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社区居住的帕金森病患者样本中的营养不良。

Malnutrition in a sample of community-dwelling people with Parkinson's disease.

机构信息

School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Queensland, Australia.

出版信息

PLoS One. 2013;8(1):e53290. doi: 10.1371/journal.pone.0053290. Epub 2013 Jan 9.

DOI:10.1371/journal.pone.0053290
PMID:23326408
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3541272/
Abstract

OBJECTIVE

Malnutrition results in poor health outcomes, and people with Parkinson's disease may be more at risk of malnutrition. However, the prevalence of malnutrition in Parkinson's disease is not yet well defined. The aim of this study is to provide an estimate of the extent of malnutrition in community-dwelling people with Parkinson's disease.

METHODS

This is a cross-sectional study of people with Parkinson's disease residing within a 2 hour driving radius of Brisbane, Australia. The Subjective Global Assessment (SGA) and scored Patient Generated Subjective Global Assessment (PG-SGA) were used to assess nutritional status. Body weight, standing or knee height, mid-arm circumference and waist circumference were measured.

RESULTS

Nineteen (15%) of the participants were moderately malnourished (SGA-B). The median PG-SGA score of the SGA-B group was 8 (4-15), significantly higher than the SGA-A group, U = 1860.5, p<.05. The symptoms most influencing intake were loss of appetite, constipation, early satiety and problems swallowing.

CONCLUSIONS

As with other populations, malnutrition remains under-recognised and undiagnosed in people with Parkinson's disease. Regular screening of nutritional status in people with Parkinson's disease by health professionals with whom they have regular contact should occur to identify those who may benefit from further nutrition assessment and intervention.

摘要

目的

营养不良会导致健康状况不佳,而帕金森病患者可能更容易出现营养不良。然而,帕金森病患者的营养不良患病率尚未得到明确界定。本研究旨在评估社区居住的帕金森病患者的营养不良程度。

方法

这是一项在澳大利亚布里斯班 2 小时车程范围内居住的帕金森病患者的横断面研究。采用主观全面评估(SGA)和评分患者生成的主观全面评估(PG-SGA)来评估营养状况。测量体重、站立或膝关节高度、上臂中部周长和腰围。

结果

19 名(15%)参与者存在中度营养不良(SGA-B)。SGA-B 组的 PG-SGA 评分中位数为 8(4-15),明显高于 SGA-A 组,U=1860.5,p<0.05。影响摄入量的最常见症状是食欲不振、便秘、早饱和吞咽问题。

结论

与其他人群一样,帕金森病患者的营养不良仍然未被充分认识和诊断。应定期由与患者有常规接触的医务人员对帕金森病患者的营养状况进行筛查,以确定那些可能受益于进一步营养评估和干预的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e34d/3541272/ce82691d1281/pone.0053290.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e34d/3541272/ce82691d1281/pone.0053290.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e34d/3541272/ce82691d1281/pone.0053290.g001.jpg

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