Department of Palliative Medicine, Poznan University of Medical Sciences, 61-245 Poznan, Poland.
Clinic of Internal Medicine, Connective Tissue Diseases and Geriatrics, Medical University of Gdansk, 80-210 Gdansk, Poland.
Nutrients. 2021 Dec 8;13(12):4388. doi: 10.3390/nu13124388.
Poor nutritional status (PNS) threatens successful aging. Identifying potentially modifiable predictors of PNS is essential for elaborating a preventive strategy for the population at risk. To assess the prevalence of PNS in the Polish elderly population and analyze its socioeconomic correlates based on the data from the nationwide PolSenior2 project. Special emphasis was put on potentially modifiable factors among the identified PNS predictors. Nutritional status was assessed in 5698 community-dwelling older adults with the Mini Nutritional Assessment-Short Form. We evaluated the effect of age, sex, level of education, marital status, place of residence, subjective loneliness, and self-reported poverty on the nutritional status of the studied subjects. PNS was found in 25.3% of studied subjects (27.7% women and 21.9% men; < 0.001). Female sex, older age, unmarried status (in men), subjective loneliness, and self-reported poverty were independent correlates of PNS. The two last above-mentioned predictors were identified as potentially modifiable. Based on our results, we recommend preventive interventions (e.g., performing regular screening), particularly in unmarried (men), poorly educated individuals, self-reporting poverty, complaining of loneliness, and the oldest old. PNS preventive strategies should include social support (both emotional and instrumental) to reduce the effect of poverty and subjective loneliness.
营养状况不佳(PNS)威胁着成功老龄化。确定 PNS 的潜在可改变预测因素对于制定针对风险人群的预防策略至关重要。本研究旨在评估波兰老年人群中 PNS 的流行情况,并根据全国性 PolSenior2 项目的数据分析其社会经济相关性。特别强调了 PNS 预测因素中潜在可改变的因素。采用 Mini Nutritional Assessment-Short Form 对 5698 名居住在社区的老年人进行营养状况评估。我们评估了年龄、性别、教育水平、婚姻状况、居住地点、主观孤独感和自我报告的贫困对研究对象营养状况的影响。研究发现,25.3%的研究对象存在 PNS(女性占 27.7%,男性占 21.9%;<0.001)。女性、年龄较大、未婚(男性)、主观孤独感和自我报告的贫困是 PNS 的独立相关因素。最后两个上述预测因素被确定为潜在可改变的因素。基于我们的研究结果,我们建议采取预防措施(例如,定期进行筛查),特别是针对未婚(男性)、受教育程度较低、自我报告贫困、感到孤独和最年长的老年人。PNS 的预防策略应包括社会支持(情感和工具性支持),以减轻贫困和主观孤独感的影响。