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心血管危险因素可预测老年墨西哥成年人的营养状况。

Cardiovascular Risk Factors as Predictors of Nutritional Status in Older Mexican Adults.

机构信息

Unidad De Medicina Familiar No. 32, Instituto Mexicano del Seguro Social, Guadalupe C.P. 67140, Nuevo León, Mexico.

Escuela de Medicina, Universidad de Monterrey, San Pedro Garza García C.P. 66238, Nuevo León, Mexico.

出版信息

Nutrients. 2024 Aug 12;16(16):2662. doi: 10.3390/nu16162662.

Abstract

Aging is commonly accompanied by increased cardiovascular risk and diet plays a crucial role in health condition. The aim of this study was to determine cardiovascular risk factors as predictors of nutritional risk in Mexican older adults. A cross-sectional study on Mexican patients aged ≥60 years with cardiovascular risk factors affiliated with a medical unit in Northeast Mexico was performed from July to December 2021. The nutritional risk evaluations were performed using the Mini Nutritional Assessment (MNA) questionnaire. After a multivariate analysis, the cardiovascular risk factors identified as independent predictors of risk of malnutrition were hypertriglyceridemia (adjusted OR (AOR): 1.8; 95% CI: 1.03-3.14; = 0.04) and systolic hypertension I (AOR: 2.28; 95% CI: 1.04-5.02; = 0.041); age over 80 years (AOR: 5.17; 95% CI: 1.83-14.65, = 0.002) and elementary school education (AOR: 2.34; 95% CI: 1.20-4.55; = 0.013) were also related. The cross-sectional design and single-center approach of this study limits the generalizability of the results; however, conducting timely evaluations of blood pressure, triglyceride levels, and risk of malnutrition using the MNA tool for patients aged ≥60 years could prevent illness and reduce mortality within this population group.

摘要

衰老是心血管风险增加的常见伴随现象,而饮食在健康状况中起着至关重要的作用。本研究旨在确定心血管危险因素是否可作为墨西哥老年人营养风险的预测因子。这是一项 2021 年 7 月至 12 月在墨西哥东北部某医疗单位进行的、针对伴有心血管危险因素的≥60 岁墨西哥患者的横断面研究。使用 Mini Nutritional Assessment(MNA)问卷对营养风险进行评估。经过多变量分析,确定高甘油三酯血症(调整后的比值比(AOR):1.8;95%可信区间:1.03-3.14; = 0.04)和收缩压 I 升高(AOR:2.28;95%可信区间:1.04-5.02; = 0.041)是营养不良风险的独立预测因子;年龄>80 岁(AOR:5.17;95%可信区间:1.83-14.65; = 0.002)和小学教育(AOR:2.34;95%可信区间:1.20-4.55; = 0.013)也与之相关。本研究的横断面设计和单中心方法限制了结果的普遍性;然而,对于≥60 岁的患者,使用 MNA 工具及时评估血压、甘油三酯水平和营养不良风险,可以预防该人群的疾病发生并降低死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d11a/11357025/6cdb8a8a68bb/nutrients-16-02662-g001.jpg

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