Hypomagnesemia during refeeding in anorexia nervosa.
Sixty percent (30/50) had low serum magnesium during their admission.
anorexia nervosa (AN)
神經性厭食症(AN)
Low zinc intake, which is very common in AN
低鋅攝入量在神經性厭食症(AN)中非常常見
In this study, zinc status was evaluated in 62 patients with bulimia and 24 patients
with anorexia nervosa.
在這項研究中,對62名暴食症患者和24名神經性厭食症患者的鋅狀況進行了評估。
Forty percent of patients with bulimia and 54% of those with anorexia nervosa
had biochemical evidence of zinc deficiency.
40%的暴食症患者和54%的神經性厭食症患者有缺鋅的生化證據。
We confirmed that a zinc-sufficient diet containing zinc chloride acutely
stimulated food intake after short-term zinc deprivation.
我們證實,含有氯化鋅的鋅充足的飲食在短期缺鋅後會急劇刺激食物攝入。
We also found that orally administered zinc sulfate increased the expression of NPY and orexin mRNA after administration.
我們還發現口服硫酸鋅可增加給藥後NPY和食慾素(orexin)mRNA的表達。
Micronutrient status in Anorexia Nervosa (AN) has been poorly documented and previous data
are often contradictory.
神經性厭食症(AN)中的微量營養素狀態記錄很少,以前的數據往往是矛盾的。
We aimed to assess micronutrient status in a large population of AN patients.
我們的目的是評估大量AN患者的微量營養素狀況。
Anthropometric, biochemical parameters and body composition data were collected
at referral in 153 patients with AN (28.5 ± 11 years).
153名神經性厭食症(AN)患者(28.5±11歲)在轉診時收集人體測量,生化參數和身體成分數據。
At least one trace element deficit was observed in almost half of patients;
the most frequent was selenium deficit (40% of patients).
在近一半的患者中觀察到至少一種微量元素缺乏;最常見的是硒缺乏(40%的患者)。
At least one vitamin deficit was observed in 45.7% of patients, mostly vitamin A and B9.
在45.7%的患者中觀察到至少一種維生素缺乏,主要是維生素A和B9(應該是葉酸)。
小結1:
由上可知,厭食症患者應該缺少鎂鋅硒甚至維它命A,和導讀的結論一致。
總結以上:
厭食症患者應該缺少鎂鋅硒甚至維它命A,建議一天一粒善存或一天二罐草莓亞培安素或桂格特級完膳;不過由於已經厭食症,善存可能不好吸收(沒辦法配合吃其它食物幫助吸收),比較建議一天二罐草莓亞培安素或桂格特級完膳,當然也可施打含這些礦物質維它命營養的營養針。
因為已經厭食症,就不再詳列各種礦物質及維他命含量高的食物。
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