Wham Carol, Fraser Emily, Buhs-Catterall Julia, Watkin Rebecca, Gammon Cheryl, Allen Jacqui
School of Food and Nutrition, Massey University, Auckland, New Zealand.
Department of Surgery, University of Auckland, Auckland, New Zealand.
Australas J Ageing. 2017 Sep;36(3):205-211. doi: 10.1111/ajag.12410. Epub 2017 May 25.
To determine the prevalence of malnutrition risk in older people across three settings.
Older people living in the community or newly admitted to hospital or residential care were assessed for malnutrition risk using the validated Mini-Nutritional Assessment - Short Form and dysphagia risk using the Eating Assessment Tool-10. Demographic, physical and health data were collected.
Of 167 participants, 23% were malnourished and 35% were at high risk of malnutrition. Those recently admitted to residential care versus a hospital or living in the community had a higher prevalence of malnourishment (47% vs 23% and 2%) (P < 0.001). Risk of dysphagia differed with settings (P < 0.001) with highest risk in residential care. Hospitalised and residential care participants were significantly more likely to have ≥4 comorbidities, take ≥5 medications and have below normal cognition compared to community participants.
Choice of nutrition intervention is setting dependent.
确定三种环境下老年人营养不良风险的患病率。
使用经过验证的简易营养评估简表对居住在社区或新入院或接受机构护理的老年人进行营养不良风险评估，并使用进食评估工具-10评估吞咽困难风险。收集人口统计学、身体和健康数据。
167名参与者中，23%营养不良，35%存在高营养不良风险。与入住医院或居住在社区的人相比，最近入住机构护理的人营养不良患病率更高（47%对23%和2%）（P<0.001）。吞咽困难风险因环境而异（P<0.001），机构护理中风险最高。与社区参与者相比，住院和接受机构护理的参与者有≥4种合并症、服用≥5种药物且认知低于正常水平的可能性显著更高。
营养干预的选择取决于环境。
