Department of Nutritional Management, Keiju Hatogaoka Integrated Facility for Medical and Long-Term Care, Hosu 9270023, Japan.
Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu 5148507, Japan.
Nutrients. 2022 Sep 4;14(17):3656. doi: 10.3390/nu14173656.
Malnutrition is associated with poor functional outcomes in residents in long-term care facilities. The integrated facility for medical and long-term care (IFMLC) is a new Japanese long-term care facility where medical services can be provided. This study aimed to investigate the prevalence of malnutrition diagnosed based on the Global Leadership Initiative on Malnutrition (GLIM) criteria and its association with activities of daily living (ADL) in older residents in IFMLC. In this cross-sectional study of older residents, we diagnosed mild and severe malnutrition using the GLIM criteria and assessed ADLs using the Barthel index (BI). Multivariate regression analysis was used to investigate the relationship between BI score and GLIM-defined malnutrition. A total of 117 older residents (84 women; median age, 88 years) were analyzed in this study. The prevalence values of mild and severe malnutrition were 29% and 18%, respectively. Multivariate analyses for the BI score after adjusting for potential confounders showed that mild and severe malnutrition were independently associated with BI score (B = −6.113, p < 0.046; B = −8.411, p = 0.015, respectively). GLIM-defined malnutrition is negatively associated with ADLs in older residents in IFMLC.
营养不良与长期护理机构居民的不良功能结局有关。综合医疗和长期护理设施（IFMLC）是一种新的日本长期护理设施，可提供医疗服务。本研究旨在调查基于全球营养不良领导倡议（GLIM）标准诊断的营养不良的患病率及其与 IFMLC 中老年人日常生活活动（ADL）的关系。在这项针对老年人的横断面研究中，我们使用 GLIM 标准诊断轻度和重度营养不良，并使用 Barthel 指数（BI）评估 ADL。多变量回归分析用于调查 BI 评分与 GLIM 定义的营养不良之间的关系。本研究共分析了 117 名老年居民（84 名女性；中位年龄 88 岁）。轻度和重度营养不良的患病率分别为 29%和 18%。调整潜在混杂因素后的 BI 评分多变量分析显示，轻度和重度营养不良与 BI 评分独立相关（B=-6.113，p<0.046；B=-8.411，p=0.015）。GLIM 定义的营养不良与 IFMLC 中老年人的 ADL 呈负相关。
