台灣老人營養狀況與認知衰退之關聯性探討

Objectives: To investigate the association of nutritional status and cognitive status and to identify a possible causal role of nutritional status in the future risk of cognitive decline in older Taiwanese. Methods: The study analyzed the 1999 and 2003 datasets of the ”Survey of Health and Living St...

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Published in台灣公共衛生雜誌 Vol. 32; no. 1; pp. 42 - 51
Main Authors 黃純甄(Chuen J. Huang), 蔡仲弘(Alan C. Tsai)
Format Journal Article
LanguageChinese
Published 台灣 臺灣公共衛生學會 01.02.2013
台灣公共衛生學會
Subjects
cognitive decline
elderly
nutritional status
Scopus
TSSCI
營養狀況
老年人
認知風險
nutritional status
認知風險
老年人
營養狀況
cognitive decline
elderly
Online AccessGet full text
ISSN1023-2141
DOI10.6288/TJPH2013-32-01-05

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Abstract Objectives: To investigate the association of nutritional status and cognitive status and to identify a possible causal role of nutritional status in the future risk of cognitive decline in older Taiwanese. Methods: The study analyzed the 1999 and 2003 datasets of the ”Survey of Health and Living Status of the Elderly in Taiwan”. Subjects were interviewed, face-to-face, with a structured questionnaire. The Mini Nutritional Assessment (MNA) was used to rate nutritional status and the Short Portable Mental Status Questionnaire (SPMSQ)、was used to rate cognitive status. This cross-sectional study included 2,672 elderly at baseline while the longitudinal analysis included the 1895 subject who survived in 2003, less those who had severe cognitive impairment at baseline and those who failed to complete the 2003 interview. Both models controlled for socio-demographic factors, lifestyle, food intake, and health and medical conditions. Results: In regression models that controlled for possible confounders, cross-secti
AbstractList 目標：探討台灣老人營養狀況與認知功能的關聯，及營養狀況對隨後認知衰退的影響。方法：分析「台灣中老年身心社會生活狀況長期追蹤調查」，1999年以結構式問卷面訪2,890位≥65歲個案的資料。以「簡易營養評估」(Mini Nutritional Assessment, MNA)評定個案於基準點的營養狀況及以「簡易心智狀態量表」(Short Portable Mental Status Questionnaire, SPMSQ)評估個案的認知功能。在控制人口學、社經、生活方式及健康等變項的狀況下，以邏輯斯迴歸分析1999年2,672個案(2,890去除218資料不全者)的營養狀況與認知功能的橫斷關聯，及與四年後這些個案認知衰退的關聯。結果：在控制上述變項狀況下，橫斷分析顯示營養狀況與認知功能呈顯著關聯(OR=2.07, 95% CI=1.57-2.75, p＜0.001)；縱貫分析顯示，基準點營養不足(MNA score≤ 23.5分)者，其四年後認知衰退風險比營養良好者高0.43倍 (1.43, 1.01-2.04, p=0.049)。結論：結果顯示營養狀況與當前的認知功能呈顯著關聯，亦可影響隨後的認知衰退風險。老年人應重視日常營養以減低認知功能衰退的風險。「簡易營養評估」除評估營養狀況，也兼具評估老人當前與未來長期認知狀況的功能
Objectives: To investigate the association of nutritional status and cognitive status and to identify a possible causal role of nutritional status in the future risk of cognitive decline in older Taiwanese. Methods: The study analyzed the 1999 and 2003 datasets of the ”Survey of Health and Living Status of the Elderly in Taiwan”. Subjects were interviewed, face-to-face, with a structured questionnaire. The Mini Nutritional Assessment (MNA) was used to rate nutritional status and the Short Portable Mental Status Questionnaire (SPMSQ)、was used to rate cognitive status. This cross-sectional study included 2,672 elderly at baseline while the longitudinal analysis included the 1895 subject who survived in 2003, less those who had severe cognitive impairment at baseline and those who failed to complete the 2003 interview. Both models controlled for socio-demographic factors, lifestyle, food intake, and health and medical conditions. Results: In regression models that controlled for possible confounders, cross-secti
Author 蔡仲弘(Alan C. Tsai)
黃純甄(Chuen J. Huang)
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Keywords nutritional status
認知風險
老年人
營養狀況
cognitive decline
elderly
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目標：探討台灣老人營養狀況與認知功能的關聯，及營養狀況對隨後認知衰退的影響。方法：分析「台灣中老年身心社會生活狀況長期追蹤調查」，1999年以結構式問卷面訪2,890位≥65...
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StartPage 42
SubjectTerms cognitive decline
elderly
nutritional status
Scopus
TSSCI
營養狀況
老年人
認知風險
Title 台灣老人營養狀況與認知衰退之關聯性探討
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