The nutritional status of frail elderly with care needs according to the mini-nutritional assessment
The nutritional status of frail elderly with care needs according to the mini-nutritional assessment
复制标题
DOI：
10.1016/j.clnu.2006.05.006
复制
发表时间：
2006-12-01
影响因子：
6.3
通讯作者：
Iguchi, Akihisa
中科院分区：
文献类型：
--
作者：
Izawa, Sachiko;Kuzuya, Masafumi;Iguchi, Akihisa
背景和目的：尽管营养不良在老年人群中很常见，但各种护理需求与营养状况之间的关系尚不清楚。本研究的目的是分析日本社区居住体弱老年人中高照护需求与较差营养状况之间的关系。方法：共有281名来自日托中心的社区居住老年人（平均年龄81.9 +/- 7.2岁，男性72人，女性209人）符合长期护理保险的条件，采用迷你营养评估法评估其营养状况。根据长期护理保险计划，参与者的护理需求分为六个级别。结果：根据微营养评估分类，39.9%、51.2%和8.9%的参与者被评估为营养良好、有营养不良风险和营养不良。6组间在营养状况上存在显著差异；需要较高护理的受试者营养状况较差。在高护理需求组中，超过一半的受试者不知道他们的体重在3个月内的变化。结论：社区中有较高护理需求的老年人与较高的营养不良患病率相关。(c) 2006年爱思唯尔有限公司和欧洲临床营养与代谢学会。版权所有。
Background and aims: Although malnutrition is common in the geriatric population, the relationship between frail elderly with various care needs and nutritional status remains unknown. The purpose of this study was to analyze the association between subjects with higher care needs and poorer nutritional status in the Japanese community-dwelling frail elderly.Methods: A total of 281 community-dwelling elderly subjects from day-care centers (81.9 +/- 7.2 yr of age mean SD; 72 men and 209 women) who were eligible for Long-Term Care Insurance were enrolled in this study to evaluate their nutritional status using the mini-nutritional assessment. The levels of care needs of participants were classified into six levels according to the Long-Term Care Insurance program.Results: According to the mini-nutritional assessment classification, 39.9%, 51.2%, and 8.9% of the participants were assessed as well-nourished, at-risk of malnutrition, and malnourished, respectively. There were significant differences among the six groups with regard to the nutritional status; subjects with higher care needs were associated with poorer nutritional status. In the higher care needs group, more than half of the subjects did not know their weight change during 3-month intervals.Conclusions: The population of elderly with higher care needs in the community is associated with a higher prevalence of malnutrition. (c) 2006 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.