PDF(Pubmed)
Abstract：
Objectives: This study aimed to determine the risk factors for undernutrition in community-dwelling older adults in Guadeloupe (Caribbean islands). Methods: We used data from the KArukera Study of Aging-Drugs Storage (KASADS), an observational cross-sectional study of community-dwelling older people living in Guadeloupe. The Mini Nutritional Assessment (MNA) was used to assess the risk of undernutrition. An MNA-short form (SF) score ≤11 defined the risk of undernutrition. Depression was assessed using the Center for Epidemiologic Studies Depression (CES-D) scale, cognitive function was assessed using the Mini Mental State Examination (MMSE), frailty was assessed using the Study of Osteoporotic Fractures index (SOF), and dependency was assessed using Lawton\'s instrumental activities of daily living (IADL) scale. Bivariate and multivariate analyses were used to determine the correlates of undernutrition. Results: The study sample comprised 115 patients aged 65 years or older; 67.8% were women, and the mean age was 76 ± 7.8 years. The prevalence of undernutrition was 21.7% (95% CI = 15.2-30.1%). In our bivariate analysis, the risk of undernutrition was associated with MMSE score, IADL score, frailty, and CES-D score. We found no significant relation between nutrition risk and other variables, such as marital status, pain, or polypharmacy. In the multivariate analysis, the factors associated with the risk of undernutrition were MMSE score (Odd-Ratio (OR): 0.74 (0.58-0.97)) and CES-D score (OR: 1.13 (1.02-1.27)). Conclusions: Cognitive decline and the risk of depression were independently associated with the risk of undernutrition in community-dwelling older people in Guadeloupe. Although we cannot imply causality in this relation, the detection of these three key geriatric syndromes in community-dwelling elders is essential to prevent adverse health outcomes. Further studies are warranted to confirm these findings.
摘要：
目标：本研究旨在确定瓜德罗普岛（加勒比海群岛）社区居住的老年人营养不良的危险因素。方法：我们使用了Krukera衰老药物储存研究(KASADS)的数据，一项对居住在瓜德罗普岛的社区居住老年人的观察性横断面研究。迷你营养评估（MNA）用于评估营养不良的风险。MNA简短形式（SF）评分≤11定义了营养不良的风险。使用流行病学研究中心抑郁症（CES-D）量表评估抑郁症，使用迷你精神状态检查(MMSE)评估认知功能，使用骨质疏松性骨折指数（SOF）研究评估虚弱，依赖性使用劳顿的日常生活工具活动(IADL)量表进行评估。双变量和多变量分析用于确定营养不良的相关性。结果：研究样本包括115名65岁或以上的患者；67.8%是女性，平均年龄为76±7.8岁。营养不良的患病率为21.7％（95％CI=15.2-30.1％）。在我们的双变量分析中，营养不良风险与MMSE评分相关,IADL得分,脆弱,和CES-D得分。我们发现营养风险与其他变量之间没有显著关系，比如婚姻状况,疼痛,或多药房。在多变量分析中，与营养不足风险相关的因素为MMSE评分(Odd-Ratio(OR):0.74(0.58-0.97))和CES-D评分(OR:1.13(1.02-1.27)).结论：瓜德罗普岛社区老年人的认知能力下降和抑郁风险与营养不良风险独立相关。虽然我们不能在这种关系中暗示因果关系，在社区居住的老年人中发现这三种关键的老年综合征对于预防不良健康结果至关重要。需要进一步的研究来证实这些发现。
