Malnutrition and Depressive Symptoms in Elderly Palliative Care Patients

Efendioğlu, Eyyüp Murat; Çiğiloğlu, Ahmet; Türkbeyler, İbrahim Halil

doi:10.1177/08258597211045500

Cited by 7 publications

(3 citation statements)

References 40 publications

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“…In a recent study including 319 patients in our country, patients receiving palliative care were screened according to the nutrition risk screening 2002 and malnutrition was detected in 58.6% of the patients [23]. Another study conducted among 136 geriatric palliative care patients in our country showed that 39.7% of the patients had malnutrition and 47.1% were at risk of malnutrition [24]. In studies conducted among patients receiving long-term care, this rate varied widely between 12.5% and 78.9% [25,26].…”

Section: Discussionmentioning

confidence: 99%

Frequency of malnutrition and associated risk factors in geriatric patients in a palliative care unit

Akpinar,

Cil,

Taşar

et al. 2024

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Introduction:Our study aimed to determine the frequency of malnutrition and associated risk factors in older patients receiving palliative care. Material and methods:This prospective cross-sectional study was performed with older patients hospitalized and treated in the palliative care unit of our university between December 1, 2022 and June 1, 2023. The demographic characteristics of the patients, reasons for palliative care admission, and the referring unit were recorded. The patients' nutritional status was assessed using the full mini nutritional assessment (MNA) and the geriatric nutritional risk index (GNRI). Selected laboratory parameters were recorded at admission to the palliative care unit. Results:The 371 patients included in the study had a median age of 74 years and 58.5% were female. Malnutrition was detected more frequently in geriatric palliative care patients with cerebrovascular disease, malignancy, dementia, and congestive heart failure. Malnutrition was detected in 69.32% of the patients according to GNRI and in 64.80% according to MNA. Prealbumin had the highest specificity (92.3%) at a cut-off value of 0.175 mg/dl. The multivariate logistic regression model created with these variables showed that female sex, Ca, Cl, prealbumin, and hemoglobin were significant independent risk factors for malnutrition (p < 0.05). Female sex was associated with 2.5 times higher odds of malnutrition. Conclusions:The prevalence of malnutrition was found to be high among geriatric palliative care patients in our study. The geriatric nutritional risk index can be used to diagnose malnutrition in immobile older palliative care patients and may be applied in routine patient follow-up to help improve quality of life.

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Section: Discussionmentioning

confidence: 99%

Frequency of malnutrition and associated risk factors in geriatric patients in a palliative care unit

Akpinar,

Cil,

Taşar

et al. 2024

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“…Based on the daily caloric needs of the patients followed up in our palliative care center, it is aimed to provide carbohydrate, protein, fat, essential amino acid, vitamin, and mineral balances by considering their accompanying co-morbidities and laboratory findings (16). It has been shown that meeting adequate nutritional needs is effective in increasing the quality of life in elderly individuals and in preventing depression (17). Even when our patients' daily needs were calculated (18), it was observed that most of the patients could tolerate only 50%-75% of that.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Nutritional Status and Results of Patients Followed in the Palliative Care Center

Yılmaz Çakmak,

Yalçıntaş,

Kahveci

2024

Kocatepe Tıp Dergisi

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OBJECTIVE: The aim of this study is to examine the nutritional status and results of the patients followed in the palliative care center. MATERIAL AND METHODS: 250 consecutive patients who were hospitalized in the palliative care center were included in this study. The patients were grouped according to their nutritional status during hospitalization and discharge. RESULTS: The mean age of the patients subjected to this study is 73±19.22 years. Out of these patients, 125 are female. The average daily calorie requirement of the patients was calculated as 1463.71±21.55 kcal/day, while the maximum tolerated calorie intake was determined to be 1030.54 ±320.54 kcal/day in our patient (P =0.039). No significant change was detected between the calculated calories and the calories consumed by diabetic individuals (P = 0.083). When the nutritional patterns were examined, it was determined that 51.60 % of the patients were orally fed at the time of admission to the palliative care center, the rate of patients fed with a Percutan gastrostomy (PEG)/Percutan jejunostomy (PEJ)/nasogastric tube was 32.05%, and 13.21% of the patients fed total parenteral nutrition (TPN). 67.06% of the patients were discharged with oral feeding, 30.53% with PEG/PEJ/nasogastric tube and 4 (2.39%) with long-term TPN feeding methods. When the patients were divided into percentages according to their calorie consumption, we found that the hospitalization day was significantly shorter in the group consuming 0-25 percentile calories (P = 0.021) but had a significantly higher rate of mortality (%71.42) (P=0.018). In the group with 50-75 percentile calorie intake, mortality was observed significantly at the lowest rate during hospitalization, with 14 (13.59%) patients. (P=0.003). Infections (28.57%) were significantly higher in the 0-25 group (P = 0.051). CONCLUSIONS: At palliative care centers, besides end-of-life management, all needs of patients should be identified. Instead of making strict calorie calculations, it is necessary to develop new nutritional goals compatible with all patients.

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“…Malnutrition, risk of malnutrition, and depressive symptoms often occur among patients, and the relationship between them was statistically significant. Thus, the quality of life of cancer patients could be improved by providing adequate nutrition and psychological support [15]. The functional consequences of malnutrition not only cause physical changes but also psychological changes such as depression, anxiety, irritability, apathy, poor sleep patterns, and loss of concentration [16].…”

Section: Introductionmentioning

confidence: 99%

Dietary Intake Is Not Associated with Body Composition nor with Biochemical Tests but with Psychological Status of Cancer Patients Receiving Chemotherapy

Subih,

Al-Shwaiyat,

Al-Bayyari

et al. 2023

Nutrients

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Chemotherapy can negatively affect cancer patients’ eating patterns, psychological status, body composition, and quality of life. In this study, we aimed to investigate the correlations between dietary intake/care and the psychological status of cancer patients treated with chemotherapy. An observational study was conducted on 75 participants during their first cycle of chemotherapy treatment, and they were followed up for three cycles. Each participant completed a reliable validated questionnaire, psychological questionnaire, quality of life questionnaire, and three-day food records. Dietary intake was considered adequate if there was an adherence of participants to dietary recommendations offered by the dietitian and was confirmed by ESHA analysis software (version 10.6.3). Seventy-five percent of participants had inadequate nutrition intake. All anthropometric measurements decreased after 2 months of chemotherapy regardless of patients’ dietary intake. Approximately half of the participants reported depression and anxiety. There were significant differences between all nutrient intake levels when compared to the recommended dietary allowance except for fat, unsaturated fatty acids, and iron. Also, there were associations between nutritional intake and life quality and depression. In conclusion, poor dietary intake was associated with depression and insufficient macro- and micronutrient intake. Emotional and nutritional support from healthcare providers and family are highly necessary.

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Malnutrition and Depressive Symptoms in Elderly Palliative Care Patients

Cited by 7 publications

References 40 publications

Frequency of malnutrition and associated risk factors in geriatric patients in a palliative care unit

Frequency of malnutrition and associated risk factors in geriatric patients in a palliative care unit

Evaluation of the Nutritional Status and Results of Patients Followed in the Palliative Care Center

Dietary Intake Is Not Associated with Body Composition nor with Biochemical Tests but with Psychological Status of Cancer Patients Receiving Chemotherapy

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