营养不良的老年住院患者中微量营养素缺乏的患病率和决定因素
Kübra Yilmaz1, Rainer Wirth1, Diana Daubert1
1Department of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, Germany.
住院的营养不良的老年人经常有多种微量营养素缺乏,每位研究的患者至少缺少一种必需的维生素或矿物质. 以前的体重减轻与更多的这些缺陷有关.
科学领域:
- 老年医学 老年医学
- 营养科学 营养科学
- 临床研究 临床研究
背景情况:
- 营养不良和微量营养素缺乏是老年护理的关键问题,影响老年人的健康结果.
- 老年住院患者特别容易受到这些缺陷的影响.
研究的目的:
- 为了确定被送往医院的营养不良老年人中微量营养素缺乏的患病率.
- 为了确定与这些患者群体中这些缺陷相关的因素.
主要方法:
- 一项前性观察性研究在老年急症病房进行.
- 156名营养不良的老年人使用小型营养评估简单表格 (MNA-SF) 进行了评估.
- 在入院后24小时内,分析了各种维生素和矿物质的血清水平.
主要成果:
- 所有156名患者 (100%) 至少缺少一种微量营养素;90%的患者缺少三个或更多的微量营养素.
- 常见的缺陷包括维生素C (75%),维生素D (65%),维生素H (61%),维生素K (45%),叶酸 (37%),铁 (31%), (36%) 和 (35%).
- 在之前的体重减轻和多种微量营养素缺乏之间发现了显著的关联 (P=0.045).
结论:
- 在营养不良的老年住院患者中,微量营养素缺乏的患病率非常高.
- 有针对性的干预措施至关重要,以解决这些缺陷,并改善这一弱势群体的健康状况.
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