Nutritional Assessment and Factors Associated to Malnutrition in Older Adults: A Cross-Sectional Study in Bogota, Colombia
Nutritional Assessment and Factors Associated to Malnutrition in Older Adults: A Cross-Sectional Study in Bogota, Colombia
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DOI：
10.1177/0898264314549661
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发表时间：
2015-03-01
影响因子：
2.8
通讯作者：
Cano Gutierrez, Carlos
中科院分区：
文献类型：
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作者：
Chavarro-Carvajal, Diego;Reyes-Ortiz, Carlos;Cano Gutierrez, Carlos
目的：确定老年人的营养状况以及与营养不良相关的因素。方法：数据来自 SABE 波哥大研究（健康、福祉和老龄化），这是一项 2012 年在哥伦比亚波哥大针对 60 岁及以上社区居住成年人进行的横断面调查。使用迷你营养评估（MNA），我们通过回归模型评估了该人群的营养状况和与营养不良相关的因素。结果：在 1,573 名受访老年人中，4.58% 存在营养不良，34.27% 存在营养不良风险。与营小腿围较小（OR = 2.63，95% CI = [1.86，3.72]）。佩戴假牙、营养良好的感觉以及较高的功能性可降低营养不良的几率 (p < .05)。结论：MNA 有助于评估波哥大老年人营养不良的相关因素。营养不良与健康状况不佳、合并症、药物数量和认知障碍的认知有关。
Objective: To determine the nutritional status and factors associated to malnutrition in older adults. Method: Data come from the SABE Bogota study (Health, Well-Being, and Aging), a cross-sectional survey conducted in Bogota, Colombia, in 2012 in community-dwelling adults aged 60 years and older. Using the Mini Nutritional Assessment (MNA), we evaluated the nutritional status and factors associated to malnutrition in this population with regression models. Results: From the 1,573 older adults interviewed, 4.58% were malnourished and 34.27% were at risk of malnourishment. Factors associated to malnourishment were older age (odds ratio [OR] =1.02, 95% confidence interval [CI] = [1.00, 1.04]), perceived poor health (OR = 1.46, 95% CI = [1.13, 1.88]), comorbidities (OR = 1.16, 95% CI = [1.04, 1.30]), and low calf circumference (OR = 2.63, 95% CI = [1.86, 3.72]). Having dentures, perception of being well-nourished, and higher functionality decreased the odds for malnourishment (p < .05). Conclusion: The MNA is useful to evaluate factors associated with malnutrition among older adults in Bogota. Malnutrition is associated with perception of poor health, comorbidities, number of medications, and cognitive impairment.