营养不良和缓解症可能会影响死亡,但不会影响患者的功能改善
Mai Yamanaka1, Hidetaka Wakabayashi2, Shinta Nishioka3
1School of Medicine, Tokyo Women's Medical University, Tokyo, Japan.
European geriatric medicine
|May 13, 2024
概括
营养不良和缓解症显著增加了sarcopenic失足症患者的死亡率. 然而,这些情况并没有显著影响日常生活活动 (ADL) 或吞功能的改善.
科学领域:
- 老年学是一门学科.
- 临床营养学 临床营养学
- 胃肠病学 胃肠病学
背景情况:
- 在老年人群中,sarcopenic消症带来了挑战.
- 营养不良和白血病是影响健康结果的常见并发症.
研究的目的:
- 确定营养不良和缓解症对吞功能的影响,ADL,以及在sarcopenic dysphagia中的死亡率.
- 分析这些情况与功能衰退或死亡之间的关系.
主要方法:
- 对271名患有皮性失足症的患者进行了回顾性队列研究.
- 根据亚洲卡切西亚工作组 (AWGC) 和全球营养不良领导倡议 (GLIM) 标准对患者进行分类.
- 多变量分析评估了食物摄入水平量表 (FILS),巴特尔指数 (BI) 和死亡率的变化.
主要成果:
- 这项研究包括271名患者 (平均年龄为83.7岁).
- 44%的人仅有营养不良,31%的人既有卡赫西亚,也有营养不良.
- 虽然ADL和吞功能没有显著差异,但患有这两种疾病的患者的死亡率显著增加 (P=0.010).
结论:
- 卡切西亚和营养不良在许多肉性失症患者中并存,但并非所有卡切西亚患者都营养不良.
- 混和营养不良的结合显著增加死亡风险.
- 与对照组相比,这些情况并没有显著阻碍ADL或吞功能的改善.
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