- 期刊
Evaluation of Weight Loss in the Community-Dwelling Elderly with Dementia as Assessed by Eating Behavior and Mental Status
以飲食行為及智力狀態評估失智症之社區老人體重下降的可能性
摘要
Involuntary weight loss is a symptom of protein energy malnutrition often reported among elderly people, especially those with dementia. In this study, we examined whether dementia-related eating difficulties increase the probability of weight loss in the elderly. This cross-sectional observation study was conducted in 60 community-dwelling elderly people with dementia (84.1±6.7 yr of age). Over 6 months, 26.7% of the subjects lost at least 5% of body weight. Impaired mental status and eating difficulties were closely associated with weight loss as determined by Spearman's rank correlation coefficient. Assessment of eating difficulties combined with mental states in the subjects by discriminant analysis enabled us to differentiate subjects with ≥5% weight loss from those with less than 5% weight loss at a probability of 76.4%. This result suggests that eating difficulties and impaired mental status among elderly people with dementia are closely associated with weight loss.
並列摘要
Involuntary weight loss is a symptom of protein energy malnutrition often reported among elderly people, especially those with dementia. In this study, we examined whether dementia-related eating difficulties increase the probability of weight loss in the elderly. This cross-sectional observation study was conducted in 60 community-dwelling elderly people with dementia (84.1±6.7 yr of age). Over 6 months, 26.7% of the subjects lost at least 5% of body weight. Impaired mental status and eating difficulties were closely associated with weight loss as determined by Spearman's rank correlation coefficient. Assessment of eating difficulties combined with mental states in the subjects by discriminant analysis enabled us to differentiate subjects with ≥5% weight loss from those with less than 5% weight loss at a probability of 76.4%. This result suggests that eating difficulties and impaired mental status among elderly people with dementia are closely associated with weight loss.
延伸閱讀
- 蕭華岑、陳乃菁、楊雅萍、趙慧珍（2021）。照護失智患者飲食能力量表發展與驗證。台灣公共衛生雜誌，40(6)，660-679。https://doi.org/10.6288/TJPH.202112_40(6).110071
- 張添維、廖婉茜、林敏雄、林幸慧（2014）。失智症與老年的血糖控制。家庭醫學與基層醫療，29(7)，190-195。https://www.airitilibrary.com/Article/Detail?DocID=P20090727001-201407-201408280004-201408280004-190-195
- Tzeng, N. S., Chiang, W. S., Chen, S. Y., Chou, Y. C., Lee, K. M., Huang, S. Y., Yeh, C. B., Chen, C. Y., Chang, H. A., & Kao, Y. C. (2017). 不同藥物治療對於老年失智症病人之認知功能與精神行為症狀嚴重程度之影響. 臺灣精神醫學, 31(1), 69-79+iii. https://www.airitilibrary.com/Article/Detail?DocID=10283684-201703-201703280015-201703280015-69-79+iii
- 陳榮基（2012）。老年體重減輕可能罹患失智症。健康世界，(313)，8-8。https://doi.org/10.6454/HW.201201.0008
- 黎旭映（2019）。評估口腔健康狀態與認知功能之時序性關係：社區無失智症老年人口腔健康狀態不佳預測認知功能下降〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU201903799