居家接受医疗护理的老年人的营养状况、贫血症和其他维生素缺乏症之间的关系。
The Relationship between Nutritional Status, Anemia and Other Vitamin Deficiencies in the Elderly Receiving Home Care.
机构信息
C. Emiroglu , Medical Doctor, Specialist of Family Medicine, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ziraat Mahallesi, Şehit Ömer Halisdemir Cad. No:20, Dışkapı Altındağ Ankara Turkey, E-mail address:
出版信息
J Nutr Health Aging. 2019;23(7):677-682. doi: 10.1007/s12603-019-1215-9.
AIM
The aim of this study was to evaluate the prevalence of anemia and other vitamin deficiencies among elderly home care patients and to evaluate the causes of anemia and effect of malnutrition as a contributing factor.
METHODS
Anemia was defined according to the World Health Organization. Hemogram, serum iron, iron binding capacity, ferritin and transferrin saturation values, serum vitamin B12, folic acid and vitamin D levels were evaluated. It was tried to differentiate as absolute iron deficiency anemia, anemia of chronic disease, anemia of unknown cause and vitamin B12 deficiency anemia. Malnutrition was evaluated by Mini Nutritional Assessment test.
RESULTS
Total of 472 patients (mean age 81,4±7,4 years) were included in the study. Anemia was detected in 179 (%37,9) patients, 22,7% of males and 45,5 % of female. Prevalence of iron deficiency anemia, vitamin B12, folic acid and vitamin D deficiencies were found 43%, 46%, 19% and 91% respectively. 22,8% of all patients were malnourished, 17,5% were under malnutrition risk. In patients with anemia 16,2% chronic disease anemia and 37,4% unknown anemia were detected.
CONCLUSIONS
With or without malnutrition, iron deficiency anemia, vitamin B12 deficiency and vitamin D deficiency were common in the home care elderly patients.
目的
本研究旨在评估老年居家护理患者的贫血和其他维生素缺乏症的患病率，并评估贫血的原因以及营养不良作为一个促成因素的影响。
方法
根据世界卫生组织的定义，贫血被定义。评估全血细胞计数、血清铁、铁结合能力、铁蛋白和转铁蛋白饱和度值、血清维生素 B12、叶酸和维生素 D 水平。试图区分绝对缺铁性贫血、慢性病贫血、原因不明性贫血和维生素 B12 缺乏性贫血。采用微型营养评估测试评估营养不良。
结果
共有 472 名患者（平均年龄 81.4±7.4 岁）纳入研究。179 名（37.9%）患者存在贫血，男性患病率为 22.7%，女性患病率为 45.5%。缺铁性贫血、维生素 B12、叶酸和维生素 D 缺乏的患病率分别为 43%、46%、19%和 91%。22.8%的患者存在营养不良，17.5%的患者存在营养不良风险。在贫血患者中，检测到 16.2%的慢性病贫血和 37.4%的原因不明性贫血。
结论
无论是否存在营养不良，缺铁性贫血、维生素 B12 缺乏和维生素 D 缺乏在居家护理的老年患者中都很常见。
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