Malnutrition and Depressive Symptoms in Elderly Palliative Care Patients

2021 ◽  
pp. 082585972110455
Author(s):  
Eyyup M. Efendioglu ◽  
Ahmet Cigiloglu ◽  
Ibrahim H. Turkbeyler
Keyword(s):  
Palliative Care ◽  
Depressive Symptoms ◽  
Nutritional Assessment ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
Nutrition Status ◽  
Strong Negative Correlation ◽  
State Examination

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.

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
Keyword(s):  
Health Care Providers ◽  
Nutritional Assessment ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cluster Sampling ◽  
Care Providers ◽  
Cross Sectional

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.

scholarly journals The Desire to Better Understand Older Adults with Solid Tumors to Improve Management: Assessment and Guided Interventions—The French PACA EST Cohort Experience

Cancers ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 192 ◽  
Author(s):  
Rabia Boulahssass ◽  
Sebastien Gonfrier ◽  
Noémie Champigny ◽  
Sandra Lassalle ◽  
Eric François ◽  
...  
Keyword(s):  
Solid Tumors ◽  
Nutritional Assessment ◽  
Geriatric Depression Scale ◽  
Geriatric Oncology ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
Factors Associated ◽  
Independent Risk Factors ◽  
State Examination

Todays challenge in geriatric oncology is to screen patients who need geriatric follow-up. The main goal of this study was to analyze factors that identify patients, in a large cohort of patients with solid tumors, who need more geriatric interventions and therefore specific follow-up. Between April 2012 and May 2018, 3530 consecutive patients were enrolled in the PACA EST cohort (France). A total of 3140 patients were finally enrolled in the study. A Comprehensive Geriatric Assessment (CGA) was performed at baseline. We analyzed the associations between factors at baseline (geriatric and oncologic factors) and the need to perform more than three geriatric interventions. The mean age of the population was 82 years old with 59% of patients aged older than 80 years old. A total of 8819 geriatric interventions were implemented for the 3140 patients. The percentage of patients with three or more geriatric interventions represented 31.8% (n = 999) of the population. In multivariate analyses, a Mini Nutritional assessment (MNA) <17, an MNA ≤23·5 and ≥17, a performans status (PS) >2, a dependence on Instrumental Activities of Daily Living (IADL), a Geriatric Depression Scale (GDS) ≥5, a Mini Mental State Examination (MMSE) <24, and a Screening tool G8 ≤14 were independent risk factors associated with more geriatric interventions. Factors associated with more geriatric interventions could assist practitioners in selecting patients for specific geriatric follow-up.

A comparison of anticholinergic burden in older patients with and without cancer

2021 ◽  
Author(s):  
Ayse Irem Yasin ◽  
Atakan Topcu ◽  
Meysere Nur Akuc ◽  
Hacı Mehmet Türk ◽  
Pinar Soysal
Keyword(s):  
Older Patients ◽  
Nutritional Assessment ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
Patients With Cancer ◽  
Cancer Management ◽  
Rational Drug ◽  
Geriatric Clinic ◽  
Anticholinergic Burden

Aim: To compare anticholinergic burden (ACB) in older patients with and without cancer and evaluate the effects of ACB on geriatric syndromes. Methods: A total of 291 patients from the geriatric clinic and 301 patients from the oncology clinic were evaluated. ACB <2 was categorized as low ACB and ACB ≥2 was categorized as high ACB. A comprehensive geriatric assessment was performed on patients from the geriatric clinic. Results: ACB scores were significantly higher in patients without cancer compared with those with cancer (p < 0.005). Number of falls and Geriatric Depression Scale 15 scores were higher and Mini-Nutritional Assessment and Barthel/Lawton activities of daily living scores were lower in geriatric patients with high ACB scores compared with those with low ACB scores (p < 0.005). Conclusion: It is crucial to understand the potential effects of ACB for rational drug use and optimum cancer management in older patients with cancer.

scholarly journals Do age and education predict performance of older adults on the d2 Test?

Psico ◽  
2018 ◽  
Vol 49 (2) ◽  
pp. 119
Author(s):  
Luis Henrique Paloski ◽  
Adriano Medeiros da Cunha ◽  
Camila Rosa de Oliveira ◽  
Marianne Farina ◽  
Valéria Gonzatti ◽  
...  
Keyword(s):  
Older Adults ◽  
Linear Regression ◽  
Multiple Linear Regression ◽  
Short Form ◽  
Age Groups ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Partial Correlations ◽  
State Examination ◽  
One Way Anova

The objective of this study was to investigate the association of age and education in the performance of cognitively preserved older adults in the d2 Sustained-Attention Test, and to compare the results of different age groups and levels of schooling in this instrument. The sample was composed of 211 adults, 60 years of age or older, who were not institutionalized, and who completed a sociodemographic questionnaire, the Mini Mental State Examination, the Geriatric Depression Scale (short form), and the d2 Test. Data analysis was conducted using descriptive statistics, partial correlations, multiple linear regression and one-way ANOVA. The results of partial correlations and multiple linear regression showed that age and years of schooling demonstrated significant associations with all d2 Test scores, with age being the predictive variable that showed the greatest influence on the performance of the older adults. Comparison of performance in the d2 Test among the six groups according to the distribution by age group (60-69 years and 70 years or more) and by levels of schooling (primary, secondary and higher) showed that younger adults with a higher level of schooling scored better on the d2 Test, suggesting the need for normative data studies for this population.***Idade e escolaridade são preditoras de desempenho de adultos idosos no Teste d2?***O objetivo deste estudo foi investigar a associação da idade e da escolaridade com o desempenho de idosos cognitivamente preservados no Teste d2 de Atenção Concentrada, além de comparar os resultados de diferentes grupos etários e de níveis de escolaridade nesse instrumento. Participaram 211 adultos com idade igual ou superior a 60 anos, não institucionalizados, que responderam a uma ficha de dados sociodemográficos, ao Mini Exame do Estado Mental, à Escala de Depressão Geriátrica (versão reduzida), e ao Teste d2. A análise dos dados foi conduzida por meio de estatística descritiva, correlações parciais, regressão linear múltipla e ANOVA de uma via (one-way ANOVA). Os resultados das correlações parciais e da regressão linear múltipla revelaram que a idade e os anos de escolaridade demonstraram associações significativas com todos os escores do Teste d2, sendo a idade a variável preditora que demonstrou maior influência no desempenho dos idosos. A comparação de desempenho no teste d2 entre os seis grupos conforme distribuição por faixa etária (60-69 anos e 70 anos ou mais) e por níveis de escolaridade (fundamental, médio e superior) demonstrou que os idosos mais jovens e com maior nível de escolaridade apresentam melhores pontuações no Teste d2, sugerindo a necessidade de estudos de dados normativos para essa população.

scholarly journals Prevalence of Malnutrition and Depression in Older Adults Living in Nursing Homes in Mexico City

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2429
Author(s):  
María Consuelo Velázquez-Alva ◽  
María Esther Irigoyen-Camacho ◽  
María Fernanda Cabrer-Rosales ◽  
Irina Lazarevich ◽  
Isabel Arrieta-Cruz ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Depressive Symptoms ◽  
Nursing Homes ◽  
Nutritional Status ◽  
Mexico City ◽  
Prescription Drugs ◽  
Nutritional Assessment ◽  
Depression Scale ◽  
Mini Nutritional Assessment

This study evaluated the association between nutritional status, depressive symptoms, and the number of prescription drugs taken by older adults living in nursing homes in Mexico City. In a cross-sectional study, 262 participants were subjected to anthropometric and nutritional (Mini Nutritional Assessment (MNA)) evaluations; additionally, their depression (Geriatric Depression Scale (GDS)) and functional status were assessed. Multiple logistic regression was used for identifying factors associated with the risk of malnutrition/malnourishment. The mean age of participants was 83.1 ± 8.6 years. A total of 59.9% and 21.1% were at risk of malnutrition and malnourished, respectively. With respect to depression, 27.9% of the participants had mild depression, while 11.4% showed severe depression. An inverse correlation between MNA evaluations and depression scores was found (Spearman’s ρ = −0.4624, p < 0.001); residents with a better nutritional status had lower depression scores. Individuals with depressive symptoms were approximately five times more likely to be at risk of malnutrition or malnourished (OR = 5.82, 95% CI = 2.27–14.89) than individuals without depression. Residents taking three or more prescription drugs daily (OR = 1.83, 95% CI = 1.27–2.63, p < 0.001) were more likely to be at risk of malnutrition or malnourished. In summary, poor nutritional status was associated with depression, while the intake of numerous prescription drugs was associated with being at risk of malnutrition or malnourished.

Predictors of Early Death Risk in Older Patients Treated With First-Line Chemotherapy for Cancer

2012 ◽  
Vol 30 (15) ◽  
pp. 1829-1834 ◽  
Author(s):  
Pierre Soubeyran ◽  
Marianne Fonck ◽  
Christèle Blanc-Bisson ◽  
Jean-Frédéric Blanc ◽  
Joël Ceccaldi ◽  
...  
Keyword(s):  
Daily Living ◽  
Rating Scale ◽  
Nutritional Assessment ◽  
Advanced Disease ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
Early Death ◽  
First Line ◽  
Line Chemotherapy

Purpose Objective factors for making choices about the treatment of elderly patients with cancer are lacking. This investigation aimed to help physicians select appropriate treatments through the identification of factors that predict early death (< 6 months) after initiation of chemotherapy treatment. Patients and Methods Previously untreated patients greater than 70 years of age who were scheduled for first-line chemotherapy for various types of cancer were included. Baseline abbreviated comprehensive geriatric assessment (aCGA), including the Mini-Mental State Exam, Timed Get Up and Go (GUG), Activities of Daily Living (ADL), Instrumental Activities in Daily Living (IADL), Mini Nutritional Assessment (MNA), Geriatric Depression Scale (GDS15), and comorbidities index (Cumulative Index Rating Scale-Geriatric), was carried out. Prognostic factors of early death were sought from aCGA results and traditional oncology measures. Results A total of 348 patients were included across 12 centers in Southwest France (median age, 77.45 years; ratio of men to women, 1.47; advanced disease, 65%). Abnormal aCGA scores were observed for 18.1% of patients on the ADL, 73.0% of patients on the IADL, 24.1% of patients on the GUG, 19.0% of patients on the MMS, 44.0% of patients on the GDS15, and 64.9% of patients on the MNA. Advanced disease (odds ratio [OR], 3.9; 95% CI, [1.58 to 9.73]), a low MNA score (OR 2.77; 95% CI, [1.24 to 6.18]), male sex (OR, 2.40; 95% CI, [1.2 to 4.82]), and long GUG (OR, 2.55; 95% CI, [1.32 to 4.94] were associated with higher risk of early death. Conclusion In patients greater than 70 years of age with cancer, advanced disease, a low MNA score, and poor mobility predicted early death. We recommend that the MNA and GUG, performed by a trained nurse, be maintained as part of routine pretreatment workup in these patients to identify at-risk patients and to inform the decision-making process for chemotherapy.

Depressiveness in preoperative period and postoperative recovery of orthopedic patients - preliminary results of prospective study

2011 ◽  
Vol 26 (S2) ◽  
pp. 837-837
Author(s):  
D. Ignjatovic Ristic ◽  
V. Janjic ◽  
B. Ristic ◽  
B. Radmanovic
Keyword(s):  
Depressive Symptoms ◽  
Short Form ◽  
Age Groups ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Postoperative Recovery ◽  
Preoperative Period ◽  
Surgical Interventions ◽  
Preliminary Results ◽  
Orthopedic Patients

IntroductionDepression is often occurred after surgical interventions and may have serious consequences on postoperative recovery. The treatment of early discovered depressive symptoms may have strong influence on the recovery of operated orthopedic patients.Simple and quick instrument for detection and evaluation of depressive symptoms could be of great use to doctors.Work objectives are1) determine the prevalence of depressiveness in preoperative period in patients with scheduled surgical interventions, and2) validation of Geriatric Depression Scale - short form (GDS-SF) in detection of depressiveness.MethodA sample of 120 orthopedic patients is the part of larger sample in prospective research of depressiveness in patients in preoperative period with scheduled surgical interventions (except cardio-surgical). For estimation of depressiveness we used battery of tests (GDS-SF, BDI - Beck's depression scale, MDI - major depressive disorder questionnaire), and patients were tested 3 times: to 14 days prior the surgery, 7 and 90 days after the surgery. Validation of GDS-SF was examined compared to BDI according to age and gender of examinees.ResultsIn preliminary sample of 120 orthopedic patients with scheduled orthopedic interventions, prevalence of depressiveness is greater than prevalence of depressiveness in general population (p < 0.001). Depressiveness is much more present in women than in men (p < 0.001). Correlation of depressive scores in BDI and in GDS-SF is satisfactory for all age groups.ConclusionPreliminary results indicate on further research of depressiveness in preoperative period in order to confirm validation of GDS-SF as simpler alternative for early detection of depressiveness.

scholarly journals Pengaruh Status Nutrisi terhadap Kesintasan 30 Hari Pasien Geriatri yang Dirawat di Rumah Sakit

2017 ◽  
Vol 2 (3) ◽  
pp. 160
Author(s):  
Nata Pratama Hardjo Lugito ◽  
Czeresna Heriawan Soejono ◽  
Edy Rizal Wahyudi ◽  
Esthika Dewiasty
Keyword(s):  
Regression Model ◽  
Nutritional Assessment ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
Proportional Hazard ◽  
Geriatric Depression ◽  
Cox Proportional Hazard ◽  
Kaplan Meier ◽  
Cox Proportional Hazard Regression

Pendahuluan. Dengan meningkatnya jumlah populasi usia lanjut, masalah kesehatan yang dialami juga semakin banyak, salah satunya malnutrisi. Studi di luar negeri menunjukkan malnutrisi pada pasien geriatri yang dirawat di rumah sakit menurunkan kesintasan. Pasien usia lanjut di Indonesia mempunyai karakteristik yang berbeda dengan pasien usia lanjut di luar negeri. Di Indonesia belum ada studi tentang status nutrisi pasien usia lanjut yang dirawat di rumah sakit dan pengaruhnya terhadap kesintasan. Penelitian ini bertujuan mengetahui pengaruh status nutrisi terhadap kesintasan 30 hari pasien usia lanjut yang dirawat di ruang rawat akut geriatri dan ruang rawat penyakit dalam rumah sakit.Metode. Penelitian kohort retrospektif, dengan pendekatan analisis kesintasan, dilakukan terhadap 177 pasien geriatri yang dirawat di ruang rawat akut geriatri dan ruang rawat penyakit dalam Rumah Sakit Cipto Mangunkusumo selama bulan April–September 2011. Data demografis, diagnosis medis, kadar albumin, indeks ADL Barthel, geriatric depression scale, status nutrisi dengan mini nutritional assessment (MNA) dikumpulkan, dan diamati selama 30 hari sejak mulai dirawat untuk melihat ada tidaknya mortalitas. Perbedaan kesintasan kelompok pasien dengan status nutrisi baik, berisiko malnutrisi dan malnutrisi ditampilkan dalam kurva Kaplan-Meier, diuji dengan uji Log-rank, serta analisis multivariat dengan Cox proportional hazard regression model untuk menghitung adjusted Hazard Ratio dan interval kepercayaan 95% terjadinya mortalitas 30 hari dengan memasukkan variabel-variabel perancu sebagai kovariat.Hasil. Kesintasan antara subyek yang status nutrisinya baik, berisiko malnutrisi dan malnutrisi ialah 94,7% dengan 89,0% dan 80,7%, namun perbedaan kesintasan 30 hari tak bermakna dengan uji Log-rank (p=0,106). Pada analisis multivariat didapatkan adjusted HR setelah penambahan variabel perancu sebesar 1,49 (IK 95% 0,29 – 7,77) untuk kelompok berisiko malnutrisi dan 2,65 (IK 95% 0,47 – 14,99) untuk kelompok malnutrisi dibandingkan dengan pasien nutrisi baikSimpulan. Perbedaan kesintasan 30 hari pasien geriatri yang dirawat di rumah sakit yang menderita malnutrisi dan berisiko malnutrisi dibandingkan dengan status nutrisi baik pada awal perawatan belum dapat dibuktikan.

scholarly journals Urban-rural differentials in nutritional status of ageing in Bangladesh

2021 ◽  
Vol 8 (2) ◽  
pp. 558
Author(s):  
M. Taj Uddin ◽  
Momduha Akter ◽  
Mohammad Kamal Hossain ◽  
Mohammad Ali Raju ◽  
M. Shah Noor
Keyword(s):  
Nutritional Status ◽  
Rural Area ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Good Health ◽  
Rural Elderly ◽  
Nutrition Status ◽  
Urban Elderly ◽  
Chi Square

Background: The growth rate of elderly is the fastest in most of the developing countries including Bangladesh. Nutrition plays fundamental role in maintaining good health especially in old age. This study was an attempt to assess the nutritional status of elderly and to compare it with their location.Methods: A total of 400 elderly in urban and rural area of Sunamgonj district have been interviewed through a structured questionnaire during July to September, 2019. A person aged 60 and above is included in the sample. Body mass index (BMI), mini nutritional assessment (MNA) short form, descriptive statistics, and Chi square test for association have been used for data analysis.Results: The analysis revealed that 17 percent elderly were under-weight, 66 percent were normal nutrition, 13 percent were over-weight and 4 percent were obese. The prevalence of malnutrition was found to be 40 percent. The rural elderly were at more risk of being malnourished compared to urban elderly. The mean BMI and MNA score of urban elderly were significantly different from the rural elderly.Conclusions: The findings show that more proportion of urban elderly are over-weight and obese compared to rural elderly. Therefore, measures should be taken to improve the nutrition status of elderly especially in rural area. 

scholarly journals Frailty, depression, and quality of life: a study with elderly caregivers

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Letícia Alves de Melo ◽  
Isabela Thaís Machado de Jesus ◽  
Fabiana de Souza Orlandi ◽  
Grace Angélica de Oliveira Gomes ◽  
Marisa Silvana Zazzetta ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Short Form ◽  
Statistical Significance ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Frailty Phenotype ◽  
Cross Sectional ◽  
Elderly Caregivers

ABSTRACT Objective: to analyze the relationship between frailty, depressive symptoms, and quality of life of elderly caregivers of other elderly living in high social vulnerability. Methods: a descriptive, correlational and cross-sectional study conducted with 40 elderly caregivers. A questionnaire to characterize elderly caregivers, the Fried frailty phenotype, the Geriatric Depression Scale (to screen depressive symptoms) and the Short-Form 6 Dimension (to assess quality of life) were used. For data analysis, Student’s t-test, ANOVA, Pearson’s χ2 and Fisher’s exact test were used. Results: most were pre-frail (52.5%) and had no evidence of depressive symptoms (57.5%). They presented, on average, a score of 0.76 (±0.1) in relation to quality of life. Statistical significance was observed between the average scores of quality of life with depressive symptoms (p=0.012) and frailty level (p=0.004). Conclusion: frail elderly caregivers with depressive symptoms had a worse perception of quality of life.

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