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Effectiveness of individual nutrition counselling for the prevention of undernutrition among elderly people living in depopulated areas: secondary analysis of a model project in Tsu city
http://hdl.handle.net/10076/0002000720
http://hdl.handle.net/10076/00020007208bf5bda7-9392-4c2a-9fe6-50667233042f
名前 / ファイル | ライセンス | アクション |
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||||
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公開日 | 2024-04-15 | |||||||
タイトル | ||||||||
タイトル | Effectiveness of individual nutrition counselling for the prevention of undernutrition among elderly people living in depopulated areas: secondary analysis of a model project in Tsu city | |||||||
言語 | en | |||||||
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言語 | eng | |||||||
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資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||
資源タイプ | doctoral thesis | |||||||
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アクセス権 | open access | |||||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||
著者 |
Okumura, Keiko
× Okumura, Keiko
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内容記述タイプ | Abstract | |||||||
内容記述 | Objectives To examine the effectiveness of nutrition counselling (NC) in preventing undernutrition in elderly people living in depopulated areas. Design Participants were elderly people aged at least 65 years living in a depopulated area. Participants completed self-administered questionnaires evaluating nutritional status, frailty and body composition at the start of the study, after a non-NC period (3-month control) and after an NC period (3-month intervention). During the NC period, participants attended monthly 1-hour NC sessions over 3 months. Sessions were conducted in three areas (A, B and C), and the schedule was staggered so that the NC period in one area was conducted simultaneously with the non-NC period of the next. All sessions within an area were attended by the same registered dietitian. Outcomes were assessed three times: before the non-NC period, after the non-NC period and after the NC period. The effects of NC were assessed by comparing the results between the non-NC and NC periods of all participants, using the Cochran-Mantel- Haenszel stratified test. Outcome measures The primary outcome was undernutrition, as determined by the Mini Nutritional Assessment—Short Form. Secondary outcomes were Dietary Diversity Score (DVS), body weight and frailty. Body composition was also assessed. Results Of 106 individuals who joined the project, 61 completed the project and were analysed. The NC in this study had no effect on the primary outcome. DVS in area A was significantly higher after the NC period than after the non-NC period (p=0.012). Frailty in area C was significantly lower after the NC period than after the non-NC period (p=0.025). NC had no significant effects on the other outcomes. Conclusions NC improved food variety but did not improve nutritional status, frailty or body composition. |
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言語 | en | |||||||
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内容記述タイプ | Other | |||||||
内容記述 | 本文/Faculty of Health and Human, The University of Nagano, Nagano, Japan | |||||||
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内容記述タイプ | Other | |||||||
内容記述 | 12p | |||||||
書誌情報 |
発行日 2023-12-20 |
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DOI | ||||||||
識別子タイプ | DOI | |||||||
関連識別子 | 10.1136/bmjnph-2022-000576 | |||||||
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内容記述タイプ | Other | |||||||
内容記述 | application/pdf | |||||||
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出版者 | 三重大学 | |||||||
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ミエダイガク | ||||||||
学位名 | ||||||||
学位名 | 博士(医学) | |||||||
学位授与機関 | ||||||||
学位授与機関識別子Scheme | kakenhi | |||||||
学位授与機関識別子 | 14101 | |||||||
学位授与機関名 | 三重大学 | |||||||
学位授与年月日 | ||||||||
学位授与年月日 | 2023-12-20 | |||||||
学位授与番号 | ||||||||
学位授与番号 | 乙医学第1095号 | |||||||
ノート | ||||||||
資源タイプ(三重大) | ||||||||
Doctoral Dissertation / 博士論文 |