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营养干预后居住在24小时医疗护理机构中的老年人的营养状况。

Nutritional Status of the Elderly Residing in a 24-Hour Medical Care Facility After Nutritional Intervention.

作者信息

Lucyna Ścisło, Elżbieta Walewska, Anna Kliś-Kalinowska, Judyta Pluta

机构信息

Jagiellonian University Medical College, Krakow, Poland.

出版信息

Gerontol Geriatr Med. 2024 Jan 10;10:23337214231224574. doi: 10.1177/23337214231224574. eCollection 2024 Jan-Dec.

Abstract

Malnutrition is a significant issue among elderly individuals in 24-hour care facilities, leading to increased morbidity. The aim of the study was to compare the nutritional status before and after nutritional intervention based on selected indicators of nutritional status among residents of a 24-hour care institution. The study included a group of 104 people aged 65 to 97 years. Nutritional status was assessed before and after the nutritional intervention based on indicators: levels of prealbumin, albumin, transferrin, total lymphocyte count, BMI, and MNA scale. The nutritional intervention consisted of administering oral nutritional supplements (ONS) to patients, regardless of nutritional status. The method of retrospective analysis of patients' medical records was used. Statistical analysis was performed using IBM SPSS Statistics 24 for Windows. Improvements in nutritional status occurred among patients with malnutrition based on MNA and prealbumin indices, and in groups of patients with moderate or mild malnutrition as determined by transferrin, prealbumin and albumin. The mean levels of nutritional indices significantly increased: MNA ( = .001), BMI ( = .001), prealbumin ( = .001), and albumin ( < .001). The use of ONS resulted in better nutritional status parameters based on MNA, albumin and prealbumin. These indices may be predictors of reducing the risk of various disorders among the elderly.

摘要

营养不良是24小时护理机构中老年人群体中的一个重要问题,会导致发病率上升。本研究的目的是根据一家24小时护理机构居民的选定营养状况指标,比较营养干预前后的营养状况。该研究纳入了一组104名年龄在65至97岁之间的人群。根据前白蛋白、白蛋白、转铁蛋白、总淋巴细胞计数、BMI和微型营养评定法(MNA)量表等指标,在营养干预前后对营养状况进行了评估。营养干预包括给患者服用口服营养补充剂(ONS),无论其营养状况如何。采用回顾性分析患者病历的方法。使用IBM SPSS Statistics 24 for Windows进行统计分析。基于MNA和前白蛋白指标,营养不良患者以及根据转铁蛋白、前白蛋白和白蛋白确定为中度或轻度营养不良的患者组的营养状况有所改善。营养指标的平均水平显著升高:MNA(P = 0.001)、BMI(P = 0.001)、前白蛋白(P = 0.001)和白蛋白(P < 0.001)。使用ONS可使基于MNA、白蛋白和前白蛋白的营养状况参数更好。这些指标可能是降低老年人各种疾病风险的预测指标。

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