fat percentage (BFP) of cirrhotic patients accounted for 27.7% (23.3–33) in men and 41.2% (33.6–46.3) in women. In healthy volunteers, the BFP was 21.9% (13.9–26.3) in men and 32.7% (29.3–41.6) in women. Assessment of the relationships between liver cirrhosis severity and body fat was characterized by a correlation coefficient of r = -0.47528 (p-value < 0.001). A significant negative correlation was determined between the liver cirrhosis severity according to Child–Pugh scores and somatotypes (r = -0.30536, p = 0.03905).Conclusion. The results of this study emphasize the correlation between somatotypes and changes in BFP in patients with liver cirrhosis of various degrees of severity. The sum of Child–Pugh scores and endomorphic indicators demonstrated the inverse relationship, which must be taken into account when developing mathematical models of the personalized prognosis of liver cirrhosis.
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