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논문 기본 정보

자료유형
학술저널
저자정보
양은주 (호남대학교)
저널정보
한국영양학회 한국영양학회지 한국영양학회지 제42권 제3호
발행연도
2009.4
수록면
234 - 245 (12page)

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Nutritional assessment for the elderly can identify health status and morbidity. However, development of Nutritional Risk Index (NRI) remains limited for elderly because of difficulties in understanding physiological mechanism of elderly. This study was performed to analyze and develop Nutritional Risk Index for Korean elderly Women (Geriatric Nutritional Risk Index, GNRI). Based on literature review, factors for NRI were identified and indices were assessed by a cross-sectional survey. The survey involved Korean elderly women (≥ 60, n = 94) in Gwangju area, and socio-demographics, lifestyle characteristics, health conditions, dietary intakes based on 24h- recall, anthropometric measures (wt, ht, BMI, waist, hip, WHR, body protein, body fat, abdominal fat, and triceps skinfold thickness), and clinical biochemistry parameters (systolic blood pressure, diastolic blood pressure, cholesterol, HDL-cholesterol, triglyceride, total protein, albumin, prealbumin, hemoglobin, hematocrit, fasting blood glucose, HbA1c, ferritin, Zn, Ca, Na, K, Vit E, Vit B₁₂, folate, C-reactive protein) were examined relation to nutritional risk index. Based on literature review and data analyses, three NRIs were categorized (NRI Ⅰ, NRI Ⅱ, NRI Ⅲ) and used for further analysis. NRI Ⅰ was related to having metabolic syndrome, NRI Ⅱ was related to serum albumin and body weight, and NRI Ⅲ was related to food habit and health concerns. Abdominal fat (%) of elderly was correlated with each NRIs. NRI Ⅱ was correlated with nutritional deficiency and higher tendency of inflammatory response, and NRI Ⅲ was correlated with nutritional status which tend to be lower on aging (protein, folate, Vit B₁₂). NRI can serve as a useful tools in assessing health risk and nutritional status. Some modification of items in NRI and validity study are need to apply to Korean elderly.

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UCI(KEPA) : I410-ECN-0101-2012-594-004192281