Acupuncture and Rehabilitation College, Guangzhou University of Traditional Chinese Medicine, Guangzhou, China.
Eur Rev Med Pharmacol Sci. 2017 Dec;21(23):5408-5414. doi: 10.26355/eurrev_201712_13928.
To investigate the prevalence rate of nutritional risk in high-risk stroke groups in community, analyze its influencing factors, and analyze and compare the relationship between nutritional risk or malnutrition assessed by different nutritional evaluation methods and cognitive function, so as to provide the basis and guidance for clinical nutritional assessment and support.
A cross-sectional survey was performed for 1196 cases in high-risk stroke groups in community from December 2015 to January 2017. At the same time, the nutritional status of patients was evaluated using the mini nutritional assessment (MNA) and MNA-short form (MNA-SF), and the cognitive status of patients was evaluated using the mini-mental state examination (MMSE). Moreover, the relevant influencing factors of nutritional risk and MMSE score were analyzed and compared.
High-risk stroke groups in community suffered from a high risk of malnutrition. MNA-SF had a higher specificity and lower false positive rate than MNA. Nutritional risk occurred more easily in high-risk stroke groups in community with a history of diabetes mellitus, less physical exercise or light manual labor, daily use of multiple drugs, and higher age. Those with a higher nutritional risk were more prone to cognitive impairment. High-risk stroke groups in community, complicated with hyperhomocysteinemia, daily use of three or more kinds of prescription drugs, and a previous history of stroke, were accompanied by cognitive impairment easily.
MNA-SF can be used for the nutritional screening of high-risk stroke groups in community. For the high-risk stroke groups in community, the rational nutritional diet should be publicized, blood sugar should be controlled in a scientific manner and physical exercise should be moderately increased.
调查社区高危脑卒中人群的营养风险发生率，分析其影响因素，分析比较不同营养评估方法评估的营养风险或营养不良与认知功能的关系，为临床营养评估和支持提供依据和指导。
采用横断面调查方法，对 2015 年 12 月至 2017 年 1 月社区高危脑卒中人群 1196 例进行调查，同时采用微型营养评估（MNA）和 MNA 简化版（MNA-SF）评估患者营养状况，采用简易精神状态检查量表（MMSE）评估患者认知状况，分析比较营养风险及 MMSE 评分的相关影响因素。
社区高危脑卒中人群存在较高的营养不良风险，MNA-SF 具有较高的特异性和较低的假阳性率。有糖尿病史、体力活动或轻体力劳动少、日常使用多种药物、年龄较大的社区高危脑卒中人群更容易发生营养风险。营养风险高的患者更容易发生认知障碍。伴有高同型半胱氨酸血症、日常使用三种或三种以上处方药、有脑卒中既往史的社区高危脑卒中人群更容易发生认知障碍。
MNA-SF 可用于社区高危脑卒中人群的营养筛查。对于社区高危脑卒中人群，应宣传合理的营养饮食，科学控制血糖，适度增加体力活动。
