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[自主居住非机构养老成年老年人营养风险研究]

[Study on the nutritional risk of autonomous non-institutionalized adult elder people].

作者信息

Montejano Lozoya Raimunda, Ferrer Diego Rosa Ma, Clemente Marín Gonzalo, Martínez-Alzamora Nieves

机构信息

Escuela de Enfermería "La Fe". Universidad de Valencia. España.

出版信息

Nutr Hosp. 2013 Sep-Oct;28(5):1438-46. doi: 10.3305/nh.2013.28.5.6782.

DOI:10.3305/nh.2013.28.5.6782
PMID:24160197
Abstract

OBJECTIVES

To assess the nutritional status of autonomous, non-institutionalized, elder adults in social centers by means of the MNA scale and to analyze their distribution according to socio-demographical variables: gender, age, civil status, living with other people, educational level, and rural/urban setting.

METHODS

Cross-sectional study performed in 660 autonomous, non-institutionalized elder adults in social center of the province of Valencia. The subjects were assessed at 12 social centers selected though stratified sample sets. The inclusion criteria were: being 65 years of older, living at home, having functional autonomy, residing for more than one year in the province of Valencia, attending periodically the social center, and willing to participate. The MNA scale was used for nutritional assessment.

RESULTS

Of the 660 included subjects, 48.33% were males and 51.6% females; the mean age was 74.3 ± 6.57 years. 23.3% of the participants were at risk for malnutrition. The prevalence of malnutrition odds ratio was higher in: females as compared to men (OR = 1.43), subjects ≥ 85 years as compared to the 65-69 years group (OR = 2.27), widowed subjects as compared to those with a stable companion (OR = 1.82) and people with the lowest educational level as compared to those with some educational level (OR = 1.73).

CONCLUSIONS

The prevalence of malnutrition risk in autonomous, non-institutionalized elder adults at social centers of the province of Valencia reaches one out of four people, being higher in widowed subjects (mostly elder women living alone) and in uneducated people.

摘要

目的

通过微型营养评定法(MNA)评估社会中心自主生活、非机构养老的老年人的营养状况,并根据社会人口统计学变量(性别、年龄、婚姻状况、是否与他人同住、教育程度以及城乡环境)分析其分布情况。

方法

对瓦伦西亚省社会中心660名自主生活、非机构养老的老年人进行横断面研究。通过分层抽样在12个社会中心选取研究对象。纳入标准为:年龄65岁及以上、居家生活、具备功能自主性、在瓦伦西亚省居住超过一年、定期前往社会中心且愿意参与研究。采用MNA量表进行营养评估。

结果

在660名纳入研究的对象中,男性占48.33%,女性占51.6%;平均年龄为74.3±6.57岁。23.3%的参与者存在营养不良风险。营养不良患病率比值比在以下人群中更高:女性高于男性(比值比=1.43)、85岁及以上人群高于65-69岁组(比值比=2.27)、丧偶者高于有稳定伴侣者(比值比=1.82)以及教育程度最低者高于有一定教育程度者(比值比=1.73)。

结论

在瓦伦西亚省社会中心自主生活、非机构养老的老年人中,营养不良风险患病率达四分之一,在丧偶者(大多为独居老年女性)和未受过教育的人群中更高。

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