Abolghasem Gorji Hassan, Alikhani Mahtab, Mohseni Mohammad, Moradi-Joo Mohammad, Ziaiifar Hajar, Moosavi Ahmad
Dept. of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2017 Dec;46(12):1603-1610.
The elderly population following the improvement in health status and life expectancy in developing countries is increasing. Malnutrition causes decreased quality of life and increased mortality in elderly. This study aimed to review systematically and meta-analysis of studies assessing the prevalence of malnutrition among Iranian elderly people over 60 yr of age using Mini Nutritional Assessment (MNA).
This systematic review and meta-analysis was conducted in 2016 to estimate the overall malnutrition prevalence. Data were collected using the following keywords: prevalence, elderly, aging, malnutrition, nutrition, nutritional assessment, nutritional status, health status, mini nutritional assessment, MNA and Iran in PubMed, Scopus, Google Scholar, Iranmedex, Magiran, and SID. Computer software CMA: Two were applied to estimate the overall prevalence of malnutrition.
Seventeen of 811 articles were included in our analyses. The overall estimated prevalence of malnutrition among elderly based on the random effect model was 12.2% (95% CI 8-18.5). In subgroups, the prevalence of malnutrition among elderly living in home based on the fixed effect model was 9.2% (95% CI 7.1-11.9) and prevalence of malnutrition among elderly residents of nursing homes based on the random effect model was 21.6% (95% CI 12-38.6).
Given the increase in the elderly population in future and the prevalence rate of malnutrition among them as well as the higher prevalence of malnutrition in elderly care centers, more attention to this population group is a matter of necessity.
随着发展中国家健康状况改善和预期寿命延长,老年人口不断增加。营养不良会导致老年人生活质量下降和死亡率上升。本研究旨在系统回顾并荟萃分析使用微型营养评定法(MNA)评估60岁以上伊朗老年人营养不良患病率的研究。
2016年进行了这项系统回顾和荟萃分析,以估计总体营养不良患病率。使用以下关键词在PubMed、Scopus、谷歌学术、伊朗医学数据库、Magiran和SID中收集数据:患病率、老年人、老龄化、营养不良、营养、营养评估、营养状况、健康状况、微型营养评定法、MNA和伊朗。应用计算机软件CMA:Two来估计营养不良的总体患病率。
811篇文章中有17篇纳入我们的分析。基于随机效应模型,老年人总体营养不良估计患病率为12.2%(95%可信区间8 - 18.5)。在亚组中,基于固定效应模型,居家老年人营养不良患病率为9.2%(95%可信区间7.1 - 11.9),基于随机效应模型,养老院老年居民营养不良患病率为21.6%(95%可信区间12 - 38.6)。
鉴于未来老年人口增加以及他们之中的营养不良患病率,加之老年护理中心营养不良患病率更高,有必要更加关注这一人群。