scholarly journals Dysphagia and its relation with nutritional status and calorie/protein intake in the elderly

Revista CEFAC ◽  
2019 ◽  
Vol 21 (3) ◽  
Author(s):  
Laura Mata de Lima Silva ◽  
Cybelle Rolim de Lima ◽  
Daniele Andrade da Cunha ◽  
Luciana Gonçalves de Orange
Keyword(s):  
Nutritional Status ◽  
Elderly People ◽  
Protein Intake ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Oral Feeding ◽  
Cross Sectional ◽  
Comparison Results ◽  
Significant Difference

ABSTRACT Purpose: to evaluate the nutritional status associated with dysphagia, and compare the calorie and protein intake of dysphagic elderly patients to that of non dysphagic ones, during hospitalization. Methods: this is a cross-sectional study with elderly people ranging from 60 to 80 years old admitted as inpatients in a medical and neurological clinic of a public hospital. They formed two groups, according to the presence of dysphagia: dysphagic and non dysphagic ones. The inclusion criteria were: dysphagia secondary to stroke and exclusive oral feeding. Anthropometric measurements and the Mini-Nutritional Assessment (MNA) were applied. The 24-hour recall was used to analyze food consumption. The statistical analysis used the Fisher's exact test for the association of variables, and the Mann-Whitney test, for their comparison. Results: a total of 12 elderly people participated, whose mean age was 70.50 ± 7.77 years in the dysphagia group (n = 6), and 72.67 ± 5.01 years in the non dysphagia group (n = 6).There was an association between the presence of dysphagia and the risk of malnutrition, according to MNA (p = 0.028). No significant difference in calorie and protein intake was seen between the groups. The group with dysphagia had a lower water intake as compared to the non dysphagia group (p = 0.045). Conclusion: dysphagia was associated with the risk of malnutrition and lower fluid intake in dysphagic patients, thus, increasing their risk of dehydration.

Effect of the Mini Nutritional Assessment-Short Form (MNA-SF) in Elderly Burn Patients

2021 ◽  
Author(s):  
Jia-Yu Wei ◽  
Shu-Ting Shi ◽  
Dan Sun ◽  
Guo-Zhong Lyu
Keyword(s):  
Wound Healing ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Reference Points ◽  
Nutrition Intervention ◽  
Burn Patients ◽  
Cross Sectional

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.

scholarly journals Association between Nutritional Status Determined By Mini Nutritional Assessment and Serum Marker Levels in Older Adults at Eldercare Facilities

2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Angel G Hilerio Lopez
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Serum Marker ◽  
Cross Sectional ◽  
Mean Values ◽  
Significant Difference ◽  
The Mean

Malnutrition in the older adult is an ongoing situation in Mexico and is most apparent in individuals that reside in hospitals, nursing homes, and retirement homes. For that reason, it is necessary to evaluate the nutritional status of these adults by means of the Mini Nutritional Assessment (MNA) and levels of three serum indicators that are commonly ordered when making malnutrition diagnosis. An analytical cross-sectional study was carried out on 100 older adults residing in eldercare facilities. Nutritional status was evaluated by means of the MNA and three serum indicators (albumin, ferritin, and hemoglobin). Descriptive statistics were used to analyze sociodemographic characteristics, and a Student’s t test, based on gender and reference values, was used to compare mean values of the three serum indicators.  A Chi-square test was used to compare proportions in individuals, based on gender, who had normal nutritional status or were malnourished, and who were at-risk of malnutrition.  A One-way ANOVA with Scheffé post hoc test was used to identify the association between serum indicators and nutritional status of older adults. Of the 100 older adults studied, 53% were men and 47% were women. The mean age was 85±0.7 years. According to the MNA, 20% had normal nutritional status, 55% were at-risk of malnutrition, and 25% were malnourished. The mean indicator values were: albumin 4.7±0.04 g/dL, ferritin 74.2±8.7 ng/mL, and hemoglobin 13.0±0.1 g/dL. No significant association was found between serum indicators and each MNA classification; however, when the same indicators were compared between the sexes, hemoglobin showed a significant difference (P=0.037). Women had lower values but those values did not extend beyond the established physiological range for this population. There was a 55% prevalence of risk of malnutrition in the nutritional status of older adults living in Mexican eldercare facilities in a Mexican province and it was even more frequent in women. 

scholarly journals Malnutrition in free-living elderly in rural south India: prevalence and risk factors

2009 ◽  
Vol 13 (9) ◽  
pp. 1328-1332 ◽  
Author(s):  
Aditya Vedantam ◽  
Vijay Subramanian ◽  
Nicholas Vijay Rao ◽  
KR John
Keyword(s):  
Tamil Nadu ◽  
South India ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Free Living ◽  
Cross Sectional ◽  
Significant Difference

AbstractObjectiveTo estimate the prevalence of malnutrition among free-living elderly in a rural population of south India.DesignCross-sectional study. Nutritional status was assessed using the Mini Nutritional Assessment (MNA) questionnaire, which is an eighteen-item nutritional screening instrument used in the elderly.SettingKaniyambadi block, a rural development block in the state of Tamil Nadu, south India.SubjectsCommunity-dwelling elderly (aged 60 years and above).ResultsAs evaluated by the MNA, 14 % of the 227 subjects were malnourished and 49 % were at risk of malnourishment. No significant difference was found between men and women. The majority of the elderly were living with their children, had no income and consumed three meals per day. Older age (P < 0·001), decreased food intake (P < 0·001) and consuming fewer meals (P < 0·001) were independently associated with lower MNA scores.ConclusionsMore than 60 % of the subjects had low MNA scores (<23·5) indicating that deficient protein–energy intake is common among rural elderly of south India and requires more attention.

scholarly journals Nutritional status assessment of elderly using MNA tool in rural Belagavi: a cross sectional study

2018 ◽  
Vol 5 (11) ◽  
pp. 4799
Author(s):  
D. J. Patil ◽  
M. M. Shindhe
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Adverse Health Effects

Background: Worldwide the elderly population gradually increasing and that will definitely pose several challenges. Malnutrition is one of the major but neglected problem in elderly. They are at risk of malnutrition due to physical, psychological, social, dietary and environmental risk factors. Malnutrition in elderly is associated with adverse health effects. Hence to study the nutritional status of elderly.Methods: The study was carried out between January 2016- June 2017. 545 elderly were included in the study. Out of the 6 subcentres, 1 subcentre (Uchagaon) was selected by simple random sampling technique and house to house survey was carried out to select eligible elderly participants in the villages of selected subcentre. Data was collected from eligible elderly by using mini nutritional assessment (MNA) tool.Results: Majority of the participants (65.1%) were between the age group of 60-69 years. 55% were females. 23.5% were malnourished, 49% were at risk of malnutrition and 27.5% had normal nutritional status.Conclusions: The present study concluded that majority of the elderly were at risk of malnutrition. There is a need of actions to improve the nutritional status of the elderly.

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 Evaluación nutricional de adultos mayores con el Mini Nutritional Assessment: MNA

2016 ◽  
Vol 18 (3) ◽  
pp. 494
Author(s):  
Gloria Cecilia Deossa Restrepo ◽  
Luis Fernando Restrepo Betancur ◽  
John Edinson Velásquez Vargas ◽  
Daniela Varela Álvarez
Keyword(s):  
Nutritional Status ◽  
Elderly People ◽  
Nutritional Assessment ◽  
Feeding Habits ◽  
Mini Nutritional Assessment ◽  
Population Group ◽  
The Elderly ◽  
Design Strategies ◽  
One Dimensional ◽  
Las Mujeres

Introducción: El conocimiento relacionado con los adultos mayores, referente a los hábitos de alimentación, características antropométricas y su estado de salud, es de vital interés para entes gubernamentales y privados interesados en esta población, a fin de diseñar estrategias que permitan elaborar diagnósticos y planes de acción. Objetivo: Evaluar el estado nutricional de un grupo de adultos mayores del corregimiento de Güintar del Municipio de Anzá, Antioquia-Colombia. Materiales y métodos: Se utilizaron los siguientes análisis: multivariado de la varianza (MANOVA) con contraste canónico de tipo ortogonal, de correspondencia múltiple, descriptivo de tipo unidimensional y de frecuencias de tipo unidimensional;  para lo cual se analizó la información recopilada mediante encuesta, de acuerdo con los factores de discriminación por sexo. Resultados: Se encontró que las mujeres tenían un Índice de Masa Corporal superior al de los hombres; en cuanto al consumo de alimentos se evidenció que el 66,8% de los adultos mayores ingieren las tres comidas al día, el 21,5% incorporan lácteos, legumbres y pescado de manera regular, al 50% les gustan las frutas y 16,7% consumen más de tres vasos de agua al día. Conclusión: Cerca de una tercera parte de los adultos mayores evaluados presentaron riesgo de malnutrición (más mujeres que hombres) y más del 10% se encontraba con malnutrición (más hombres que mujeres), situación que amerita replantear las políticas alimentarias para favorecer un estado nutricional adecuado y por ende la salud de este grupo poblacional.AbstractIntroduction: The knowledge related to elderly people concerning feeding habits, anthropometric characteristics, and their health status, is of vital interest to governmental and private entities interested in this population, in order to design strategies that allow to develop diagnoses and action plans. Objective: To evaluate the nutritional status of a group of elderly people in the town of Güintar from the municipality of Anza in Antioquia, Colombia. Materials and methods: The following analysis were used: multivariate analysis of variance (MANOVA) with canonical contrast of orthogonal type, multiple correspondence, descriptive of one-dimensional type and frequencies of one-dimensional type, where the information gathered through a survey was analyzed according to the factors of discrimination by sex. Results: It was found that women had a higher Body Mass Index than men. In terms of food consumption, it could be seen that 66.8% of the elderly people eat three meals per day, 21.5% incorporate dairy products, legumes and fish on a regular basis, 50% like fruits and 16.7% consume more than three glasses of water a day. Conclusion: About one third of the elderly people assessed presented risk of malnutrition (more women than men) and more than 10% were malnourished (more men than women). This situation requires to rethink food policies to promote adequate nutritional status and; therefore, the health of this population group.

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 Violence among community elderly and its relationship with the nutritional status and sociodemographic characteristics

2021 ◽  
Vol 42 ◽  
Author(s):  
Wesley Ferreira de Moraes Brandão ◽  
Matheus Araruna de Souza ◽  
Gleicy Karine Nascimento de Araújo ◽  
Renata Clemente dos Santos ◽  
Luana Rodrigues de Almeida ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Nutritional Assessment ◽  
Physical Violence ◽  
Statistical Treatment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Sociodemographic Characteristics ◽  
Psychological Violence ◽  
Community Members ◽  
Cross Sectional

ABSTRACT Objective: To verify the prevalence of violence among elderly community members and its relationship with nutritional status and sociodemographic characteristics. Method: Cross-sectional and analytical study developed with 159 community elderly registered at a Family Health Unit in Recife/Pernambuco between March 2016 and March 2017. The Brazil Old Age Schedule, Conflict Tactics Scales and Mini Nutritional Assessment were used as data collection instruments. Data received descriptive and inferential statistical treatment. Results: Among the elderly classified as with violence, there was a predominance of psychological violence (64.3%), and the majority were at risk for malnutrition (54.3%). There was an association between ‘having a partner’ and psychological (48.1%; p=0.02) and physical (48.1%; p=0.03) violence. Logistic regression demonstrated that being in a relationship or being malnourished increases the likelihood of suffering psychological violence (OR=2.63; OR=3.67), just as not being working increases the likelihood of physical violence (OR=5.61). Conclusion: Violence was negatively related to the nutritional status of elderly community members.

A CROSS SECTIONAL STUDY ON NUTRITIONAL STATUS OF ELDERLY POPULATION IN A RURALAREA OF WEST BENGAL USING MNA SCREENING TOOL.

2021 ◽  
pp. 73-75
Author(s):  
Nirmalya Manna ◽  
Saikat Bhattacharya ◽  
Rahul Biswas ◽  
Soumitra Mondal ◽  
V. Abinesh
Keyword(s):  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Nutrition Status ◽  
Sectional Study ◽  
Cross Sectional ◽  
Permanent Resident ◽  
Baseline Information

Malnutrition, or under nutrition, is a frequent and often unrecognized problem in older adults. It can result in immune dysfunction; poor wound healing, anaemia, longer hospitalization and higher readmission rates, delayed recovery from surgery and a higher rate of mortality. Current statistics for the elderly in India gives a prelude to a new set of medical, social, and economic problems that could arise if a timely initiative in this direction is not taken by the program managers and policy makers. A community based observational, descriptive cross-sectional study was conducted among the elderly people residing at Banspole sub-centre area to nd out their nutritional status. Geriatric people who were the permanent resident of the study area for at least six months were included in the study. A proforma was used to collect the baseline information of the study subjects and details of factors inuencing nutrition status. Mini nutritional assessment (MNA) tool was used to assess nutritional status of 2 elderly. 300 elderly patients were included in this study with an average age of 77.29 ± 6.97 years and BMI of 23.67 ± 3.49 kg/m . Age, literacy and nancial status were found to be signicantly associated with malnutrition. Geriatric nutritional assessment should be integrated into a comprehensive geriatric assessment. Regular assessment of the nutritional status among elderly followed by early interventions will improve the health outcomes, prevents the onset of disability, improves quality of life and saves healthcare costs.

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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