scholarly journals HUBUNGAN DISFAGIA DENGAN MALNUTRISI PADA LANJUT USIA : STUDI LITERATUR

2021 ◽  
Vol 10 (4) ◽  
pp. 257-272
Author(s):  
Nur Laila Safira ◽  
Enny Probosari ◽  
Aryu Candra ◽  
Fitriyono Ayustaningwarno ◽  
Ayu Rahadiyanti

Background: Dysphagia can lead to a decrease in nutritional status and increased risk of malnutrition in the elderly. The incidence of dysphagia often undetected, especially among the elderly in the community, causes the prevalence of the elderly at risk of dysphagia in the elderly to increase.Objective: The aims of this literature study was to review the latest research related to dysphagia with malnutriton in the elderly. Method: The search for 2011 – 2021 English-language articles was carried out on the PubMed, SpringerLink, ScienceDirect, DOAJ, and ResearchGate databases using the keyword Dysphagia AND (Nutritional Status OR Malnutrition) AND Elderly and it was found  that 16 articles were selected based on inclusion criteria, including articles with elderly subjects aged ≥65 years in the community, a minimum sample of 50 respondents, a cross sectional and prospective cohort study, analyzed the relationship between variables, and data collection using valid instruments by a trained people.Result: Dysphagia independently had a significant relationship with nutritional status in elderly, could reduce oral food intake and lead to decrease in nutritional status due to nutrient deficiency. It was known that differences in instruments, characteristics and number of samples as well as the timing of malnutrition can affect the relationship between variables. Other factors such as teeth condition, body composition and tongue pressure might also be associated with dysphagia and malnutrition. Conclusion: The existence of a relationship between the two variables found in most of the studies indicates that dysphagia is an important factor that can lead to malnutrition in elderlyKeywords: Elderly; Dysphagia; Malnutrition

2006 ◽  
Vol 15 (1) ◽  
pp. 59-70 ◽  
Author(s):  
Mauro Percudani ◽  
Corrado Barbui ◽  
Ida Fortino ◽  
Michele Tansella ◽  
Lorenzo Petrovich

SUMMARYBackground – The patterns of antidepressant and antipsychotìc drag prescribing have rarely been studied in large and geographically defined catchment areas. In the present study we examined the prevalence and distribution of antidepressant and antipsychotic prescribing in Lombardy, a northern Italy region of nine million inhabitants. Methods – This study used the Regional Administrative Database of Lombardy. This database includes all prescriptions reimbursed by the National Health System in the population living in this region. All antidepressant and antipsychotic prescriptions dispensed from the 1st January to the 31st December 2001 were extracted and prevalence data calculated by dividing antidepressant and antipsychotic users by the total number of male and female residents in each age group. In addition, from the Regional database of hospital admissions we extracted all patients aged 65 or above with cerebrovascular-related outcomes for the year 2002. The two databases were linked anonymously with the aim of investigating the relationship between exposure to psychotropics and occurrence of cerebrovascular accidents in the elderly. Results – During the study period 404, 238 individuals were dispensed antidepressants, yielding a prevalence of use of 2.85 (95% CI 2.84, 2.87) per 100 males and 5.92 (95% CI 5.90, 5.94) per 100 females. The prevalence of use progressively rose with age in both sexes, with the highest rates in old and very old individuals. The majority of individuals received a pharmacological treatment with selective-serotonin reuptake inhibitors only, slightly more than 12% received a treatment with tricyclic antidepressants. A total of 86, 187 subjects were dispensed antipsychotic agents, yielding a prevalence of use of 0.87 (95% CI 0.86, 0.88) per 100 males and 1.01 (95% CI 1.00, 1.02) per 100 females. The prevalence of use progressively rose with age in both sexes, with the highest rates in old and very old subjects. Concerning the relationship between exposure to second-generation antipsychotics (SGAs) and occurrence of cerebrovascular (CBV) accidents, the analysis showed a significantly increased risk of CBV events in elderly subjects exposed to SGAs in comparison with those exposed to first-generation antipsychotics (FGAs) (3, 31%, 95% CI 2, 95–3, 69 vs. 2, 37%, 95% CI 2, 19–2, 57). Finally the analysis indicated no differences in the proportion of cerebrovascular events in elderly subjects exposed to TCAs and SSRIs. Conclusions – The very high rates of antidepressant and antipsychotic drug prescribing detected in late life suggest the need of characterising these individuals in terms of medical and psychiatric characteristics, needs and quality of life. It also suggests the need for pragmatic clinical trials, carried out in the general practice, with the aim of assessing whether antidepressants are effective in these conditions. The data provide preliminary epidemiological evidence that exposure to SGAs, in comparison with exposure to FGAs, significantly increased the risk of cerebrovascular accidents in the elderly.Declaration of Interest: none.


Author(s):  
Emi Nur Sariyanti ◽  
Diffah Hanim ◽  
Sapja Anantanyu

Background:Blood pressure is a disease that is often found in the elderly. Many studies show that socioeconomic status is closely related to the incidence of hypertension especially in the elderly. In addition, since hypertension is generally associated with being overweight and obese, nutritional status can also be a factor for experiencing hypertension in the elderly.Objective:To analyze the relationship between income and nutritional status with the incidence of hypertension in the elderly.Method: This study used a cross-sectional study design involving 133 elderly respondents in the area of the Klaten Community Health Center. Income data were obtained using the respondents’ basic characteristic questionnaire. Nutritional status was obtained based on anthropometric measurements of body weight and height which were calculated using the Body Mass Index (BMI). While blood pressure data were obtained from Sphygmomanometer measurements. The data obtained were analyzed using the Spearman test with a p-value <0.05. This study was approved by Ethics Commission UniversitasSebelasMaret.Results: The results of this study indicate there is a relationship between income and the incidence of hypertension in the elderly (p=0.046) while the nutritional status has no relationship with the incidence of hypertension (p=0.640).Conclusion: High income has a low risk of the elderly experiencing hypertension, while nutritional status good or not they do not have a risk of hypertension.International Journal of Human and Health Sciences Vol. 05 No. 01 January’21 Page: 81-84


2018 ◽  
Vol 21 (3) ◽  
pp. 342-351
Author(s):  
Rosa Sá de Oliveira Neta ◽  
Isabelle Ferreira da Silva Souza ◽  
Saionara Maria Aires da Câmara ◽  
Marcelo Cardoso de Souza

Abstract Objective: to evaluate the relationship between sarcopenia, functional capacity and nutritional status among elderly women living in the community. Method: an observational, cross-sectional study was performed with 100 elderly women aged over 60 years. A questionnaire containing identification and socioeconomic data and information relating to the practice of physical activity was applied, while anthropometric and body composition data were measured through bioimpedance and functionality data was assessed using the six-minute walk test (6MWT). Independent t-tests were performed for the quantitative variables and analysis of variance (ANOVA) was used to compare the means of the variables. Multiple linear regression analyzes were performed to estimate the mean 6MWTfor each of the variables studied. Results: The average age of the elderly women was 67 (± 8.0) years, 41% practiced physical activity, 38% had at least an elementary school education, 48% received up to two minimum wages and 91% were obese according to waist circumference (WC). The prevalence rates for the presence of sarcopenia were: 5% for sarcopenic obesity (SO), 63% for obesity, 14% for sarcopenia and 18% had adequate weight. Elderly women who practiced physical activity, had at least an elementary education and who were non-obese according to WC, performed better in the 6MWT. There were no significant differences in the 6MWTbased on income or Body Mass Index (p>0.05). Non-obese and non-sarcopenic women walked further in the functional test than the other women (p = 0.021). Conclusion: SO was present in 5% of the elderly women and is related to poor physical performance, which was also present in elderly women with sarcopenia and obesity.


Author(s):  
Liena Sofiana ◽  
Arfiani Nur Khusna ◽  
Righa Pradana

Background: Hypertension is still a big challenge in Indonesia. Survey data shows that Yogyakarta province is included in the top five provinces with the most cases of hypertension with a number of 35.8% above the average of all Indonesia, which is 31.7%. Life style changes such as dietary changes lead to ready-to-eat dishes that contain lots of fat, high protein and salt but are low in dietary fiber, bringing consequences as one of the factors developing degenerative diseases such as hypertension. The purpose of this study was to determine the relationship between blood glucose and uric acid with the incidence of hypertension in the elderly at Posyandu Lansia Kauman Yogyakarta.Methods: The study was observational analytic with cross-sectional design. The population in this study were all elderly people living in the Posyandu Lansia Kauman Yogyakarta with a total of 33 people. The instrument used was a checklist sheet and the instrument used was a tensimeter, glucometer and uric acid test. The data analysis technique used is the Fisher's test.Results: There was a significant relationship between blood glucose (p=0.023) and uric acid (p=0.036) with an increased risk of hypertension in the elderly in the Posyandu Elderly Kauman Yogyakarta.Conclusions: There is a relationship between blood glucose and uric acid levels with an increased risk of hypertension in the elderly at the Posyandu Lansia Kauman, Yogyakarta.


2018 ◽  
Vol 13 (2) ◽  
pp. 92
Author(s):  
Riezky Faisal Nugroho ◽  
Diffah Hanim ◽  
Yulia Lanti Retno Dewi

<p class="jkshead1">ABSTRACT</p><p class="jksfistpar">Female adolescents are at risk of nutrient deficiency. Adolescent stress can arise due to  the social environmental factor called psychosocial stress. The purpose of this study was to determine the relationship between psychosocial stress, energy intake, calcium and the nutritional status of the female adolescents in Surakarta. The design of the research used was observational analytic with a cross-sectional design. The sample of this study was comprised of 166 students from 2 junior high schools in Surakarta City. The data of the psychosocial stress were collected using a Psychosocial Stress Assessment Instrument (IPSP). Then, the data of the energy intake and calcium were collected using 2x24-hour-recall questionnaire and nutrisurvey, and the nutritional status data were collected using the measurements of body weight (kg) and height (m). The data were then analysed using chi square. The results showed that there was a relationship (p &lt; 0,05) between the psychosocial stress, energy intake, calcium and the nutritional status of the female adolescents in Surakarta.</p><p class="jksfistpar">Keywords: Psychosocial Stress, Energy Intake, Calcium, Nutritional Status, Female Adolescent</p>


e-GIGI ◽  
2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Charlene Pioh ◽  
Krista V. Siagian ◽  
Lydia Tendean

Abstract: Tooth loss is commonly found among elderly and have bad impact on the TMJ, mastication, aesthetics as well as speech function. Due to mastication disorder, the elderly tend to choose certain food which influences their nutritional status. This study was aimed to obtain the relationship between tooth loss and nutritional status based on BMI among the elderly at Kolongan Atas II, Sonder. This was an analytical descriptive study with a cross-sectional design. Population included elderly aged 60-65 years old at Kolongan Atas II, Sonder. Samples were obtained by using total sampling method. The results showed that there were 30 elderlies that fulfilled the inclusion criteria. Tooth loss more than ten teeth was most common among elderly with normal nutritional status followed by those with overweight. Meanwhile, there was no elderly with underweight. The relationship between the tooth loss and nutritional status was tested with the chi-square which resulted in P value of 0.597. Conclusion: There was no significant relationship between tooth loss and nutritional status among elderly at Kolongan Atas II, Sonder. The elderlies were advised to pay attention to their nutritional status and to use dentures for replacement of their missing teeth.Keywords: tooth loss, nutrient status, elderly Abstrak: Pada masa lansia sering terjadi kehilangan gigi yang menyebabkan gangguan TMJ, pengunyahan, estetik, dan fungsi bicara. Gangguan pengunyahan pada lansia menyebabkan kecenderungan memilih makanan tertentu yang dapat memengaruhi status gizi. Penelitian ini bertujuan untuk mengetahui hubungan antara kehilangan gigi dengan status gizi berdasarkan IMT pada lansia di Desa Kolongan Atas II Kecamatan Sonder. Jenis penelitian ialah deskriptif analitik dengan desain potong lintang. Populasi penelitian ialah lansia berusia 60-65 tahun di Desa Kolongan Atas II Kecamatan Sonder sedangkan sampel diperoleh menggunakan metode total sampling. Hasil penelitian mendapatkan sebanyak 30 responden yang memenuhi kriteria inklusi. Kehilangan gigi >10 gigi terbanyak pada lansia dengan gizi normal diikuti dengan gizi lebih. Tidak didapatkan lansia dengan gizi kurang. Hubungan antara kehilangan gigi dengan status gizi berdasarkan IMT diuji dengan uji chi square dan mendapatkan nilai P=0,597. Simpulan: Tidak terdapat hubungan bermakna antara kehilangan gigi dengan status gizi pada lansia di Desa Kolongan Atas II Kecamatan Sonder. Disarankan agar para lansia untuk tetap memperhatikan asupan makanan agar dapat mempertahankan status gizi yang baik dan menggunakan gigi tiruan sebagai pengganti gigi yang hilang.Kata kunci: kehilangan gigi, status gizi, lansia


2021 ◽  
Vol 2 (1) ◽  
pp. 44
Author(s):  
Maria Ambrosia Barek ◽  
Joni Haryanto ◽  
Elida Ulfiana

Introduction: Elderly are individuals who are vulnerable and at risk of experiencing health problems related to nutritional status. Families who live together are expected to be able to provide nutritional intake in accordance with the condition of the elderly so that adequate knowledge is needed in preparing the need for balanced nutrition. The purpose of this study was to analyze the relationship between knowledge, attitudes, and family support to elderly's nutritional status. Methods: The search for literature review articles was carried out in four databases (Scopus, Science Direct, Pub med, and Google Scholar) with a publication span of 2016-2020. The prism checklist was used to guide this review. Analysis and data tabulation were carried out in the article. Title, abstract, full text and methodology were assessed to determine study eligibility. Results: A total of 10 studies matched the inclusion criteria of the study, consisting of 6 cross-sectional studies and 4 qualitative studies. A review study found that good knowledge, positive attitude and good family support are directly proportional to the nutritional status of the elderly. Discussion: Family has a role in maintaining the health of the elderly, one of which is in fulfilling nutrition. Knowledge, attitudes and family support are related to the nutritional status of the elderly. Conclusions: Families who have knowledge related to nutrition can provide complete food intake and according to the needs of the elderly. A good family attitude will increase their support in helping fulfill nutrition.


2019 ◽  
Vol 15 (3) ◽  
Author(s):  
Nur Raihan Ismail ◽  
Noor Aman Hamid

Introduction: The prevalence of obesity has been rising, adding to morbidity and mortality. As the proportion of elderly aged 60 years and above grows, so too the prevalence of obesity among this population. Obesity in the elderly is a rapidly growing public health concern as it contributes to significant changes in the health of older people. Objective: This review aims to assess the contributory factors for obesity in the elderly over the past decade. Methods: A literature search was conducted. The search was restricted to articles written in the English language published from 2008 to 2018. Qualitative studies were excluded. Results: A total of 19 full articles were retrieved, of which 18 cross-sectional and one cohort were included. The contributory factors were divided into three components: (a) socio demographic characteristics, (b) medical history and dietary factors and (c) environmental factors. Conclusions: This review informs an emerging knowledge regarding contributory factors for obesity and has implications for future education and program intervention in fighting obesity in the elderly.


2019 ◽  
Vol 12 (1) ◽  
pp. 420-423
Author(s):  
Prapada Watcharanat ◽  
Prasong Tanpichai ◽  
Ravee Sajjasophon

Purpose: This research aims to study the relationship between perception of elderly’s health and health behaviors in Nakhon Nayok province, Thailand Methods: This research was a cross-sectional study. The questionnaire was used to collect the data. This research was conducted in Nakhon Nayok province. The sample size was 270 which applied Taro Yamane's formula at a significant level 0.05. The descriptive statistics was implemented to describe the variables by presenting the frequency, percentage, mean and standard deviation. Furthermore, multiple regression analysis was applied to analyze the relationship between perception of elderly’s health and health behaviors. The statistical significance was considered to reject Hypothesis-null at < 0.05. Results: From a total of 270 people, more than 58.22% of the elderly perceived that they had moderate health conditions. Most elderly had congenital diseases (62.2%). The multiple regression analysis results showed that health status perception and health status perception when compared to their cohort related significantly to health behavior. Conclusion: The government should support the elderly on participation, trust, engagement, and cultural concern of the people in the community, which can contribute to promoting the physical, mental and social condition of the elderly.


Author(s):  
Yoshihiro Kugimiya ◽  
Masanori Iwasaki ◽  
Yuki Ohara ◽  
Keiko Motokawa ◽  
Ayako Edahiro ◽  
...  

Oral hypofunction, resulting from a combined decrease in multiple oral functions, may affect systemic-condition deterioration; however, few studies have examined the association between oral hypofunction and general health among older adults. In this cross-sectional study, we examined the relationship between oral hypofunction and sarcopenia in community-dwelling older adults. We included 878 adults (268 men and 610 women, mean age 76.5 ± 8.3 years). Tongue coating index, oral moisture, occlusal force, oral diadochokinesis (/pa/,/ta/,/ka/), tongue pressure, mas-ticatory function, and swallowing function were evaluated as indicators of oral hypofunction. Grip strength, gait speed, and skeletal muscle mass index were measured as diagnostic sarcopenia parameters. The association between oral hypofunction and sarcopenia was examined via logistic regression using sarcopenia as the dependent variable. Oral hypofunction prevalence was 50.5% overall, 40.3% in men, and 54.9% in women. The prevalence of sarcopenia was 18.6% overall, 9.7% in men, and 22.5% in women. A logistic regression showed oral hypofunction, age, body mass index, higher-level functional capacity, and serum albumin level were significantly associated with sarcopenia. Sarcopenia occurred at an increased frequency in patients diagnosed with oral hypofunction (odds ratio: 1.59, 95% confidence interval: 1.02–2.47); accordingly, oral hypofunction appears to be significantly associated with sarcopenia.


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