老年康复患者的能量和蛋白质摄入量充足程度:描述性队列研究
Jeewanadee Hettiarachchi1,2,3, Esmee M Reijnierse1,4, Andrea B Maier1,5,6,7
1Department of Medicine and Aged Care, The Royal Melbourne Hospital, The University of Melbourne, Parkville, Victoria, Australia.
老年患者在康复中满足了能量需求,但蛋白质摄入量不足. 在营养护理期间,只有不到三分之一的患者获得了足够的能量和蛋白质摄入量.
科学领域:
- 老年医学 老年医学
- 营养科学 营养科学
- 代谢研究研究 代谢研究
背景情况:
- 间接热量计 (IC) 准确地测量能量消耗,这对于确定营养需求至关重要.
- 满足能量和蛋白质需求对于老年患者的有效营养护理至关重要.
- 这项研究评估了老年康复住院患者在营养学家主导的护理下的能量和蛋白质摄入量充足度.
研究的目的:
- 评估是否通过间接热量计得到的能量需求,在老年康复住院患者中得到满足.
- 为了确定这个患者群体中估计的蛋白质需求是否得到满足.
- 在个性化营养护理过程中评估能量和蛋白质摄入总体充足度.
主要方法:
- 纳入了老年康复住院患者,其休息代谢率以入院和出院前的IC测量.
- 使用IC数据,体力活动因子和体重目标来计算能源需求.
- 饮食学家估计了蛋白质需求,并通过盘子废物观察评估了摄入量充足度.
主要成果:
- 包括53名患者 (平均年龄为84.3岁). 最初的中位能量充足率为101.7%,蛋白质充足率为87.6%.
- 在放电时,中位能量充足率为99.9%,蛋白质充足率为80.1%.
- 只有28.3%的患者在治疗开始时达到能量和蛋白质充足度,在出院时降至20.7%.
结论:
- 虽然能源需求通常得到满足,但老年康复住院患者的蛋白质需求没有得到充分满足.
- 很大一部分患者在整个康复期间都没有达到能量和蛋白质摄入量充足的水平.
- 个性化营养护理需要进一步优化,以确保为老年患者提供全面的营养支持.
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