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黎巴嫩贝鲁特长期居住机构中老年人的营养不良患病率及其相关因素。

Prevalence of malnutrition and its correlates in older adults living in long stay institutions situated in Beirut, Lebanon.

作者信息

El Zoghbi Mohamad, Boulos Christa, Awada Sanaa, Rachidi Samar, Al-Hajje Amal, Bawab Wafaa, Saleh Nadine, Salameh Pascale

机构信息

Clinical and Epidemiological Research Laboratory, Faculty of Pharmacy, Doctoral School of Sciences & Technology, Lebanese University, Beirut, Lebanon.

Department of Nutrition, Faculty of Pharmacy, Saint Joseph University, Beirut, Lebanon.

出版信息

J Res Health Sci. 2014 Winter;14(1):11-7.

PMID:24402844
Abstract

BACKGROUND

Malnutrition represents an important issue in older adults; unfortunately, there is lack of data concerning this topic in Lebanon. This paper aims to provide a description of nutritional status and its correlates in older adults living in long stay institutions situated in Beirut.

METHODS

This cross-sectional study was conducted in three long stay institutions in Beirut in 2012. The study population was composed of people aged 65 years and above, having a score of Folstein Mini Mental State Examination (MMSE) greater than 14 and without renal failure requiring dialysis. Subjects meeting inclusion criteria filled out a questionnaire consisting of nutritional status scale (Mini Nutritional Assessment: MNA) and several other parts (demographic, self-assessment of the state health, smoking and alcohol, physical dependence, quality of life, frailty, depression, social isolation and loneliness). Data were entered and analyzed using the statistical software SPSS (Statistical Package for Social Sciences), version 17.0 (Chicago, IL, USA).

RESULTS

Among 111 older adults (55 men and 56 women), 14 (12.6%) were malnourished, 54 (48.7%) were at risk of malnutrition and 43 (38.7%) had an adequate nutritional status. Multivariate analysis showed that physical exercise, depression, frailty and cognitive function were independent correlates of nutritional status of older adults. This model explained 42.2% (adjusted R2 = 0.422) of the older adults nutritional status variability.

CONCLUSIONS

We found a moderate percentage of malnutrition in older adults living in long stay institutions situated in Beirut, and the correlates of malnutrition in older adults were low physical exercise, depression, frailty and low cognitive function.

摘要

背景

营养不良是老年人面临的一个重要问题;不幸的是,黎巴嫩缺乏关于这一主题的数据。本文旨在描述居住在贝鲁特长期护理机构中的老年人的营养状况及其相关因素。

方法

2012年在贝鲁特的三家长期护理机构进行了这项横断面研究。研究对象为65岁及以上、福尔斯坦简易精神状态检查表(MMSE)得分大于14且无需透析的肾衰竭患者。符合纳入标准的受试者填写了一份问卷,问卷包括营养状况量表(微型营养评定法:MNA)和其他几个部分(人口统计学、自我健康评估、吸烟和饮酒、身体依赖、生活质量、虚弱、抑郁、社会隔离和孤独感)。使用统计软件SPSS(社会科学统计软件包)17.0版(美国伊利诺伊州芝加哥)录入和分析数据。

结果

在111名老年人(55名男性和56名女性)中,14人(12.6%)营养不良,54人(48.7%)有营养不良风险,43人(38.7%)营养状况良好。多变量分析表明,体育锻炼、抑郁、虚弱和认知功能是老年人营养状况的独立相关因素。该模型解释了老年人营养状况变异性的42.2%(调整后R2 = 0.422)。

结论

我们发现居住在贝鲁特长期护理机构中的老年人营养不良的比例适中,老年人营养不良的相关因素是体育锻炼不足、抑郁、虚弱和认知功能低下。

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