Gender differences in factors associated with nutritional status of older medical patients

被引:62
作者
Castel, H
Shahar, D
Harman-Boehm, I
机构
[1] Soroka Univ, Ctr Med, Dept Internal Med C, IL-84105 Beer Sheva, Israel
[2] Ben Gurion Univ Negev, Fac Hlth Sci, IL-84105 Beer Sheva, Israel
[3] Ben Gurion Univ Negev, S Daniel Abraham Int Ctr Hlth & Nutr, IL-84105 Beer Sheva, Israel
关键词
under-nutrition; older people; nutritional status; MNA;
D O I
10.1080/07315724.2006.10719523
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Objectives: To evaluate gender differences in nutritional risk of older people admitted to an acute-care general medical department, and identify gender-specific risk factors. Design: Cross-sectional study. Setting: Internal Medicine Department in an acute care, university-affiliated hospital in southern Israel. Subjects: 204 cognitively intact patients aged 65 and over, admitted during a 12-month period to a general medical department. Measures of outcome: Evaluation included demographic and clinical data consisting of the sum of medical conditions and of prescribed medications, evaluation of nutritional status, cognitive status, depression assessment and functional ability. Statistical analyses were conducted to evaluate the gender specific risk factors for under-nutrition. Results: 32.5% of the men and 48.1% of the women admitted to an internal medicine department were at risk for under-nutrition. Those at nutritional risk had a higher rate of depression, lower cognitive and physical ability, poorer reported health status and more diagnosed diseases. Nutritional risk for men was associated with higher depression score, longer hospitalization, and poor appetite. For women, nutritional risk was associated with lower functional status and more diagnosed diseases. In a multivariate analysis, being a female increased the risk of under-nutrition by 3.3 fold. Conclusion: Risk of under-nutrition is prevalent among older in-patients and is gender-related. Female inpatients are at markedly increased risk for under-nutrition. The mechanism of the gender discrepancy in factors related to nutritional deterioration is complex and poorly understood.
引用
收藏
页码:128 / 134
页数:7
相关论文
共 56 条
[1]   Nutrition and quality of life in older adults [J].
Amarantos, E ;
Martinez, A ;
Dwyer, J .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2001, 56 :54-64
[2]   Gender differences in food and nutrient intakes and status indices from the National Diet and Nutrition Survey of People Aged 65 Years and Over [J].
Bates, CJ ;
Prentice, A ;
Finch, S .
EUROPEAN JOURNAL OF CLINICAL NUTRITION, 1999, 53 (09) :694-699
[3]   Predictive factors of in-hospital mortality in older patients admitted to a medical intensive care unit [J].
Bo, M ;
Massaia, M ;
Raspo, S ;
Bosco, F ;
Cena, P ;
Molaschi, M ;
Fabris, F .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2003, 51 (04) :529-533
[4]  
Burr M L, 1982, Age Ageing, V11, P249, DOI 10.1093/ageing/11.4.249
[5]  
CONATANS T, 2003, REV PRATICIEN, V53, P275
[6]   Undernutrition in the European SENECA studies [J].
de Groot, CPGM ;
van Staveren, WA .
CLINICS IN GERIATRIC MEDICINE, 2002, 18 (04) :699-+
[7]   How to measure comorbidity: a critical review of available methods [J].
de Groot, V ;
Beckerman, H ;
Lankhorst, GJ ;
Bouter, LM .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2003, 56 (03) :221-229
[8]   Cholesterol and serum albumin levels as predictors of cross infection, death, and length of hospital stay [J].
Delgado-Rodríguez, M ;
Marcelino-Cuadros, M ;
Gómez-Ortega, A ;
Martínez-Gallego, G ;
Marcial-Ortiz, M ;
Martinez-Gonzalez, MA ;
Sillero-Arenas, M .
ARCHIVES OF SURGERY, 2002, 137 (07) :805-812
[9]  
Dror Y, 1996, J AM COLL NUTR, V15, P475
[10]  
Dror Y, 1996, J AM COLL NUTR, V15, P481