Nutritional and Functional Assessment of Hospitalized Elderly: Impact of Sociodemographic Variables

Esmayel, E.M.; Eldarawy, M.M.; Hassan, Mohamed M.; Hassanin, Hassan; Ashour, Walid M. Reda; Mahmoud, Wafaa

doi:10.1155/2013/101725

Cited by 10 publications

(13 citation statements)

References 29 publications

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“…First, clinical examination was not included in the present study to evaluate nutrient deficiency in older adults [7]. Secondly, as suggested by previous studies, other assessment methods such as emotional or functional assessment may also be important for better evaluation of nutritional status among the elderly [555657].…”

Section: Discussionmentioning

confidence: 99%

Impact of socio-demographic factors, lifestyle and health status on nutritional status among the elderly in Taiwan

Poda

Hsu

Rau³

et al. 2019

Nutr Res Pract

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BACKGROUND/OBJECTIVES Aging is an imperative problem for many countries in this century, and presents several challenges for the maintenance of good nutritional status. This study aims to assess the impact of socio-demographic factors, lifestyle and health status on the nutritional status among the elderly in Taiwan. SUBJECTS/METHODS A cross-sectional study was carried out in Taiwan. Data were obtained from the Mei Jau Health Management Institution, which is a private health evaluation provider with multiple health screening centers in Taiwan and Asia. This study included 7947 adults aged 65 years or above. The data were extracted between 2001 to 2010. Nutritional status was assessed using anthropometric data, biochemical data and dietary intake information. RESULTS Among the 7947 participants with mean age of 70.1 (SD = 4.5) years, 20.2%, 6.6%, 10.5% and 52.5% experienced underweight, protein malnutrition, anemia and inadequate dietary intake in the past month, respectively. Age was negatively correlated with body weight (r = −0.19, P = 0.02), body mass index (r = −0.41, P < 0.001), albumin level (r = −0.93, P < 0.001) and hemoglobin level (r = −0.30, P = 0.008). Age above 70 years, gender, unmarried status, retirement, lack of education, low family income, smoking, alcohol drinking, sleep duration of 6-8 hours, vegetarian diet, multiple medications, comorbidity and dysphagia were positively associated with malnutrition in older adults. CONCLUSIONS Underweight and inadequate dietary intake are prevalent among the elderly in Taiwan. Vegetarian diet, multiple medications, comorbidity, dysphagia and lifestyle factors such as smoking, alcohol drinking and sleep duration of 6–8 hours are risk factors for undernutrition in older adults.

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Section: Discussionmentioning

confidence: 99%

Impact of socio-demographic factors, lifestyle and health status on nutritional status among the elderly in Taiwan

Poda

Hsu

Rau³

et al. 2019

Nutr Res Pract

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“…Os participantes da pesquisa apresentaram características que corroboram Motta et al, 15 que ao estudarem 767 idosos de um hospital público de Petrópolis-RJ, identificaram uma população predominantemente feminina (60,50%) com idade entre 60 e 79 anos (77,83%). Esmayel et al 16 estudaram um grupo de 200 idosos hospitalizados e observaram resultados similares, que diferiram somente na frequência dos gêneros, com maior ocorrência do gênero masculino (56%).…”

Section: Discussionunclassified

Funcionalidade global de idosos hospitalizados

Pereira

Souza

Carneiro

et al. 2014

Rev. bras. geriatr. gerontol.

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Objetivo: Identificar a funcionalidade global de idosos submetidos a internação, correlacionando o desempenho para as atividades de vida diária básicas (ABVD) e instrumentais (AIVD) com os principais sistemas funcionais (cognição, humor, mobilidade e comunicação). Métodos: Trata-se de estudo observacional transversal e analítico com a participação de 94 idosos internados em uma clínica médica. Os instrumentos utilizados foram: Escala de Katz, Escala de Lawton & Brody, Miniexame do Estado Mental (MEEM), Escala de Depressão Geriátrica 15 (GDS-15), Teste Timed Up and Go (TUG) e a Avaliação Funcional das Habilidades de Comunicação da Associação Americana de Fonoaudiologia (ASHA FACS). Resultados: Foram avaliados 94 idosos, cuja maioria apresentava algum grau de dependência para ABVD (61,71%) e para AIVD (52,13%). Nos sistemas funcionais, a autonomia mostrou-se preservada, com desempenho médio de 18,14 pontos no MEEM, e de 4,43 pontos na GDS-15; e a independência, alterada, por desempenho médio de 21,82 segundos no TUG, classificando-os com uma mobilidade regular, e de 5,27 pontos na ASHA FACS, considerando-os com a necessidade de auxílio moderado nessa função. Evidenciou-se moderada e significativa associação entre o desempenho para as ABVDs e AIVDs com quase todos os sistemas funcionais. Conclusão: A população estudada apresentou funcionalidade global alterada, devido a algum grau de dependência para as ABVDs e AIVDs, com autonomia preservada e independência prejudicada. As correlações evidenciaram que com o decréscimo dos principais sistemas funcionais, ocorreu declínio da funcionalidade global.

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“…Impairment in Activities of Daily Living (ADL) and in quality of life (QoL) is also associated with malnutrition [63]. Similarly, an association between poor nutritional state and lower Barthel index was demonstrated in hospitalized old patients [74]. Of note, hospitalized patients with malnutrition or at risk of malnutrition showed a weak recovery function in ADL [75].…”

Section: Malnutrition Muscle and Functional Impairment And Quality Of...mentioning

confidence: 99%

Malnutrition in Hospitalized Old Patients: Screening and Diagnosis, Clinical Outcomes, and Management

et al. 2022

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Malnutrition in hospitalized patients heavily affects several clinical outcomes. The prevalence of malnutrition increases with age, comorbidities, and intensity of care in up to 90% of old populations. However, malnutrition frequently remains underdiagnosed and undertreated in the hospital. Thus, an accurate screening to identify patients at risk of malnutrition or malnourishment is determinant to elaborate a personal nutritional intervention. Several definitions of malnutrition were proposed in the last years, affecting the real frequency of nutritional disorders and the timing of intervention. Diagnosis of malnutrition needs a complete nutritional assessment, which is often challenging to perform during a hospital stay. For this purpose, various screening tools were proposed, allowing patients to be stratified according to the risk of malnutrition. The present review aims to summarize the actual evidence in terms of diagnosis, association with clinical outcomes, and management of malnutrition in a hospital setting.

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Nutritional and Functional Assessment of Hospitalized Elderly: Impact of Sociodemographic Variables

Cited by 10 publications

References 29 publications

Impact of socio-demographic factors, lifestyle and health status on nutritional status among the elderly in Taiwan

Impact of socio-demographic factors, lifestyle and health status on nutritional status among the elderly in Taiwan

Funcionalidade global de idosos hospitalizados

Malnutrition in Hospitalized Old Patients: Screening and Diagnosis, Clinical Outcomes, and Management

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