Nutritional Status of the Elderly Residing in a 24-Hour Medical Care Facility After Nutritional Intervention

IF 2.1 Q3 GERIATRICS & GERONTOLOGY
Ścisło Lucyna, Walewska Elżbieta, Kliś-Kalinowska Anna, Pluta Judyta
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Abstract

Malnutrition is a significant issue among elderly individuals in 24-hour care facilities, leading to increased morbidity. The aim of the study was to compare the nutritional status before and after nutritional intervention based on selected indicators of nutritional status among residents of a 24-hour care institution. The study included a group of 104 people aged 65 to 97 years. Nutritional status was assessed before and after the nutritional intervention based on indicators: levels of prealbumin, albumin, transferrin, total lymphocyte count, BMI, and MNA scale. The nutritional intervention consisted of administering oral nutritional supplements (ONS) to patients, regardless of nutritional status. The method of retrospective analysis of patients' medical records was used. Statistical analysis was performed using IBM SPSS Statistics 24 for Windows. Improvements in nutritional status occurred among patients with malnutrition based on MNA and prealbumin indices, and in groups of patients with moderate or mild malnutrition as determined by transferrin, prealbumin and albumin. The mean levels of nutritional indices significantly increased: MNA (p = .001), BMI (p = .001), prealbumin (p = .001), and albumin (p < .001). The use of ONS resulted in better nutritional status parameters based on MNA, albumin and prealbumin. These indices may be predictors of reducing the risk of various disorders among the elderly.
居住在 24 小时医疗护理机构的老年人在接受营养干预后的营养状况
营养不良是 24 小时护理机构中老年人的一个重要问题,会导致发病率上升。这项研究旨在根据选定的营养状况指标,比较 24 小时护理机构居民营养干预前后的营养状况。研究对象包括 104 名 65 至 97 岁的老人。营养干预前后的营养状况根据以下指标进行评估:前白蛋白水平、白蛋白水平、转铁蛋白水平、总淋巴细胞计数、体重指数和 MNA 量表。营养干预包括为患者提供口服营养补充剂(ONS),无论其营养状况如何。研究采用回顾性分析患者病历的方法。统计分析使用 IBM SPSS Statistics 24 for Windows 进行。根据 MNA 和前白蛋白指数,营养不良患者的营养状况有所改善;根据转铁蛋白、前白蛋白和白蛋白,中度或轻度营养不良患者的营养状况有所改善。营养指数的平均水平明显增加:MNA (p = .001)、体重指数 (p = .001)、前白蛋白 (p = .001) 和白蛋白 (p < .001)。使用 ONS 后,基于 MNA、白蛋白和前白蛋白的营养状况参数有所改善。这些指标可能是降低老年人罹患各种疾病风险的预测指标。
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来源期刊
Gerontology and Geriatric Medicine
Gerontology and Geriatric Medicine Medicine-Geriatrics and Gerontology
CiteScore
2.90
自引率
3.70%
发文量
119
审稿时长
12 weeks
期刊介绍: Gerontology and Geriatric Medicine (GGM) is an interdisciplinary, peer-reviewed open access journal where scholars from a variety of disciplines present their work focusing on the psychological, behavioral, social, and biological aspects of aging, and public health services and research related to aging. The journal addresses a wide variety of topics related to health services research in gerontology and geriatrics. GGM seeks to be one of the world’s premier Open Access outlets for gerontological academic research. As such, GGM does not limit content due to page budgets or thematic significance. Papers will be subjected to rigorous peer review but will be selected solely on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, GGM facilitates the discovery of the connections between papers.
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