{"title":"迷你营养评估简表可预测住在集体之家的老年痴呆症患者的死亡率:一项为期 5 年的纵向研究。","authors":"Kenichiro Yasutake, Marina Kawano, Hideaki Kumahara","doi":"10.1016/j.clnesp.2024.10.165","DOIUrl":null,"url":null,"abstract":"<p><strong>Background & aims: </strong>Many people with dementia frequently experience various health-related problems and are known to have poor nutritional status. However, very few studies have examined the nutritional status of dementia residents in group homes, which play an important role in a society-wide system of support for people with dementia, or the relationship between nutritional status and long-term prognosis. This study was conducted to determine the nutritional status of group-home residents and to examine the relationship between nutritional status and the 5-year survival rate.</p><p><strong>Methods: </strong>Participant characteristic (e.g., age, sex, body mass index, and medical history) and Mini Nutritional Assessment-Short Form (MNA-SF), Barthel index (BI), and Clinical Dementia Rating (CDR) data were collected from 79 older people (12 men/67 women; mean age: 88.3 ± 5.5 years) residing in 5 group homes as a baseline survey. Mortality data were obtained from medical records using an endline survey.</p><p><strong>Results: </strong>The nutritional status of the participants using the MNA-SF was normal, at risk of malnutrition, and malnourished in 15.2 % (n = 12), 69.6 % (n = 55), and 15.2 % (n = 12) of participants, respectively. Following the survey, mortality data were collected for 5 years, and the 5-year survival rates were 64.3 % in those with normal nutritional status, 30.4 % in those at risk of malnutrition, and 9.1 % in the malnourished group, with a significant difference observed in the Kaplan-Meier analysis (p < 0.001). The hazard ratio for the MNA-SF scores and survival rates adjusted for sex, age, BI, and CDR were significant 0.80 [0.69-0.93, p = 0.003].</p><p><strong>Conclusion: </strong>This study showed that 84.8 % of patients with dementia residing in group homes were malnourished or at risk of malnutrition and that low MNA-SF levels were an independent determinant of the 5-year survival rate.</p>","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":null,"pages":null},"PeriodicalIF":2.9000,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Mini nutritional assessment short form as a predictor of mortality among older adults with dementia residing in group homes: A 5-year longitudinal study.\",\"authors\":\"Kenichiro Yasutake, Marina Kawano, Hideaki Kumahara\",\"doi\":\"10.1016/j.clnesp.2024.10.165\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background & aims: </strong>Many people with dementia frequently experience various health-related problems and are known to have poor nutritional status. However, very few studies have examined the nutritional status of dementia residents in group homes, which play an important role in a society-wide system of support for people with dementia, or the relationship between nutritional status and long-term prognosis. This study was conducted to determine the nutritional status of group-home residents and to examine the relationship between nutritional status and the 5-year survival rate.</p><p><strong>Methods: </strong>Participant characteristic (e.g., age, sex, body mass index, and medical history) and Mini Nutritional Assessment-Short Form (MNA-SF), Barthel index (BI), and Clinical Dementia Rating (CDR) data were collected from 79 older people (12 men/67 women; mean age: 88.3 ± 5.5 years) residing in 5 group homes as a baseline survey. Mortality data were obtained from medical records using an endline survey.</p><p><strong>Results: </strong>The nutritional status of the participants using the MNA-SF was normal, at risk of malnutrition, and malnourished in 15.2 % (n = 12), 69.6 % (n = 55), and 15.2 % (n = 12) of participants, respectively. Following the survey, mortality data were collected for 5 years, and the 5-year survival rates were 64.3 % in those with normal nutritional status, 30.4 % in those at risk of malnutrition, and 9.1 % in the malnourished group, with a significant difference observed in the Kaplan-Meier analysis (p < 0.001). The hazard ratio for the MNA-SF scores and survival rates adjusted for sex, age, BI, and CDR were significant 0.80 [0.69-0.93, p = 0.003].</p><p><strong>Conclusion: </strong>This study showed that 84.8 % of patients with dementia residing in group homes were malnourished or at risk of malnutrition and that low MNA-SF levels were an independent determinant of the 5-year survival rate.</p>\",\"PeriodicalId\":10352,\"journal\":{\"name\":\"Clinical nutrition ESPEN\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2024-11-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical nutrition ESPEN\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.clnesp.2024.10.165\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical nutrition ESPEN","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.clnesp.2024.10.165","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Mini nutritional assessment short form as a predictor of mortality among older adults with dementia residing in group homes: A 5-year longitudinal study.
Background & aims: Many people with dementia frequently experience various health-related problems and are known to have poor nutritional status. However, very few studies have examined the nutritional status of dementia residents in group homes, which play an important role in a society-wide system of support for people with dementia, or the relationship between nutritional status and long-term prognosis. This study was conducted to determine the nutritional status of group-home residents and to examine the relationship between nutritional status and the 5-year survival rate.
Methods: Participant characteristic (e.g., age, sex, body mass index, and medical history) and Mini Nutritional Assessment-Short Form (MNA-SF), Barthel index (BI), and Clinical Dementia Rating (CDR) data were collected from 79 older people (12 men/67 women; mean age: 88.3 ± 5.5 years) residing in 5 group homes as a baseline survey. Mortality data were obtained from medical records using an endline survey.
Results: The nutritional status of the participants using the MNA-SF was normal, at risk of malnutrition, and malnourished in 15.2 % (n = 12), 69.6 % (n = 55), and 15.2 % (n = 12) of participants, respectively. Following the survey, mortality data were collected for 5 years, and the 5-year survival rates were 64.3 % in those with normal nutritional status, 30.4 % in those at risk of malnutrition, and 9.1 % in the malnourished group, with a significant difference observed in the Kaplan-Meier analysis (p < 0.001). The hazard ratio for the MNA-SF scores and survival rates adjusted for sex, age, BI, and CDR were significant 0.80 [0.69-0.93, p = 0.003].
Conclusion: This study showed that 84.8 % of patients with dementia residing in group homes were malnourished or at risk of malnutrition and that low MNA-SF levels were an independent determinant of the 5-year survival rate.
期刊介绍:
Clinical Nutrition ESPEN is an electronic-only journal and is an official publication of the European Society for Clinical Nutrition and Metabolism (ESPEN). Nutrition and nutritional care have gained wide clinical and scientific interest during the past decades. The increasing knowledge of metabolic disturbances and nutritional assessment in chronic and acute diseases has stimulated rapid advances in design, development and clinical application of nutritional support. The aims of ESPEN are to encourage the rapid diffusion of knowledge and its application in the field of clinical nutrition and metabolism. Published bimonthly, Clinical Nutrition ESPEN focuses on publishing articles on the relationship between nutrition and disease in the setting of basic science and clinical practice. Clinical Nutrition ESPEN is available to all members of ESPEN and to all subscribers of Clinical Nutrition.