一般的な病気の症状と,高齢の入院患者の食欲と食物の摂取への影響
Maryam Pourhassan1, Diana Daubert1, Lars Sieske2
1Department of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, Germany.
Appetite
|August 31, 2025
まとめ
病院に入院した高齢者の食欲低下は 持続的な吐き気と健康状態の低下と密接に関連しています 痛みや疲労などの他の症状が 作用する一方で 吐き気や健康状態が 病院での食欲に影響する 重要な要因です
科学分野:
- ゲロントロジー
- 臨床栄養について
- 症状管理
背景:
- 食欲低下は入院した高齢者の一般的な問題であり,栄養状態と回復に影響します.
- 特定の病気の症状と食欲の関係を理解することは 効果的な介入に不可欠です
研究 の 目的:
- 高齢の入院患者の個々の病気の症状と食欲との関連を調査する.
- 時間の経過とともに食欲の減少を予測する重要な症状を特定する.
主な方法:
- 高齢の入院患者200人を対象とした前向きな長期観察研究.
- 簡略化された栄養食欲アンケート (SNAQ) とエドマントン症状評価システム (ESAS) を利用した.
- 治療開始時と投与後7日間のデータ
主要な成果:
- 食欲はベースライン (32. 5% 減食) からフォローアップ (23. 5% 減食) まで有意に改善した.
- 吐き気と不快感は食欲の低下と食欲の減少の最も強い予測因子でした.
- 吐き気が悪化すると食欲が48%減った.
結論:
- 高齢の入院患者の食欲低下の主な要因は 持続的な吐き気と健康状態の低下です
- 痛みや疲労などの症状は変動しますが 吐き気や気分は食欲に より一貫した影響を及ぼします
- 吐き気をターゲットにしたり 幸福感を向上させたりすることは この集団における食欲低下と戦うための 重要な戦略かもしれません
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