Effects of dietary supplementation of elderly demented hospital residents

Effects of dietary supplementation of elderly demented hospital residents
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DOI:
10.1111/j.1365-277x.1995.tb00334.x
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发表时间:
1995-12-01
影响因子:
3.3
通讯作者:
Dobson, AM
Dobson, AM
中科院分区:
医学3区
文献类型:
--
作者:
Carver, AD;Dobson, AM

文献摘要

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本研究的目的是确定膳食补充剂(Fortisip,Cow & Gate Ltd)对低体重、老年痴呆症住院患者的体重、三头肌皮褶厚度和中臂肌围的影响。测量了某大型精神病医院老年病房的所有住院患者(n = 293)的身高和体重,并计算了每个人的体重指数(BMI)。46名体重不足的居民(BMI 15.1-19.9)按年龄、性别和BMI匹配,并随机分配接受补充剂或无热量维生素安慰剂。补充组(n = 23)的平均体重(P < 0.001)、中上臂肌围(P < 0.05)和三头肌皮褶厚度(P < 0.001)显著增加。安慰剂组(n = 23)的这些营养状况指标均无显著变化。老年痴呆症住院患者中体重不足的比例很高。添加膳食补充剂导致平均体重显著增加,这是由于体脂和肌肉蛋白增加。
The purpose of this study was to determine the effects of a dietary supplement (Fortisip, Cow & Gate Ltd) on the body weight, triceps skinfold thickness and mid-arm muscle circumference of low weight, elderly, demented hospital residents. The height and weight of all residents (n = 293) of the Care of the Elderly wards of a large psychiatric hospital were measured, and body mass index (BMI) calculated for each individual. Forty-six underweight residents (BMI 15.1-19.9) were matched by age, sex and BMI and randomly allocated to receive the supplement or an acaloric vitamin placebo. There were significant increases in mean weight (P < 0.001), mid-upper-arm muscle circumference (P < 0.05) and triceps skinfold thickness (P < 0.001) in the supplemented group (n = 23) None of these measures of nutritional status changed significantly in the placebo group (n = 23). A high proportion of elderly demented hospital residents are underweight. The addition of a dietary supplement produced a highly significant increase in mean body weight as a result of increases in both body fat and muscle protein.