E. Wernio, J. A. D. ska, Hanna Kujawska-Danecka, A. Hajduk, Z. Zdrojewski, S. M. gorzewicz
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引用次数: 0
摘要
前言:为了提高老年人的生活质量和健康水平,人们重视虚弱综合征的早期发现。不幸的是,目前还没有一种简单实用的筛查工具。最近,山田和新井提出了新的脆弱指数(NFI)。因此,本研究的目的是评估老年人营养状况与NFI之间的关系。材料和方法:在67例老年患者(27例住院,40例生活在家庭环境中)中,我们使用NFI,并使用full-MNA结合SNAQ(食欲问卷)、手动动力测量和生物阻抗分析来评估营养状况。结果:基于NFI结果,半数以上的住院老年人被诊断为虚弱综合征。该综合征在自由生活的老年人中发病率明显较低(15% vs 63%, p<0.001)。我们发现NFI值与年龄(r=0.031, p=0.03)、共发病(r=0.295, p=0.016)、相位角(r=-0.407, p<0.001)、full-MNA评分(r=-0.515, p<0.001)有显著相关性。结论:我们的初步结果提示NFI结果与年龄、相位角、合并症和营养状况有关。因此,需要进一步评估NFI作为虚弱综合征诊断的筛查工具。
THE NOVEL FRAILTY INDEX (NFI) CORRELATES WITH A VALUE OF PHASE ANGLE AND MNA IN HOSPITALISED AND FREELIVING ELDERLY - PRELIMINARY REPORT
Introduction: To improve the quality of life and health of the elderly, attention is paid to the early detection of frailty syndrome. Unfortunately, one simple and practical screening tool has not been established yet. Recently came the proposal of the Novel Frailty Index (NFI) created by Yamada and Arai. Therefore, the purpose of this study was to assess the relationship between nutritional status and NFI of the elderly. Materials and methods: In a group of 67 elderly patients (27 hospitalised and 40 living in the home environment) we used the NFI and evaluated nutritional status with the use of full-MNA together with SNAQ (appetite questionnaire), manual dynamometry and bioimpedance analysis. Results: Based on the NFI results, frailty syndrome was diagnosed in more than half of hospitalised elderly. The syndrome was significantly less prevalent in free-living older people (15% vs 63%, p<0.001).We found the significant correlations of NFI values with age (r=0.031, p=0.03), co-morbidity(r=0.295, p=0.016), phase angle (r=-0.407, p<0.001), full-MNA score (r=-0.515, p<0.001). Conclusions: Our preliminary results suggest the relevant association between NFI results and age, phase angle as well comorbidity and nutritional status. So further evaluation of NFI as a screening tool for frailty syndrome diagnose is needed.