Factors influencing food intake in patients with heart failure: A comparison with healthy elders
Factors influencing food intake in patients with heart failure: A comparison with healthy elders
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DOI：
10.1097/00005082-200603000-00008
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发表时间：
2006-03-01
影响因子：
2
通讯作者：
Zambroski, Cheryl H.
中科院分区：
文献类型：
--
作者：
Lennie, Terry A.;Moser, Debra K.;Zambroski, Cheryl H.
背景与研究目的：促进心力衰竭（HF）患者充分的营养摄入是综合管理的重要组成部分。这一目标可能会受到食欲下降，以及心理，社会和HF相关因素的阻碍，这些因素可能会影响食物摄入。与衰老有关的因素也可能影响老年患者的食物摄入。本研究的目的是比较HF患者与健康老年人在他们感知食欲和饥饿，情绪和社会以及疾病因素如何影响他们在前一周进食量的程度。受试者和方法：从3个中西部HF诊所招募了67例HF患者。作为一项更大规模的HF营养研究的一部分，患者填写了食物进食经历和饮食（FEED）问卷，这是一种旨在评估影响食欲和饥饿因素的工具。患者被要求在视觉模拟量表上评估他们的饥饿感和食欲。在Likert类型的量表上，他们评估了食欲/饥饿，情绪/社会和疾病因素对食物摄入量的影响程度。68名健康的老年人从2个中西部老年人中心招募。作为一项收集大量数据集以与HF患者进行比较的研究的一部分，健康老年人提供了人口统计学和健康信息，并填写了FEED问卷。结果与结论：HF患者最常影响食物摄入的因素是饥饿感降低、饮食限制、疲劳、呼吸急促、恶心、焦虑和悲伤。健康的老年人认为影响食物摄入的因素最常见的是饥饿感减弱、早饱、单独进食以及味觉和嗅觉下降。在HF患者中，据报告，许多因年龄而存在的独特因素会影响食物摄入。
Background and research objective: Promoting adequate nutritional intake of patients with heart failure (HF) is an essential component of comprehensive management. This goal can be hampered by decreased appetite, as well as psychological, social, and HF-related factors that can affect food intake. Factors related to aging may also affect food intake in older patients. The purpose of this study was to compare patients with HF to healthy elders regarding the extent to which they perceived how appetite and hunger, emotional and social, and illness factors affected the amount of food they ate in the previous week. Subjects and methods: Sixty-seven patients with HF were recruited from 3 Midwestern HF clinics. As part of a larger study examining nutrition in HF, patients filled out the Food Eating Experiences and Diet (FEED) questionnaire, an instrument designed to assess factors affecting appetite and hunger. Patients were asked to rate their hunger and appetite on a visual analog scale. On Likert-type scales, they rated the extent to which appetite/hunger, emotional/social, and illness factors affected the amount of food intake. Sixty-eight healthy elders were recruited from 2 Midwestern senior citizen centers. As part of a study collecting a large data set for comparison with HF patients, healthy elders provided demographic and health information and filled out the FEED questionnaire. Results and conclusions: Factors rated as affecting food intake most often by patients with HF were decreased hunger sensations, diet restrictions, fatigue, shortness of breath, nausea, anxiety, and sadness. Factors rated most often by healthy elders as affecting food intake were diminished hunger sensations, early satiety, eating alone, and decreased senses of taste and smell. Among patients with HF, many factors unique from those present due to age were reported to affect food intake.