机构住院老年人计划饮食的能量充足性:基于间接热量计的要求的场景分析
Michał Ławiński1,2, Natalia Grodzicka3, Agnieszka Pawłowska-Muc4,5
1Department of General, Gastroenterology, and Oncologic Surgery, Medical University of Warsaw, Banacha 1a, 02-097 Warsaw, Poland.
Nutrients
|March 14, 2026
概括
长期护理机构的计划能量摄入量往往超过老年人的需求,但营养不良仍然存在. 实际的食物消费,而不仅仅是规定的饮食,对于确保居民获得足够的能量至关重要.
科学领域:
- 老年学是指老年学的学科.
- 营养科学 营养科学
- 临床营养学 临床营养学
背景情况:
- 长期护理机构 (LTCF) 的老年人面临营养不良的高风险.
- 评估能量摄入的充足性需要比较计划能源摄入量 (PEI) 与个人能源需求.
研究的目的:
- 评估LTCF居民计划能源摄入量 (PEI) 的充分性.
- 通过间接热量计 (IC) 确定规定的饮食与个人能量需求进行比较.
- 模拟不同食品消费水平对能源充足性的影响.
主要方法:
- 在LTCF中对169名成年人 (≥65岁) 进行横截面研究.
- 人类测量评估和间接热量计 (IC) 休息能量消耗.
- 总能耗 (TEE) 使用活动因子计算;PEI来自菜单记录/食处方.
主要成果:
- 平均TEE为1447千卡/天,而平均PEI为1999千卡/天,表明存在余.
- 根据性别,BMI或活动,PEI没有变化,尽管TEE有所不同.
- 实际消费通常远远低于分餐量,充足度下降到PEI的70%以下.
结论:
- 在LTCF中计划的能源供应经常超过测量的需求.
- 处方和消耗能量之间存在很大的差距,导致经常的营养不良.
- 监测实际摄入量,并根据个体需求量身定制供应,对于改善LTCF的营养状况至关重要.
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