RELATIONSHIPS BETWEEN MACRONUTRIENT INTAKE, HANDICAPS, AND COGNITIVE IMPAIRMENTS IN FREE-LIVING ELDERLY PEOPLE

被引：27

作者：

PRADIGNAC, A

SCHLIENGER, JL

VELTEN, M

MEJEAN, L

机构：

[1] Service de Médecine Interne, Hôpital de Hautepierre, Strasbourg, 67098, Avenue Molière

[2] Centre Paul Strauss, Département D’Information Médicale, Strasbourg

[3] Unité INSERM U308, Nancy

来源：

AGING-CLINICAL AND EXPERIMENTAL RESEARCH | 1995年 / 7卷 / 01期

关键词：

COGNITION; ELDERLY; HANDICAP; NUTRITION;

D O I：

10.1007/BF03324295

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

It is still unknown what if any relationships exist between intake of macronutrients by the elderly, and their functional or cognitive handicaps, particularly for free living elderly people. We investigated 226 men and 215 women, aged 65 or more, free living and in good health. They were randomly selected in the departement of Bas-Rhin, after stratification for age, sex and residence (rural or urban). Handicaps and cognitive functions of each subject were assessed with the Geronte scale and the Mini-Mental State Examination (MMSE), respectively. Food intake was measured by a three-day record. A multiple correspondence analysis concluded that junctional parameters and macronutrient intakes were rather independent. The relationships found were detailed by a backward stepwise logistic regression. In men, alcohol intake was associated with an improvement in functional and cognitive parameters, and polyunsaturated fatty acids with the capacity to move outside the home. In women, lipid intake increased the MMSE score. Overweight in women was linked with better functional and cognitive performances, and in men with the capacity to move outside the home. In both sexes, age worsened the score of functional and cognitive parameters. In conclusion, macronutrient intakes and functional or cognitive parameters were found to be mutually independent; this suggests that macronutrient deficiencies are of little importance in the worsening functional or mental autonomy of the elderly. The relationships found between functional variables and alcohol or polyunsaturated fatty acid intakes in men, and lipid intakes in women, and overweight in both sexes might evidence a better state of health.

引用

页码：67 / 74

页数：8

共 38 条

[1]

Goodwin J., Goodwin J., Garry P., Association between nutritional status and cognitive functioning in a healthy elderly population, JAMA, 249, pp. 2917-2921, (1983)

[2]

Vellas B., Albarede J.L., Nutrition et vieillissement cérébral du sujet âgé, Nutrition et vieillissement, pp. 102-107, (1988)

[3]

Vatassery G.T., Maletta G.J., Relationship between nutrition and dementia in the elderly, Psychiatr. Med., 1, pp. 429-443, (1983)

[4]

Chome J., Paul T., Pudel V., Hesecker H., Huppe R., Kubler W., Effects of suboptimal vitamin status on behaviour, Bibl. Nutr. Diet., 38, pp. 94-103, (1986)

[5]

Sahyoun N.R., Otradovec C.L., Hertz S.C., Jacob R.A., Peters H., Russel R.M., McGandy R.B., Dietary intakes and biochemical indicators of nutritional status in an elderly, institutionalized population, Am. J. Clin. Nutr., 47, pp. 524-533, (1988)

[6]

Rapin C.H., Lesourd B., La malnutrition protéino-énergétique chez le malade âgé hospitalisé, Rev. Prat., 40, pp. 1490-1494, (1990)

[7]

Siebens H., Trupe E., Siebens A., Cook F., Anshen S., Hanauer R., Oster G., Correlates and consequences of eating dependency in institutionalized elderly, J. Am. Geriatr. Soc., 34, pp. 192-198, (1986)

[8]

Kohrs M.B., Czajka-Narins D.M., Nordstrom J.W., Factors affecting nutritional status of the elderly, Nutrition, Aging, and the Elderly, pp. 305-333, (1989)

[9]

Evans W.J., Meredith C.N., Exercise and nutrition in the elderly, Nutrition, Aging, and the Elderly, pp. 89-126, (1989)

[10]

Morley J.E., Mooradian A.D., Silver A.J., Heber D., Alfin-Slater R.B., Nutrition in the elderly. UCLA Conference, Ann. Intern. Med., 109, pp. 890-904, (1988)

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