实用老年医学

实用老年医学 ›› 2022, Vol. 36 ›› Issue (11): 1120-1123.doi: 10.3969/j.issn.1003-9198.2022.11.010

• 临床研究 • 上一篇    下一篇

老年隐性饥饿伴肌肉减少人群的营养干预研究

赵婷, 王馥婕, 王瑾, 衣鲁江, 杜勤, 马向华   

  1. 210029 江苏省南京市,南京医科大学第一附属医院营养科(赵婷,王馥婕,王瑾,马向华);检验学部(衣鲁江);
    200233 上海市,雅培营养研发中心(杜勤)
  • 收稿日期:2021-11-16 出版日期:2022-11-20 发布日期:2022-11-24
  • 通讯作者: 马向华,xianghuama@njmu.edu.cn
  • 基金资助:
    江苏省营养协会“营养与健康研究”资助项目(JYX201603)

Nutritional intervention in elderly people with hidden hunger and muscle loss

ZHAO Ting, WANG Fu-jie, WANG Jin, YI Lu-jiang, DU Qin, MA Xiang-hua   

  1. ZHAO Ting, WANG Fu-jie, WANG Jin, MA Xiang-hua. Department of Nutrition; YI Lu-jiang. Department of Laboratory, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China;
    DU Qin. Abbott Nutrition R&D Center, Shanghai 200233, China
  • Received:2021-11-16 Online:2022-11-20 Published:2022-11-24

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摘要： 目的 对社区老年人进行隐性饥饿与营养不良评估,并进行口服营养补充(ONS)干预,了解老年人隐性饥饿和营养不良发生率,观察营养干预效果。 方法 对248例老年人进行微型营养评定、隐性饥饿量表评估、体格测量和体成分检测,选择其中40例存在隐性饥饿与营养不良的老年人随机分成干预组和对照组,每组20例,对照组进行营养知识教育,干预组在对照组基础上进行ONS干预,共12周,比较2组营养摄入量及干预前后体格指标、体成分指标的变化情况。 结果 老年人营养不良及隐性饥饿发生率为31.5%(78/248)。干预组每天膳食脂肪、蛋白质、锌、维生素A、维生素B1和B2的平均摄入量及优质蛋白占比明显高于对照组(P<0.05)。干预12周后,干预组体质量、BMI、体脂肪、血浆总蛋白、白蛋白水平均较干预前升高(P<0.05)。 结论 31.5%的社区老年人存在营养不良和隐性饥饿;ONS有利于改善老年人营养状况、提高骨骼肌质量和血浆蛋白水平。

关键词: 隐性饥饿, 肌肉减少, 营养不良, 口服营养补充, 老年人

Abstract: Objective To investigate the incidence of malnutrition and hidden hunger of the community elderly, and to investigate the effect of oral nutritional supplement(ONS). Methods A total of 248 elderly people were evaluated by Mini Nutritional Assessment, hidden hunger scale, physical measurement and body composition test. Forty elderly people with hidden hunger and malnutrition were selected and randomly divided into the intervention group and the control group, with 20 cases in each group. The control group received nutrition knowledge education. The intervention group received ONS on the basis of the control group for 12 weeks. The changes of nutritional intake, physical indexes and body composition before and after the intervention were compared between the two groups. Results The incidence rate of malnutrition and hidden hunger in the elderly was 31.5%(78/248). The average intake of fat, protein, zinc, vitamin A, vitamin B1, vitamin B2 and the proportion of high-quality protein in the intervention group were higher than those in the control group(P<0.05). The levels of body weight, body mass index, body fat, plasma total protein and albumin in the intervention group were higher than those before the intervention (P<0.05). Conclusions The incidence rate of malnutrition and hidden hunger is 31.5% in the community elderly. ONS is beneficial to improve the nutritional status, skeletal muscle quality and plasma protein level in the elderly.

Key words: hidden hunger, sarcopenia, malnutrition, oral nutritional supplement, aged

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