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虚弱综合征老年人营养状况选定参数的评估——一项横断面研究。

Assessment of selected parameters of nutritional status in older people with frailty syndrome - a cross-sectional study.

作者信息

Muszalik Marta, Kudanowska Agnieszka, Puto Grażyna, Kędziora-Kornatowska Kornelia

机构信息

Department of Geriatrics, Faculty of Health Sciences, Nicolaus Copernicus University in Torun, Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland.

Uniwersytet WSB Merito, Gdańsk, Poland.

出版信息

J Nutr Sci. 2025 Aug 29;14:e60. doi: 10.1017/jns.2025.10029. eCollection 2025.

Abstract

UNLABELLED

This study aimed to assess the relationship between selected parameters of nutritional status and the occurrence of frailty syndrome in older adults by analysing clinical and socio-demographic factors.

METHODS

The study included 150 community-dwelling participants aged > 60 years who were qualified in the medical centre. The following research tools were used: activity of daily living, instrumental activities of daily living, survey of health, aging, and retirement in Europe, geriatric depression scale, mini mental state examination (MMSE), anthropometric measurements, mini nutritional assessment (MNA), body composition measurements, and biochemical blood tests.

RESULTS

The study included 150 people over 60 years of age (mean age 76.2/SD 4.9), including 104 women and 46 men. Participants in the frail group were significantly older (KW-H: P < 0.001) and had a higher level of depression (P = 0.008), whereas on the MMSE scale, they achieved a lower result (P < 0.001) than those in the non-frail and pre-frail groups. People in the frail group had significantly lower levels of nutritional status (P < 0.001) according to the MNA scale, assessment of basic activities in everyday life (P = 0.005), complex activities of everyday life (P < 0.001), hand grip strength of the right hand (P = 0.038) and left hand (P = 0.028), and energy drop (P < 0.001). They were also characterised by difficulties walking (P < 0.001), less frequent physical activity (P < 0.001), loss of appetite (P < 0.001), and weight loss more often (P < 0.05).

CONCLUSION

Advanced age, a greater number of diseases, worse functional and mental performance, and differences in nutritional status and body composition were observed in people with frailty syndrome.

摘要

未标注

本研究旨在通过分析临床和社会人口学因素,评估老年人营养状况的选定参数与衰弱综合征发生之间的关系。

方法

该研究纳入了150名年龄大于60岁、在医疗中心符合条件的社区居住参与者。使用了以下研究工具:日常生活活动能力、工具性日常生活活动能力、欧洲健康、老龄化及退休调查、老年抑郁量表、简易精神状态检查表(MMSE)、人体测量、微型营养评定(MNA)、身体成分测量以及血液生化检测。

结果

该研究纳入了150名60岁以上的人(平均年龄76.2/标准差4.9),其中包括104名女性和46名男性。衰弱组的参与者年龄显著更大(KW-H:P<0.001)且抑郁水平更高(P = 0.008),而在MMSE量表上,他们的得分低于非衰弱组和衰弱前期组(P<0.001)。根据MNA量表,衰弱组人群的营养状况水平显著更低(P<0.001),日常生活基本活动能力(P = 0.005)、日常生活复杂活动能力(P<0.001)、右手握力(P = 0.038)和左手握力(P = 0.028)以及能量下降(P<0.001)也更低。他们还表现出行走困难(P<0.001)、体育活动频率较低(P<0.001)、食欲不振(P<0.001)以及更常出现体重减轻(P<0.05)。

结论

在患有衰弱综合征的人群中,观察到年龄较大、疾病数量较多、功能和心理表现较差以及营养状况和身体成分存在差异。

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A Systematic Review of Clinical Practice Guidelines for Identification and Management of Frailty.
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Association Between Body Composition and Frailty in Elder Inpatients.
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