Nutritional Risk and Quality of Life in Community-Dwelling Elderly: A Cross-Sectional Study

Nutritional Risk and Quality of Life in Community-Dwelling Elderly: A Cross-Sectional Study
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DOI:
10.1007/s12603-017-0935-y
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发表时间:
2018-01-01
影响因子:
5.8
通讯作者:
Rossi Menezes, P.
Rossi Menezes, P.
中科院分区:
医学3区
文献类型:
--
作者:
Damiao, R.;Meneguci, J.;Rossi Menezes, P.

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为评估社区老年人营养风险与生活质量之间的关系,对生活在巴西米纳斯吉拉斯州的60岁及以上老年人进行了一项横断面研究。营养状况采用简易营养评估进行评估,生活质量采用WHOQOL-bref和WHOQOL-old进行测定。计算每个领域的绝对和相对频率分布,并使用卡方检验来检查营养风险和生活质量(二分变量)之间的关联。泊松回归进行单变量和多变量分析。789(27.9%)的2823例老年患者的样本中有营养风险。营养不良的风险与生活质量的身体、环境、心理、感觉能力、社会参与和亲密度领域有关。(PR= 1.42,95%CI 1.23-1.63); PR= 1.28,95%CI 1.12-1.47; PR= 1.18,95%CI 1.03-1.36; PR= 1.36,95%CI 1.20-1.54; PR= 1.29,95%CI 1.13-1.46; PR= 1.14,95%CI 1.01-1.29;本研究结果有助于理解营养风险,并支持生活质量和营养状况之间的关联。在诊断、监测和治疗营养失调症时应考虑这些因素,这些因素可能有助于预防和减少这一特别脆弱人口的营养风险。
To evaluate the association between nutritional risk and quality of life in community-dwelling elderly.A cross-sectional study of individuals aged 60 years or older living in the Brazilian state of Minas Gerais was conducted. Nutritional status was evaluated using the Mini Nutritional Assessment, and quality of life was determined using the WHOQOL-bref and WHOQOL-old. The absolute and relative frequency distributions for each domain were calculated, and chi-square tests were used to examine the association between nutritional risk and quality of life (dichotomous variables). Poisson regression was used to perform univariate and multivariate analyses.789 (27.9%) of the 2823 elderly patients in the sample were at nutritional risk. The risk of malnutrition was associated with the physical, environment, psychological, sensory abilities, social participation and intimacy domains of quality of life [(PR= 1.42, 95%CI 1.23-1.63); (PR= 1.28, 95%CI 1.12-1.47); (PR= 1.18, 95%CI 1.03-1.36); (PR= 1.36, 95%CI 1.20-1.54); (PR= 1.29, 95%CI 1.13-1.46); (PR= 1.14, 95%CI 1.01-1.29); respectively].The present findings contribute to the understanding of nutritional risk, and support the association between quality of life and nutritional status. These factors should be considered in the diagnosis, monitoring and treatment of nutritional disorders, and may contribute to the prevention and reduction of nutritional risk in this especially vulnerable population.