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65 岁以上非住院成年人的营养状况。老年人体重与健康研究(PYSMA)。

Nutritional Status of Non-Institutionalized Adults Aged over 65. Study of Weight and Health in Older Adults (PYSMA).

机构信息

Colegio Oficial Farmacéuticos de Cádiz, Calle Isabel la Católica, 22. Cádiz, 11004 Cádiz, Spain.

School of Medicine, Cádiz University, Plaza Falla 9, 11003 Cádiz, Spain.

出版信息

Nutrients. 2021 May 6;13(5):1561. doi: 10.3390/nu13051561.

Abstract

BACKGROUND

A significant increase in the prevalence of malnourishment, obesity, and sarcopenic obesity has been observed in developed countries over the last few decades. In Spain, this especially happens in populations over 65 who are not institutionalized. Differences in lifestyle, medication, and economic capacity partially explain this increase.

OBJECTIVE

To study the nutritional status of a population of 65 year-olds and subjects who are not institutionalized, in the Cádiz region (Spain).

METHODS

Observational, transversal study carried out on 2621 subjects who are 65 years old and over, with a direct weight and height measurement, in 150 pharmacy offices from 44 locations. A mobile application was designed for homogeneous data collection in all the pharmacy offices. The data required from all subjects was gender, age, postal code, social security contribution regime, if the patient lives alone, type of food consumed as the main meals, level of physical activity, polypharmacy, weight, and height.

RESULTS

The prevalence of overweight and obesity amounts to 82.2% of the population (43.2% overweight and 39% obese). We found an inverse relationship between the prevalence of overweight and obesity with carrying out physical activity and having full dinners.

CONCLUSION

We identify the need to reinforce the messages to the elderly aimed at maintaining adequate physical activity and assessing the quality and quantity of dinners, as well as reducing, as much as possible, the treatments that may lead to weight gain.

摘要

背景

在过去几十年中,发达国家的营养不良、肥胖和肌少性肥胖患病率显著增加。在西班牙,这种情况尤其发生在 65 岁以上且未住院的人群中。生活方式、药物和经济能力的差异部分解释了这种增加。

目的

研究卡迪斯地区(西班牙)未住院的 65 岁及以上人群的营养状况。

方法

这是一项在 44 个地点的 150 家药房进行的观察性、横断面研究,共纳入 2621 名 65 岁及以上的受试者,直接测量他们的体重和身高。为在所有药房进行同质数据收集设计了一个移动应用程序。要求所有受试者提供的信息包括性别、年龄、邮政编码、社会保障缴款制度、是否独居、主要餐食类型、身体活动水平、多药治疗、体重和身高。

结果

超重和肥胖的患病率达到了 82.2%(43.2%超重和 39%肥胖)。我们发现超重和肥胖的患病率与进行身体活动和正餐摄入情况呈反比关系。

结论

我们发现有必要向老年人加强有关保持适当身体活动和评估正餐质量和数量的信息,并尽可能减少可能导致体重增加的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7005/8148168/104d088c056e/nutrients-13-01561-g001.jpg

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