Dutch Malnutrition Steering Group, Nicolaas Witsenkade 13hs, 1017 ZR Amsterdam, The Netherlands; Department of Dietetics, Zorgpartners Midden-Holland, Ronsseweg 410, 2803 ZX Gouda, The Netherlands.
Dutch Malnutrition Steering Group, Nicolaas Witsenkade 13hs, 1017 ZR Amsterdam, The Netherlands; Department of Health Sciences, Faculty of Earth and Life Sciences, VU University, De Boelelaan 1085, 1081 HV Amsterdam, The Netherlands; Department of Nutrition and Dietetics, Internal Medicine, VU University Medical Center, PO Box 7057, 1007 MB Amsterdam, The Netherlands.
Clin Nutr. 2017 Jun;36(3):755-759. doi: 10.1016/j.clnu.2016.06.003. Epub 2016 Jun 9.
To examine the prevalence of undernutrition, received dietetic treatment and self-perception of nutritional status in older patients admitted to Dutch nursing home rehabilitation wards.
Between December 2012-February 2014, we included 190 patients (≥65 y) admitted to seven nursing home rehabilitation wards. Nutritional status in the first week of admission was characterized as: severely undernourished (>10% unintentional weight loss in the past six months and/or >5% unintentional weight loss in the past month and/or BMI < 20 kg/m), moderately undernourished (5-10% unintentional weight loss in the past 6 months and/or BMI 20-22 kg/m), well-nourished (<5% unintentional weight loss in the past 6 months and BMI 22-28 kg/m) and overweight (BMI>28 kg/m). Primary diagnosis was categorized as: trauma, elective orthopaedics, stroke and other. Perceived nutritional status was determined with the question: 'Do you currently consider yourself undernourished?' (yes/no). Information regarding dietetic treatment was obtained from medical records.
A complete dataset was obtained from 179 patients (70% female, age 81 ± 8 y). 26% of the patients was found to be severely undernourished and 14% moderately undernourished. Prevalence of undernutrition did not differ by sex or age. Of all undernourished patients, 56% had been treated by a dietitian. Only one out of five of undernourished patients considered themselves undernourished. Elective orthopaedics patients had the lowest prevalence of undernutrition (19%) while patients categorised as 'other' had the highest prevalence (51%).
More than one in three older patients in Dutch nursing home rehabilitation wards are moderately to severely undernourished. Out of these patients the majority does not consider themselves undernourished and almost half has not received dietetic treatment. More attention to undernutrition in nursing home rehabilitation patients seems necessary.
调查荷兰疗养院康复病房老年患者营养不良、接受饮食治疗和自我营养状况感知的发生率。
2012 年 12 月至 2014 年 2 月，我们纳入了 7 个疗养院康复病房的 190 名（≥65 岁）患者。入院第一周的营养状况特点为：严重营养不良（过去 6 个月内非故意体重下降>10%，或过去 1 个月内非故意体重下降>5%，或 BMI<20kg/m²）、中度营养不良（过去 6 个月内非故意体重下降 5-10%，或 BMI 为 20-22kg/m²）、营养良好（过去 6 个月内非故意体重下降<5%，且 BMI 为 22-28kg/m²）和超重（BMI>28kg/m²）。主要诊断分为：创伤、择期骨科手术、中风和其他。自我营养状况感知通过以下问题确定：“您目前认为自己营养不良吗？”（是/否）。从病历中获取饮食治疗信息。
从 179 名患者中获得了完整数据集（70%为女性，年龄 81±8 岁）。26%的患者为严重营养不良，14%为中度营养不良。营养不良的发生率与性别或年龄无关。所有营养不良的患者中，有 56%接受了营养师的治疗。只有五分之一的营养不良患者认为自己营养不良。择期骨科手术患者的营养不良发生率最低（19%），而归类为“其他”的患者发生率最高（51%）。
荷兰疗养院康复病房超过三分之一的老年患者存在中重度营养不良。在这些患者中，大多数人并不认为自己营养不良，几乎一半的人没有接受饮食治疗。似乎需要更加关注疗养院康复患者的营养不良问题。
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