Marginal nutritional status among institutionalized elderly women as compared to those living more independently (Dutch Nutrition Surveillance System).
Marginal nutritional status among institutionalized elderly women as compared to those living more independently (Dutch Nutrition Surveillance System).
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与独立生活的女性相比，收容机构老年女性的边缘营养状况（荷兰营养监测系统）。
DOI：
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发表时间：
1992
影响因子：
3.5
通讯作者：
P. van Houten
中科院分区：
文献类型：
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作者：
M. Löwik;H. van den Berg;J. Schrijver;J. Odink;M. Wedel;P. van Houten
在荷兰营养监测系统的框架内评估了三组老年妇女（年龄 > 或 = 65 岁）的营养状况（通过人体测量指数以及血液中的生化和血液学变量进行评估）。这些组由居住在疗养院的女性 (n = 51)、居住在服务式公寓并从疗养院厨房获取晚餐的女性 (n = 29) 以及独立生活的女性 (n = 52) 组成。疗养院妇女中叶酸、吡哆醛 5'-磷酸、25-羟基维生素 D、α-生育酚、维生素 C、白蛋白、硒和总胆固醇的平均血液水平显着降低 (p < 0.05)。在这些女性中，经常发现 25-羟基维生素 D (73%)、5'-磷酸吡哆醛 (57%)、维生素 C (38%)、硒 (30%) 和叶酸 (28%) 生化缺乏。这些营养风险在很大程度上是相互独立的。由于叶酸和5'-磷酸吡哆醛与多种临床化学指标相关，因此健康状况可能是造成这种不利情况的重要决定因素。低 25-羟基维生素 D 浓度与有限的紫外线照射和不使用维生素 D 补充剂有关。我们的结论是，膳食摄入变量并不是疗养院妇女边际营养状况的唯一决定因素。应鼓励使用营养密度高的食物，同时需要采取其他预防措施来改善维生素 D 状况。
The nutritional status (assessed by anthropometric indices, and biochemical and hematological variables in blood) of three groups of elderly women (aged > or = 65 years) was evaluated within the framework of the Dutch Nutrition Surveillance System. The groups were composed of women living in a nursing home (n = 51), women living in service flats and receiving their dinners from the nursing home kitchen (n = 29), and women living independently (n = 52). Mean blood levels of folate, pyridoxal 5'-phosphate, 25-hydroxyvitamin D, alpha-tocopherol, vitamin C, albumin, selenium and total cholesterol were significantly (p < 0.05) lower among nursing home women. Among these women a biochemical deficiency was frequently found for 25-hydroxyvitamin D (73%), pyridoxal 5'-phosphate (57%), vitamin C (38%), selenium (30%) and folate (28%). These nutritional risks were largely independent of each other. Since folate and pyridoxal 5'-phosphate were associated with several clinicochemical indicators, health status may be an important determining factor for this unfavorable situation. Low 25-hydroxyvitamin D concentrations were associated with limited exposure to ultraviolet radiation and nonusage of vitamin D supplements. We conclude that dietary intake variables are not the only determinants of a marginal nutritional status among nursing home women. Use of foods with a high nutrient density should be encouraged, whereas other preventive measures are needed to improve vitamin D status.
老年人蛋白质热量营养不良的营养、免疫和造血表现的可纠正性。
影响因子：
3.5
作者：
Lipschitz,DA;Mitchell,CO
通讯作者：
Mitchell,CO