个人营养咨询对预防人口稀少地区老年人营养不良的有效性:对苏州市示范项目的二次分析

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
ACS Applied Electronic Materials Pub Date : 2023-07-20 eCollection Date: 2023-01-01 DOI:10.1136/bmjnph-2022-000576
Keiko Okumura, Shuhei Ichikawa, Hideki Wakabayashi, Young Jae Hong, Yuko Tokudome, Yousuke Takemura
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引用次数: 0

摘要

目的探讨营养咨询(NC)在预防人口减少地区老年人营养不良方面的有效性。设计参与者是居住在人口稀少地区的至少65岁的老年人。参与者在研究开始时、非NC期(3个月对照)后和NC期(三个月干预)后完成了评估营养状况、虚弱和身体成分的自填问卷。在NC期间,参与者参加了为期3个月的每月1小时的NC会议。会议在三个区域(A、B和C)进行,时间表交错,以便一个区域的NC时段与下一个区域非NC时段同时进行。一个区域内的所有课程都由同一注册营养师参加。对结果进行了三次评估:非NC期前、非NC期后和NC期后。通过比较所有参与者的非NC期和NC期的结果,使用Cochran-Mantel-Haenszel分层检验来评估NC的效果。结果测量主要结果是营养不良,由迷你营养评估(简称)确定。次要结果是饮食多样性评分(DVS)、体重和虚弱。还对身体成分进行了评估。结果在参与该项目的106人中,61人完成了该项目并进行了分析。本研究中的NC对主要结果没有影响。NC期后A区DVS明显高于非NC期(p=0.012)。NC期后C区虚弱明显低于非NC期后(p=0.025)。NC对其他结果无显著影响。结论NC改善了食物种类,但没有改善营养状况、虚弱或身体成分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of individual nutrition counselling for the prevention of undernutrition among elderly people living in depopulated areas: secondary analysis of a model project in Tsu city.

Objectives: To examine the effectiveness of nutrition counselling (NC) in preventing undernutrition in elderly people living in depopulated areas.

Design: Participants were elderly people aged at least 65 years living in a depopulated area. Participants completed self-administered questionnaires evaluating nutritional status, frailty and body composition at the start of the study, after a non-NC period (3-month control) and after an NC period (3-month intervention). During the NC period, participants attended monthly 1-hour NC sessions over 3 months. Sessions were conducted in three areas (A, B and C), and the schedule was staggered so that the NC period in one area was conducted simultaneously with the non-NC period of the next. All sessions within an area were attended by the same registered dietitian. Outcomes were assessed three times: before the non-NC period, after the non-NC period and after the NC period. The effects of NC were assessed by comparing the results between the non-NC and NC periods of all participants, using the Cochran-Mantel-Haenszel stratified test.

Outcome measures: The primary outcome was undernutrition, as determined by the Mini Nutritional Assessment-Short Form. Secondary outcomes were Dietary Diversity Score (DVS), body weight and frailty. Body composition was also assessed.

Results: Of 106 individuals who joined the project, 61 completed the project and were analysed. The NC in this study had no effect on the primary outcome. DVS in area A was significantly higher after the NC period than after the non-NC period (p=0.012). Frailty in area C was significantly lower after the NC period than after the non-NC period (p=0.025). NC had no significant effects on the other outcomes.

Conclusions: NC improved food variety but did not improve nutritional status, frailty or body composition.

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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
期刊介绍: ACS Applied Electronic Materials is an interdisciplinary journal publishing original research covering all aspects of electronic materials. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials science, engineering, optics, physics, and chemistry into important applications of electronic materials. Sample research topics that span the journal's scope are inorganic, organic, ionic and polymeric materials with properties that include conducting, semiconducting, superconducting, insulating, dielectric, magnetic, optoelectronic, piezoelectric, ferroelectric and thermoelectric. Indexed/​Abstracted: Web of Science SCIE Scopus CAS INSPEC Portico
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