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老年人的社交孤立与营养不良风险

Social isolation and risk for malnutrition among older people.

作者信息

Boulos Christa, Salameh Pascale, Barberger-Gateau Pascale

机构信息

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

Faculty of Pharmacy, Lebanese American University, Byblos, Lebanon.

出版信息

Geriatr Gerontol Int. 2017 Feb;17(2):286-294. doi: 10.1111/ggi.12711. Epub 2016 Jan 21.

Abstract

AIM

Social isolation and loneliness are emerging issues among the geriatric population. The relationships between both, and their impact on health and nutritional status in older people are complex. The purpose of the present study was to evaluate the association between three components of social isolation: social network, feeling of loneliness, commensality and nutritional status.

METHODS

A total of 1200 randomly selected elderly individuals aged ≥65 years and living in rural areas of Lebanon participated in the present study. Data were collected during a face-to-face interview including nutritional status (Mini-Nutritional Assessment), measures of social isolation (Lubben Social Network Scale), subjective loneliness (Jong-Gierveld Loneliness Scale), sociodemographic conditions, and health and functional status.

RESULTS

Both social isolation and loneliness were independently associated with a higher risk of malnutrition (OR 1.58, P = 0.011; OR 1.15, P = 0.020, respectively). However no association was found between the frequency of sharing meals and the risk of malnutrition.

CONCLUSIONS

The present study showed that social isolation and subjective loneliness are two independent risk factors for malnutrition among older people. Geriatr Gerontol Int 2017; 17: 286-294.

摘要

目的

社会隔离和孤独感是老年人群中日益凸显的问题。二者之间的关系及其对老年人健康和营养状况的影响较为复杂。本研究旨在评估社会隔离的三个组成部分:社交网络、孤独感、共餐与营养状况之间的关联。

方法

总共1200名年龄≥65岁、居住在黎巴嫩农村地区的老年人被随机选取参与本研究。数据通过面对面访谈收集,内容包括营养状况(简易营养评估法)、社会隔离测量(鲁本社交网络量表)、主观孤独感(琼-吉尔维尔德孤独感量表)、社会人口学状况以及健康和功能状态。

结果

社会隔离和孤独感均与营养不良风险较高独立相关(分别为OR 1.58,P = 0.011;OR 1.15,P = 0.020)。然而,未发现共餐频率与营养不良风险之间存在关联。

结论

本研究表明,社会隔离和主观孤独感是老年人营养不良的两个独立危险因素。《老年医学与老年病学国际杂志》2017年;17:286 - 294。

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