入住老年病房的患者中的维生素D状况 - - 预防维生素D缺乏症的建议是否足够有效?
Maksymilian Adam Lech1, Marcin Warpechowski1, Aleksandra Wojszel1
1Interdisciplinary Student Scientific Society, Department of Geriatrics, Medical University of Bialystok, 15-471 Bialystok, Poland.
在接受老年病房治疗的波兰老年人中,维生素D缺乏是很常见的,超过80%的人表现不充分. 低维生素D水平与肥胖和不服用补充剂有关,强调需要更好的预防策略.
科学领域:
- 老年学是一门学科.
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 尽管有建议,但维生素D (VD) 缺乏症在波兰老年人中仍然存在.
- 像PolSenior2这样的先前研究排除了医疗机构中的老年人.
- 这项研究侧重于老年病房患者的风险病状,以评估预防措施的有效性.
研究的目的:
- 为了评估70岁及以上老年患者的静脉疾病状况.
- 探索VD状态,年龄,性别,BMI和VD补充剂之间的关联.
- 为了评估这个特定人群中对VD建议的遵守情况.
主要方法:
- 在240名老年患者中测量了血清VD度 (25(OH) D).
- 收集了关于年龄,性别,BMI和入院前静脉疾病补充剂使用的数据.
- 使用后勤回归分析来识别VD不足的风险因素.
主要成果:
- 中位数25(OH) D度为22.95 ng/mL.
- 15%的人患有严重的静脉动脉缺陷 (<10 ng/mL),67.5%的人患有静脉动脉不足 (<30 ng/mL).
- 在没有补充剂的人 (70.9%) 和BMI≥30kg/m2 (76.2%) 的患者中,静脉动脉不充分程度更高.
- 肥胖 (OR=2.21) 和不补充 (OR=2.23) 显著增加了VD不足的几率.
结论:
- 血管疾病缺陷和老年病房住院不足的高患病率表明,人们对预防策略的坚持不够.
- 针对老年人,护理人员和医生进行有针对性的干预和教育至关重要.
- 改善VD补充实践对于这一脆弱人群至关重要.
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