首页|膳食模式与老年慢性心力衰竭患者负性情绪及营养状态的关系

膳食模式与老年慢性心力衰竭患者负性情绪及营养状态的关系

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目的:探讨膳食模式与老年慢性心力衰竭患者负性情绪及营养状态的关系。方法:选取2021年2月—2023年1月在本院确诊的老年慢性心力衰竭患者,并定期在营养科进行营养咨询的老年慢性心力衰竭患者,均进行问卷调查、体格检查和实验室检测,采用因子分析提取膳食模式,采用多因素Logistic回归模型分析膳食模式与负性情绪及营养状态的关系。结果:因子分析得出4种膳食模式,分别为蛋奶水果模式、肉食模式、素食模式和主食模式,累计方差贡献率为41。66%。在调整相关混杂因素后发现,高水平的肉食模式是焦虑、抑郁危险因素[(OR=2。38,95%CI:1。26~4。51)、(OR=2。22,95%CI:1。15~4。83),同时高水平的素食模式是高尿酸血症的保护因素[(OR=0。51,95%CI:0。28~0。97)、(OR=0。43,95%CI:0。23~0。88)]。高水平素食模式是营养不良的危险因素(OR=2。49,95%CI:1。33~4。78),高水平肉食模式是营养不良的保护因素(OR=0。63,95%CI:0。31~0。82)。结论:老年慢性心力衰竭患者焦虑抑郁及营养状态与膳食模式密切相关,应需要积极推广健康膳食模式。
Relationship Between Dietary Pattern and Negative Mood and Nutritional Status in Elderly Patients with Chronic Heart Failure
[Objective]To investigate the relationship between dietary pattern and negative emotion and nutritional status in elderly patients with chronic heart failure.[Method]Elderly patients with chronic heart failure diagnosed in our hospital from February 2021 to January 2023 and receiving regular nutritional consultation in the nutrition department were selected for questionnaire survey,physical examination and laboratory testing,and dietary patterns were extracted by factor analysis.Multivariate Logistic regression model was used to analyze the relationship between dietary pattern and negative mood and nutritional status.[Result]Four dietary patterns were obtained by factor analysis,namely egg,milk and fruit pattern,meat pattern,vegetarian pattern and staple food pattern,and the cumulative variance contribution rate was 41.66%.After adjusting for relevant confounding factors,it was found that the high level of meat eating pattern was a risk factor for anxiety and depression[(OR=2.38,95%CI:1.26-4.51),(OR=2.22,95%CI:1.15-4.83),while high level of vegetar-ian diet was a protective factor for hyperuricemia[(OR=0.51,95%CI:0.28-0.97),(OR=0.43,95%CI:0.23—0.88)].High level of vegetarian diet was a risk factor for malnutrition(OR=2.49,95%CI:1.33~4.78),and high level of meat consumption was a protective factor for malnutrition(OR=0.63,95%CI:0.31~0.82).Anxiety,depression and nutritional status of elderly patients with chronic heart failure are closely related to dietary patterns,so it is necessary to actively promote healthy dietary patterns.

dietary patternchronic heart failureold agenegative emotionvegetative state

王珍娟、汝奎、武冰琳、李铭宝、姚鹏

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宿州市第一人民医院心血管内科二病区,安徽宿州 234000

膳食模式 慢性心力衰竭 老年 负性情绪 营养状态

2024

中国食物与营养
中国农业科学院 国家食物与营养咨询委员会

中国食物与营养

CSTPCD
影响因子:0.754
ISSN:1006-9577
年,卷(期):2024.30(3)
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