在一个使用不同诊断标准的机构化心理老年患者组中,营养不良的患病率
Beatriz de Mateo Silleras1,2, Sara Barrera Ortega3, Laura Carreño Enciso1
1Department of Nutrition and Food Science, Faculty of Medicine, University of Valladolid, 47005 Valladolid, Spain.
Nutrients
|April 27, 2024
概括
在老年心理老年患者中诊断营养不良的发现,ESPEN和GLIM标准之间存在不同的患病率. GLIM标准,特别是使用无脂肪质量指数,在识别营养状况差异方面显示出希望.
科学领域:
- 老年学是一门学科.
- 营养科学 营养科学
- 临床医学 临床医学
背景情况:
- 营养不良在老年人中很常见,与功能衰退,虚弱和肉症有关.
- 准确的营养不良诊断对于机构住院老年人的干预至关重要.
研究的目的:
- 评估全球营养不良领导倡议 (GLIM) 和欧洲临床营养和新陈代谢学会 (ESPEN) 心理老年患者营养不良标准的诊断能力.
- 使用不同的GLIM标准变异 (GLIM-FFMI,GLIM-ASMMI,GLIM-SMMI,mGLIM) 与ESPEN标准比较营养不良的流行情况.
主要方法:
- 这是一项涉及92名精神老年患者的横截面研究.
- 数据收集包括临床,人体测量,虚弱,依赖,功能能力,MNA,手握强度 (HS) 和肉眼的评估.
- 使用生物阻抗分析分析身体成分;使用ESPEN和各种GLIM标准诊断营养不良.
主要成果:
- 营养不良的患病率有很大的不同,从25% (ESPEN) 到41.3% (GLIM-SMMI).
- 在ESPEN和GLIM标准之间观察到很差的一致性,而在不同的GLIM标准之间存在很好的一致性 (kappa>0.8).
- 在GLIM-FFMI标准中,在营养不良和非营养不良组之间,独特地确定了身体质量指数 (BMI),身体组成,炎症,白蛋白和相角 (PhA) 的差异.
结论:
- 诊断标准的选择显著影响了老年心理老年人群中营养不良患病率的估计.
- GLIM标准,特别是那些包含无脂肪质量指数 (GLIM-FFMI) 的标准,在检测这一群体的营养状况变化方面似乎更敏感,包括相角.
- 阶段角 (PhA) 可以作为监测老年人营养状况的有价值指标.
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