scholarly journals Nutritional Status According to Mini Nutritional Assessment in an Institutionalized Elderly Population in Sweden

Gerontology ◽  
2000 ◽  
Vol 46 (3) ◽  
pp. 139-145 ◽  
Author(s):  
Anja Saletti ◽  
Elinor Yifter Lindgren ◽  
Lennarth Johansson ◽  
Tommy Cederholm
Keyword(s):  
Nutritional Status ◽  
Elderly Population ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Institutionalized Elderly

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 Anthropometric Profile and Nutritional Status in Elderly: A Cross-Sectional Study

2021 ◽  
Vol 9 (02) ◽  
pp. 320-326
Author(s):  
Zeynel Abidin Erbesler ◽  
Tufan Ulcay
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Elderly Population ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Normal Weight ◽  
Anthropometric Measurements ◽  
Screening Tools ◽  
Cross Sectional ◽  
Not At Risk

Background: Various screening tools are used to identify elderly individuals who are malnourished or at risk for malnutrition based on their nutritional status. Anthropometric measurements are important indicators of an individual’s nutritional status. In this study, we aimed to establish anthropometric standards for the Turkish elderly population and to investigate any significant relationship between anthropometric characteristics and nutritional status. Materials and Methods: Age, sex, weight, height, waist-to-hipratio (WHR) and body massindex (BMI) were recorded. We also administered the Mini Nutritional Assessment (MNA) and a hand grip test. Results: In our study, 72% of males and 84% of females were in the overweight group, 24% of males and 16% of females were in the normal weight group, and only 4% of males were in theweak group. For males, 76% were not at risk for malnutrition, 20% were at risk, and 4% were determined to have malnutrition. For females, 68% were not at risk for malnutrition, and 32% were at risk. There were no females who had malnutrition. With regard to muscle strength, 80% of males and 92% of females did not have sufficient strength. Weight, grip strength and WHR were significantly related to MNA (p < 0.05). Conclusion: We provided sex-specific distributions for many anthropometric measurements for the elderly which can be used as reference values for the Turkish elderly population to identify individuals at greater risk for nutritional disorders.

scholarly journals Mini Nutritional Assessment of rural elderly people in Bangladesh: the impact of demographic, socio-economic and health factors

2006 ◽  
Vol 9 (8) ◽  
pp. 968-974 ◽  
Author(s):  
Zarina Nahar Kabir ◽  
Tamanna Ferdous ◽  
Tommy Cederholm ◽  
Masuma Akter Khanam ◽  
Kim Streatfied ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Elderly People ◽  
Low Income ◽  
Elderly Population ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Health Problems ◽  
Low Income Countries ◽  
The Impact

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.

scholarly journals Population-specific Mini Nutritional Assessment effectively predicts the nutritional state and follow-up mortality of institutionalized elderly Taiwanese regardless of cognitive status

2008 ◽  
Vol 100 (1) ◽  
pp. 152-158 ◽  
Author(s):  
Alan C. Tsai ◽  
Pei-Yu Ku
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cognitive Status ◽  
Severe Malnutrition ◽  
Term Care ◽  
Institutionalized Elderly

The study was conducted to determine the effectiveness of a modified Mini Nutritional Assessment (MNA) for assessing the nutritional status and predicting follow-up mortality of institutionalized elderly Taiwanese. The study was conducted in a large long-term care centre in central Taiwan. Trained interviewers assisted by the caregivers elicited sociodemographic data, healthcare and disease history, and answers to the MNA screen from each subject. One researcher performed all subjects' anthropometric measurements. Plasma albumin and cholesterol concentrations were determined. Results showed that the MNA without BMI, modified according to population-specific mid-arm circumference and calf circumference cut-points, effectively predicted the nutritional risk status of the elderly regardless of cognitive status. Substituting caregiver's assessments for self-viewed nutrition and health status (questions O and P of MNA) improved the predicting power of the tool in cognition-normal subjects. Results showed that 21·9 % of the elderly were malnourished, 59·2 % were at risk of malnutrition and 18·9 % were normal according to self-assessment whereas 14·2 % were malnourished, 59·2 % were at risk of malnutrition, and 26·6 % were normal according to caregiver's evaluation. The tool was also effective in predicting 12- and 6-month follow-up mortality in cognition-normal and cognition-impaired elderly, respectively. Results indicate that a population-specific MNA can effectively predict the nutritional status and 6-month follow-up mortality of elderly Taiwanese regardless of cognitive condition. Easier and wider application of the tool will enable early detection of emerging nutritional problems and timely intervention to prevent the development of severe malnutrition in the elderly.

scholarly journals Nutritional status and cognitive impairment in elderly population in a rural area of Thrissur district, Kerala

2018 ◽  
Vol 5 (3) ◽  
pp. 1218 ◽  
Author(s):  
Remya Ramachandran ◽  
Jenyz M. Mundodan ◽  
C. R. Saju ◽  
Vidhu M. Joshy
Keyword(s):  
Cognitive Impairment ◽  
Nutritional Status ◽  
Rural Area ◽  
Elderly Population ◽  
Nutritional Assessment ◽  
Mmse Score ◽  
Age Groups ◽  
Mini Nutritional Assessment ◽  
P Value ◽  
Cross Sectional

Background: The past decade has witnessed a marked increase in elderly population of India. This rapid ageing will substantially increase the number of elderly individuals, who are affected by cognitive impairment. Recent studies suggest the association between malnutrition and cognitive impairment in elderly. This study aims to describe the nutritional status and cognitive impairment in elderly population in a rural area of Thrissur district, Kerala.Methods: A community based cross-sectional study was conducted in 100 elderly residents of Adat Panchayat, Thrissur, from January to April 2016. Data was collected using a pre-tested structured questionnaire, which included socio-demographic variables, self-reported physical morbidities, mini mental state examination (MMSE) scale and mini nutritional assessment (MNA) scale.Results: The prevalence of cognitive impairment and malnutrition in elderly was noted to be 55% and 12% respectively. Factors showing significant association with MMSE score included older age groups, female gender, elderly belonging to BPL families, financial dependence, single/widowed status and sleep difficulties. The association between cognitive impairment and nutritional status was found to be statistically significant with a p value of <0.001. A moderate to strong correlation was observed between MNA score and MMSE score (r=0.623).Conclusions: There is an association between cognitive impairment and nutritional deficit. Therefore it is essential to screen elderly for nutritional status while assessing cognitive impairment.

scholarly journals Masticatory function and nutritional status in institutionalized elderly: influence of denture use

2020 ◽  
Author(s):  
Rayssa Lucena Wanderley ◽  
Francisco Naldo Gomes Filho ◽  
Maryana Fernanda Rocha Bonifácio ◽  
Aldelany Ramalho Freire ◽  
Luiz Fabrício Santos de Oliveira ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
The Body ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Masticatory Function ◽  
Bonferroni Adjustment ◽  
Four Levels

Abstract Background: Institutionalized elderly has been reported to poorer oral health status and this could compromise the general health of those individuals. Objective: To evaluate the influence of tooth loss and the use of removable dentures on chewing function and nutritional status of institutionalized elderly. Methodology: Cross-sectional study with 155 elderly from seven long-stay institutions in João Pessoa - PB, from December 2018 to August 2019. The elderly were classified according to the presence of reminesncent teeth and use of dentures in four levels: toothless, without denture (1); toothless with complete denture (2); partial toothless without denture (3) and partial toothless with partial denture (4). Nutritional status was assessed using the Mini-Nutritional Assessment (MNA) instrument and the Body Mass Index (BMI). Swallowing threshold was used for assessment of masticatory function, using a portion of roasted peanuts (3,7g). Comparisons among groups were performed using Kruskal-Wallis test with Bonferroni adjustment, considering p<0.05. Results: MNA (p = 0.702) and BMI (p = 0.884) were not modified in relation to the presence of teeth and denture use. Toothless individuals without dentures had lower swallowing threshold (p <0.001), whilst partial toothless with dentures had better masticatory function (p>0.05). Conclusion: The presence of reminiscent teeth and the use of dentures do not influence the nutritional status of the elderly, but interfere with the masticatory function. Prosthetic rehabilitation is desirable for complete toothless individuals.

scholarly journals Determinants of under nutrition among the elderly in South Gondar Zone, Ethiopia

2021 ◽  
Author(s):  
Hiwot Yisak ◽  
Ismael Maru ◽  
Misganaw Abie ◽  
Getachew Aragie ◽  
Amien Ewunetei ◽  
...  
Keyword(s):  
Food Intake ◽  
Nutritional Status ◽  
Elderly Population ◽  
Assessment Tool ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Public Health Burden ◽  
Under Nutrition ◽  
South Gondar

Abstract Background: The number of the elderly population is expected to become the largest demographic group. Malnutrition in older adults is related with complications and premature death. The progression to malnutrition is often insidious and often undetected. No study has been ever conducted or documented to explore the nutritional status of elderly in south Gondar Zone . Hence, this study was aimed to assess the determinants of under nutrition among the elderly people aged ≥65 years. A cross-sectional study was conducted from October 1 to December 15, 2020. A community based study was conducted in south Gondar Zone, Ethiopia. A total of 290 elderly aged greater or equal to 65 years of age selected by systematic random sampling technique were included in the study. Pretested and structured questionnaire adapted from different literature was used to collect data. Anthropometric measurements; weight and height were measured following standard procedures. Mini-Nutritional Assessment (MNA) tool was used to assess nutritional status of elderly. Descriptive and summary statistics were employed. Multiple logistic regression was fitted to identify determinants of under nutrition. Odds ratios and their 95% confidence intervals were computed to determine the level of significance. Results: Based on their BMI status 27.57%, 95%CI (22.4-32.8) of elderly were underweight and 2.1%, 95% CI (0.7-3.8) were overweight. Likewise, 29.7%, 95%CI (24.5-35.2) of elderly were malnourished and 61.7%, 95% CI (55.5-67.2) were at risk of malnutrition based on Mini-Nutritional Assessment tool. Rural residence (AOR= 10.32, 95%CI (3.62-29.39)), unable to read and write (AOR = 3.54, 95%CI (1.64-7.64)), decline in food intake (AOR= 13.47, 95%CI (6.14-29.52)) and household monthly income <35.6USD (AOR = 4.32, 95%CI (1.97- 9.46)) were significantly and independently associated with under nutrition in elderly population.Conclusion: The prevalence of under nutrition among the elderly in the study area was high, and making it an important public health burden. Place of residence, educational status, food intake and household income were the determinants of under nutrition.

scholarly journals PREVALENCE OF SARCOPENIA IN ELDERLY WITH DEMENTIA INSTITUTIONALIZED: A MULTICENTER STUDY

2014 ◽  
pp. 1-4
Author(s):  
C.M. Sarabia Cobo ◽  
V. Pérez ◽  
C. Hermosilla ◽  
M.J. Nuñez ◽  
P. de Lorena
Keyword(s):  
Nutritional Status ◽  
Multicenter Study ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Performance Tests ◽  
Institutionalized Elderly ◽  
The Mean ◽  
Criteria For Diagnosis ◽  
Two Stages ◽  
New Criteria

Objective: Determine the prevalence of sarcopenia, applying the new diagnostic criteria in a group of institutionalized elderly with dementia, analyzing the possible association between sarcopenia, degree of dementia, and nutritional status. Method: Transversal, descriptive, multicenter study with 189 subjects diagnosed with dementia in middle phase. The current criteria for sarcopenia were assessed through several tests (bioimpedance, dynamometry, and physical performance tests). Nutritional status through the Mini Nutritional Assessment (MNA) was also assessed. Parametric tests (Student t test and ANOVA) were performed to compare the significant differences between the two stages of dementia according to gender, age, presence of sarcopenia, and MNA, among other tests. Results: 74% were female and the mean age was 82.3 years. Of the participants, 57.1 % were in stage 5 and 42.9 % in stage 6 in GDS. The MNA showed that 54.6 % had risk of malnutrition, 36.2 % were normal, and 9.2% had malnutrition. Of the subjects, 68.78% have shown signs of sarcopenia. There were significant differences for sarcopenia according to the phase of dementia and between sarcopenia and malnutrition status. Conclusions: To our knowledge it is the first study of its kind in Spain under the new criteria for diagnosis of sarcopenia. There seems to be a high percentage of sarcopenia among institutionalized elderly with dementia and this in turn appears to be related to dementia status and states of malnutrition. This syndrome has a significant impact on the population, so early detection is crucial; more studies of this type are required.

Association of GDF15 With Inflammation and Physical Function During Aging and Recovery After Acute Hospitalization: A Longitudinal Study of Older Patients and Age-Matched Controls

2021 ◽  
Author(s):  
Juliette Tavenier ◽  
Line Jee Hartmann Rasmussen ◽  
Aino Leegaard Andersen ◽  
Morten Baltzer Houlind ◽  
Anne Langkilde ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Physical Function ◽  
Plasma Levels ◽  
Older Patients ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Acute Illness ◽  
Urokinase Plasminogen Activator Receptor

Abstract Growth differentiation factor 15 (GDF15) is a stress-induced cytokine. Its plasma levels increase during aging and acute illness. In older Patients and age-matched Controls, we evaluated whether GDF15 levels (i) were associated with recovery after acute illness, and (ii) reflected different trajectories of aging and longitudinal changes in health measures. Fifty-two older Patients (≥65 years) were included upon admission to the emergency department (ED). At 30 days after discharge (time of matching), Patients were matched 1:1 on age and sex with Controls who had not been hospitalized within 2 years of inclusion. Both groups were followed up after 1 year. We assessed plasma levels of GDF15 and inflammatory biomarkers, frailty, nutritional status (mini nutritional assessment short-form), physical and cognitive function, and metabolic biomarkers. In Patients, elevated GDF15 levels at ED admission were associated with poorer resolution of inflammation (soluble urokinase plasminogen activator receptor [suPAR]), slowing of gait speed, and declining nutritional status between admission and 30-day follow-up. At time of matching, Patients were frailer and overall less healthy than age-matched Controls. GDF15 levels were significantly associated with participant group, on average Patients had almost 60% higher GDF15 than age-matched Controls, and this difference was partly mediated by reduced physical function. Increases in GDF15 levels between time of matching and 1-year follow-up were associated with increases in levels of interleukin-6 in Patients, and tumor necrosis factor-α and suPAR in age-matched Controls. In older adults, elevated GDF15 levels were associated with signs of accelerated aging and with poorer recovery after acute illness.

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