Department of Nursing, Midwifery and Emergency Medicine, Institute of Health Sciences, Jan Kochanowski University, ul. Zeromskiego 5, 25-369 Kielce, Poland.
Department of Cardiovascular Disease Prevention and Pharmacology, Institute of Health Sciences, Jan Kochanowski University, ul. Zeromskiego 5, 25-369 Kielce, Poland.
Int J Environ Res Public Health. 2021 Feb 27;18(5):2340. doi: 10.3390/ijerph18052340.
The aim of the study was to assess the nutritional status of adult homeless people using both anthropometric and biochemical measurements. The analysis comprised anthropometric indicators, i.e., body mass index and waist circumference, and the following biomarkers: red blood cells, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin concentration, mean corpuscular hemoglobin, white blood cells, complete lymphocyte count, neutrophils-to-lymphocytes ratio, platelets-to-lymphocytes ratio, platelets-to-leukocytes ratio, C reactive protein level, serum iron concentration, serum albumin concentration, total serum protein, fasting lipids and blood glucose level. There were representative Polish homeless people enrolled ( = 580). The analysis of the conducted studies proved that there is a greater frequency of overweight and obesity than underweight in the target population. The major problem was abdominal obesity that was present statistically more frequently in women than men ( < 0.001). In the majority of cases, homeless people were found to have normal complete blood count parameters. In obese people, there were statistically significant both elevated and decreased hematocrit levels, a significant decrease in red blood cells, elevated serum glucose, triglycerides and total protein level ( < 0.05). The presence of abdominal obesity, elevated glucose concentration, low-density lipoprotein cholesterol, and triglycerides, and decreased high-density lipoprotein cholesterol in serum together with smoking increase the risk of cardiovascular disease.
本研究旨在通过人体测量学和生物化学测量来评估成年无家可归者的营养状况。分析包括人体测量学指标,即体重指数和腰围,以及以下生物标志物:红细胞、血红蛋白、血细胞比容、平均红细胞体积、平均红细胞血红蛋白浓度、平均红细胞血红蛋白、白细胞、总淋巴细胞计数、中性粒细胞与淋巴细胞比值、血小板与淋巴细胞比值、血小板与白细胞比值、C 反应蛋白水平、血清铁浓度、血清白蛋白浓度、总血清蛋白、空腹血脂和血糖水平。研究纳入了有代表性的波兰无家可归者(n=580)。对所进行研究的分析表明,目标人群中超重和肥胖的频率高于体重不足。主要问题是腹部肥胖,女性比男性更常见(<0.001)。在大多数情况下,无家可归者的全血细胞计数参数正常。在肥胖者中,红细胞压积水平升高和降低均具有统计学意义,红细胞计数显著降低,血糖、甘油三酯和总蛋白水平升高(<0.05)。血清中存在腹部肥胖、葡萄糖浓度升高、低密度脂蛋白胆固醇和甘油三酯降低以及高密度脂蛋白胆固醇降低,加上吸烟,会增加心血管疾病的风险。