本研究在探討新北市貢寮區高齡長者營養狀況與衰弱程度，藉以瞭解該區長者營養與衰弱之現況，進而作為推動社區長者健康促進、預防及延緩失能照護之政策參考。採橫斷式調查以結構式問卷，透過研究者家訪進行資料收集，共分析有效問卷335份，研究結果如下:
一、高齡長者的主要照顧者、經濟來源、牙齒狀況、運動習慣與營養狀況呈顯著差異。
二、高齡長者的主要照顧者、居住狀況、經濟來源、牙齒狀況、運動習慣與衰弱程度呈顯著差異。
三、高齡長者營養狀況與衰弱程度之間呈現顯著負相關，營養狀況分數越低者,其衰弱分數越高分。
四、高齡長者的營養狀況能有效預測其衰弱程度，並可單獨解釋衰弱程度總變異量之23.6%。

The main purpose of this research is to explore the nutritional status and debilitating degree of the elderly in Gongliao District, New Taipei City, in order to understand the current status of nutrition and debilitating of the elderly in the distrcit, and to serve as a policy reference for promoting the health promotion, prevention and delay of disability care for the elderly in the community.
This study explores the nutritional status and frailty of the elderly in Gongliao District, New Taipei City, in order to understand the current status of nutrition and frailty of the elderly in the district, and then serve as a policy reference for promoting the health promotion, prevention and delay of disability care for the elderly in the community.
The cross-sectional survey was conducted with structured questionnaires, and data was collected through home visits of researchers. A total of 335 valid questionnaires were analyzed. The results of the study are as follows:
1. There are significant differences in the main caregivers, financial resources, dental conditions, exercise habits and nutritional status of the elderly.
2. There are significant differences in the main caregivers, living conditions, financial resources, dental conditions, exercise habits and debilitating degrees of the elderly.
3. There is a significant negative correlation between the nutritional status of the elderly and the degree of frailty. The lower the nutritional status score, the higher the frailty score.
4. The nutritional status of the elderly can effectively predict the degree of frailty, and can separately explain 23.6% of the total variation of frailty.

參考文獻
一、中文部分:
內政部統計處(2020)。109年第32週內政統計通報。衛生福利部統計處(2018)。106年老人狀況調查報告。
新北市民政局(2020)。新北市人口統計。國民健康署(2018) 老年期營養參考手冊。
吳雅汝、周怡君、詹鼎正（2014）。文獻回顧－肌少症與衰弱症。科學誌，25(3)，131-136。
吳佩穎（2011）。偏遠地區老年男性衰弱盛行率及相關危險因子探討。台南市:成功大學老年學研究所碩士論文。
邱皓政(2010)。量化研究與統計分析-SPSS資料分析範例。臺北市:五南圖書出版公司。
李世代、廖英茵（2004）。老人常見的營養問題－以長期照護機構老年住民之經驗為例。護理雜誌，51(5)，21-26。
李昕怡、毛慧芬、陳永銘、陳慶餘（2020）。健康老人四種衰弱指標與多面向老化功能風險評估之比較。台灣醫學，24(4)，371-382。
林昀柔、吳幸娟、郭碧梅、張秦松、張尹凡、劉秉彥…吳至行（2013）。某偏遠社區老人之營養狀況及相關因素之研究。台灣老年醫學暨老年學雜誌，8(3)，186-201。
陳慶餘（2018）。2020健康國民白皮書：老年衰弱及失能防治策略之進展。台灣醫學，22(3)，253-260。
陳慶餘（2015）。臺灣年老衰弱症的研究與應用。長期照護雜誌，19(2)，137-148。
陳慧君、黃素華、鄭金寶、楊榮森（2015）。年老衰弱症的營養處置。台灣醫學，19(5)，534-541。d
陳清惠（2004）。老人營養狀況之評估。護理雜誌，51(5)，10-14。
曾明月、徐亞瑛（2008）。老人衰弱之概念分析。護理雜誌，55(6)，80-85。
曾櫻枝（2020）。高齡營養促進的前端預防。台灣公共衛生雜誌，39(2)，103-104。
黃雅慧、林宜芬、陳美如（2017）。營養不良之獨居長者對飲食態度之質性研究－以臺北市某國宅為例。台灣老年醫學暨老年學雜誌，12(4)，245-256。
黃純甄、蔡仲弘（2013）。台灣老人營養狀況與認知衰退之關聯性探討。台灣公共衛生雜誌，32(1)，42-51。
謝美玲、石明煌、楊福麟（2009）。營養篩檢工具在臨床護理的應用。志為護理-慈濟護理雜誌，8(2)，63-72。
吳明隆、涂金堂(2012)。SPSS與統計應用分析。台北市:五南圖書出版公司。
吳明隆(2014)。論文寫作與量化研究。台北市:五南圖書出版公司。
謝韻憲(2016)。高齡者衰弱量表：Kihon Checklist中文版發展與信效度檢測 (未出版之碩士論文)。國立陽明大學臨床護理研究所，臺北市。
 
二、英文部分:
Arai, H., & Satake, S. (2015). English translation of the Kihon Checklist. Geriatrics & gerontology international, 15(4), 518.
Amarya, S., Singh, K., & Sabharwal, M. (2015). Changes during aging and their association with malnutrition. Journal of Clinical Gerontology and Geriatrics, 6(3), 78-84.
Bouillon, K., Kivimaki, M., Hamer, M., Sabia, S., Fransson, E. I., Singh-Manoux, A., ... & Batty, G. D. (2013). Measures of frailty in population-based studies: an overview. BMC geriatrics, 13(1), 1-11.
Buchner, D. M., & Wagner, E. H. (1992). Preventing frail health. Clinics ingeriatric medicine, 8(1), 1-18.
Bauer, J., Capra, S., & Ferguson, M. (2002). Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. European journal of clinical nutrition, 56(8), 779-785.
Chen, C. C. H., Schilling, L. S., & Lyder, C. H. (2001). A concept analysis of malnutrition in the elderly. Journal of advanced nursing, 36(1), 131-142.
Chen, L. J., Chen, C. Y., Lue, B. H., Tseng, M. Y., & Wu, S. C. (2014).Prevalence and associated factors of frailty among elderly people in Taiwan. International Journal of Gerontology, 8(3), 114-119.
Chuang SC, Chen HL, Tseng WT, Wu IC, Hsu CC, Chang HY, Chen YI, Lee MM,Liu K, Hsiung CA. Circulating 25-hydroxyvitamin D and physical Performance in older adults: a nationwide study in Taiwan. Am J Clin Nutr. 2016 Nov;104(5):1334-1344. Epub 2016 Oct 12.
Custodio, E., Descalzo, M. Á., Roche, J., Molina, L., Sánchez, I., Lwanga,M., . . . Baylin, A. (2010). The economic and nutrition transition in Equatorial Guinea coincided with a double burden of over- and under nutrition. Economics & Human Biology, 8(1), 80-87.
Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., ... & McBurnie, M. A. (2001). Frailty in older adults:evidence for a phenotype. The Journals of Gerontology Series A:Biological Sciences and Medical Sciences, 56(3), M146-M157.
Fukutomi, E., Okumiya, K., Wada, T., Sakamoto,R.,Ishimoto, Y., Kimura, Y., ... & Otuka, K. (2013). Importance of cognitive assessment as part of the “K ihon C hecklist” developed by the J apanese M inistry of H ealth, L abor and W elfare for prediction of frailty at a 2‐year follow up. Geriatrics & gerontology international, 13(3), 654-662.
Gobbens, R. J. J., Luijkx, K. G., Wijnen-Sponselee, M. T., & Schols, J. M. G. A. (2010). Towards an integral conceptual model of frailty. The journal of nutrition, health & aging, 14(3), 175-181.
Guigoz, Y., Vellas, B., & Garry, P. J. (1996). Assessing the Nutritional Status of the Elderly: The Mini Nutritional Assessment as Part of the Geriatric Evaluation. Nutrition Reviews, 54(1), S59-S65.
Guigoz, Y., Lauque, S., & Vellas, B. J. (2002).Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clinics in geriatric medicine, 18(4), 737.
Hsu, C.-C., Chang, H.-Y., Wu, I.-C., Chen, C.-C., Tsai, H.-J., Chiu, Y.-F., . . . Hsiung, C. A. (2017). Cohort Profile: The Healthy Aging Longitudinal Study in Taiwan (HALST). International Journal of Epidemiology,46(4), 1106-1106j.
Isenring E, Baker J, Kerr G. Malnutrition and falls risk in community-dwelling older adults. J Nutr Health Aging. 2013;17(3):277-279.
Jones, D. M., Song, X., & Rockwood, K. (2004). Operationalizing a frailty index from a standardized comprehensive geriatric assessment. Journal of the American Geriatrics Society, 52(11), 1929-1933.
Juerschik, P., Botigue, T., Nuin, C., & Lavedan, A. (2013). Association between Mini Nutritional Assessment and the Fried frailty index in older people living in the community. Medicina clinica, 143(5), 191-195.
Kaiser, M. J., Bauer, J. M., Rämsch, C., Uter, W., Guigoz, Y., Cederholm, T., ... & Tsai, A. C. (2010). Frequency of malnutrition in older adults: a multinational perspective using the mini nutritional assessment. Journal of the American Geriatrics Society, 58(9), 1734-1738.
Kondrup, J., Rasmussen, H. H., Hamberg, O. L. E., STANGA, Z., & An ad hoc ESPEN Working Group. (2003). Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clinical nutrition, 22(3), 321-336.
Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and psychological measurement, 30(3), 607-610.
Lehmann, A. (1991). Nutrition in old age: An update and questions for future research: Part 1. Reviews in Clinical Gerontology, 1(2), 135-145.
Michel, J. P., Cruz-Jentoft, A. J., & Cederholm, T. (2015). Frailty, exercise and nutrition. Clinics in Geriatric Medicine, 31(3), 375-387.
Morley, J. E. (2011). Assessment of malnutrition in older persons: a focus on the Mini Nutritional Assessment. The journal of nutrition, health & aging, 15(2), 87-90.
Todorovic, V., Russell, C., Stratton, R., Ward, J., & Elia, M. (2003). The ‘MUST’explanatory booklet: a guide to the ‘Malnutrition Universal Screening Tool’(‘MUST’) for adults. Redditch: Malnutrition Advisory Group (MAG) Standing Committee of the British Association for Parenteral and Enteral Nutrition (BAPEN).
Makizako, H., Shimada, H., Doi, T., Tsutsumimoto, K., & Suzuki, T. (2015).Impact of physical frailty on disability in community-dwelling older adults: a prospective cohort study. BMJ open, 5(9).
Posner, B. M., Jette, A. M., Smith, K. W., & Miller, D. R. (1993). Nutrition and health risks in the elderly: the Nutrition Screening Initiative. American journal of public health, 83(7), 972-978.
Rockwood, K., Fox, R. A., Stolee, P., Robertson, D., & Beattie, B. L.(1994). Frailty in elderly people: an evolving concept. CMAJ: Canadian Medical Association Journal, 150(4), 489.
Rockwood, K. (2005). What would make a definition of frailty successful?. Age and ageing, 34(5), 432-434.
Satake, S., Senda, K., Hong, Y. J., Miura, H., Endo, H., Sakurai, T., ... & Toba, K. (2016). Validity of the K ihon Checklist for assessing frailty status. Geriatrics & gerontology international, 16(6), 709-715.
Schiffrin, E. J., Guigoz, Y., Perruisseau, G., Blum, S., Delneste, Y., Mansourian, R., ... & Blancher, A. (1999). MNA and immunity:nutritional status and immunological markers in the elderly.In Mini Nutritional Assessment (MNA): Research and Practice in the Elderly (Vol. 1, pp. 23-34). Karger Publishers.
Strawbridge, W. J., Shema, S. J., Balfour, J. L., Higby, H. R., & Kaplan, G. A. (1998). Antecedents of frailty over three decades in an older cohort. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 53(1), S9-S16.
Steverink, N. (2001). Measuring frailty: developing and testing the GFI (Groningen Frailty Indicator). The Gerontologist, 41, 236.
Satake, S., Senda, K., Hong, Y. J., Miura, H., Endo, H., Sakurai, T., ... & Toba, K. (2016). Validity of the K ihon Checklist for assessing frailty status. Geriatrics & gerontology international, 16(6), 709-715.
Tsai, A. C., Chang, T.-L., Yang, T.-W., Chang-Lee, S.-N., & Tsay, S.-F. (2010). A modified mini nutritional assessment without BMI predicts nsutritional status of community-living elderly in Taiwan. The journal of nutrition, health & aging, 14(3), 183-189.
Vellas, B., Guigoz, Y., Garry, P. J., Nourhashemi, F., Bennahum, D., Lauque,S., & Albarede, J. L. (1999). The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition, 15(2), 116-122.
Vizuete, A. A., Robles, F., Rodríguez-Rodríguez, E., López-Sobaler, A. M., & Ortega, R. M. (2010). Association between food and nutrient intakes and cognitive capacity in a group of institutionalized elderly people. European
journal of nutrition, 49(5), 293-300.
Weekes, C. E., Elia, M., & Emery, P. W. (2004). The development, validation and reliability of a nutrition screening tool based on the recommendations of the British Association for Parenteral and Enteral Nutrition (BAPEN). Clinical nutrition,23(5), 1104-1112.
Wu, I. C., Chang, H. Y., Hsu, C. C., Chiu, Y. F., Yu, S. H., Tsai, Y. F., ... & Lee, M. M. (2013). Association between dietary fiber intake and physical performance in older adults: a nationwide study in Taiwan. PLoS One, 8(11), e80209.
Woo, J., Yu, R., Wong, M., Yeung, F., Wong, M., & Lum, C. (2015). Frailty Screening in the Community Using the FRAIL Scale. Journal of the American Medical Directors Association, 16(5), 412-419.
William J. Strawbridge, Sarah J. Shema, Jennifer L. Balfour, Helen R. Higby, George A. Kaplan, Antecedents of Frailty Over Three Decades in an Older Cohort, The Journals of Gerontology: Series B, Volume 53B, Issue 1, January 1998, Pages S9–S16,