中国医学前沿杂志(电子版)2024,Vol.16Issue(11) :57-61.DOI:10.12037/YXQY.2024.11-07

膳食多样化与社区老年人内在能力的相关性研究

Study on the association between dietary diversity and intrinsic capacity in community-dwelling older adults

张玉珊 沈姞 亢玉婷 李宏宇 庞婧 张洁 张驰 孟雪 施红
中国医学前沿杂志(电子版)2024,Vol.16Issue(11) :57-61.DOI:10.12037/YXQY.2024.11-07

膳食多样化与社区老年人内在能力的相关性研究

Study on the association between dietary diversity and intrinsic capacity in community-dwelling older adults

张玉珊 1沈姞 2亢玉婷 3李宏宇 3庞婧 4张洁 2张驰 4孟雪 3施红2
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作者信息

  • 1. 北京医院老年医学科国家老年医学中心中国医学科学院老年医学研究院,北京 100730;北京医院国家老年医学中心 国家卫生健康委北京老年医学研究所国家卫生健康委老年医学重点实验室中国医学科学院老年医学研究院,北京 100730
  • 2. 北京医院老年医学科国家老年医学中心中国医学科学院老年医学研究院,北京 100730
  • 3. 北京医院科研处国家老年医学中心中国医学科学院老年医学研究院,北京 100730
  • 4. 北京医院国家老年医学中心 国家卫生健康委北京老年医学研究所国家卫生健康委老年医学重点实验室中国医学科学院老年医学研究院,北京 100730
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摘要

目的 探究日常膳食多样化与社区老年人内在能力的相关性.方法 本研究纳入2023年2月至8月于北京社区采用方便抽样法调查年龄≥60岁的745例老年人.以8个食物种类构建膳食多样化评分(dietary diversity score,DDS),包括肉、蛋、鱼类、豆类、奶或奶制品、酸奶、蔬菜以及水果.根据2015年世界卫生组织推荐意见评估社区老年人的内在能力,将患者分为内在能力较好组(4~5分)和内在能力欠佳组(0~3分).采用二元Logistic回归分析探讨DDS与老年人内在能力的关系以及各种膳食摄入对老年人内在能力的影响.结果 内在能力较好组DDS得分高于内在能力欠佳组DDS得分[(4.00±1.49)分比(3.73±1.55)分,t=2.233,P=0.026)].DDS是老年人内在能力的保护因素(OR=0.836,95%CI 为 0.745~0.938,P=0.002).内在能力较好组肉类(x2=10.127,P=0.001)和水果类(x2=7.632,P=0.006)的摄入频率均高于内在能力欠佳组.进一步Logistic分析显示,蔬菜类(OR=0.502,95%CI为0.256~0.986,P=0.045)和水果类(OR=0.575,95%C I为0.391~0.847,P=0.005)食物摄入不足与老年人内在能力下降相关.结论DDS与老年人内在能力具有相关性.社区老年人应改变单一膳食结构,增加膳食多样化,可能降低内在能力下降的发生风险.

Abstract

Objective To investigate the association between dietary diversity and intrinsic capacity among community-dwelling older adults.Methods A cross-sectional study was conducted from February to August 2023,involving 745 elderly people aged ≥60 years old in Beijing communities by convenient sampling method.The dietary diversity score(DDS)was constructed based on eight food groups,including meat,eggs,fish,legumes,milk or dairy products,yogurt,vegetables,and fruits.The intrinsic capacity among elderly people was evaluated according to the recommendations of WHO,and divided into a group with good intrinsic capacity(4-5 points)and a group with poor intrinsic capacity(0-3 points).Binary Logistic regression analysis was used to explore the association between DDS and to assess the impact of various dietary components on the intrinsic capacity of the elderly adults.Results The DDS score of the group with good intrinsic capacity(4.00±1.49)was significantly higher than that of the group with poor intrinsic capacity(3.73±1.55)(t=2.233,P=0.026).DDS was identified as a protective factor for the intrinsic capacity of the elderly(OR=0.836,95%CI=0.745-0.938,P=0.002).The intake frequency of meat(x2=10.127,P=0.001)and fruit(x2=7.632,P=0.006)was higher compared to the group with lower intrinsic capacity.Further Logistics regression analysis showed that insufficient intake of vegetables(OR=0.502,95%CI=0.256-0.986,P=0.045)and fruits(OR=0.575,95%CI=0.391-0.847,P=0.005)was associated with poorer intrinsic capacity.Conclusions DDS is associated with intrinsic capacity in elderly adults.Elderly people in the community should change their single dietary structure and increase dietary diversity to reduce the risk of decline in intrinsic capacity.

关键词

内在能力/老年人/膳食多样化/营养/活力

Key words

Intrinsic capacity/Elderly adults/Dietary diversity/Nourishment/Vitality

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出版年

2024
中国医学前沿杂志(电子版)
人民卫生出版社有限公司

中国医学前沿杂志(电子版)

CSTPCDCSCD北大核心
影响因子:1.088
ISSN:1674-7372
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