Nutritional status and functional capacity of hospitalized elderly.

Nutritional status and functional capacity of hospitalized elderly.
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DOI:
10.1186/1475-2891-8-54
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发表时间:
2009-11-17
期刊:
影响因子:
5.4
通讯作者:
Leandro-Merhi VA
Leandro-Merhi VA
中科院分区:
医学2区
文献类型:
--
作者:
Oliveira MR;Fogaça KC;Leandro-Merhi VA

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老年人的营养状况是个人和环境因素复杂相互作用的结果。一种疾病会影响个体的营养状况和机能,并受其影响。我们评估了最近在综合医院住院的老年人的营养状况与功能能力指标之间的关系。一项横断面研究在一家为公立和私立医疗保健系统提供护理的医院住院的240名老年人(女性127人,男性113人)中进行。营养状况由MNA(微型营养评估)划分为:营养不良、营养不良风险和无营养不良(适量)。采用自评的日常生活能力量表(IADL)和日常生活能力问卷(ADL)获得功能自主性指标。比例比较采用卡方检验,显着性水平为5%。在接受评估的老年人中,33.8%的人被归类为营养状况良好,37.1%的人被归类为营养不良的风险,29.1%的人被归类为营养不良。所有评估的IADL和ADL变量在营养不良的个体中恶化得更严重。在ADL变量中,超过一半的营养不良老年人存在部分(42.9%)或完全(12.9%)的饮食依赖,13.4%的营养不良高危人群和2.5%的非营养不良老年人存在饮食依赖。老年人的营养状况与功能能力下降之间存在相互关系。
The nutritional status of the aging individual results from a complex interaction between personal and environmental factors. A disease influences and is influenced by the nutritional status and the functional capacity of the individual. We asses the relationship between nutritional status and indicators of functional capacity among recently hospitalized elderly in a general hospital. A cross-sectional study was done with 240 elderly (women, n = 127 and men, n = 113) hospitalized in a hospital that provides care for the public and private healthcare systems. The nutritional status was classified by the MNA (Mini Nutritional Assessment) into: malnourished, risk of malnutrition and without malnutrition (adequate). The functional autonomy indicators were obtained by the self-reported Instrumental Activity of Daily Living (IADL) and Activity of Daily Living (ADL) questionnaire. The chi-square test was used to compare the proportions and the level of significance was 5%. Among the assessed elderly, 33.8% were classified as adequate regarding nutritional status; 37.1% were classified as being at risk of malnutrition and 29.1% were classified as malnourished. All the IADL and ADL variables assessed were significantly more deteriorated among the malnourished individuals. Among the ADL variables, eating partial (42.9%) or complete (12.9%) dependence was found in more than half of the malnourished elderly, in 13.4% of those at risk of malnutrition and in 2.5% of those without malnutrition. There is an interrelationship between the nutritional status of the elderly and reduced functional capacity.
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发表时间: 2005-04-01
影响因子: 3.3
作者:
Neumann, SA;Miller, MD;Crotty, M
通讯作者: Crotty, M
DOI: 10.1016/j.clnu.2006.05.006
发表时间: 2006-12-01
期刊: CLINICAL NUTRITION
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发表时间: 2002-09-01
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发表时间: 2008-10-01
期刊: CLINICAL NUTRITION
影响因子: 6.3
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DOI: 10.1093/geronj/36.4.428
发表时间: 1981-01-01
期刊: JOURNALS OF GERONTOLOGY
影响因子: --
作者:
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通讯作者: SMYER, MA