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Spinal Clinic for Obese Out-Patient Project (SCOOP)—A 1 Year Report

Food and Nutrition Sciences 2011年第8期2卷 901-907页

作者： Samford Wong Allison Graham George Grimble alastair forbes 不详

Patients with spinal cord injury (SCI) appear to be at higher risk of becoming overweight after their injury. This 12 month study aimed to assess the effectiveness of a dietitian-led clinic. Thirty-eight patients with chronic SCI with a body mass index (BMI) range of 26.4 - 46.4 kg/m2 were referred for three consultations over a three month period for dietetic advice covering nutrition, exercise and behaviour change. Body composition was estimated by anthropometric measurements of BMI, mid upper-arm circumference (MUAC), triceps-skinfold thickness (TSF), mid-arm muscle circumference (MAMC) and sitting blood pressure. Nineteen individuals completed the three month intervention. There were significant reductions in weight (kg: 103.1 v 97.8, P 2: 35.5 v 34.0, P <0.001), TSF (mm: 28.3 v 24.7, P = 0.019), and sitting systolic blood pressure (mm Hg: 134 v 101, P = 0.015), and an increase in MAMC (cm: 29.5 v 30.0, P = 0.045). We conclude that a simple dietetic intervention can help individuals with SCI to lose weight without compromising lean body mass. Although the intervention incurred additional cost, it has the potential to decrease long-term healthcare expenditure if patients’ outcome and quality of life are improved.

关键词： Obesity Malnutrition Nutritional Intervention Spinal Cord Injury

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Acupuncture for irritable bowel syndrome: A blinded placebo-controlled trial

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World Journal of Gastroenterology 2005年第26期11卷 4040-4044页

作者： alastair forbes Sue Jackson Clare Walter Shafi Quraishi Meron Jacyna Max Pitcher St Mark's Hospital Watford Road Harrow HA1 3UJ United Kingdom

AIM: Irritable bowel syndrome (IBS) is a common disorder and many patients fail to find adequate relief from conventional therapies for their symptoms. This study tests the claim that acupuncture is effective for a majority of these ***: A prospective, blinded, sham acupuncturecontrolled trial of traditional Chinese acupuncture was performed at a single postgraduate teaching hospital in Europe. Sixty patients with well-established IBS were recruited. The blinded comparator was sham acupuncture administered by the second of two acupuncturists who alone was aware of the randomization, and who otherwise followed the prescription of the first. The primary endpoint was a defined fall in the symptom score at 13 wk (by intention to treat). The prior expectation was a 30%placebo response, and a response rate of 70% from acupuncture, for which the study was adequately ***: Patients in treated and sham groups improved significantly during the study-mean improvement in scores being equal (minus 1.9) and significant for both (P＜0.05;one-tailed t test). There was a small numeric but nonsignificant difference between the response rate in patients receiving acupuncture (40.7%) and sham treatment (31.2%). Several secondary end-points marginally favored active treatment, but an improved symptom score of any degree of magnitude occurred more often with sham therapy (65.6% vs 59.2%). For no criterion was statistical significance ***: Traditional Chinese acupuncture is relatively ineffective in IBS in the European hospital setting,and the magnitude of any effect appears insufficient to warrant investment in acupuncture services.

关键词：针刺疗法急性肠病综合症中医治疗治疗方法

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