Inadequate Intake of Energy and Nutrients Is Common in Older Family Caregivers

Koponen, Sohvi; Nykänen, Irma; Savela, Roosa‐Maria; Välimäki, Tarja; Suominen, Anna Liisa; Schwab, Ursula

doi:10.3390/nu13082763

Cited by 8 publications

(10 citation statements)

References 54 publications

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“… 26 Recently, a study showed a large number of elderly were malnourished. 27 due to decreased physical performance, 28 decline in cognition, 29 poor oral health, 30 and dysphagia. 31 Especially, another interesting study also points out ALB is a risk factor for aspiration pneumonia and can be monitored for aspiration pneumonia management post operation, confirming the close association between ALB and pneumonia-related prognosis.…”

Section: Discussionmentioning

confidence: 99%

Exploration of Aging-Care Parameters to Predict Mortality of Patients Aged 80-Years and Above with Community-Acquired Pneumonia

Lv¹,

Shi²,

Pan³

et al. 2022

CIA

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Purpose The study explores a clinical model based on aging-care parameters to predict the mortality of hospitalized patients aged 80-year and above with community-acquired pneumonia (CAP). Patients and methods In this study, four hundred and thirty-five CAP patients aged 80-years and above were enrolled in the Central Hospital of Minhang District, Shanghai during 01,01,2018–31,12,2021. The clinical data were collected, including aging-care relevant factors (ALB, FRAIL, Barthel Index and age-adjusted Charlson Comorbidity Index) and other commonly used factors. The prognostic factors were screened by multivariable logistic regression analysis. Receiver operating characteristic (ROC) curves were used to predict the mortality risk. Results Univariate analysis demonstrated that several factors, including gender, platelet distribution width, NLR, ALB, CRP, pct, pre-albumin, CURB-65, low-density, lipoprotein, Barthel Index, FRAIL, leucocyte count, neutrophil count, lymphocyte count and aCCI, were associated with the prognosis of CAP. Multivariate model analyses further identified that CURB-65 (p < 0.0001, OR = 5.44, 95% CI = 3.021–10.700), FRAIL (p < 0.0001, OR = 5.441, 95% CI = 2.611–12.25) and aCCI (p = 0.003, OR = 1.551, 95% CI = 1.165–2.099) were independent risk factors, whereas ALB (p = 0.005, OR = 0.871, 95% CI = 0.788–0.957) and Barthel Index (p = 0.0007, OR = 0.958, 95% CI = 0.933–0.981) were independent protective factors. ROC curves were plotted to further predict the in-hospital mortality and revealed that combination of three parameters (Barthel Index+ FRAI +CURB-65) showed the best performance. Conclusion This study showed that CURB-65, frailty and aCCI were independent risk factors influencing prognosis. In addition, ALB and Barthel Index were protective factors for in CAP patients over 80-years old. AUC was calculated and revealed that combination of three parameters (Barthel Index+ FRAI +CURB-65) showed the best performance.

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Section: Discussionmentioning

confidence: 99%

Exploration of Aging-Care Parameters to Predict Mortality of Patients Aged 80-Years and Above with Community-Acquired Pneumonia

Lv¹,

Shi²,

Pan³

et al. 2022

CIA

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“…Participants were recruited from FC registers of Kuopio and Vesanto between April 2019 and October 2019. The recruitment process of this study has been described previously [ 7 ]. All the participants had a valid care allowance (CA) during their participation in the 6-month intervention (6 months) and the 6-month follow-up (12 months) between June 2019 and December 2020.…”

Section: Methodsmentioning

confidence: 99%

“…FCs are also more vulnerable to the risk of malnutrition than other community-dwelling older people without a CR [ 5 ]. Insufficient dietary intake is common among older FCs [ 6 , 7 ], although sufficient dietary intake has many benefits for older people. For example, optimal intake of nutrients can prevent frailty [ 8 ], and optimal protein intake can prevent the decline of physical performance [ 9 ] and improve lean body mass [ 10 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…For example, optimal intake of nutrients can prevent frailty [ 8 ], and optimal protein intake can prevent the decline of physical performance [ 9 ] and improve lean body mass [ 10 – 13 ]. Because of the negative effects of poor nutritional status on many health outcomes, such as physical function [ 7 , 14 – 16 ], cognitive status [ 15 , 17 ], hospitalization [ 17 ], morbidity [ 7 ], and mortality [ 16 ], it is important to prevent deterioration of the nutritional status of older FCs, contributing their ability to serve as FCs. In addition to malnutrition, obesity is common in older community-dwelling people [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Individually tailored nutritional guidance improved dietary intake of older family caregivers: a randomized controlled trial

et al. 2022

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Purpose Older family caregivers (FCs) are vulnerable to insufficient dietary intake and risk of malnutrition. The aim of this study was to assess the impact of individually tailored nutritional guidance on the dietary intake and nutritional status of older FCs and their care recipients’ (CRs’) nutritional status. Methods This study was a randomized controlled 6-month nutrition intervention in Eastern Finland. The inclusion criteria for FCs were having a home-living CR aged 65 or above and a valid care allowance. The exclusion criterion was CR receiving end-of-life care at baseline. Participants were randomly assigned to an intervention (FCs n = 63, CRs n = 59) and a control (FCs n = 50, CRs n = 48) group. Individually tailored nutritional guidance targeted to FCs was given to an intervention group by a clinical nutritionist. The main outcomes were dietary intake (3-day food record). Results After the 6-month intervention, 63 FCs and 59 CRs in the intervention group and 50 FCs and 48 CRs in the control group were analyzed. In the intervention group of FCs, the intakes of protein, riboflavin, calcium, potassium, phosphorus, and iodine differed significantly (p < 0.05) compared to the control group. In addition, the intake of vitamin D supplementation improved in the intervention group of the FCs and CRs (p < 0.001). Conclusion Individually tailored nutrition guidance improves the intake levels of crucial nutrients, such as the intake levels of protein, vitamin D, and calcium of the FCs. Further studies are warranted to optimize the methods to improve the nutrition of FCs. Registration number of Clinical Trials: ClinicalTrials.gov NCT04003493 (1 July 2019).

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“…Caregivers help improve the health conditions and quality of life of their care recipients and can prevent or delay institutionalisation [4]. However, some FCs have health vulnerabilities, possibly affecting their ability to provide care [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and risk factors of frailty among older family caregivers

Kiljunen

Välimäki

Savela

et al. 2023

Scandinavian Caring Sciences

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AimThe aim of this study was to investigate the prevalence of frailty and identify the demographical and clinical factors associated with frailty among older family caregivers.MethodThe participants of this cross‐sectional study were older family caregivers (n = 125) living in Eastern Finland. Data on functional and cognitive status, depressive symptoms, nutritional status, medication, chronic diseases, stroke, and oral health were obtained. The Mini Nutritional Assessment (MNA) was used to evaluate nutritional status. Frailty status was evaluated using the abbreviated comprehensive geriatric assessment (aCGA) scale.ResultsSeventy‐three percent of caregivers were identified as frail. According to multivariable logistic regression, cataract, glaucoma, or macular degeneration and the MNA score were predictors of frailty. After adjusting for age, gender, and number of own teeth, the MNA score remained a significant predictor of frailty (adjusted OR = 1.22, 95% CI = 1.06, 1.41). As the MNA scores decreased (meaning poorer nutritional status), the risk of frailty increased.ConclusionsThe present study showed that frailty is prevalent among older family caregivers. Recognising older family caregivers with frailty or at risk of frailty is vital. It is essential to acknowledge vision problems' role in frailty and to monitor and support the nutritional status of family caregivers regularly to prevent frailty development.

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Inadequate Intake of Energy and Nutrients Is Common in Older Family Caregivers

Cited by 8 publications

References 54 publications

Exploration of Aging-Care Parameters to Predict Mortality of Patients Aged 80-Years and Above with Community-Acquired Pneumonia

Exploration of Aging-Care Parameters to Predict Mortality of Patients Aged 80-Years and Above with Community-Acquired Pneumonia

Individually tailored nutritional guidance improved dietary intake of older family caregivers: a randomized controlled trial

Prevalence and risk factors of frailty among older family caregivers

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