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Nutritional status is strongly correlated with grip strength and depression in community-living elderly Japanese.

机译:营养状况与在社区生活的年长日本人的握力和沮丧感密切相关。

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Objectives. To evaluate the utility of the Mini-Nutritional Assessment (MNA) in assessing nutritional, physical and psychosocial functions in community-living elderly individuals. Design. A cross-sectional study of elderly individuals investigated in August 2007 and August-September 2008. Nutritional status was assessed using serum biomarkers, anthropometric measurements and the MNA. Physical function was assessed by measuring grip strength and both usual and maximum walking speeds. The Geriatric Depression Scale (GDS) was used to measure the individual's depressive state. Setting. Elder-care facilities in Tokyo, Japan. Subjects. Community-living elderly individuals aged >=65 years (n 130). Results. The MNA evaluation classified twenty-seven (20.8%) individuals as being at risk for malnutrition (MNA score <=23.5); these at-risk individuals included a high proportion of the elderly aged >=75 years. MNA scores correlated with nutritional biomarkers (total protein, albumin, cholinesterase, Hb) and anthropometric measurements (triceps skinfold, subscapular skinfold, mid-arm muscle area) and exhibited a strong correlation with grip strength and GDS score. Multivariate analysis revealed that grip strength, GDS score, marital status and maximum walking speed are strong predictors of MNA score. Conclusions. The MNA is considerably useful in providing a comprehensive assessment of nutritional status in elderly, community-living Japanese. However, larger-scale epidemiological studies are needed to determine the utility and the appropriate cut-off point of the MNA as a screen for risk of malnutrition
机译:目标。评估微型营养评估(MNA)在评估社区生活的老年人的营养,身体和心理功能方面的效用。设计。一项针对老年人的横断面研究于2007年8月和2008年8月至9月进行。使用血清生物标志物,人体测量学和MNA评估了营养状况。通过测量握力以及平时和最大步行速度来评估身体机能。老年抑郁量表(GDS)用于测量个人的抑郁状态。设置。日本东京的养老机构。主题。年龄大于等于65岁( n 130)的社区居住老年人。结果。 MNA评估将二十七(20.8%)个人有营养不良风险(MNA得分<= 23.5);这些高危人群中包括≥75岁的老年人。 MNA评分与营养生物标志物(总蛋白,白蛋白,胆碱酯酶,血红蛋白)和人体测量学(三头肌皮褶,肩s下皮褶,臂中部肌肉面积)相关,并且与握力和GDS评分密切相关。多变量分析显示,握力,GDS评分,婚姻状况和最大步行速度是MNA评分的强力预测指标。结论。 MNA在全面评估老年人,居住在社区中的日本人的营养状况方面非常有用。但是,需要进行大规模的流行病学研究以确定MNA的用途和适当的临界点,以筛查营养不良的风险

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