CHANGES IN RELATIVE WEIGHT AMONG INSTITUTIONALIZED ELDERLY ADULTS
CHANGES IN RELATIVE WEIGHT AMONG INSTITUTIONALIZED ELDERLY ADULTS
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DOI：
10.1093/geronj/42.3.246
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发表时间：
1987-05-01
期刊：
影响因子：
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通讯作者：
SULLIVAN, P
中科院分区：
文献类型：
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作者：
DWYER, JT;COLEMAN, KA;SULLIVAN, P
描述了在一家老年护理机构的335名住院老年成年人在两年时间里体重/身高和体重的变化。入院时的体重身高比与几个现行的老年人标准进行了比较。体重不足和肥胖患者的平均相对体重和比例因使用的标准而异。虽然组内平均体重变化不大，但73%的患者在两年内增重或减重4.5公斤或更多。在此期间体重减轻4.5公斤或以上的患者的四年存活率低于体重增加或保持稳定的患者(p<；0.05)。在机构老年人中，体重波动可能比之前认为的更普遍，或者比对群体趋势的分析更明显。监测一个人的体重S很简单，可能比标准更有意义，特别是因为体重减轻与死亡率有关，直到制定出适合年龄的标准。
Weight-for-height and weight changes over a 2-year period among 335 institutionalized elderly adults at a geriatric care facility are described. Weight-for-height at admission was compared with several current standards for elderly persons. Mean relative weight and proportions of underweight and obese patients varied with the standards used. Although changes in group mean weights were slight, 73% of the patients gained or lost 4.5 kg or more in 2 years. Patients who lost 4.5 kg or more in the interval had a lower 4-year survival rate (p < .05) than patients who gained weight or remained stable. Fluctuations in weight may be more prevalent among institutionalized elderly persons than previously thought, or than are apparent in analyses of group trends. Monitoring an individual''s weight is simple and may be more meaningful than comparison to a standard, especially because weight loss is associated with mortality, until age appropriate standards are developed.