在尼日利亚初级保健诊所就诊的老年人贫血、低白蛋白血症与饮食生活方式之间的关系。

Abdulgafar L Olawumi, Bukar A Grema, Abdullahi K Suleiman, Godpower C Michael, Zainab A Umar, Abiso A Mohammed, Ahmad I Rufai, Mahmud B Mahmud, Hauwa A Muhammad
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引用次数: 0

摘要

目的确定老年人贫血的患病率和严重程度,评估饮食生活方式、低白蛋白血症和贫血之间的关系:设计:基于医院的横断面研究:研究地点:尼日利亚卡诺市阿米努-卡诺教学医院的初级保健单位--普通门诊部:主要结果指标:主要结果测量:贫血的患病率和严重程度、贫血与低白蛋白血症之间的关系以及参与者的饮食生活方式:共有 348 名受访者完成了研究。受访者的平均年龄为 67.83±7.53 岁,女性(60.9%)居多。贫血和低蛋白血症的患病率分别为 42.2% 和 17.8%。低蛋白血症(β=0.335,95%CI=0.131-0.229,PPP=0.013)和月收入低(β=0.122,95%CI=0.179-1.543,P=0.026)是本研究中老年人贫血的预测因素:本研究揭示了老年人贫血的高发率。已确定的预测因素,如低蛋白血症、合并症持续时间长、食物摄入量减少和月收入低等,将有助于在初级医疗机构和其他类似场所制定管理贫血症的指南和策略:未声明。
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Relationship between anaemia, hypoalbuminaemia, and dietary lifestyle of the older adults attending a primary care clinic in Nigeria.

Objectives: To determine the prevalence and severity of anaemia and assess the relationship between dietary lifestyle, hypoalbuminaemia, and anaemia of older persons.

Design: A cross-sectional hospital-based study.

Setting: This study was conducted in the General Outpatient Clinic, the primary care unit of Aminu Kano Teaching Hospital in Kano, Nigeria.

Participants: A total of 378 patients aged ≥ 60 years who presented to the General Out-patient Clinic.

Main outcome measures: Prevalence and severity of anaemia, relationship between anaemia and hypoalbuminaemia, and dietary lifestyle of the participants.

Results: A total of 348 respondents completed the study. The mean age of respondents was 67.83 ±7.53 years, with female (60.9%) predominance. The prevalence of anaemia and hypoalbuminaemia were 42.2% and 17.8%, respectively. Hypoalbuminaemia (β=0.335, 95%CI=0.131-0.229, P<0.001), long duration of comorbidities (β= -0.179, 95%CI= -0.165-0.047, P<0.001), one full meal/day (β=0.130, 95%CI=0.224-1.879, P=0.013), and low monthly income (β=0.122, 95%CI=0.179-1.543, P=0.026) were the predictors of anaemia among the older persons in this study.

Conclusion: This study revealed a high prevalence of anaemia among older adults. The identified predictors, such as hypoalbuminaemia, long duration of comorbidities, reduced food intake and low monthly income, will be useful in developing guidelines and strategies for managing the condition in primary care settings and other similar sites.

Funding: None declared.

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