Nutritional Assessment of Geriatric Population (65 - 75 Years)

Geriatric assessment tools are applicable to the general geriatric population; however, their feasibility in frail older adults is yet to be determined. The study aimed to determine the feasibility of standardised geriatric assessment tools and physical exercises in hospitalised frail older adults. Various assessment tools including the FRAIL Screen, the Charlson Comorbidity Index, the SF-36, the Trail Making Test (TMT), the Rapid Cognitive Screen, the Self Mini Nutritional Assessment (MNA-SF) and the Lawton iADL as well as standard physical exercises were assessed using observational protocols. The FRAIL Screen, MNA-SF, Rapid Cognitive Screen, Lawton iADL and the physical exercises were deemed to be feasible with only minor comprehension, execution and safety issues. The TMT was not considered to be feasible and the SF-36 should be replaced by its shorter form, the SF-12. In order to ensure the validity of these findings a study with a larger sample size should be undertaken.

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Relationship between Malnutrition and Functional Disability in Selected Community-Dwelling Geriatric Population in Bangladesh

10.1101/2020.08.02.20167049 ◽

2020 ◽

Author(s):

Mohammad Rahanur Alam ◽

Md. Shahadat Hossain ◽

Akibul Islam Chowdhury ◽

Marufa Akhter ◽

Abdullah Al Mamun ◽

...

Keyword(s):

Nutritional Status ◽

Activities Of Daily Living ◽

Daily Living ◽

Functional Disability ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

Community Dwelling ◽

Average Life Expectancy ◽

Geriatric Population ◽

Cross Sectional

Background: The average life expectancy of the Bangladeshi population has been rising over the last decade due to the economic growth along with improved medicare. Although the increased number of geriatric people and their health is a matter of great concern, this issue remains unnoticed here. Objectives: To assess the nutritional status of the functionality and to analyze the association between nutritional status and functional ability of the selected Bangladeshi geriatric population. Methods: A community-based cross-sectional study was conducted among 400 participants, covering Chittagong, Noakhali, Comilla, and Jessore district of Bangladesh from December 2019 to February 2020. A standard and pretested questionnaire containing Mini Nutritional Assessment (MNA), Tinetti Performance Oriented Mobility Assessment (POMA), Activities of daily living scale (ADL), Lawton-Brody Instrumental Activities of Daily Living Scale (IADL), was used. Results: According to our study, The prevalence of malnutrition and people at risk of malnutrition have been 25.4% and 58.8%, respectively. In the case of functionality, 63.3% of subjects have high falling risk, and 61.8% of subjects can independently do their daily activities while 38.3% are dependent. Furthermore, almost 80% of people are dependent in terms of doing living skills. High risk of falling (OR=10.823; 95% CI: 5.846-20.37; p<0.001), poor skill in doing ADL (OR=6.206; 95% CI: 4.021-9.581; p<0.001), along with dependency in performing IADL (OR=4.477; 95% CI: 2.833-7.075; p<0.001) are significantly associated with malnutrition. Conclusions: Geriatric malnutrition can accelerate disability conditions, which can lead to early functional aging and subsequent loss in the quality of life.

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Assessment of nutritional status among geriatric population in rural Mangaluru: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20192299 ◽

2019 ◽

Vol 6 (6) ◽

pp. 2408

Author(s):

Shrivathsa D.N. ◽

Chandana G. Manglik ◽

Ranish Deelan Saldanha ◽

Prajna P. Sharma

Keyword(s):

At Risk ◽

Nutritional Status ◽

Nutritional Assessment ◽

Nuclear Family ◽

Mini Nutritional Assessment ◽

Cross Sectional Study ◽

Sectional Study ◽

Geriatric Population ◽

Cross Sectional ◽

Assessment Score

Background: The percentage of elderly is growing rapidly worldwide. They are at a risk of malnutrition due to physiological, psychological, social, dietary and environmental factors.The present study was conducted to find the malnourished elderly in the community. The aims and objectives of the study were to evaluate the nutritional status of elderly using Mini Nutritional Assessment (MNA) scales; to evaluate the dietary consumption in terms of total calories and protein intake; to assess the factors associated with the malnutrition; to educate regarding nutritional importance in elderly.Methods: A community based cross-sectional study was conducted among the geriatric population (n=117) in rural Mangaluru using convenient sampling technique. After obtaining oral consent, mini nutritional assessment scale was used and socio-demography was collected. Total screening score of 14 and assessment score of 16 were summed up to get the total assessment score of 30 to determine the person’s nutritional status.Results: Majority (60.6%) of the study population was females and 39.4% were males. 53% population were Muslims and 51% belonged to nuclear family. According to MNA scale, 54 (46.7%) were at risk of malnutrition, 17 (14.5%) were suffering from malnutrition and rest 46 (39.3%) had normal nutritional status. There was a significant correlation of MNA score with BMI.Conclusions: The results suggest that MNA is a useful tool in the identification of elderly at risk of malnutrition. Due to the high prevalence of elderly who were malnourished or at the risk of malnutrition, a more detailed evaluation, regular follow up and dietary intervention is required.

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Nutrition assessment and geriatric associated conditions among free living elderly people in Birjand, East of Iran: a cross-sectional study

BMC Geriatrics ◽

10.1186/s12877-021-02518-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Fatemeh Hoseinzadeh-Chahkandak ◽

Mehran Rahimlou ◽

Fatemeh Salmani ◽

Elham Ansarifar ◽

Mitra Moodi ◽

...

Keyword(s):

Older Adults ◽

Nutritional Status ◽

Rural Areas ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Geriatric Population ◽

Cross Sectional ◽

East Of Iran

Abstract Background Few data are available on the nutritional status of Iranian geriatric population. The present study aimed to determine the nutritional status of older adults’ population in Birjand, East of Iran. Methods The community-based cohort study was performed on older adults population (60 years and older) living in urban and rural areas of Birjand. The mini nutritional assessment (MNA) questionnaire was used to assess nutritional status. Anthropometric and biochemical evaluation were also performed for all of the participants. Results A total of 1417 geriatric person were enrolled in this study, which, most of them were female (51.9 %). According to MNA tool, most of the participants (73.3 %) had normal nutrition (MNA score ≥ 24). Malnourished (MNA score < 17) and at high risk of malnutrition (MNA score: 17- 23.5) were constituted 0.9 % and 25.8 % of the participants, respectively. Marital status, occupation, period of education and family member were associated with nutritional status. Multiple logistic regression showed that with increase of body mass index (BMI) (OR = 0.96), education years (OR = 0.95), hemoglobin (OR = 0.86) and lymphocyte (OR = 0.98), the odds of malnutrition decreased, but with increase of age the odds (1.03) of malnutrition is also elevated. Conclusions MNA could successfully forecast the risk of malnutrition and malnourished people. Sociodemographic factors are associated with the nutritional status.

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

Proceedings of The Nutrition Society ◽

10.1017/s0029665120002086 ◽

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.

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Nutritional status of the geriatric population in the field practice area of a medical college in Rajasthan

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20175786 ◽

2017 ◽

Vol 5 (1) ◽

pp. 220 ◽

Cited By ~ 1

Author(s):

Shreyashkumar J. Gandhi ◽

Mahesh Kumar Choudary ◽

Rupesh Kumar ◽

Dinesh Bhatnagar

Keyword(s):

At Risk ◽

Nutritional Status ◽

Dietary Intervention ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

Cross Sectional Study ◽

Geriatric Population ◽

Cross Sectional ◽

Medical College ◽

Field Practice

Background: Ageing is a physiological process that starts from birth, continues throughout life, and ends with death. Poor nutrition is not a natural concomitant of ageing; older adults are at risk for malnutrition due to physiological, psychological, social, dietary, and environmental risk factors. The objectives of the study were to assess the nutritional status of elderly living in rural India and to study the factors related to nutritional status.Methods: Community-based cross-sectional study was undertaken in the field practice area of Pacific Medical College and Hospital, Udaipur, Rajasthan. Predesigned and pretested questionnaire and nutritional status were assessed using mini nutritional assessment scale for elderly people. Results: Out of the total 152 participants, 2 (1.3%) were having BMI less than 19, 11 (7.2%) were having BMI 19 to less than 21 and 43 (28.3%) were having BMI 21 to less than 23. Out of 152 participants, 30 (41.1%) males and 43 (54.4%) females were at risk of malnutrition. Six (8.2%) males and 5 (6.4%) females were suffering from malnutrition. However, the association of gender and nutritional status of elderly was not found to be statistically significant (p=0.258). Conclusions: Due to the high prevalence of elderly who were malnourished or at risk of malnutrition, a more detailed evaluation, regular follow up & dietary intervention to reverse the situation is required.

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Normal Swallowing in the Geriatric Population

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd10.1.14 ◽

2001 ◽

Vol 10 (1) ◽

pp. 14-18 ◽

Cited By ~ 2

Author(s):

Gary H. McCullough

Keyword(s):

Geriatric Population ◽

Normal Swallowing

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The Interaction of Pulmonary Physiology and Swallowing: A Juggling Act for the Physician and Speech-Language Pathologist

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd18.1.34 ◽

2009 ◽

Vol 18 (1) ◽

pp. 34-40

Author(s):

Karen J. Dikeman ◽

Marta S. Kazandjian ◽

Elbert Tun ◽

Panina Niyazova ◽

Tien-Tsai Tsai ◽

...

Keyword(s):

Health Care Providers ◽

Medical Condition ◽

Team Approach ◽

Care Providers ◽

Geriatric Population ◽

Pulmonary Physiology ◽

Speech Language Pathologist ◽

Ventilator Dependence ◽

Clinical Case Studies ◽

Single Disease Entity

Abstract Patients who are dependent upon tracheostomy and/or ventilator use present a particular challenge to health-care providers. The interaction of pulmonary physiology and deglutition is complex, as illustrated in the course of patients who are in the weaning process. Speech language pathologists (SLPs) should work closely with their physician colleagues to understand the influence of multiple medical co-morbidities on intervention. In traditional medicine, the clinician's objective is to connect a patient's many symptoms and complaints to a single disease entity. However, in caring for the ventilator dependent geriatric population, a symptom such as dysphagia typically results from the interplay of various, multi-organ symptoms, and conditions. This article strives to demonstrate the “juggling act” that the physician and SLP must balance between the patient's current medical condition, pulmonary dysfunction, and disordered swallowing. Clinical case studies illustrate the benefit of swallowing intervention on quality of life. While the care of patients with tracheostomy and ventilator dependence requires a team approach, with respiratory therapy and nursing vital members, this article emphasizes the roles of the SLP and physician.

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