Malnutrition and falls

Vellas, Bruno; Conceição, José; Lafont, Ch.; Fontan, B.; Adoue, D.; Albarède, J. L.

doi:10.1016/0140-6736(90)93150-n

Cited by 36 publications

(17 citation statements)

References 4 publications

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“…In addition to direct effects on bone, malnutrition may increase fracture risk by increasing the likelihood of falls as a result of impaired reaction time and reduced muscle strength and coordination. Vellas et al (27) found that elderly patients who had suffered falls had reduced muscle mass and a poorer profile of serum proteins compared with similar patients who had not fallen. A prospective study of white women in the first National Health and Nutrition Examination Survey found that reduced serum albumin, a sensitive indicator of poor nutritional status, was associated with risk of subsequent hip fracture (28).…”

Section: Discussionmentioning

confidence: 99%

Prospective study of dietary protein intake and risk of hip fracture in postmenopausal women

Munger

Cerhan

Chiu

1999

The American Journal of Clinical Nutrition

345

201

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Background:The role of dietary protein intake in osteoporosis remains controversial. Protein is an important structural component of bone and protein supplementation improves the medical outcome of hip fracture patients, but it is unknown whether protein intake can reduce the incidence risk of hip fracture. Objective: The relation between intake of protein and other nutrients and subsequent incidence of hip fracture was evaluated. Design: Nutrient intake was assessed with a food-frequency questionnaire in a cohort of Iowa women aged 55-69 y at baseline in 1986. Incident hip fractures were ascertained through follow-up questionnaires mailed to participants in 1987 and 1989 and verified by physician reports. Results: Forty-four cases of incident hip fractures were included in the analyses of 104 338 person-years (the number of subjects studied times the number of years of follow-up) of follow-up data. The risk of hip fracture was not related to intake of calcium or vitamin D, but was negatively associated with total protein intake. Animal rather than vegetable sources of protein appeared to account for this association. In a multivariate model with inclusion of age, body size, parity, smoking, alcohol intake, estrogen use, and physical activity, the relative risks of hip fracture decreased across increasing quartiles of intake of animal protein as follows: 1.00 (reference), 0.59 (95% CI: 0.26, 1.34), 0.63 (0.28, 1.42), and 0.31 (0.10, 0.93); P for trend = 0.037. Conclusion: Intake of dietary protein, especially from animal sources, may be associated with a reduced incidence of hip fractures in postmenopausal women.

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Section: Discussionmentioning

confidence: 99%

Prospective study of dietary protein intake and risk of hip fracture in postmenopausal women

Munger

Cerhan

Chiu

1999

The American Journal of Clinical Nutrition

345

201

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“…O processo de urbanização tem papel relevante nas questões relacionadas à saúde e nutrição, pois as diferentes condições de migração contribuem para a caracterização do grupo de idosos como não-homogê-neo, resultante de diferentes exposições aos riscos do ambiente urbano (Solomons & Mazariegos, 1992 A determinação do estado nutricional de idosos abrange uma complexa rede de fatores, além dos econômicos e alimentares, dentre os quais é possível citar o isolamento social e a solidão, as doenças crônicas e/ou incapacidades e as alterações fisiológicas do trato gastrointestinal decorrentes da idade (Solomons, 1992). Têm-se indicado o déficit energético-protéico como fator relacionado à imunossupressão e maior risco de infecções, importante causa de morbi-mortalidade em idosos (Chandra, 1990), e ao aumento de propensão a quedas (Vellas et al, 1990). A magreza excessiva nesta população tem sido apontada como fator mais fortemente associado à mortalidade do que o excesso de peso (Tayback et al, 1990).…”

Section: Discussionunclassified

Perfil antropométrico da população idosa brasileira. Resultados da Pesquisa Nacional sobre Saúde e Nutrição

Tavares

Anjos

1999

Cad. Saúde Pública

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“…Consequences of weight loss, which can vary from 4% to 65%, include an increased risk of infections, number of falls, and length of hospitalization; it even increases mortality risk (8,10,11). Causes of weight loss are summarized in Morley's mnemonic Meals on Wheels (Medication, Emotional, Alcoholism, Late-life paranoia, Swallowing problems, Oral problems, Nasocomial infections, Wandering, Hyperthyroidism, Enteric problems, Eating problems, Lowsalt or low-cholesterol and other diets, Stones and shopping problems) (12) and in Robbin's nine Ds (Dentition, Dysgeusia, Dysphagia, Diarrhea, Disease, Depression, Dementia, Dysfunction, and Drugs) (13).…”

mentioning

confidence: 99%

“…ALNUTRITION and weight loss are often observed in institutionalized elderly persons (1)(2)(3)(4)(5)(6)(7)(8)(9)(10). Consequences of weight loss, which can vary from 4% to 65%, include an increased risk of infections, number of falls, and length of hospitalization; it even increases mortality risk (8,10,11).…”

mentioning

confidence: 99%

Body Weight Changes in Elderly Psychogeriatric Nursing Home Residents

Knoops¹,

Slump²,

Groot³

et al. 2005

The Journals of Gerontology Series A: Biological Sciences and M

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Objective. This study was undertaken to identify predictors of body weight change in nursing home patients with possible to severe dementia.Methods. For 24 weeks, 108 elderly residents of a nursing home were followed. Body weight was measured every 2 weeks. Other anthropometric characteristics, dietary intake, food behavior restrictions, psychological characteristics, medical status, and use of medicines were measured at baseline. Dietary intake was measured with a combined 3-day food record and by observations during the hot meals. Food behavior restrictions were measured following the classification of Berkhout. Dependency was measured by a questionnaire (Care Index Geriatrics), which measures restrictions in cognitive, physical, and social functioning. A generalized linear mixed effects model was used to investigate weight changes over time. The model was adjusted for age and sex.Results. During the follow-up period, 26% of the participants lost and 22% gained at least 2 kg of body weight. Dependency (b ¼ À0.11, 95% confidence interval [CI] ¼ À0.21, À0.01) and decreased appetite (b ¼ À2.17, 95% CI ¼ À4.32, À0.01) were significantly associated with body weight loss, whereas body mass index (b ¼ 2.25, 95% CI ¼ 1.98, 2.51) and intake of fat (b ¼ 0.07, 95% CI ¼ 0.01, 0.15) were predictors of weight gain.Conclusion. Dependency, body mass index, intake of fat, and decreased appetite are significant predictors of body weight changes. MALNUTRITION and weight loss are often observed in institutionalized elderly persons (1-10). Consequences of weight loss, which can vary from 4% to 65%, include an increased risk of infections, number of falls, and length of hospitalization; it even increases mortality risk (8,10,11). Causes of weight loss are summarized in Morley's mnemonic Meals on Wheels (Medication, Emotional, Alcoholism, Late-life paranoia, Swallowing problems, Oral problems, Nasocomial infections, Wandering, Hyperthyroidism, Enteric problems, Eating problems, Lowsalt or low-cholesterol and other diets, Stones and shopping problems) (12) and in Robbin's nine Ds (Dentition, Dysgeusia, Dysphagia, Diarrhea, Disease, Depression, Dementia, Dysfunction, and Drugs) (13).So far, the impact of these factors on body weight changes has been shown in retrospective or comparative studies (7,8,(14)(15)(16)(17)(18). Morley and Kraenzle (18) found in their retrospective study that depression is the most common cause of weight loss in nursing home residents. Gilmore and colleagues (15) found that, in nursing home residents, reduced functional ability, intake of 50% or less of food served for the past 3 consecutive days, and chewing problems were the most prevalent indicators of weight loss.However prospectively, limited knowledge exists on the combined effects of these factors on body weight in institutionalized elderly persons. Therefore, this prospective longitudinal study in nursing home residents aims to identify predictors of body weight changes. METHODS Participants and SettingThe study was conducted in a geriatric nursing...

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Malnutrition and falls

Cited by 36 publications

References 4 publications

Prospective study of dietary protein intake and risk of hip fracture in postmenopausal women

Prospective study of dietary protein intake and risk of hip fracture in postmenopausal women

Perfil antropométrico da população idosa brasileira. Resultados da Pesquisa Nacional sobre Saúde e Nutrição

Body Weight Changes in Elderly Psychogeriatric Nursing Home Residents

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