上海某老人之家营养不良及其危险因素分析。

IF 1.3 4区 医学 Q4 NUTRITION & DIETETICS
Jianqin Sun, Wuke Yuan, Min Chen, Yanqiu Chen, Jie Chen, Danfeng Xu, Zhen Li, Huijing Bai, Qi Xu, Yuanrong Jiang, Jie Gu, Shengqi Li, Chenxi Su, Lili Gu, Jiaxin Fang, Xinyao Zhu
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引用次数: 1

摘要

背景和目的:居住在老年之家的老年人营养不良的风险很高。在这项研究中,我们调查了这些人的营养状况和与营养不良有关的因素。方法和研究设计:本横断面研究(2020年9月- 2021年1月)共纳入583名居住在上海一家敬老院的老年人(平均年龄85.0±6.6岁)。使用迷你营养评估简短表格(MNA-SF)问卷来评估参与者的营养状况。根据亚洲肌少症工作组在其2019年共识(AWGS 2019)中推荐的指南,确定可能的肌少症患者。此外,通过多变量分析确定影响营养不良的因素。结果:10.5%和37.4%的参与者分别指出了营养不良的可能性和营养不良的风险。在男性和女性参与者中,手部握力(HGS)和小腿围度(CC)随着上述问卷得分的增加而显著增加(结论:营养不良在老年人中很常见;因此,必须确定相关因素,并采取适当的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Malnutrition and its risk factors in a home for seniors in Shanghai.

Background and objectives: Older adults residing in senior homes are at a high risk of malnutrition. In this study, we investigated the nutritional status of these individuals and factors associated with malnutrition in this population.

Methods and study design: This cross-sectional study (September 2020-January 2021) included a total of 583 older adults residing in a senior home in Shanghai (mean age, 85.0±6.6 years). The Mini Nutritional Assessment Short Form (MNA-SF) questionnaire was administered to assess the nutritional status of the participants. Patients with possible sarcopenia were identified according to the guidelines recommended by the Asian Working Group for Sarcopenia in its 2019 consensus (AWGS 2019). Moreover, the factors influencing malnutrition were determined through multivariate analyses.

Results: The likelihoods of having malnutrition and being at a risk of malnutrition were noted in 10.5% and 37.4% of the participants, respectively. In both male and female participants, handgrip strength (HGS) and calf circumference (CC) increased significantly with increasing scores on the aforementioned questionnaire (p<0.001). Among the participants, 44.6% had ≥3 chronic diseases and 48.2% used multiple medicines. Multivariate analyses revealed that dys-phagia (OR, 3.8; 95% CI, 1.7-8.5), possible sarcopenia (OR, 3.6; 95% CI, 2.2-5.6), and dementia (OR, 4.5; 95% CI, 2.8-7.0) were correlated with a relatively high prevalence of malnutrition/malnutrition risk. Exercise (at least thrice a week) reduced malnutrition risk.

Conclusions: Malnutrition is common among older adults residing in senior homes; therefore, the associated factors must be identified, and appropriate interventions should be administered.

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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
58
审稿时长
6-12 weeks
期刊介绍: The aims of the Asia Pacific Journal of Clinical Nutrition (APJCN) are to publish high quality clinical nutrition relevant research findings which can build the capacity of clinical nutritionists in the region and enhance the practice of human nutrition and related disciplines for health promotion and disease prevention. APJCN will publish original research reports, reviews, short communications and case reports. News, book reviews and other items will also be included. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by at least two anonymous reviewers and the Editor. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as material cannot be returned. Final acceptance or rejection rests with the Editorial Board
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