题名

慢性腎臟病肌少症的營養照護

DOI

10.6666/ClinMed.201811_82(5).0118

作者

王怡涵;邱哲琳;楊雀戀

关键词

慢性腎臟病(chronic kidney disease) ; 肌少症(sarcopenia) ; 營養(nutrition) ; 運動(physical activity)

期刊名称

臨床醫學月刊

卷期/出版年月

82卷5期(2018 / 11 / 30)

页次

646 - 651

内容语文

繁體中文

中文摘要

慢性腎臟病人第3-5期者約四成有肌少症,且肌少症與死亡風險增加有關。慢性腎臟病人如何兼顧腎臟、營養狀況,並預防或降低肌少症的風險,可透過飲食與運動幫助。建議第3-5期者攝取足夠的熱量(每公斤體重30-35大卡)與適度的蛋白質(每日每公斤體重0.8公克,且60%蛋白質需為高生物價蛋白質)。支鏈胺基酸、維生素D、omega 3脂肪酸的補充對慢性腎臟病肌少症的效應可能需更多研究證實。規律運動可降低慢性腎臟病死亡的風險並提升肌肉量與肌肉力量,幫助預防或改善肌少症。

主题分类 醫藥衛生 > 基礎醫學
醫藥衛生 > 社會醫學
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