Sažetak | Cilj istraživanja: Pregledom znanstvene literature ukazati na bitan utjecaj prehrane na proces starenja i zdravlje osoba starije dobi te se procjenom nutritivnog statusa starije populacije u ljekarni posebno osvrnuti na problem neprepoznate malnutricije starijih neinstitucionaliziranih osoba.
Materijal i metode: Temelj istraživanja bio je validirani alat „DETERMINE checklist“ za procjenu nutritivnog rizika neinstitucionaliziranih osoba starijih od 70 godina. Uzorak je uključivao 43 ispitanika (pacijenti Ljekarne SDŽ - Sućidar, Split), od čega su 23 ispitanika pripadnici muškog spola (53,49 %), a 20 ispitanika pripadnice ženskog spola (46,51 %).
Rezultati: Prema konačnim rezultatima upitnika, sveukupno 41,9 % ispitanika imalo je dobro nutritivno zdravlje, a 58,2 % je pod nutritivnim rizikom (44,2 % ispitanika pod umjerenim, a 14 % pod visokim nutritivnim rizikom). Kategorije s najvećim brojem potvrdnih odgovora, a samim time i najčešćim doprinosom nutritivnim rizicima su: „uzimanje 3 ili više receptnih ili bezreceptnih lijekova dnevno“ (67,4 %) i „prisutnost bolesti ili stanja koje utječe na opseg prehrane“ (39,5 %), a nitko od ispitanika ne jede manje od 2 obroka dnevno (0,0 %).
Zaključci: S obzirom da svjetska populacija stari, potrebna je naglašena pozornost prema određenim potrebama i izazovima s kojima su suočeni mnogi stariji ljudi. Prehrana je važan element zdravlja kod starije populacije i utječe na proces starenja. Iako je riječ o istraživanju na malom broju ispitanika, usporedbom s većom europskom studijom postaje relevantno za dokazivanje prisutnog problema malnutricije među starijim pacijentima. Potrebno je poduzeti sve mjere za povećanje svijesti zdravstvenih radnika o tom problemu kako bi se isti uspješno prevenirao ili zaustavio i poboljšao na vrijeme. |
Sažetak (engleski) | Objectives: To review the scientific literature about nutrition and its impact on aging process and health of elderly people. To highlight the problem of unrecognized malnutrition of older non-institutionalized adults using an assessment of the nutritional status of the elderly population in the pharmacy.
Material and methods: The base of the study is the validated dietary assessment tool named „DETERMINE checklist“ for assessing the nutritional risk of non-institutionalized persons over 70 years old. The sample included 43 subjects (patients of the Pharmacy SDŽ - Sućidar, Split), of which 23 were male (53.49 %) and 20 were female (46.51 %).
Results: According to the recorded score of the „DETERMINE checklist”, 41.9 % of the elderly have good nutritional health and 58.2 % were at nutritional risk (44.2 % of subjects are moderate and 14 % are at high nutritional risk). The categories with the highest number of affirmative responses, and thus the most common contributor to nutritional risks, are: “taking 3 or more different prescribed medications or over-the-counter drugs daily“ (67.4 %) and “having an illness or condition affecting the kind and/or amount of meals” (39.5 %), and none of the subjects consumed less than 2 meals per day (0.0 %).
Conclusions: As the world's population is getting older, there is a need for increased attention on the specific needs and challenges which many older people are facing. Diet is an important element of health in the elderly population and affects the aging process. Although this is a small-scale study, but, when compared to a larger European study, it becomes relevant to prove the present problem of malnutrition in the elderly population. All measures should be taken to increase the awareness of healthcare professionals about this problem so it can be successfully prevented or stopped and improved in the future. |