Relationships between nutritional screening and functional impairment in institutionalized Spanish older people.
Relationships between nutritional screening and functional impairment in institutionalized Spanish older people.
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DOI：
10.1016/j.maturitas.2014.05.021
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发表时间：
2014-08
期刊：
影响因子：
4.9
通讯作者：
R. Serrano-Urrea;M. García-Meseguer
中科院分区：
文献类型：
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作者：
R. Serrano-Urrea;M. García-Meseguer
目的功能状态和营养状态之间的关系已经被证实，并已调查了微型营养评估（MNA）作为功能状态指标的价值。然而，养老院的经验仍然有限。这项调查的目的是研究Barthel指数（BI）测量的功能障碍与MNA测量的广泛营养评估类别之间的关系。研究设计横断面研究收集了来自西班牙阿尔巴塞特省34家疗养院的895名居民的数据。主要结果测量使用MNA和BI评估营养和功能状况。分别评价了MNA和BI之间的相关性。利用生物需求对照多边需求评估进行分析，以获得多边需求评估的三大类，即“健康”、“处于危险之中”和“营养不良”的截止点。多元Logistic回归分析被用来评估的MNA项目与BI。ResultsMNA和BI显着相关。最能确定营养不良与健康或处于危险中的BI临界点是40.5。最好确定良好与营养不良或处于风险中的BI截止点为85.5。BI与以下MNA项目呈正相关：流动性，喂养方式，健康状况和中臂围的自我观点。BI的评分可以帮助确定谁可能处于营养不良的风险中。
ObjectivesAn association between functional status and nutritional status has previously been demonstrated and the value of the Mini Nutritional Assessment (MNA) as an indicator of functional status has been investigated. However, experience in nursing homes is still limited. The objectives of this survey were to study the relationships between functional impairment as measured by the Barthel Index (BI) and broad nutritional assessment categories as measured by the MNA.Study designCross-sectional study developed with data collected from 895 residents in 34 nursing homes all over the province of Albacete (Spain).Main outcome measuresNutritional and functional statuses were assessed using the MNA and the BI, respectively. Correlations between MNA and BI were evaluated. Analyses of BI against the MNA were utilized to obtain cut-off points for three broad categories of the MNA, “well”, “at risk” and “malnourished”. Multiple logistic regression analyses were used to assess the association of the MNA items with the BI.ResultsMNA and BI were significantly correlated. The BI cut-off point that best determined malnourished versus well or at risk was 40.5. The BI cut-off point that best determined well versus malnourished or at risk was 85.5. The BI was positively associated with the following MNA items: mobility, mode of feeding, self view of health status and mid-arm circumference.ConclusionsBoth tests, MNA and BI, are positively associated. The scores of BI can help determine who may be at risk of poor nutrition.