老年医学与保健2018，Vol.24Issue(1)：30-33,4.
上海三家长照机构600例老年人膳食摄入和营养状况研究
Dietary Intake and Nutritional Status of 600 Elderly in 3 Long-term Care Institutions in Shanghai
摘要
Abstract
Objective To investigate the dietary intake and nutritional status in elderly people in 3 long-term care (LTC) institutions in Shanghai so as to provide scientific basis for improving the nutritional status of the elderly.Methods Mini nutritional assessment (MNA-SF) and daily living activity (ADL) scale were applied to 600 elderly people over 65 years old in 3 LTC institutions in Shanghai to assess their nutritional status and self-care ability;24-hour dietary recall method for 3 consecutive days combined with weighing method was used in the investigation of dietary intake of the 3 days and the dietary patterns,energy and nutrient intake were analyzed;fasting venous blood was collected for the detection of hemoglobin,albumin and pre-albumin.Results (1) The incidence of malnutrition among the elderly surveyed was 10.67％ while the risk of malnutrition was 43.67％;the poorer the self-care ability was,the higher the incidence of malnutrition went.(2) The dietary pattem of the elderly people in LTC institutions was not quite reasonable;the daily intake of 95 g livestock meat and 52 g eggs reached the recommended levels;the daily cereal intake was 242 g,close to the recommended intake;the daily intake of soybean and nuts was 21 g and the daily intake of vegetables was 221 g,which were lower than the recommended levels while the daily intakes of fish and shrimp was 21 g,that of vegetables was 37 g and that of milk was 65 g,which were much lower than the recommended amount.(3) Energy intake was 1 652.9 kcal/d in male and 1 498.8 9 kcal/d in female and protein intake was 56.9 g/d and 52.9 g/d in male and in female respectively;the intakes of calcium,iron,zinc,selenium,vitamin A,vitamin E,vitamin B1,vitamin B2 and vitamin C were all lower than the recommended levels,the intakes of calcium and dietary fiber were significantly insufficient.(4) The incidence of anemia was 61.3 ％,hypo-albuminemia 26.5 ％,and low pre-albumin 36.3％.Conclusions The dietary pattern of the elderly in LTC institutions is not rational,the daily intakes of energy,protein and most of the micronutrients are lower than the recommended levels,malnutrition incidence and nutritional risk are high,which should be given more attention.关键词
老年/长照机构/膳食营养摄入量/营养不良Key words
elderly/long-term care (LTC) institution/dietary intake/malnutrition引用本文复制引用
吴彩芳,金杭梅,杨云华,陈艳秋,谢华,袁伟,孙建琴,陆允伟,李或,刘静,沈家萍,葛丽萍,郭秀桃,卢萍,徐晶..上海三家长照机构600例老年人膳食摄入和营养状况研究[J].老年医学与保健,2018,24(1):30-33,4.基金项目
中国营养学会营养科研基金——帝斯曼专项科研基金 （）
