目标:营养不良和微量营养素缺乏是老年护理中的重要问题,导致老年人的不良健康结果。该研究旨在调查营养不良的老年住院患者中微量营养素缺乏的患病率和决定因素。
方法:这种前瞻性,观察性研究是在老年病急救室进行的.
方法:该研究包括156名营养不良的老年人。
方法:使用迷你营养评估简表鉴定营养不良。通过维生素的血清分析评估微量营养素状态(A,B1,B6,B12,C,D,E,H,K,叶酸)和矿物质(铁,锌,铜,硒)入院后24小时内。
结果:患者平均年龄为82.3±7.5岁,69%是女性。结果显示,微量营养素缺乏的患病率很高,90%的患者表现出三种或三种以上微量营养素的缺乏。值得注意的是,每位患者至少有一种微量营养素缺乏.在维生素C中发现了常见的缺陷(75%),D(65%),H(61%),K(45%),以及叶酸(37%),铁(31%),锌(36%)和硒(35%)。在二元回归分析中,以前的体重减轻量与多种(>2种)微量营养素缺乏的患病率显著相关(P=0.045).其他变量,如年龄(P=0.449),性别(P=0.252),BMI(P=0.265)和MNA-SF评分(P=0.200)与多种微量营养素缺乏的患病率没有显着关联。
结论:营养不良的老年住院患者中微量营养素缺乏的高患病率强调迫切需要有针对性的干预措施来解决该人群中微量营养素缺乏的问题。促进他们的健康状况。
Malnutrition and micronutrient deficiencies represent significant concerns in geriatric care, leading to adverse health outcomes in older adults. The study aimed to investigate the prevalence and determinants of micronutrient deficiencies in malnourished older hospitalized patients.
This prospective, observational study was conducted in a geriatric acute care unit.
The study included 156 malnourished older adults.
Malnutrition was identified using the Mini Nutritional Assessment-Short Form. Micronutrient status was assessed through serum analysis of vitamins (A, B1, B6, B12, C, D, E, H, K, folic acid) and minerals (iron, zinc, copper, selenium) within 24 h post-admission.
The average patient age was 82.3 ± 7.5 years, with 69% female. The results revealed a high prevalence of micronutrient deficiencies, with 90% of patients exhibiting deficiencies in three or more micronutrients. Notably, every patient presented at least one micronutrient deficiency. Common deficiencies were found in vitamins C (75%), D (65%), H (61%), and K (45%), as well as folic acid (37%), iron (31%), zinc (36%) and selenium (35%). In binary regression analysis, the amount of previous weight loss was significantly associated with a higher prevalence of multiple (>2) micronutrient deficiencies (P = 0.045). Other variables such age (P = 0.449), gender (P = 0.252), BMI (P = 0.265) and MNA-SF score (P = 0.200) did not show any significant association with the prevalence multiple micronutrient deficiencies.
The high prevalence of micronutrient deficiencies in malnourished older hospitalized patients underscore the urgent need for targeted interventions to address micronutrient deficiencies in this population, promoting their health status.