利用生物电阻抗分析评估老年住院患者的营养状况和一系列营养干预措施的影响:服务评估。

IF 2.9 3区 医学 Q3 NUTRITION & DIETETICS
Claire Constantinou, Joanne Jefford, Marzena Zygo, Judith White, Megan Dale, Rhys Morris, Judyth Jenkins
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引用次数: 0

摘要

研究背景该研究旨在使用生物电阻抗分析(BIA)评估入院老年患者的营养状况,并定量测量卡迪夫和淡水河谷大学卫生局(CAVUHB)示范病房的影响。次要目标是评估在这一患者群体中使用 BIA 的可行性,并将营养风险筛查工具与去脂体重指数 (FFMI) 进行比较:方法:在英国一家大型教学医院的医疗和康复病床上对 "营养和水化示范病房 "进行前瞻性、比较性、单中心服务评估:使用 Bodystat Multiscan 5000 对 162 名患者进行了 450 次 BIA 测量;其中几名患者在住院期间进行了重复测量。患者对测量过程的耐受性良好,但由于体重不准确、植入医疗设备和组织存活性等原因,一些患者无法参与测量:结论:BIA 快速、无创、操作简单,可获得有关个人身体成分的大量数据。在更大的医疗入院人群中,BIA 可以帮助确定营养筛查工具的敏感性和特异性。与通常的护理模式相比,一系列营养干预措施的集体效益能更好地保持老年住院病人的营养状况。虽然结果没有统计学意义,但新的护理模式有机会更好地支持体弱病人,防止他们的体质下降。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Assessing the nutritional status and impact of a series of nutritional interventions on elderly inpatients using bioelectrical impedance analysis: A service evaluation

Assessing the nutritional status and impact of a series of nutritional interventions on elderly inpatients using bioelectrical impedance analysis: A service evaluation

Background

The aim of the study was to use bioelectrical impedance analysis (BIA) to assess nutritional status of elderly patients admitted to hospital and quantitatively measure the impact of the Cardiff and Vale University Health Board (CAVUHB) model ward. Secondary objectives were to assess the feasibility of using BIA in this patient population and compare nutrition risk screening tools against fat-free mass index (FFMI).

Methods

A prospective, comparative, single-centre, service evaluation of a 'model ward for nutrition and hydration' undertaken in medical and rehabilitation beds in a large UK teaching hospital.

Results

A total of 450 BIA measurements were taken using a Bodystat Multiscan 5000 on 162 patients; several patients had repeated measurements during their hospital stay. Patients tolerated the procedure well, but lack of accurate weight, implanted medical devices and tissue viability precluded some participants.

Conclusions

BIA is quick, non-invasive, simple to complete and can elicit huge data about an individual's body composition. In a larger cohort of medical admissions, BIA could assist in identifying the sensitivity and specificity of the nutrition screening tools. The collective benefit of a series of nutritional interventions preserved nutritional status better in this elderly inpatient population than usual models of care. Although results were not statistically significant, there is an opportunity with the new model of care to better support frail patients and prevent deconditioning.

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来源期刊
CiteScore
5.30
自引率
15.20%
发文量
133
审稿时长
6-12 weeks
期刊介绍: Journal of Human Nutrition and Dietetics is an international peer-reviewed journal publishing papers in applied nutrition and dietetics. Papers are therefore welcomed on: - Clinical nutrition and the practice of therapeutic dietetics - Clinical and professional guidelines - Public health nutrition and nutritional epidemiology - Dietary surveys and dietary assessment methodology - Health promotion and intervention studies and their effectiveness - Obesity, weight control and body composition - Research on psychological determinants of healthy and unhealthy eating behaviour. Focus can for example be on attitudes, brain correlates of food reward processing, social influences, impulsivity, cognitive control, cognitive processes, dieting, psychological treatments. - Appetite, Food intake and nutritional status - Nutrigenomics and molecular nutrition - The journal does not publish animal research The journal is published in an online-only format. No printed issue of this title will be produced but authors will still be able to order offprints of their own articles.
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