Hacettepe University Faculty of Medicine, Department of Internal Medicine, Division of Geriatric Medicine, 06100 Sihhiye, Ankara, Turkey.
Clin Nutr. 2010 Aug;29(4):507-11. doi: 10.1016/j.clnu.2010.01.006. Epub 2010 Feb 1.
BACKGROUND & AIMS: Older adults are poorly assessed for malnutrition risk although malnutrition is not an uncommon problem in this population. The aim of this study was to determine the malnutrition risk and its correlates in geriatric outpatients.
The study was performed in 2327 patients > or =65 years old who were admitted to our Geriatric Medicine outpatient clinic. Together with comprehensive geriatric assessment, nutritional assessment with short version of mini nutritional assessment test (MNA-SF) was performed. MNA-SF score < or =11 was determined as malnutrition risk.
Mean age of patients was 72.14+/-6.11 and 1479 (63.6%) were female. Mean MNA-SF score was 12.31+/-2.18. The number of patients with MNA-SF score < or =11 was 651 (28%). Depression, haematocrit, plasma fasting glucose, albumin, erythrocyte sedimentation rate, instrumental activities of daily living scores and bone mineral density measured from total femur were found to be significantly associated with malnutrition risk.
In this study malnutrition risk was detected in 651 (28%) patients. This ratio was similar to the literature. In older adults malnutrition risk is found to be increased due to majority of chronic illnesses and physical dependency. In conclusion, nutritional assessment should be a part of comprehensive geriatric assessment.
尽管营养不良在老年人群中并非罕见，但老年人的营养不良风险评估往往不足。本研究旨在确定老年门诊患者的营养不良风险及其相关因素。
本研究纳入了 2327 名年龄≥65 岁的患者，这些患者均被收入我院老年医学门诊。除了全面的老年评估外，还进行了简短版微型营养评估量表（MNA-SF）的营养评估。MNA-SF 评分≤11 被定义为存在营养不良风险。
患者的平均年龄为 72.14±6.11 岁，其中 1479 名（63.6%）为女性。平均 MNA-SF 评分为 12.31±2.18。MNA-SF 评分≤11 的患者有 651 名（28%）。抑郁、红细胞比容、血浆空腹血糖、白蛋白、红细胞沉降率、日常生活活动能力量表评分以及从股骨总骨矿物质密度测定值与营养不良风险显著相关。
本研究中，651 名（28%）患者存在营养不良风险。这一比例与文献报道相似。在老年人中，由于大多数慢性疾病和身体依赖，营养不良风险增加。总之，营养评估应成为全面老年评估的一部分。
