巴西养老院中老年人的营养状况、日常生活活动高级别能力与认知功能之间的关系。
The association between nutritional status, advanced activities of daily living, and cognitive function among Brazilian older adults living in care homes.
机构信息
Instituto Federal do Sudeste de Minas Gerais, Campus Barbacena, Barbacena, MG, Brazil.
Instituto Federal do Sudeste de Minas Gerais, Campus Barbacena, Barbacena, MG, Brazil.
出版信息
Geriatr Nurs. 2020 Nov-Dec;41(6):899-904. doi: 10.1016/j.gerinurse.2020.06.014. Epub 2020 Jul 8.
Institutionalized older adults are at greater risk of malnutrition, which is associated with cognitive impairment. This study investigated the association between nutritional status, advanced activities of daily living (AADL), and cognitive function among Brazilian older adults living in care homes. This cross-sectional study was conducted on 95 older adults (73.3 ± 12.5 years). Socio-demographic variables, cognitive function (measured by Mini Mental State Examination - MMSE), AADL, Mini Nutritional Assessment (MNA), and anthropometric variables were assessed. Regarding MNA, 37.8% were malnourished, 47.3% were at risk of malnutrition, and 14.9% were well-nourished. Malnourished participants (37.8%) and those with fewer number of AADL (82.3%) showed cognitive decline (MMSE < 24) (p = 0.000 and 0.030, respectively). Inadequate waist-hip ratio was associated with cognitive decline (OR 9.3; 95% IC, 9.06 - 9.85; p = 0.03). Nutritional status and AADL were associated with cognitive function. Nutritional assessment helps to early identify malnutrition and possibly to prevent cognitive impairment.
机构化老年人面临更大的营养不良风险，而营养不良与认知障碍有关。本研究调查了巴西养老院中老年人的营养状况、先进的日常生活活动（AADL）与认知功能之间的关系。这项横断面研究共纳入了 95 名老年人（73.3±12.5 岁）。评估了社会人口统计学变量、认知功能（用简易精神状态检查量表（MMSE）衡量）、AADL、微型营养评估（MNA）和人体测量学变量。根据 MNA，37.8%的人存在营养不良，47.3%的人有营养不良风险，14.9%的人营养状况良好。营养不良的参与者（37.8%）和 AADL 较少的参与者（82.3%）表现出认知能力下降（MMSE<24）（p=0.000 和 0.030）。腰臀比不足与认知能力下降相关（OR 9.3；95%CI，9.06-9.85；p=0.03）。营养状况和 AADL 与认知功能相关。营养评估有助于早期发现营养不良，并可能预防认知障碍。
Zotero 插件