根据GLIM和MNA-SF,营养不良,虚弱和肉眼之间的关系
Ali Ekrem Aydin1, Kubra Altunkalem Seydi2, Feride Gozen3
1School of Medicine, Department of Geriatric Medicine, Ondokuz Mayis University, Samsun, Türkiye.
Irish journal of medical science
|December 16, 2025
概括
全球营养不良领导倡议 (GLIM) 标准有效地识别了老年人的营养不良,显示出与其他老年综合征 (如跌倒和虚弱) 有着强烈的关联. 在初始查后使用GLIM可以防止在门诊环境中过度诊断.
科学领域:
- 老年医学 老年医学
- 营养科学 营养科学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 营养不良是一种在老年人中普遍存在的老年综合征,通常与痴呆症,跌倒,虚弱和肉症一起发生.
- 全球营养不良领导倡议 (GLIM) 在2019年建立了新的诊断标准.
- 了解营养不良与其他老年疾病的关系对于有效的患者护理至关重要.
研究的目的:
- 在识别营养不良时,比较GLIM标准和迷你营养评估简单表格 (MNA-SF) 的诊断性能.
- 评估这些工具发现的营养不良与其他老年综合征之间的关联.
- 评估GLIM标准在门诊老年病房环境中的有用性.
主要方法:
- 一项对228名老年门诊患者进行的回顾性观察性研究.
- 使用MNA-SF (分数0-7) 和GLIM标准评估营养不良,低握力 (GLIM-HG) 取代低肌肉质量.
- 评估了与虚弱,抑郁,慢性疼痛,多药性,可能的肉症,尿失禁和跌倒的关联.
主要成果:
- 营养不良的发生率各不相同:6.6% (MNA-SF),21.1% (GLIM) 和29.8% (GLIM-HG).
- 一个两步的GLIM方法确定了17.5%的营养不良患者.
- 所有评估方法 (MNA-SF,GLIM,两步GLIM) 都显示出与跌倒,抑郁,可能的肉眼和虚弱有显著的关联.
结论:
- 在老年门诊诊所诊断营养不良时,GLIM标准非常有价值.
- 在初始营养风险查后实施GLIM可以减轻过度诊断的风险.
- GLIM标准与关键老年综合征有显著的相关性,突出显示了它们的临床相关性.
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