台中縣地區居家老年失能病患之營養現狀

Nutritional Status of Homebound Elderly with Disabilities in Taichung County

詹吟菁(Yin-Ching Chan) ； 翁玉青(Yue-Ching Wong) ； 洪麗珍(Li-Chen Hung) ； 黃美娜(Mei-Nah Hwang) ； 林姿利(Tzu-Li Lin) ； 王銘富(Ming-Fu Wang)

《中華民國營養學會雜誌》 25卷2期 (2000/06) Pp. 82-90

https://doi.org/10.6691/JCNS.200006_25(2).0002

摘要

Monitoring and improving the nutritional status of the elderly, especially the disabled elderly, could play a part in helping them to remain healthy and independent. The purpose of this study was to evaluate the nutritional status of the disabled homebound elderly. One hundred and forty-two subjects (62 males and 80 females) over 65 years of age who had a Barthel ADL Index score less than 80 were included in this study. Serum biochemical parameters were measured. The activities of daily living (ADL), Geriatric Depression Scale (GDS) and frequency of food intake were also evaluated using the interview. The results showed 12.2% of males and 12.3% female subjects suffered from iron deficiency anemia. Additionally, 32.8% of males and 31.1% of female subjects had lower serum albumin values than the normal (＜3.5 g/dL). Female subjects had higher daily frequency of soy and tea intake than the males. The intakes of other nutrients were not different. Albumin and total cholesterol concentrations were positively related to ADL in both genders. However, nutritional status was not associated with GDS. In summary, we conclude that the homebound disabled elderly had poor nutritional status and the maintenance of ADL may be an important factor for their nutritional status.

關鍵字

老年失能病患 ； 營養狀況 ； 血液生化值 ； 食物攝取頻率 ； 日常活動功能 ； 憂鬱度

並列摘要

Monitoring and improving the nutritional status of the elderly, especially the disabled elderly, could play a part in helping them to remain healthy and independent. The purpose of this study was to evaluate the nutritional status of the disabled homebound elderly. One hundred and forty-two subjects (62 males and 80 females) over 65 years of age who had a Barthel ADL Index score less than 80 were included in this study. Serum biochemical parameters were measured. The activities of daily living (ADL), Geriatric Depression Scale (GDS) and frequency of food intake were also evaluated using the interview. The results showed 12.2% of males and 12.3% female subjects suffered from iron deficiency anemia. Additionally, 32.8% of males and 31.1% of female subjects had lower serum albumin values than the normal (＜3.5 g/dL). Female subjects had higher daily frequency of soy and tea intake than the males. The intakes of other nutrients were not different. Albumin and total cholesterol concentrations were positively related to ADL in both genders. However, nutritional status was not associated with GDS. In summary, we conclude that the homebound disabled elderly had poor nutritional status and the maintenance of ADL may be an important factor for their nutritional status.

並列關鍵字

nutritional status ； homebound elderly ； disability ； biochemical parameters ； activities of daily living ； food frequency