Accumulation of geriatric conditions is associated with poor nutritional status in dependent older people living in the community and in nursing homes
Accumulation of geriatric conditions is associated with poor nutritional status in dependent older people living in the community and in nursing homes
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DOI：
10.1111/ggi.12079
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发表时间：
2014-01-01
影响因子：
3.3
通讯作者：
Kuzuya, Masafumi
中科院分区：
文献类型：
--
作者：
Hirose, Takahisa;Hasegawa, Jun;Kuzuya, Masafumi
目的 阐明营养状况与受抚养老年人老年疾病患病率之间的关系。方法对居住在社区（n=511，平均年龄 81.2 岁）或养老院（n=587，平均年龄 85.2 岁）的 65 岁及以上受抚养老年人进行横断面观察研究。数据包括参与者的人口特征、日常生活的基本活动、查尔森合并症指数和八种老年疾病的患病率（视力障碍、听力障碍、跌倒、膀胱控制问题、认知障碍、活动能力障碍、吞咽障碍和食欲不振）。营养状况通过简易营养评估简表 (MNA-SF) 进行评估。结果 根据 MNA-SF 分类，1098 名参与者中，21.4% (n=235) 被归类为营养不良。营养不良组的参与者比其他两组的参与者有更多的老年疾病。在营养状况较差的人群中，除跌倒外，所有老年疾病的患病率均较高。多变量逻辑回归分析显示，营养不良与老年病的数量有关，但与合并症的数量无关，即使在控制了混杂因素后也是如此。结论经证实，营养不良与受抚养老年人的老年病有显着相关性。老年老年国际 2014； 14：198-205。
AimTo clarify the association between nutritional status and the prevalence of geriatric conditions in dependent older adults.MethodsA cross-sectional observational study of dependent older adults aged 65years or older who were living either in the community (n=511, mean age 81.2years) or in nursing homes (n=587, mean age 85.2years) was carried out. Data included the participants' demographic characteristics, basic activities of daily living, Charlson Comorbidity Index and the prevalence of eight geriatric conditions (visual impairment, hearing impairment, falls, bladder control problems, cognitive impairment, impaired mobility, swallowing disturbance and loss of appetite). Nutritional status was assessed by the Mini Nutritional Assessment short form (MNA-SF).ResultsOf 1098 participants, 21.4% (n=235) were categorized as malnourished, according to the MNA-SF classification. Participants in the malnourished group had a greater number of geriatric conditions than those in the other two groups. A higher prevalence of all the geriatric conditions except for falls was detected in the group with poorer nutritional status. Multivariate logistic regression analysis showed that malnutrition was associated with the number of geriatric conditions, but not with that of comorbidities, even after controlling for confounders.ConclusionsMalnutrition was confirmed to have significant associations with geriatric conditions in dependent older adults. Geriatr Gerontol Int 2014; 14: 198-205.