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年龄与饮酒指导对饮酒行为改变的关系。

Relationship between age and drinking instructions on the modification of drinking behavior.

机构信息

Division of Graduate Medical Studies, Yong Loo Lin School of Medicine, National University of Singapore, 12 Medical Drive, Singapore.

出版信息

Dysphagia. 2012 Jun;27(2):210-5. doi: 10.1007/s00455-011-9355-z. Epub 2011 Jul 22.

Abstract

Making appropriate recommendations for safe drinking behavior among different age groups requires understanding of differences between young and older adults in following them. The purpose of this study was to investigate how drinking behavior in terms of drinking speed and bolus size differs between young and older adults following instructions to change drinking rate. Thirty young (mean age 24.7 years) and 30 older (mean age 66.9 years) healthy female participants were recruited. All participants drank water under different drinking instructions: "as they normally would", "as quickly as is comfortably possible", and "slowly". Results showed that when asked to drink quickly, both age groups increased drinking speed to a similar extent. When asked to drink slowly, older adults were unable to slow their drinking rate as much as young adults (P < .001). When drinking slowly, older adults had significantly larger bolus size than young adults'. These suggest that in a healthcare setting, the often prescribed advice to "drinking slowly" may be insufficient precaution for older patients. Prudence is suggested to carefully observe patients drinking after they've been asked to drink slowly, before making a clinical judgment if additional, more specific strategies may be indicated.

摘要

为不同年龄组制定适当的安全饮酒行为建议需要了解年轻人和老年人在遵循这些建议方面的差异。本研究旨在调查年轻人(平均年龄 24.7 岁)和老年人(平均年龄 66.9 岁)在遵循改变饮酒速度的指示时,在饮酒速度和吞咽量方面的饮酒行为有何不同。招募了 30 名健康的年轻女性(平均年龄 24.7 岁)和 30 名健康的老年女性(平均年龄 66.9 岁)。所有参与者都在不同的饮酒指示下饮用了水:“像他们平时那样”、“尽可能快地喝”和“慢慢地喝”。结果表明,当被要求快速饮酒时,两个年龄组都将饮酒速度提高到了相似的程度。当被要求慢慢喝酒时,老年人无法像年轻人那样将饮酒速度降得那么慢(P<.001)。当慢慢喝酒时,老年人的吞咽量比年轻人的大得多。这表明,在医疗保健环境中,“慢慢喝”这一常见建议对于老年患者来说可能不够谨慎。建议谨慎地观察患者在被要求慢慢喝酒后的饮酒情况,如果需要,再做出是否需要采取更具体的策略的临床判断。

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