张新胜 1刘英华 1张永 1徐庆 1于晓明 1王觐 1杨雪艳 1刘钊 1薛长勇1
作者信息
- 1. 解放军总医院 营养科，北京 100853
- 折叠
摘要
Abstract
Objective To assess the application value of handgrip strength in nutrition assessment of elderly medical inpatients. Methods A cross-sectional study was conducted in our hospital from May 2012 to December 2013, and 1343 patients were assessed by mini nutritional assessment short-form (MNA-SF) and their blood biochemical indicators in the 24 hours of admission, including HGS, height, weight, BMI, WC, LC, HB, TP, ALB, Cr, BUN, TG and TC, were measured. The correlation between HGS and nutritional indicators was analyzed and the dominant HGS cut points for malnutrition was estimated.Results Of all the elderly inpatients, 39.99% of them (men 40.49%, women 39.51%) had malnutrition by MNA-SF; The HGS, weight, BMI, WC, LC, ALB, TG and HB of malnutrition group were significantly lower than those of well nutrition group, but the age was significantly higher (P<0.05); Pearson’s correlation analysis showed that the dominant HGS was correlated with MNA-SF result (P<0.05), and positively correlated with height, weight, BMI, WC, LC, ALB, TP, TG and HB (P<0.05), and negatively correlated with age (P<0.05). ROC curve analysis for dominant HGS and nutritional status sensitivity/specificity found that the area under the curve was more than 0.7, and the dominant HGS cut points for malnutrition were 20.8 kg for men and 16.1 kg for women by MNA-SF. Conclusion Elderly inpatients are associated with a greater incidence of malnutrition. HGS is a rapid, cost-effective and easy-to-use method, which is suitable for assessing nutritional status of elderly medical inpatients.关键词
握力/老年住院患者/营养评价/微型营养评价精法/营养不良Key words
handgrip strength/elderly inpatients/nutrition assessment/mini-nutritional assessment short-form/malnutrition分类
医药卫生
