Association between Functional Capacity Decline and Nutritional Status Based on the Nutrition Screening Initiative Checklist: A 2-Year Cohort Study of Japanese Community-Dwelling Elderly

Sugiura, Yumiko; Tanimoto, Yoshimi; Imbe, Ayumi; Inaba, Yuiko; Sakai, Satoshi; Shishikura, Kanako; Tanimoto, Keiji; Hanafusa, Toshiaki

doi:10.1371/journal.pone.0166037

Cited by 20 publications

(11 citation statements)

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“…Due to a higher nutritional risk rate and functional degeneration, patients with multiple conditions are more common among elderly patients, who are more susceptible to disease and malnutrition. This makes these patients a target for nutritional support [4, 5]. Studies on the effects of nutritional support on clinical results have mainly focused on the nutritional status of patients, the tolerance of clinical treatments, rate of complications, hospital length of stay (HLOS), readmission rate, mortality rate, and the cost of care [6, 7].…”

Section: Introductionmentioning

confidence: 99%

Screening and application of nutritional support in elderly hospitalized patients of a tertiary care hospital in China

et al. 2019

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Background Malnutrition is very common in elderly patients admitted to the hospital. The aim of our study is to assess the nutritional status of elderly patients and the use of nutritional support in a tertiary care hospital in China and to analyze the impacts of nutritional status and nutritional support on clinical outcomes. Methods Statistical analysis was performed on a sample of 745 elderly patients in the geriatric medicine department of Qilu Hospital of Shandong University from March 2012 to March 2015. The Nutrition Risk Screening 2002 (NRS 2002) and Mini Nutritional Assessment-short forms (MNA-SF) were utilized for the nutritional risk screening at admission. Personal information, anthropometric measurements, laboratory tests, nutritional support and clinical outcomes were recorded. Comparisons were carried out to analyze impacts on clinical outcomes and prognosis based on incidence rate of nutritional risk, nutritional support rate, and different methods of support. Results NRS 2002 and MNA-SF were utilized to screen for nutritional risk at admission. The results of this screening were 39.81% and 44.10%, respectively. Based on the results of the MNA-SF, 33.38% of elderly patients were at risk of malnutrition and 5.5% were malnourished. The incidence of nutritional risk in the departments of Gastroenterology, Hematology, and Respiratory were 51.72%, 46.88%, 43.33%, respectively, higher than in other departments. Patients with nutritional risk were more likely to have a longer hospital stay compared to those without ( P < 0.05). The nutritional support rate of patients overall was 16.49%, and the ratio of Parenteral nutrition (PN):Enteral nutrition (EN) was 5.13:1. Patients at nutritional risk had an in-hospital support rate of 29.63% and 28.57%, respectively, identified via screening by NRS 2002 and MNA-SF. Nutritional support rate of patients without nutritional risk was 7.8%(35/449) and 6.96%(29/417), respectively. Patients in the departments of Gastroenterology and Hematology had higher rates of nutritional support than patients in other departments. In addition, results showed that in patients with nutritional risk and malnutrition, nutritional support decreased the length of hospital stay ( P <0.05). The patients that received nutritional support also had a lower incidence of infectious complications than the patients without nutritional support (NRS 2002 was 6.82%:18.18% and MNA-SF was 9.57%:20.23%)( P <0.05). Conclusions Undernourishment and nutritional risk in elderly patients at hospital admission is a common occurrence. In the current study, the nutritional risk rate in the Gastroenterology department was higher than in other departments. Patients with normal nutritional status were still receiving nutritional support. Overall, there is a need to better apply nutritional support in the clinical treatment of elde...

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Section: Introductionmentioning

confidence: 99%

Screening and application of nutritional support in elderly hospitalized patients of a tertiary care hospital in China

et al. 2019

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“…Functional capacity represents the guiding concept of public health policies in force for the elderly population, with importance for analysis both at the collective and individual level [20]. In addition to reflecting the individual's ability to perform activities of daily living, it is also related to important outcomes, such as disease prognosis and mortality [6,18,[33][34][35]. Studies suggest that the risk factors associated with decline in functional capacity are female gender, advanced age, low socioeconomic status, high nutritional risk, taking two or more medications for continuous use, fear of falling and low functional mobility [6, 18, 33 -35].…”

Section: Resultsmentioning

confidence: 99%

Correlation of functional mobility with handgrip strength, functional capacity for instrumental activities of daily living, fear of falling and number of falls in community-dwelling elderly

2020

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Introduction: Functional mobility is essential for quality life and its worsening is the first sign of functional decline in the elderly. Objective: To assess the correlation of functional mobility with handgrip strength (HGS), functional capacity for IADL (FC-IADL) and fear of falling and number of falls in community-dwelling elderly. Method: A cross-sectional study was conducted with 303 community-dwelling elderly of both sexes, in Juiz de Fora (MG, Brazil). Functional mobility (TUG), HGS (dynamometer, JAMAR), FC-IADL (Lawton and Brody Scale), fear of falling (FES-I-Brazil) and number of falls were assessed. The data were analyzed using Pearson’s correlation test, and significance was established at ≤ 5%. Results: The elderly studied consisted of 61.7% females, were 73.5 ± 7.8 years old and had little schooling (4.3 ± 3.5 years). Functional mobility showed a moderate correlation with HGS (r = -0.383 and r = -0.322; women and men respectively) and FC-IADL (r = -0.568 and r = -0.583) in both sexes and fear of falling (r = 0.511) in females, a weak correlation with fear of falling in males (r = 0.243) and number of falls in both sexes (r = 0.101 and r = 0.195). Conclusion: Functional mobility showed a moderate correlation with HGS and FC-IADL in both sexes and fear of falling in females. It showed a weak correlation with fear of falling in males and number of falls in both sexes. The overestimated self-efficacy to prevent falls in men and the protective role of fear of falling in individuals with functional mobility limitations may explain these findings.

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“…Avicenna and his followers had a different attitude towards aging and proposed health measures for the elderly. Paying specific attention to mental aspects, nutritional habits, physical activity, rest and activity, sleep and waking, and place of living are some of the important factors mentioned in TPM sources for maintaining health at the old ages, many of which are in line with new researches and had been approved by modern medicine: paying special attention to appropriate sports and activities for the elderly (45); decreasing anxiety, depression, and stress and feeling of loneliness by involving them in teamwork (46); observing certain dietary rules (47,48); and emphasizing the need for good sleep and relaxation (49,50).…”

Section: Discussionmentioning

confidence: 97%

Health Recommendations for the Elderly in the Viewpoint of Traditional Persian Medicine

et al. 2017

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Background: Old age is one of the most important and longest periods of life in human beings. Identifying the effective factors in maintaining and promoting health in the elderly can prevent chronic diseases in this age group. Objective: This study aimed at presenting traditional Persian medicine (TPM) measures for maintaining the elderly's health. Methods: This review article was conducted on traditional Persian medicine textbooks and Noor software to investigate the viewpoints of Iranian and Islamic scholars concerning maintenance of elderly's health. Results: The elderly's age range has been expressed differently in the traditional medicine. However, in most cases, those aged 40 to 60 years and above 60 have been considered as middle-aged and old aged, respectively. Temperament of both age groups are cold and dry, but the elderly suffer from the predominance of wetness in their main organs, which is the sign of attenuating their innate heat compared with the middle age groups. The elderly should use hot and wet foods and drink more frequently and avoid cupping and bloodletting. They should not be isolated and rest alone for long times. Visiting the elderly regularly warrants their mental and physical health; however, frequent and long-time visits may disturb their privacy and should be prohibited. Also, they are recommended not to omit their dinner and sleep early. Frequent intercourses may jeopardise their health and are not recommended. At last, a regular moderate physical activity to maintain their stamina and physical conditions in addition to a healthy diet and good relationship with family and friends should always be considered for this group. Conclusion: Health recommendations cited in traditional Persian medicine sources are usually safe, useful, and practical; thus, using them in everyday life routines of the elderly seems to be beneficial and improve their quality of life. However, rigorous and well-designed clinical trials should be tailored to prove the real efficacy of the aforementioned health measures in quality and life span of the elderly.

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Association between Functional Capacity Decline and Nutritional Status Based on the Nutrition Screening Initiative Checklist: A 2-Year Cohort Study of Japanese Community-Dwelling Elderly

Cited by 20 publications

References 20 publications

Screening and application of nutritional support in elderly hospitalized patients of a tertiary care hospital in China

Screening and application of nutritional support in elderly hospitalized patients of a tertiary care hospital in China

Correlation of functional mobility with handgrip strength, functional capacity for instrumental activities of daily living, fear of falling and number of falls in community-dwelling elderly

Health Recommendations for the Elderly in the Viewpoint of Traditional Persian Medicine

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