在养老院的无计划减肥和横跨身体质量指数类别的sarcopenia跨截面研究-A跨截面研究
Laura Klaassen1,2, Tenna Christoffersen2,3, Margit Dall Aaslyng3
1LUMC Center of Medicine for Older People, Leiden University, 2333 ZA Leiden, The Netherlands.
Nutrients
|January 11, 2025
概括
养老院居民,特别是那些患有肥胖症的人,常见的营养风险如肉症. 目前使用无计划减肥的查可能会错过许多有风险的个体,突出需要更好的评估方法.
科学领域:
- 老年学是一门学科.
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 营养风险,包括营养不良和麻症,在老年人中普遍存在,并且往往被诊断不足.
- 目前的查通常依赖于计划外减肥 (UPWL),潜在的失踪个体处于危险之中.
- 养老院人口面临着独特的营养挑战,需要有针对性的评估策略.
研究的目的:
- 为了确定营养风险的患病率,由UPWL和萨科佩尼亚定义,在养老院环境中跨越不同的BMI类别.
- 为了比较UPWL与肉症标志物在识别营养风险方面的有效性.
- 为改善老年人营养缺陷查实践提供信息.
主要方法:
- 在丹麦一家养老院进行了横截面研究.
- 分析了93名同意,自力更生的老年人 (不包括绝症患者) 的数据.
- 评估了营养风险,使用计划外的体重减轻 (≥1公斤/6个月) 和30秒的椅子站测试,以检测肉症.
主要成果:
- 总体而言,19%的参与者患有UPWL,29%患有肉症.
- 在肥胖个体中,48%的人患有肉症,而UPWL的仅为8%.
- 在正常体重组中,21%的人患有肉症,33%的人患有UPWL.
结论:
- 在养老院居民中,营养风险很大,根据查标记,患病率有所不同.
- 在肥胖的老年人中,肉症更为普遍,这表明UPWL作为唯一查工具的局限性.
- 整合肌肉强度评估对于在社区护理中对老年人进行全面的营养风险识别至关重要.
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