Yıl: 2020 Cilt: 2 Sayı: 2 Sayfa Aralığı: 36 - 40 Metin Dili: İngilizce DOI: 10.4274/ejgg.galenos.2020.221 İndeks Tarihi: 06-05-2021

Malnutrition and Related Factors in Older Adults

Öz:
Objective: Malnutrition is a treatable condition and an important cause of mortality and morbidity in the geriatric population. In this study, we aimed to investigate the risk factors for malnutrition in geriatric patients.Materials and Methods: Patients aged 65 and over, who were admitted to our center between January 2016 and December 2017, were included in the study. Patients with edema, whose anthropometric measurements could not be performed and who did not agree to participate in the study were excluded from the study. The Mini Nutritional Assessment-Short-Form was used to evaluate nutritional status. The patients were divided into three groups according to nutritional status: normal, with the risk of malnutrition and malnourished. Demographic characteristics and geriatric syndromes were compared between the groups. The chi-square test was used to compare categorical variables, the Mann-Whitney U test was usedto analyze non-parametric variables and logistic regression analysis was done to assess nutritional status.Results: A total of 408 participants (284 female and 124 male) were included in this study. The median age of the patients was 77 years. Malnutrition and the risk of malnutrition were found in 4.9% (n=20) and 24% (n=98) of the patients, respectively. There was a significant difference in educational status, functional dependence, urinary incontinence, dementia and depression between malnourished and normal patients. In logistic regression analysis, dementia (p<0.01, odds ratio=4.33) was independently associated with malnutrition; whereas depression, gender and functional dependence were not associated with malnutrition.Conclusion: Our study demonstrated that malnutrition was independently associated with dementia. We suggest that malnutrition and other geriatric syndromes should be screened routinely. Patients with low levels of educational attainment, functional dependence, urinary incontinence, dementia, and depression seem to be at a higher risk of malnutrition and therefore should be paid special attention.
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  • 1. Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff SC, Compher C, Correia I, Higashiguchi T, Holst M, Jensen GL, Malone A, Muscaritoli M, Nyulasi I, Pirlich M, Rothenberg E, Schindler K, Schneider SM, de van der Schueren MA, Sieber C, Valentini L, Yu JC, Van Gossum A, Singer P. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr 2017;36:49-64.
  • 2. Jensen GL, Mirtallo J, Compher C, Dhaliwal R, Forbes A, Grijalba RF, Hardy G, Kondrup J, Labadarios D, Nyulasi I, Castillo Pineda JC, Waitzberg D, International Consensus Guideline Committee. Adult starvation and disease-related malnutrition: a proposal for etiology-based diagnosis in the clinical practice setting from the International Consensus Guideline Committee. J Parenter Enteral Nutr 2010;34:156-159.
  • 3. Malafarina V, Uriz-Otano F, Gil-Guerrero L, Iniesta R. The anorexia of ageing: Physiopathology, prevalence, associated comorbidity and mortality. A systematic review. Maturitas 2013;74:293-302.
  • 4. Wallace JI. Malnutrition and enteral/parenteral alimentation, Hazzard’s Geriatric Medicine and Gerontology. Chapter 35, 7th edition, New York, The McGraw-Hill Companies, 2017, pp 737.
  • 5. Grabowski DC, Ellis JE. High body mass index does not predict mortality in older people: analysis of the longitudinal study of aging. J Am Geriatr Soc 2001;49:968-979.
  • 6. Norman K, Pichard C, Lochs H, Pirlich M. Prognostic impact of diseaserelated malnutrition. Clin. Nutr 2008;27:5-15.
  • 7. Naseer M, H Forssell, C Fagerström. Malnutrition, functional ability and mortality among older people aged C 60 years: a 7-year longitudinal study. Eur J Clin Nutr 2016;70:399-404.
  • 8. White JV, Guenter P, Jensen G, Malone A, Schofield M, Academy Malnutrition Work Group, A.S.P.E.N. Consensus statement: Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Characteristics Recommended for the Identification and Documentation of Adult Malnutrition. J Acad Nutr Diet 2012;36:275-283.
  • 9. Martínez-Reig, Aranda-Reneo I, Peña-Longobardo LM, Oliva-Moreno J, Barcons-Vilardell N, Hoogendijk EO, Abizanda P. Use of health resources and healthcare costs associated with nutritional risk: The FRADEA study. Clin Nutr 2018;37:1299-1305.
  • 10. Saka B, Kaya O, Ozturk GB, Erten N, Karan MA. Malnutrition in the elderly and its relationship with other geriatric syndromes. Clin Nutr 2010;29:745-748.
  • 11. Agarwa E, Miller M, Yaxley A, Isenring E. Malnutrition in the elderly: A narrative review. Maturitas 2013;76:296-302.
  • 12. Cereda E, Pedrolli C, Klersy C, Bonardi C, Quarleri L, Cappello S, Turri A, Rondanelli M, Caccialanza R. Nutritional status in older persons according to healthcare setting: A systematic review and meta-analysis of prevalence data using MNA. Clin Nutr 2016;35:1282-1290.
  • 13. Volkert D, Beck A, Cederholm T, Cruz-Jentoft A, Goisser S, Hooper L, Kiesswetter E, Maggio M, Raynaud-Simon A, Sieber C, Sobotka L, van Asselt D, Wirth R, Bischoff S. ESPEN guideline on clinical nutrition and hydration in geriatrics. Clin Nutr 2019;38:10-47.
  • 14. Keskinoglu P, Ucku R, Yener G, Yaka E, Kurt P, Tunca Z. Reliability and validity of revised Turkish version of mini mental state examination (rMMSE-T) in community-dwelling educated and uneducated elderly. Int J Geriatr Psychiatry 2009;24:1242-1250.
  • 15. Durmaz B, Soysal P, Ellidokuz H, Isik AT. Validity and reliability of geriatric depression scale-15 (short form) in Turkish older adults. North Clin Istanb 2018;5:216-220.
  • 16. Bozoğlu E, Ozturk A. Definition, Prevalence and etiological factors of malnutrition. Turkiye Klinikleri J Geriatr-Special Topics 2016;2:7-15.
  • 17. Gündüz E, Eskin F, Gündüz M, Bentli R, Zengin Y, Dursun R, İçer M, Durgun H, Gürbüz H, Ekinci M,Yeşil Y, Güloğlu C. Malnutrition in Community-Dwelling Elderly in Turkey: A Multicenter, Cross-Sectional Study. Med Sci Monit 2015;21:2750-2756.
  • 18. Rose A, Thimme A, Halfar C, Nehen HG, Rübben HA. Severity of Urinary Incontinence of Nursing Home Residents Correlates with Malnutrition, Dementia and Loss of Mobility. Urol Int 2013;91:165-169.
  • 19. Soundararajan A, Mathew A, Nanjuudan R, Ganesh A. Association of Geriatric Syndromes with Malnutrition Among Elderly. International Journal of Medical Research & Health Sciences 2017;6:14-18.
  • 20. Carrión S, Cabré M, Monteis R, Roca M, Palomera E, Serra-Prat M, Rofes L, Clavé P. Oropharyngeal dysphagia is a prevalent risk factor for malnutrition in a cohort of older patients admitted with an acute disease to a general hospital. Clin Nutr 2015;34:436-442.
  • 21. Rullier L, Lagarde A, Bouisson J, Bergua V, Barberger-Gateau P. Nutritional status of community-dwelling older people with dementia: Associations with individual and family caregivers’ characteristics. Int Geriatr Psychiatry 2013;28:580–588.
  • 22. Pérez Cruz E, Lizárraga Sánchez DC, Martínez Esteves Mdel R. Association between malnutrition and depression in elderly. Nutr Hosp 2014;29:901-906.
  • 23. Kiesswetter E, Colombo MG, Meisinger C, Peters A, Thorand B, Holle R, Ladwig KH, Schulz H, Grill E, Diekmann R, Schrader E, Stehle P, Sieber CC, Volkert D. Malnutrition and related risk factors in older adults from different health-care settings: an enable study. Public Health Nutr 2019;27:1-11
APA Catikkas N (2020). Malnutrition and Related Factors in Older Adults. , 36 - 40. 10.4274/ejgg.galenos.2020.221
Chicago Catikkas Nezahat Muge Malnutrition and Related Factors in Older Adults. (2020): 36 - 40. 10.4274/ejgg.galenos.2020.221
MLA Catikkas Nezahat Muge Malnutrition and Related Factors in Older Adults. , 2020, ss.36 - 40. 10.4274/ejgg.galenos.2020.221
AMA Catikkas N Malnutrition and Related Factors in Older Adults. . 2020; 36 - 40. 10.4274/ejgg.galenos.2020.221
Vancouver Catikkas N Malnutrition and Related Factors in Older Adults. . 2020; 36 - 40. 10.4274/ejgg.galenos.2020.221
IEEE Catikkas N "Malnutrition and Related Factors in Older Adults." , ss.36 - 40, 2020. 10.4274/ejgg.galenos.2020.221
ISNAD Catikkas, Nezahat Muge. "Malnutrition and Related Factors in Older Adults". (2020), 36-40. https://doi.org/10.4274/ejgg.galenos.2020.221
APA Catikkas N (2020). Malnutrition and Related Factors in Older Adults. European journal of geriatrics and gerontology (Online), 2(2), 36 - 40. 10.4274/ejgg.galenos.2020.221
Chicago Catikkas Nezahat Muge Malnutrition and Related Factors in Older Adults. European journal of geriatrics and gerontology (Online) 2, no.2 (2020): 36 - 40. 10.4274/ejgg.galenos.2020.221
MLA Catikkas Nezahat Muge Malnutrition and Related Factors in Older Adults. European journal of geriatrics and gerontology (Online), vol.2, no.2, 2020, ss.36 - 40. 10.4274/ejgg.galenos.2020.221
AMA Catikkas N Malnutrition and Related Factors in Older Adults. European journal of geriatrics and gerontology (Online). 2020; 2(2): 36 - 40. 10.4274/ejgg.galenos.2020.221
Vancouver Catikkas N Malnutrition and Related Factors in Older Adults. European journal of geriatrics and gerontology (Online). 2020; 2(2): 36 - 40. 10.4274/ejgg.galenos.2020.221
IEEE Catikkas N "Malnutrition and Related Factors in Older Adults." European journal of geriatrics and gerontology (Online), 2, ss.36 - 40, 2020. 10.4274/ejgg.galenos.2020.221
ISNAD Catikkas, Nezahat Muge. "Malnutrition and Related Factors in Older Adults". European journal of geriatrics and gerontology (Online) 2/2 (2020), 36-40. https://doi.org/10.4274/ejgg.galenos.2020.221