BASELINE FINDINGS OF CARENUTRITION INTERVENTION (RCT) AMONG OLDER CAREGIVERS - RISK OF MALNUTRITION AND INSUFFICIENT PROTEIN INTAKE
BASELINE FINDINGS OF CARENUTRITION INTERVENTION (RCT) AMONG OLDER CAREGIVERS - RISK OF MALNUTRITION AND INSUFFICIENT PROTEIN INTAKE
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老年护理人员护理营养干预 (RCT) 的基线结果 - 营养不良和蛋白质摄入不足的风险
DOI：
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
M. Suominen
中科院分区：
文献类型：
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作者：
S. Kunvik;R. Valve;K. Salminen;M. Salonoja;M. Suominen
目的：老年照顾者容易受到营养问题的影响，但只有少数研究调查了他们的营养状况。本研究的目的是确定老年照顾者的营养状况和营养摄入之间的关联。设计：对CareNutrition随机对照试验（RCT）的基线数据进行横断面分析。设置：来自芬兰西部两个不同集群的社区居住护理人员。参会人员：研究共招募了79名年龄≥65岁且认知正常的照顾者，所有这些人都已获得芬兰社会保险机构正式批准的照顾者身份。测量单位：营养状况通过简易营养评估（MNA）进行评估，营养摄入通过三天食物日记进行评估，营养相关血液标志物通过实验室检查进行评估，认知通过简易精神状态检查（MMSE）进行评估，其他基线特征也使用经验证的方法进行评估。结果如下：大多数照料者（79.7%）营养状况良好（MNA分数>23.5），19%有营养不良的风险（MNA分数17-23.5），一人（1.3%）已经营养不良（MNA分数<17）。女性照顾者营养不良的风险高于男性（26.5% vs. 6.7%，p=0.026）。抑郁症状和药物治疗与营养状况下降有关，而营养状况较好的健康相关生活质量较好。平均蛋白质摄入量为1.0 g/kg IBW/d，79.7%的护理人员（77.6%女性，83.3%男性）未摄入推荐的蛋白质摄入量1.2 g/kg IBW/d。他们的膳食纤维、叶酸和维生素D的摄入量也不足。结论：五分之一的照顾者有营养不良的风险。女性的风险高于男性。大多数照顾者的蛋白质摄入量不足。这些发现证实了调查老年照顾者营养状况的重要性，并表明需要进行预防性营养指导。
Objectives: Older caregivers are vulnerable to nutritional problems, but only a few studies have examined their nutrition. The purpose of this study was to determine the associations between nutritional status and nutrient intake among older caregivers. Design: Cross-sectional analysis of baseline data from the CareNutrition randomized controlled trial (RCT). Setting: Community-dwelling caregivers from the Western part of Finland in two different clusters. Participants: A total of 79 caregivers aged ≥65 with normal cognition were recruited for the study, all of whom had officially approved caregiver status by The Social Insurance Institution of Finland. Measurement: Nutritional status was assessed by the Mini Nutritional Assessment (MNA), nutrient intake by a three-day food diary, nutrition-related blood markers by laboratory tests, cognition by the Mini Mental State Examination (MMSE), and other baseline characteristics were also evaluated using validated methods. Results: The majority of the caregivers (79.7%) had a good nutritional status (MNA points >23.5), 19% were at risk of malnutrition (MNA points 17-23.5) and one person (1.3%) already suffered from malnutrition (MNA points <17). The female caregivers were at a higher risk of malnutrition than the males (26.5% vs. 6.7%, p=0.026). Depressive symptoms and medication were associated with decreased nutritional status, and good health-related quality of life with better nutritional status. Mean protein intake was 1.0 g/kg IBW/d and 79.7% of the caregivers (77.6% female, 83.3% male) did not consume the recommended protein intake of 1.2 g/kg IBW/d. Their intake of dietary fibre, folate and vitamin D was also insufficient. Conclusion: Every fifth caregiver was at risk of malnutrition. The females were at a higher risk than the males. Most of the caregivers had insufficient protein intakes. These findings confirm the importance of investigating the nutritional status of older caregivers and indicate a need for preventive nutritional guidance.
寻求门诊精神科服务的抑郁老年人的酒精和药物使用模式。
DOI：
10.1097/jgp.0b013e3181f17f0a
发表时间：
2011
期刊：
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子：
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作者：
Satre,DerekD;Sterling,StacyA;Mackin,RScott;Weisner,Constance
通讯作者：
Weisner,Constance
DOI：
10.1016/j.jamda.2013.05.021
发表时间：
2013-08-01
影响因子：
7.6
作者：
Bauer, Juergen;Biolo, Gianni;Boirie, Yves
通讯作者：
Boirie, Yves