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[住院年轻及老年患者的营养状况]

[Nutritional status in hospitalized younger and elderly patients].

作者信息

Beck A M, Rasmussen A W, Ovesen L F

机构信息

Institut for Fødevareundersøgelser og Ernaering, Fødevaredirektoratet, Søborg.

出版信息

Ugeskr Laeger. 2000 May 29;162(22):3193-6.

Abstract

The purpose of the study was to compare the nutritional state in a group of hospitalised patients aged over 65 years and a group of younger patients. Information about body height, body weight, body mass index (BMI), weight index (WI), percent weight loss and energy intake was obtained from 89 elderly and 55 younger patients. We found no significant difference in the prevalence of malnutrition (BMI < or = 18.5 kg/m2 and/or WI < or = 80%) or underweight (BMI < 20 kg/m2) among the elderly patients compared to younger. However, significantly more elderly patients had lost more than 5% of their body weight (52.1% vs. 10.0%, p < 0.001). Also, the elderly patients had had a significantly longer hospital stay before the survey started (14 days vs. 4 days, p < 0.001). The prevalence of weight loss was higher (74% vs. 30%, chi 2 = 8.1, p < 0.01) among the elderly with the longest stay (18 days vs. 4 days). Therefore, special attention must be directed towards the nutritional status of the elderly patient in order to initiate nutritional support in time.

摘要

该研究的目的是比较一组65岁以上住院患者和一组较年轻患者的营养状况。从89名老年患者和55名较年轻患者处获取了有关身高、体重、体重指数(BMI)、体重指标(WI)、体重减轻百分比和能量摄入的信息。我们发现,与较年轻患者相比,老年患者中营养不良(BMI≤18.5kg/m²和/或WI≤80%)或体重过轻(BMI<20kg/m²)的患病率没有显著差异。然而,体重减轻超过5%的老年患者明显更多(52.1%对10.0%,p<0.001)。此外,在调查开始前,老年患者的住院时间明显更长(14天对4天,p<0.001)。住院时间最长的老年患者中体重减轻的患病率更高(74%对30%,χ²=8.1,p<0.01)(18天对4天)。因此,必须特别关注老年患者的营养状况,以便及时启动营养支持。

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