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验证失调感知,以预测非机构化的老年人失调的风险

Roberta Silveira Figueira¹, Mariana Otero Xavier², Elaine Tomasi²

¹Nutrition College, Federal University of Pelotas, Pelotas, Brazil.

Clinical nutrition ESPEN

|September 22, 2023

概括

老年人对吞困难 (吞障碍) 的自我感知往往是不准确的. 单个问题具有较低的敏感性,这意味着许多处于危险的个体可能无法识别他们的病情,因此需要谨慎使用.

科学领域:

老年学是一门学科.
临床医学临床医学
公共卫生公共卫生

背景情况:

吞障碍,吞障碍显著影响老年人的生活质量,增加营养不良和渴望的风险.
早期诊断失调对于预防老年人群的不良健康结果至关重要.

研究的目的:

为了评估自我感知性消化障碍的诊断有效性,与在社区居住的老年人中使用标准化工具相比.
评估单个"是"/"不"问题的准确性,以确定60岁及以上个体的消化不良风险.

主要方法:

该研究比较了来自巴西佩洛塔斯的老年人自我报告的吞困难与饮食评估工具 (EAT-10) 的情况.
计算了关键性能指标,包括灵敏度,特异性,正预测值 (PPV),负预测值 (NPV) 和准确性.

主要成果:

缺食症风险的流行率为12.9% (EAT-10) 与8.8% (自我感知) 相比.
自我感知显示低灵敏度 (34.8%),但高特异性 (95.1%),PPV为51.1%,NPV为90.8%.
在女性和80岁以上的个体中注意到更高的敏感性.

结论:

使用单个问题自我感知消化障碍表明敏感度低和PPV,表明潜在的诊断不足.
这种方法应谨慎使用,因为有风险的个体可能无法准确地感知自己的吞困难.

关键词:

年长的老年人.脱脱脱脱脱脱障碍脱障碍脱障碍老年人的营养老年人的营养验证研究的验证研究.

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