China Medical University Hospital, Taichung City, Taiwan.
China Medical University, Taichung City, Taiwan.
J Appl Gerontol. 2021 Nov;40(11):1465-1474. doi: 10.1177/0733464820976439. Epub 2020 Dec 2.
This study investigates whether self-reported nutritional status affects falling among middle-aged and older adults.
We used 8-year follow-up data from the Taiwan Longitudinal Study on Aging. At baseline, respondents' appetite, changes in amount of food intake, and eating difficulties were assessed in a questionnaire-based survey in addition to anthropometric measurements (body mass index, mid-arm circumferences, and involuntary body weight loss). Their associations with falls in the follow-up were examined using multivariable log-binomial regression.
The study included 2,519 respondents aged 50 years and older. Poor appetite (prevalence ratio [PR] = 1.25, 95% confidence interval [CI] = [1.07, 1.46]) and eating difficulties (PR = 1.16, 95% CI = [1.02, 1.32]) significantly predicted falling 8 years later with adjustments for sociodemographics, health behaviors, comorbidities, and anthropometric measures by taking into account probabilities of follow-up.
Poor appetite and eating difficulties can predict falling in the long-term independent of anthropometric measurements among middle-aged and older adults.
本研究旨在探讨自我报告的营养状况是否会影响中老年人群的跌倒。
我们使用了来自台湾老龄化纵向研究的 8 年随访数据。在基线时，除了人体测量学测量（体重指数、上臂围和非自愿性体重减轻）外，还通过问卷调查评估了受访者的食欲、食物摄入量的变化和进食困难。使用多变量对数二项式回归来检查它们与随访期间跌倒的关联。
本研究共纳入了 2519 名年龄在 50 岁及以上的受访者。食欲差（患病率比 [PR] = 1.25，95%置信区间 [CI] = [1.07, 1.46]）和进食困难（PR = 1.16，95% CI = [1.02, 1.32]）在调整了社会人口统计学、健康行为、合并症和人体测量学指标后，与 8 年后跌倒显著相关，同时考虑了随访的可能性。
在考虑了人体测量学指标后，食欲差和进食困难可以预测中老年人群的长期跌倒。
