Nutrition and prevalence of undernutrition assessed by different diagnostic criteria in nursing homes for elderly people

López-Contreras, María José; Torralba, C.; Zamora, Salvador; Pérez‐Llamas, Francisca

doi:10.1111/j.1365-277x.2012.01237.x

Cited by 19 publications

(21 citation statements)

References 33 publications

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“…Mid-upper arm circumference indicates skeletal muscle protein mass and shows malnutrition when it is under 10th percentile (Lopez-Contreras, Torralba, Zamora, et al, 2012). It was determined that most elderly men were malnourished or at risk of malnutrition; elderly women however had better nutritional status based on MUAC.…”

Section: Nutritional Statusmentioning

confidence: 99%

Nutritional status and dietary intake of institutionalized elderly in Turkey: A cross-sectional, multi-center, country representative study

Ongan

Rakıcıoğlu

2015

Archives of Gerontology and Geriatrics

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Section: Nutritional Statusmentioning

confidence: 99%

Nutritional status and dietary intake of institutionalized elderly in Turkey: A cross-sectional, multi-center, country representative study

Ongan

Rakıcıoğlu

2015

Archives of Gerontology and Geriatrics

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“…Diversos tipos de asistencia social se ofrecen a esta población vulnerable, tales como: asilos -centro donde se atiende de manera integral las 24 horas del día los 365 días del año a personas adultas mayores-; residencias de día -centro donde se atienden adultos mayores que no pueden permanecer solas en sus domicilios y requieren de atención integral especializada-; y centros culturales, lugares donde los adultos mayores pueden utilizar productivamente el tiempo libre, realizando actividades culturales y recreativas 3 . Durante el envejecimiento se presentan cambios en muchas funciones corporales, entre ellos los cambios en la composición corporal, caracterizados por pérdida de la masa magra e incremento relativo de la masa grasa 4 , situación que ubica al adulto mayor en riesgo de desnutrición, producida tanto por una ingesta insuficiente de macronutrimentos y micronutrimentos, así como también por la presencia de enfermedades agudas y/o crónicas 5 . En México, según la ENSANUT 2012; el 6,9% de la población de adultos mayores cursan con desnutrición, el 42,4% sufren de sobrepeso y el 28,3% de obesidad 6 .…”

Section: Citaunclassified

“…El AMB e ICT se calcularon con las siguientes fórmulas 25,26 . La aplicación de herramientas de tamizaje nutricional en los distintos centros de asistencia social es de suma importancia para detectar el riesgo y la presencia de desnutrición en los adultos mayores, independientemente del formato empleado 5,15 .…”

Section: Citaunclassified

Estado nutricional en adultos mayores mexicanos: estudio comparativo entre grupos con distinta asistencia social

Osuna-Padilla

Verdugo-Hernández

Leal-Escobar

et al. 2015

Rev Esp Nutr Hum Diet

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Introducción: Evaluar la presencia de desnutrición y obesidad en adultos mayores con distintos tipos de apoyo social en Sinaloa, México. Material y métodos: Estudio comparativo, observacional, prospectivo y transversal en 91 adultos mayores. Se determinó el peso corporal, la estatura y medidas antropométricas. Se aplicó el Mini Nutritional Assessment (MNA). Se estimaron los promedios y las desviaciones estándar, así como la distribución de las diferencias entre las mediciones antropométricas y los resultados del MNA de las distintas poblaciones. Se analizaron los datos con las pruebas de KruskalWallis y Ji-cuadrado 2 . Se utilizó el coeficiente de Pearson para evaluar la correlación entre indicadores antropométricos con MNA. Se consideró significancia estadística un valor de p<0.05. Resultados: La muestra estudiada incluyó 91 adultos mayores: 35 usuarios de una casa de día, 28 miembros de un centro cultural, y 28 residentes de dos asilos. Se observó una prevalencia de desnutrición del 32,1%, 14,3% y 3,5% en institucionalizados, casa de día y adultos independientes, respectivamente. Un 93,2 % de la población estudiada padecía acúmulo de grasa a nivel visceral según el índice de cintura talla (ICT). El índice de masa corporal (IMC) y la circunferencia de la pantorrilla (CP) se correlacionaron significativamente con MNA (p<0.05). Conclusiones: Se observó una mayor prevalencia de desnutrición en la población residente de asilos y en los usuarios de casas de día, principalmente en mujeres y población mayor de 80 años de edad. El exceso de tejido adiposo prevalece en la tercera edad. Es necesaria la implementación de estrategias nutricionales específicas para este grupo de edad. Results: 91 elderlies were evaluated: 35 users of a day House, 28 members of a cultural centre, and 28 residents of two nursing homes. There was a prevalence of malnutrition of 32.1% in the institutionalized, 14.3% on the day house, and 3.5% in independent adult. Obesity were diagnosed in 93.2% of people by Waist/Height Ratio. Good correlations were found between body mass index (BMI) and calf circumference (CC) with MNA (p<0.05). Conclusions: High prevalences of undernutrition were found in nursing homes and user of day homes, with major risks in womans and people major of 80 years. The implementation of nutritional interventions depending on the type of social assistance received is required. PALABRAS CLAVE

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“…Yet malnutrition is highly prevalent in institutionalised older people [12]– [15] as a result of poor appetite, reduced food intake, effects of medical conditions and medications, and even provision of nutritionally inadequate diets [14]. Although improvements in immune function with nutrient supplementation have been reported [16], [17], few studies have investigated the relationship between poor immune function and nutritional intake, serum nutrient status, body composition and/or other markers of poor nutrition such as serum albumin levels [18], [19].…”

Section: Introductionmentioning

confidence: 99%

Immunological and nutritional factors in elderly people in low-level care and their association with mortality

Woods

Iuliano-Burns

2013

Immun Ageing

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BackgroundThis study examines associations between markers of nutritional status and lymphocyte subsets and seeks to determine if lymphocyte profile is predictive of survival in elderly Australians residing in aged care facilities. Aged yet still ambulatory subjects (n = 88, 73% female) living in low-level care and requiring minimal assistance were studied for 143 weeks. At baseline when participants were aged (mean ± SD) 86.0 ± 5.9 years, dietary intake was determined by 3-day weighed food record, body composition was assessed by dual energy X-ray absorptiometry (DXA) and a venous blood sample was taken.ResultsAt baseline assessment, study participants were consuming nutrient-poor diets and most had symptoms of chronic disease. Although overweight, 40% exhibited sarcopenia. Markers of nutritional status did not relate closely to immune cell numbers (absolute or relative), which on average were within the normal range. Men had lower numbers of CD3+CD4+ cells (CD4+ T cells), a higher proportion of CD3− CD16± CD56± (natural killer (NK) cells) and a higher ratio of NK: CD4+ T cells than women (all P < 0.05). The main age-related changes evident were decreased T cells, particularly low CD4+ T cell counts, and increased numbers of CD19+ (B-cell) and NK cells. During the 143 week duration of follow-up, about one quarter of the study participants died, with death more likely in men than women (P < 0.01). Poor survival was predicted by the presence of decreased numbers of CD4+ T cells (hazard ratio (HR) 0.919, P < 0.01) and expanded numbers of NK cells (HR 1.085, P < 0.05) in the blood, and therefore the presence of a high NK: CD4+ T cell ratio (HR 30.521, P < 0.01).ConclusionsThe NK: CD4+ T cell ratio may potentially have clinical utility for predicting longevity in elderly populations. Further studies are needed in other elderly populations to confirm this finding.

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Nutrition and prevalence of undernutrition assessed by different diagnostic criteria in nursing homes for elderly people

Abstract: Research needs to focus on the development and evaluation of specific nutritional assessment tools for application to older people aiming to improve the detection of those suffering (or who are at risk of suffering) undernutrition.

Cited by 19 publications

References 33 publications

Nutritional status and dietary intake of institutionalized elderly in Turkey: A cross-sectional, multi-center, country representative study

Nutritional status and dietary intake of institutionalized elderly in Turkey: A cross-sectional, multi-center, country representative study

Estado nutricional en adultos mayores mexicanos: estudio comparativo entre grupos con distinta asistencia social

Immunological and nutritional factors in elderly people in low-level care and their association with mortality

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