Factors associated with the overlap of frailty and nutrition in institutionalized older adults: A multicenter study

Medeiros, Mariana Marinho Davino de; Figueredo, Olívia Maria Costa de; Pinheiro, Mayara Abreu; Oliveira, Luiz Fabrício Santos de; Wanderley, Rayssa Lucena; Cavalcanti, Yuri Wanderley; Garcia, Renata Cunha Matheus Rodrigues

doi:10.1016/j.archger.2020.104150

Cited by 11 publications

(14 citation statements)

References 39 publications

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“…Our sample represented 1.75% of all older adults residing in LTNHs in Gipuzkoa (Basque Country, Northern Spain). Notably, our mean participant age, 86.34 ± 6.77 years, was higher than all other study populations to date on institutionalized older adults including the 2012 European SHELTER study of 57 LTNHs from 7 EU countries and Israel where the mean age of the participants was 83.4 years [42][43][44][45][46][47][48]. The percentage of participants in our study over 90 years of age (36%) was also high compared with other studies.…”

Section: Discussioncontrasting

confidence: 56%

The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty

et al. 2021

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Among older adults living in long-term nursing homes (LTNHs), maintaining an adequate functional status and independence is a challenge. Whilst a poor nutritional status is a potential risk factor for a decreased function in this population, its role is not fully understood. Here, using a transversal multicenter study of 105 older adults living in 13 LTNHs, we analyzed the associations between nutritional status, as measured by the Mini Nutritional Assessment (MNA), and the parameters of functional status, physical performance, physical activity, and frailty as well as comorbidity and body composition. The MNA scores were positively correlated with the Barthel Index, handgrip strength, Short Physical Performance Battery (SPPB) scores, absolute muscle power, and Assessment of Physical Activity in Frail Older People (APAFOP) scores and were negatively correlated with dynamic balance and frailty. In a multiple linear regression model controlling for gender and age, the APAFOP score (β = 0.386), BMI (β = 0.301), and Barthel Index (β = 0.220) explained 31% of the variance in the MNA score. Given the observed close relationship between the MNA score and functional status, physical performance and activity, and frailty, interventions should jointly target improvements in both the nutritional status and functional status of LTNH residents. Strategies designed and implemented by interdisciplinary professional teams may be the most successful in improving these parameters to lead to better health and quality of life.

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Section: Discussioncontrasting

confidence: 56%

The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty

et al. 2021

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“…Many elderly people are frail and malnourished due to food intake disorders, reduced activity, and muscle loss. To prevent this, it is essential to maintain a normal body mass index by proper nutrition management [ 22 23 ]. When an elderly person is ill and confined to bed, it is an easy matter to provide energy and protein enhanced snacks and meals [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Current status of foodservice nutrition management and effects of welfare facility support for the elderly in Cheongju City

Lee

2022

Nutr Res Pract

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BACKGROUND/OBJECTIVES South Korea is representative of countries experiencing rapid societal aging. This study aimed to understand the current status of foodservice nutrition management provided to welfare facilities for the elderly and to understand improvements after support from “the Center for Social Welfare Foodservice Management (CSWFM)” in Cheongju City. SUBJECTS/METHODS The status of foodservice nutrition management was assessed by dietitians and hired by the CSWFM, who visited 40 welfare facilities (registered members of the CSWFM) for the elderly in Cheongju City. After visiting each facility three times from July to December 2019, the results of inspections on four areas, that is, ‘menu’, ‘meal provision’, ‘cooking’, and ‘distribution’ management for 2nd and 3rd visits (support visits) were compared with results obtained at initial visits. RESULTS Before support as determined during 1st visits, compliance rates with ‘menu’, ‘meal provision’, ‘cooking’, and ‘distribution’ requirements were 72.1%, 75.5%, 58.3%, and 77.5%, respectively. The mean compliance rate for all 15 items on the questionnaire used was 70.8%. Items with low compliance rates were ‘Is the soup provided by foodservice at the recommended salinity?’ (compliance rate 37.5%) and ‘Is the foodservice cooking conducted by referring to a recipe?’ (42.5%). At the two support visits, mean compliance rates increased significantly ( P < 0.01, P < 0.001), mean total score had significantly increased from 71.80 to 90.26 ( P < 0.001), and mean soup salinity decreased significantly from 0.82% at 1st visits to 0.68% ( P < 0.001) and 0.56% ( P < 0.001) at the 1st and second follow-up visits. CONCLUSIONS These results show that the status of nutrition management at welfare facilities for the elderly was much improved by CSWFM involvement, and indicate the CSWFM should continuously provide nutrition management support to facilities and that finances and opportunities for more welfare facilities for the elderly be expanded.

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“…The knowledge needed by the family regarding numbers. The information needed by the family regarding the nutritional needs of the elderly is nutritional needs in accordance with the condition of the elderly's disease, both mineral, vitamin and other nutritional needs (Marinho et al, 2020). Families with elderly people must have sufficient knowledge about what actions to take to choose the food consumed by the elderly.…”

Section: Relationship Between Family Knowledge and Elderly Nutritional Statusmentioning

confidence: 99%

“…Research shows that family-centered care in practice treats families with care, communicates information to families so that they understand their conditions, involves family participation in family decisionmaking and care, and cooperation between families and caregivers (Taylor & Hoenig, 2006). Marinho et al, (2020) in their study of family attitudes towards nutritional fulfillment in the elderly is positively associated with a reduction in chronic disease recurrence. Research by Kristianingrum et al, (2018) found the influence of family support on elderly nutrition management on the ability of the elderly in their daily activities.…”

Section: Introductionmentioning

confidence: 99%

The Relationship of Knowledge, Attitude and Family Support With the Nutritional Status of the Elderly: Literature Review

Barek¹,

Haryanto²,

Ulfiana³

2021

JoViN

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Introduction: Elderly are individuals who are vulnerable and at risk of experiencing health problems related to nutritional status. Families who live together are expected to be able to provide nutritional intake in accordance with the condition of the elderly so that adequate knowledge is needed in preparing the need for balanced nutrition. The purpose of this study was to analyze the relationship between knowledge, attitudes, and family support to elderly's nutritional status. Methods: The search for literature review articles was carried out in four databases (Scopus, Science Direct, Pub med, and Google Scholar) with a publication span of 2016-2020. The prism checklist was used to guide this review. Analysis and data tabulation were carried out in the article. Title, abstract, full text and methodology were assessed to determine study eligibility. Results: A total of 10 studies matched the inclusion criteria of the study, consisting of 6 cross-sectional studies and 4 qualitative studies. A review study found that good knowledge, positive attitude and good family support are directly proportional to the nutritional status of the elderly. Discussion: Family has a role in maintaining the health of the elderly, one of which is in fulfilling nutrition. Knowledge, attitudes and family support are related to the nutritional status of the elderly. Conclusions: Families who have knowledge related to nutrition can provide complete food intake and according to the needs of the elderly. A good family attitude will increase their support in helping fulfill nutrition.

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Factors associated with the overlap of frailty and nutrition in institutionalized older adults: A multicenter study

Cited by 11 publications

References 39 publications

The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty

The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty

Current status of foodservice nutrition management and effects of welfare facility support for the elderly in Cheongju City

The Relationship of Knowledge, Attitude and Family Support With the Nutritional Status of the Elderly: Literature Review

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