scholarly journals Study on Relevance of Nutritional Status, Nutrient Intake, and Chronic Disease Risk based on Mini Nutritional Assessment (MNA) of Elderly People in Shandong Province of China

2017 ◽  
Vol 28 (1) ◽  
pp. 5-16 ◽  
Author(s):  
Han Chao Li ◽  
Ho Kyung Ryu
Author(s):  
Gerson Scherrer Júnior ◽  
Maria Isabel Barbosa Rodrigues ◽  
Kleyton Góes Passos ◽  
Odete Teresinha Portela ◽  
Angélica Castilho Alonso ◽  
...  

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.


Author(s):  
Alev Keser ◽  
Filiz Yildirim

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.


2019 ◽  
pp. 001857871986766
Author(s):  
Georges Choueiry ◽  
Nour Fattouh ◽  
Rabih Hallit ◽  
Francois Kazour ◽  
Souheil Hallit ◽  
...  

Background: In a hospitalized setting, malnutrition is known to increase patient’s mortality and lower the quality of life; therefore, it is essential to detect such cases and intervene at the earliest possible. The goal of this study is to estimate the rate of malnutrition in hospitalized Lebanese patients, explore its association with different factors, and create a simple tool to detect patients at high risk of malnutrition. Methods: One hundred and fifty Lebanese hospitalized patients, suffering at least from one chronic disease, were randomly chosen from Centre Hospitalier Universitaire Notre Dame de Secours (CHU-NDS) hospital. The Mini Nutritional Assessment (MNA) score was used to assess nutritional status. Results: A total of 34.7% of patients in our sample were at risk of malnutrition and 9.3% were malnourished. A higher risk of malnutrition was found in patients with a low body mass index, who were physically inactive or admitted to the hospital more than once in the past 6 months. The nutritional status was not associated with certain chronic diseases more than others. We designed a simple decision tree model based only on 3 questions to detect patients at high risk of malnutrition/malnourished. This tool has a sensitivity of 62% and a specificity of 77%. Conclusion: The prevalence found in our study was comparable with previous data. However, factors associated with poor nutritional status were somewhat different. Further studies are needed to validate our screening tool and to examine the effect of specific diseases on malnutrition on a larger scale.


2018 ◽  
pp. 68-92
Author(s):  
Alev Keser ◽  
Filiz Yildirim

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.


Author(s):  
S. Kunvik ◽  
R. Valve ◽  
K. Salminen ◽  
M. Salonoja ◽  
M.H. Suominen

Objectives: Older caregivers are vulnerable to nutritional problems, but only a few studies have examined their nutrition. The purpose of this study was to determine the associations between nutritional status and nutrient intake among older caregivers. Design: Cross-sectional analysis of baseline data from the CareNutrition randomized controlled trial (RCT). Setting: Community-dwelling caregivers from the Western part of Finland in two different clusters. Participants: A total of 79 caregivers aged ≥65 with normal cognition were recruited for the study, all of whom had officially approved caregiver status by The Social Insurance Institution of Finland. Measurement: Nutritional status was assessed by the Mini Nutritional Assessment (MNA), nutrient intake by a three-day food diary, nutrition-related blood markers by laboratory tests, cognition by the Mini Mental State Examination (MMSE), and other baseline characteristics were also evaluated using validated methods. Results: The majority of the caregivers (79.7%) had a good nutritional status (MNA points >23.5), 19% were at risk of malnutrition (MNA points 17-23.5) and one person (1.3%) already suffered from malnutrition (MNA points <17). The female caregivers were at a higher risk of malnutrition than the males (26.5% vs. 6.7%, p=0.026). Depressive symptoms and medication were associated with decreased nutritional status, and good health-related quality of life with better nutritional status. Mean protein intake was 1.0 g/kg IBW/d and 79.7% of the caregivers (77.6% female, 83.3% male) did not consume the recommended protein intake of 1.2 g/kg IBW/d. Their intake of dietary fibre, folate and vitamin D was also insufficient. Conclusion: Every fifth caregiver was at risk of malnutrition. The females were at a higher risk than the males. Most of the caregivers had insufficient protein intakes. These findings confirm the importance of investigating the nutritional status of older caregivers and indicate a need for preventive nutritional guidance.


2016 ◽  
Vol 18 (3) ◽  
pp. 494
Author(s):  
Gloria Cecilia Deossa Restrepo ◽  
Luis Fernando Restrepo Betancur ◽  
John Edinson Velásquez Vargas ◽  
Daniela Varela Álvarez

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.


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.


2013 ◽  
pp. 1-5
Author(s):  
T. PURANEN ◽  
H. FINNE-SOVERI ◽  
K. AURANNE ◽  
M. LEHTINEN-FRASER ◽  
M.H. SUOMINEN

Background:Malnutrition is common in aged home care clients and that affects negatively the healthof aged people. Nutritional screening is recommended for early detection of malnutrition. Objectives:The aimwas to assess the nutritional status and food intake of home care receivers and improve their nutrient intake withtailored nutritional advice administered via videoconferencing. Design:Intervention with follow-up. Setting:Home care in the city of Helsinki. Participants:25 older (>65 years) adults receiving home care. Intervention:After an initial assessment determining their needs, participants received tailored nutritional advice viavideoconferencing over a six-month follow-up period. Measurements: Participants nutritional status was assessedwith a Mini Nutritional Assessment –test (MNA). Nutrient intake was calculated based on a detailed three-dayfood diary compiled twice during the six-month follow-up period. Results: Altogether 25 persons participated inthe study (mean age 78.5 years, 88 % females). According to the MNA test 80 % were at risk of malnutrition atthe outset. Energy (1329 kcal) and mean nutrient intakes of protein (54 g) and folic acid (210 μg), for example,were inadequate. After six months of intervention, the mean energy intake had increased to 1450 (SD 319) kcal,protein to 65 (SD 20) g, and folic acid to 231 (SD 105) μg per day. Conclusions:The energy, protein and othernutrient intake of the study participants increased during the six-month intervention. Videoconferencing seemedto be a well-accepted and feasible method for providing nutritional advice to older home care clients.


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