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Malnutrition in nursing home residents: Differences across urban-rural continuum in a national sample.

机译：养老院居民的营养不良：全国样本中城乡连续体的差异。

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摘要

Malnutrition in nursing home residents is a significant, but modifiable, public health problem. Little is known how prevalence of malnutrition in nursing homes differs across the rural-urban continuum. Using Rural-Urban Commuting Areas (RUCA) codes and the Minimum Data Set (MDS), Centers for Medicare and Medicaid Services (CMS) mandated: resident assessment system, a nationally representative data set of nursing home residents; this study examined the differences in prevalence of malnutrition (BMI 18.5 kg/m2) in a random sample of 159,159 nursing home residents. In this sample, 11.7% were malnourished---measured BMI 18.5 kg/m2; 12.5% resided in nursing homes in small towns and 8% in isolated areas. The median age was 84 years; 72.4% were females; 84.3% were non-Hispanic White; and 17.6% needed support for end-stage Activities of Daily Living (ADL)---bed mobility or eating. Using multiple logistic regression (adjusting for resident and facility characteristics), nursing home residents in isolated areas were less likely to be malnourished (OR 0.87, 95% CI 0.815--0.925) than residents in urban areas. Also, ADL dependency, drug use, chewing problems, swallowing problems, leaving 25% or more food and age 85+ were significantly associated with BMI 18.5 kg/m2. This analysis suggests that nursing home residents in isolated areas are at decreased vulnerability for malnutrition; Future efforts should classify reasons for increased odds of undernutrition in urban nursing homes and identify strategies to improve the nutritional status and quality of life of the residents in nursing homes especially those in urban areas.
机译：疗养院居民的营养不良是一个重大但可修改的公共卫生问题。人们对整个农村-城市连续体中疗养院中营养不良的发生率如何差异知之甚少。医疗保险和医疗补助服务中心使用城乡通勤区（RUCA）代码和最低数据集（MDS）进行授权：居民评估系统，全国范围内具有代表性的养老院居民数据集；这项研究从159,159名疗养院居民中随机抽取了营养不良发生率（BMI <18.5 kg / m2）的差异。在该样本中，营养不良（测得的BMI <18.5 kg / m2）为11.7％； 12.5％的人住在小城镇的疗养院，而8％的人住在偏远地区。中位年龄为84岁；女性为72.4％；非西班牙裔白人占84.3％；还有17.6％的人需要为日常生活（ADL）的后期活动提供支持-床活动或进食。使用多元logistic回归（根据居民和设施特征进行调整），与市区居民相比，偏远地区的养老院居民营养不良的可能性较小（OR 0.87，95％CI 0.815--0.925）。此外，ADL依赖性，吸毒，咀嚼问题，吞咽问题，剩下25％或更多的食物以及85岁以上的年龄与BMI <18.5 kg / m2显着相关。该分析表明，偏远地区的疗养院居民营养不良的风险有所降低。未来的工作应分类城市养老院中营养不良几率增加的原因，并确定改善养老院（尤其是城市地区）居民营养状况和生活质量的策略。

著录项

  • 作者

    Challa, Suman.;

  • 作者单位

    The Texas A&M University System Health Science Center.;

  • 授予单位 The Texas A&M University System Health Science Center.;
  • 学科 Gerontology.; Health Sciences Nutrition.; Health Sciences Public Health.
  • 学位 M.S.P.H.
  • 年度 2005
  • 页码 38 p.
  • 总页数 38
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 老年病学;预防医学、卫生学;预防医学、卫生学;
  • 关键词

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