伊朗老年成年人营养不良与健康相关生活质量（HRQOL）之间的相关性。
Correlation between malnutrition and health-related quality of life (HRQOL) in elderly Iranian adults.
作者信息
Khatami Fatemeh, Shafiee Gita, Kamali Koorosh, Ebrahimi Mehdi, Azimi Mahinsadat, Ahadi Zeinab, Sharifi Farshad, Tanjani Parisa Taheri, Heshmat Ramin
机构信息
Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Department of Public Health, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran.
出版信息
J Int Med Res. 2020 Jan;48(1):300060519863497. doi: 10.1177/0300060519863497. Epub 2019 Sep 10.
OBJECTIVES
We aimed to evaluate the association of nutritional status and health-related quality of life (HRQOL) among elderly Iranian residents.
METHODS
We used the 36-item Short Form Health Survey (SF-36) to assess HRQOL among participants with normal nutrition status, at risk of malnutrition, and malnourished.
RESULTS
Mean group scores for the Physical Component Summary (PCS) of the SF-36 were 44, 36.5, and 29.0 for normal, at-risk, and malnourished groups, respectively; for the Mental Component Summary (MCS), these were 47.1, 40.7, and 34.8, respectively. The PCS and MCS displayed significant positive correlation with malnutrition in three models: crude (I); age- and sex-adjusted (II); and adjusted for age, sex, education, occupation, marital status, and residence. Standardized beta coefficients of PCS in Models I–III were 1.35, 1.27, and 1.14, respectively; for MCS, these were 1.11 in all three models; all results were statistically significant. Estimated results of logistic regression were −6.023 for malnourished versus well-nourished and −2.652 for malnourished versus at risk of malnutrition.
CONCLUSION
Our analyses revealed the crucial impact of nutritional status on both mental and physical components of HRQOL.
目的
我们旨在评估伊朗老年居民的营养状况与健康相关生活质量（HRQOL）之间的关联。
方法
我们使用36项简明健康调查问卷（SF-36）来评估营养状况正常、有营养不良风险和营养不良的参与者的HRQOL。
结果
SF-36身体成分总结（PCS）的平均组分数，正常组、有风险组和营养不良组分别为44、36.5和29.0；心理成分总结（MCS）的平均组分数分别为47.1、40.7和34.8。在三种模型中，PCS和MCS与营养不良呈显著正相关：粗模型（I）；年龄和性别调整模型（II）；以及调整了年龄、性别、教育程度、职业、婚姻状况和居住地的模型。模型I–III中PCS的标准化β系数分别为1.35、1.27和1.14；MCS在所有三个模型中的标准化β系数均为1.11；所有结果均具有统计学意义。逻辑回归的估计结果显示，营养不良与营养良好相比为−6.023，营养不良与有营养不良风险相比为−2.652。
结论
我们的分析揭示了营养状况对HRQOL的心理和身体成分均有至关重要的影响。
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