老年住院病人膳食多样化与营养状况的关系  

Relationships between Dietary Diversity and Nutritional Status in Elderly Inpatient

作　　者：朱佳妮 张振宇[1,2] 杨帆 顾然[1,2] 刘吉 洪晶安[1,2] ZHU Jia-ni;ZHANG Zhen-yu;YANG Fan;GU Ran;LIU Ji;HONG Jing-an(Department of Clinical Nutrition, The First People＇s Hospital of Yunnan Provience, Kunming 650032, Yunnan, China;Department of Clinical Nutrition, The Affiliated Hospital of Kunming University of Science and Technology, Kunming 650032, Yunnan, China)

机构地区：[1]云南省第一人民医院临床营养科,云南昆明650032 [2]昆明理工大学附属医院临床营养科,云南昆明650032

出　　处：《肠外与肠内营养》2018年第3期142-146,共5页Parenteral & Enteral Nutrition

摘　　要：目的:探讨老年住院病人膳食多样化与营养状况的关系。方法:选取云南省某三甲医院老年住院病人共136例,采用食物频率法进行膳食调查,计算其膳食多样化评分;采用微型营养评估法(MNA)评估营养状况,并分析膳食多样化对老年住院病人营养状况的影响。结果:(1)调查对象具有营养不良风险占46.3%,确定营养不良者占33.8%。(2)调查对象膳食多样化水平为不足率为19.9%,适中率为77.2%,充足率仅为2.9%;膳食多样化总评分为(4.68±1.27),但除蔬菜之外8类食物的组内多样化评分均较低;大豆类及坚果和鱼虾类消费率严重不足。(3)膳食多样化评分不足组和适中组具有营养不良风险、确定营养不良的危险度分别是充足组的5.109倍、1.094倍(P<0.05)。结论:老年住院病人膳食多样化与营养状况关系密切,提高老年住院病人的膳食多样化水平,对预防营养不良具有重要意义。Objective： To identify the relationship between Dietary Diversity and Nutritional Status in Elderly Inpatient. Methods： 136 elderly inpatients were selected in a tertiary hospital in Yunnan Provience. Food frequency questionnaire was used to collect dietary information and DDS9 was calculated; We used Mini Nutritional Assessment（MNA）to evaluate nutritional status, then analyzed the effect of Dietary Diversity on nutritional status in elderly inpatients. Results：（1） Patients at risk of malnutrition and with confirmed malnutrition in participants were 46.3%,33.8%,, respectively.（2） The incidence of insufficient diversity, moderate diversity and adequate diversity were 19.9%,77.2% and 2.9%, respectively; the total scores of dietary diversity were（4.68±1.27）. However, apart from vegetables, the rest 8 kinds of food all showed lower scores of intra-group variety; while the consumption of beans, nuts and seafood was seriously inadequate.（3） The incidence of malnutrition risk and confirmed malnutrition in insufficientdiversity group and moderate-diversity group were 5.109 times and 1.094 times of adequacy group（P 0. 05）. Conclusion：Dietary diversity is strongly associated with nutritional status in elderly inpatient. Improvement of dietary diversity status is potentially beneficial in the prevention of malnutrition.

关 键 词：老年住院病人 膳食多样化评分 营养状况 

分 类 号：R153.3[医药卫生—营养与食品卫生学]