老年人营养不良相关健康问题:来自斯洛文尼亚的观点。

Health concerns regarding malnutrition among the older populations: considerations from a Slovenian perspective.

机构信息

Alma Mater Europaea, European Centre, Maribor, Slovenia.

Faculty of Health Sciences, University of Primorska, Izola, Slovenia.

出版信息

Health Promot Int. 2022 Feb 17;37(1). doi: 10.1093/heapro/daab097.

Abstract

Diet is an important factor in a healthy lifestyle for all age groups. However, with aging it is important to be aware that the diet, due to changed physiology, needs an accordingly adjusted and balanced daily regime. This article reviews the field of older population's nutrition and presents: the most common nutritional disorders, causes, demographics and malnutrition measurement tools. Relevant scientific literature as well as professional Slovenian papers were identified through specific searches with topic-related keywords in EBSCO, PubMed, Web of Science and COBISS databases. The results of the identified papers are subsequently discussed in a descriptive narrative. The reviewed literature shows noticeable trends of high proportions of malnutrition among older persons, both globally and in Slovenia: predominantly observed are overnutrition like overweight and obese, but as well, and often unnoticed, undernutrition. The latter is more worrying, as inadequate knowledge in health care institutions regarding nutritional screening tools and measures to prevent drastic forms of undernutrition, seem to facilitate these trends. Though there are many reasons for insufficient food intake in older people, the article formulates considerations that can feed appropriate education and awareness programs, and through correct screening point to timely identification of malnourished individuals and those with risk of malnutrition. The promotion and implementation of such considerations could prevent malnutrition among the older population, reduce the frequency of nutritional disorders and co-morbidities, and generally improve the nutritional status of the older population, thus, provide better quality of health later in life.

摘要

饮食是所有年龄段健康生活方式的重要因素。然而,随着年龄的增长,需要注意的是,由于生理变化,饮食需要相应地调整和平衡日常饮食。本文综述了老年人群体营养领域,并介绍了最常见的营养障碍、原因、人口统计学和营养不良测量工具。通过在 EBSCO、PubMed、Web of Science 和 COBISS 数据库中使用与主题相关的关键字进行特定搜索,确定了相关的科学文献和专业的斯洛文尼亚论文。随后,以描述性叙述的方式讨论了已确定论文的结果。综述文献显示,全球和斯洛文尼亚老年人营养不良的比例都很高,存在明显的趋势:普遍存在营养过剩,如超重和肥胖,但同样,也经常被忽视,存在营养不足。后者更令人担忧,因为医疗机构对营养筛查工具和预防严重营养不良措施的知识不足,似乎助长了这些趋势。尽管老年人摄入的食物不足有很多原因,但本文提出了一些考虑因素,可以为适当的教育和宣传计划提供信息,并通过正确的筛查及时发现营养不良和有营养不良风险的个体。推广和实施这些考虑因素可以防止老年人营养不良,减少营养障碍和合并症的发生频率,并改善老年人的营养状况,从而提高老年人的生活质量。

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