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.

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.

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.

Nutritional Status of Lebanese Hospitalized Patients With Chronic Disease: A Cross-Sectional Study

2019 ◽  
pp. 001857871986766
Author(s):  
Georges Choueiry ◽  
Nour Fattouh ◽  
Rabih Hallit ◽  
Francois Kazour ◽  
Souheil Hallit ◽  
...  
Keyword(s):  
Chronic Disease ◽  
High Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Tree Model ◽  
Cross Sectional ◽  
Poor Nutritional Status

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.

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 BASELINE FINDINGS OF CARENUTRITION INTERVENTION (RCT) AMONG OLDER CAREGIVERS - RISK OF MALNUTRITION AND INSUFFICIENT PROTEIN INTAKE

2017 ◽  
pp. 1-7
Author(s):  
S. Kunvik ◽  
R. Valve ◽  
K. Salminen ◽  
M. Salonoja ◽  
M.H. Suominen
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Protein Intake ◽  
Nutrient Intake ◽  
Nutritional Assessment ◽  
Controlled Trial ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Food Diary ◽  
Older Caregivers

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.

scholarly journals Expression Patterns of Muscle-Specific miR-133b and miR-206 Correlate with Nutritional Status and Sarcopenia

Nutrients ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 297 ◽  
Author(s):  
Francesca Iannone ◽  
Alberto Montesanto ◽  
Erika Cione ◽  
Paolina Crocco ◽  
Maria Cristina Caroleo ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Nutritional Assessment ◽  
Expression Profiles ◽  
Expression Patterns ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Mediating Effect ◽  
Age Related ◽  
Poor Nutritional Status ◽  
Muscle Homeostasis

Sarcopenia and malnutrition are commonly occurring conditions in the elderly that frequently coexist, leading to substantial effects on morbidity/mortality. Evidence established muscle-specific microRNAs (miRNAs) or myomiRs as essential regulators of skeletal muscle processes, from myogenesis to muscle homeostasis. This study aimed to evaluate the association between myomiRs and sarcopenia and explore the potential of nutrition in mediating this association. qPCR was employed to characterize the myomiR-1, -133a/b, -206, -208b, and -499 expression profiles of 109 non-sarcopenic and 109 sarcopenic subjects. In our sample, the proportion malnourished or at-risk subjects was higher in sarcopenia (p < 0.001). Among the detected myomiRs (miR-133a/b and miR-206), lower levels of miR-133b was significantly associated with the presence of sarcopenia (p = 0.006); however, this relationship was not independent from nutritional status in multivariate analysis, suggesting a mediating effect of nutrition on the relationship between miR-133b and sarcopenia. Correlation analyses showed that lower miR-133b levels were associated with poor nutritional status (Mini Nutritional Assessment Long Form (MNA-LF) score, p = 0.005); furthermore, correlations with albumin, ferritin, and iron were found. Similar results were obtained for miR-206. Statistically more significant correlations were observed in subjects with sarcopenia. In conclusion, our findings highlight a nutrient-miR-133b/miR-206 pathway having a potential role in the age-related muscle decline.

scholarly journals Hip Fracture Patients in Geriatric Rehabilitation Show Poor Nutritional Status, Dietary Intake and Muscle Health

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2528
Author(s):  
Inge Groenendijk ◽  
Charlotte S. Kramer ◽  
Laura M. den Boeft ◽  
Hans S. M. Hobbelen ◽  
Gert-Jan van der Putten ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Nutritional Status ◽  
Dietary Intake ◽  
Muscle Mass ◽  
Handgrip Strength ◽  
Mini Nutritional Assessment ◽  
Geriatric Rehabilitation ◽  
Dietary Reference Intake ◽  
Poor Nutritional Status ◽  
Muscle Health

The aim of this study was to gain insight into the nutritional status, dietary intake and muscle health of older Dutch hip fracture patients to prevent recurrent fractures and to underpin rehabilitation programs. This cross-sectional study enrolled 40 hip fracture patients (mean ± SD age 82 ± 8.0 years) from geriatric rehabilitation wards of two nursing homes in the Netherlands. Assessments included nutritional status (Mini Nutritional Assessment), dietary intake on three non-consecutive days which were compared with Dietary Reference Intake values, and handgrip strength. Muscle mass was measured using Bioelectrical Impedance Analysis and ultrasound scans of the rectus femoris. Malnutrition or risk of malnutrition was present in 73% of participants. Mean energy, protein, fibre and polyunsaturated fat intakes were significantly below the recommendations, while saturated fat was significantly above the UL. Protein intake was <0.8 in 46% and <1.2 g/(kg·day) in 92%. Regarding micronutrients, mean intakes of calcium, vitamin D, potassium, magnesium and selenium were significantly below the recommendations. The prevalence of low muscle mass, low handgrip strength and sarcopenia were 35%, 27% and 10%, respectively. In conclusion, a poor nutritional status, dietary intake and muscle health are common in older hip fracture patients in geriatric rehabilitation wards.

NUTRITIONAL INTERVENTION VIA VIDEOCONFERENCING FOR OLDER ADULTS RECEIVING HOME CARE - A PILOT STUDY

2013 ◽  
pp. 1-5
Author(s):  
T. PURANEN ◽  
H. FINNE-SOVERI ◽  
K. AURANNE ◽  
M. LEHTINEN-FRASER ◽  
M.H. SUOMINEN
Keyword(s):  
Folic Acid ◽  
Nutritional Status ◽  
Home Care ◽  
Nutrient Intake ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Nutritional Intervention ◽  
Initial Assessment ◽  
Nutritional Advice

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.

Nutritional intake and malnutrition in institutionalised and non-institutionalised older adults

2021 ◽  
pp. 1-33
Author(s):  
T. Madeira ◽  
M. Severo ◽  
D. Correia ◽  
C. Lopes ◽  
J. Gorjão Clara
Keyword(s):  
Older Adults ◽  
Nutritional Status ◽  
Dietary Intake ◽  
Total Energy ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Sodium Potassium ◽  
Magnesium Intake ◽  
Reported Health ◽  
Community Dwellers

Abstract Malnutrition (synonym: undernutrition) is prevalent among older adults, which may be partly related to changes in dietary intake, but evidence on the link between malnutrition and diet is scarce. The aims of this study were to estimate the association between energy/nutrients intake and malnutrition, and to characterise nutritional inadequacy in institutionalised and non-institutionalised older adults. A national survey was conducted including a Portuguese representative sample of nursing home (NH) residents (n=563) and community-dwellers (n=837) aged ≥ 65. Data included sociodemographic characteristics, self-reported health, loneliness feelings, nutritional status (Mini Nutritional Assessment®), and dietary intake (two non-consecutive 24-hour recalls). A higher energy intake was associated with lower odds of malnutrition risk (being ‘at risk of malnutrition’ or ‘malnourished’) in both settings, but only significant among NH residents after adjusting for confounders (NH: odds ratio [OR]=0.66, 95% confidence interval [CI] 0.50, 0.86; community: OR=0.64, 95% CI 0.37, 1.10). The intake of carbohydrates, fat, fibre, vitamin C, sodium, and potassium was inversely associated with malnutrition risk in NH residents; as well as protein, fat, vitamin B6, folates, sodium, potassium, calcium, and magnesium intake in community-dwellers. After additional adjustment for total energy only sodium and magnesium intake of community-dwellers remained significantly associated. The prevalence of inadequate nutrient intake was generally higher for the malnutrition risk group, which was particularly evident among community-dwellers. The effect of dietary intake on nutritional status seems more dependent on total energy and carbohydrates intake in institutionalised elders, whereas among community-dwellers protein and some micronutrients appear to have a greater impact.

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