【摘要】 目的了解老年2型糖尿病(T2DM)患者营养状况,为制定老年患者膳食计划和干预提供依据。方法对门诊老年T2DM患者(60~79岁)进行问卷调查、体格检查和实验室血清学检测,同时采用膳食频率调查法对其膳食状况进行调查。结果 170例调查对象超重、肥胖和中心性肥胖的比例分别为50.00%、13.10%、50.59%,血脂异常患病率为55.29%。日常膳食高于推荐量比例的食物主要为盐(54.12%)和油(58.82%),低于推荐量比例的主要为奶类及其制品(100.00%)、水果类(97.65%)、蔬菜类(84.70%)等。能量摄入基本合理,三大产能营养素供能比不合理,蛋白质、脂肪和碳水化合物供能比例符合推荐值比例分别为50.59%、11.76%、28.82%。维生素E、铁的摄入量达到推荐摄入量比例较高,其余各种营养素达到推荐摄入量比例较低。结论门诊老年T2DM患者体重控制不理想,血糖血脂控制达标率低;膳食结构不合理,一些营养素摄入量达不到推荐摄入量水平。更多还原

【Abstract】 Objective To investigate health and nutrition status of elderly outpatients with type 2diabetes(T2DM);to provide scientific basis for making dietary plans and intervention measures.Methods Questionnaire based survey,physical examination and blood tests were used to investigate elderly outpatients aged from 60 years old to 79 years old with T2DM;dietary intakes were measured by food frequency questionnaire.Results Among 170 surveyed subjects,the overweight rate was50.00%,the obesity rate was 13.10% and central obesity rate was 50.59%.Dyslipidemia accounted for 55.29%.Major foods exceeding recommended daily intake amount were salt and oil,accounted for 54.12% and 58.82%,respectively.Major foods failed to satisfy recommended daily intake amount were milk and related products,fruits and vegetables,accounted for100.00%,97.65% and 84.70%,respectively.Energy intake was generally reasonable.However,contribution of 3kinds of major energy-yielding nutrients was unreasonable.The consistency of protein,fat and carbohydrate with recommendation were50.59%,11.76% and 28.82%,respectively.Vitamin E and iron intake achieved a higher proportion of recommended intake,the rest of the various nutrients only achieved a lower proportion of recommended intakes.Conclusion The elderly outpatients with T2 DM suffered from poor weight control and dyslipidemia.The dietary pattern of elderly outpatients was unreasonable and some nutrient intakes failed to satisfy recommended levels.更多还原