Malnutrition in geriatric patients: a neglected problem?

被引:42
作者
Elmstahl, S
Persson, M
Andren, M
Blabolil, V
机构
[1] Department of Community Medicine, Section of Geriatric Medicine, Lund University, Malmö
[2] Department of Community Medicine, Lund University, Malmö University Hospital
关键词
diet; malnutrition; mortality; nursing; NUTRITIONAL-STATUS; CARE;
D O I
10.1046/j.1365-2648.1997.00404.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The nutrient intake in geriatric long-stay patients and the mortality risk associated with low energy intake were studied in 61 patients, 43 women and 18 men, with a mean age of 87 yeats, at a geriatric long-stay care hospital during a B-month follow-up, Dietary intake was assessed with a 9-day dietary record, Energy expenditure was calculated assuming a physical activity level of 1.33 x basal metabolic rate (BMR), predicted from equations given by FAO/WHO. Mean energy intakes were 1557 kcal in men and 1280 kcal in women; 84% of the patients had an intake below estimated energy expenditure and 30% were below estimated BMR. Only 5% received dietary supplement, Eleven out of the 61 patients died during the follow-up and the deceased had lower energy intake than the others (1185 kcal vs 1401 kcal, P < 0.05), An energy intake below median (1378 kcal) was associated with an age adjusted increased 6-month mortality risk, odds ratio 12.5. A high proportion of geriatric long-stay patients report dietary intake far below present recommendations and are thereby at risk for having/developing malnutrition, Improved surveillance of geriatric long-stay patients' dietary habits seems justified.
引用
收藏
页码:851 / 855
页数:5
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