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使用小腿围测量作为一种人体测量学工具来监测老年住院患者的营养状况。

The use of calf circumference measurement as an anthropometric tool to monitor nutritional status in elderly inpatients.

机构信息

Pontificia Catholic University - School of Nutrition - PUC/Campinas/SP, Brazil.

出版信息

J Nutr Health Aging. 2010 Apr;14(4):266-70. doi: 10.1007/s12603-010-0059-0.

Abstract

OBJECTIVE

The objective of this study was to identify the nutritional status of hospitalized elderly and verify if calf circumference can be a tool to monitor nutritional status in this population.

METHODS

A total of 170 inpatients (79 men and 91 women) aged more than 60 years were assessed. Anthropometric and dietary assessments were done according to standard procedures. The software STATISTICA 6.0 was used for the statistical analysis. The confidence interval was set at 95% and significance level at 5% (p < 0.05).

RESULTS

Body mass index assessment revealed a high rate of underweight patients (45.3%), and arm circumference and triceps skinfold revealed a high prevalence of depletion. Males had more lean mass according to the mid-arm muscle circumference (p=0.017) and mid-arm muscle area (p=0.01), and females presented higher triceps skinfold values (p < 0.001). There was a positive correlation between calf circumference and Body Mass Index (p < 0.001), arm circumference (p=0.001), triceps skinfold (p=0.001), mid-arm muscle circumference (p=0.001), and mid-arm muscle area (p=0.001).

CONCLUSION

This study found a positive correlation between calf circumference and nutritional status of assessed patients indicating that this measurement can be used as a complementary tool for monitoring the nutritional status of elderly inpatients.

摘要

目的

本研究旨在确定住院老年人的营养状况,并验证小腿围是否可以作为监测该人群营养状况的工具。

方法

共评估了 170 名年龄在 60 岁以上的住院患者(79 名男性和 91 名女性)。根据标准程序进行人体测量和饮食评估。使用 STATISTICA 6.0 软件进行统计分析。置信区间设为 95%,显著性水平为 5%(p<0.05)。

结果

体重指数评估显示消瘦患者比例较高(45.3%),臂围和肱三头肌皮褶厚度显示耗竭率较高。男性根据上臂中部肌肉周长(p=0.017)和上臂中部肌肉面积(p=0.01)具有更多的瘦体重,而女性则具有更高的肱三头肌皮褶厚度值(p<0.001)。小腿围与体重指数(p<0.001)、臂围(p=0.001)、肱三头肌皮褶厚度(p=0.001)、上臂中部肌肉周长(p=0.001)和上臂中部肌肉面积(p=0.001)呈正相关。

结论

本研究发现小腿围与评估患者的营养状况呈正相关,表明该测量值可作为监测住院老年患者营养状况的补充工具。

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