Lee Szu-Ying, Tung Heng-Hsin, Liu Chieh-Yu, Wei Jeng, Chen Liang-Kung
Department of Nursing, Mackay Medical College. 46, Sec. 3, Zhongzheng Rd., Sanzhi Dist., New Taipei City 252, Taiwan, ROC.
College of Nursing, National Yang Ming Chiao Tung University, Tungs' Taichung MetroHarbor Hospital, Address: No.155, Sec.2, Li-Nong Street, Taipei, 112, Taiwan, ROC.
Arch Gerontol Geriatr. 2021 Sep-Oct;96:104456. doi: 10.1016/j.archger.2021.104456. Epub 2021 Jun 10.
The purpose of this study was to explore the inter-relationships among resilience, nutrition, and leisure activity of older patients with cardiovascular disease and possible sarcopenia. Besides, the patterns of these three variables over a long-term follow-up was examine.
Quantitative longitudinal study design was used in this study. Sarcopenia is related to aging, lack of physical activity, and malnutrition. Complex inter-relationships exist in patients with regards to their resilience, nutritional status, leisure activities. A generalized estimating equation (GEE) was used for long-term follow-up observations, and data were collected form one month (T1), three months (T2) and six months (T3). A demographic questionnaire and the Chinese versions of the Resilience Scale (CRS), the Mini-Nutritional Assessment (MNA), and the Leisure Time Activities Scale (LTAS), were used to collect data.
A total of 267 eligible participants were enrolled in this study, of whom 53% were men and 47% were women. The interactions among resilience, nutrition, and leisure activity were reported. Resilience was positively correlated with nutrition. Higher resilience was developed higher participation in leisure activities was found in older adults with possible sarcopenia.
Resilience is a key factor for greater participation in leisure activities. Health professionals should develop feasible resilience interventions that would enhance patient's participation in leisure activities. Nutritional consulting and physical activity interventions should be combined in the case of older adults to prevent the occurrence of possible sarcopenia.
本研究旨在探讨老年心血管疾病患者及可能存在肌肉减少症患者的恢复力、营养状况和休闲活动之间的相互关系。此外，还对这三个变量在长期随访中的变化模式进行了研究。
本研究采用定量纵向研究设计。肌肉减少症与衰老、缺乏体育活动和营养不良有关。患者在恢复力、营养状况和休闲活动方面存在复杂的相互关系。采用广义估计方程（GEE）对长期随访观察数据进行分析，数据收集时间点为1个月（T1）、3个月（T2）和6个月（T3）。使用一份人口统计学问卷以及中文版的恢复力量表（CRS）、微型营养评定法（MNA）和休闲时间活动量表（LTAS）来收集数据。
本研究共纳入267名符合条件的参与者，其中53%为男性，47%为女性。研究报告了恢复力、营养状况和休闲活动之间的相互作用。恢复力与营养状况呈正相关。在可能患有肌肉减少症的老年人中，恢复力越高，参与休闲活动的程度越高。
恢复力是更多参与休闲活动的关键因素。健康专业人员应制定可行的恢复力干预措施，以提高患者参与休闲活动的程度。对于老年人，应将营养咨询和体育活动干预相结合，以预防可能的肌肉减少症的发生。
