营养评定问卷与人体测量学方法评价社区退休居民的营养状况(英文)

Evaluation of the nutritional conditions in community retired residents by nutritional assessment questionnaire and anthropometry

背景:随着年龄的增长,营养不良高危状态和营养不良发生率将显著增高;特别是老年人的营养状况已成为公共卫生的重点观察项目。目的:应用迷你型营养评定(mininutritionalassessment,MNA)结合人体测量学方法评价社区退休居民的营养状况。设计:以诊断为依据的横断面研究。地点、对象和方法:2002-05上海市某社区退休居民115名接受MNA问卷调查和人体测量学检测。主要观察指标:接受调查的115名上海某社区退休居民MNA总分、腰围、臀围、身高、体质量、体质量指数(bodymassindex,BMI)、中臂围、三头肌皮褶厚度(tricepsskinfold,TSF)、中臂肌围等调查结果。结果:①平均MNA总分为25.2±2.7,其中24名(21%)受试者MNA总分低于23.5,属营养不良或营养不良高危人群。②应用腰围、腰臀比和BMI评估,肥胖检出率分别为54%,62%和65%。③根据中臂围、TSF和中臂肌围评估,中至重度营养不良的发生率分别为2%,19%和2%。④MNA总分与多项人体测量学指标显著相关。结论:社区退休居民中营养过剩和营养低下共存,必须加强营养干预;MNA问卷在中国人营养状况评价中具有一定的实用价值。

BACKGROUND:With age increasing,the high risk conditions and the morbidity of malnutrition will markedly increase,and especially the nutritional condition in the elderly becomes an important observation item in public health. OBJECTIVE:To evaluate the nutritional conditions in community retired residents by mini nutritional assessment(MNA) combined with anthropometric methodology. DESIGN:A cross section research based on the diagnosis. SETTING,PARTICIPANTS and INTERVENTIONS:115 retired residents from a certain community in Shanghai in May 2002 undertook MNA questionnaires and anthropometric measurements. MAIN OUTCOME MEASURES:The results were MNA scores,waistline,hip circumference,body height,body mass,body mass index(BMI),middle arm circumference,triceps skinfold(TSF),and middle arm muscle circumference of 115 retired residents who took part in the research from a certain community in Shanghai. RESULTS:①The average MNA scores were 25.2±2.7,in which,there were 24 subjects(21%) scored lower than 23.5,categorized as malnutrition or malnutrition high risk herd.②The detectable rates of obesity through waistline,waist hip ratio and BMI evaluation were 54%,62%and 65%respectively.③The incidence rate of moderate to sever malnutrition based on middle arm circumference,TSF and middle arm muscle circumference was 2%,19%and 2%respectively.④Total MNA scores significantly related with multiple anthropometric indexes. CONCLUSION:There is coexistence of overnutrition and undernourishment;therefore,nutritional intervention should be strengthened.There is a certain practical value of MNA questionnaire in the evaluation of nutritional conditions in Chinese population.