Predictors of Nutritional Decline in Well-nourished Community-living Elderly People
スポンサーリンク
概要
- 論文の詳細を見る
The predictive factors of nutritional. decline in well-nourished functionally competent community-living elderly people were investigated, based on a two-year longitudinal study (1994-1996). The subjects were well-nourished, with a mean serum albumin level>4.0g/dl (men, 4.17g/dl; women, 4.25g/dl), and functionally competent elderly people (61 men and 194 women) aged 67 years and over (mean age, 72.3 years) living in a rural area (Nangai village, northern Japan). Potential confounding factors were simultaneously investigated at the baseline, and predictive factors for serum albumin decline (≥0.2g/dl) over the 2-year study were subjected to a multiple logistic regression analysis.The respective average levels of serum albumin decline for the men and women were 0.08 and 0.10g/dl over the 2-year period. The decline of serum albumin was positively and independently associated with hospitalization within one year (3.16 relative risk (RR), 95% confidence interval (CI); 1.13-8.81, a fall within one year (2.21 RR, 95% CI; 0.89-5.45), a low level of leisure-time activity (never or sometimes, 2.17RR, 95% CI; 0.98-4.82), and limitation to high-level functional capacity (instrumental self-maintenance score<5; subscale of Tokyo Metropolitan Institute of Gerontology Index of Competence, 2.68 RR, 95% CI; 0.95-7.77). These four factors had a synergistic effect on the serum albumin decline; relative to the reference group with no one applicable factor, RR of the groups with at least one and two applicable factors were respectively 1.83 (95% CI; 0.76-4.42) and 7.12 (95% CI; 2.41-21.01), after adjusting for potential confounders.The results suggest that physical inactivity accelerated the decline of nutritional status with advancing age in well-nourished functionally competent community-living elderly people.
- 特定非営利活動法人 日本栄養改善学会の論文
特定非営利活動法人 日本栄養改善学会 | 論文
- 減量の誘惑場面における対策の質的検討
- フォーマティブ・リサーチに基づいた職域における体重管理プログラムに関する事例的研究
- 体重管理における誘惑場面の対策尺度の作成
- Detection of Heavy Metal Toxicity by Cell Culture Method (1)
- Comparison of the Physical Properties, Taste Preference and Effect on Blood Glucose Level between Pudding Sweetened by Sugar and Erythritol