老年人的精神疾病、营养状况和动脉高血压

Sotto Mayor Margarida, P. Helena, Reis Gorete, Santos José Manuel
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引用次数: 0

摘要

营养状况的改变和高血压在老年精神障碍患者中很常见。目前,了解这些变量的相关因素是为了预防发病和死亡风险。这项研究的目的是评估精神障碍、营养状况和血压之间的关系。这是一项横断面研究,样本是99名生活在社区的老年人,他们都有过精神紧急事件。数据收集自初始评估表(IE)。结果显示多种病理,认知缺陷,高血压和体重指数(BMI)改变。结论:在大多数样本中,BMI与几种合并症有关,并与颞叶定向障碍和动脉高血压共存。预防是保持健康和幸福的关键。与衰老过程相关的身体组成的变化体现在内脏层面的脂肪体质量的增加,以及以细胞内部分为代价的肌肉减少、骨量减少和水分减少所表现的瘦体质量的减少(1)。因此,老年人的营养和健康必须以覆盖其一生的扩大视角来构建。随着年龄的增长,人们的饮食行为会发生变化,这将导致人们对食物的选择产生重大差异,而这些变化又受到生物、经济、心理和社会等因素的相互作用的影响。身体质量指数(BMI)的变化与血压的变化之间的关联容易导致严重病理状况的爆发,如冠心病、心力衰竭、外周动脉疾病和肾衰竭(2),这是需要采取积极措施的原因。在发达国家,在家中生活的老年人中,明显的营养不良可以达到5-10%,在老年患者和出院时,营养不良的比例超过50%(1)。随着人们寿命的延长,长寿的质量成为个人生活和社会福祉的核心问题。因此,它是常见的多种病理和痴呆。痴呆症通常与营养状况的改变有关,其中体重减轻最为明显
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Mental illness of the oldest, nutritional status and arterial hypertension
Changes in nutritional status and high blood pressure are very common in elderly with mental disorders. Currently, the interest in knowing associated factors to those variables is to prevent morbidity and mortality risk. The study aim was to evaluate the relationship between mental disorders, nutritional status and blood pressure. Its a cross-sectional study in a sample of 99 elderly living in community that had a psychiatric emergency episode. Data were collected from the initial evaluation form (IE). Results show multiple pathologies, cognitive deficits, high blood pressure and change in body mass index (BMI). Conclusions: In most of the sample BMI is associated with several co morbidities and co-exists with a temporal disorientation and arterial hypertension. Prevention is the key to maintaining health and well-being. The changes in body composition associated with the aging process are reflected in increased of fat body mass, at visceral level, and decreased of lean body mass expressed in sarcopenia, decreased of bone mass and decreased of water at the expense of intracellular sector (1). Therefore, the nutrition and health of the elderly have to be framed in an enlarged perspective covering all his life. With aging, come upon changes in eating behavior, which will lead to major differences in the choice of food, influenced in turn by the interaction of several factors: biological, economic, psychological and social ones. The association of changes in Body Mass Index (BMI) with changes in blood pressure predispose the outbreak of severe pathological conditions such as coronary heart disease, heart failure, peripheral arterial disease and kidney failure (2), reasons which pro-active steps are needed. In developed countries, the obvious malnutrition can reach 5-10% of the elderly living in their homes and more than 50% in elderly patients and at the time of hospital discharge (1). As people live longer, the quality of longer life becomes a central issue for personal life and social well-being. Consequently, it is frequent multiple pathologies and also dementia. Dementia is commonly associated with alterations in the nutritional status of which weight loss is the mos t
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