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对居家和养老院中阿尔茨海默病患者饮食质量的评估。

Assessment of the quality of diet of Alzheimer's disease individuals living at homes and in nursing homes.

作者信息

Wlodarek Dariusz, Glabska Dominika

机构信息

Chair of Dietetics, Department of Dietetics, Faculty of Human Nutrition and Consumer Sciences, Warsaw University of Life Sciences - SGGW, Warsaw, Poland.

出版信息

Rocz Panstw Zakl Hig. 2013;64(3):217-23.

Abstract

BACKGROUND

In case of many individuals, decrease of body mass is observed during aging, that is often in elderly living in nursing homes. It is especially important for patients with Alzheimer's disease (AD), when decrease of body mass, resulting in malnutrition.

OBJECTIVE

The aim of the study was the assessment of the quality of diet of AD individuals living at homes and in nursing homes, in comparison with a control group

MATERIAL AND METHODS

In the study participated 160 individuals with and without AD, living at home or in nursing homes. Assessment of diet of individuals living at homes was based on self-reported data from one-day dietary recall. Assessment of diet of individuals living in nursing homes was based on one-day menu from nursing homes accompanied by information about snacking between meals. The diets were assessed on the basis of qualitative meal classification method of Bieliiska and Kulesza.

RESULTS

Individuals living in nursing homes consumed meals more often than living at homes, while AD did not have any impact on it. Individuals consuming fruits and vegetables not often enough were in all the groups, however, in case of individuals living at homes it was serious problem. Consuming animal products to almost all main meals was observed in case of many individuals in all analyzed groups. Composition of majority of main meals and small amount of lunches and afternoon snacks was rational.

CONCLUSIONS

Improperly balanced diet following observed not only in a group of AD individuals but also of ones without dementia (both living at homes and in nursing homes), may result in dietary deficiencies.

摘要

背景

在许多人身上,衰老过程中会出现体重下降的情况,这在住在养老院的老年人中尤为常见。对于阿尔茨海默病(AD)患者而言,体重下降进而导致营养不良的情况尤为重要。

目的

本研究旨在评估居家和住在养老院的AD患者的饮食质量,并与对照组进行比较。

材料与方法

160名有无AD的个体参与了本研究,他们分别居住在家中或养老院。对居家个体饮食的评估基于一日饮食回顾的自我报告数据。对住在养老院个体饮食的评估基于养老院的一日菜单以及两餐之间零食摄入的信息。饮食根据Bieliiska和Kulesza的定性膳食分类方法进行评估。

结果

住在养老院的个体比居家个体更频繁地用餐,而AD对此并无影响。所有组中都存在水果和蔬菜摄入不足的个体,然而,对于居家个体来说,这是个严重的问题。在所有分析组的许多个体中,几乎每餐都摄入动物产品。大多数主餐以及少量午餐和下午点心的组成是合理的。

结论

不仅在AD个体组中,而且在无痴呆个体组(包括居家和住在养老院的)中,都观察到饮食平衡不当,这可能导致饮食缺乏。

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