Exploring the experience of appetite loss in older age: insights from a qualitative study.
Exploring the experience of appetite loss in older age: insights from a qualitative study.
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DOI：
10.1186/s12877-024-04732-9
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发表时间：
2024-01-31
期刊：
影响因子：
4.1
通讯作者：
Robinson, Sian
中科院分区：
文献类型：
--
作者：
Dismore, Lorelle;Sayer, Avan;Robinson, Sian
食欲不振在老年人中很常见，估计社区居民的患病率在15-30%之间。尽管食欲不振和不良健康结果之间存在已知的联系，但食欲并没有得到常规评估，老年人食欲不振的原因和影响也没有得到很好的理解。这项研究旨在提高对食欲不振的老年人食欲不振的影响和经验的理解，并考虑预防和治疗策略的影响。13名年龄在60-93岁的老年人（9名女性）被确定为食欲不佳（简化营养食欲问卷（SNAQ）评分< 14;范围从8-11）参加了半结构化访谈。开放式问题集中在老年人食欲和食欲减退的影响和经验。访谈记录;使用归纳法进行反思性专题分析。分析产生了三个主题：1）影响食欲不振的复杂网络，包括生物，心理和社会因素; 2）食欲不振-食欲不振的感知和对食欲不振的态度的变化; 3）食欲不振-饮食环境和社会互动的作用和重要性。这些主题突出了食欲不振的个人“旅程”的显着差异，具体因果影响的平衡和作用的变化，影响食欲不振的经验和应对策略。描述了老年人食欲不振的广泛影响（包括生物、心理和社会因素）和经历。未来的研究应该考虑以人为本的方法，考虑到食欲不振的个人叙述，在设计有效的策略，以支持老年人。在线版本包含补充材料，可通过10.1186/s12877-024-04732-9获得。
Poor appetite is common in older age, with estimated prevalence figures ranging between 15–30% in community-dwelling populations. Despite known links between poor appetite and adverse health outcomes, appetite is not routinely assessed and the causes and impact of appetite loss in older age are not well understood. This study aimed to improve understanding of the influences on, and experiences of, appetite loss among older people who have poor appetite and to consider the implications for prevention and treatment strategies. Thirteen older adults aged 60–93 years (9 women) identified as having poor appetite (Simplified Nutritional Appetite Questionnaire (SNAQ) scores < 14; ranging from 8–11) took part in semi-structured interviews. Open-ended questions focused on influences on and experiences of appetite and appetite loss in older age. Interviews were transcribed; reflective thematic analysis was conducted using an inductive approach. The analysis generated three themes: 1) a complex web of influences on appetite loss, that include biological, psychological, and social factors; 2) living with poor appetite—variation in perceptions of poor appetite and attitudes to appetite loss; 3) living with poor appetite—the role and importance of the eating environment and social interactions. The themes highlight marked differences in individual ‘journeys’ to poor appetite, with variation in the balance and role of specific causal influences, that impact on the experience of appetite loss and on coping strategies. A broad range of influences (including biological, psychological and social factors) and experiences of appetite loss in older age were described. Future research should consider person-centred approaches, that take account of individual narratives of appetite loss, in the design of effective strategies to support older adults. The online version contains supplementary material available at 10.1186/s12877-024-04732-9.
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影响因子：
5.4
作者：
Chatindiara, Idah;Sheridan, Nicolette;Wham, Carol
通讯作者：
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影响因子：
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作者：
Huang, Yi-Chen;Wahlqvist, Mark L.;Lee, Meei-Shyuan
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影响因子：
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作者：
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影响因子：
3.3
作者：
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通讯作者：
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DOI：
10.1111/j.1749-6632.1978.tb22070.x
发表时间：
1978-06-21
影响因子：
5.2
作者：
Engel, G L
通讯作者：
Engel, G L