scholarly journals EARLY IDENTIFICATION OF MALNUTRITION RISK AMONG FREE-LIVING ELDERLY PERSONS IN ATHENS, GREECE

2017 ◽  
pp. 1-7
Author(s):  
T. Vassilakou ◽  
G. Triantafillou ◽  
L. Evrenoglou
Keyword(s):  
Quality Of Life ◽  
At Risk ◽  
Nutritional Status ◽  
Elderly People ◽  
Early Identification ◽  
Dietary Factors ◽  
Elderly Persons ◽  
Daily Consumption ◽  
Free Living

Background: Malnutrition is a serious problem, which cannot be easily detected among free-living elderly people, and may lead to various health and social problems and deteriorate their quality of life. Objectives: To determine the prevalence of malnutrition and malnutrition risk among free-living elderly in the community of an urban municipality of Attica and to identify socio-economic, health and dietary factors that may increase malnutrition risk. Design: Cross-sectional. Setting: Elderly people attending the Open Care Community Centers at N. Philadelphia (an urban municipality of Attica). Participants: 151 free-living people aged over 65 years (78 women and 73 men). Measurements: Mini Nutritional Assessment (MNA) questionnaire was completed, as well as socio-demographic, medical history, physical activity and alcohol consumption data was collected through a personal interview with the participants. Results: None of the individuals was found to be malnourished, but 25,8% of the sample was at risk of malnutrition. After performing backward regression analysis recent appetite (p<0,009) and weight loss (p<0,003), latest development of psychological stress or acute disease (p<0,0001), number of full-course meals (p<0,0001), protein intake index (p<0,002), minimum daily consumption of 2 portions of fruits or vegetables (p<0,0001), daily consumption of liquids (p<0,004), individual's self-evaluation of health (p<0,0001) and nutritional status (p<0,0001) all correlated significantly with MNA Screening Score. Conclusions: A significant number of free-living elderly persons were found at risk of malnutrition. Several dietary variables were found to correlate significantly with malnutrition risk. Early identification of nutritional risk of malnutrition in the community could ameliorate the nutritional status of seniors and consequently their health and quality of life.

scholarly journals Scientific production on housing for autonomous elderly persons: an integrative literature review

2017 ◽  
Vol 20 (5) ◽  
pp. 713-721 ◽  
Author(s):  
Roberta de Miranda Henriques Freire ◽  
Nivaldo Carneiro Junior
Keyword(s):  
Quality Of Life ◽  
Public Housing ◽  
Elderly People ◽  
The Elderly ◽  
Scientific Production ◽  
Elderly Persons ◽  
Housing Policies ◽  
Analysis Technique ◽  
Housing For The Elderly

Abstract Objective: To analyze Brazilian scientific production on housing for autonomous elderly persons. Method: A descriptive, analytical integrative review type study was carried out. The following guiding question was defined: what is the Brazilian scientific production relating to housing for autonomous elderly persons in indexed on-line periodicals from 2000 to 2015? Results: Thirty-three articles were identified in total, of which only 13 met the inclusion criterion. Using the Content Analysis technique, the following categories were formed: Modalities of housing for the elderly; Public housing policies for the elderly and Housing and quality of life. Conclusion: Most of the studies discussed types of housing for the elderly, falling into the category "Modalities of housing for the elderly", and identifying a tendency towards one-person dwellings. In relation to the category "Public housing policies for the elderly", the articles reflected on the rights and the guarantees of the elderly in relation to a suitable home. The "Housing and quality of life" category aimed to compare the quality of life of elderly people living alone or with a partner, as well as their perception of exclusive condominium developments for this population. There is a need for research on the issue in question, since there is an increase in the number of elderly people without housing, making it necessary for the state to meet this demand.

scholarly journals Malnutrition is an Independent Risk Factor for Low Health-related Quality of Life Among Centenarians

2021 ◽  
Author(s):  
Shanshan Yang ◽  
Shengshu Wang ◽  
Wei Liu ◽  
Ke Han ◽  
Wangping Jia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
At Risk ◽  
Nutritional Status ◽  
Protective Factor ◽  
Short Form ◽  
Self Care ◽  
Mini Nutritional Assessment ◽  
Sample Survey ◽  
Five Dimensions

Abstract Background: To explore the association and understand gender disparities between nutritional status and quality of life among centenarians.Methods: It was a full-sample survey of centenarians conducted in Hainan that included a total of 1,002 eligible centenarians whose age had been verified. The Mini Nutritional Assessment – Short Form (MNA-SF) questionnaire and the EuroQol five dimensions visual analog scale (EQ-5D-VAS) were used to measure participants’ nutritional status and quality of life, respectively. Findings: In the 1002 centenarians (822 women and 180 men), 797 (79·5%) reported multimorbidity. The adjusted standardized β estimate for the association between the MNA-SF and EQ-5D scores was 0·508 in the complete sample. With reference to the normal nutrition group, the standardized β estimate of the association between EQ-5D score and nutritional status were −0·179 and −0·583 for the at risk of malnutrition and malnutrition groups, respectively (both P <0·001). Nutritional status significantly affected the five dimensions of quality of life, particularly mobility and self-care. Compared with the normal nutrition group, the malnutrition group had greater odds of low mobility (Odds ratio (OR)=23·15; 95% CI: 9·81–54·64) and low self-care (OR=24·58; 95% CI: 12·62–47·89). Among males, nutritional status was significantly associated with the usual activities and anxiety/depression dimensions after adjustment. Female participants had results similar to the general population. Interpretation: Malnutrition and being at risk of malnutrition is prevalent among centenarians. Maintaining normal nutritional status is an important protective factor and should receive more attention to improve centenarians’ quality of life.

Abstract 16099: Influence of Nutritional Status on Depressive Symptoms and Quality of Life in Patients With Heart Failure

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Miyuki Tsuchihashi-Makaya ◽  
Arata Fukushima ◽  
Shintaro Kinugawa ◽  
Yoshiharu Kinugasa ◽  
Taisuke Ono ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
At Risk ◽  
Depressive Symptoms ◽  
Nutritional Status ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Psychological Status ◽  
Important Goal

Introduction: The important goal of heart failure (HF) management is to improve quality of life (QoL) and psychological status. Nutrition is a key component of HF management, but information on the impact of nutrition in HF is limited. Moreover, there is little evidence that nutritional status affects QoL and psychological status. Hypothesis: This study tested the hypothesis that nutritional status is associated with QoL and depressive symptoms in HF patients. Methods: A cross-sectional study was conducted in 102 HF patients (mean age: 68.4 ±13.1 years, male: 66%). QoL and depressive symptoms were assessed by the Minnesota Living with Heart Failure (MLWHF) questionnaire and Patient Health Questionnaire-9 (PHQ-9), respectively. Nutritional status was assessed by the Mini Nutritional Assessment (MNA) long version and patients were categorized as well nourished (≥24 points), at risk of malnutrition (17-23.5 points), or malnourished (<17 points). Data on sociodemographic and clinical characteristics were also collected. Multiple linear regression analysis was performed to evaluate the association of nutritional status with depression and QoL. Results: In total, 50% patients were at risk of malnutrition and 2% were malnourished. HF patients at risk of malnutrition were more likely to have a history of valve surgery, implantable cardiac defibrillation (ICD), or smoking. Risk of malnutrition was not associated with left ventricular ejection fraction (LVEF) or brain natriuretic peptide (BNP) (P = 0.100 and P = 0.173, respectively). Malnourished patients or those at risk of malnutrition had significantly lower QoL and more depressive symptoms than well-nourished patients (QoL: 14.2 ± 13.9 vs 23.2 ± 17.9, P = 0.007; depressive symptoms: 4.49 ± 4.7 vs 2.02 ± 2.9, P = 0.002). In multiple linear regression analysis, these significant associations remained after controlling for age, sex, HF etiology, smoking, ICD therapy, LVEF, and BNP. Conclusions: Risk of malnutrition was associated with lower QoL and higher depressive symptoms in HF patients. This study confirmed that good nutrition was an important goal in HF management. Further research is required to identify key nutrients and dietary habits affecting QoL and psychological status in HF patients.

scholarly journals Malnutrition Is an Independent Risk Factor for Low Health-Related Quality of Life Among Centenarians

2021 ◽  
Vol 8 ◽  
Author(s):  
Shanshan Yang ◽  
Shengshu Wang ◽  
Wei Liu ◽  
Ke Han ◽  
Wangping Jia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
At Risk ◽  
Nutritional Status ◽  
Protective Factor ◽  
Short Form ◽  
Self Care ◽  
Mini Nutritional Assessment ◽  
Sample Survey ◽  
Five Dimensions

Background: To explore the association and understand gender disparities between nutritional status and quality of life among centenarians.Methods: It was a full-sample survey of centenarians conducted in Hainan that included a total of 1,002 eligible centenarians whose age had been verified. The Mini Nutritional Assessment – Short Form (MNA-SF) questionnaire and the EuroQol five dimensions visual analog scale (EQ-5D-VAS) were used to measure participants' nutritional status and quality of life, respectively.Findings: In the 1002 centenarians (822 women and 180 men), 797 (79.5%) (79.5%) reported multimorbidity. The adjusted standardized β estimate association between the MNA-SF and EQ-5D scores was 0.508 in the complete sample. With reference to the normal nutrition group, the standardized β estimate of the association between EQ-5D score and nutritional status were −0.179 and −0.583 for the at risk of malnutrition and malnutrition groups, respectively (both P &lt;0.001). Nutritional status significantly affected the five dimensions of quality of life, particularly mobility and self-care. Compared with the normal nutrition group, the malnutrition group had greater odds of low mobility [Odds ratio (OR)=23.15; 95% CI: 9.81–54.64] and low self-care (OR=24.58; 95% CI: 12.62–47.89). Among males, nutritional status was significantly associated with the usual activities and anxiety/depression dimensions after adjustment. Female participants had results similar to the general population.Interpretation: Malnutrition and being at risk of malnutrition is prevalent among centenarians. Maintaining normal nutritional status is an important protective factor and should receive more attention to improve centenarians' quality of life.

scholarly journals Quality of life of elderly persons in Manaus measured by the Flanagan Scale

2018 ◽  
Vol 21 (4) ◽  
pp. 480-487
Author(s):  
Esmeraldino Monteiro de Figueiredo Neto ◽  
José Eduardo Corrente
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Low Socioeconomic Status ◽  
Low Income ◽  
Elderly Care ◽  
Developed Countries ◽  
Elderly Persons ◽  
Low Socioeconomic ◽  
Quality Of Life Scale

Abstract Objective: the aim of the present study was to evaluate the quality of life of elderly people enrolled in specialized elderly care centers in Manaus and compare the findings with the results of already published studies. Method: a cross-sectional study was conducted with 741 elderly people enrolled in three of the centers in the city, from November 2015 to March 2017 using a socioeconomic and demographic questionnaire and the Flanagan Quality of Life Scale (FQLS). Interviews were carried out by previously trained physiotherapy students of the Federal University of Amazonas. Results: the majority of the elderly were female, with a mean age of 69±6.6 years, married, retired but still working, with a low income and low educational level. When they assessed their quality of life, however, they appeared satisfied. When compared to populations in other countries and regions of Brazil, despite their low socioeconomic profile, they demonstrated a higher quality of life than populations of developed countries. Some domains of the scale were inverted in relation to the original scale. Conclusion: the results allow us to conclude that even elderly persons with low socioeconomic status are satisfied with their quality of life.

scholarly journals Instruments for the functional assessment of elderly persons in palliative care: an integrative review

2018 ◽  
Vol 21 (5) ◽  
pp. 604-615 ◽  
Author(s):  
Vitória Marques de Sá Sanvezzo ◽  
Diego Santiago Montandon ◽  
Larissa Sapucaia Ferreira Esteves
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Elderly People ◽  
Functional Assessment ◽  
Functional Performance ◽  
Database Search ◽  
Integrative Review ◽  
Elderly Persons ◽  
Inclusion Criteria

Abstract Objective: to identify validated instruments that can be used for the functional assessment of elderly persons in Palliative Care. Method: an integrative review focused on identifying instruments for the functional assessment of elderly persons in palliative care was carried out by searching publications in periodicals indexed in seven electronic databases. Descriptors, keywords and Boolean operators were used for a cross-database search in November 2017. A total of 357 abstracts were identified, from which 53 articles were selected for reading, of which 21 met the inclusion criteria. Results: this strategy allowed the identification of eight scales and one test for the functional assessment of elderly persons in palliative care. Conclusion: eight scales and a functional test which also provide guidelines for improving the quality of life of elderly people in palliative care were identified, demonstrating that it is practically impossible to disassociate physical functional performance from social and psychological aspects.

scholarly journals Risk of malnutrition and associated factors in institutionalized elderly persons

2018 ◽  
Vol 21 (6) ◽  
pp. 711-717
Author(s):  
Cássia Cassol Damo ◽  
Marlene Doring ◽  
Ana Luisa Sant’Anna Alves ◽  
Marilene Rodrigues Portella
Keyword(s):  
At Risk ◽  
Weight Loss ◽  
Nutritional Status ◽  
Cognitive Decline ◽  
Elderly People ◽  
Associated Factors ◽  
Rio Grande ◽  
Elderly Persons ◽  
Rio Grande Do Sul ◽  
Institutionalized Elderly

Abstract Objective : to evaluate the risk of malnutrition and associated factors in institutionalized elderly persons. Method : a cross-sectional study was carried out with elderly persons living in long-term care facilities in the municipal regions of Passo Fundo (Rio Grande do Sul) and Carazinho (Rio Grande do Sul) in 2017. A standardized, pre-codified questionnaire with sociodemographic variables was used, along with anthropometric data and the Mini Nutritional Assessment. Cognitive decline and non-intentional weight loss were also evaluated. The qualitative variables were presented in terms of univariate frequencies and the quantitative variables were described through measures of central tendency and dispersion. In order to verify the association between the categorical variables, the Pearson’s correlation coefficient, Chi-Squared test and the Fisher Exact test were applied, and in the crude and adjusted analysis the Poisson regression was used with robust variance. The level of significance was 5%. Results : a total of 399 elderly people were included, of whom 69.9% were female, 54.5% were aged 80 years or older and 88.4% were white. Of these elderly people, 61.7% lived in non-profit facilities. In the evaluation of nutritional status, 26.6% of the elderly were found to be malnourished, 48.1% were at risk of malnutrition and 25.3% had normal nutritional status. The highest prevalence ratio of at risk of malnutrition/malnutrition was with cognitive decline and unintentional weight loss (p<0.001). Conclusion : through the results, identifying nutritional status and the characteristics associated with the risk of malnutrition contribute to effective evaluation and nutritional monitoring, assisting in the prevention of diseases related to this condition.

scholarly journals Role of nutrition in rehabilitation of patients following surgery for oral squamous cell carcinoma

2019 ◽  
Vol 10 (4) ◽  
pp. 3197-3203
Author(s):  
Mahathi Neralla ◽  
Jones Jayabalan ◽  
Rinku George ◽  
Jyotsna Rajan ◽  
Santhosh Kumar M.P ◽  
...  
Keyword(s):  
Quality Of Life ◽  
At Risk ◽  
Squamous Cell Carcinoma ◽  
Oral Squamous Cell Carcinoma ◽  
Adjuvant Therapy ◽  
Nutritional Status ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Mini Nutritional Assessment

Malnutrition in oral cancer patients leads to poor response to treatment and reduced quality of life. The present study assessed the nutritional status of patients treated for oral squamous cell carcinoma and evaluated the need for implementation of any institutional protocol regarding the type of nutritional intervention employed for these patients. Patients with oral squamous cell carcinoma who had undergone primary tumor resection with or without neck dissection and reconstruction from June 2015 to June 2018 were evaluated. Of the patients with complete data recalled for review, only 25 reported to our Institute, including 12 who had undergone surgery alone and 13 who had undergone surgery plus adjuvant radio and/or chemotherapy. Their nutritional status was assessed by measuring their Mini Nutritional Assessment (MNA) scores, and MNA scores in the groups that underwent surgery alone and surgery plus adjuvant therapy compared by independent sample ‘t’ tests. Of the 12 patients who underwent surgery alone, eight had normal nutritional status, and four were at risk of malnutrition. Of the 13 patients who underwent surgery plus adjuvant therapy, only one had normal nutritional status, whereas 12 were at risk of malnutrition or malnourished. Mean MNA score was significantly higher in patients who had undergone surgery alone than in patients who had undergone surgery plus adjuvant therapy (p=.001). Risk of malnutrition was higher in patients who underwent surgery plus adjuvant therapy than in patients who underwent surgery alone. Postoperative care of patients with oral squamous cell carcinoma should include nutritional management to improve patient prognosis and quality of life.

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