1 Chonbuk National University, Jeonju-si, Republic of Korea.
J Aging Health. 2019 Aug;31(7):1106-1120. doi: 10.1177/0898264318761908. Epub 2018 Mar 5.
This study aimed to identify the impacts of weight change and weight change intention on health-related quality of life (HRQL) among community-dwelling Korean elderly individuals. Data on those aged 75 years and above from the Korean National Health and Nutrition Examination Survey were analyzed using multiple regression analysis. Compared with no weight change, unintentional weight loss was associated with significantly lower adjusted overall HRQL and lower scores in the subdimensions of mobility, pain/discomfort, usual activities, and self-care (in order), whereas intentional weight loss was associated with significantly poorer scores for anxiety/depression. Weight gain showed no statistically significant differences in comparison with no weight change. These findings suggest that weight maintenance or weight gain should be recommended rather than weight loss, whether unintentional or intentional, regardless of weight status, to improve HRQL among the elderly.
本研究旨在确定体重变化和体重变化意向对社区居住的韩国老年人群体健康相关生活质量（HRQL）的影响。 使用多元回归分析对来自韩国国家健康和营养检查调查的 75 岁及以上人群的数据进行了分析。 与体重无变化相比，非意愿性体重减轻与调整后的整体 HRQL 显著降低以及移动性、疼痛/不适、日常活动和自我护理的子维度评分显著降低有关（按顺序），而有意的体重减轻与焦虑/抑郁评分显著降低有关。 与体重无变化相比，体重增加没有统计学上的显著差异。 这些发现表明，无论体重状况如何，都应建议保持或增加体重，而不是减轻体重，无论是非意愿性还是有意性，以改善老年人的 HRQL。
