Association between in‐home deaths and visiting nurse services
Association between in‐home deaths and visiting nurse services
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家庭死亡与上门护士服务之间的关联
DOI：
10.1111/ggi.14236
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发表时间：
2021
影响因子：
3.3
通讯作者：
Koki Kato
中科院分区：
文献类型：
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作者：
Koki Kato
我感谢川田智之博士对我的评论文章“与老年人不良健康结果相关的营养状况：肥胖和瘦哪个更好？”的兴趣。他介绍了有关老年人衰弱和健康风险的重要最新信息，表明衰弱会增加全因死亡的风险，而且衰弱的存在不仅与抑郁症有关，而且衰弱与抑郁症发病的风险有关，而抑郁症也与衰弱的风险有关。他还报告说，虚弱和抑郁是住院的危险因素。河田博士的这封信让我想起了老年人的营养状况与抑郁症之间的密切关系。我的上述评论并未完全解决老年人营养状况与抑郁症之间的联系。不用说，心理问题中，抑郁症会导致营养不良，而抑郁症也是老年人营养不良、体重减轻的重要因素。营养不良本身也是患抑郁症的一个危险因素。虚弱与营养不良之间存在密切的因果关系。这样，衰弱和抑郁不仅与老年患者的一个重要临床问题——多病有关，而且这两种病理状况都与老年人的营养状况密切相关。因此，虚弱和抑郁之间的密切关系可能是由营养状况介导的。换句话说，营养不足可能是导致虚弱和抑郁的一个因素。我期待未来这一领域的进一步发展。
I thank Dr Tomoyuki Kawada for his interest in my review article, “Nutritional status related to poor health outcomes in older people: Which is better, obese or lean?”. He introduced important recent information regarding frailty and health risks in older people, showing that frailty increases the risk of all-cause mortality, and that the presence of frailty is not only associated with depression, but frailty is associated with the risk of onset of depression, and depression is also associated with the risk of developing frailty. He also reported that frailty and depression are risk factors for hospitalization. This letter by Dr Kawada reminded me of the close relationship between the nutritional status of older people and depression. My review mentioned above did not fully address the link between nutritional status and depression in older people. Needless to say, among psychological problems, depression can lead to malnutrition, and depression is also an important factor in malnutrition and weight loss among older people. Poor nutrition itself is also a risk factor for developing depression. There is a close causal relationship between frailty and malnutrition. In this way, both frailty and depression are not only involved in multimorbidity, which is an important clinical problem among older patients, but both pathological conditions are closely related to the nutritional status of older people. Therefore, the strong relationship between frailty and depression might be mediated by nutritional status. In other words, inadequate nutrition might be a factor in the development of both frailty and depression. I look forward to further developments in this field in the future.