Nutritional status of community-dwelling older people with dementia: associations with individual and family caregivers' characteristics

2012 ◽  
Vol 28 (6) ◽  
pp. 580-588 ◽  
Author(s):  
Laetitia Rullier ◽  
Alexia Lagarde ◽  
Jean Bouisson ◽  
Valérie Bergua ◽  
Pascale Barberger-Gateau
Keyword(s):  
Nutritional Status ◽  
Older People ◽  
Family Caregivers ◽  
Community Dwelling ◽  
People With Dementia ◽  
Community Dwelling Older People

Medication Management for Community-dwelling Older People with Dementia and Chronic Illness

2008 ◽  
Vol 14 (1) ◽  
pp. 25 ◽  
Author(s):  
Debbie Kralik ◽  
Kate Visentin ◽  
Geoff March ◽  
Barbara Anderson ◽  
Andrew Gilbert ◽  
...  
Keyword(s):  
Chronic Illness ◽  
Older People ◽  
Medication Management ◽  
Community Dwelling ◽  
Consumer Involvement ◽  
Future Research ◽  
Coordination Of Care ◽  
Health Providers ◽  
People With Dementia ◽  
Community Dwelling Older People

The purpose of this paper is to report the findings of an integrative review of the literature on medication management for individuals who live in the community and have both chronic illness and mild to moderate dementia. The aim of the review was to summarise what is known about this topic, evaluate and compare previous research on the topic of medication management for people with dementia, and locate gaps in current work, thus pointing to directions for future research. Dementia is a national health priority for Australia. A significant component of community care for people with dementia is the management and administration of the medications required for other chronic conditions. Medication management is a broad term that encompasses several aspects, such as client-centred medication review, rational prescribing and support, repeat prescribing, client information/education, capacity to communicate with multiple health providers and having access to medicines. Cognitive impairment has been associated with medication management issues so it is important to ensure quality outcomes of medicine use by community-dwelling older people with dementia. The literature revealed a number of issues, such as the importance of person-centred care, the need for the coordination of care, and consumer partnerships in medication management. These are all important considerations in planning primary care services to support people with dementia and chronic illnesses. People with dementia who have chronic illness require coordinated, tailored, and flexible care processes in the community. There exists a range of services and programs such as home medicine reviews to support people living in the community with chronic illness and dementia; however, there is little coordination of care and evaluation of interventions is, at best, inconsistent. Currently, Australia lacks an integrative primary health care (PHC) framework, within which consumer involvement in decision-making and/or care planning is valued and sought. Current services are limited in the degree to which there is collaboration between key partners and Australian PHC initiatives are fragmented and have limited impact on service delivery.

scholarly journals Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People: A Cross-Sectional Study

Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 1041 ◽  
Author(s):  
Pilar Pérez-Ros ◽  
Rafael Vila-Candel ◽  
Lourdes López-Hernández ◽  
Francisco Miguel Martínez-Arnau
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Nutritional Status ◽  
Older People ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Community Dwelling Older People ◽  
The Relationship

Objective: This study aims to assess the relationship that frailty has with nutritional status and functional risk factors in community-dwelling older adults. Methods: Cross-sectional study in community-dwelling older people, independent for walking and without impaired cognition. Frailty was assessed by Fried criteria. Nutritional status was analyzed by the Mini Nutritional Assessment Short Form (MNA-SF), biochemical markers (albumin, total proteins, cholesterol, lymphocytes, and hemoglobin); and anthropometric parameters (body mass index [BMI], body fat percentage, handgrip, and perimeters). A comprehensive geriatric assessment analyzed other risk factors: functionality, cognition, falls, comorbidity, polypharmacy, physical activity, and quality of life (QoL). Results: We included 564 elderly people with a mean age of 76.05 (standard deviation 3.97) years; 63.1% (n = 356) were women, and 83.9% (n = 473) were prefrail, and frail. The sample presented high functionality and a nutritional status with a predominance of overweight and obesity. Factors associated with frailty (R2 = 0.43) were age over 75 years (odds ratio [OR] 3.31, 95% confidence interval [CI] 1.76, 6.21; p < 0.001), female gender (OR 2.37, 95% CI 1.24, 4.52; p = 0.009), anemia (OR 2.45, 95% CI 1.19, 5.02; p = 0.015), falls (OR 1.94, 95% CI 1.12, 3.25; p = 0.016) and the fear of falling (OR 4.01: 95% CI 1.76, 9.16; p = 0.001). Performing more than 3 weekly hours of physical activity was found to be a protective factor (OR 0.23, 95% CI 0.15, 0.35; p < 0.001). Conclusions: The relationship between frailty and malnutrition in functionally independent community-dwelling older people is unclear. More studies are needed to know what nutritional markers are related to frailty, cognition, and functionality in order to discriminate the risk factors for community-dwelling older people at risk of malnutrition and dependency.

scholarly journals Does the Meeting Centres Support Programme reduce unmet care needs of community-dwelling older people with dementia? A controlled, 6-month follow-up Polish study

2019 ◽  
Vol Volume 14 ◽  
pp. 113-122 ◽  
Author(s):  
Justyna Mazurek ◽  
Dorota Szcześniak ◽  
Katrzyna Urbańska ◽  
Rose-Marie Dröes ◽  
Maciej Karczewski ◽  
...  
Keyword(s):  
Older People ◽  
Community Dwelling ◽  
Care Needs ◽  
Support Programme ◽  
People With Dementia ◽  
Polish Study ◽  
Community Dwelling Older People

scholarly journals Impact of Malnutrition on Low Muscle Mass in Community-Dwelling Older People in Singapore: Findings from the SHIELD study

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 80-80
Author(s):  
Siew Ling Tey ◽  
Samuel Teong Huang Chew ◽  
Yatin Berde ◽  
Geraldine Baggs ◽  
Choon How How ◽  
...  
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Bone Mass ◽  
Older People ◽  
Muscle Mass ◽  
Community Dwelling ◽  
Risk Category ◽  
Calf Circumference ◽  
Factors Associated ◽  
Community Dwelling Older People

Abstract Objectives Malnutrition contributes to loss of muscle mass. There is limited information on the prevalence of low muscle mass in community-dwelling older people who are (not) at risk of malnutrition. Factors associated with muscle mass are also not well characterized. This cross-sectional study aimed to determine the prevalence of low appendicular skeletal muscle mass index (ASMI; ASM/height2) in older people with normal nutritional status (Malnutrition Universal Screening Tool, MUST risk category = low) and those at risk of malnutrition (MUST risk category = medium or high), and to determine factors associated with ASMI. Methods Strengthening Health In ELDerly through nutrition (SHIELD) is a study involving 1211 (400 with normal nutritional status and 811 at risk of malnutrition) community-dwelling older people aged ≥65 years in Singapore. Low ASMI was determined by bioelectrical impedance analysis (Asian Working Group for Sarcopenia, 2014). Results One in five (20.6%) nourished participants had low ASMI vs. four in five (81.3%) participants at risk of malnutrition had low ASMI (P &lt; 0.0001). Older people with low ASMI were more likely to be admitted to the hospital, had longer length of stay, 25-hydroxyvitamin D deficiency, and lower education level, compared to those with normal ASMI (all P ≤ 0.0472). In the multiple linear regression model, age (coefficient, b = −0.013 kg/m2; P &lt; 0.001), gender (female: b = −0.963 kg/m2; P &lt; 0.001), calf circumference (b = 0.042 kg/m2; P &lt; 0.001), bone mass (b = 0.593 kg/m2; P &lt; 0.001), BMI (b = 0.129 kg/m2; P &lt; 0.001), and Physical Activity Scale for the Elderly (PASE) score (b = 0.001 kg/m2; P = 0.048) were associated with ASMI. Conclusions Community-dwelling older people at risk of malnutrition had four-fold greater risk of having low ASMI as compared to nourished counterparts. Increasing age was associated with lower ASMI, whereas calf circumference, bone mass, BMI, PASE score, and being male were positively associated with ASMI. These findings highlight the importance of screening for low muscle mass and maintaining muscle health as part of the overall malnutrition management in this population group. Funding Sources The Economic Development Board of Singapore, Abbott Nutrition, and Changi General Hospital funded this study.

Interaction of central obesity and sarcopenia on nutritional status in the community-dwelling older people

2020 ◽  
Vol 87 ◽  
pp. 104003
Author(s):  
Chin -Sung Chang ◽  
Yin-Fan Chang ◽  
Ping-Yen Liu ◽  
Shin-Jiuan Wu ◽  
Ching-Ju Chiu ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Older People ◽  
Central Obesity ◽  
Community Dwelling ◽  
Community Dwelling Older People

scholarly journals Experiences of Community-Dwelling Older People With Dementia Participating In A Person-Centered Multidimensional Interdisciplinary Rehabilitation Program 

2020 ◽  
Author(s):  
Anna Sondell ◽  
Josefine Lampinen ◽  
Mia Conradsson ◽  
Håkan Littbrand ◽  
Undis Englund ◽  
...  
Keyword(s):  
Older People ◽  
Qualitative Content Analysis ◽  
Rehabilitation Program ◽  
Community Dwelling ◽  
Rehabilitation Programs ◽  
People With Dementia ◽  
Interdisciplinary Rehabilitation ◽  
The Future ◽  
Future Situation ◽  
Community Dwelling Older People

Abstract Background: There is a great need for the development of feasible rehabilitation interventions for older people with dementia. An increased understanding of this population’s experiences of rehabilitation program participation is therefore important. The purpose of this study was to explore how community-dwelling older people with dementia experienced their participation in a person-centered multidimensional interdisciplinary rehabilitation program.Methods: Sixteen older people with dementia were interviewed about their experiences of participation in a person-centred multidimensional interdisciplinary rehabilitation program. The program comprised assessments by a comprehensive team followed by a rehabilitation period of 16 weeks among people with dementia and their informal primary caregivers. The interviews were conducted in close conjunction with the rehabilitation visits and analysed with qualitative content analysis.Results: The analysis resulted in one overarching theme: Empowered through participation and togetherness and four sub-themes: Being strengthened through challenges; Gaining insights, motives, and raising concerns about the future; Being seen makes participation worthwhile; and Feelings of togetherness in prosperity and adversity. The participants increased their self-esteem by daring and coping in the rehabilitation. The insights about themselves and their condition motivated them to continue with their prioritized activities, but also raised concerns about how the future would play out. Collaboration in the group and being seen and acknowledged by staff strengthened their own motivation and self-efficacy. Conclusion: A person-centered multidimensional interdisciplinary rehabilitation program seems feasible among community-dwelling older people with dementia according to reported experiences. The participants seemed empowered through the rehabilitation and reported mostly positive experiences and perceived improvements, which seemed to affect their wellbeing and daily life. Providers of interdisciplinary rehabilitation programs for this group should consider aspects raised by the participants e.g. the positive experience of being challenged in both exercise and daily activities; the importance of being seen and feeling secure; the benefits and challenges of collaboration with others in the same situation; and the generation of new perspectives of current and future situation. Trial registration: ISRCTN, ISRCTN59155421.http://www.isrctn.com/ISRCTN59155421. Registered November 3 2015.

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