Eating disturbances in the elderly: A geriatric-psychiatric perspective

Bulut, Esra Ateş; Khoury, Rita; Lee, Hyun; Grossberg, George T.

doi:10.3233/nha-180057

Cited by 13 publications

(11 citation statements)

References 124 publications

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“…The most common causes of UWL in clinical practice revealed by the current study were poor appetite [ 6 ], dementia with BPSD [ 65 ] and medications. Unlike preceding reports, the three most common causes of UWL were gastrointestinal disorders, followed by malignant diseases and psychological problems [ 34 , 66 , 67 ]. Self-reported reduced appetite was significantly more frequent in older patients with UWL in the studies by Sorbye et al and Mowé et al [ 6 , 68 ].…”

Section: Discussionmentioning

confidence: 84%

Factors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital

et al. 2021

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Background Unintentional weight loss (UWL) is defined as unintentional reduction of more than 5% of baseline body weight over 6 to 12 months. UWL is a common problem in the older adults, resulting in increased rate of morbidity and mortality. With specific reference to Thailand, no information on factors associated with UWL in older adults could be traced. The aims of this research were to identify the factors associated with UWL and to assess the common causes of UWL among older adults in the geriatric outpatient clinic of university hospital. Methods A case-control study was conducted from June 1st, 2020 to December 31st, 2020. Eighty older adults aged 60 years or older were enrolled in the UWL group while the non-UWL group consisted of 160 participants. Data collection was performed by structural questionnaire including baseline characteristics, psychosocial factors, health information, lifestyle behaviors, and medications. The factors associated with UWL were analyzed by using univariate and multivariate logistic regression analysis. Causes of UWL were recorded from electronic medical records. Results The mean age of the 240 participants was 79.6 years (SD 7.4). Most patients were female (79.2%) and had fewer than 12 years of education (62.6%). The three common causes of UWL were reduced appetite (20.1%), dementia and behavioral and psychological symptoms of dementia (13.7%) and medications (11.0%). Multivariate logistic regression analysis showed that a Charlson Comorbidity Index (CCI) score of >1 (OR 2.55, 95% CI 1.37–4.73; P = 0.003), vitamin D deficiency (OR 4.01, 95% CI 1.62–9.97; P = 0.003), and hemoglobin level of <12 g/dL (OR 2.47, 95% CI 1.32–4.63; P = 0.005) were factors significantly associated with UWL. Conclusions Factors associated with UWL were CCI score >1, vitamin D deficiency, and hemoglobin level of <12 g/dl. The early detection of these associated factors, reduced appetite, dementia and polypharmacy may be important in UWL prevention in older adults.

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Section: Discussionmentioning

confidence: 84%

Factors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital

et al. 2021

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“…A careful nutritional assessment is one of the key components of a comprehensive geriatric assessment to implement the necessary treatment plans to ensure successful aging in the elderly (Moradell et al 2021. Studies are showing that doing exercise reduces symptoms related to eating disorders (Bulut et al 2019). When the eating scale scores are compared between the groups in this study, there is no statistically significant difference between those who did exercise and those who did not, in terms of uncontrolled eating and cognitive restriction scores related to processes in the pre and post-test.…”

Section: Discussionmentioning

confidence: 99%

The Relationship of Nutrition and Walking With Body Composition, Anxiety and Sleep Quality in Healthy Elderly Over 65

Göbel

GÜNEY²,

AKÇAY

2022

KINSI

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The aim of this study is to investigate the effects of healthy eating practices and walking exercise on body composition, anxiety and sleep quality in the elderly over 65 years of age. Participants (n=30) were randomly divided into experimental and control groups. Individualized medical nutrition treatments were prepared by a specialist dietitian for 12 weeks and regular follow-ups were made on a weekly basis for the experimental group. In addition to the nutrition and diet program, the experimental group was given walking exercise for 45 minutes, 3 days a week for 12 weeks. Body composition measurements of all participants were taken at the beginning and end of the study, Three Factor Eating Questionnaire, Hamilton Anxiety Rating Scale, Katz Activities of Daily Living Scale and Pittsburg Sleep Quality Scale were applied. There was no statistically significant difference in terms of body composition, anxiety and sleep quality in the healthy elderly group in which walking exercise and personalized nutrition therapy were applied. A statistically significant difference was found in terms of Hamilton scores with regard to the processes in those who didn’t exercise (Z=-2.913; p=0.010) and the post-test Hamilton scores of those who didn’t exercise were significantly lower than the first test.

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“…Chronic diseases and acute-on-chronic illnesses pose risk for systemic inflammation and a hypercatabolic state. Pro-inflammatory cytokines collectively serve an anorexigenic effect; this may even occur in natural aging [9 ▪▪ ].…”

Section: Introductionmentioning

confidence: 99%

“…Altered release of gastrointestinal hormones add to this further. Cholecystokinin – an appetite-decreasing hormone – is elevated in older adults, contributing further to increased satiety [9 ▪▪ ,18]. Glucagon like peptide-1 is a peripheral hormone and potent anorexic elevated in older adults that delays gastric emptying and enhances the production of insulin [9 ▪▪ ].…”

Section: Introductionmentioning

confidence: 99%

It's not only swallowing: a clinician primer to adult food refusal beyond dysphagia

Kershner

Askren

2022

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of reviewMedical teams are frequently faced with challenging clinical scenarios when their patients exhibit reduced intake of food and drink. Speech-language pathologists, who serve as oropharyngeal swallowing specialists in medical settings, are frequently the first to be summoned with the referral, ‘Poor PO intake. Please evaluate and treat.’ As our practices have illuminated, many differentials other than oropharyngeal dysphagia are often at play.Recent findingsChanges to taste, salivary supply/dry mouth, hunger drive, and psychosocial circumstances will significantly impact intake per os – each scenario to be explored further in this paper. Consequences to diminished nutrition and hydration include medical complications, lengthier hospital stays, and diminished quality of life.SummaryIn this review, two medical speech-language pathologists detail more common alternative diagnoses that explain reduced intake by mouth amongst adults with acute and chronic diseases. Ultimately, a multidisciplinary approach should be considered when evaluating such patients to ensure a comprehensive and effective care plan.

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Eating disturbances in the elderly: A geriatric-psychiatric perspective

Cited by 13 publications

References 124 publications

Factors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital

Factors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital

The Relationship of Nutrition and Walking With Body Composition, Anxiety and Sleep Quality in Healthy Elderly Over 65

It's not only swallowing: a clinician primer to adult food refusal beyond dysphagia

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