NRS 2002、MNA-SF和GNRI筛查老年共病患者营养风险及与肌少症的关系  

Nutritional Risk Screening by NRS 2002,MNA-SF and GNRI and its Correlation with Sarcopenia in Elderly Comorbidity Patients

作　　者：梁俐[1] 向丽 谢芳[1] Liang Li;Xiang Li;Xie Fang(Department of Gastroenterology,Department of Clinical Nutrition,Department of Nursing,the Third People's Hospital of Yibin,Yibin,Sichuan 644000,China)

机构地区：[1]宜宾市第三人民医院消化内科,营养科,护理部,四川宜宾644000

出　　处：《四川医学》2024年第11期1219-1224,共6页Sichuan Medical Journal

基　　金：宜宾市卫健委项目(编号:2019YW005)。

摘　　要：目的探讨营养风险筛查2002(NRS 2002)、微型营养评定量表简化版(MNA-SF)和老年营养风险指数(GNRI)在老年共病患者营养风险筛查中的一致性,研究共病患者营养风险与肌少症的关联性。方法选取2019年1月至2021年12月在我院住院治疗的老年共病患者268例,采用NRS 2002、MNA-SF和GNRI筛查患者营养风险,按亚洲肌少症工作组(AWGS)2019年标准进行肌少症筛查。探讨3种方法筛查营养风险的一致性及营养风险与肌少症的关系。结果NRS 2002筛查营养风险发生率为53.36%,>70岁组患者NRS 2002评分和营养风险发生率高于≤70岁组(P<0.05)。MNA-SF筛查营养良好、营养不良风险和营养不良发生率分别为27.98%、51.12%和20.90%。GNRI筛查出高、中、低和无营养风险发生率分别为11.19%、44.40%、27.62%和16.79%。3种筛查工具筛出营养风险发生率均与共病数量和共病种类有关,共病数量≥3种的营养风险发生率更高,含消耗性疾病患者营养风险高于不含消耗性疾病患者(P<0.05)。以MNA-SF≤11分、NRS 2002≥3分和GNRI≤98分定义为有营养风险,MNA-SF、GNRI与NRS 2002判定结果的kappa值分别为0.477和0.188。肌少症检出率为33.96%,NRS 2002、MNA-SF和GNRI筛查的营养风险与肌少症之间的列联系数r分别为0.433、0.323和0.152(P<0.05)。结论MNA-SF、NRS 2002和GNRI均可用于老年共病患者营养风险筛查,患者的营养风险与肌少症有关。Objective To explore the consistency of Nutritional Risk Screening 2002(NRS 2002),Mini Nutritional Assessment Short-Form(MNA-SF),and Geriatric Nutritional Risk Index(GNRI)in nutritional risk screening for elderly comorbidity patients,and to investigate the correlation between nutritional risk and sarcopenia.Methods From January 2019 to December 2021,268 hospitalized elderly comorbidity patients were selected for nutritional risk screening by NRS 2002,MNA-SF,and GNRI.Sarcopenia screening was conducted according to the 2019 standards of the Asian Working Group on Sarcopenia(AWGS).The consistency of the three methods for screening nutritional risk and the relationship between nutritional risk and sarcopenia was explored.Results The incidence of nutritional risk screening by NRS 2002 was 53.36%,and the NRS 2002 score and nutritional risk incidence in patients over 70 years old were higher than those in patients under 70 years old(P<0.05).The incidence of good nutrition,malnutrition risk,and malnutrition screening by MNA-SF was 27.98%,51.12%,and 20.90%,respectively.The incidence of high,medium,low,and no nutritional risk screening by GNRI were 11.19%,44.40%,27.62%,and 16.79%,respectively.The incidence of nutritional risk screening by the three screening tools were all related to the number of comorbidities(≥3),the higher comorbidities,the higher incidence of nutritional risks,patients with consumptive diseases had a higher nutritional risk than those without them(P<0.05).When MNA-SF≤11 points,NRS 2002≥3 points,and GNRI≤98 points were defined as nutritional risk,the kappa values of MNA-SF and GNRI compared with NRS 2002 was 0.477 and 0.188,respectively.The positive rate of sarcopenia was 33.96%,and the contingency coefficient between sarcopenia and nutritional risk screening by NRS 2002,MNA-SF,and GNRI were 0.433,0.323,and 0.152,respectively(P<0.05).Conclusion MNA-SF,NRS 2002,and GNRI can all be used for nutritional risk screening in elderly comorbidity patients,and the nutritional risk of patients is related t

关 键 词：微型营养评定(MNA-SF) 营养风险筛查2002(NRS 2002) 老年营养风险指数(GNRI) 营养风险 肌少症 老年 

分 类 号：R153.3[医药卫生—营养与食品卫生学] R337[医药卫生—公共卫生与预防医学]