Factors associated with deterioration of mini nutritional assessment-short form status of nursing home residents during a 2-year period
Factors associated with deterioration of mini nutritional assessment-short form status of nursing home residents during a 2-year period
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DOI：
10.1007/s12603-013-0400-5
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发表时间：
2014-04-01
影响因子：
5.8
通讯作者：
Kuzuya, M.
中科院分区：
文献类型：
--
作者：
Izawa, S.;Enoki, H.;Kuzuya, M.
已经进行了一些其他研究，以验证微型营养评估（MNA）或MNA简表（MNA-SF）作为各种临床环境或社区的营养评估/筛查工具。然而，很少有纵向研究使用这些工具来分析哪些因素影响营养状况恶化的发生率。本研究以日本12家疗养院的392名平均年龄为84.3岁的老人为研究对象，探讨了2年内疗养院老人MNA-SF状况恶化的相关因素。与稳定/改善的MNA-SF分类相比，研究期间与MNA-SF分类恶化相关的因素被确定。根据MNA-SF分类，基线时19.9%的参与者营养不良，60.2%的参与者有营养不良的风险。2年后，根据MNA-SF分类，66.3%的参与者维持和6.1%的参与者改善了他们的营养状况，而27.6%的参与者显示MNA-SF状况恶化。逐步Logistic回归分析显示，随访期间基本ADL受损和住院与MNA-SF状态下降相关，随访期间基本ADL受损和住院与2年期间疗养院居民MNA-SF评估的营养不良和营养不良风险相关。
A number of other studies have been conducted to verify the Mini Nutritional Assessment (MNA) or the MNA short form (MNA-SF) as a nutritional assessment/screening tool in various clinical settings or communities. However, there are few longitudinal studies using these tools to analyze which factors affect the incidence of deteriorating nutritional status. We tried to identify the factors associated with deterioration of MNA-SF status of nursing home residents during a 2-year period.Participants were 392 people with a mean age of 84.3 in 12 nursing homes in Japan. The factors associated with deterioration in MNA-SF categories during the study period compared to stable/improved MNA-SF categories were identified.At baseline, 19.9% of the participants were malnourished and 60.2% were at risk of malnutrition, according to the MNA-SF classification. After 2 years, 66.3% participants maintained and 6.1% participants improved their nutritional status according to the MNA-SF classification, while 27.6% showed deterioration in MNA-SF status. Stepwise logistic-regression procedure indicated that basic ADL impairment and hospitalization during the follow-up period were associated with declining MNA-SF status.Poor basic ADL status and hospitalization during the follow-up period were associated with malnutrition and risk of malnutrition as assessed by MNA-SF of nursing homes residents during a 2-year period.