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老年急性病单元营养状况评估:衰弱综合征的回顾性研究与分析

Evaluation of Nutritional Status in an Acute Geriatric Unit: Retrospective Study and Analysis of Frailty Syndrome.

作者信息

Zulfiqar Abrar-Ahmad, Dembele Ibrahima Amadou, Andres Emmanuel

机构信息

Département de Médecine Interne, CHU Strasbourg, Clinique Médicale B, 67000 Strasbourg, France.

出版信息

Medicines (Basel). 2023 Mar 8;10(3):22. doi: 10.3390/medicines10030022.

Abstract

INTRODUCTION

The aim of our study is to evaluate the nutritional status of patients in an acute geriatric unit.

METHODS

Patients included in the study were hospitalized in an acute geriatric unit over a period of 6 months. The nutritional status of each patient was evaluated with anthropometric measurements (the BMI and MNA scales), and biological measurements (albumin). Frailty was evaluated using three scales: the Fried scale, the CFS and the modified SEGA scale.

RESULTS

A total of 359 patients were included, comprising 251 women (70%) with an average age of 85.28 years. The study showed that 102 elderly subjects were considered undernourished according to the BMI scale, 52 subjects were undernourished according to the MNA scale, and 50 subjects were undernourished according to their albumin levels. The relationships between undernutrition and frailty syndrome studied in our work show that elderly subjects who are undernourished according to the BMI and MNA scales are significantly frail according to Fried and Rockwood, whereas those who are undernourished according to their albumin levels are significantly frail according to Fried and the modified SEGA scale.

CONCLUSION

The relationship between undernutrition and the frailty syndrome is close, and their joint screening is necessary, whether on an outpatient or in-hospital basis, in order to prevent negative events related to comorbidities and geriatric syndromes.

摘要

引言

我们研究的目的是评估急性老年病科患者的营养状况。

方法

纳入研究的患者在急性老年病科住院6个月。通过人体测量指标(体重指数和微型营养评定量表)和生物学指标(白蛋白)评估每位患者的营养状况。使用三种量表评估衰弱程度:弗里德量表、衰弱指数量表和改良的衰弱评估量表。

结果

共纳入359例患者,其中251例女性(70%),平均年龄85.28岁。研究表明,根据体重指数量表,102例老年受试者被认为营养不良;根据微型营养评定量表,52例受试者营养不良;根据白蛋白水平,50例受试者营养不良。我们研究中探讨的营养不良与衰弱综合征之间的关系表明,根据体重指数和微型营养评定量表营养不良的老年受试者,按照弗里德和罗克伍德标准显著衰弱,而根据白蛋白水平营养不良的受试者,按照弗里德和改良的衰弱评估量表标准显著衰弱。

结论

营养不良与衰弱综合征之间关系密切,无论是门诊还是住院患者,都有必要联合筛查,以预防与合并症和老年综合征相关的不良事件。

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Frailty in elderly people.老年人虚弱。
Lancet. 2013 Mar 2;381(9868):752-62. doi: 10.1016/S0140-6736(12)62167-9. Epub 2013 Feb 8.
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Sarcopenia in the elderly: basic and clinical issues.老年人肌肉减少症:基础与临床问题。
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