Department of Nutrition and Food Sciences, Faculty of Pharmacy, University of Granada, 18071 Granada, Spain.
Institute of Nutrition and Food Technology, University of Granada, Granada, 18100, Spain.
Nutrients. 2019 Jan 25;11(2):266. doi: 10.3390/nu11020266.
Diet is a key modifiable factor in the management of malnutrition and age-related diseases such as sarcopenia, an important issue in long-term care homes. The objectives of this study were to evaluate the dietary intake of residents, define dietary patterns, and analyze their association with sex, diet texture, nutritional status, and the presence of sarcopenia. Intake was assessed by the precise weighing method, dietary patterns were defined a posteriori by cluster analysis, and nutritional status and sarcopenia were evaluated by applying the MNA-SF test and EWGSOP algorithm, respectively. A regular diet was consumed by 63% of participants; 56% were at risk of malnutrition and 63% were diagnosed with sarcopenia. Intake of potassium, magnesium, zinc, iodine, vitamin D, E, folic acid, and fiber was low in >80% of participants. Protein intake was <1 g/kg/day in 56% of participants and <25 g/meal in 100%. Two dietary patterns were identified, but neither fully met recommendations. The risk of a poorer diet was higher in females and residents with sarcopenia and was lower in those consuming regular diets. In conclusion, action is required to improve the inadequate nutritional intake of long-term care residents.
饮食是管理营养不良和与年龄相关疾病(如肌少症)的关键可改变因素,这是长期护理院的一个重要问题。本研究的目的是评估居民的饮食摄入情况,确定饮食模式,并分析其与性别、饮食质地、营养状况和肌少症的关系。通过精确称重法评估摄入量,采用聚类分析的方法确定饮食模式,通过 MNA-SF 测试和 EWGSOP 算法评估营养状况和肌少症。63%的参与者饮食规律;56%有营养不良风险,63%被诊断为肌少症。>80%的参与者钾、镁、锌、碘、维生素 D、E、叶酸和纤维的摄入量较低。56%的参与者蛋白质摄入量<1g/kg/天,100%的参与者蛋白质摄入量<25g/餐。确定了两种饮食模式,但都没有完全符合建议。女性和肌少症患者的不良饮食风险较高,而饮食规律的患者风险较低。总之,需要采取行动改善长期护理居民的营养摄入不足问题。