老年营养风险指数与45岁及以上美国成年人肉症之间的关联
Wenjun Hao1, Xiajie Huang2, Rongyuan Liang1
1Department of Bone and Joint Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Nutrition (Burbank, Los Angeles County, Calif.)
|November 30, 2024
概括
老年营养风险指数 (GNRI) 预测45岁以上的成年人患有肉症. 较高的GNRI水平与较低的麻症发病率有关,这表明其具有保护作用.
科学领域:
- 老年学是一门学科.
- 营养科学 营养科学
- 流行病学 流行病学
背景情况:
- 萨科佩尼亚严重影响公众健康和经济.
- 老年营养风险指数 (GNRI) 是慢性疾病的公认预测指标.
- 了解营养在肉症中的作用对于老年人的健康至关重要.
研究的目的:
- 调查老年营养风险指数 (GNRI) 与皮病患病率之间的相关性.
- 确定GNRI是否是老年人肉症的独立预测因子.
- 探索关系的性质 (线性/非线性) 并确定潜在的值.
主要方法:
- 使用国家健康和营养检查调查 (2009-2018) 数据对4,709名成年人 (≥45岁) 的横截面研究.
- 分类为高GNRI和低GNRI组;通过骨肌肉指数评估的肉症.
- 多变量逻辑回归和受限制立方支线 (RCS) 分析,以检查GNRI的相关性和值效应.
主要成果:
- 与低GNRI组 (17.7%) 相比,高GNRI组 (13.2%) 的麻症发病率较低.
- GNRI是肉症的显著独立预测因子 (OR:0.57;p=0.001),GNRI减少发生率增加.
- 观察到非线性反向关系 (p=0.033),GNRI=91.935的值;特定的子组显示敏感性增加.
结论:
- 在45岁及以上的美国成年人中,GNRI是 Sarcopenia 的可靠预测指标.
- 在GNRI和肉症之间存在非线性反向关系,值为91.935.
- 这些发现突显了营养状况在预防皮病方面的重要性,正如GNRI所指出的那样.
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