心力衰竭患者的缺食症发展:一个范围审查
Mizue Suzuki1, Yoko Saino2, Shinsuke Nagami3
1Department of Rehabilitation, Faculty of Allied health sciences, Yamato university, Osaka, Japan.
Archives of gerontology and geriatrics
|December 30, 2024
概括
腹,或吞困难,影响23.6%的老年人心力衰竭 (HF) 在入院时. 关键的危险因素包括晚年,炎症和肉症.
科学领域:
- 老年学是指老年学的学科.
- 心脏病学 心脏病学
- 胃肠病学 胃肠病学
背景情况:
- 缺食症是老年人常见和严重的疾病.
- 心力衰竭 (HF) 在老年人群中很普遍,并可能加剧健康问题.
- 在老年人中,高频率和消化障碍之间的相互作用需要进一步调查.
研究的目的:
- 进行对心力衰竭 (HF) 患者失足症发展的范围审查.
- 在这个人群中识别导致食障碍的因素.
- 了解患有高血压的老年人中缺食症的患病率和危险因素.
主要方法:
- 在MEDLINE,EMBASE,CINAHL和CENTRAL数据库中进行系统的文献搜索,截至2023年9月.
- 包括专注于60岁及以上的高发烧患者的研究,特别关注住院后的消化障碍.
- 从1076个初始记录中确定了9项相关研究的分析.
主要成果:
- 在HF患者入院时,食障碍的患病率为23.6% (95%CI:14.1-32.9),在出院时持续在9.4% (95%CI:4.5-13.8).
- 鉴定出失消症的危险因素包括晚年,高度炎症,能量摄入量低,巴塞尔指数得分低,口腔健康不佳,抗精神病药物的使用以及舌头压力降低.
- 评估食障碍主要依赖于口服摄入评估.
结论:
- 在HF患者中,缺食症显著发展,新发性缺食症的患病率为23.6%.
- 确定的主要危险因素是年龄较大,高度炎症,日常生活活动较低和肉症.
- 未来的研究应该探讨肉类的影响,缓冲症,并利用客观的吞评估在不同的患者样本.
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