Malnutrition and Depression among Community-dwelling Elderly People

Cabrera, Marcos Aparecido Sarriá; Mesas, Arthur Eumann; Garcia, André Ricardo Lopes; Andrade, Selma Maffei de

doi:10.1016/j.jamda.2007.07.008

Cited by 166 publications

(109 citation statements)

References 17 publications

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“…A study of institutionalised British elderly, using the MiniNutritional Assessment and the Geriatric Depression Scale, [18] found a significant association between malnutrition and depression, as did a Brazilian study. [19] The findings in the INK population are consistent with these studies. The burden of poor nutrition may be linked to the dire financial situations in which these individuals find themselves, as the majority of our respondents live below the poverty line, with a household income of <ZAR1 600 per month.…”

Section: Article Discussionsupporting

confidence: 87%

Depressive symptoms in community-dwelling persons aged ≥60 years in Inanda, Ntuzuma and KwaMashu in eThekwini, KwaZulu-Natal

2015

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Corresponding author : J Narainsamy (narainsamyjay21@yahoo.com) Background. Physical and psychological ailments increase with age; while the physical ailments are well documented, mental health issues have received less attention. Objective. To determine the prevalence of depressive symptoms and associated risk factors in individuals aged ≥60 years living in a lowresource peri-urban area in South Africa. Methods. Secondary analysis was performed on data obtained from a primary study conducted to determine the influence of socioeconomic and environmental factors on the health status and quality of life in older persons living in the Inanda, Ntuzuma and KwaMashu (INK) area. The Center for Epidemiologic Studies Short Depression Scale (CES-D 10) was used to screen for depressive symptoms in the week preceding the interview, and respondents were categorised as having no (score <10), mild (10 -14), or severe (>14) depressive symptoms. Risk factor associations were tested using Pearson's χ 2 tests and logistic regression. Results. There were 1 008 respondents (mean (standard deviation) age 68.9 (7.4) years), of whom 503 (49.1%) did not meet criteria for depressive symptoms. Of the 505 (50.1%) respondents who met the CES-D 10 criteria for depressive symptoms, 422 (41.9%) had mild and 83 (8.2%) had severe depressive symptoms. In the univariate analysis, significant associations were found with age (p=0.011), household size (p=0.007), income (p=0.033), disability (p=0.001), nutritional status (p≤0.001), the inability to count on family (p=0.008) and lack of mastery (p≤0.001). In direct binary logistic regression, there were significant associations with lack of mastery (p≤0.001), inability to count on family (p=0.027), malnutrition (p≤0.001) and household size (p=0.024). Conclusion. This study highlights the high prevalence of depressive symptoms in the elderly in the INK area, and the need to promote successful ageing of the elderly population in this area.

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Section: Article Discussionsupporting

confidence: 87%

Depressive symptoms in community-dwelling persons aged ≥60 years in Inanda, Ntuzuma and KwaMashu in eThekwini, KwaZulu-Natal

2015

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“…The lack of corresponding effects of age by MNA scores on performance-based functions, on the other hand, might be explained from the perspective of nutritional effects on the psychological state. On the basis of findings that malnutrition may induce depression [28], we speculate that the malnourished individuals underestimated their actual capacity. Cachexia, i.e.…”

Section: Discussionmentioning

confidence: 90%

Nutritional status and self-reported and performance-based evaluation of physical function of elderly persons in rural Bangladesh

Ferdous

Cederholm

Razzaque

et al. 2009

Scand J Public Health

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Aim: To investigate the impact of nutritional status on self-reported as well as performance-based indicators of physical function in a rural elderly population in Bangladesh. Methods: A cross-sectional study conducted in Matlab, Bangladesh, included 457 randomly selected community-living elderly persons aged 60 years or more (60-92 years; 69 AE 7 years). Mobility, activities of daily living (ADL), performance tests, handgrip strength, the Mini Nutritional Assessment (MNA) and a structured questionnaire were used to assess physical function, nutritional status, socioeconomic status and health status, respectively. Descriptive and linear hierarchical regression analyses were applied. Results: Seven per cent of the participants reported limitations in mobility, and 8% reported limitations in ADL. However, more than half of the participants had difficulties in performing one or more items in the performance tests. According to the MNA, 26% of the participants were undernourished and 62% were at risk of malnutrition. More undernourished participants than well-nourished participants reported limited mobility, impaired ADL and difficulties in the performance tests. A corresponding reduction in grip strength was observed in the undernourished group. Accordingly, higher MNA scores, indicating better nutritional status, were significantly associated with higher mobility index, higher ADL index, higher performance tests index, and higher scores in handgrip strength. These associations remained after adjusting for demographic, socioeconomic and health status differences. Conclusions: Good nutritional status is important for the physical function of elderly people, even after controlling for possible confounders. Performance tests indicated a higher degree of functional impairment than that observed by self-reported estimation.

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“…The assessment of malnutrition risk among the community-living elderly is important for early intervention and prevention, which may contribute to the improvement of the social economy. Nutritional status in the elderly is influenced by various factors, including physical and psychosocial factors (5,6) . Traditional clinically available nutrition-screening tools lack sensitivity and specificity; therefore, to properly evaluate elderly nutritional status, comprehensive assessment tools…”

Section: Community-living Elderly Mini-nutritional Assessment Grip Stmentioning

confidence: 99%

Nutritional status is strongly correlated with grip strength and depression in community-living elderly Japanese

Kaburagi

Hirasawa

Yoshino

et al. 2011

Public Health Nutr.

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Objectives: To evaluate the utility of the Mini-Nutritional Assessment (MNA) in assessing nutritional, physical and psychosocial functions in community-living elderly individuals. Design: A cross-sectional study of elderly individuals investigated in August 2007 and August-September 2008. Nutritional status was assessed using serum biomarkers, anthropometric measurements and the MNA. Physical function was assessed by measuring grip strength and both usual and maximum walking speeds. The Geriatric Depression Scale (GDS) was used to measure the individual's depressive state. Setting: Elder-care facilities in Tokyo, Japan. Subjects: Community-living elderly individuals aged $65 years (n 130). Results: The MNA evaluation classified twenty-seven (20?8 %) individuals as being at risk for malnutrition (MNA score #23?5); these at-risk individuals included a high proportion of the elderly aged $75 years. MNA scores correlated with nutritional biomarkers (total protein, albumin, cholinesterase, Hb) and anthropometric measurements (triceps skinfold, subscapular skinfold, mid-arm muscle area) and exhibited a strong correlation with grip strength and GDS score. Multivariate analysis revealed that grip strength, GDS score, marital status and maximum walking speed are strong predictors of MNA score. Conclusions: The MNA is considerably useful in providing a comprehensive assessment of nutritional status in elderly, community-living Japanese. However, larger-scale epidemiological studies are needed to determine the utility and the appropriate cut-off point of the MNA as a screen for risk of malnutrition. Keywords Community-living elderly Mini-Nutritional Assessment Grip strength DepressionThe proportion of elderly people is increasing markedly around the world. In Japan today, 22?1 % of the total population is $65 years of age, and this statistic is estimated to exceed 33?7 % in 2035. Moreover, the population of very old people (aged $75 years) is expanding to 10?2 % (1) . This demographic shift will change healthcare problems, and continued good health of the elderly population will remain a major challenge in public health (2) . Malnutrition is a common health problem in the elderly, causing a decline in the quality of life. Particularly in community-living elderly, chronic malnutrition is a widespread, but often unrecognized, problem that goes untreated. The prevalence of risk of malnutrition (RM) in the elderly living at home is 24 (SD 0?4) % in a previous review (3) . Reports suggest that 30 % of Japanese community-living elderly individuals are at RM, and 50 % have multiple health problems requiring medical treatment (4) . Increasing health-care expenditures among the elderly is also becoming a serious global socio-economic problem. The assessment of malnutrition risk among the community-living elderly is important for early intervention and prevention, which may contribute to the improvement of the social economy. Nutritional status in the elderly is influenced by various factors, including physical and psychosoc...

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Malnutrition and Depression among Community-dwelling Elderly People

Cited by 166 publications

References 17 publications

Depressive symptoms in community-dwelling persons aged ≥60 years in Inanda, Ntuzuma and KwaMashu in eThekwini, KwaZulu-Natal

Depressive symptoms in community-dwelling persons aged ≥60 years in Inanda, Ntuzuma and KwaMashu in eThekwini, KwaZulu-Natal

Nutritional status and self-reported and performance-based evaluation of physical function of elderly persons in rural Bangladesh

Nutritional status is strongly correlated with grip strength and depression in community-living elderly Japanese

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