首页|老年住院患者膳食炎症指数、营养参数与衰弱发生的相关性分析

老年住院患者膳食炎症指数、营养参数与衰弱发生的相关性分析

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目的:探讨上海交通大学医学院苏州九龙医院老年住院患者膳食炎症指数(DII)、营养参数与衰弱发生的关系及危险因素。方法:选取上海交通大学医学院苏州九龙医院2022年1月—2023年12月收治的老年住院患者进行回顾性分析,其中118例患者经衰弱量表(Fried)调查达到衰弱标准(衰弱组),另外选取同期住院的非衰弱患者120例作为对照组,统计对比两组患者的DII、营养参数、个体情况、疾病病情资料,通过多元Logistic回归模型分析影响老年住院患者发生衰弱的危险因素。结果:衰弱组的年龄、过去1年住院史患者占比、家庭收入<6000元患者占比均高于对照组患者,两组之间差异具有统计学意义(P<0。05);衰弱组的红细胞水平、血红蛋白水平、总蛋白水平、白蛋白水平均显著低于对照组患者,两组之间差异具有统计学意义(P<0。05);衰弱组的DII指数达到T3水平患者占比高于对照组患者,日均摄入能量、蛋白质、碳水化合物、膳食纤维、多不饱和脂肪酸均显著低于对照组,两组之间差异具有统计学意义(P<0。05);年龄越大、共病数量≥2种、患者的红细胞水平越低、血红蛋白水平越低、总蛋白水平越低、白蛋白水平越低、DII指数为T3是老年住院患者衰弱发生的危险因素(P<0。05)。结论:DII水平越高、红细胞水平越低、血红蛋白水平越低、总蛋白水平越低、白蛋白水平越低会显著增大老年住院患者衰弱发生的风险。
Correlation Analysis Between Dietary Inflammation Index,Nutritional Parameters and Frailty Occurrence in Elderly Inpatients
[Objective]To investigate the relationship between dietary inflammation index (DII),nutritional parameters and frailty in elderly inpatients in xx hospital and the risk factors.[Method]Elderly inpatients admitted to xx Hospital from January 2022 to December 2023 were selected for retrospective analysis. Among them,118 patients reached the frailty standard (frailty group) according to Fried survey,and 120 non-frailty patients hospitalized during the same period were selected as the control group. The data of DII,nutritional parameters,individual conditions and disease conditions of the two groups were statistically compared,and the risk factors affecting frailty of elderly hospitalized patients were analyzed by multiple Logistic regression model.[Result]The age,the proportion of patients with hospitalization history in the past 1 year and the proportion of patients with family income<6000 yuan in the fthenic group were higher than those in the control group,and the difference between the two groups was statistically significant (P<0.05). The levels of red blood cells,hemoglobin,total protein and albumin in the frailty group were significantly lower than those in the control group,and the differences between the two groups were statistically significant (P<0.05). The proportion of patients with DII index reaching T3 level in fadh group was higher than that in control group,and the average daily intake of energy,protein,carbohydrate,dietary fiber and polyunsaturated fatty acid was significantly lower than that in control group,with statistical significance (P<0.05). The older the age,the number of comorbidi-ties ≥2,the lower the red blood cell level,the lower the hemoglobin level,the lower the total protein level,the lower the albumin level,and the DII index of T3 were the risk factors for the incidence of fthenia in the elderly hospitalized patients (P<0.05).[Conclusion]The higher the level of DII,the lower the level of red blood cells,the lower the level of hemoglobin,the lower the level of total protein,and the lower the level of albumin,the risk of fthenia in elderly hospitalized patients was significantly increased.

old agehospitalized patientdietary inflammation index (DII)nutritional parameterenervationrisk factor

刘琳、范群斌、梁文、李玉婷

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上海交通大学医学院苏州九龙医院老年医学科,江苏苏州 215021

上海交通大学医学院苏州九龙医院营养科,江苏苏州 215021

老年 住院患者 膳食炎症指数 营养参数 衰弱 危险因素

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(12)