Poor Nutritional Status among Low-Income Older Adults: Examining the Interconnection between Self-Care Capacity, Food Insecurity, and Depression

2019 ◽  
Vol 119 (10) ◽  
pp. 1687-1694 ◽  
Author(s):  
Seung Eun Jung ◽  
Seoyoun Kim ◽  
Alex Bishop ◽  
Janice Hermann
Keyword(s):  
Older Adults ◽  
Nutritional Status ◽  
Food Insecurity ◽  
Low Income ◽  
Self Care ◽  
Poor Nutritional Status ◽  
Care Capacity

A High Masticatory Muscle Tone Predicts the Risk of Malnutrition and Frailty in Inpatient Older Adults: A Cross-Sectional Study

Gerontology ◽  
2021 ◽  
pp. 1-7
Author(s):  
Yin-Hwa Shih ◽  
Zhen-Rong Hong ◽  
Shih-Min Hsia ◽  
Shang-Yu Yang ◽  
Tzong-Ming Shieh
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Nutritional Status ◽  
Masseter Muscle ◽  
Muscle Tone ◽  
Handgrip Strength ◽  
Muscle Performance ◽  
Masticatory Muscle ◽  
Masticatory Performance ◽  
Poor Nutritional Status

<b><i>Introduction:</i></b> The prevalence of malnutrition among inpatient older adults is as high as 20∼50%. Masticatory performance is known to affect the nutritional status of individuals. However, an objective measurement to reflect the real status of masticatory muscle performance is lacking at the bedside. <b><i>Methods:</i></b> This pilot study analyzed the masticatory performance using surface electromyography (sEMG) of masticatory muscles that measures both muscle strength and muscle tone at the bedside. The nutritional status was measured using the Mini Nutritional Assessment tool. The handgrip strength was measured using a hand dynamometer. The statistical data were analyzed using SPSS 25 software. <b><i>Results:</i></b> The data revealed that female inpatient older adults more frequently had substandard handgrip strength (<i>p</i> = 0.028), an at-risk and poor nutritional status (<i>p</i> = 0.005), and a higher masseter muscle tone (<i>p</i> = 0.024). Inpatient older adults with an at-risk and poor nutritional status had an older age (<i>p</i> = 0.016), lower handgrip strength (<i>p</i> = 0.001), and higher average masseter muscle tone (<i>p</i> = 0.01). A high masseter muscle tone predicted the risk of having an at-risk and poor nutritional status. The at-risk or poor nutritional status predicted having a substandard handgrip strength by 5-fold. <b><i>Conclusions:</i></b> A high masticatory muscle tone predicts malnutrition and frailty. Medical professionals should combat masticatory dysfunction-induced malnutrition by detecting masticatory muscle performance using sEMG and referring patients to dental professionals. Additionally, encouraging inpatient older adults to perform oral motor exercise is recommended.

scholarly journals Association between Nutritional Status, Food Insecurity and Frailty among Elderly with Low Income

2017 ◽  
Vol 15 (1) ◽  
pp. 51-60 ◽  
Author(s):  
NurZetty Sofia Zainuddin ◽  
Muhammmad Hazrin Husin ◽  
Nur Hidayah Ahmad ◽  
Wong Yun Hua ◽  
Han Wan Chien ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Food Insecurity ◽  
Low Income

Food insecurity, weight and nutritional status among older adults attending senior centres in Lisbon

2018 ◽  
Vol 78 ◽  
pp. 81-88 ◽  
Author(s):  
S. Ganhão-Arranhado ◽  
C. Paúl ◽  
R. Ramalho ◽  
P. Pereira
Keyword(s):  
Older Adults ◽  
Nutritional Status ◽  
Food Insecurity

scholarly journals Determinants of participation in a post-hospitalization physical exercise program for older adults

2020 ◽  
Author(s):  
Miriam Urquiza ◽  
Iñaki Echeverria ◽  
Ariadna Besga ◽  
Maria Amasene ◽  
Idoia Labayen ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Exercise ◽  
Nutritional Status ◽  
Physical Function ◽  
Multivariate Regression ◽  
Older Patients ◽  
Exercise Program ◽  
Cognitive Status ◽  
Exercise Interventions ◽  
Poor Nutritional Status

Abstract BACKGROUND: Older patients often experience a decline in physical function and cognitive status after hospitalization. Although interventions involving physical exercise are effective in improving functional performance, participation in physical exercise interventions among older individuals is low. We aimed to identify factors that contribute to exercise refusal among post-hospitalized older patients.METHODS: A cross-sectional study of recruitment data from a randomized controlled trial was conducted involving 495 hospitalized people ≥70 years old. Sociodemographic and clinical data were obtained from the Basque Public Health System database. We determined physical function with the Short Physical Performance Battery (SPPB), nutritional status with the Mini-Nutritional Assessment, frailty according to the Fried phenotype criteria, and cognitive function with the Short Portable Mental Status Questionnaire (SPMSQ). Student’s t, Mann-Whitney U, or chi-squared tests were applied for bivariate analysis. Parameters significantly associated with participation were introduced in a logistic multivariate regression model.RESULTS: Among the analyzed patients, 88.8% declined participation in the physical exercise program. Multivariate regression revealed that older age (OR: 1.13; 95% CI: 1.07 - 1.19), poor nutritional status (OR: 0.81; 95% CI: 0.69 - 0.95), and reduced home accessibility (OR: 0.27; 95% CI: 0.08 - 0.94) were predictors of participation refusal. Moreover, patients who declined participation had worse performance on the SPPB (P < 0.05) and its tests of balance, leg strength, and walking speed (P < 0.05). No differences were found between groups in other variables. CONCLUSIONS: This study confirms low participation of older adults in a post-hospitalization physical exercise program. Non-participation was associated with increased age, poor nutritional status, and reduced home accessibility. Our findings support the need for intervention design that accounts for these factors to increase older patient participation in beneficial exercise programs.TRIAL REGISTRATION: ACTRN12619000093189 (retrospectively registered): Registered January 22, 2019.

scholarly journals Dependency in Activities of Daily Living Is Associated with Household Food Insecurity Among Mexican Older Adults (P04-070-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Veronica Mundo Rosas ◽  
Ignacio Méndez Gómez-Humarán ◽  
María Concepción Medina Zacarías
Keyword(s):  
Older Adults ◽  
Activities Of Daily Living ◽  
Food Insecurity ◽  
Low Income ◽  
Daily Living ◽  
Pension Plan ◽  
Household Food Insecurity ◽  
Nutrition Survey ◽  
Retirement Pension ◽  
Household Food

Abstract Objectives To analyze the association between dependency in activities of daily living (DADL) among Mexican older adults and the presence of household food insecurity. Methods Data on 6674 Mexican adults aged ≥60 years and their households were drawn from the 2012 Mexican National Health and Nutrition Survey (ENSANUT). DADL dependency, measured under the Katz Index (1983), was determined when respondents indicated needing assistance from another person in order to perform at least one DADL. Food insecurity (FI) was measured according to the Latinoamerican and Caribbean Food Security Scale (ELCSA). We used Path Analysis to examine the structure of the association of FI with DADL and other socio-demographic variables. Results 22.6% of older adults analyzed were ADL-dependent, and 72.9% lived in households marked by a FI category. We found that DADL (P = 0.001) exerted a significant impact on moderate and severe FI in households not benefiting from a food aid program (P = 0.000) or retirement pension plan (P = 0.000). Conclusions Few studies have explored this issue. DADL are intimately linked to household FI in that they affect the productivity of working adults and their caregivers. The findings from this study support the creation of nutritional policies and programs which address the unique needs of low income elderly people who have functional limitations. Funding Sources N/A.

Which risk factors are associated with poor nutritional status in dutch community-dwelling older adults?

2018 ◽  
Vol 37 ◽  
pp. S61-S62
Author(s):  
J.W. Borkent ◽  
L.T. Schuurman ◽  
J. Beelen ◽  
J.O. Linschooten ◽  
A.J.C. Roodenburg ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Nutritional Status ◽  
Community Dwelling ◽  
Poor Nutritional Status ◽  
Community Dwelling Older Adults

IMPACT OF NUTRITIONAL RISK ON SELF-CARE CAPACITY: SOCIAL SUPPORT AS A SOURCE OF PROTECTION FOR COMMUNITY-DWELLING OLDER ADULTS LIVING IN A RURAL AREA

2013 ◽  
pp. 1-5
Author(s):  
S.E. JUNG ◽  
J.R. HERMANN ◽  
A. BISHOP
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Self Care ◽  
Community Dwelling ◽  
Nutritional Risk ◽  
Functional Impairments ◽  
Care Capacity ◽  
Community Dwelling Older Adults ◽  
Social Provisions ◽  
Rural Older Adults

Background:Loss of independence is a major concern for rural older adults. Older adults living inrural areas are at an increased nutritional risk, which can lead to functional impairments in self-care capacity.Identifying factors, which have a role in sustaining rural older adults’ self-care capacity, could help withmaintaining independence as long as possible. Objective:The objective of this study was to examine the effect ofsocial support as a moderator between nutritional risk and self-care capacity. Design:Cross sectional designusing convenient sampling. Setting:Rural Oklahoma counties designated as “non-metro” and having populationsunder 5,000. Participants:Participants included 171 community-dwelling older adults, 65 years of age and older.Measurements:Data were collected using self-report surveys on self-care capacity (using the Duke OlderAmericans Resources and Services Procedures), social support (using the Social Provisions Scale), andnutritional risk (using the Mini-Nutritional Assessment short form). Using hierarchical linear regressiontechniques, data were analyzed to explore the moderating influence of social support in the association betweennutritional risk and self-care capacity. Results:A significant interaction emerged between nutritional risk, socialsupport, and self-care capacity (β = 0.20 p < 0.05). Thus, the deleterious impact of nutritional risk on self-carecapacity was reduced by social support. Conclusions:Results provide further support of the “buffering-hypothesis” and have implications relative to the importance of accessible social provisions to enhance self-carecapacity and quality of life among older adults residing in rural settings.

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