Systematic review of nutritional status evaluation and screening tools in the elderly.

Systematic review of nutritional status evaluation and screening tools in the elderly.
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老年人营养状况评估和筛查工具的系统评价。

DOI:
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发表时间:
2007
期刊:
The Journal of Nutrition, Health & Aging
影响因子:
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通讯作者:
Carlo Cannella
Carlo Cannella
中科院分区:
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文献类型:
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作者:
Lorenzo M. Donini;C. Savina;A. Rosano;Carlo Cannella

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对营养状况(NS)没有一个明确的定义。一套被普遍接受的评估营养状况的标准也不存在。国家营养评估是绝对必要的,因为它推动确定营养不良,这是一个潜在的原因,或加重发病率和死亡率。由于营养不良在老年人中普遍存在,我们系统地回顾了有关探索老年人单一或复杂NS参数的工具有效性的文献。在1990年1月1日至2003年7月31日期间发表的115篇论文中,只有9篇符合既定的质量标准,适合进行系统评审。所选论文中用于评估NS的参数和诊断方案并不均匀。这一证据产生了两个含义:-关于临床实践:在临床实践中评估NS是复杂的,但并非不可能。尽管缺乏可靠的参考资料,但营养学家在临床实践中,应该在迄今提出的所有冗余工具中,选择一种经过自己人群验证的完整工具(考虑到NS指标包括饮食、人体测量和功能参数)进行NS评估;-尊重科学观点,有必要召开一次共识会议,以建立诊断老年人营养不良的初步共识,从而促进一项验证性研究。
One univocal definition for nutritional status (NS) does not exist. One set of generally accepted standards for assessing the nutritional status does not exist, either. The NS assessment is absolutely necessary because it drives to identify malnutrition which is a potential cause and or an aggravation of morbidity and mortality. Since malnutrition shows a high prevalence in the elderly, literature about the validation of tools exploring single or complex NS parameters in the elderly has been systematically review. 115 papers, published from January 1st 1990 to July 31st 2003, have been identified: among them, just 9 complied with the established quality criteria and were suitable to be systematically reviewed. Parameters and diagnosis protocols to assess NS used in the selected papers were not homogeneous. Two implications arise from this evidence: - as regards clinical practice: an assessment on NS in clinical practice is complex, but not impossible. Hopefully, despite the absence of a sure reference, nutritionists, during their own clinical practice, ought to choose a validated on their own population and complete tool (considering as NS indicators both dietetic, anthropometric and functional parameters) for NS assessment, among all the redundant set of tools proposed until now; - respecting a scientific point of view, there is the necessity for calling a consensus conference in order to establish an initial consensus to diagnose malnutrition in the elderly and to promote, therefore, a validation study.
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影响因子: 9.6
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DOI: 10.1093/jn/120.suppl_11.1549
发表时间: 1990
期刊: The Journal of nutrition
影响因子: --
作者:
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通讯作者: Landmann,WA