Fujita Y, Ohzeki T
Department of Nutrition, Tokyo Metropolitan Institute of Gerontology.
Nihon Ronen Igakkai Zasshi. 1993 Jul;30(7):568-71. doi: 10.3143/geriatrics.30.568.
About half the residents living in nursing homes and homes for the elderly show activity factor values less than 0.25 in daily living. However, the current Recommended Dietary Allowances (RDA) have been intended to apply to self-supporting and healthy elderly persons rather than bedridden elderly persons. Accordingly, current RDA tables do not indicate energy requirements for frail elderly people who show less values than 0.25 in activity factor. Consequently, in most institutions for the elderly, an adequate dietary energy supply for residents has been calculated on the basis of "level I (light)" in levels of physical activities. In this study, we measured the daily energy expenditures of 78 frail elderly females (age; 79.9 +/- 7.1 yrs) living in nursing homes and homes for the elderly. From these results, energy requirements for frail elderly females corresponding with 0.00 to 0.25 of the activity factor were provisionally estimated as to be 21 to 31 kcal/kg BW.
住在养老院和老年之家的居民中,约有一半在日常生活中的活动系数值低于0.25。然而,当前的膳食营养素推荐摄入量(RDA)旨在适用于能够自理且健康的老年人,而非卧床不起的老年人。因此,当前的RDA表格并未标明活动系数值低于0.25的体弱老年人的能量需求。结果,在大多数老年机构中,都是根据体力活动水平中的“一级(轻度)”来计算为居民提供充足膳食能量的量。在本研究中,我们测量了78名住在养老院和老年之家的体弱老年女性(年龄:79.9±7.1岁)的每日能量消耗。根据这些结果,临时估算出活动系数为0.00至0.25的体弱老年女性的能量需求为21至31千卡/千克体重。