胃口不足会对在急性后康复期间吞功能的恢复产生负面影响
Akio Shimizu1, Xiaojing Sharon Wu2, Shinsuke Nagami3
1Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu City, Mie, Japan.
Geriatrics & gerontology international
|September 30, 2025
概括
在接受康复治疗的老年人中,食欲不佳阻碍了吞功能恢复. 早期食欲评估可以确定这一群体的恢复障碍.
科学领域:
- 老年学是一门学科.
- 临床营养学 临床营养学
- 康复医学 康复医学 康复医学
背景情况:
- 吞功能受损 (吞障碍) 在老年人中很常见,影响营养和生活质量.
- 食欲对于营养和恢复至关重要,但它对吞恢复的影响尚不清楚.
- 这项研究调查了接受康复的老年患者的食欲和吞恢复之间的联系.
研究的目的:
- 确定食欲不佳和老年人急性康复后吞功能恢复之间的关系.
- 确定食欲是否影响吞障碍康复疗法的有效性.
主要方法:
- 对309名老年人 (≥65岁) 进行了回顾性队列研究,他们被诊断患有食障碍.
- 在入院时使用日本老年人简化营养食欲调查问卷 (SNAQ-JE) 评估食欲.
- 吞功能在排出时使用食物摄入水平量表 (FILS) 进行评估,并进行多变量调整.
主要成果:
- 41.4%的参与者食欲不佳.
- 胃口不佳与下降的吞功能得分 (FILS) 显著相关 (p=0.002).
- 经过调整的分析证实,食欲不佳与FILS评分 (p=0.038) 和吞恢复能力受损 (OR=2.11,p=0.016) 有负相关性.
结论:
- 胃口不佳是接受康复治疗的老年人吞功能恢复的重要障碍.
- 建议对食欲进行早期评估,以识别和解决阻碍吞恢复的因素.
- 研究结果强调了营养和食欲支持在老年人食障碍康复中的重要性.
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