老年人康复中体重和组成的变化取决于萨尔科佩尼亚和营养不良:RESORT
Jeewanadee Hettiarachchi1, Laure M G Verstraeten2, Jacob Pacifico1
1Department of Medicine and Aged Care, @AgeMelbourne, The Royal Melbourne Hospital, The University of Melbourne, Victoria, Australia.
概括
高龄患者在老年康复中经历了体重变化,营养不良和肉症患者的肌肉质量增加. 这凸显了为所有患者改善护理标准的必要性.
科学领域:
- 老年医学 老年医学
- 营养科学 营养科学
- 康复医学 康复医学 康复医学
背景情况:
- 老年人住院治疗可能会导致显著的体重和肌肉质量损失.
- 营养不良和麻症是导致这些不良变化的关键因素.
- 了解老年康复期间的身体组成变化对于优化患者的治疗结果至关重要.
研究的目的:
- 分析从老年康复住院患者入院到出院的体重和组成 (脂肪质量,尾肌肉质量) 的变化.
- 为了确定影响这些身体组成变化的老年变量.
主要方法:
- 这是一项1006名老年康复住院患者的观察性纵向队列研究 (RESORT).
- 线性混合模型被用来分析体重,脂肪质量 (FM) 和尾肌肉质量 (ALM) 的变化.
- 评估的老年变量包括BMI,营养不良风险,肉,ADL依赖,多病症和认知障碍.
主要成果:
- 在康复期间,体重和脂肪量减少,而尾肌肉量增加.
- 体重不足患者的体重增加,但正常/超重和肥胖患者的体重减少.
- 在营养不良和麻症患者中,以及在没有多病症患者中,尾肌瘦质量增加.
结论:
- 体重变化因初始体重状况而异,体重不足的患者增加体重,超重/肥胖的患者减肥.
- 在营养不良和肉症患者中,尾肌瘦质量有所改善,这表明这些情况可能会影响肌肉质量动态.
- 研究结果强调,无论营养风险状况如何,在老年人康复中需要量身定制的护理策略和改善的护理标准.
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