Sitter Melissa, Lengyel Christina
Department of Human Nutritional Sciences, University of Manitoba, Winnipeg, MB, Canada.
Can J Diet Pract Res. 2011 Summer;72(2):84. doi: 10.3148/72.2.2011.84.
We explored the effect of relocating to a personal care home (PCH) on older adults' nutritional status and eating habits. Fourteen Caucasian older adults (F=57%) with a mean age of 83 years (standard deviation = 9.79) consented to participate. Anthropometric information (height, weight, bioelectrical impedance analysis), biochemical and clinical information (diagnoses, data from scales measuring risk or function), and dietary information (three-day plate waste analysis) were collected at time points A (two to three months after relocation) and B (six to seven months after relocation) through face-to-face interviews and medical chart reviews, and from nursing staff. At time B, cognitive function declined (z = -2.185, p<0.05) and the number of medications prescribed increased (z = -2.00, p<0.05). Levels of 25-hydroxyvitamin D were insufficient among 83% of participants at both time points. Mean serum albumin was 34.4 ± 7.2 g/L at time B, and the prevalence of potential nutritional risk increased from 57% to 77%. Dietary intake was inadequate at both time points. Nutritional risk became more prevalent at time B. Protein-energy malnutrition and other nutritional inadequacies may result if dietary intakes do not improve. Strategies to improve dietary intakes should be implemented within PCHs to reduce potential malnutrition.
我们探讨了搬入个人护理之家(PCH)对老年人营养状况和饮食习惯的影响。14名白人老年人(女性占57%),平均年龄83岁(标准差=9.79)同意参与研究。在时间点A(搬迁后两到三个月)和B(搬迁后六到七个月),通过面对面访谈、病历审查以及向护理人员了解情况,收集了人体测量信息(身高、体重、生物电阻抗分析)、生化和临床信息(诊断结果、测量风险或功能的量表数据)以及饮食信息(三天餐盘浪费分析)。在时间点B,认知功能下降(z=-2.185,p<0.05),所开药物数量增加(z=-2.00,p<0.05)。在两个时间点,83%的参与者25-羟维生素D水平不足。在时间点B,血清白蛋白平均为34.4±7.2g/L,潜在营养风险的患病率从57%升至77%。两个时间点的饮食摄入量均不足。在时间点B,营养风险更为普遍。如果饮食摄入量没有改善,可能会导致蛋白质能量营养不良和其他营养不足。应在个人护理之家中实施改善饮食摄入量的策略,以减少潜在的营养不良。