Boromarajonani College of Nursing, Chiang Mai, Thailand.
School of Nursing, University of Phayao, Thailand.
Geriatr Nurs. 2021 Sep-Oct;42(5):1048-1055. doi: 10.1016/j.gerinurse.2021.06.005. Epub 2021 Jul 10.
This study was to investigate socio-demographic, chronic conditions and health factors associated with nutrition risk among Thai community-dwelling older adults. This was a cross-sectional study, involving 330 participants aged ≥ 60 years living in low-income suburban Chiang Mai, Northern Thailand. Of the 330 participants, 54.8% were at nutritional risk based on the Mini Nutritional Assessment. Multivariate analysis indicated factors significantly associated with nutritional risk were: aged ≥80 years (OR:8.59, 95% CI = 2.94-25.11), low income (OR: 2.35, 95% CI = 1.15-4.78), living alone (OR: 2.02, 95% CI = 0.20-0.78), moderate to severe pain (OR: 5.88, 95% CI = 2.30-15.02), dyslipidemia (OR: 5.12, 95% CI = 2.23-11.77), osteoarthritis (OR: 2.49, 95% CI = 1.14-5.48), poor physical performance (OR: 1.49, 95% CI = 1.70-3.15), and ≥1 fall in the previous year (OR: 2.22, 95% CI = 1.21-4.07). Results point to the need for multifactorial interventions to reduce risk for geriatric nutrition problems. Further studies are needed to determine effective solutions to the problem of malnutrition among older adults.
本研究旨在调查与泰国社区老年人营养风险相关的社会人口学、慢性疾病和健康因素。这是一项横断面研究，涉及 330 名年龄在 60 岁以上、居住在泰国北部清迈低收入郊区的参与者。在 330 名参与者中，有 54.8%存在营养风险，根据 Mini Nutritional Assessment 进行评估。多变量分析表明，与营养风险显著相关的因素包括：年龄≥80 岁（OR：8.59，95%CI=2.94-25.11）、收入低（OR：2.35，95%CI=1.15-4.78）、独居（OR：2.02，95%CI=0.20-0.78）、中度至重度疼痛（OR：5.88，95%CI=2.30-15.02）、血脂异常（OR：5.12，95%CI=2.23-11.77）、骨关节炎（OR：2.49，95%CI=1.14-5.48）、身体机能较差（OR：1.49，95%CI=1.70-3.15）和过去一年中跌倒≥1 次（OR：2.22，95%CI=1.21-4.07）。结果表明，需要采取多因素干预措施来降低老年人营养问题的风险。需要进一步研究以确定解决老年人营养不良问题的有效方法。
