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高龄老年人和老年患者的嗅觉功能丧失与营养状况

Loss of olfactory function and nutritional status in vital older adults and geriatric patients.

作者信息

Toussaint Nicole, de Roon Margot, van Campen Jos P C M, Kremer Stefanie, Boesveldt Sanne

机构信息

Department of Dietetics, Slotervaart Hospital, Louwesweg 6, 1066 EC, Amsterdam, The Netherlands.

Department of Geriatrics, Slotervaart Hospital, Louwesweg 6, 1066 EC, Amsterdam, The Netherlands.

出版信息

Chem Senses. 2015 Mar;40(3):197-203. doi: 10.1093/chemse/bju113. Epub 2015 Feb 12.

DOI:10.1093/chemse/bju113
PMID:25680372
Abstract

The aim of this cross-sectional study was to assess the association of olfactory function and nutritional status in vital older adults and geriatric patients. Three hundred forty-five vital (mean age 67.1 years) and 138 geriatric older adults (mean age 80.9 years) were included. Nutritional status was assessed using the mini nutritional assessment-short form. The Sniffin' Sticks was used to measure olfactory function. Eleven percentage of the vital older adults were at risk of malnutrition, whereas 60% of the geriatric participants were malnourished or at risk. Only 2% of the vital older adults were anosmic, compared with 46% of the geriatric participants. Linear regression demonstrated a significant association (P = 0.015) between olfactory function and nutritional status in the geriatric subjects. However, this association became insignificant after adjustment for confounders. Both crude and adjusted analysis in the vital older adults did not show a significant association. The results indicate that, in both groups of elderly, there is no direct relation between olfactory function and nutritional status. We suggest that a decline in olfactory function may still be considered as one of the risk-factors for malnutrition in geriatric patients-once co-occurring with other mental and/or physical problems that are more likely to occur in those patients experience.

摘要

这项横断面研究的目的是评估健康老年人和老年患者的嗅觉功能与营养状况之间的关联。研究纳入了345名健康老年人(平均年龄67.1岁)和138名老年患者(平均年龄80.9岁)。使用简易营养评估简表评估营养状况。采用嗅觉棒测试来测量嗅觉功能。11%的健康老年人存在营养不良风险,而60%的老年参与者存在营养不良或有营养不良风险。只有2%的健康老年人嗅觉丧失,而老年参与者中这一比例为46%。线性回归显示,老年受试者的嗅觉功能与营养状况之间存在显著关联(P = 0.015)。然而,在对混杂因素进行调整后,这种关联变得不显著。对健康老年人进行的粗分析和调整分析均未显示出显著关联。结果表明,在这两组老年人中,嗅觉功能与营养状况之间没有直接关系。我们建议,嗅觉功能下降仍可被视为老年患者营养不良的风险因素之一——一旦与这些患者更易出现的其他精神和/或身体问题同时出现。

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