家庭与社会疏离对韩国城市老年人营养不良危险因素的影响:社会疏离与老年人营养不良

IF 0.4 Q4 GERONTOLOGY

Journal of Gerontology and Geriatrics Pub Date : 2023-10-01 DOI:10.36150/2499-6564-n592

Jeoung-Gyu Lee, Woo-Kyung Chung, Ae-Son Om

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Based on the baseline survey, two-sevenths of elderly people living alone (ELA), one-fifth living with only their spouse (ELS), and one-fortieth living with children (ELC) were classified as at moderate risk of malnutrition, according to the criteria in the NSI (Nutrition Screening Initiative) Checklist. Physical (ΔR2 = 0.017 of ELA, ΔR2 = 0.026 of ELS, ΔR2 = 0.012 of ELC, p < 0.001) and cognitive impairment (ΔR2 = 0.002 of ELA, ΔR2 = 0.002 of ELS, p < 0.01) appeared to increase the risk for malnutrition in all living arrangements with age. Noticeably, contact with separately living children, as another factor of family social capital, appeared to be associated with a decreased risk for malnutrition in the order of ELA, ELC and ELS, as confirmed in the cross-validated estimates of ΔR2 (ΔR2 = 0.043 of ELA, ΔR2 = 0.01 of ELC, ΔR2 = 0.009 of ELS, p < 0.001). Conjugal relationships appeared to be more important than parent-child relations for nutritional care of the elderly population. 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引用次数: 0

摘要

目标。本研究探讨社会疏离及其相关因素对韩国城市老年居民营养不良患病率的影响。方法。我们利用2020年韩国老年人生活条件和福利需求调查的结果进行了二次分析，该调查对969个调查地区的65岁及以上老年人口进行了调查，共有10,097人。采用层次线性回归模型来确定对营养不良风险的逐步影响。结果。根据基线调查，根据NSI(营养筛查倡议)检查表中的标准，七分之二的独居老人(ELA)，五分之一的仅与配偶生活(ELS)，以及四十分之一的与子女生活(ELC)被归类为中度营养不良风险。物理(ELA = ΔR2 = 0.017, ELS = ΔR2 = 0.026, ELC = ΔR2 = 0.012, p <0.001)和认知障碍(ELA = ΔR2 = 0.002, ELS = ΔR2 = 0.002, p <0.01)似乎增加了营养不良的风险随着年龄的增长。值得注意的是，作为家庭社会资本的另一个因素，与单独生活的儿童接触似乎与ELA、ELC和ELS的营养不良风险降低有关，这一点在交叉验证的估算中得到了证实:ΔR2 (ELA ΔR2 = 0.043, ELC ΔR2 = 0.01, ELS ΔR2 = 0.009, p <0.001)。夫妻关系比亲子关系对老年人的营养护理更为重要。结论。独居老人是最脆弱的，因为五分之二的ELA人口营养不良的风险是与配偶或子女一起生活的人的两倍或三倍。在所有群体中，社会疏离(不包括夫妻关系)被发现是与本研究调查的老年人营养不良相关的重要潜在决定因素。

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Influence of family and social detachment on city-dwelling elderly demographic’s risk factors for malnutrition in South Korea: Social detachment and elderly’ malnutrition

Objective. This study investigated the influence of social detachment and its associated factors on the prevalence of malnutrition in elderly residents of South Korean cities. Methods. We performed secondary analysis using the results of the 2020 Survey of Living Conditions and Welfare Needs of Older Persons in Korea conducted on the elderly population, aged 65 or older, in 969 survey districts, totalling 10,097 people. Hierarchical linear regression modelling was performed to identify the step-by-step influences on the risk for malnutrition. Results. Based on the baseline survey, two-sevenths of elderly people living alone (ELA), one-fifth living with only their spouse (ELS), and one-fortieth living with children (ELC) were classified as at moderate risk of malnutrition, according to the criteria in the NSI (Nutrition Screening Initiative) Checklist. Physical (ΔR2 = 0.017 of ELA, ΔR2 = 0.026 of ELS, ΔR2 = 0.012 of ELC, p < 0.001) and cognitive impairment (ΔR2 = 0.002 of ELA, ΔR2 = 0.002 of ELS, p < 0.01) appeared to increase the risk for malnutrition in all living arrangements with age. Noticeably, contact with separately living children, as another factor of family social capital, appeared to be associated with a decreased risk for malnutrition in the order of ELA, ELC and ELS, as confirmed in the cross-validated estimates of ΔR2 (ΔR2 = 0.043 of ELA, ΔR2 = 0.01 of ELC, ΔR2 = 0.009 of ELS, p < 0.001). Conjugal relationships appeared to be more important than parent-child relations for nutritional care of the elderly population. Conclusions. The demographic of elderly people living alone was the most vulnerable, as two-fifths of the ELA population is at double or triple the risk of malnutrition than those living with a spouse or with children. In all groups, social detachment, excluding conjugal relationships, was found to be a significant underlying determining factor connected to malnutrition in the elderly groups investigated in this study.

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来源期刊

Journal of Gerontology and Geriatrics GERONTOLOGY-

CiteScore

0.70

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期刊介绍： The Journal of Gerontology and Geriatrics (JGG) is the official journal of the Italian Society of Gerontology and Geriatrics (SIGG), which will be an international, interdisciplinary, peer-reviewed journal concerning frontiers and advances in the field of aging. The aim of the journal is to provide a forum for original research papers, reviews, clinical case reports, and commentaries on the most relevant areas pertaining to aging. JGG publishes relevant articles covering the full range of disciplines pertaining to aging. Appropriate areas include (but are not limited to) Physiology and Pathology of Aging, Biogerontology, Epidemiology, Clinical Geriatrics, Pharmacology, Ethics, Psychology, Sociology and Geriatric Nursing.