Nutrition risk factors for institutionalization in a free-living functionally dependent elderly population

Payette, Hélène; Coulombe, Carole; Boutier, V; Gray‐Donald, Katherine

doi:10.1016/s0895-4356(99)00186-9

Cited by 141 publications

(80 citation statements)

References 41 publications

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“…Significant risk factors for functional deterioration include older age, comorbidies (diabetes, hypertension, lung disease, psychiatric disease), low education, weight loss, and lack of vigorous exercise. Because frail individuals tend to be older and are characterized by chronic conditions and weight loss, these characteristics are consistent with geriatric literature on functional limitation risk factors (42,43). Low education may be a surrogate for poor health, which puts a person at risk for functional decline (44 -46).…”

Section: National Studies On the Economic Costs Of Arthritissupporting

confidence: 86%

The costs of arthritis

Dunlop¹,

Manheim²,

Yelin³

et al. 2003

Arthritis & Rheumatism

134

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Section: National Studies On the Economic Costs Of Arthritissupporting

confidence: 86%

The costs of arthritis

Dunlop¹,

Manheim²,

Yelin³

et al. 2003

Arthritis & Rheumatism

134

View full text Add to dashboard Cite

“…26) Another factor is that elderly people, who make up a large proportion of HF patients, are generally more likely to experience malnutrition. 27,28) However, since HF presents with a complex pathology, it is often difficult to interpret nutritional evaluations.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Transthyretin Combined With Mini Nutritional Assessment on Admission Provides Useful Prognostic Information in Patients With Acute Decompensated Heart Failure

et al. 2015

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SummaryDecreased Transthyretin (TTR) can be observed in heart failure patients with malnutrition evaluated by the Mini Nutritional Assessment (MNA). This study investigated whether a combination of different nutritional assessment methods would be useful for assessing prognosis in patients with acute decompensated heart failure (ADHF).This prospective study included 52 patients with ADHF (mean age, 71.1 ± 14.7 years; men 55.8%) who were admitted to our hospital between June 2012 and August 2013. On admission, nutritional status was evaluated according to levels of TTR and the MNA. Of 52 patients, 28 (53.8%) had TTR < 15 mg/dL, 39 (75.0%) had malnutrition or were at risk of malnutrition (MNA score ≤ 23.5), and 21 (40.4%) were categorized into group L (MNA score ≤ 23.5 and TTR < 15 mg/dL). Readmission due to worsening heart failure occurred in 12 patients (23.1%), and there were 4 (7.7%) allcause deaths. The 1-year event-free survival rates in group L and the remaining patients (group O) were 27.7% and 85.6%, respectively (P = 0.001). Using Cox multivariate analysis, group L also had a poorer prognosis (hazard ratio 4.35, 95% confidence interval 1.26-17.74, P = 0.020).MNA revealed that 75% of patients with ADHF had malnutrition or were at risk of malnutrition. The combination of low MNA and low TTR on admission can predict the prognosis of patients with ADHF. (Int Heart J 2015; 56: 226-233)

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“…The prevalence of unintentional weight loss in the population of older veteran outpatients was 13.1% [24]. For high risk populations such as free-living frail elderly people who received community services the prevalence could be as high as 27% [5]. And over 5-10 years, about 15% -20% experienced weight loss [25,26,27].…”

Section: Discussionmentioning

confidence: 99%

“…Unintentional weight loss is a common and long-term health concern in elder people which is difficult to diagnosis. It was said that 13% of ambulatory patients and more than 50% nursing-home residents were affected by unintentional weight loss [4], for adult outpatients up to 8% encountered in weight loss [1] and for frail people aged 65 years and older, nearly 30% experienced weight loss [5].…”

Section: Introductionmentioning

confidence: 99%