scholarly journals Evaluation of Malnutrition and Depression in Elderly People: An Epidemiological Study in Turkey

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Aydoğan ◽  
A Ünsal ◽  
D Arslantaş

Abstract Background Malnutrition is an important cause of morbidity and mortality. Malnutrition increases the number of hospitalizations and prolongs the length of hospitalization by disrupting organ functions, increasing the number and severity of infections and delaying wound healing. The aim of this study was to determine the frequency of suspected malnutrition in the elderly, to examine some related variables and to evaluate the depression. Methods The study is a cross-sectional study conducted between March-April 2019 in individuals aged 60 years and older living in Sivrihisar. Sample size was calculated as 579. Cluster sampling method used. Data was collected by door to door in 4 neighborhoods determined by randomly. Mini Nutritional Assessment Test-Short Form (for malnutrition), Katz Daily Living Activities Scale (for dependency) and Geriatric Depression Scale-Short Form (for depression) were used. Chi-square test, Mann Whitney U test and logistic regression analysis were used for the analyzes. Results The study group consisted of 220 (38%) women and 359 (62%) men. The mean age was 68.9±6.4 (ranged 60-93). Frequency of suspected malnutrition was 25% (n = 145). Being 80 years of age or older (OR:3.24, CI:1.53-6.85), having a primary and lower education level (OR:2.54, CI:1.32-4.90), history of chronic illness (OR:2.34, CI:1.33-4.03), using dentures (OR:1.62, CI:1.03-2.55) and suspected depression (OR:4.97, CI:3.17-7.78) are important risk factors for malnutrition. Those with suspicion of malnutrition had lower scores on DLA (z = 8.982;p=0.001). Conclusions Malnutrition was found to be an important health problem for the elderly. The frequency of suspected malnutrition is higher in individuals with depression. Those with suspected malnutrition have higher level of dependency. In order to reduce the frequency of malnutrition, it may be beneficial to increase the awareness of the elderly and caregivers and to give importance to the elderly nutrition of primary health care providers. Key messages Depression is an important risk factor for malnutrition. Malnutrition increases the dependence of the individual on daily activities.

Author(s):  
Jia-Yu Wei ◽  
Shu-Ting Shi ◽  
Dan Sun ◽  
Guo-Zhong Lyu

Abstract Objective Nutritional assessment can early identify patients who are malnourished and at risk of malnutrition. To examine the effect of nutritional status on wound healing in elderly burn patients, we used the MNA-SF to measure the nutritional status of elderly patients. This study aimed to examine the role of MNA-SF in elderly burn patients through the correlation analysis of wound-healing indicators and MNA-SF score. Design Prospective observational and cross-sectional study. Methods This study used the MNA-SF to investigate the elderly burn patients at the department of burn. According to the score, the patients fell into three groups: good nutritional status (more than 12 points), malnutrition risk (8~11 points), and malnutrition (0~7 points). At the same time, we measured and compared the wound-healing indicators among the three groups of patients, and detected the correlation. Results The statistical analysis found gender had a slight influence on the score of nutritional status. While age was negatively correlated with the MNA-SF score and nutrition-related indicators. There was a low positive linear correlation between the wound healing percent area change or wound healing rate of patients and the score of the MNA-SF. Conclusion This study finds malnutrition is common among hospitalized elderly burn patients. The application of the MNA-SF in elderly burn patients is efficient and accurate to identify malnutrition early and prevent further obstruction of the normal wound healing, which can provide reference points for early nutrition intervention programs.


2019 ◽  
Author(s):  
Kedar Manandhar ◽  
Ajay Risal ◽  
Oshin Shrestha ◽  
Nirmala Manandhar ◽  
Dipak Kunwar ◽  
...  

Abstract Abstract Background: The increasing elderly population worldwide is likely to increase mental health problems such as geriatric depression, which has mostly been studied in high-income countries. Similar studies are scarce in low-and-middle-income-countries like Nepal. Methods: A cross-sectional, population-based, door-to-door survey was conducted in randomly selected rural and urban population clusters of the Kavre district, Nepal. Trained nurses (field interviewers) administered structured questionnaires that included a validated Nepali version of the Geriatric Depression Scale short form (GDS-15) for identifying geriatric depression among the elderly (≥60 years) participants (N=460). Those scoring ≥6 on GDS-15 were considered depressed. Logistic regression analysis explored the associations of geriatric depression with regard to socio-demographic information, life style, family support and physical well-being. Results: Of the total 460 selected elderly participants, 439 (95.4%) took part in the study. More than half of them were females (54.2%). The mean age was 70.9 (± 8.6) years. Approximately half (50.6%) were rural inhabitants, the majority (86.1%) were illiterate, and about three-fifths (60.1%) were living with their spouses. The gender-and-age adjusted prevalence of geriatric depression was 53.1%. Geriatric depression was significantly associated with rural habitation (AOR 1.6), illiteracy (AOR 2.1), limited time provided by families (AOR 1.8), and exposure to verbal and/or physical abuse (AOR 2.6). Conclusion: Geriatric depression is highly prevalent in Kavre, Nepal. The findings call for urgent prioritization of delivery of elderly mental health care services in the country. Keywords: depression, elderly, lifestyle, mental health, prevalence


2021 ◽  
Vol 22 (4) ◽  
pp. 352-375

Elméleti háttér: A szelekció–optimalizáció–kompenzáció modell rugalmas alkalmazkodási folyamatokat feltételez, amelyekkel az idősek képesek pozitív egyensúlyt elérni életkoruk nyereségei és veszteségei között. Ezen stratégiák mérésére alkották meg a Szelekció– Optimalizáció–Kompenzáció Kérdőívet, majd annak rövid változatát (SOC-12). Cél: Kutatásunk egyik célja a SOC-12 kérdőív magyar nyelvre történő adaptálása és pszichometriai jellemzőinek vizsgálata volt. Módszerek: Keresztmetszeti kérdőíves kutatásunkat 155 fős, 60 éves és afeletti, kognitív zavarban nem szenvedő mintán végeztük el (átlagéletkor: 74,6 év, SD = 7,9 év, terjedelem: 60–98 év; nemi megoszlás: 125 [81%] nő és 30 [19%] férfi). Mérőeszközök: SOC-12 kérdőív, Connor–Davidson Reziliencia Skála, Rövid Geriátriai Depresszió Skála. Eredmények: A teljes SOC-12 kérdőív illeszkedési mutatói a megerősítő faktorelemzésben messze elmaradnak az elfogadhatótól. Feltáró faktorelemzéssel kétfaktoros szerkezet rajzolódott ki. A SOC-12 skála egészét reprezentáló (mind a négy alskála tételeiből tartalmazó) 1. faktor tételei jó megbízhatóságú skálát képeznek (McDonald-ω [95% CI]: 0,83 [0,79–0,87]. A 2. faktoron töltődő tételekből létrehozott alskála esetén az ω [95% CI]: 0,57 [0,43–0,69], így megbízhatósága elmarad a kívánatostól. Az általunk módosított, 7-tételes SOC-kérdőív konvergens és diszkriminatív validitása egyaránt optimális, alátámasztja a skála által mért erőforrás-felhasználási stratégiák érvényességét. Következtetések: Kutatásunk alapján a módosított SOC-12 kérdőív a magyar idős populációban jó pszichometriai mutatókkal rendelkezik. Eredményeink alátámasztják, hogy segítségével az időskori alkalmazkodási folyamatok összességében jól mérhetők. A szelekciós stratégiák önálló mérése azonban az alacsony megbízhatóságú tételek miatt nem lehetséges. A kérdőív használhatóságát elősegíti, hogy a kitöltés és az értékelés egyaránt rövid időt vesz igénybe.Background: The selection-optimization-compensation model assumes flexible adaptation processes by which the elderly are able to achieve a positive balance between gains and losses of their lives. The Selection-Optimization-Compensation (SOC-12) questionnaire was developed to measure these strategies. Aim: The aim of our research was to adapt the SOC-12 questionnaire to Hungarian language and to establish its psychometric properties. Methods: Our cross-sectional research was conducted on a sample of 155 people aged 60 and over (mean age: 74.6 years, SD = 7.9 years, range: 60–98 years; gender distribution: 125 (81%) women and 30 (19%) male). Measures: SOC-12 Questionnaire, Connor-Davidson Resilience Scale, Geriatric Depression Scale Short Form. Results: Based on our results, the fit of the original 4 factor structure of the SOC-12 questionnaire very weak. Exploratory factor analysis revealed a two-factor structure. The items of factor 1, which represent the whole of the SOC-12 scale (containing items from all subscales), form a scale with good reliability (McDonald’s ω [95% CI]: 0,83 [0,79–0,87]. In the case of the subscale created from the items loading on the factor 2, the ω-value [95% CI] is 0.56 [0.43–0.69], so its reliability is less than acceptable. Both convergent and divergent validity of the modified SOC questionnaire is optimal, supporting the validity of the resource use strategies measured by the scale. Conclusions: Based on the current study, the original SOC-12 questionnaire had to be modified. Our results support that the modified questionnaire makes measurable adaptation processes in old age. Independent measurement of selection strategies is not possible due to low reliability items. The scale provides a short, easy response to measure these strategies, and both completion and evaluation take a short time.


Salmand ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. 140-151
Author(s):  
Fatemeh Hosseini Moghaddam ◽  
◽  
Masumeh Amiri Delui ◽  
Leila Sadegh Moghadam ◽  
Fatemeh Kameli ◽  
...  

Objectives: The outbreak of Coronavirus Disease 2019 (COVID-19) due to its rapid transmission has created an emergency situation in global health in less than a few months around the world. This disease not only causes public health concerns but also causes a number of psychological illnesses including depression. The present study aims to investigate the prevalence of depression during the COVID-19 quarantine among the elderly in Iran. Methods & Materials: This is a descriptive cross-sectional study conducted on 432 eligible older adults living in Gonabad city who were selected by cluster random sampling method. Data were collected by a demographic checklist and the Geriatric Depression Scale (GDS) which were completed via phone. Collected data were analyzed in SPSS software using descriptive and inferential statistics, considering a significance level of P<0.05. Results: The prevalence of depression was 55.8% which had a statistically significant relationship with marital status (P<0.001), living status (P<0.001), economic status (P<0.001), family history of depression (P<0.001), history of chronic disease (P<0.003), level of education (P<0.001), and sleep quality (P<0.001). Conclusion: Depression has a high prevalence among the elderly in Gonabad city during the COVID-19 quarantine. In this regard, related interventions for this group should be considered in the plans of health care providers.


2019 ◽  
Author(s):  
Mohsen Shati ◽  
Seyede salehe mortazavi ◽  
Seyed Kazem Malakouti ◽  
Shiva ASCEND Center for Biomedical Research Mehravaran ◽  
Ali Norouzi ◽  
...  

Abstract Background The aim of this research was to analyze the psychometric properties of the Persian version of the Geriatric Anxiety Inventory (GAI-PV) and its short form (GAI-PV-SF) in a sample of older adults in Iran.Methods In this cross-sectional study, a sample of 150 community-dwelling and a psychogeriatric sample of 48 adults older than 60 years completed the GAI-PV and GAI-PV-SF, the anxiety sub-scale of the General Health Questionnaire (GHQ-28), the Geriatric Depression Scale (GDS-15), and the Structured Clinical Interview for DSM-IV (SCID-I).Results Both the GAI-PV and GAI-PV-SF exhibited excellent internal consistency and desirable concurrent validity against GHQ-28 and GDS-15. The optimal cutpoint score to detect current generalized anxiety disorder (GAD) was 10/11 and 13/14 for GAI-PV in the community-dwelling and psychogeriatric samples, respectively, and 3/4 for GAI-PV-SF in both study samples. A good test-retest reliability and a single-factor structure were also demonstrated.Conclusion Sound psychometric properties of the GAI-PV in both subsamples suggest that the instrument could be used successfully as an accurate screening instrument in the elderly Iranian population.


2019 ◽  
Author(s):  
Kedar Manandhar ◽  
Ajay Risal ◽  
Oshin Shrestha ◽  
Nirmala Manandhar ◽  
Dipak Kunwar ◽  
...  

Abstract Abstract Background: The increasing elderly population worldwide is likely to increase mental health problems such as geriatric depression, which has mostly been studied in high-income countries. Similar studies are scarce in low-and-middle-income-countries like Nepal. Methods: A cross-sectional, population-based, door-to-door survey was conducted in randomly selected rural and urban population clusters of the Kavre district, Nepal. Trained nurses (field interviewers) administered structured questionnaires that included a validated Nepali version of the Geriatric Depression Scale short form (GDS-15) for identifying geriatric depression among the elderly (≥60 years) participants (N=460). Those scoring ≥6 on GDS-15 were considered depressed. Logistic regression analysis explored the associations of geriatric depression with regard to socio-demographic information, life style, family support and physical well-being. Results: Of the total 460 selected elderly participants, 439 (95.4%) took part in the study. More than half of them were females (54.2%). The mean age was 70.9 (± 8.6) years. Approximately half (50.6%) were rural inhabitants, the majority (86.1%) were illiterate, and about three-fifths (60.1%) were living with their spouses. The gender-and-age adjusted prevalence of geriatric depression was 53.1%. Geriatric depression was significantly associated with rural habitation (AOR 1.6), illiteracy (AOR 2.1), limited time provided by families (AOR 1.8), and exposure to verbal and/or physical abuse (AOR 2.6). Conclusion: Geriatric depression is highly prevalent in Kavre, Nepal. The findings call for urgent prioritization of delivery of elderly mental health care services in the country. Keywords: depression, elderly, lifestyle, mental health, prevalence


2019 ◽  
Author(s):  
Kedar Manandhar ◽  
Ajay Risal ◽  
Oshin Shrestha ◽  
Nirmala Manandhar ◽  
Dipak Kunwar ◽  
...  

Abstract Abstract Background: The increasing elderly population worldwide is likely to increase mental health problems such as geriatric depression, which has mostly been studied in high-income countries. Similar studies are scarce in low-and-middle-income-countries like Nepal. Methods: A cross-sectional, population-based, door-to-door survey was conducted in randomly selected rural and urban population clusters of the Kavre district, Nepal. Trained nurses (field interviewers) administered structured questionnaires that included a validated Nepali version of the Geriatric Depression Scale short form (GDS-15) for identifying geriatric depression among the elderly (≥60 years) participants (N=460). Those scoring ≥6 on GDS-15 were considered depressed. Logistic regression analysis explored the associations of geriatric depression with regard to socio-demographic information, life style, family support and physical well-being. Results: Of the total 460 selected elderly participants, 439 (95.4%) took part in the study. More than half of them were females (54.2%). The mean age was 70.9 (± 8.6) years. Approximately half (50.6%) were rural inhabitants, the majority (86.1%) were illiterate, and about three-fifths (60.1%) were living with their spouses. The gender-and-age adjusted prevalence of geriatric depression was 53.1%. Geriatric depression was significantly associated with rural habitation (AOR 1.6), illiteracy (AOR 2.1), limited time provided by families (AOR 1.8), and exposure to verbal and/or physical abuse (AOR 2.6). Conclusion: Geriatric depression is highly prevalent in Kavre, Nepal. The findings call for urgent prioritization of delivery of elderly mental health care services in the country. Keywords: depression, elderly, lifestyle, mental health, prevalence


2005 ◽  
Vol 17 (4) ◽  
pp. 557-575 ◽  
Author(s):  
Ellinor Bergdahl ◽  
Janna M. C. Gustavsson ◽  
Kristina Kallin ◽  
Petra von Heideken Wågert ◽  
Berit Lundman ◽  
...  

Objectives: To investigate the prevalence of depression among the oldest old and to analyze factors associated with depression.Methods:A cross-sectional, population-based study was undertaken in Umeå, Sweden. Out of 319 eligible participants aged 85, 90 and 95 years and older, it was possible to evaluate 242 people (75.9%) for depression. Data were collected from structured interviews and assessments in the participants’ homes, and from medical charts, relatives and caregivers. Depression was screened for using the Geriatric Depression Scale-15 and further assessed with the Montgomery–Åsberg Depression Rating Scale. Cognition was assessed using the Mini-mental State Examination, activities of daily living (ADL) using the Barthel ADL Index, nutrition using the Mini Nutritional Assessment and well-being using the Philadelphia Geriatric Center Morale Scale.Results:The 85-year-olds had a significantly lower prevalence of depression than the 90- and 95-year-olds (16.8% vs. 34.1% and 32.3%). No sex differences were found. One-third of those with depression had no treatment and among those with ongoing treatment 59% were still depressed. Persons diagnosed with depression had a poorer well-being and a higher 1-year mortality. Logistic regression analyses showed that depression was independently associated with living in institutions and number of medications.Conclusion:Depression among the oldest old is common, underdiagnosed and inadequately treated, and causes poor well-being and increased mortality. More knowledge about depression is essential to improve the assessment and treatment of depression among the oldest old.


2021 ◽  
pp. 082585972110455
Author(s):  
Eyyup M. Efendioglu ◽  
Ahmet Cigiloglu ◽  
Ibrahim H. Turkbeyler

Objective: The aim of this study is to determine the prevalence of and relationship between malnutrition and depressive symptoms in older palliative care inpatients. Methods: One hundred and thirty-six older adults were included in the study. The Geriatric Depression Scale, Mini Nutritional Assessment Short Form, Mini Mental State Examination, Barthel index, and Lawton & Brody index were used to evaluate the mood, nutrition status, mental status, and activities of daily living of the patients. Results: The mean age of the patients was 74.88 ± 8.82 years, and 63.2% of the patients were female. According to the nutritional assessment, 39.7% of the patients suffered from malnutrition, while 47.1% were at risk for it, and depressive symptoms were detected in 79.4% of the patients. A strong negative correlation was found between the scores for nutritional and depressive symptoms (r = −.750, 95% CI = −.834 to −.668). Conclusion: Malnutrition, risk of malnutrition, and depressive symptoms were found to occur often among the patients, and the relationship between them was statistically significant. Our results highlight that the quality of life of palliative care patients could be improved by providing adequate nutrition and psychological support.


2021 ◽  
Vol 4 (1) ◽  
pp. 6-18
Author(s):  
Sri Hartutik ◽  
Anjar Nurrohmah

Pandemi Covid -19 merupakan bentuk kasus baru di dunia kesehatan yang mempunyai beragam dampak, baik biologis, psikologis, sosial dan spiritual. Kondisi seperti ini harus benar-benar diwaspadai terutama pada usia rentan dan resiko yaitu salah satunya usia lansia. Depresi pada lansia merupakan gangguan psikiatri dan merupakan masalah kesehatan mental yang sering terjadi dikalangan lanjut usia. Prevalensi depresi didunia sekitar 8-15%. Hasil survey dari berbagai negara di dunia diperoleh prevalensi rata- rata depresi pada lansia adalah 13,5 % dengan perbandingan wanita:pria 14,1: 8,6 dimana wanita dua kali lebih banyak daripada pria. Penelitian ini bertujuan untuk Mengetahui gambaran tingkat depresi pada lansia di Masa Pandemic Covid-19. Jenis penelitian ini adalah penelitian desain deskriptif cross sectional dengan teknik consecutive sampling yang bertujuan untuk melihat gambaran tingkat depresi lansia menggunakan instrument penelitian berupa kuesioner Geriatric Depression Scale Short Form (GDS-S). Berdasarkan penelitian didapatkan hasil Umur lansia yang mengalami depresi pada masa Pandemic Covid-19 sebagian besar adalah Usia lanjut (60–74 tahun), jenis kelamin perempuan, status perkawinan lansia sebagian besar  janda, riwayat penyakit lansia sebagian besar  hipertensi, tingkat pendidikan lansia sebagian besar SD. Kesimpulan penelitian gambaran tingkat depresi pada lansia pada masa pandemic covid-19 sebagian besar mengalami depresi ringan. Depression in the elderly is a psychiatric disorder and is a mental health problem that often occurs among the elderly. The prevalence of depression in the world is around 8-15% and survey results from various countries in the world show that the average prevalence of depression in the elderly is 13.5% with the ratio of women: men is 14.1: 8.6 where women are twice as many as men. . This research aimed to determine the level of depression in the elderly during the Covid-19 Pandemic. This type of research used a cross sectional descriptive design with consecutive sampling technique which aims to describe the level of depression in the elderly using a research instrument in the form of a Geriatric Depression Scale Short Form (GDS-S) questionnaire. The result showed Depression during the Covid-19 Pandemic was mostly elderly (60 - 74 years), female sex, most of the elderly marital status was widowed, history of elderly disease was mostly hypertension, education level of the elderly was mostly elementary school. The description of the level of depression in the elderly during the Covid-19 pandemic mostly experienced mild depression.  


Sign in / Sign up

Export Citation Format

Share Document