A Study to Assess the Nutritional Status Among the Elderly Population in the Selected Setting

Author(s):  
R. Jeyadeepa
Author(s):  
Laura Guzmán Díaz ◽  
Herminia López García de la Serrana ◽  
María Jesús Oliveras López

Rate the elderly nutritionally will allow us to achieve and maintain good nutritional status in the elderly population. Objectives: 1 Assessment of nutritional status of the population.. Two. Evaluation of population intake according to recommended intakes. Three. Valuations menu and antioxidant capacity compared to the Spanish average. Methods: The study was conducted with 28 elders. Sociodemographic indicators, anthropometric data, blood pressure, questionnaires assessing the nutritional status and assessment of intake were used. In addition, the antioxidant capacity of menu technique ORAC was determined. Results: Males had higher overweight and obesity increased women. The waist-hip ratio was higher in men (0.94 ± 0.08 cm). Regarding the intake, there is greater risk of malnutrition 50% (MNA and NSI), excess cholesterol and folic acid deficiency, vitamin D and magnesium in both sexes. The antioxidant capacity was 31,377 umol / day and total polyphenols of 2,344 mg / day. Conclusions: There is a high risk of malnutrition (MNA, NSI) and cardiovascular disease (ICC) among participants. The antioxidant capacity of the menu three times the reference values and the energy profile of the elderly is inadequate, with excess fat and cholesterol and low in carbohydrates


2019 ◽  
Vol 26 (19) ◽  
pp. 3652-3661 ◽  
Author(s):  
Tecla Mastronuzzi ◽  
Ignazio Grattagliano

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.


2021 ◽  
Vol 43 ◽  
pp. e48747
Author(s):  
Maria Vaitsa Loch Haskel ◽  
Sara Carolina Scremin Souza ◽  
Danilo Fernandes da Silva ◽  
Weber Cláudio Francisco Nunes da Silva ◽  
Juliana Sartori Bonini

Although malnutrition and risk of falls in the elderly have increased in recent years, uncertainties exist as to whether these conditions are associated after controlling for sociodemographic variables, body composition, metabolic condition, and Alzheimer’s disease (AD). This study aimed to analyze the association between nutritional status and risk of fall in the elderly population. Participants were matched by gender and age, after they had been grouped on the basis of diagnosis of AD. The risk of falls, nutritional status, and mental status were assessed using the Downton Fall Risk Score (FRS), Mini Nutritional Assessment (MNA), and Mini Mental State Evaluation (MMSE), respectively. Logistic regression models adjusted for the main confounders were used in the analyses. Among the 68 elderly individuals studied, participants who were malnourished or at risk of malnutrition were more likely to fall (odds ratio = 8.29; 95% confidence interval = 1.49-46.04) than those with normal nutritional status, regardless of gender, age, education, body composition, and metabolic condition. This association did not remain significant after adjustment for AD, a potential confounder in this association. Malnutrition or its risk was independently associated with high risk of fall; thus, malnutrition should be considered in the prevention of falls among the elderly population.


Author(s):  
Ana Popescu ◽  
◽  
Gabriela Soric ◽  
Felicia Lupascu-Volentir ◽  
Anatolie Negara ◽  
...  

During the twentieth century life expectancy has increased significantly and it was estimated that by 2030, 21% of the world’s population will be >65 years. According to observations, fragility syndrome and nutritional status problems are very common among the elderly population, especially in old age. Fragility syndrome has a multifactorial origin and is a fundamental risk factor for deteriorating health and the installation of disability in the elderly. The purpose of the study was to establish the interrelationship of nutritional status with fragility syndrome and the impact on the functionality of the elderly. The information was searched in the PubMed, Hinari, Cochrane, Elsevier, Springer databases, including the offi cial pages of the European Geriatric Society, European Society for Clinical Nutrition and Metabolism, to identify scientifi c journals dedicated to nutrition in the elderly with fragility syndrome. Studies published in the period 2010-2020, in romanian and english, were selected. Th e specialized literature, scientifi c journals, clinical studies were researched, from which the most relevant 34 were selected. Elderly malnutrition is currently a global problem, its prevalence in people is 10-40%. Th e diagnosis of malnutrition aims to identify it and elucidate the causes. Weight loss is a criterion of the development of fragility, and nutrition-focused interventions can prevent the progression of fragility syndrome and loss of autonomy with the onset of dependence. Fragility is a geriatric syndrome that aff ects several areas of physical status, and malnutrition is one of the risk factors for this syndrome.


2014 ◽  
Vol 60 (3) ◽  
pp. 242-248 ◽  
Author(s):  
Ana Lúcia Danielewicz ◽  
Aline Rodrigues Barbosa ◽  
Giovâni Firpo Del Duca

Objective: to investigate the association between nutritional status and functional limitation and disability in an elderly population in southern Brazil. Methods: epidemiological, cross-sectional household-based study carried out with 477 elderly of both sexes (60 to 100 years). Body mass index (BMI) served to assess the nutritional status: underweight (BMI < 22 kg/m2) and overweight (BMI > 27 kg/m2). The sum score (0-5) obtained in three tests: "chair stand" and "pick up a pen" (measured by time) and standing balance (four static measurements) assessed the functional limitation. The disability was evaluated by the difficulty in performing one or more self-reported tasks related to basic activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Crude and adjusted analyzes (3 models) were carried out using Poisson regression; prevalence ratios (PR) and 95% confidence intervals (CI) were calculated. Results: crude analyzes showed a positive association between underweight and functional limitation (PR = 2.71, 95% CI = 1.63 to 4.51); overweight and disability in ADLs (PR = 2.20, CI 95% = 1.44 to 3.35); overweight and disability in IADLs (PR = 1.56, CI 95% = 1.20 to 2.03). The additional adjustments for gender, age, level of education, living arrangements, current work, cognitive function and number of morbidities reduced the strength of the associations, without changing the statistical strength. Conclusion: nutritional status is a factor that is independently and positively associated with functional limitation and disability. We recommend the use of this indicator to monitor the health of the elderly.


2004 ◽  
Vol 17 (3-4) ◽  
pp. 449-457 ◽  
Author(s):  
Cho-Il Kim ◽  
Haeng Shin Lee ◽  
Bok Hee Kim ◽  
Young Ai Jang ◽  
Hee Jae Suh

Author(s):  
Laura Guzmán Díaz ◽  
Herminia López García de la Serrana ◽  
María Jesús Oliveras López

Rate the elderly nutritionally will allow us to achieve and maintain good nutritional status in the elderly population. Objectives: 1 Assessment of nutritional status of the population.. Two. Evaluation of population intake according to recommended intakes. Three. Valuations menu and antioxidant capacity compared to the Spanish average. Methods: The study was conducted with 28 elders. Sociodemographic indicators, anthropometric data, blood pressure, questionnaires assessing the nutritional status and assessment of intake were used. In addition, the antioxidant capacity of menu technique ORAC was determined. Results: Males had higher overweight and obesity increased women. The waist-hip ratio was higher in men (0.94 ± 0.08 cm). Regarding the intake, there is greater risk of malnutrition 50% (MNA and NSI), excess cholesterol and folic acid deficiency, vitamin D and magnesium in both sexes. The antioxidant capacity was 31,377 umol / day and total polyphenols of 2,344 mg / day. Conclusions: There is a high risk of malnutrition (MNA, NSI) and cardiovascular disease (ICC) among participants. The antioxidant capacity of the menu three times the reference values and the energy profile of the elderly is inadequate, with excess fat and cholesterol and low in carbohydrates


1999 ◽  
Vol 69 (3) ◽  
pp. 154-159 ◽  
Author(s):  
Volkert ◽  
Stehle

In the last decade several attempts (Nationale Verzehrsstudie, NVS; Verbundstudie Ernährungserhebung und Risikofaktoren-Analytik, VERA; Bethanien-Ernährungsstudie, BEST) have been made to assess the nutritional status of the elderly in Germany. A careful evaluation of those data describing the vitamin status clearly indicate that healthy older people are not at higher risk for vitamin deficiency compared to younger adults. The results of the NVS showed that, except for folic acid, mean intake of all vitamins exceeded 80% of the current recommendations. Only 5% of blood vitamin concentrations analyzed in a subpopulation (VERA-Study) were founded to be below the physiological range. Only the incidence of low cobalamin values increased with age, presumably due to gastrointestinal problems (atrophic gastritis). In contrast, geriatric patients showed markedly lower vitamin blood concentrations compared to healthy subjects of the same age (BEST-Study). This might be explained by physical and mental deterioration, handicaps, chronic diseases and multiple chronic drug use. Underrepresentation of very old people, lack of reliable reference values for biomarkers and uncertainties in data collection may have contributed to misinterpretations. Representative studies are needed to objectively assess the nutritional status of the elderly population in Germany.


2006 ◽  
Vol 9 (8) ◽  
pp. 968-974 ◽  
Author(s):  
Zarina Nahar Kabir ◽  
Tamanna Ferdous ◽  
Tommy Cederholm ◽  
Masuma Akter Khanam ◽  
Kim Streatfied ◽  
...  

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.


2020 ◽  
Author(s):  
Wuhan Yu ◽  
Weihua Yu ◽  
Xintong Liu ◽  
Tianchi Wan ◽  
Chenxi Chen ◽  
...  

Abstract Background: Malnutrition is one of the health problems in the elderly population, which increases the risk of poor clinical outcomes. The purpose of this investigation was to evaluate the nutritional status and cognitive function of an elderly Chinese population, to explore the association between malnutrition and cognitive condition as well as the cognitive domain.Methods: A cross-sectional study was conducted in 2365 participants aged 60 years or above from January 2013 to September 2019. We used the Mini Nutritional Assessment Short Form (MNA-SF), and the Mini Mental State Examination (MMSE) to assess the impact of malnutrition on cognitive function. Nutrition-associated factors were analyzed.Results: 33.45% of the participants were identified as malnutrition risk and 5.54% were malnourished, while 36.74% had cognitive impairments. 48.63% had nutritional deficits and 53.65% had cognitive impairment in those over 80 years old. Malnutrition is associated with global cognition (ρ= 0.349, P < 0.0001) and the cognitive domain particularly in orientation (ρ= 0.343, P < 0.0001). The impact was extended to attention and calculation (ρ=0.310, P < 0.0001) as well as language (ρ= 0.302, P < 0.0001) of those over 80 years of age. Malnutrition is an independent risk factor for cognitive impairment after adjusting for other variables (OR=2.004, 95% CI: 1.621-2.479).Conclusion: The prevalence of malnutrition and cognitive impairment was relatively high and increased with age. Malnutrition leads to cognitive decline and disorientation, and also contributes to attention problems, calculation problem and language impairment in the oldest old. Thus, clinicians should assess the nutritional and cognitive status of the elderly regularly to the early dictation and timely intervention.


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