Istanbul University, Istanbul Faculty of Medicine, Department of Internal Medicine, Millet Cad., Capa, Fatih, Istanbul 34093, Turkey.
Clin Nutr. 2010 Dec;29(6):745-8. doi: 10.1016/j.clnu.2010.04.006. Epub 2010 Jun 2.
BACKGROUND & AIMS: Age related decline in food intake is associated with various physiological, psychological and social factors. Our aim was to assess the nutritional status of our elderly patients and its association with other geriatric syndromes.
In this cross-sectional population based study, Mini Nutritional Assessment (MNA) test was used to evaluate nutritional status of 413 elderly patients who were admitted to our outpatient clinic in the last 12 months. MNA test results were compared with the laboratory findings and established geriatric syndromes.
Poor nutritional status was found in 44% of the patients (n=181: 13% malnutrition, 31% malnutrition risk). Malnutrition rate was higher among those with subsequent hospitalization (n=122, 25% vs 8%). Patients with poor nutritional status had lower blood haemoglobin, serum total protein and albumin, and revealed more chronic diseases and geriatric syndromes (6 ± 2 vs 3 ± 2, p<0.0001). Patients with depression, fecal incontinence, decreased cognitive function and functional dependence showed poor nutritional status according to MNA test results.
Malnutrition rate of our patients was comparable with the previous data. Malnutrition risk showed positive correlation with the number of existing geriatric syndromes. Depression, dementia, functional dependence and multiple co-morbidities were associated with poor nutritional status.
与各种生理、心理和社会因素相关，老年人的食物摄入量会随年龄增长而减少。我们旨在评估老年患者的营养状况及其与其他老年综合征的关系。
在这项横断面基于人群的研究中，我们使用迷你营养评估（MNA）测试评估了在过去 12 个月内到我们门诊就诊的 413 名老年患者的营养状况。将 MNA 测试结果与实验室发现和既定的老年综合征进行比较。
44%的患者（n=181：13%营养不良，31%营养不良风险）存在营养状况不佳。随后住院的患者（n=122，25%）营养不良发生率更高。营养状况不佳的患者的血红蛋白、血清总蛋白和白蛋白水平较低，且患有更多的慢性疾病和老年综合征（6±2 与 3±2，p<0.0001）。根据 MNA 测试结果，患有抑郁症、大便失禁、认知功能下降和功能依赖的患者存在营养状况不佳。
我们患者的营养不良发生率与先前的数据相当。营养不良风险与存在的老年综合征数量呈正相关。抑郁、痴呆、功能依赖和多种合并症与营养状况不佳相关。
