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老年营养不良与抑郁症:来自孟加拉国老年居家护理人群的证据。

Geriatric malnutrition and depression: Evidence from elderly home care population in Bangladesh.

作者信息

Alam Mohammad Rahanur, Karmokar Sushmita, Reza Sompa, Kabir Md Ruhul, Ghosh Susmita, Mamun Md Abdullah Al

机构信息

Department of Food Technology and Nutrition Science, Noakhali Science and Technology University, Bangladesh.

Institute of Nutrition and Food Science, University of Dhaka, Bangladesh.

出版信息

Prev Med Rep. 2021 Jul 7;23:101478. doi: 10.1016/j.pmedr.2021.101478. eCollection 2021 Sep.

DOI:10.1016/j.pmedr.2021.101478
PMID:34458076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8377374/
Abstract

Malnutrition is the root of numerous complications ranging from physical disability to mental health problems like depression. Depending on the intensity, depression can lead to emotional fluctuations, even suicidal attempts. Geriatric health in a country like Bangladesh is often ignored, although they are a growing segment of society. This community-based cross-sectional study aimed to determine the prevalence and severity of depression and malnutrition in the elderly to evaluate the relationship between depression and malnutrition. Mini Nutritional Assessment (MNA) was used to determine nutritional status, and Geriatric Depression Scale (GDS) was used to assess depression. About 84% of the participants showed a different array of depression symptoms. The rate of malnutrition and depression is higher among the male participants. Being malnourished (OR: 4.05, 95% CI: 2.79-5.87) and people are at risk of malnutrition (OR:1.67, 95% CI:1.24-2.24) had a significantly higher risk of suffering from depression. Maintaining a good physical state, a healthy lifestyle, and a supportive family environment are among the factors that can reduce depression in the elderly population. Therefore, to fight depression, specific programs and targeted interventions focusing on physical and mental stability for the elderly at the community level can enhance awareness at the individual and family levels.

摘要

营养不良是从身体残疾到抑郁症等心理健康问题等众多并发症的根源。根据严重程度,抑郁症会导致情绪波动,甚至自杀企图。在孟加拉国这样的国家,老年人的健康往往被忽视,尽管他们在社会中的占比不断增加。这项基于社区的横断面研究旨在确定老年人抑郁症和营养不良的患病率及严重程度,以评估抑郁症与营养不良之间的关系。采用微型营养评定法(MNA)确定营养状况,采用老年抑郁量表(GDS)评估抑郁症。约84%的参与者表现出一系列不同的抑郁症状。男性参与者中的营养不良和抑郁症发生率更高。营养不良者(比值比:4.05,95%置信区间:2.79 - 5.87)以及有营养不良风险的人(比值比:1.67,95%置信区间:1.24 - 2.24)患抑郁症的风险显著更高。保持良好的身体状态、健康的生活方式和支持性的家庭环境是可以降低老年人群体抑郁症的因素。因此,为了对抗抑郁症,在社区层面针对老年人身心健康稳定的特定项目和有针对性的干预措施可以提高个人和家庭层面的意识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdd8/8377374/ce97a7ae6d32/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdd8/8377374/eb349323ccf7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdd8/8377374/ce97a7ae6d32/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdd8/8377374/eb349323ccf7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdd8/8377374/ce97a7ae6d32/gr2.jpg

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