Turan Ömer, Özkaya Volkan
Department of Nutrition and Dietetics, Graduate School of Health Sciences, Istanbul Medipol University, Istanbul, Türkiye.
Department of Nutrition and Dietetics, Kutahya Health Sciences University School of Health Sciences, Kütahya, Türkiye.
Front Med (Lausanne). 2025 Apr 4;12:1577446. doi: 10.3389/fmed.2025.1577446. eCollection 2025.
BACKGROUND: This study examines the relationship between dietary total antioxidant capacity, frailty, and nutritional status in Turkish older adults living in the community and nursing homes. METHODS: This study included 160 older adults (50% female) living in the community ( = 80) and a nursing home ( = 80). Anthropometric measurements were taken, and BMI was calculated. Demographic characteristics, nutritional status (MNA-SF: Mini Nutritional Assessment Short Form), frailty (FRAIL Scale), activities of daily living (Katz ADL), and three-day food consumption records were assessed. Dietary total antioxidant capacity was determined based on the three-day food consumption record. RESULTS: The mean ages of the groups were similar (72.5 ± 6.0 and 72.2 ± 5.9 years). Nursing home residents had significantly higher rates of chronic disease (91.3%) and regular medication use (90.0%) ( < 0.05). Overweight was more prevalent among community dwellers (50.0%, < 0.05), while obesity was more common in nursing home residents (26.2%, > 0.05). Frail (32.5%) and pre-frail (40.0%) rates were higher in nursing home residents compared to elderly community dwellers (21.2 and 38.8%, respectively). Dependence ratios were similar between the groups ( > 0.05). Community-dwelling participants had a lower risk of malnutrition. While their daily carbohydrate intake was lower, nursing home residents had higher intakes of protein, fat, -3 fatty acids, fiber, vitamins (except vitamin E), and minerals. Frailty showed a strong negative correlation with Katz ( = -0.56, < 0.001) and MNA-SF scores ( = -0.44, < 0.001), while weak positive correlations were observed with TRAP, TEAC, and FRAP3 values. A negative correlation was observed between the residential setting and TORAC ( = -0.424, < 0.001), TRAP ( = -0.190, < 0.001), TEAC ( = -0.257, < 0.001), and total VCEAC ( = -0.241, = 0.002) values. CONCLUSION: Residential setting may affect nutrient intake, frailty, dietary total antioxidant capacity, and overall health in older adults.
背景:本研究探讨了居住在社区和养老院的土耳其老年人的膳食总抗氧化能力、身体虚弱状况与营养状况之间的关系。 方法:本研究纳入了160名老年人(50%为女性),其中80人居住在社区,80人居住在养老院。进行了人体测量并计算了体重指数(BMI)。评估了人口统计学特征、营养状况(MNA-SF:简易营养评估量表)、身体虚弱状况(FRAIL量表)、日常生活活动能力(Katz日常生活活动能力量表)以及三天的食物消费记录。根据三天的食物消费记录确定膳食总抗氧化能力。 结果:两组的平均年龄相似(分别为72.5±6.0岁和72.2±5.9岁)。养老院居民的慢性病患病率(91.3%)和常规用药率(90.0%)显著更高(P<0.05)。超重现象在社区居民中更为普遍(50.0%,P<0.05),而肥胖在养老院居民中更为常见(26.2%,P>0.05)。与社区老年居民(分别为21.2%和38.8%)相比,养老院居民的虚弱(32.5%)和前期虚弱(40.0%)比例更高。两组之间的依赖比率相似(P>0.05)。社区居住参与者营养不良的风险较低。虽然养老院居民的每日碳水化合物摄入量较低,但他们的蛋白质、脂肪、ω-3脂肪酸、纤维、维生素(维生素E除外)和矿物质摄入量较高。身体虚弱状况与Katz量表得分(r=-0.56,P<0.001)和MNA-SF得分(r=-0.44,P<0.001)呈强负相关,而与TRAP、TEAC和FRAP3值呈弱正相关。居住环境与TORAC(r=-0.424,P<0.001)、TRAP(r=-0.190,P<0.001)、TEAC(r=-0.257,P<0.001)和总VCEAC(r=-0.241,P=0.002)值之间呈负相关。 结论:居住环境可能会影响老年人的营养摄入、身体虚弱状况、膳食总抗氧化能力和整体健康。
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