Nutritional Status of Adults Participating in Ambulatory Rehabilitation

參加復健門診的成年人之營養狀況

Supreet Kaur ； Michelle D Miller ； Julie Halbert ； Lynne C Giles ； Maria Crotty

《Asia Pacific Journal of Clinical Nutrition》 17卷2期 (2008/06) Pp. 199-207

https://doi.org/10.6133/apjcn.2008.17.2.03

摘要

目的：評估參與非臥床復健的老年人的整體營養狀況與其相關後果，包含身體功能及生活品質的相關性。設計：橫斷性研究。地點：在澳洲阿德雷德南區非臥床復健服務中心。研究對象：在2005 年6 月至2006 年6 月間總共納入229名參與者，包括中風者83 位、矯形骨科手術者44 位及其他醫療狀況102 位。方法：營養狀況採用迷你營養評估(NMA)、簡易營養胃口問卷(SNAQ)及身體質量指數測量。採用修正的巴特爾指數(MBI)評估功能表現，採用Short Form-36(SF-36)測量生活品質。結果：根據MNA，有63%的參與者為營養不足或有營養不足的風險；根據SNAQ，在接下來的6 個月，三分之一的人有體重減輕≥5%的危險性。經診斷非中風或矯形骨科手術的其他參與者，營養不足的風險較大，佔53%，而且住院日期也較長。有營養不足或有營養不足風險者與營養充足的參與者相比，在功能表現上沒有差異，但是營養充分者的SF-36 心理面向分數顯著較高(p=0.003)。結論：本研究之發現強調了復健門診病人的營養不良問題之嚴重性。在提供營養介入之前，需要更進一步的研究去評估可能與預期益處相抵觸的因子。

關鍵字

復健門診 ； 老人 ； 營養失調 ； 生活品質 ； 胃口

並列摘要

Aims: To assess the overall nutritional status of older adults participating in ambulatory rehabilitation and determine its association with relevant outcomes including physical function and quality of life. Design: Crosssectional. Setting: Ambulatory rehabilitation service in the Southern region of Adelaide, Australia. Subjects: A total of 229 participants recruited as part of a RCT between June 2005 and June 2006, stroke (n=83), elective orthopedic procedure (n=44) and other medical condition (n=102). Methods: Nutritional status was measured using Mini Nutritional Assessment (MNA), Simplified Nutrition Appetite Questionnaire (SNAQ) and Body Mass Index. Functional performance was assessed using the Modified Barthel Index (MBI) and quality of life was measured using the Short Form-36 (SF-36). Results: Sixty-three percent of participants were malnourished or at risk of malnutrition according to the MNA and a third had a risk of ≥ 5% weight loss in the subsequent six months, according to the SNAQ. Participants with a diagnosis other than stroke or elective orthopedic procedure were the most vulnerable, with 53% (n=74/140) classified as at risk of malnutrition or malnourished and a longer length of stay in hospital. Functional performance was no different for participants assessed as at risk of malnutrition or malnourished compared to the well nourished, but the SF-36 mental component score was significantly higher for those who were well nourished (p=0.003). Conclusion: Findings emphasise the magnitude of the malnutrition problem in ambulatory rehabilitation settings. Further research is required to evaluate the resource implications against expected benefits of providing nutrition interventions at this point.

並列關鍵字

ambulatory rehabilitation ； older ； malnutrition ； quality of life ； appetite