A survey of nutrition and health status of solitary and non-solitary elders in Taiwan

Hsieh, Y. -M.; Sung, Tung-Jung; Wan, Kong‐Sang

doi:10.1007/s12603-010-0003-3

Cited by 27 publications

(16 citation statements)

References 13 publications

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“…While most previous studies have examined the effects of living alone on health outcomes [2–9], Chan et al [37] have noted that social networks within (living arrangements) and outside the household need to be differentiated and examined as such. In their national sample study of older adults (≥60 years) in Singapore [37], the authors found that both living alone and having weak social networks outside the household were associated with higher depressive symptom scores and that the effect of living alone on depressive symptoms was modified by the strength of social networks.…”

Section: Discussionmentioning

confidence: 99%

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Influence of Living Arrangements on the Management and Control of Hypertension: A Mixed-Methods Study of Korean American Elderly

Han

Song

et al. 2012

J Immigrant Minority Health

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Elders living alone may experience worse health outcomes than do those living with spouse and/or children. Using baseline data from a randomized trial to promote high blood pressure (HBP) control in Korean elders (N=440), we examined the relationship between living arrangements and HBP control. We also interviewed a sub-sample to better understand the patterns of social interactions associated with different types of living arrangements. One in five reported living alone; this group tended to be older and female, and resided in senior group housing. Those living alone were twice as likely as those living with a spouse to have controlled BP (OR=2.08; 95% CI 1.09–3.97), even after controlling for study covariates. Those in senior group housing had frequent social interactions that involved conversations around health, encouragement concerning medication taking, and health information sharing. In conclusion, Korean elders living independently are neither socially-isolated nor at increased risk for poor BP control.

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Section: Discussionmentioning

confidence: 99%

“…A substantial body of studies has identified older people living alone as being at risk of not having their health problems recognized; living alone in later life is seen as a potential health risk [2–6]. However, counterexamples exist to indicate that living alone is not necessarily harmful to health.…”

Section: Introductionmentioning

confidence: 99%

Influence of Living Arrangements on the Management and Control of Hypertension: A Mixed-Methods Study of Korean American Elderly

Han

Song

et al. 2012

J Immigrant Minority Health

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“…Meals eaten in the presence of more people, during weekends are larger by up to 40 % ( de Castro 1991). Older people living alone, particularly men, eat less and have a significantly increased risk of poor nutrition (Hsieh et al 2010). Recent bereavement, even if not complicated with depression, may alter the social meaning of eating and produce negative effects on eating behaviors and nutrient intakes (Fields and Goran 2000).…”

Section: Social Factors Of the Anorexia Of Agingmentioning

confidence: 99%

Mechanisms of the anorexia of aging—a review

Wysokiński

Sobów

Kłoszewska

et al. 2015

AGE

177

148

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Many, even healthy, older people fail to adequately regulate food intake and experience loss of weight. Aging-associated changes in the regulation of appetite and the lack of hunger have been termed as the anorexia of aging. The etiology of the anorexia of aging is multi-factorial and includes a combination of physiological changes associated with aging (decline in smell and taste, reduced central and peripheral drive to eat, delayed gastric emptying), pathological conditions (depression, dementia, somatic diseases, medications and iatrogenic interventions, oral-health status), and social factors (poverty, loneliness). However, exact mechanisms of the anorexia of aging remain to be elucidated. Many neurobiological mechanisms may be secondary to age-related changes in body composition and not associated with anorexia per se. Therefore, further studies on pathophysiological mechanisms of the anorexia of aging should employ accurate measurement of body fat and lean mass. The anorexia of aging is associated with protein-energy malnutrition, sarcopenia, frailty, functional deterioration, morbidity, and mortality. Since this symptom can lead to dramatic consequences, early identification and effective interventions are needed. One of the most important goals in the geriatric care is to optimize nutritional status of the elderly.

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“…Older adults are susceptible to malnutrition due to physiological changes, chronic diseases, side effects of medication (Volkert, 2002), loss of appetite (Hickson, 2006), living alone (Hsieh et al, 2010), poor cognition and functional decline (Chen et al, 2009;Johansson et al, 2009), the biological process of ageing and socioeconomic factors (Meydani, 2001). …”

Section: Introductionmentioning

confidence: 99%

Outcomes related to nutrition screening in community living older adults: A systematic literature review

Hamirudin

Charlton

Walton

2016

Archives of Gerontology and Geriatrics

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Introduction Nutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. Methods A systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. Results Fiftyfour articles were eligible to be included in the review and malnutrition risk varied from 0% to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. Conclusions Timely nutrition screening of older adults living in the community, if followed up with appropriate intervention and monitoring improves the nutritional status of older adults. This indicates that nutrition intervention should be considered a priority following nutrition screening for malnourished and at risk older adults. Further evaluation of outcomes of nutrition screening and associated interventions, using structured pathways of care, is warranted. Abstract IntroductionNutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. MethodsA systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. ResultsFifty-four articles were eligible to be included in the review and malnutrition risk varied from 0 % to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. ConclusionsTimely ...

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A survey of nutrition and health status of solitary and non-solitary elders in Taiwan

Abstract: Solitary elders, especially males, have a significantly increased risk of poor nutrition (MNA < 24), poor health status, impaired cognition, and impaired activities of daily living.

Cited by 27 publications

References 13 publications

Influence of Living Arrangements on the Management and Control of Hypertension: A Mixed-Methods Study of Korean American Elderly

Influence of Living Arrangements on the Management and Control of Hypertension: A Mixed-Methods Study of Korean American Elderly

Mechanisms of the anorexia of aging—a review

Outcomes related to nutrition screening in community living older adults: A systematic literature review

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