栄養不良のない高齢者の食欲低下:関連因子と臨床的影響
Kubra Cıngar Alpay1, Cihan Heybeli2, Irem Bilgic3
1Division of Geriatrics, Istanbul University-Cerrahpasa, Istanbul, Turkey.
BMC geriatrics
|August 20, 2025
まとめ
食欲低下は 栄養が良い高齢者の4人に1人に 影響します この状態は高齢化,女性性,慢性腎臓疾患,多剤療法と関連しており,栄養不良が発症する前にも 潜在的健康問題を示しています.
科学分野:
- ゲロントロジー
- 栄養学
- 臨床医学
背景:
- 高齢者の食欲低下の早期症状を調査することは,栄養失調を予防するために極めて重要です.
- 臨床的な衰退前に正常な栄養状態 (最小栄養評価 ≥24) を有する個体に焦点を当てます.
研究 の 目的:
- 栄養が良い高齢者の食欲低下の臨床的影響を調査する.
- この集団における食欲低下に関連する要因を特定する.
主な方法:
- 栄養状態が正常な755人の老人患者 (MNA ≥24) を評価した.
- 食欲状態は,栄養評議会の食欲アンケートを使用して評価された (CNAQ ≤28/40は食欲の減少を示した).
- 収集されたデータには,人口統計,人体測定,併発症,薬剤,検査結果が含まれ,包括的な高齢者診断が行われました.
主要な成果:
- 参加者の25.4%が食欲低下を経験した.
- 食欲の減少は,高齢者,女性,低学歴,慢性腎臓疾患と関連していました.
- 食欲の減少は,バランス/歩き方のスコアが低く,うつ病のスコアが高く,ポリファーマシーと相関する.
結論:
- 食欲の減少は,栄養が良い高齢者の25%で一般的です.
- 主な関連因子には,高齢者,女性の性別,低教育,慢性腎臓疾患,多剤薬学が含まれます.
- 栄養失調がなくても 食欲の減少は 歩行障害やうつ病の症状の危険性を高めます
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