2021年5月5日 星期三

斷食療法和體重、168、NEJM、JAMA

Effects of Intermittent Fasting on Health, Aging, and Disease

N Engl J Med 2019; 381:2541-2551 DOI: 10.1056/NEJMra1905136


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September 28, 2020

Effects of Time-Restricted Eating on Weight Loss and Other Metabolic Parameters in Women and Men With Overweight and Obesity

The TREAT Randomized Clinical Trial

JAMA Intern Med. 2020;180(11):1491-1499. doi:10.1001/jamainternmed.2020.4153


Finally, the DXA analysis of lean mass did not factor in muscle hydration, so it is possible that changes
in hydration could confound the lean mass calculations. To help control for this, participants fasted for more than 12 hours and voided their bladder prior to DXA scans. The change in lean mass in the TRE group was much greater than the loss of body water, so it is unlikely that differences in muscle hydration would account for all of the lean mass loss.

PS1: 非脂肪組織:瘦體組織(Lean Body Mass,LBM)
PS2: 四肢骨骼肌肉質量(appendicular skeletal muscle mass,ASM)


2021年5月1日 星期六

差點被中藥包紮壓壞的洗腎瘻管

一位幾週前跌倒洗腎患者,原本左手包上困定架,不需要開刀。2天前骨科回診說定型了、不用包了(應該就是好了),但是患者覺得骨科沒有開刀、沒有開藥吃,他覺得還會痛或是腫?說要再去找中醫看。

結果今天來時,洗腎瘻管幾乎沒有聲音,護理師將中醫纏的繃帶鬆開,請患者手動一動,才稍微恢復了瘻管的流量,打上針,幸好還可以洗,真是萬幸!

這位中醫不知道洗腎瘻管不能壓迫或是纏繞嗎?

善良的病人說:沒關係,若是瘻管塞住或是壞掉,再去通或是開刀就好了...