scholarly journals Assessment of Nutritional Status and Its Associated Factors in Elderly in Rural Area of Tamil Nadu, India

2021 ◽  
Vol 6 (1) ◽  
pp. 38-43
Author(s):  
M. Vidyalakshmi ◽  
B. Kirubhakaran
Keyword(s):  
Nutritional Status ◽  
Tamil Nadu ◽  
Nutritional Assessment ◽  
Caloric Intake ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
Female Gender ◽  
Living Condition ◽  
Ageing Population ◽  
Factors Associated

Introduction: Ageing population is increasing rapidly in India, posing many challenges to health care services. One among the challenge is growing malnutrition in elderly. Malnutrition impairs body composition and body function of elderly thereby impairing their quality of life. Hence measures to prevent and treat malnutrition is need of the hour. Malnutrition is multifactorial and hence study to determine various factors associated with malnutrition becomes essential. Aim and objective: The objective of present study was to assess the nutritional status of elderly and to study the various factors associated with malnutrition. Materials and methods: Each individual in the study was subjected to a personal interview on demographic detail, living condition, literacy and financial status. Functional status was assessed using Instrumental activities of daily living (IADL), depression using Geriatric depression scale (GDS), nutritional status using Mini nutritional assessment (MNA) and caloric intake using 24 hour dietary recall. Result: A significant association was found between the nutritional status and age group more than 75 years, female gender, illiteracy, living alone without family support, status of being financially and functionally dependent, depression and inadequate caloric intake. Conclusion: It is essential to perform nutritional assessment as routine out patient procedure for all elderly to detect malnutrition at earliest and intervene early to prevent deleterious effect of malnutrition on elderly. Multi dimensional approach is needed to educate about need of proper nutrition to elders and their caregivers. Keywords: Caloric intake, Healthy ageing, Malnutrition, Nutrition.

scholarly journals Prevalence of Malnutrition and Depression in Older Adults Living in Nursing Homes in Mexico City

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2429
Author(s):  
María Consuelo Velázquez-Alva ◽  
María Esther Irigoyen-Camacho ◽  
María Fernanda Cabrer-Rosales ◽  
Irina Lazarevich ◽  
Isabel Arrieta-Cruz ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Depressive Symptoms ◽  
Nursing Homes ◽  
Nutritional Status ◽  
Mexico City ◽  
Prescription Drugs ◽  
Nutritional Assessment ◽  
Depression Scale ◽  
Mini Nutritional Assessment

This study evaluated the association between nutritional status, depressive symptoms, and the number of prescription drugs taken by older adults living in nursing homes in Mexico City. In a cross-sectional study, 262 participants were subjected to anthropometric and nutritional (Mini Nutritional Assessment (MNA)) evaluations; additionally, their depression (Geriatric Depression Scale (GDS)) and functional status were assessed. Multiple logistic regression was used for identifying factors associated with the risk of malnutrition/malnourishment. The mean age of participants was 83.1 ± 8.6 years. A total of 59.9% and 21.1% were at risk of malnutrition and malnourished, respectively. With respect to depression, 27.9% of the participants had mild depression, while 11.4% showed severe depression. An inverse correlation between MNA evaluations and depression scores was found (Spearman’s ρ = −0.4624, p < 0.001); residents with a better nutritional status had lower depression scores. Individuals with depressive symptoms were approximately five times more likely to be at risk of malnutrition or malnourished (OR = 5.82, 95% CI = 2.27–14.89) than individuals without depression. Residents taking three or more prescription drugs daily (OR = 1.83, 95% CI = 1.27–2.63, p < 0.001) were more likely to be at risk of malnutrition or malnourished. In summary, poor nutritional status was associated with depression, while the intake of numerous prescription drugs was associated with being at risk of malnutrition or malnourished.

Nutrition as a Health Determinant in Elderly Patients

2019 ◽  
Vol 26 (19) ◽  
pp. 3652-3661 ◽  
Author(s):  
Tecla Mastronuzzi ◽  
Ignazio Grattagliano
Keyword(s):  
Nutritional Status ◽  
Elderly Population ◽  
Nutritional Assessment ◽  
Caloric Intake ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Nutritional Intervention ◽  
Social Risk ◽  
Social Risk Factors ◽  
The Impact

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.

scholarly journals The Desire to Better Understand Older Adults with Solid Tumors to Improve Management: Assessment and Guided Interventions—The French PACA EST Cohort Experience

Cancers ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 192 ◽  
Author(s):  
Rabia Boulahssass ◽  
Sebastien Gonfrier ◽  
Noémie Champigny ◽  
Sandra Lassalle ◽  
Eric François ◽  
...  
Keyword(s):  
Solid Tumors ◽  
Nutritional Assessment ◽  
Geriatric Depression Scale ◽  
Geriatric Oncology ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
Factors Associated ◽  
Independent Risk Factors ◽  
State Examination

Todays challenge in geriatric oncology is to screen patients who need geriatric follow-up. The main goal of this study was to analyze factors that identify patients, in a large cohort of patients with solid tumors, who need more geriatric interventions and therefore specific follow-up. Between April 2012 and May 2018, 3530 consecutive patients were enrolled in the PACA EST cohort (France). A total of 3140 patients were finally enrolled in the study. A Comprehensive Geriatric Assessment (CGA) was performed at baseline. We analyzed the associations between factors at baseline (geriatric and oncologic factors) and the need to perform more than three geriatric interventions. The mean age of the population was 82 years old with 59% of patients aged older than 80 years old. A total of 8819 geriatric interventions were implemented for the 3140 patients. The percentage of patients with three or more geriatric interventions represented 31.8% (n = 999) of the population. In multivariate analyses, a Mini Nutritional assessment (MNA) <17, an MNA ≤23·5 and ≥17, a performans status (PS) >2, a dependence on Instrumental Activities of Daily Living (IADL), a Geriatric Depression Scale (GDS) ≥5, a Mini Mental State Examination (MMSE) <24, and a Screening tool G8 ≤14 were independent risk factors associated with more geriatric interventions. Factors associated with more geriatric interventions could assist practitioners in selecting patients for specific geriatric follow-up.

Abstract WP385: Gender Differences in Nutritional Status After a Stroke

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Estela Sanjuan Menendez ◽  
Fidel Lopez Espuela ◽  
Juan Carlos Portilla ◽  
Katherine E Santana ◽  
Marta Holguin Mohedas ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gender Differences ◽  
Nutritional Status ◽  
Acute Stroke ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Female Gender ◽  
Stroke Severity ◽  
Anthropometric Parameters ◽  
The Impact

Introduction: Malnutrition has been associated with a worse outcome in stroke. Its frequency is not well established and sometimes the impact is not considered. Objective: To explore gender differences on nutritional status (NS) after acute stroke and its impact on stroke outcome at 90 days. Methods: We evaluated consecutive acute stroke patients admitted to the Stroke Unit. We analyzed baseline demographics, vascular risk factors, analytic and anthropometric parameters, and stroke characteristics. We determined NS at baseline and 90 days by Mini Nutritional Assessment (MNA) scale to detect patients at malnutrition risk (MR). We divided groups by gender. Chi square test was applied for qualitative variables and T student for quantitative. A probability value of <0.05 was considered significant for all tests. Results: We included 95 patients, 45 women (47,4%). Differences were found comparing women vs men and age (77,9 ± 1,02 vs 75,1 ± 0,9), alcohol consumption (6,7% vs 60%), smoking (4,4% vs 26%) and body mass index (30,1 ± 5,1 vs 27,3 ± 4,5); p<0.05. There were no significant differences related to gender and stroke type (ischemic 88,9% vs 84%, p=0.49) nor stroke severity at baseline (NIHSS 5±4 vs 4±4 p=0.18), neither in risk factors (hypertension, diabetes, atrial fibrillation, dislipidemia), comorbidities nor socioeconomic differences. There were no gender differences in the occurrence of in-hospital complications (27,3% vs 16,3%; p=0,2), dysphagia (6,7% vs 6,0%; p=0.89) nor in NIHSS scoring at discharge (3±3 vs 2±3; p=0.08). On admission, MR was present in 28,5% of the patients. There were no differences between gender and DR (31,1% vs 26%; p=0.58). At 90 days, MR increased to 46,4%. We found significant gender differences (57,8% vs 32%; p=0.024). In the adjusted analysis, female gender was associated with a worst NS at 90days [OR 3,56 (1,1-11,5)]. Modified Rankin scale (mRs) score at 90 days was <=2 in 77,8% of women and 82% of men, p=0.607. MNA score at 90 days was independently associated with a better outcome (mRs<=2) at 90 days adjusted by gender OR 0,13 (0,14-0,46). Conclusion: In our series, female gender was independently related to worse nutritional status at 90 days after the stroke.

scholarly journals Nutritional status is strongly correlated with grip strength and depression in community-living elderly Japanese

2011 ◽  
Vol 14 (11) ◽  
pp. 1893-1899 ◽  
Author(s):  
Tomoko Kaburagi ◽  
Reiko Hirasawa ◽  
Haruka Yoshino ◽  
Yukino Odaka ◽  
Mariko Satomi ◽  
...  
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Grip Strength ◽  
Nutritional Assessment ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
Anthropometric Measurements ◽  
Community Living ◽  
Muscle Area ◽  
Elderly Individuals

AbstractObjectivesTo evaluate the utility of the Mini-Nutritional Assessment (MNA) in assessing nutritional, physical and psychosocial functions in community-living elderly individuals.DesignA cross-sectional study of elderly individuals investigated in August 2007 and August–September 2008. Nutritional status was assessed using serum biomarkers, anthropometric measurements and the MNA. Physical function was assessed by measuring grip strength and both usual and maximum walking speeds. The Geriatric Depression Scale (GDS) was used to measure the individual's depressive state.SettingElder-care facilities in Tokyo, Japan.SubjectsCommunity-living elderly individuals aged ≥65 years (n 130).ResultsThe MNA evaluation classified twenty-seven (20·8 %) individuals as being at risk for malnutrition (MNA score ≤23·5); these at-risk individuals included a high proportion of the elderly aged ≥75 years. MNA scores correlated with nutritional biomarkers (total protein, albumin, cholinesterase, Hb) and anthropometric measurements (triceps skinfold, subscapular skinfold, mid-arm muscle area) and exhibited a strong correlation with grip strength and GDS score. Multivariate analysis revealed that grip strength, GDS score, marital status and maximum walking speed are strong predictors of MNA score.ConclusionsThe MNA is considerably useful in providing a comprehensive assessment of nutritional status in elderly, community-living Japanese. However, larger-scale epidemiological studies are needed to determine the utility and the appropriate cut-off point of the MNA as a screen for risk of malnutrition.

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.

scholarly journals Association of Lower Nutritional Status and Education Level with the Severity of Depression Symptoms in Older Adults—A Cross Sectional Survey

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 515
Author(s):  
Zuzanna Chrzastek ◽  
Agnieszka Guligowska ◽  
Bartlomiej Soltysik ◽  
Malgorzata Pigłowska ◽  
Ewa Borowiak ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Nutritional Assessment ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
Education Level ◽  
Stepwise Multiple Regression ◽  
Depression Symptoms ◽  
Female Group ◽  
Calf Circumference ◽  
Severity Of Depression

The study analyzes the relationship between nutritional status and depression symptoms severity in the older population. A total of 1975 older outpatients (1457 women and 518 men, median age 75) were included in the study. Depression symptoms severity was assessed using the Geriatric Depression Scale (GDS). Participants were divided into two subgroups according to GDS score. Group A: 0–5 points—without depression symptoms (1237, W:898, M:339), and group B: 6–15 points—with depression symptoms (738, W:559, M:179). The nutritional status of the patients was assessed with Mini Nutritional Assessment (MNA) and basic anthropometric variables (waist, hips, calf circumferences, body mass index (BMI), waist to hip ratio (WHR), and waist to height ratio (WHtR)). Education years and chronic diseases were also noted. Women with higher depression symptoms severity had significantly lower MNA scores [A: 26.5 (24–28) (median (25%−75% quartiles)) vs. B:23 (20.5–26)], shorter education time [A:12 (8–16) vs. B:7 (7–12)], smaller calf circumference [A:36 (33–38) vs. B: 34 (32–37)], and higher WHtR score [A:57.4 (52.3–62.9) vs. B:58.8 (52.1–65.6)]. Men with depression symptoms had lower MNA scores [A:26.5 (24.5–28) vs. B:24 (20.5–26.5)], shorter education [A:12 (9.5–16), B:10 (7–12)], and smaller calf circumference [A:37 (34–39), B:36 (33–38)]. In the model of stepwise multiple regression including age, years of education, anthropometric variables, MNA and concomitant diseases nutritional assessment, and education years were the only independent variables predicting severity of depression symptoms both in women and men. Additionally, in the female group, odds were higher with higher WHtR. Results obtained in the study indicate a strong relationship between proper nutritional status and education level with depression symptoms severity in older women and men.

scholarly journals Evaluation of Malnutrition and Depression in Elderly People: An Epidemiological Study in Turkey

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Aydoğan ◽  
A Ünsal ◽  
D Arslantaş
Keyword(s):  
Health Care Providers ◽  
Nutritional Assessment ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cluster Sampling ◽  
Care Providers ◽  
Cross Sectional

Abstract Background Malnutrition is an important cause of morbidity and mortality. Malnutrition increases the number of hospitalizations and prolongs the length of hospitalization by disrupting organ functions, increasing the number and severity of infections and delaying wound healing. The aim of this study was to determine the frequency of suspected malnutrition in the elderly, to examine some related variables and to evaluate the depression. Methods The study is a cross-sectional study conducted between March-April 2019 in individuals aged 60 years and older living in Sivrihisar. Sample size was calculated as 579. Cluster sampling method used. Data was collected by door to door in 4 neighborhoods determined by randomly. Mini Nutritional Assessment Test-Short Form (for malnutrition), Katz Daily Living Activities Scale (for dependency) and Geriatric Depression Scale-Short Form (for depression) were used. Chi-square test, Mann Whitney U test and logistic regression analysis were used for the analyzes. Results The study group consisted of 220 (38%) women and 359 (62%) men. The mean age was 68.9±6.4 (ranged 60-93). Frequency of suspected malnutrition was 25% (n = 145). Being 80 years of age or older (OR:3.24, CI:1.53-6.85), having a primary and lower education level (OR:2.54, CI:1.32-4.90), history of chronic illness (OR:2.34, CI:1.33-4.03), using dentures (OR:1.62, CI:1.03-2.55) and suspected depression (OR:4.97, CI:3.17-7.78) are important risk factors for malnutrition. Those with suspicion of malnutrition had lower scores on DLA (z = 8.982;p=0.001). Conclusions Malnutrition was found to be an important health problem for the elderly. The frequency of suspected malnutrition is higher in individuals with depression. Those with suspected malnutrition have higher level of dependency. In order to reduce the frequency of malnutrition, it may be beneficial to increase the awareness of the elderly and caregivers and to give importance to the elderly nutrition of primary health care providers. Key messages Depression is an important risk factor for malnutrition. Malnutrition increases the dependence of the individual on daily activities.

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