Abstract WP385: Gender Differences in Nutritional Status After a Stroke

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Estela Sanjuan Menendez ◽  
Fidel Lopez Espuela ◽  
Juan Carlos Portilla ◽  
Katherine E Santana ◽  
Marta Holguin Mohedas ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gender Differences ◽  
Nutritional Status ◽  
Acute Stroke ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Female Gender ◽  
Stroke Severity ◽  
Anthropometric Parameters ◽  
The Impact

Introduction: Malnutrition has been associated with a worse outcome in stroke. Its frequency is not well established and sometimes the impact is not considered. Objective: To explore gender differences on nutritional status (NS) after acute stroke and its impact on stroke outcome at 90 days. Methods: We evaluated consecutive acute stroke patients admitted to the Stroke Unit. We analyzed baseline demographics, vascular risk factors, analytic and anthropometric parameters, and stroke characteristics. We determined NS at baseline and 90 days by Mini Nutritional Assessment (MNA) scale to detect patients at malnutrition risk (MR). We divided groups by gender. Chi square test was applied for qualitative variables and T student for quantitative. A probability value of <0.05 was considered significant for all tests. Results: We included 95 patients, 45 women (47,4%). Differences were found comparing women vs men and age (77,9 ± 1,02 vs 75,1 ± 0,9), alcohol consumption (6,7% vs 60%), smoking (4,4% vs 26%) and body mass index (30,1 ± 5,1 vs 27,3 ± 4,5); p<0.05. There were no significant differences related to gender and stroke type (ischemic 88,9% vs 84%, p=0.49) nor stroke severity at baseline (NIHSS 5±4 vs 4±4 p=0.18), neither in risk factors (hypertension, diabetes, atrial fibrillation, dislipidemia), comorbidities nor socioeconomic differences. There were no gender differences in the occurrence of in-hospital complications (27,3% vs 16,3%; p=0,2), dysphagia (6,7% vs 6,0%; p=0.89) nor in NIHSS scoring at discharge (3±3 vs 2±3; p=0.08). On admission, MR was present in 28,5% of the patients. There were no differences between gender and DR (31,1% vs 26%; p=0.58). At 90 days, MR increased to 46,4%. We found significant gender differences (57,8% vs 32%; p=0.024). In the adjusted analysis, female gender was associated with a worst NS at 90days [OR 3,56 (1,1-11,5)]. Modified Rankin scale (mRs) score at 90 days was <=2 in 77,8% of women and 82% of men, p=0.607. MNA score at 90 days was independently associated with a better outcome (mRs<=2) at 90 days adjusted by gender OR 0,13 (0,14-0,46). Conclusion: In our series, female gender was independently related to worse nutritional status at 90 days after the stroke.

scholarly journals Nutritional Status and Cardiometabolic Risk Factors in Institutionalized Adults with Cerebral Palsy

Medicina ◽  
2019 ◽  
Vol 55 (5) ◽  
pp. 157 ◽  
Author(s):  
Aurora Norte ◽  
Coral Alonso ◽  
José Miguel Martínez-Sanz ◽  
Ana Gutierrez-Hervas ◽  
Isabel Sospedra
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Cerebral Palsy ◽  
Nutritional Status ◽  
Cardiometabolic Risk ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Density Lipoprotein ◽  
Cardiometabolic Risk Factors ◽  
Lipoprotein Cholesterol

Background and Objectives: Cerebral palsy (CP) is a set of permanent disorders that limit physical activity and increase the risk of developing other diseases, such as metabolic syndrome (MS). Adequate nutrition can contribute to the prevention of associated symptoms. The main objective of this study is to evaluate the nutritional status and the prevalence of cardiometabolic risk factors in adults with CP and Gross Motor Function Classification System (GMFCS) levels between IV and V. Materials and Methods: A sample of 41 adults with CP and GMFCS levels from IV to V were studied. The variables used in the study were age, sex, weight, height, mean age, and GMFCS level range. To evaluate nutritional status, body mass index and the Mini Nutritional Assessment (MNA), a nutritional screening tool, were used. To assess cardiometabolic risk, data on obesity, central obesity, blood pressure, fasting plasma glucose, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and triglycerides were collected. Results: More than 80% of the population studied was malnourished or at risk of malnutrition, according to the MNA tool classification ranges, and around 35% of the studied population was within the underweight range. Regarding cardiometabolic risk factors, only one adult with CP was diagnosed with MS. Conclusions: The studied population of adults with CP and GMFCS levels between IV and V is not a population at risk of MS; however, the high prevalence of malnutrition, as well as some of the most prevalent cardiovascular risk factors, should be taken into consideration.

Nutrition as a Health Determinant in Elderly Patients

2019 ◽  
Vol 26 (19) ◽  
pp. 3652-3661 ◽  
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.

scholarly journals What Are the Risk Factors for Malnutrition in Older-Aged Institutionalized Adults?

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2857
Author(s):  
Lorenzo M. Donini ◽  
Blossom C. M. Stephan ◽  
Aldo Rosano ◽  
Alessio Molfino ◽  
Eleonora Poggiogalle ◽  
...  
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Regression Model ◽  
Physical Performance ◽  
Functional Impairment ◽  
Nutritional Assessment ◽  
Intervention Strategy ◽  
Mini Nutritional Assessment ◽  
Effective Prevention ◽  
Age Range

Malnutrition is common in older adults and is associated with functional impairment, reduced quality of life, and increased morbidity and mortality. The aim of this study was to explore the association between health (including depression), physical functioning, disability and cognitive decline, and risk of malnutrition. Participants were recruited from nursing homes in Italy and completed a detailed multidimensional geriatric evaluation. All the data analyses were completed using Stata Version 15.1. The study included 246 participants with an age range of 50 to 102 (80.4 ± 10.5). The sample was characterised by a high degree of cognitive and functional impairment, disability, and poor health and nutritional status (according to Mini Nutritional Assessment (MNA), 38.2% were at risk for malnutrition and 19.5% were malnourished). Using a stepwise linear regression model, age (B = −0.043, SE = 0.016, p = 0.010), depression (B = −0.133, SE = 0.052, p = 0.011), disability (B = 0.517, SE = 0.068, p < 0.001), and physical performance (B = −0.191, SE = 0.095, p = 0.045) remained significantly associated with the malnutrition risk in the final model (adjusted R-squared = 0.298). The logistic regression model incorporating age, depression, disability, and physical performance was found to have high discriminative accuracy (AUC = 0.747; 95%CI: 0.686 to 0.808) for predicting the risk of malnutrition. The results of the study confirm the need to assess nutritional status and to investigate the presence of risk factors associated with malnutrition in order to achieve effective prevention and plan a better intervention strategy.

Epidemiological Determinants of Malnutrition Status among Geriatric Population Residing at High Altitude Region of Rural Uttarakhand, India

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Ritika Khandelwal ◽  
Umesh Kapil ◽  
Aakriti Gupta
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
High Altitude ◽  
Nutritional Assessment ◽  
Scientific Evidence ◽  
Mini Nutritional Assessment ◽  
Geriatric Population ◽  
Cross Sectional ◽  
High Prevalence ◽  
Loss Of Appetite

AbstractBackgroundHigh prevalence of Malnutrition exists amongst the geriatric population in India. Evidence on malnutrition is available from the plain regions of the country. However there is lack of scientific evidence on malnutrition status of geriatric population residing at high altitude regions of Uttarakhand, India.Materials and methodsA community based cross-sectional study was conducted during 2015–2016 in District Nainital. Thirty clusters were identified using population proportionate to size sampling method; 30 geriatric subjects were selected from each cluster. Study population included 980 geriatric aged 60 years and above. Nutritional status of the geriatric population was assessed using Mini Nutritional Assessment (MNA) tool. Standard procedures were used to determine the height, weight, MCC and MUAC. The BMI was calculated from the measurements of weight (kg) and height (cm) (kg/m2). Data was entered in MS Excel 2007 and analyzed using SPSS version 20.0.ResultsThe MNA revealed that only 22.4% geriatric subjects had satisfactory nutritional status, 14.3% were malnourished and 63.3% were “at risk” of malnutrition. High prevalence of malnutrition was found among subjects belonging to age group of 60–70 years (58.9%), illiterate (74.5%) with family monthly income (1866–5546;43.3%), financially dependent (75.2%), with loss of appetite (71.6%), with chewing problem (63.1%) and who consumed < 2 full meals daily. (73.1%; all p < 0.0001;) in comparison to the subjects who had satisfactory nutritional status.ConclusionsThe present findings revealed that the high prevalence of malnutrition amongst the geriatric population in India. The risk factors identified were financial dependency, dietary intake, loss of appetite and chewing problem. Interventions to decrease these risk factors possibly may lead to reduction in malnutrition among geriatric population.

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

2006 ◽  
Vol 9 (8) ◽  
pp. 968-974 ◽  
Author(s):  
Zarina Nahar Kabir ◽  
Tamanna Ferdous ◽  
Tommy Cederholm ◽  
Masuma Akter Khanam ◽  
Kim Streatfied ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Elderly People ◽  
Low Income ◽  
Elderly Population ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Health Problems ◽  
Low Income Countries ◽  
The Impact

AbstractObjectiveIn stating the Millennium Development Goals, the United Nations aims to halve malnutrition around the world by 2015. Nutritional status of the elderly population in low-income countries is seldom focused upon. The present study aimed to evaluate the magnitude of malnutrition among an elderly population in rural Bangladesh.Design and settingData collection for a multidimensional cross-sectional study of community-based elderly people aged 60 years and over was conducted in a rural area in Bangladesh.SubjectsOf 850 randomly selected elderly individuals, 625 participated in home interviews. Complete nutritional information was available for 457 individuals (mean age 69 ± 8 years, 55% female). Nutritional status was assessed using an adapted form of the Mini Nutritional Assessment (MNA) including body mass index (BMI). Age, sex, education, household expenditure on food and self-reported health problems were investigated as potential predictors of nutritional status.ResultsBMI < 18.5 kg m− 2, indicating chronic energy deficiency, was found in 50% of the population. MNA revealed a prevalence of 26% for protein–energy malnutrition and 62% for risk of malnutrition. Health problems rather than age had a negative impact on nutritional status. Level of education and food expenditure were directly associated with nutritional status.ConclusionIn order to reduce world hunger by half in the coming decade, it is important to recognise that a substantial proportion of the elderly population, particularly in low-income countries, is undernourished.

scholarly journals DENTITION AND MALNUTRITION RISK IN COMMUNITYDWELLING OLDER ADULTS

2018 ◽  
pp. 1-8
Author(s):  
R. Zelig ◽  
L. Byham-Gray ◽  
S.R. Singer ◽  
E.R. Hoskin ◽  
A. Fleisch Marcus ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Nutrition Status ◽  
Cross Sectional ◽  
Increased Risk ◽  
The Impact

Background and Objective: Older adults are at risk for both impaired oral health and suboptimal nutritional status. The objective of this study was to explore the relationships between malnutrition risk and missing teeth in community-dwelling older adults. Design: This was a retrospective cross-sectional analysis of data obtained from the electronic health records of 107 patients aged 65 and older who attended an urban northeast US dental school clinic between June 1, 2015 and July 15, 2016. Odontograms and radiographs were used to identify teeth numbers and locations; malnutrition risk was calculated using the Self-Mini Nutritional Assessment (Self-MNA). Relationships between numbers of teeth and malnutrition risk were assessed using bivariate logistic regression. Results: Participants (N=107) were 72.6 years (SD=5.6) of age; 50.5% were female. Mean Self-MNA score was 12.3 (SD=2.0) reflective of normal nutrition status; 20.6% were at risk for malnutrition, 4.7% were malnourished. Greater than 87% were partially or completely edentulous. Those with 10-19 teeth had lower Self-MNA scores (mean=11.6, SD=2.5) than those with 0-9 teeth (mean=12.7, SD=1.3) or 20 or more teeth (mean=12.6, SD=1.8) and had an increased risk for malnutrition (OR=2.5, p=0.076). Conclusion: The majority of this sample of older adults were partially edentulous and of normal nutritional status. Those with 10-19 teeth were more likely to be at risk for malnutrition. Further studies are needed to examine relationships between tooth loss and malnutrition risk and the impact of impaired dentition on the eating experience in a larger sample and to inform clinical practice.

scholarly journals Relationship Between Body Composition and Nutritional Status in Brazilian Nonagenarians

2019 ◽  
Vol 4 (1) ◽  
pp. 31-41
Author(s):  
Claudia Aline Oliveira Safian ◽  
Ângelo José Gonçalves Bós
Keyword(s):  
Body Composition ◽  
Nutritional Status ◽  
Fat Mass ◽  
Nutritional Assessment ◽  
Age Distribution ◽  
Mini Nutritional Assessment ◽  
Nutritional Risk ◽  
Joint Analysis ◽  
Anthropometric Parameters ◽  
Ideal Weight

Introduction Brazil has undergone considerable changes in age distribution, particularly in nonagenarians. Allied to this reality, there is a series of nutritional disorders in this population segment. An important factor related to quality of life and healthy aging is good nutrition throughout life. Objective To observe the possible relationship between nutritional status and body composition in nonagenarians. Methodology This is a descriptive, cross-sectional and analytical study, with participants aged 90 years or older, evaluated using the Mini Nutritional Assessment (MNA), anthropometric parameters, and Bioimpedance. Results The sample consisted of 72 nonagenarians, averaging in age 93.7 years, most female (72%), white (82%) and widowed (64%), 19.4% were in nutritional risk, based on the MNA criteria. All anthropometric parameters presented lower averages among nonagenarians in nutritional risk. Regarding the bioimpedance parameters, in general the risk-free nonagenarians presented higher averages of weight, maximum ideal weight, minimum ideal weight, BMI, lean-mass, fat-mass, percentage of fat-mass and minimum percentage of fat-mass. Conclusions Most nonagenarians were in good nutritional status. Both anthropometric and bioimpedance parameters were effective to discriminate between normal and at nutritional risk nonagenarians. We also concluded that nutritional risk assessment in nonagenarians patients requires a joint analysis of the several existing methods for the nutritional evaluation, in order to obtain global diagnosis and accurate analysis of the nutritional status of the nonagenarians.

scholarly journals Impact and Clinical Implications of the Cognitive Function and Nutritional Assessment at Admission on Hospital Outcomes and Mortality in Acutely Ill Geriatric Patients

2020 ◽  
Author(s):  
Hiroshi Yamamoto ◽  
Kenichi Ogawa ◽  
Toshifumi Morooka ◽  
Yasushi Hisamatsu ◽  
Tatsuya Ishitake
Keyword(s):  
Cognitive Function ◽  
Nutritional Status ◽  
Cognitive Dysfunction ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Cognitive Test ◽  
Nutrition Status ◽  
Hospital Outcomes ◽  
The Impact

Abstract Background The nutritional and mental status of older patients are closely related and may serve as an indicator of hospital outcomes and early nutrition interventions.Objective We aim to appraise the impact on mortality and hospital outcomes by the revised simplified short-term memory recall test (STMT-R) and the short-form mini-nutritional assessment (MNA-SF) simultaneous at admission.Methods The subjects were 727 acute inpatients with ≥50 years of age from December 2014 to September 2015. Following the collection of clinical data (base illness, length of stay, etc.), survival was subsequently measured for 4-5 years until September 2019. An STMT-R score of ≤4 and MNA-SF score ≤7 were considered to indicate cognitive dysfunction and malnourishment respectively. Cox’s proportional hazards regression models were used to evaluate the hazard of death according to the severity of dementia and the nutrition status, with adjustment for potential covariates. Survival was estimated using the Kaplan-Meier method.Results The mean age of the study population was 78.9 years old, and 52.7% of the patients were female. 118 patients could not complete the cognitive test (Incomplete Testing Group [ITG]). 385 and 224 patients were classified into the cognitive dysfunction (CDG) and non-cognitive dysfunction groups (NCDG), respectively. 370, 299 and 58 patients were classified into the “malnourished” (MNG), “at risk of malnutrition” (ARNG) and “well-nourished” (WNG) groups, respectively. A poor cognitive function and poor nutritional status at admission were associated with worse clinical indicators. 276 patients (38.0%) died during the 4 to 5 years of follow-up. The risks of mortality in the ITG, CDG and MNG was 3.88 (hazard ratio; 95% confidence interval: 2.57-5.98), 1.84 (1.28-2.72) and 4.22 (1.76-13.9), respectively. In addition, the cumulative survival rate was 23.6% for the combination of advanced dementia and malnutrition, but 51.0% for moderate dementia and malnutrition. Even undernourishment may improve the prognosis of patients with mild to moderate cognitive impairment.Conclusion The early simultaneous measurements of the cognitive function and nutritional status is expected to be useful for predicting the the hospital prognosis, mortality and the effects of early comprehensive nutritional intervention in acute elderly patients with cognitive decline.

scholarly journals Assessment of Nutritional Status and Its Associated Factors in Elderly in Rural Area of Tamil Nadu, India

2021 ◽  
Vol 6 (1) ◽  
pp. 38-43
Author(s):  
M. Vidyalakshmi ◽  
B. Kirubhakaran
Keyword(s):  
Nutritional Status ◽  
Tamil Nadu ◽  
Nutritional Assessment ◽  
Caloric Intake ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
Female Gender ◽  
Living Condition ◽  
Ageing Population ◽  
Factors Associated

Introduction: Ageing population is increasing rapidly in India, posing many challenges to health care services. One among the challenge is growing malnutrition in elderly. Malnutrition impairs body composition and body function of elderly thereby impairing their quality of life. Hence measures to prevent and treat malnutrition is need of the hour. Malnutrition is multifactorial and hence study to determine various factors associated with malnutrition becomes essential. Aim and objective: The objective of present study was to assess the nutritional status of elderly and to study the various factors associated with malnutrition. Materials and methods: Each individual in the study was subjected to a personal interview on demographic detail, living condition, literacy and financial status. Functional status was assessed using Instrumental activities of daily living (IADL), depression using Geriatric depression scale (GDS), nutritional status using Mini nutritional assessment (MNA) and caloric intake using 24 hour dietary recall. Result: A significant association was found between the nutritional status and age group more than 75 years, female gender, illiteracy, living alone without family support, status of being financially and functionally dependent, depression and inadequate caloric intake. Conclusion: It is essential to perform nutritional assessment as routine out patient procedure for all elderly to detect malnutrition at earliest and intervene early to prevent deleterious effect of malnutrition on elderly. Multi dimensional approach is needed to educate about need of proper nutrition to elders and their caregivers. Keywords: Caloric intake, Healthy ageing, Malnutrition, Nutrition.

scholarly journals Assessment of nutritional status among elderly population in a rural area in Manipur: community-based cross-sectional study

2018 ◽  
Vol 5 (7) ◽  
pp. 3125 ◽  
Author(s):  
Joymati O. ◽  
Minita Ningombam ◽  
Bishwalata Rajkumari ◽  
Agatha Gangmei
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Elderly People ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Female Gender ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Background: Malnutrition in elderly (≥60 years) is both a health outcome as well as a risk factor for diseases. It increases the risk both of morbidity and mortality among them. Objectives of the study were to determine the prevalence of nutritional status among elderly people and any associated factors between nutritional status with selected variables of interest.Methods: This cross-sectional study was conducted from March to April, 2017 in a rural community in Kongpal in Imphal East, Manipur in North-Eastern India.  Using a structured interview schedule, data were collected from 245 elderly people aged ≥60 years. For nutritional assessment, Mini nutritional assessment tool (MNA) was used. Descriptive statistics like mean (SD) and Chi-square test was used.  P<0.05 was taken as significant.Results: A total of 250 eligible individuals participated. Mean age (SD) was 69.5 (±7.7) years and majority (82.4%) belonged to 60-74 age groups. Around three-fifth of the respondents (56.0%) reported they suffered from co-morbid illnesses. According to MNA tool, one-fifths (20.8%) of respondents were malnourished and 49.2% at risk of malnourished. Significant association was found between being malnourished with older age group, female gender, among unmarried/widow/widower, lower educational level, unemployed/ homemaker and financially dependent on other.Conclusions: The overall prevalence of malnutrition and at risk of malnutrition in our study was 20.8% and 49.2%. Approaches to improve the nutritional status of the elderly should focus primarily on those who are older, low educational status, female gender and financially dependence.

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