Nghiên cứu so sánh hiệu quả của chế độ ăn hạn chế iod trong 2 tuần so với 4 tuần đối với cân nặng, BMI và chất lượng cuộc sống của người bệnh ung thư tuyến giáp=A study comparing effects of the 2-week versus 4-week low-iodine diet on weight, BMI and quality of life of thyroid

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Kim Huế Bùi, Văn Tuynh Chu, Trọng Nghĩa Đàm, Thị Như Hoa Lê, Thị Loan Nguyễn, Châu Quyên Trần, Thị Năm Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.294-301

Bộ sưu tập: Metadata

ID: 478165

Thêm vào giỏ

Đánh giá hiệu quả về cân nặng, BMI và chất lương cuộc sống của chế độ ăn hạn chế iod trong 2 tuần so với 4 tuần của người bệnh ung thư tuyến giáp tại Bệnh viện Ung Bướu Hà Nội năm 2021-2022. Đối tượng và phương pháp nghiên cứu: Nghiên cứu so sánh tiến hành trên 2 nhóm bệnh nhân (56 người/nhóm) có so sánh trước – sau. Một nhóm được được tư vấn và thực hiện chế độ ăn hạn chế iod trong 2 tuần
một nhóm được tư vấn và thực hiện chế độ ăn hạn chế iod ≥ 4 tuần theo thường quy. Các chỉ số đánh giá bao gồm cân nặng, BMI và QLQ THY34. Kết quả: Nhóm hạn chế iod 2 tuần có cân nặng trung bình giảm 0,2±0,5 kg, nhóm hạn chế iod ≥ 4 tuần giảm trung bình 0,1±1,3 kg. Sự khác biệt giữa cân nặng trước hạn chế iod và sau hạn chế iod sự khác biệt không có ý nghĩa thống kê với p>
0,05. Nhóm hạn chế iod 2 tuần có BMI trung bình giảm 0,08±1,1, nhóm hạn chế iod ≥ 4 tuần giảm trung bình 0,1±0,5, sự khác biệt không có ý nghĩa thống kê với p>
0,05. Điểm các triệu chứng khác ở bộ đánh giá chất lượng sống QLQ THY34 ở nhóm hạn chế iod 2 tuần đều thấp hơn nhóm hạn chế iod ≥ 4 tuần, sự khác biệt có ý nghĩa thống kê với p <
0,05. Kết luận và khuyến nghị: Chế độ ăn hạn chế iod trong 2 tuần không cho thấy hiệu quả khác biệt so với chế độ ăn hạn chế iod 4 tuần về sự thay đổi cân nặng và BMI trước và sau hạn chế iod. Có sự cải thiện các chỉ số chất lượng cuộc sống ở nhóm sử dụng chế độ ăn hạn chế iod 2 tuần so với chế độ ăn hạn chế iod 4 tuần. Cần mở rộng can thiệp chế độ ăn hạn chế iod trong 2 tuần tại các bệnh viện có điều trị bằng I131 để người bệnh được tiếp cận điều trị sớm và nâng cao chất lượng sống.To evaluate the effects of the 2-week versus 4-week low-iodine diet on weight, BMI and the quality of life (QoL) of thyroid cancer patients at Hanoi Oncology Hospital in 2021-2022. Subjects and Methods: The comparative study with pre-post comparison was conducted on two groups of patients (56 participants/group). One group was counseled and followed a low iodine diet for 2 weeks
the other group was counseled and followed a standard low-iodine diet for ≥ 4 weeks. The evaluation indicators included weight, BMI and QLQ-THY34. Results: The group with 2-week low-iodine diet had an average weight loss of 0.2±0.5 kg, while the group with ≥ 4-week low-iodine diet had an average weight loss of 0.1±1.3 kg. The difference between the weight before and after iodine restriction was not statistically significant (p>
0.05). The group with 2-week low-iodine diet had an average BMI loss of 0.08±1.1, the group with ≥ 4-week low-iodine diet had an average weight loss of 0.1±0.5, the pre-post difference was not statistically significant (p>
0.05). The scores of other symptoms in the THY34 QLQ assessment of the 2-week low-iodine diet group were all lower than those of the ≥ 4-week lowiodine diet group
this difference is statistically significant (p <
0.05). Conclusions and recommendations: The effectiveness of 2-week low-iodine diet was not different from that of the 4-week low-iodine diet regarding changes in weight and BMI before and after iodine restriction, but there was an improvement of all QoL indicators in the 2-week low-iodine diet group compared to the 4-week low-iodine diet. It is necessary to expand the 2- week low-iodine diet intervention in hospitals that have radioiodine therapy to increase the opportunity for patients to access early treatment and improve the patient's quality of life.

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