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[1]林增鈺,袁 音,黃 峰,等.社區(qū)老年人空巢狀態(tài)與營養(yǎng)不良風(fēng)險(xiǎn)的相關(guān)性研究[J].福建醫(yī)藥雜志,2021,43(05):19-22.
　LIN Zengyu,YUAN Yin,HUANG Feng,et al.Association between empty-nest status and malnutrition risk among community-dwelling elderly population[J].FUJIAN MEDICAL JOURNAL,2021,43(05):19-22.
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社區(qū)老年人空巢狀態(tài)與營養(yǎng)不良風(fēng)險(xiǎn)的相關(guān)性研究()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
43
期數(shù):
2021年05期
頁碼:
19-22
欄目:
臨床研究
出版日期:
2021-10-15

文章信息/Info

Title:
Association between empty-nest status and malnutrition risk among community-dwelling elderly population
文章編號(hào):
1002-2600(2021)05-0019-04
作者:
林增鈺; 袁 音1; 黃 峰1; 朱鵬立1; 2
福建省福州市鼓樓區(qū)溫泉街道社區(qū)衛(wèi)生服務(wù)中心(福州 350001)
Author(s):
LIN Zengyu; YUAN Yin; HUANG Feng; ZHU Pengli
Wenquan Community Health Service Center in Gulou District,Fuzhou,Fujian 350001,China
關(guān)鍵詞:
老年;  空巢;  營養(yǎng)不良
Keywords:
elderly;  empty-nest;  malnutrition
分類號(hào):
R153.3
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 探討社區(qū)老年人空巢狀態(tài)與營養(yǎng)不良風(fēng)險(xiǎn)的關(guān)聯(lián),并分析社會(huì)支持在兩者間的中介作用。方法 對(duì)社區(qū)老年人群進(jìn)行橫斷面研究,包括調(diào)查問卷和體格檢查,完成微型營養(yǎng)評(píng)估(MNA-SF)和社會(huì)支持量表(SSRS)。采用二元logistic回歸分析空巢狀態(tài)對(duì)營養(yǎng)不良風(fēng)險(xiǎn)的影響; 根據(jù)Baron & Kenny依次檢驗(yàn)方法分析社會(huì)支持的中介效應(yīng)。結(jié)果 與非空巢老人相比,空巢老人營養(yǎng)不良風(fēng)險(xiǎn)明顯增加(P<0.001); 調(diào)整年齡、性別、社會(huì)經(jīng)濟(jì)屬性和疾病、用藥等協(xié)變量后,空巢老人營養(yǎng)不良風(fēng)險(xiǎn)是非空巢老人的1.68(1.06,2.66)倍(P=0.027); 社會(huì)支持量表得分每上升1分,營養(yǎng)不良風(fēng)險(xiǎn)下降3.5%(P<0.001); 中介效應(yīng)分析提示社會(huì)支持在空巢狀態(tài)與營養(yǎng)不良風(fēng)險(xiǎn)關(guān)系中起完全中介效應(yīng)(P<0.001)。結(jié)論 社區(qū)老年人群的空巢狀態(tài)通過影響社會(huì)支持水平,與營養(yǎng)不良風(fēng)險(xiǎn)顯著相關(guān)。
Abstract:
Objective To explore the association of empty-nest status with malnutrition risk,and understand the mediating effect of social support between this relation.Methods This cross-sectional study was conducted among 1 823 community-dwelling elderly aged 60 and above.All participants completed a systematic questionnaire,which evaluated demographic data,socioeconomic status,lifestyle habits,and clinical information.Nutritional status(the short-form mini-nutritional assessment,MNA-SF)and social support level(social support rating scale,SSRS)were measured.Physical examination were conducted.Binary logistic regression was used to analyze the effect of empty-nest status on malnutrition risk.Linear regression models were fitted according to the Baron & Kenny method for mediation analysis.Results The risk of malnutrition was significantly increased in empty-nest elderly,when compared to non-empty-nesters(P<0.001).After adjusting for covariates including age,gender,socioeconomic status,comorbidities and polypharmacy,empty-nest elderly were associated with a higher risk of malnutrition [hazard ratio=1.68,95% confidence interval(1.06,2.66),P=0.027].Per one score increase of SSRS was associated with a 3.5% reduced risk of malnutrition in elderly population(P<0.001).The mediation analysis indicated that social support played a full mediation role between empty-nest status and malnutrition risk.Conclusion Through full mediation effect,social support significantly influence the association between empty-nest status and malnutrition risk in a community-dwelling elderly population.

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備注/Memo

備注/Memo:
基金項(xiàng)目:福建省科技創(chuàng)新聯(lián)合資金項(xiàng)目(2019Y9027)
1 福建醫(yī)科大學(xué)省立臨床醫(yī)學(xué)院,福建省立醫(yī)院老年科,福建省臨床老年病研究所,福建省老年醫(yī)學(xué)中心,福建省老年病重點(diǎn)實(shí)驗(yàn)室;
2 通信作者
更新日期/Last Update: 2021-10-15