scholarly journals Elderly malnutrition: brachial and leg perimeter as indicators of early intervention

2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
Bárbara Alexandre ◽  
Maria Damas ◽  
João Lima
Keyword(s):  
Elderly People ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Nutritional Therapy ◽  
Anthropometric Measures ◽  
Aged Population ◽  
Determining Factors ◽  
Spss Software ◽  
Food Dependency ◽  
The Relationship

Abstract Background The aged population are often malnourished especially if they live in a Nursing Home (NH) due to their health status, depression and environmental factors. An early and accurate diagnosis of malnutrition is essential so the nutritional therapy can be started as soon as possible. The aim is to study the relationship between the degree of malnutrition in aged population living in two NH and anthropometric measures like brachial perimeter (BP) and leg (PP). Methods Were included elderly people aged ≥65 years. The nutritional assessment status was through the application of the Mini Nutritional Assessment (MNA). Data analysis was performed using the IBM SPSS software with a descriptive and inferential analysis. The level of critical significance chosen was 5%. Results 83 seniors of both genders (78.3% female) were evaluated with a middle age of 83.4 ± 7.9 years. The application of MNA revealed that 33.7% of the seniors are in malnutrition risk and 43.4% malnourished. Older elderly people (P = 0.03) with less mobility (r = -0.722; P < 0.001) and bigger food dependency (r = -0.674; P < 0.001) have a higher risk of malnutrition. Individuals with lower BP (P = 0.024) and PP (P < 0.001) are more likely to be malnourished or at risk of malnutrition, and those who are more dependent on food, a lower PP (P < 0.001). Conclusions In the impossibility of applying MNA, BP and PP can be measured in the admission of the user, as determining factors of malnutrition, for an earlier intervention, despite the fact that the nutritionist’s presence in these institutions is crucial

scholarly journals Association between kidney function, nutritional status and anthropometric measures in older people

2020 ◽  
Vol 20 (S1) ◽  
Author(s):  
Agnieszka Guligowska ◽  
◽  
Andrea Corsonello ◽  
Małgorzata Pigłowska ◽  
Regina Roller-Wirnsberger ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Serum Albumin ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Overweight And Obesity ◽  
Community Dwelling ◽  
Albumin Concentration ◽  
Anthropometric Measures ◽  
Baseline Phase

Abstract Background Different mechanisms connect the nutritional status with the occurrence and the course of chronic kidney disease (CKD). The end-stage renal disease is complicated by catabolic inflammatory reactions and cachexia which leads to malnutrition (undernutrition). On the other hand, obesity is an important risk factor for the development and acceleration of CKD. Methods In the SCOPE study, community-dwelling persons aged 75 years and over, from 6 European countries and Israel were examined at the baseline phase. We assessed the relationship between anthropometric measures (Body Mass Index (BMI), circumferences of arm (AC), waist (WC), hip (HC), and calf (CC), waist-to-hip ratio - WHR, waist-to-height ratio - WHtR, risk of malnutrition (Mini Nutritional Assessment - MNA), serum albumin) and estimated glomerular filtration rate (eGFR) calculated by Berlin Initiative Study (BIS) equation. Results We studied 2151 subjects (932 men and 1219 women) with a mean age of 79.5 ± 5.9 years. A total of 1333 (62%) participants had CKD (GRF < 60 ml/min/1.73 m2). Negative correlations between eGFR and weight, AC, WC, HC, CC, BMI, WHtR were observed. Positive correlation occurred between eGFR and MNA score (Spearman’s rho = 0.11) and albumin concentration (rho = 0.09). Higher weight, AC, WC, HC, CC, BMI and WHtR increased the odds ratio of CKD; higher MNA (OR = 0.98, 95% CI 0.94–1.0) and higher serum albumin (OR = 0.73, 95% CI 0.53–1.0) were weakly associated with reduced odds. The risk of malnutrition was the highest with eGFR < 30 as compared to eGFR > 60 (OR = 2.95, 95%CI = 1.77–4.94 for MNA < 24; OR = 5.54, 95%CI = 1.66–18.5 for hypoalbuminemia < 3.5 g/dL). Conclusion The population of community dwelling people aged 75+ with CKD shows general features of overweight and obesity with a small prevalence of malnutrition. For anthropometric measures, the strongest association with eGFR and the highest odds of CKD were identified using WC, HC, CC and WHtR. Albumin level and MNA, but not MNA Short Form, indicated an increased odds of malnutrition with a decrease in eGFR.

scholarly journals Mini Nutritional Assessment of rural elderly people in Bangladesh: the impact of demographic, socio-economic and health factors

2006 ◽  
Vol 9 (08) ◽  
Author(s):  
Zarina Nahar Kabir ◽  
Tamanna Ferdous ◽  
Tommy Cederholm ◽  
Masuma Akter Khanam ◽  
Kim Streatfied ◽  
...  
Keyword(s):  
Elderly People ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Rural Elderly ◽  
Health Factors ◽  
The Impact

scholarly journals Fatores associados à dependência de idosos residentes em instituições públicas

2019 ◽  
Vol 4 (6) ◽  
pp. 3
Author(s):  
Gerson Scherrer Júnior ◽  
Maria Isabel Barbosa Rodrigues ◽  
Kleyton Góes Passos ◽  
Odete Teresinha Portela ◽  
Angélica Castilho Alonso ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Elderly People ◽  
Mental State ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Katz Index ◽  
The Social

Comparar o grau de dependência e correlacionar a dependência com as variáveis sociodemográficas, cognição e estado nutricional de idosos residentes em instituições de longa permanência pública de São Paulo. Estudo transversal e analítico, com 154 idosos, moradores de instituições, inseridas no seio da comunidade, que acolhem idosos em situação de vulnerabilidade social. Os dados foram coletados em agosto de 2016. As informações sociais, culturais, epidemiológicas e de estilo de vida foram transcritas dos prontuários, as atividades básicas da vida diária avaliadas pelo Índice de Katz, o estado mental pelo mini exame do estado mental, condição nutricional pelo mini avaliação nutricional. O aumento da idade, maior quantidade de doenças e tempo de moradia, má condição cognitiva e nutricional aumenta o grau de dependência dos idosos institucionalizados. Os achados recomendam às instituições a oferta de um ambiente que promova a cognição, o físico e estilo de vida saudável.Descritores: Instituição de Longa Permanência para Idosos, Envelhecimento, Atividades Cotidianas. Factors associated with the dependence of elderly residents in public institutionsAbstract: To compare the degree of dependence and correlate dependence with the sociodemographic variables, cognition and nutritional status of elderly people living in long - term public institutions in. A cross-sectional and analytical study, with 154 elderly people, residents of institutions within the community, who welcome elderly people in situations of social vulnerability. The data were collected in August 2016. The social, cultural, epidemiological and lifestyle information was transcribed from the charts, the basic activities of daily living evaluated by the Katz Index, the mental state by the mini-mental state examination, nutritional condition by the mini nutritional assessment. Increased age, higher amount of illnesses and length of stay, poor cognitive and nutritional status increase the degree of dependence of the institutionalized elderly. The findings recommend that institutions offer an environment that promotes cognition, physical and healthy lifestyle.Descriptors: Homes for the Aged, Aging, Activities of Daily Living.Factores asociados a la dependencia de ancianos residentes en instituiciones públicasResumen: Comparar o determinar la dependencia y la correlación con la dependencia como variables sociodemográficas, conocimiento y estado nutricional de los residentes en instituciones de larga duración pública de São Paulo. Estudio transversal y analítico, con 154 ancianos, habitantes de instituciones, insertas en el seno de la comunidad, que acogen a ancianos en situación de vulnerabilidad social. Los datos fueron recolectados en agosto de 2016. Las informaciones sociales, culturales, epidemiológicas y de estilo de vida fueron transcritas de los archivos, actividades básicas de la vida cotidiana evaluadas por el índice de Katz, el estado mental por el mini examen del estado mental. El aumento de la edad, mayor cantidad de enfermedades y tiempo de morada, mala condición cognitiva y nutricional aumenta el grado de dependencia de los ancianos institucionalizados. Los hallazgos recomiendan a las instituciones la oferta de un ambiente que promueve la cognición, el físico y el estilo de vida saludable.Descriptores: Hogares para Ancianos, Envejecimiento, Actividades Cotidianas.

scholarly journals The Physical Activity and Fall Risk Among Iranian Older Male Adults

2020 ◽  
Vol 14 (1) ◽  
pp. 159-167
Author(s):  
Mehdi Kushkestani ◽  
Mohsen Parvani ◽  
Shiva Ebrahimpour Nosrani ◽  
Sohrab Rezaei
Keyword(s):  
Physical Activity ◽  
Statistical Analysis ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Activity Level ◽  
Elderly Males ◽  
Effective Role ◽  
The Relationship ◽  
Falls In Elderly

Background: Fall is a major cause of disability and mortality in the elderly. Objective: The aim of the present study was to investigate the relationship between the level of physical activity and falls in elderly men in Tehran. Methods: The subjects of this study included 434 elderly males over the age of 60 in Tehran, who were randomly selected from parks in different parts of Tehran. The data was collected from August to September, 2019. The demographic characteristics of the subjects were collected and recorded. Then, body composition and anthropometric indices including weight, body mass index (BMI), height and calf circumferences (CC), waist circumferences (WC) and hip circumferences were measured using a digital scale of OMRON and meter tape. The level of physical activity and nutritional status were calculated using the questionnaires of physical activity scale for the elderly (PASE) and mini nutritional assessment (MNA), respectively. The Short Physical Performance Battery (SPPB) test was used to assess the risk of falling. Statistical analysis of data was performed using SPSS21 software. Results: The results of statistical analysis of the data showed a positive and significant relationship between global physical activity level (P<0.000) and subscales of its domains (P<0.000) with fall score and a significant inverse relationship between age and fall score (P<0.000). In addition, it was found that age (P<0.000) and physical activity (P<0.000) are two strong factors in predicting falls in the elderly. Conclusion: Based on the resulting positive relationship between physical activity and falls, it can be stated that the using strategies such as increasing sports environments with a focus on exercise, physiologists can play an effective role in preventing falls and related complications in the elderly.

scholarly journals Nutritional risk factors in hospitalized nonagenarian patients

2020 ◽  
Vol 2 (35) ◽  
pp. 160-165
Author(s):  
Ludiane Alves do Nascimento ◽  
Grasiela K. P. Andrade ◽  
Juliana Bonfleur Carvalho ◽  
Ana Lucia Chalhoub Chediac Rodrigues ◽  
Ariane Nadólskis Severine
Keyword(s):  
Nutritional Status ◽  
Clinical Outcomes ◽  
Positive Relationship ◽  
Nutritional Assessment ◽  
Disease Process ◽  
Mini Nutritional Assessment ◽  
Nutritional Therapy ◽  
Nutritional Risk ◽  
Cross Sectional ◽  
Nutrition Assistance

Introduction: In 2050, we estimate that the population of individuals who are 90 years of age or older will be five times higher than that in 2010. Among elderly people, the disease process can contribute to a worsening nutritional status. This article aims to examine the associations among nutritional status and initial diagnoses, muscle mass, routes of feeding, and clinical outcomes. Despite the progressive increase in this population and their particularities, few studies have been conducted among nonagenarians. Methods: This was a cross-sectional study that included patients over 90 years old admitted to Hospital Sírio Libanês. The following parameters were assessed: calf circumference (CC), body mass index (BMI), routes of feeding and medical diagnosis. Nutritional screening was performed using the Mini Nutritional Assessment (MNA). Results: A total of 79 patients were assessed, and they had a median age of 92 years, a median BMI of 22.6 kg/m2 and median hospital stay of 13 days. A total of 59.5% of the patients (n=47) were female. The frequency of malnutrition (as assessed by the BMI) was 54.4%. There was a positive relationship (71.4%) between CC <31 cm and underweight (as assessed by the BMI) (p=0.032). Malnutrition (classified using the MNA) was significantly associated with dysphagia (77.4%) (p=0,003), the use of supplements (p=0.002) and enteral nutrition therapy (p=0.005). Mortality (25.8%) was also significantly related to malnutrition, showing that nutritional status contributed to poor clinical outcomes in patients (p=0.042). Conclusion: Dysphagia had a positive relationship with malnutrition because it is a condition that affects food intake. The use of supplements and a higher indication for enteral nutritional therapy both had a positive relationship with malnutrition because they are conducts indicated to improve nutritional status, showing that specific nutrition assistance strategies for this age group can contribute to improved nutritional status in nonagenarians.

Risk of Malnutrition Evaluated by Mini Nutritional Assessment and Sarcopenia in Noninstitutionalized Elderly People

2018 ◽  
Vol 33 (6) ◽  
pp. 879-886 ◽  
Author(s):  
Ilaria Liguori ◽  
Francesco Curcio ◽  
Gennaro Russo ◽  
Michele Cellurale ◽  
Luisa Aran ◽  
...  
Keyword(s):  
Elderly People ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment

scholarly journals Malnutrition and obesity in community-dwelling older adults: concomitant conditions? (PEN-3S study)

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Teresa Madeira ◽  
Catarina Peixoto-Plácido ◽  
Nuno Sousa-Santos ◽  
Nuno Mendonça ◽  
Osvaldo Santos ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Screening Tools ◽  
World Health ◽  
Anthropometric Measures ◽  
Community Dwelling Older Adults

AbstractBoth malnutrition (which here refers to undernutrition) and obesity are prevalent in older adults, but they are frequently seen as mutually exclusive. In fact, a low body mass index (BMI) is one of the aetiological diagnostic criteria for malnutrition. On the contrary, the concomitant presence of malnutrition and obesity has been less studied. The aim of this study was to characterise the nutritional status of community-dwelling older adults (≥ 65 years old) living in Portugal. The study included a nationally representative sample of randomly selected community-dwelling older adults. Trained nutritionists collected data through face-to-face structured interviews regarding sociodemographic characteristics, nutritional status and anthropometric measures (namely, weight and height), among other variables of the PEN-3S study. Nutritional status was assessed by the 18-item Mini Nutritional Assessment (full MNA®), in which a lower score indicates worse nutritional status. The World Health Organisation's (WHO) BMI cut-offs for adults were followed (obesity: BMI ≥ 30Kg/m2). MNA and BMI categories estimates (95% CI) were obtained using Complex Samples analysis (SPSS® 24.0). Non-difference between sexes was analysed with Chi-square tests. Complete information was available for 1110 community-dwelling participants (mean age: 75.9 ± 8.1 years; 48.9% women; 71.4% attended school for < 5 years). According to the MNA, 0.5% (95%CI: 0.2–1.7) were classified as malnourished and 16.0% (12.9–19.7) were at risk of malnutrition. Following WHO's BMI criteria, 0.6% (0.2–1.5) had a BMI ≤ 18.5Kg/m2, 41.9% (37.9–46.0) had a BMI between 25–30Kg/m2, and 36.7% (32.8–40.9) presented a BMI ≥ 30Kg/m2. The prevalence of risk of malnutrition was significantly higher for women (20.1%, 95%CI: 15.4–25.9) than men (10.4%, 7.6–14.1; p < 0.001). The prevalence of obesity was also significantly higher for women (42.2%, 35.9–48.7 versus 29.3%, 24.8–34.2; p = 0.007). Moreover, 13.9% (9.2–20.4) were simultaneously at risk of malnutrition and had a BMI ≥ 30Kg/m2, while no one in this BMI category was classified as malnourished. Although appropriate BMI cut-offs for older adults are still uncertain, these results highlight that a high BMI does not exclude the risk of malnutrition, particularly in women. Therefore, health professionals should routinely screen for malnutrition using multi-component, validated screening tools, irrespective of the BMI. In fact, malnutrition is preventable if detected on time and effective interventions exist. The concomitant presence of malnutrition and obesity may pose additional challenges to the treatment.

scholarly journals Mini Nutritional Assessment of rural elderly people in Bangladesh: the impact of demographic, socio-economic and health factors – ERRATUM

2016 ◽  
Vol 19 (12) ◽  
pp. 2290-2290
Author(s):  
Zarina Nahar Kabir ◽  
Tamanna Ferdous ◽  
Tommy Cederholm ◽  
Masuma Akter Khanam ◽  
Kim Streatfied ◽  
...  
Keyword(s):  
Elderly People ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Rural Elderly ◽  
Health Factors ◽  
The Impact
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