Relationship between Nutritional Status Evaluated by Mini Nutritional Assessment Short-Form and Activities of Daily Living after 1 Year in Community-Dwelling Older Adults Using Outpatient Rehabilitation.

Q3 Medicine Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2023-07-01 Epub Date: 2023-10-12 DOI:10.1080/21551197.2023.2259820

Taisei Ishimoto, Manoka Yano, Nozomi Matsudaira, Takehiro Fujimoto, Hikaru Hayashi, Yoshio Toyota, Naoki Akazawa

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Abstract

Objective: This study aimed to investigate the association between nutritional status assessed by the Mini Nutritional Assessment Short-Form (MNA-SF) and activities of daily living (ADL) after 1 year and changes in ADL among community-dwelling older adults.

Methods: This study included 95 community-dwelling older adults using outpatient rehabilitation (74.7% female). ADL was assessed using the Barthel index (BI), and the MNA-SF was used to assess nutritional status. Multiple regression analysis was performed with the BI after 1 year as the objective variable and MNA-SF, age, sex, updated Charlson comorbidity index, number of medications, body mass index, Food Intake Level Scale (FILS), and baseline BI as independent variables. Logistic regression analysis was performed with improvement or deterioration in ADL as the objective variable.

Results: The results of multiple regression analysis with BI after 1 year as the objective variable indicated that baseline BI, FILS, and MNA-SF were significant variables (R² = 0.835). The results of the logistic regression analysis with ADL improvement/deterioration as the objective variable indicated only MNA-SF as a significant variable (odds ratio: 0.663 [95% CI: 0.528-0.923]).

Conclusions: These results indicate that the MNA-SF was related to changes in ADL and ADL after 1 year among community-dwelling older adults.

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使用门诊康复的社区居住老年人1年后通过迷你营养评估简表评估的营养状况与日常生活活动之间的关系。

目的：本研究旨在探讨迷你营养评估简表（MNA-SF）评估的营养状况与1 社区老年人ADL的变化。方法：本研究纳入了95名社区老年人（74.7%为女性）。ADL使用Barthel指数（BI）进行评估，MNA-SF用于评估营养状况。1后用BI进行多元回归分析年为目标变量，MNA-SF、年龄、性别、更新的Charlson共病指数、用药次数、体重指数、食物摄入水平量表（FILS）和基线BI为自变量。以ADL改善或恶化为客观变量进行Logistic回归分析。结果：1年后BI的多元回归分析结果年作为客观变量表明，和MNA-SF为显著变量（R2=0.835）。以ADL改善/恶化为目标变量的逻辑回归分析结果表明，只有MNA-SF是显著变量（优势比：0.663[95%CI:0.528-0.923]）居住在社区的老年人。

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来源期刊

Journal of Nutrition in Gerontology and Geriatrics Nursing-Nutrition and Dietetics

CiteScore

2.20

自引率

0.00%

发文量

期刊介绍： The Journal of Nutrition in Gerontology and Geriatrics publishes original research studies that are directly relevant to clinical and community nutrition issues that affect older adults. Epidemiologic and community-based studies are suitable for JNE, as are well-controlled clinical trials of preventive and therapeutic nutritional interventions. The Journal of Nutrition in Gerontology and Geriatrics invites papers on a broad array of topics in the nutrition and aging field, including but not limited to studies of: preventive nutrition, nutritional interventions for chronic disease, aging effects on nutritional requirements, nutritional status and dietary intake behaviors, nutritional frailty and functional status, usefulness of supplements, programmatic interventions, transitions in care and long term care, and community nutrition issues.