广州地区老年住院患者营养状态与日常生活能力相关性研究

Relationship between nutritional status and activities of daily living in elderly inpatients in Guangzhou

目的探讨广州地区老年住院患者营养状态与日常生活能力(ADL)的相关性。方法选取2018年7月—2019年6月在广州市第一人民医院住院年龄≥60岁的老年人共275例,收集其一般资料信息,各项临床营养指标(BMI、血清白蛋白、血红蛋白、总胆固醇、甘油三酯)、并运用营养风险筛查2002(NRS2002)评估营养风险、采用Barthel指数评定量表评估日常生活能力;分析老年住院患者营养状态与ADL之间的相关性。结果在本组研究中,根据NRS2002评分(营养风险:NRS2002≥3;无营养风险NRS2002<3),营养风险发生率58.9%(162/275);无营养风险发生率41.1%(113/275)。老年住院患者的NRS2002评分与ADL评分呈负相关关系(r=-0.393,P<0.05);ADL评分与BMI、血清白蛋白、总胆固醇、血红蛋白水平呈正相关关系(P<0.05)。结论广州地区老年住院患者NRS2002为日常生活能力的影响因素,通过降低NRS2002评分来减少营养风险可改善老年人的日常生活能力;老年人的营养风险发生率高,应当尽早进行营养干预。

Objective To investigate relationship between nutritional status and activities of daily living(ADL)in elderly inpatients in Guangzhou.Methods Total of 275 people older than 60 were included in this study from Guangzhou First People's Hospital from July 2018 to June 2019.Their nutritional markers(including BMI,plasma albumin,hemoglobin,total cholesterol,triglyceride),the activities of daily living(ADL)were evaluated with Barthel index and the nutrition risk screening 2002(NRS2002)used to assess the nutritional risk status were collected to analyze the relationship between nutrition and ADL.Results In these subjects,based on the NRS2002 scores(nutritional risk that the NRS2002 scores were equal or greater than 3,and the non-nutritional risk that the NRS2002 scores were less than 3),58.9%(162/275)patients were having nutritional risk and 41.1%(113/275)were having non-nutritional risk.In elderly inpatients,NSR2002 were negatively associated with ADL(r=-0.393,P<0.05).ADL was positively associated with BMI,plasma albumin and hemoglobin level(P<0.05).Conclusion In the old,the NRS2002 is an influencing marker of activities of daily living in Guangzhou.Reducing the nutritional risk by lowering the NRS2002 scores can improve ADL in the elderly.The incidence of nutritional risk is highly prevalent in elderly and early nutritional treatment will be needed.