多药和营养不良:老年人群的回顾性横截面研究以及预防策略的含义
Sebastiana Atzori1, Chiara Marche2, Alessandra Errigo1
1Dipartimento di Medicina, Chirurgia e Farmacia, University of Sassari, Sassari, Italy.
概括
多药性,即使用多种药物,与老年人营养不良的风险更高有关. 抑郁症也独立地增加了这一群体的营养不良风险.
科学领域:
- 老年病的医生 老年病的医生
- 临床营养学 临床营养学
- 药理学 药理学是指药理学的学科.
背景情况:
- 多药性 (PP) 和营养不良是老年人群中普遍存在的疾病.
- 了解药物使用和营养状况之间的相互作用对于老年护理至关重要.
研究的目的:
- 调查老年门诊患者中多药和营养不良之间的关联.
- 确定影响药物治疗患者营养状况的因素.
主要方法:
- 对619名老年门诊患者进行了回顾性横截面分析.
- 多变量逻辑回归使用二分化微量营养评估 (MNA) 评分.
- 分析共变量,包括药物暴露,抑郁症,认知状态和并发症.
主要成果:
- 接触五种或更多药物 (多种药物) 显著增加营养不良的风险.
- 抑郁症是两性营养不良的独立预测因素.
- 认知状态和并发性并没有显示与营养不良风险的显著关联.
结论:
- 多药与老年人营养不良风险增加之间存在显著的关联.
- 抑郁情绪是营养不良的独立风险因素,而认知状态和并发症在这种情况下并不是显著的预测因素.
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