Micronutrient intake in elderly living in nursing homes

Assis, Bruno Santos de; Jairza, Jairza Maria Barreto-Medeiros; Lopes, Jamile Almeida; Roriz, Ana Karla Carneiro; Melo, Adriana Lima; Previdell, Agatha; Aquino, Rita de Cássia de; Ramos, Lílian Barbosa

doi:10.20960/nh.1348

Cited by 16 publications

(15 citation statements)

References 32 publications

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“…Selenium supplementation improves blood glucose and blood insulin levels, and inhibits gluconeogenesis in diabetic rats [33,34]. The Se concentration expected to maximize seleno-enzyme antioxidant activity has been determined to be 95 mg/L on average (range 89-114 mg/L) [36][37][38], i.e. very similar to the level attained in our study experiment.…”

Section: Discussionsupporting

confidence: 77%

Selenium Supplementation in Obese Patients with Subclinical Hypothyroidism and Type 2 Diabetes

Guarino¹,

Ragozzino²,

T³

et al. 2018

Journal of Nutrition and Health Sciences

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Morbid obesity is associated with multiple co-morbidities, such as type 2 diabetes mellitus (T2DM), hypertension (HT), dyslipidemia (DL), and obstructive sleep apnea syndrome [1]. It is not commonly appreciated that morbid obesity is also associated with an increased prevalence of subclinical hypothyroidism (SH). The underlying pathophysiology of obesity related SH is not completely understood. High leptin levels and insulin-resistance appear to play a role, possibly by inducing a reset of the central thyrostat [2]. In the general population SH is diagnosed 3-4 times more frequently in women than in men and its prevalence varies from 4 to 9%, and it [3,4]. SH is associated with an increased risk of death from all causes as well as from cardiovascular diseases (CVD) [3]. The prevalence of hypothyroidism appears to be higher in morbidly obese than in not obese patients [3]. SH-related hypercholesterolemia (HC), impaired left ventricular diastolic function, endothelial dysfunction and increased C-reactive protein levels have been proposed as etiologic factors [5]. Consideration of thyroid hormone treatment for SH in the general population is gaining in strength [3] and in obese patients with additional risks of CVD the indication for SH treatment may even be stronger.

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Section: Discussionsupporting

confidence: 77%

Selenium Supplementation in Obese Patients with Subclinical Hypothyroidism and Type 2 Diabetes

Guarino¹,

Ragozzino²,

T³

et al. 2018

Journal of Nutrition and Health Sciences

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“…Femur fracture patients within SG are significantly less self-sufficient than within CG 2. Furthermore, the level of care is significantly higher within SG, which is considered to be one of the highest risks for AA deficiency [27,29]. These connections can also be demonstrated in this study, since a moderate and significant correlation was found between the access of daily nutrition and the preoperative AA status within SG.…”

Section: Ascorbic Acid Statussupporting

confidence: 77%

“…One of which is that the preoperative living conditions within the SG are less independent. Femur fracture patients more often live in a nursing home or in ambulatory care, which significantly limits their access to food and increases the risk of malnutrition [27] and AA deficiency [28]. Femur fracture patients within SG are significantly less self-sufficient than within CG 2.…”

Section: Ascorbic Acid Statusmentioning

confidence: 99%

Preoperative Ascorbic Acid Levels in Proximal Femur Fracture Patients Have No Postoperative Clinical Impact, While Ascorbic Acid Levels upon Discharge Have a Major Effect on Postoperative Outcome

Hill-Mündel

Schlegl²,

Biesalski

et al. 2019

JCM

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Proximal femur fractures show a high prevalence in elderly patients and are associated with an elevated risk of multimorbidity and early mortality. Recovery is impaired by malnutrition and oxidative stress, which is affected by antioxidants such as ascorbic acid (AA). This study monitored AA levels during hospitalization of patients with a proximal femur to investigate the influence of AA status to the clinical outcome. AA levels of 25 elderly patients with a proximal femur fracture were measured during hospitalization using high performance liquid chromatography. Plasma samples were collected preoperatively, on the first day after surgery, on the third day after surgery and on the day of discharge. Nutritional Risk Screening 2002 (NRS) and Mini Nutritional Assessment (MNA) were assessed to evaluate the nutritional status. In patients with proximal femoral fractures, preoperative AA concentrations were significantly lower compared to elderly patients without an acute fracture. A significant decrease of 33.8% in AA plasma level was measured on the day after surgery with a significant recovery up to the time of discharge. The preoperative AA status did not have any significant effect on clinical outcome. However, inadequate AA levels (<50 µmol/L) upon discharge significantly increased the incidence and the severity of postoperative complications. These results indicate that the AA status upon discharge has a greater impact on clinical outcome than assumed, and therefore, AA supplementation during hospitalization should be considered.

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“…Comparisons with findings of the few previous studies in LTC homes are hampered by differences in dietary assessment methods, dietary recommendations considered, and databases used [11,35,36,37,38]. However, although results vary among studies, the observation of inadequate intakes in institutionalized elderly people has been a frequent finding.…”

Section: Discussionmentioning

confidence: 99%

“…Sarcopenia, the loss of muscle mass and muscle function associated with age [5], is associated with a low intake of energy and nutrients (e.g., protein, specific micronutrients), which appears to influence muscle mass (muscle quantity and quality) and function (strength and walking speed) [6,7,8,9,10]. Given that nutritional deficiencies do not generate clinical manifestations during early stages, monitoring of the dietary intake of residents is recommended to prevent severe deficiencies [11]. Various dietary assessment methods have been used to monitor dietary intake in institutionalized elderly people, but the precise weighing technique is established as the gold standard approach [12].…”

Section: Introductionmentioning

confidence: 99%

Dietary Intake and Associated Factors in Long-Term Care Homes in Southeast Spain

2019

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Diet is a key modifiable factor in the management of malnutrition and age-related diseases such as sarcopenia, an important issue in long-term care homes. The objectives of this study were to evaluate the dietary intake of residents, define dietary patterns, and analyze their association with sex, diet texture, nutritional status, and the presence of sarcopenia. Intake was assessed by the precise weighing method, dietary patterns were defined a posteriori by cluster analysis, and nutritional status and sarcopenia were evaluated by applying the MNA-SF test and EWGSOP algorithm, respectively. A regular diet was consumed by 63% of participants; 56% were at risk of malnutrition and 63% were diagnosed with sarcopenia. Intake of potassium, magnesium, zinc, iodine, vitamin D, E, folic acid, and fiber was low in >80% of participants. Protein intake was <1 g/kg/day in 56% of participants and <25 g/meal in 100%. Two dietary patterns were identified, but neither fully met recommendations. The risk of a poorer diet was higher in females and residents with sarcopenia and was lower in those consuming regular diets. In conclusion, action is required to improve the inadequate nutritional intake of long-term care residents.

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Micronutrient intake in elderly living in nursing homes

Cited by 16 publications

References 32 publications

Selenium Supplementation in Obese Patients with Subclinical Hypothyroidism and Type 2 Diabetes

Selenium Supplementation in Obese Patients with Subclinical Hypothyroidism and Type 2 Diabetes

Preoperative Ascorbic Acid Levels in Proximal Femur Fracture Patients Have No Postoperative Clinical Impact, While Ascorbic Acid Levels upon Discharge Have a Major Effect on Postoperative Outcome

Dietary Intake and Associated Factors in Long-Term Care Homes in Southeast Spain

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