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老年人的食物不安全和营养状况:系统评价。

Food insecurity and nutritional status among older adults: a systematic review.

机构信息

Center of Biological and Health, Science, Federal University of the Western of Bahia, Barreiras, Bahia, Brazil.

Postgraduate Program in Collective Heath, Federal University of Espírito Santo, Vitória, Brazil.

出版信息

Nutr Rev. 2022 Mar 10;80(4):631-644. doi: 10.1093/nutrit/nuab044.

DOI:10.1093/nutrit/nuab044
PMID:34338784
Abstract

CONTEXT

Food insecurity (FI), characterized by difficulty or inability to access adequate food, has become a public health problem.

OBJECTIVE

To analyze studies relating FI with nutritional status (NS) among older adults and the associated factors.

DATA SEARCH

Articles published up to June 2020 were investigated in 5 databases: PubMed, Embase, Scopus, LILACS, and Web of Science. The search, selection, extraction, and quality evaluation were carried out by 2 reviewers.

DATA EXTRACTION

The authors identified characteristics of the studies and the main data regarding the relationship of interest.

RESULTS

Twenty-two studies were included in the review and their characteristics are summarized and presented using narrative synthesis. In 10 studies (45.4%), a relationship was observed between FI and malnutrition; in another 6 (27.3%), a relationship was observed between FI and being overweight.

CONCLUSION

A relationship was identified between FI, especially severe forms, and malnutrition, as well as between FI, especially mild forms, and people being overweight. Thus, FI among older adults relates to a 2-fold burden of nutritional outcomes, depending on the level.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO registration no. CRD42020185086.

摘要

背景

食品不安全(FI),其特征为难以或无法获得充足的食物,已成为公共卫生问题。

目的

分析与老年人食品不安全和营养状况(NS)相关的研究,并探讨其相关因素。

数据检索

在 5 个数据库(PubMed、Embase、Scopus、LILACS 和 Web of Science)中检索截至 2020 年 6 月发表的文章。由 2 位评审员进行检索、选择、提取和质量评估。

数据提取

作者确定了研究的特征以及与研究目的相关的主要数据。

结果

综述纳入了 22 项研究,其特征使用叙述性综合进行总结和呈现。在 10 项研究(45.4%)中,观察到 FI 与营养不良之间存在关联;在另外 6 项研究(27.3%)中,观察到 FI 与超重之间存在关联。

结论

FI,尤其是严重程度的 FI,与营养不良有关,而 FI,尤其是轻度程度的 FI,与超重有关。因此,老年人中的 FI 与营养结果的双重负担有关,具体取决于严重程度。

系统评价注册

PROSPERO 注册编号 CRD42020185086。

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