Silver A J, Morley J E, Strome L S, Jones D, Vickers L
Geriatric Research Education and Clinical Center, Veterans Administration Medical Center, Sepulveda, CA 91343.
J Am Geriatr Soc. 1988 Jun;36(6):487-91. doi: 10.1111/j.1532-5415.1988.tb04017.x.
Inadequate nutrition is a major problem facing the elderly today. Despite seemingly appropriate meal standards and dietary supervision, patients in long-term care facilities remain at risk for developing malnutrition. Various nutritional parameters including weight loss, percentage average body weight, serum albumin levels, anthropometrics, and skin testing were examined in 130 patients in an academic nursing home, two thirds of whom were over the age of 65 years. Functional status including type of feeding and associated diseases was also determined. The data show that nutritional risk factors are similar among different age-groups in nursing home patients. A significant proportion of our patients lost weight while maintaining their serum albumin levels. Despite this, there appears to be less evidence of malnutrition among patients in the academic nursing home compared with other nursing home settings studied.
营养不足是当今老年人面临的一个主要问题。尽管膳食标准看似合理且有饮食监督，但长期护理机构中的患者仍有发生营养不良的风险。在一家学术养老院对130名患者进行了各种营养参数检查，包括体重减轻、平均体重百分比、血清白蛋白水平、人体测量学和皮肤测试，其中三分之二的患者年龄超过65岁。还确定了功能状态，包括喂养类型和相关疾病。数据显示，养老院患者不同年龄组的营养风险因素相似。我们相当一部分患者体重减轻，而血清白蛋白水平却保持不变。尽管如此，与其他研究的养老院环境相比，学术养老院患者中营养不良的证据似乎较少。
