Health-related quality of life of institutionalized older adults: Influence of physical, nutritional and self-perceived health status

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

doi:10.1016/j.archger.2020.104278

Cited by 26 publications

(21 citation statements)

References 29 publications

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“…Our study showed that a personalised, multimodal intervention in prefrail subjects, increasing mood and nutrition function, significantly reduces agerelated decrease in QoL. Several studies have shown that both depression and nutrition influence QoL in older adults [22][23][24][25][26][27][28]. Understanding additional factors related to QoL in older prefrail people can be used to accommodate patient needs and to reduce the burden of disease on older people and the health system.…”

Section: Discussionmentioning

confidence: 80%

The My Active and Healthy Aging ICT platform prevents quality of life decline in older adults: a randomised controlled study

Rainero

Summers

Mönter³

et al. 2021

Age and Ageing

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Introduction Prevention of frailty is paramount in older adults. We evaluated the efficacy of a tailored multidomain intervention, monitored with the My Active and Healthy Aging platform, in reducing conversion from a prefrail status to overt frailty and preventing decline in quality of life. Methods We performed a multicentre, multicultural, randomised control study. The effects of multidomain interventions on frailty parameters, quality of life, physical, cognitive, psychosocial function, nutrition and sleep were evaluated in a group of 101 prefrail older subjects and compared with 100 prefrail controls, receiving general health advice. Results At the 12-month assessment, controls showed a decline in quality of life that was absent in the active group. In addition, active participants showed an increase in mood and nutrition function. No effect on remaining parameter was observed. Discussion Our study supports the use of personalised multidomain intervention, monitored with an information and communication technology platform, in preventing quality of life decline in older adults.

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Section: Discussionmentioning

confidence: 80%

The My Active and Healthy Aging ICT platform prevents quality of life decline in older adults: a randomised controlled study

Rainero

Summers

Mönter³

et al. 2021

Age and Ageing

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show abstract

“…Consistent with studies on centenarians in other parts of China, the prevalence of BADL limitation and malnutrition among centenarians in Hainan is low, but IADL is high [ 32 – 34 ]. The reason for this difference is Lawton IADL assessed the instrumental activities of daily living, which require greater complexity of the neurophysical functions [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

The association between nutritional status and functional limitations among centenarians: a cross-sectional study

et al. 2021

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Background Although there have been studies on the association between nutritional status and functional limitations, there were few studies on Asian centenarians in community. Therefore, this study aims to identify associations between nutritional status and functional limitations among centenarians in China. Methods This cross-sectional study was conducted with the data from the China Hainan Centenarian Cohort Study. These data ultimately included basic characteristics, hematologic indicators, and chronic disease status for 1,002 centenarians. The nutritional status was evaluated using the Mini Nutritional Assessment Short-Form scale. The functional limitations were assessed using the activities of daily living (ADL) scale, namely Barthel Index and Lawton Scale. The association between nutritional status and ADL was assessed using multivariate logistic regression models. Results In this study, the prevalence of malnutrition was 20.8 % among centenarians, basic ADL (BADL) limitation was 28.6 %, and instrumental ADL (IADL) limitation was 64.7 %. As the nutritional status deteriorated, the risk of ADL limitations increased in total population (BADL limitation: OR = 17.060, 95 % CI: 8.093-35.964; IADL limitation: OR = 11.221, 95 % CI: 5.853-21.511; p for trend < 0.001). Similar results were found in both men and women after stratifying sex but were more prominent in women. Conclusions Malnutrition is associated with functional limitations among centenarians in China and more pronounced among women.

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“…According to the studies, a close relationship exists between nutritional and functional domains in long-term care residents [ 34 , 35 ]. Impairments in functional ability and nutritional status often occur with overlapping outcomes such as muscle loss, weakness, and frailty [ 38 ]. The results of this review found that there were slight variations in the assessment of functional abilities.…”

Section: Discussionmentioning

confidence: 99%

The Role of Nutritional Status on Polypharmacy, Cognition, and Functional Capacity of Institutionalized Elderly: A Systematic Review

et al. 2021

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Adequate nutritional status is necessary for the proper management of polypharmacy, the prevention of cognitive decline, and the maintenance of functional capacity in activities of daily living. Although several studies validate this fact for the general elderly population, data on institutionalized seniors concerning this relation are scarce. A systematic review was performed according to the PRISMA guidelines, aiming to study the potential correlation between nutritional status and polypharmacy, cognitive decline, and functional performance in institutionalized elders. The search was limited to studies in English or Portuguese in the last decade. Inclusion criteria relied on the PICO method. Five studies explored the relationship of nutritional status with cognitive performance in the institutionalized elderly, and nine prospective observational studies reported significant positive associations between appropriate nutritional status and physical abilities. Nutritional status was primarily measured by MNA. Adequate nutritional status was described as an important parameter in preventing cognitive and functional decline in the institutionalized elderly. No studies were found describing the impact of nutritional status on the prevention of polypharmacy. Given the strong impact of malnutrition found in the studies in cognition and functional abilities in the institutionalized elderly, an evaluation of nutritional status of the elders is crucial to prevent health problems and allow early intervention programs in order to further prevent health decline.

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Health-related quality of life of institutionalized older adults: Influence of physical, nutritional and self-perceived health status

Cited by 26 publications

References 29 publications

The My Active and Healthy Aging ICT platform prevents quality of life decline in older adults: a randomised controlled study

The My Active and Healthy Aging ICT platform prevents quality of life decline in older adults: a randomised controlled study

The association between nutritional status and functional limitations among centenarians: a cross-sectional study

The Role of Nutritional Status on Polypharmacy, Cognition, and Functional Capacity of Institutionalized Elderly: A Systematic Review

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