A SURVEY OF NUTRITION AND HEALTH STATUS OF SOLITARY AND NON-SOLITARY ELDERS IN TAIWAN
A SURVEY OF NUTRITION AND HEALTH STATUS OF SOLITARY AND NON-SOLITARY ELDERS IN TAIWAN
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DOI：
10.1007/s12603-010-0003-3
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发表时间：
2010-01-01
影响因子：
5.8
通讯作者：
Wan, K. S.
中科院分区：
文献类型：
--
作者：
Hsieh, Y. -M.;Sung, T. -S.;Wan, K. S.
目的：比较独居与集体生活对一组台湾老人的健康、营养、个人认知及一般生活功能的影响。我们还假设，独居的老年人的功能和健康指数比生活在一个群体中的老年人要差。设计和参与者：我们对360名65岁以上的男性和女性进行了一项横断面验证研究。研究对象为120名独居老人和240名非独居老人。测量值：两组均完成了一系列问卷调查，包括营养筛查倡议（NSI）、简易营养评估（MNA）、日常生活活动（ADL/Barthel量表）、工具性日常生活活动（IADL/Lawton量表）、简易便携式精神状态问卷（SPMSQ）和老年抑郁量表（GDS）。然后由经过专门培训的实地工作人员对参与者进行管理。采集血液样本，测量体重指数、中臂和小腿围。对各组的结果进行统计学分析。p值< 0.05被认为是显著的。结果：独居老人的营养和健康状况较非独居老人差，尤其是男性。独居老人组NSI、MNA、ADL、IADL、SPMSQ和GDS的平均得分分别为4.6、23.7、95.6、7.6、0.5和13%。结论：独居老人，尤其是男性，营养不良（MNA< 24）、健康状况差、认知能力受损和日常生活能力受损的风险显著增加。
Objectives: To compare the effects of living alone versus living in a group setting on the health, nutrition, personal cognition and general living function of a group of elderly Taiwanese. We also hypothesized that older adults living alone would have poorer indices of function and health than would elderly persons living in a group setting. Design and participants: We conducted a cross-sectional validation study of 360 men and women older than 65 y. The subjects were 120 solitary (living alone) elders and 240 were non-solitary elders. Measurements: Both groups completed a series of questionnaires, including the Nutrition Screening Initiative (NSI), Mini Nutritional Assessment (MNA), Activities of Daily Living (ADLs/Barthel scales), Instrumental Activities of Daily Living (IADLs/Lawton scales), Short Portable Mental State Questionnaire (SPMSQ), and Geriatric Depression Scale (GDS). The participants were then administered by specially trained field workers. Blood samples were taken and body mass index, and mid-arm and calf circumferences were measured. The results for each group were statistically analyzed. A p-value < 0.05 was considered significant. Results: The nutritional and health status of the solitary elders, especially males, was poor compared to that of the non-solitary elders. In the solitary elders group, the average scores on the NSI, MNA, ADL, IADL, SPMSQ, and GDS were: 4.6, 23.7, 95.6, 7.6, 0.5, and 13%, respectively. Conclusion: Solitary elders, especially males, have a significantly increased risk of poor nutrition (MNA< 24), poor health status, impaired cognition, and impaired activities of daily living.