Evaluation of the Relationship Between Nutritional Status and Quality of Life Among Nursing Home Residents With Alzheimer's Disease

2018 ◽  
pp. 68-92
Author(s):  
Alev Keser ◽  
Filiz Yildirim
Keyword(s):  
Quality Of Life ◽  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nutritional Status ◽  
Nutrient Intake ◽  
Nutritional Assessment ◽  
Nursing Home Residents ◽  
Mini Nutritional Assessment ◽  
Dementia Patients

The purpose of this study was to determine nutritional status and its influence on their quality of life in Alzheimer's disease (AD) patients with Mini Nutritional Assessment (MNA) and anthropometric measurements. This study was conducted with 57 Alzheimer type dementia patients between the ages of 52 and 89 who live in nursing homes in Ankara/Turkey. In this study, it was found that the 57.9% of the AD patients were at risk of malnutrition, and that 19.3% were malnourished. Malnutrition risk rises as the length of stay increases (p< .05). A significant correlation between body weight and quality of life as well as one between calf circumference and quality of life was detected (p< .05). In this study, nutrient intake among aged individuals with AD was found unbalanced; a statistically significant correlation between energy / nutrient intake and quality of life also was not detected.

Evaluation of the Relationship between Nutritional Status and Quality of Life among Nursing Home Residents with Alzheimer's Disease

2016 ◽  
pp. 42-73 ◽  
Author(s):  
Alev Keser ◽  
Filiz Yildirim
Keyword(s):  
Quality Of Life ◽  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nutritional Status ◽  
Nutrient Intake ◽  
Nutritional Assessment ◽  
Nursing Home Residents ◽  
Mini Nutritional Assessment ◽  
Dementia Patients

The purpose of this study was to determine nutritional status and its influence on their quality of life in Alzheimer's disease (AD) patients with Mini Nutritional Assessment (MNA) and anthropometric measurements. This study was conducted with 57 Alzheimer type dementia patients between the ages of 52 and 89 who live in nursing homes in Ankara/Turkey. In this study, it was found that the 57.9% of the AD patients were at risk of malnutrition, and that 19.3% were malnourished. Malnutrition risk rises as the length of stay increases (p< .05). A significant correlation between body weight and quality of life as well as one between calf circumference and quality of life was detected (p< .05). In this study, nutrient intake among aged individuals with AD was found unbalanced; a statistically significant correlation between energy / nutrient intake and quality of life also was not detected.

scholarly journals The Effects of a Recollection-Based Occupational Therapy Program of Alzheimer’s Disease: A Randomized Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
DeokJu Kim
Keyword(s):  
Quality Of Life ◽  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Occupational Therapy ◽  
Cognitive Stimulation ◽  
Therapy Program ◽  
Dementia Patients ◽  
Significant Difference ◽  
Experimental Group

Considering the high socioeconomic costs related to the increasing number of dementia patients and their poor quality of life and that of their families, it is important to identify the condition early on and provide an appropriate intervention. This study organized a recollection-based occupational therapy program: a nonpharmacological intervention consisting of five categories of activities (physical, horticultural, musical, art, and instrumental activity of daily living; IADL) and applied it to those having a mild stage of Alzheimer’s disease. The experimental group participated in a total of 24 sessions––five times per week for one hour per session––while the control group took part in regular activities offered by the existing facilities. The experimental group presented improved cognitive functions, reduced depression, and enhanced quality of life; the two groups showed a statistically significant difference in every category. This study is meaningful in that it made a cognitive stimulation program concerning five different categories, implemented it for people suffering mild dementia, and confirmed positive outcomes. If a systemic version of the program is offered in dementia care facilities, it is expected to make a considerable contribution to the care of dementia patients.

Nutritional status as a predictor of comprehensive activities of daily living function and quality of life in patients with stroke

2021 ◽  
pp. 1-7
Author(s):  
Ya-Chen Lee ◽  
En-Chi Chiu
Keyword(s):  
Quality Of Life ◽  
Nutritional Status ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Cross Sectional ◽  
Cross Sectional Design

BACKGROUND: Nutritional status could affect functional capacity and reduce quality of life in patients with stroke. Although the associations between nutritional status, basic activities of daily living (BADL)/Instrumental ADL, and quality of life (QOL) in older people have been identified, the relationships have not yet been examined in patients with stroke, using the full Mini Nutritional Assessment (MNA) or MNA-short form (MNA-SF). OBJECTIVE: This study aimed to examine the relationship between nutritional status (using full MNA and MNA-SF), comprehensive ADL function, and QOL in patients with stroke. METHODS: Eighty-two patients with ischemic stroke participated in this cross-sectional design study. Each participant was assessed with the full MNA, MNA-SF, comprehensive ADL function (including Barthel Index and Frenchay Activities Index), and WHO Quality of Life-BREF (WHOQOL-BREF) once. RESULTS: The MNA-SF was only significantly correlated with the comprehensive ADL function (rho = 0.27, p = 0.013), whereas, the full MNA was found to be significantly correlated with the comprehensive ADL function and WHOQOL (rho = 0.24, p = 0.029 and rho = 0.30, p = 0.005). The MNA-SF was a significant predictor of comprehensive ADL function, accounting for 44% of the variance. The full MNA was the only significant predictor of the WHOQOL-BREF, explaining 17% of the variance. CONCLUSIONS: This study has revealed a relationship between nutritional status, comprehensive ADL function, and QOL among patients with stroke. Patients with stroke with better nutritional status had higher ADL function as well as better QOL. The MNA-SF was useful in predicting comprehensive ADL, whereas, the full MNA could be used to predict QOL. Knowledge and evidence of the association and predictive power of the MNA-SF and full MNA could guide clinicians to choose tools for assessing the nutritional status of patients with stroke more effectively.

scholarly journals Inadequate Intake of Energy and Nutrients Is Common in Older Family Caregivers

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2763
Author(s):  
Sohvi Koponen ◽  
Irma Nykänen ◽  
Roosa-Maria Savela ◽  
Tarja Välimäki ◽  
Anna Liisa Suominen ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Dietary Intake ◽  
Family Caregivers ◽  
Nutrient Intake ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Food Record ◽  
Poor Nutritional Status ◽  
Energy And Nutrient Intake

The aim of this study was to investigate the nutritional status, determinants of nutritional status, and adequacy of energy and nutrient intake of older family caregivers (FC). Nutritional status was measured using the Mini Nutritional Assessment (MNA), plasma albumin, plasma pre-albumin, and blood hemoglobin concentrations. Dietary intake was assessed with a three-day food record. Comorbidity (B −0.283, 95% CI: −0.492, −0.073), quality of life (B 0.045, 95% CI: 0.018, 0.072) and energy intake (B 0.001, 95% CI: 0.000, 0.002) were significantly associated with the MNA scores of the older FCs (n = 125). It was common for FCs to have lower than recommended intakes of energy and several nutrients, independent of the risk of malnutrition assessed by the MNA. Over half of the FCs had inadequate intake of protein, vitamin A, folate, and fiber, and 25–40% of the FCs had a low intake of vitamin D, vitamin E, thiamine, magnesium, iron, and selenium. It is important to follow both the nutritional status and dietary intake of older FCs regularly to find those with lower than recommended nutrient intake and to avoid poor nutritional status and its adverse effects hampering their ability to serve as FCs.

scholarly journals Nutritional assessment in patients with early-onset Autosomal Dominant Alzheimer’s Disease due to PSEN1- E280A genetic variant: a cross-sectional study

2021 ◽  
pp. 1-7
Author(s):  
M. Gómez-Vega ◽  
E. Garcia-Cifuentes ◽  
D. Aguillon ◽  
J.E. Velez ◽  
A. Jaramillo-Jimenez ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nutritional Status ◽  
Early Onset ◽  
Autosomal Dominant ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Background: Weight loss and malnutrition are frequent findings in late-onset and sporadic presentations of Alzheimer’s Disease (AD). However, less is known about nutritional status in Early-Onset Autosomal Dominant AD (EO-ADAD). Objective: To analyze the association between nutritional status and other clinical and sociodemographic characteristics in individuals with a genetic form of EO-ADAD. Design, settings, and participants: Cross-sectional study with 75 non-institutionalized participants from a cohort of Autosomal Dominant AD (13 with mild cognitive impairment and 61 with dementia, ages from 38 to 67 years) underwent a structured clinical assessment with emphasis on nutritional status. Measurements: Primary outcome was nutritional status and it was measured using the Mini Nutritional Assessment (MNA). Patients were categorized according to MNA total score, as undernourished (MNA ≤23.5) and well-nourished (MNA ≥ 24). Sociodemographic and clinical variables identified as potential predictors or confounders of nutritional status were also collected. Results: Undernourishment by MNA was present in 57.3% of the sample. Forty-two percent of participants had abnormal BMI values considered lower than 18.5 or higher than 24.9 kg/m2. Total BMI values were similar in well and undernourished patients (median 24.2 IQR 3.59 and median 23.9 IQR 4.42, respectively, p=0.476). When comparing well and undernourished groups, we found statistically significant differences for variables: severity of dementia (p=0.034), frailty (p=0.001), multimorbidity (p=0.035) and, polymedication (p=0.045). Neither adjusted logistic regression nor the Poisson regression showed that any clinical or sociodemographic variables explained undernourishment. Conclusions: Undernourishment was a frequent finding in our sample of EO-ADAD, especially in later stages of the disease. Patients with polymedication, multimorbidity, frailty and severe dementia show differences in their nutritional status with a tendency to be more frequently undernourished. Further studies with larger sample sizes are needed to establish this association.

scholarly journals Nutritional problems in older adults with Alzheimer’s disease: Risk of malnutrition and sarcopenia

2017 ◽  
Vol 30 (3) ◽  
pp. 273-285
Author(s):  
Danielle Rodrigues LECHETA ◽  
Maria Eliana Madalozzo SCHIEFERDECKER ◽  
Ana Paula de MELLO ◽  
Ivete BERKENBROCK ◽  
João CARDOSO NETO ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Nutritional Status ◽  
Rating Scale ◽  
Nutritional Assessment ◽  
Disease Risk ◽  
Elderly Care ◽  
Mini Nutritional Assessment ◽  
Capital City

ABSTRACT Objective Understand the nutritional problems and detect the presence of sarcopenia in older adults with Alzheimer’s disease. Methods Descriptive cross-sectional study carried out among elderly patients with Alzheimer’s disease receiving care at the Unidade de Saúde de Atenção ao Idoso (Elderly Care Unit) in a capital city in Southern Brazil between November 2010 and July 2011. The Clinical Dementia Rating scale was used for the evaluation of staging severity of dementia. Participants’ nutritional status was classified using The Mini Nutritional Assessment. The following tests were used to diagnose sarcopenia: bioelectrical impedance, hand grip strength, and the Timed Up and Go test. Anthropometric measurements and laboratory tests (hemoglobin, lymphocytes, serum albumin, and total cholesterol) were performed. Results Ninety-six older adults (mean age of 78 years) were evaluated. It was observed prevalence of mild Alzheimer’s disease in 54.2% of the participants; 55.2% were at risk of malnutrition; unintentional weight loss was observed in 64.6%, 55.3% had lower number of lymphocytes, and 43.7% had severe sarcopenia. Conclusion The prevalence of risk of malnutrition and sarcopenia is high among older adults with Alzheimer’s disease. Future studies should focus on the evaluation of nutritional interventions aimed at maintaining the nutritional status and muscle mass in these individuals.

scholarly journals Longitudinal Comparison of Stability and Sensitivity in Quality of Life Scores Among Nursing Home Residents With and Without Diagnoses of Alzheimer’s Disease and Related Dementias

2021 ◽  
Author(s):  
Xuanzi Qin ◽  
Zachary G Baker ◽  
Stephanie Jarosek ◽  
Mark Woodhouse ◽  
Haitao Chu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Nursing Home ◽  
Functional Status ◽  
Nursing Home Residents ◽  
Data Set ◽  
The Stability ◽  
Linear Probability

Abstract Background and Objectives Prevalence of nursing home residents with Alzheimer’s Disease and Related Dementias (ADRD) has increased along with a growing consensus that person-centered ADRD care in nursing homes should maximize quality of life (QoL). However, concerns about whether residents with ADRD can make appropriate QoL judgements persist. This study assesses the stability and sensitivity of a self-reported, multi-domain well-being QoL measure for nursing home residents with and without ADRD. Research Design and Methods This study linked the 2012-2015 Minnesota Nursing Home Resident QoL and Satisfaction with Care Survey, Minimum Data Set 3.0 (nursing home assessments), and Minnesota Department of Human Services Cost Reports. The QoL survey included cohort-resident pairs who participated for two consecutive years (N=12,949; 8,803 unique residents from 2012-2013, 2013-2014 and 2014-2015 cohorts). Change in QoL between two years was conceptualized as stable when within 1.5 standard deviations of the sample average. We used linear probability models to estimate associations of ADRD/cognitive function scale status with the stability of QoL summary and domain scores (e.g., social engagement) and the absolute change in QoL summary score, controlling for resident and facility characteristics. Results Most (86.82%) residents had stable QoL summary scores. Residents with moderate to severe cognitive impairment, irrespective of ADRD, were less likely to have stable summary scores than cognitively capable residents without ADRD (P&lt;0.001), but associations varied by QoL domains. Among those with stable summary QoL scores, changes in health/functional status were associated with absolute changes in summary QoL score (P&lt;0.001), suggesting sensitivity of the QoL measure. Discussion and Implications QoL scores were similarly stable over time for most residents with and without ADRD diagnoses and were sensitive to changes in health/functional status. This self-reported QoL measure may be appropriate for nursing home residents, regardless of ADRD diagnosis and can efficaciously be recommended to other states.

scholarly journals VALORACIÓN NUTRICIONAL CON LA SITUACIÓN FUNCIONAL TRAS SUFRIR UN ICTUS.

2017 ◽  
Author(s):  
Fidel López-Espuela ◽  
Juan Carlos Portilla-Cuenca ◽  
Marta Holguín Mohedas ◽  
José Manuel Párraga Sánchez ◽  
Sergio Cordovilla-Guardia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Calidad De Vida ◽  
The Relationship

Objetivo: Valorar el estado nutricional (EN) del paciente a los tres meses de sufrir un ictus, y establecer la relación del EN con la recuperación funcional y las complicaciones en este periodo.Material y métodos: Estudio observacional y transversal. Pacientes supervivientes a un ictus mayores de 65 años. La valoración del EN se realizaba a los 3 meses del ictus Se recogieron datos sociodemograficos, antropométricos, factores de riesgo cardiovascular, así como el estado funcional y las complicaciones sufridas (infección urinaria, fiebre, neumonía, etc.). La valoración nutricional fue evaluada con el Mini Nutritional Assessment (MNA).Resultados: 103 pacientes, edad media de 75,81(±6,73) años.. La puntuación en el MNA fue de 23,13 puntos; el 8,2% presentaba malnutrición, el 38,1% riesgo de malnutrición.No se observaron diferencias en el EN entre mujeres y hombres (p=0,076); ni relación del EN con la edad. El estado nutricional deficitario se asoció a peor situación funcional (r=0,608;p<0,001), al desarrollo de complicaciones (infección urinaria y fiebre) (p=0,044) y con la disfagia (p=0,014). Además, aquellos pacientes con mejor EN presentaban mejor calidad de vida (r=0,506;p<0,001).También se relaciono con el nivel socioeconómico (p=0,020) y la institucionalización en centros sociosanitarios (p=0,004).Conclusiones: El Estado nutricional deficitario es frecuente en los supervivientes a un ictus a los 3 meses, y se relaciona con la dependencia funcional y la aparición de complicaciones.Además, el estado nutricional afecta a la calidad de vida autopercibida por estos pacientes.La disfagia es una secuela importante y que afecta al estado nutricional.  Title: Nutritional status and the relationship regarding to functional status after stroke. ABSTRACTAims: To assess the Nutritional Status (NS) for a patient after three months of suffering an stroke, and to establish the relationship between functional recovery and their complications, in this period.Material and methods: It realized a cross-sectional observational study. The sample consisted of patients who had suffered the stroke over 65 years old. The NS assessment was performed 3 months later of stroke. They were collected sociodemographic, anthropometric data, cardiovascular risk factors, functional status and dependence. Also, they were analyzed the suffered complications during 3 months after stroke (urinary tract infection, fever, pneumonia). Nutritional assessment was evaluated by the Mini Nutritional Assessment (MNA.Results: 103 patients were included, with a medium age of 75.81(±6.73). The MNA score was 23.13 points; 8.2% had malnutrition, 38.1% with risk of malnutrition. It didn´t detect any difference between women and men (p=0.076); either the NS with age. Nutritional status deficit was associated with poorer function (r=0.608;p<0.001), with the development of complications (urinary tract infection and fever) (p=0.044) and dysphagia (p=0.014). In addition, those patients with better nutritional status punctuating had a better quality of life (r=0.506; p<0.001). I was also associated with socioeconomic status (p = 0.020) and institutionalization, in health centers (p=0.004). Conclusions:The Nutritional status deficit is common in ictus´ survivors at 3 months, and It´s related to dependence and the appearance of complications. In addition, the nutritional status affects the self-perceived quality of life for these patients. Dysphagia is an important sequel that affects the nutritional status.

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