Sakai Tomoe, Maeda Keisuke, Wakabayashi Hidetaka, Nishioka Shinta, Seki Hirobumi
a Department of Clinical Nutrition , Morioka Tsunagi Onsen Hospital , Morioka , Iwate , Japan.
b Department of Palliative Care Center , Aichi Medical University , Nagakute , Aichi , Japan.
J Nutr Gerontol Geriatr. 2017 Oct-Dec;36(4):166-177. doi: 10.1080/21551197.2017.1401971.
The effect of nutrition support on activities of daily living (ADL) in individuals aged ≥75 years requiring rehabilitation is unknown. This study aimed to investigate the effect of nutrition support on ADL improvement in older patients undergoing in-patient rehabilitation in Japan. This retrospective cohort study was performed in 175 patients aged ≥75 years. The nutrition support team (NST) intervened in 85 cases. ADL was evaluated by the functional independence measure (FIM). We analyzed the effects of NST intervention on FIM efficiency. Multiple linear regression analysis revealed that NST intervention (standard partial regression coefficient, β = 0.164; 95% confidence interval [CI] 0.003-0.229; P = 0.044), energy intake at admission (β = 0.179; 95% CI, 0.000-0.016; P = 0.043), body mass index (BMI) at admission (β = 0.227; 95% CI, 0.005-0.046; P = 0.014), and cerebrovascular disease (β = -0.238; 95% CI, -0.298 to -0.063; P = 0.003) were independently associated with FIM efficiency. NST intervention, energy intake, and BMI on admission may affect ADL improvement in older patients undergoing in-patient rehabilitation.
营养支持对年龄≥75岁需要康复治疗的个体日常生活活动（ADL）的影响尚不清楚。本研究旨在调查营养支持对日本接受住院康复治疗的老年患者ADL改善情况的影响。这项回顾性队列研究纳入了175名年龄≥75岁的患者。营养支持团队（NST）对85例患者进行了干预。通过功能独立性测量（FIM）评估ADL。我们分析了NST干预对FIM效率的影响。多元线性回归分析显示，NST干预（标准偏回归系数，β = 0.164；95%置信区间[CI] 0.003 - 0.229；P = 0.044）、入院时的能量摄入（β = 0.179；95% CI，0.000 - 0.016；P = 0.043）、入院时的体重指数（BMI）（β = 0.227；95% CI，0.005 - 0.046；P = 0.014）以及脑血管疾病（β = -0.238；95% CI，-0.298至-0.063；P = 0.003）与FIM效率独立相关。NST干预、能量摄入和入院时的BMI可能会影响接受住院康复治疗的老年患者的ADL改善情况。
