在75岁以上因关节骨折住院的患者中,肉类的患病率
María Del Carmen Cervera-Díaz1, Juan José López-Gómez2, Virginia García-Virto3
1Unidad de Geriatría, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
Endocrinologia, diabetes y nutricion
|June 10, 2023
概括
部骨折的老年人中,营养不良和肉症非常普遍,影响超过75%的患者. 这些疾病与老年,功能障碍和并发症有关.
科学领域:
- 老年学是指老年学的学科.
- 整形外科 整形外科 整形外科
- 营养科学 营养科学
背景情况:
- 关节骨折是75岁及以上人群残疾的重要原因之一.
- 与疾病相关的营养不良 (DRM) 和麻症在这个人口群体中很常见,并且可能在部骨折后更为普遍.
研究的目的:
- 确定75岁以上的关节骨折患者营养不良和/或肉病的患病率.
- 在这个人群中评估与疾病相关的营养不良和肉病之间的关系.
- 为了确定sarcopenic和非sarcopenic骨折患者之间的差异.
主要方法:
- 包括186名因关节骨折住院的患者 (≥75岁).
- 使用微量营养评估 (MNA) 和全球营养不良领导倡议 (GLIM) 标准对DRM进行营养状况评估.
- 使用SARC-F进行了肉症查,并使用欧洲老年肉症工作组 (EWGSOP2) 的标准进行了诊断,包括手握强度和生物电阻.
主要成果:
- 53.8%的患者存在营养风险或营养不良 (MNA).
- 妇女的DRM患病率为72.4%,男性为79.4%.
- 麻症指标 (肌肉强度低,尾肌肉质量指数低) 在两种性别的70%以上存在.
- 麻患者年龄较大,BMI较低,功能状况较差,并有更多的并发症.
结论:
- 在老年关节骨折患者中,营养不良和肉病非常普遍.
- 超过四分之三的75岁以上的部骨折患者患有肉类和/或DRM.
- 年龄较大,功能状况较差,体重指数较低和并发症与营养不良和肉症有关.
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