原创力文档risk of malnutrition is associated with mental health symptoms in community living elderly men and women the troms？ study营养不良的风险与心理健康症状在社区生活的老年男性和女性敌人.pdfVIP
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risk of malnutrition is associated with mental health symptoms in community living elderly men and women the troms？ study营养不良的风险与心理健康症状在社区生活的老年男性和女性敌人
Kvamme et al. BMC Psychiatry 2011, 11:112
/1471-244X/11/112
RESEARCH ARTICLE Open Access
Risk of malnutrition is associated with mental
health symptoms in community living elderly
men and women: The Tromsø Study
1,2* 3 2,4 1
Jan-Magnus Kvamme , Ole Grønli , Jon Florholmen and Bjarne K Jacobsen
Abstract
Background: Little research has been done on the relationship between malnutrition and mental health in
community living elderly individuals. In the present study, we aimed to assess the associations between mental
health (particularly anxiety and depression) and both the risk of malnutrition and body mass index (BMI, kg/m2) in
a large sample of elderly men and women from Tromsø, Norway.
Methods: In a cross-sectional survey, with 1558 men and 1553 women aged 65 to 87 years, the risk of
malnutrition was assessed by the Malnutrition Universal Screening Tool (’MUST’), and mental health was measured
by the Symptoms Check List 10 (SCL-10). BMI was categorised into six groups ( 20.0, 20.0-22.4, 22.5-24.9, 25.0-27.4,
27.5-29.9, ≥ 30.0 kg/m2).
Results: The risk of malnutrition (combining medium and high risk) was found in 5.6% of the men and 8.6% of the
women. Significant mental health symptoms were reported by 3.9% of the men and 9.1% of the women. In a
model adjusted for age, marital status, smoking and education, significant mental health symptoms (SCL-10 score
≥ 1.85) were positively associated with the risk of malnutrition (odds ratio 3.9 [95% CI 1.7-8.6] in men and 2.5 [95%
CI 1.3-4.9] in women), the association was positive also for subthreshold mental health symptoms. For individuals
with BMI 20.0 the adjusted odds ratio for significant mental health symptoms was 2.0 [95% CI 1.0-4.0].
Conclusions: Impaired
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