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[老年人营养不良:临床特征、心理和社会决定因素。初步结果]

[Malnutrition in the elderly: clinical features, psychological and social determinants. Preliminary results].

作者信息

Morrone A, Donini L M, Scardella P, Piombo L, Pinto A, Giusti A M, Neri B, Hagedorn T, Proietti A R, Cataldi S, Cucinotta D, Di Bella G, Barbagallo M, Cannella C

机构信息

Istituto Nazionale per la promozione della salute delle popolazioni Migranti e per il contrasto delle malattie della Povertà.

出版信息

Ann Ig. 2011 Mar-Apr;23(2):161-72.

Abstract

In industrialized Countries malnutrition is a very frequent condition in frail groups of the population, people with low income and elderly subjects above all if institutionalized. The aim of the study is to: analyse the prevalence of malnutrition in a sample of elderly people located in different geographical areas in Italy; identify the psychological, social, economic, environmental, cultural and demographic determinants of malnutrition. The prevalence of malnutrition (estimated through the MNA) is high in both sexes (28% of F and 21.9% of M. Age, institutionalisation, health status, autonomy status, cognitive status and education level are some of the factors that correlate with the presence of malnutrition. Loneliness and poverty seem to have a negative impact on nutritional status but further data are needed to confirm this hypothesis. The data collected confirm the need to activate services dedicated to assess the nutritional status of elderly people, to implement campaigns in particular on food education for the elderly population, to set tools and guide lines for caregivers.

摘要

在工业化国家,营养不良在弱势群体中非常普遍,尤其是低收入人群和老年人,特别是那些被收容机构照顾的老年人。本研究的目的是:分析意大利不同地理区域的老年人群体中营养不良的患病率;确定营养不良的心理、社会、经济、环境、文化和人口统计学决定因素。通过微型营养评定法(MNA)估计的营养不良患病率在男女中都很高(女性为28%,男性为21.9%)。年龄、机构收容情况、健康状况、自主能力状况、认知状况和教育水平是与营养不良存在相关的一些因素。孤独和贫困似乎对营养状况有负面影响,但需要更多数据来证实这一假设。收集到的数据证实了有必要启动专门服务来评估老年人的营养状况,开展特别是针对老年人群体的食品教育活动,为护理人员制定工具和指导方针。

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