老年营养不良与营养不良的关系:文学研究

Nurlianti Safira, Enny Probosari, Aryu Candra, Fitriyono Ayustaningwarno, Ayu Rahadiyanti
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摘要

背景:吞咽困难可导致老年人营养状况下降和营养不良风险增加。吞咽困难的发病率往往未被发现,特别是在社区的老年人中,导致老年人中存在吞咽困难风险的患病率增加。目的:综述老年人营养不良伴吞咽困难的最新研究进展。方法:在PubMed、SpringerLink、ScienceDirect、DOAJ和ResearchGate数据库中使用关键词吞咽困难和(营养状况或营养不良)和老年人检索2011 - 2021年的英语文章,发现根据纳入标准选择了16篇文章,包括社区中年龄≥65岁的老年受试者的文章,最少50名受访者的样本,横断面和前瞻性队列研究。分析变量之间的关系,并由训练有素的人员使用有效的工具收集数据。结果:老年人吞咽困难独立与营养状况有显著关系,可减少口服食物摄入量,导致营养缺乏导致营养状况下降。众所周知,仪器、特征和样本数量的差异以及营养不良的时间可以影响变量之间的关系。其他因素如牙齿状况、身体组成和舌压也可能与吞咽困难和营养不良有关。结论:绝大多数研究均发现这两个变量之间存在相关性,提示吞咽困难是导致老年人营养不良的重要因素。关键词:老年;吞咽困难;营养不良
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HUBUNGAN DISFAGIA DENGAN MALNUTRISI PADA LANJUT USIA : STUDI LITERATUR
Background: Dysphagia can lead to a decrease in nutritional status and increased risk of malnutrition in the elderly. The incidence of dysphagia often undetected, especially among the elderly in the community, causes the prevalence of the elderly at risk of dysphagia in the elderly to increase.Objective: The aims of this literature study was to review the latest research related to dysphagia with malnutriton in the elderly. Method: The search for 2011 – 2021 English-language articles was carried out on the PubMed, SpringerLink, ScienceDirect, DOAJ, and ResearchGate databases using the keyword Dysphagia AND (Nutritional Status OR Malnutrition) AND Elderly and it was found  that 16 articles were selected based on inclusion criteria, including articles with elderly subjects aged ≥65 years in the community, a minimum sample of 50 respondents, a cross sectional and prospective cohort study, analyzed the relationship between variables, and data collection using valid instruments by a trained people.Result: Dysphagia independently had a significant relationship with nutritional status in elderly, could reduce oral food intake and lead to decrease in nutritional status due to nutrient deficiency. It was known that differences in instruments, characteristics and number of samples as well as the timing of malnutrition can affect the relationship between variables. Other factors such as teeth condition, body composition and tongue pressure might also be associated with dysphagia and malnutrition. Conclusion: The existence of a relationship between the two variables found in most of the studies indicates that dysphagia is an important factor that can lead to malnutrition in elderlyKeywords: Elderly; Dysphagia; Malnutrition
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