摘要
目的 在老年心血管患者中比较微型营养评估法 （mini nutritional assessment,MNA）和微犁营养评估简易法 （short-form mini nutritional assessment,MNA-SF）,并了解上述两种方法与传统营养指标的相关性.方法 采用横断面调查,随机抽取2009年12月至2010年3月间入住上海市徐汇区中心医院,年龄≥6 0岁,临床诊断明确的心血管患者170例,分别记录生化及人体测量指标,分别采用MNA、MNA-SF量表进行评分和行相关统计分析.结果 （1）以MNA法和MNA-SF法的不同营养状况组别比较BMI、三头肌皮褶厚度、上臂肌围、小腿围、白蛋白、血红蛋白指标均随营养状况的下降而降低,统计显示差异有统计学意义（P〈O．05）;（2）采用MNA和MNA-SF方法评估老年心血管患者营养状况,其结果高度一致,观察一致率=85．3％,Kappa 值=0．706.两种分数的相关系数r=0．839,（=O．036）;（3）MNA 和 MNA-SF 线性回归方程式为 MNA=1．31 （MNA-SF）＋7．76.结论 MNA与 MNA-SF 均能较早和综合评价心血管疾病老年患者的营养状况,其结果有较高的一致性.MNA-SF 更为快捷、简便,值得提倡.
Objective To compare MNA with MNA-SF in assessment of nutrition status of the elderly patients with chronic heart disease （CHD）, and to comfirm the correlation of MNA and MNA-SF with classical nutritional assessment methods. Methods 170 elderly.patients with CHD aged ≥ 60 years were evaluated their nutrition status with MNA and MNA-SF methods, respectively. The records included anthropometry, biochemical markers. Results （1） As a comparasion, value of BMI, triceps skinfolds, circumference of upper mid arm and crus, albumin and hemoglobin changes significantly under different nutritional group （P 〈 0.05）, either in MNA or in MNA-SF methods, literally value drops as nutritional status declines. （2） The results of assessment of nutrition status with MNA or MNA-SF method was highly con- sistent with consistent rate （po） at 85. 3 % and Kappa value at 0.706. The coefficients of correlation for MNA and MNA- SF was 0.839. （3） The linear regression analysis equation was MNA= 1.31 （MNA-SF） ＋7.76. Conclusions Both MNA and MNA-SF can be used to assess the nutrition status of CHD patients comprehensively in earlier stage with highly consistent results, whilest MNA-SF method is recommended due to its simplicity and higher efficiency.
出处
《老年医学与保健》
CAS
2012年第1期40-42,47,共4页
Geriatrics & Health Care
