Lack of adaptation to severe malnutrition in elderly patients

Schneider, S.; Al-Jaouni, Rima; Pivot, Xavier; Braulio, Valéria Bender; Rampal, Patrick; Hébuterne, Xavier

doi:10.1054/clnu.2002.0584

Cited by 53 publications

(22 citation statements)

References 46 publications

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“…It has also been suggested that weight loss in the elderly is mainly due to a decrease in the volume of non-adipose tissues, including skeletal muscles, rather than a decrease in the amount of adipose tissue (Schneider et al 2002), and that there is significant correlation between the decrease in serum albumin level and d e c r e a s e i n t h e s k e l e t a l m u s c l e v o l u m e (Baumgartner et al 1996). Fiatarone et al (1994) demonstrated the efficiency of muscle strength training (exercise training) and nutritional supplementation for improvement of physical functions in the elderly.…”

Section: Discussionmentioning

confidence: 99%

Health Characteristics of Elderly Japanese Requiring Care at Home

Nishiwaki

Nakamura

Ueno

et al. 2005

Tohoku J. Exp. Med.

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The number of elderly subjects requiring care is rapidly increasing, however, their health status has not been well studied. The purposes of this study were to describe the health characteristics of the elderly at home who were using long-term care insurance, and to clarify factors that influence dependence for activities of daily living (ADL). The subjects were 194 elderly people living at home, who were approved for care. The items surveyed were the demographic characteristics, care level (or level of dependence for ADL), Barthel index, grip strength, thigh muscle volume, cognitive impairment using the mini-mental state examination (MMSE), depressed mood using the geriatric depression scale (GDS-15), and serum albumin and hemoglobin levels. The grip strength (p = 0.0001), thigh muscle volume (p = 0.0030), MMSE score (p = < 0.0001) and serum albumin level (p = < 0.0001) decreased, while the GDS-15 score (p = 0.0142) increased with deteriorating care levels. The proportion of subjects not requiring assistance for the items "bathing" and "stair-climbing" in the Barthel index was markedly low in the subjects belonging to the relatively low (mild) care levels. The logistic regression analysis showed that factors associated with dependence for "bathing" and "stair-climbing" were the use of day-services, male sex, decline of grip strength, and a high GDS-15 score. In conclusion, it is important to strengthen the muscles of the upper half of the body, and to correct depressed moods for maintaining levels of ADL in the elderly requiring care at home.

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Section: Discussionmentioning

confidence: 99%

Health Characteristics of Elderly Japanese Requiring Care at Home

Nishiwaki

Nakamura

Ueno

et al. 2005

Tohoku J. Exp. Med.

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“…Though, the prognostic value of the GNRI is based not only on measurement of serum albumin but also on degrees of weight loss that were considered when setting its cutoff values [17]. Moreover, we highlight that, according to the general tendency of the elderly to badly adapt to both calorie restriction and malnutrition and to lose more lean body mass than adipose tissue [15,23,24 ], a normal value (¼1) for the (actual weight/ideal weight) factor was established for a BMI above 22 kg/m 2 , a level that is considered to define the old patient 'at nutritional risk' [25,26 ].…”

Section: Geriatric Nutritional Risk Index: Structure and Purposesmentioning

confidence: 96%

The geriatric nutritional risk index

Cereda

Pedrolli²

2009

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

147

106

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In maths of nutrition 'recognize and treat' has become a clinical imperative. Actually, clinical judgement by an expert is still considered the reference standard to diagnose malnutrition but the use of simplified tools profitably assists in nutritional risk screening process. The GNRI is easy to use and preliminary results show that it is promising. Its routine application, next to the other validated tools already available, might be enforced in the assessment of the old patient.

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“…Older patients who are malnourished on admission are at markedly higher risk of life‐threatening complications during hospitalization. Admission to an extended care facility is associated with unplanned weight loss and poor nutrition due to dementia, sensory loss, polypharmacy, and comorbidities 25 – 27 . Elders who depend on feeding assistance at meals are much more likely to lose weight than those who are able to eat independently.…”

Section: Malnutritionmentioning

confidence: 99%

Counteracting the Trajectory of Frailty and Sarcopenia in Older Adults

Litchford

2014

Nut in Clin Prac

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Food preservation technologies and medical advances in the past 50 years have contributed to safeguarding the health and prolonging the lives of individuals worldwide. However, living longer does not automatically equate with being healthy, living independently, making judicious decisions, or setting goals and achieving them. Most adults will experience 1 or more health problems with lingering consequences. It is the impact of the disease or injury that determines overall well-being and quality of life. Frailty, sarcopenia and malnutrition have been identified as common geriatric syndromes associated with functional decline, disability, hospitalization, institutionalization, and mortality. The evidence demonstrates that these geriatric syndromes could be prevented or the course of the syndrome altered through prevention strategies. Since these syndromes often present concurrently, it is prudent for healthcare professionals to recognize the interrelationships and clinical implications of these syndromes to employ tactics to promote desirable outcomes.

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Lack of adaptation to severe malnutrition in elderly patients

Cited by 53 publications

References 46 publications

Health Characteristics of Elderly Japanese Requiring Care at Home

Health Characteristics of Elderly Japanese Requiring Care at Home

The geriatric nutritional risk index

Counteracting the Trajectory of Frailty and Sarcopenia in Older Adults

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