Decarli B, Dirren H, Schlettwein-Gsell D
Centre de Recherche Nestlé, Vers-Chez-les-Blanc, Lausanne.
Rev Med Suisse Romande. 1998 Aug;118(8):701-7.
In Switzerland the longitudinal SENECA study (Survey in Europe on Nutrition and the Elderly, a Concerted Action of the 3rd European Framework Programme) was implemented in the city of Yverdon-les-Bains. The study investigated the nutritional and health status of 70 to 75-year old elderly living at home, in relation with their food habits, life style, social network and physical activity with a follow-up study 4 years later. Results of the follow-up study, with the subjects aged 74 to 79 years, and changes observed over the 4 years are presented here. The participants reported a rather good self-assessed health and were quite independent in their daily activities. Food and nutrient intakes decreased over the 4-year follow-up, as did physical activity, independence in daily activities and height. However, biological markers (haemoglobin, haematocrit, albumin, lipids and vitamins) of nutritional status showed little change and remained mostly in the normal range. Low energy intake was measured in 21% of the men (< 1500 kcal/d) and in 24% of the women (< 1200 kcal). This is a source of concern since such low energy intakes make it difficult to cover micronutrient requirements. It is therefore important to find ways to maintain or increase the quality of the diet and adequate nutrient intakes.
在瑞士,纵向开展的SENECA研究(欧洲营养与老年人调查,第三个欧洲框架计划的协同行动)在伊韦尔东莱班市实施。该研究调查了居家生活的70至75岁老年人的营养与健康状况,涉及他们的饮食习惯、生活方式、社交网络和身体活动情况,并在4年后进行了跟踪研究。本文呈现了跟踪研究的结果,研究对象为74至79岁的老年人,以及4年间观察到的变化。参与者报告称自我评估的健康状况相当良好,并且在日常活动中相当独立。在4年的随访期间,食物和营养素摄入量下降,身体活动、日常活动独立性和身高也有所下降。然而,营养状况的生物学标志物(血红蛋白、血细胞比容、白蛋白、血脂和维生素)变化不大,大多仍在正常范围内。21%的男性(<1500千卡/天)和24%的女性(<1200千卡/天)能量摄入较低。这令人担忧,因为如此低的能量摄入难以满足微量营养素需求。因此,找到维持或提高饮食质量和充足营养素摄入的方法很重要。