Vitamin Status of Elderly People in Germany

In the last decade several attempts (Nationale Verzehrsstudie, NVS; Verbundstudie Ernährungserhebung und Risikofaktoren-Analytik, VERA; Bethanien-Ernährungsstudie, BEST) have been made to assess the nutritional status of the elderly in Germany. A careful evaluation of those data describing the vitamin status clearly indicate that healthy older people are not at higher risk for vitamin deficiency compared to younger adults. The results of the NVS showed that, except for folic acid, mean intake of all vitamins exceeded 80% of the current recommendations. Only 5% of blood vitamin concentrations analyzed in a subpopulation (VERA-Study) were founded to be below the physiological range. Only the incidence of low cobalamin values increased with age, presumably due to gastrointestinal problems (atrophic gastritis). In contrast, geriatric patients showed markedly lower vitamin blood concentrations compared to healthy subjects of the same age (BEST-Study). This might be explained by physical and mental deterioration, handicaps, chronic diseases and multiple chronic drug use. Underrepresentation of very old people, lack of reliable reference values for biomarkers and uncertainties in data collection may have contributed to misinterpretations. Representative studies are needed to objectively assess the nutritional status of the elderly population in Germany.

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A Study to Assess the Nutritional Status Among the Elderly Population in the Selected Setting

International Journal of Geriatric Nursing ◽

10.37628/ijgn.v1i1.648 ◽

2018 ◽

Author(s):

R. Jeyadeepa

Keyword(s):

Nutritional Status ◽

Elderly Population ◽

The Elderly

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Tolerability of Duloxetine in the Elderly and in Young Adults: A Protocol and Preliminary Results of a Systematic Review and Individual Participant Data Meta-Analysis of Randomised Placebo-Controlled Trials.

10.21203/rs.3.rs-148334/v1 ◽

2021 ◽

Author(s):

Jean-Charles Roy ◽

Chloé Rousseau ◽

Alexis Jutel ◽

Florian Naudet ◽

Gabriel Robert

Keyword(s):

Systematic Review ◽

Adverse Events ◽

Elderly Population ◽

Meta Analysis ◽

The Elderly ◽

Search Term ◽

Individual Participant Data ◽

Younger Adults ◽

Individual Participant

Abstract BackgroundDuloxetine is an antidepressant that benefits from a wide range of approval in the elderly population, while its safety for use in the elderly population, compared to younger adults, is not clearly assessed. This protocol outlines a systematic review and individual participant data meta-analysis comparing the tolerability of duloxetine between elderly and younger adults. MethodsOnly randomised controlled clinical trials, comparing duloxetine to placebo, will be included in this meta-analysis. The studies will be selected if participants were adults of less and more than 65 years old, in conditions of use of duloxetine approved by the European Medical Agency (EMA) and the Food and Drug Administration (FDA). The primary outcome will be the rate ratio of serious adverse events under duloxetine compared to placebo, between participants at least 65 years old and younger adults. Second, the number of any adverse events, clinical efficacy and quality of life will be compared between elderly and younger adults under both interventions. The quality of evidence in the tolerability of duloxetine will be assessed using the GRADE system. A two-step random effect meta-analysis will be conducted. Preliminary searches and formal screening of search results against eligibility criteria on have been completed using predefined search term on electronic databases. DiscussionThis study represents the first meta-analysis investigating the safety of duloxetine in the elderly population across all conditions approved by European and American regulatory authorities. The results from this meta-analysis are intended to help prescribers to provide better care for the elderly population.Systematic review registrationThe protocol has been registered at the International Prospective Register of Systematic Reviews (PROSPERO; registration number: CRD42019130488).

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Study and Nutritional Monitoring in a Population of Elderly in a Geriatric Center

European Journal of Investigation in Health, Psychology and Education ◽

10.1989/ejihpe.v4i2.56 ◽

2014 ◽

Vol 4 (2) ◽

pp. 89-99

Author(s):

Laura Guzmán Díaz ◽

Herminia López García de la Serrana ◽

María Jesús Oliveras López

Keyword(s):

Nutritional Status ◽

Antioxidant Capacity ◽

Elderly Population ◽

The Elderly ◽

Overweight And Obesity ◽

Folic Acid Deficiency ◽

Total Polyphenols ◽

Acid Deficiency ◽

Nutritional Monitoring ◽

Geriatric Center

Rate the elderly nutritionally will allow us to achieve and maintain good nutritional status in the elderly population. Objectives: 1 Assessment of nutritional status of the population.. Two. Evaluation of population intake according to recommended intakes. Three. Valuations menu and antioxidant capacity compared to the Spanish average. Methods: The study was conducted with 28 elders. Sociodemographic indicators, anthropometric data, blood pressure, questionnaires assessing the nutritional status and assessment of intake were used. In addition, the antioxidant capacity of menu technique ORAC was determined. Results: Males had higher overweight and obesity increased women. The waist-hip ratio was higher in men (0.94 ± 0.08 cm). Regarding the intake, there is greater risk of malnutrition 50% (MNA and NSI), excess cholesterol and folic acid deficiency, vitamin D and magnesium in both sexes. The antioxidant capacity was 31,377 umol / day and total polyphenols of 2,344 mg / day. Conclusions: There is a high risk of malnutrition (MNA, NSI) and cardiovascular disease (ICC) among participants. The antioxidant capacity of the menu three times the reference values and the energy profile of the elderly is inadequate, with excess fat and cholesterol and low in carbohydrates

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Nutrition as a Health Determinant in Elderly Patients

Current Medicinal Chemistry ◽

10.2174/0929867324666170523125806 ◽

2019 ◽

Vol 26 (19) ◽

pp. 3652-3661 ◽

Cited By ~ 4

Author(s):

Tecla Mastronuzzi ◽

Ignazio Grattagliano

Keyword(s):

Nutritional Status ◽

Elderly Population ◽

Nutritional Assessment ◽

Caloric Intake ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Nutritional Intervention ◽

Social Risk ◽

Social Risk Factors ◽

The Impact

Background: An adequate caloric intake is a major determinant for the health status especially when degenerative conditions become a predominant risk for difficult-to-treat diseases as in aging. Methods: A structured search of literature on the major databases was performed using terms as nutrition, elderly and malnutrition. Results: According to most referenced articles, it appears to be unquestionable that both organic and social risk factors [economic hardship, loneliness, institutionalization] are important as determining causes of protein-caloric malnutrition. Some anthropometric, clinical and laboratory parameters can help to make diagnosis and quantify malnutrition. However, most of them are not cheap or are not simple to perform especially in the setting of General Practice. The application of a simple questionnaire [Mini Nutritional Assessment, MNA] allows to obtain in a fast, easy and non-invasive way a valid assessment of the nutritional status in geriatric patients. The maintenance of the nutritional status is the best measure to counteract the risk of proteincaloric malnutrition and its complications which often sneakily affects elderly population and in particular frail patients. Conclusion: This review, based on updated concepts, examines all the above mentioned points together with some aspects associated with malnutrition as an indicator of disease severity and health costs in the elderly population. Finally, the impact of nutritional intervention and nutrients supplementation on general indices of malnutrition are discussed as a promising strategy.

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Auditory and Visual Integration for Emotion Recognition and Compensation for Degraded Signals are Preserved With Age

Trends in Hearing ◽

10.1177/23312165211045306 ◽

2021 ◽

Vol 25 ◽

pp. 233121652110453

Author(s):

Minke J. de Boer ◽

Tim Jürgens ◽

Deniz Başkent ◽

Frans W. Cornelissen

Keyword(s):

Older Adults ◽

Emotion Recognition ◽

Visual Information ◽

Elderly Population ◽

Recognition Accuracy ◽

The Elderly ◽

The Other ◽

Younger Adults ◽

Visual Integration ◽

Sensory Impairments

Since emotion recognition involves integration of the visual and auditory signals, it is likely that sensory impairments worsen emotion recognition. In emotion recognition, young adults can compensate for unimodal sensory degradations if the other modality is intact. However, most sensory impairments occur in the elderly population and it is unknown whether older adults are similarly capable of compensating for signal degradations. As a step towards studying potential effects of real sensory impairments, this study examined how degraded signals affect emotion recognition in older adults with normal hearing and vision. The degradations were designed to approximate some aspects of sensory impairments. Besides emotion recognition accuracy, we recorded eye movements to capture perceptual strategies for emotion recognition. Overall, older adults were as good as younger adults at integrating auditory and visual information and at compensating for degraded signals. However, accuracy was lower overall for older adults, indicating that aging leads to a general decrease in emotion recognition. In addition to decreased accuracy, older adults showed smaller adaptations of perceptual strategies in response to video degradations. Concluding, this study showed that emotion recognition declines with age, but that integration and compensation abilities are retained. In addition, we speculate that the reduced ability of older adults to adapt their perceptual strategies may be related to the increased time it takes them to direct their attention to scene aspects that are relatively far away from fixation.

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Influence of Alzheimer’s disease on the relationship between nutritional status and risk of fall

Acta Scientiarum Health Sciences ◽

10.4025/actascihealthsci.v43i1.48747 ◽

2021 ◽

Vol 43 ◽

pp. e48747

Author(s):

Maria Vaitsa Loch Haskel ◽

Sara Carolina Scremin Souza ◽

Danilo Fernandes da Silva ◽

Weber Cláudio Francisco Nunes da Silva ◽

Juliana Sartori Bonini

Keyword(s):

Alzheimer’S Disease ◽

Alzheimer's Disease ◽

Body Composition ◽

Nutritional Status ◽

Elderly Population ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Metabolic Condition ◽

Risk Of Falls ◽

Risk Of Fall

Although malnutrition and risk of falls in the elderly have increased in recent years, uncertainties exist as to whether these conditions are associated after controlling for sociodemographic variables, body composition, metabolic condition, and Alzheimer’s disease (AD). This study aimed to analyze the association between nutritional status and risk of fall in the elderly population. Participants were matched by gender and age, after they had been grouped on the basis of diagnosis of AD. The risk of falls, nutritional status, and mental status were assessed using the Downton Fall Risk Score (FRS), Mini Nutritional Assessment (MNA), and Mini Mental State Evaluation (MMSE), respectively. Logistic regression models adjusted for the main confounders were used in the analyses. Among the 68 elderly individuals studied, participants who were malnourished or at risk of malnutrition were more likely to fall (odds ratio = 8.29; 95% confidence interval = 1.49-46.04) than those with normal nutritional status, regardless of gender, age, education, body composition, and metabolic condition. This association did not remain significant after adjustment for AD, a potential confounder in this association. Malnutrition or its risk was independently associated with high risk of fall; thus, malnutrition should be considered in the prevention of falls among the elderly population.

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Nutritional status in the elderly with fragility syndrome

Public Health, Economy and Management in Medicine ◽

10.52556/2587-3873.2021.2(89).03 ◽

2021 ◽

pp. 15-20

Author(s):

Ana Popescu ◽

◽

Gabriela Soric ◽

Felicia Lupascu-Volentir ◽

Anatolie Negara ◽

...

Keyword(s):

Risk Factors ◽

Weight Loss ◽

Risk Factor ◽

Nutritional Status ◽

Elderly Population ◽

The Elderly ◽

Geriatric Syndrome ◽

Physical Status ◽

Loss Of Autonomy ◽

The Impact

During the twentieth century life expectancy has increased significantly and it was estimated that by 2030, 21% of the world’s population will be >65 years. According to observations, fragility syndrome and nutritional status problems are very common among the elderly population, especially in old age. Fragility syndrome has a multifactorial origin and is a fundamental risk factor for deteriorating health and the installation of disability in the elderly. The purpose of the study was to establish the interrelationship of nutritional status with fragility syndrome and the impact on the functionality of the elderly. The information was searched in the PubMed, Hinari, Cochrane, Elsevier, Springer databases, including the offi cial pages of the European Geriatric Society, European Society for Clinical Nutrition and Metabolism, to identify scientifi c journals dedicated to nutrition in the elderly with fragility syndrome. Studies published in the period 2010-2020, in romanian and english, were selected. Th e specialized literature, scientifi c journals, clinical studies were researched, from which the most relevant 34 were selected. Elderly malnutrition is currently a global problem, its prevalence in people is 10-40%. Th e diagnosis of malnutrition aims to identify it and elucidate the causes. Weight loss is a criterion of the development of fragility, and nutrition-focused interventions can prevent the progression of fragility syndrome and loss of autonomy with the onset of dependence. Fragility is a geriatric syndrome that aff ects several areas of physical status, and malnutrition is one of the risk factors for this syndrome.

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Nutritional status, physical performance and functional capacity in an elderly population in southern Brazil

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.60.03.0013 ◽

2014 ◽

Vol 60 (3) ◽

pp. 242-248 ◽

Cited By ~ 15

Author(s):

Ana Lúcia Danielewicz ◽

Aline Rodrigues Barbosa ◽

Giovâni Firpo Del Duca

Keyword(s):

Nutritional Status ◽

Activities Of Daily Living ◽

Living Arrangements ◽

Daily Living ◽

Elderly Population ◽

Functional Limitation ◽

Positive Association ◽

The Elderly ◽

Southern Brazil ◽

Cross Sectional

Objective: to investigate the association between nutritional status and functional limitation and disability in an elderly population in southern Brazil. Methods: epidemiological, cross-sectional household-based study carried out with 477 elderly of both sexes (60 to 100 years). Body mass index (BMI) served to assess the nutritional status: underweight (BMI < 22 kg/m2) and overweight (BMI > 27 kg/m2). The sum score (0-5) obtained in three tests: "chair stand" and "pick up a pen" (measured by time) and standing balance (four static measurements) assessed the functional limitation. The disability was evaluated by the difficulty in performing one or more self-reported tasks related to basic activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Crude and adjusted analyzes (3 models) were carried out using Poisson regression; prevalence ratios (PR) and 95% confidence intervals (CI) were calculated. Results: crude analyzes showed a positive association between underweight and functional limitation (PR = 2.71, 95% CI = 1.63 to 4.51); overweight and disability in ADLs (PR = 2.20, CI 95% = 1.44 to 3.35); overweight and disability in IADLs (PR = 1.56, CI 95% = 1.20 to 2.03). The additional adjustments for gender, age, level of education, living arrangements, current work, cognitive function and number of morbidities reduced the strength of the associations, without changing the statistical strength. Conclusion: nutritional status is a factor that is independently and positively associated with functional limitation and disability. We recommend the use of this indicator to monitor the health of the elderly.

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Depression in old age

European Psychiatry ◽

10.1016/s0924-9338(11)72407-5 ◽

2011 ◽

Vol 26 (S2) ◽

pp. 702-702

Author(s):

B. Vukovic ◽

D. Markovic-Zigic

Keyword(s):

Old Age ◽

Elderly Population ◽

Severe Depression ◽

The Elderly ◽

Chronic Illnesses ◽

Age Group ◽

Old People ◽

Population Prevalence ◽

Prevalence Of Depression ◽

Mental Diseases

Depression in older people is related to the population over 65 years. The age of depression often go with chronic illnesses, various physical and mental diseases.Depression in old age is not a natural part. In the elderly population 1.4% suffered from severe depression. Compared with the rest of the population prevalence of major depression is twice as large in the age group of 70–85 years. Less severe depression have an instance 4–13%. Twice as many women than men have depression. The prevalence of depression is particularly high in the elderly with dementia.In this report we present how many old people in Serbia suffer of depression and what is new tendence in therapy.

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