Nutritional risk and health care use before and after an acute hospitalization among the elderly

Feldblum, Ilana; German, Larissa; Bilenko, Natalya; Shahar, Avner; Enten, Roni; Greenberg, Dan; Harman, I; Castel, Hana; Shahar, Danit R.

doi:10.1016/j.nut.2008.10.016

Cited by 33 publications

(25 citation statements)

References 24 publications

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“…For example German et al reported a 28% frequency for depression and a higher rate of malnutrition presence in these depressed patients older than 65 years of age (15). Similarly Feldblum et al reported a malnutrition rate of 18.5% with mini nutritional assessment in a patient group of 259 patients older than 65 years of age (16,17). These patients were also found to have the highest depressive scores.…”

Section: Resultsmentioning

confidence: 97%

Association of Nutritional Status with Depression and Sleep Disorders in Elderly End Stage Renal Disease Patients - Does Chronic Inflammation Cause it all?

Bilgic¹,

Ibis²,

Tutal³

et al. 2012

Turk Neph Dial Transpl

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OBjEcTIvE: In our study we aimed to analyze the association between nutritional status and depression and sleep disturbance in elderly dialysis patients. mATErIAl and mEThOdS: Seventy-three patients receiving dialysis treatment older than 65 years of age were enrolled in this study. Nutritional status was determined by Subjective Global Assessment (SGA). Patients were also evaluated with Beck Depression Inventory and Pittsburg Sleep Quality Index. Demographic and laboratory data were recorded.rESulTS: According to SGA, 48 (65.8%) patients were well nourished and 25 (34.2%) patients had mild-moderate and severe malnutrition. When the well-nourished and malnourished patients were compared, the well-nourished group had higher albumin (p<.0001) and creatinine (p=.03) levels, higher body mass indices (p<.01), lower CRP levels (p<.0001), better quality of sleep (p<.0001) and lower depression scores (p<.0001) than the malnourished group. When we grouped patients as Group I (not depressive and good sleep quality), Group II (depressive but good sleep quality) and Group III (both depressive and poor sleep quality, we found that Group III had the lowest albumin (p < .0001) and highest CRP (p < .0001) values when compared to the other two groups.cOncluSIOn: Depression, sleep disorders, and the nutritional status are important factors which interact with each other and elderly dialysis patients with malnutrition should be well assessed for the presence of any inflammatory status and/or psychological-sleep disorders.KEy wOrdS: Elderly patients, Dialysis, Malnutrition, Depression, Sleep disorder Öz AmAç: Çalışmamızda yaşlı diyaliz hastalarında beslenme durumu ile depresyon ve uyku bozukluğu arasındaki ilişkiyi incelemeyi amaçladık. gErEç ve yÖnTEmlEr: Çalışmaya diyaliz tedavisi almakta olan 65 yaş üzerindeki 73 hasta alındı. Beslenme durumu "Subjektif Global Değerlendirme (SGD)" ile belirlendi. Hastalar ayrıca "Beck Depresyon Görüşmesi" ve "Pittsburg Uyku Kalitesi İndeksi" ile değerlendirildi. Hastaların demografik ve laboratuvar verileri kaydedildi.BulgulAr: SGD sonuçlarına göre, 48 (%65.8) hastanın beslenme durumu iyi düzeyde iken 25 (%34.2) hasta hafif-orta ve ciddi derecede beslenme bozukluğuna sahipti. Beslenme durumu iyi olan hastalar ile malnutrisyonu olan hastalar karşılaştırıldığında, beslenmesi iyi olan grubun daha yüksek albümin (p<0,0001) ve kreatinin (p=0,03) düzeyleri ile vücut kitle indeksine (p<0,01), daha düşük CRP düzeylerine (p<.0001), daha iyi uyku kalitesine (p<0,0001) ve daha düşük depresyon skorlarına (p<0,0001) sahip olduğu görüldü. Hastaları, Grup I (depresyonu olmayan ve iyi uyku kalitesine sahip), Grup II (depresyonu olan ancak iyi uyku kalitesine sahip), Grup III (depresyonu olan ve kötü uyku kalitesine sahip) şeklinde gruplandığımızda Grup III'ün diğer gruplara kıyasla en düşük albümin (p<0,0001) ve en yüksek CRP (p<0,0001) düzeylerine sahip olduğu bulundu.SOnuç: Depresyon, uyku bozuklukları ve beslenme durumu birbirleriyle ilişkili önemli etkenlerdir ve malnutrisyonu olan yaşlı diyaliz has...

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Section: Resultsmentioning

confidence: 97%

Association of Nutritional Status with Depression and Sleep Disorders in Elderly End Stage Renal Disease Patients - Does Chronic Inflammation Cause it all?

Bilgic¹,

Ibis²,

Tutal³

et al. 2012

Turk Neph Dial Transpl

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“…It has been demonstrated that nutritional risk is present in the elderly at the time of hospital admission and often precedes the appearance of acute illness that resulted in hospitalization 19,34 . However, it cannot be excluded that hospitalization itself is a risk factor for nutritional decline.…”

Section: Discussionmentioning

confidence: 99%

Malnutrition risk and hospitalization in elderly assisted in Primary Care

Rosa

Garces

Hansen

et al. 2017

Ciênc. saúde coletiva

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“…The authors also found a relationship between malnutrition and the inability to shop and prepare meals due to an inability to obtain groceries because of low income or travel difficulties. Feldblum et al (2009) conducted a quantitative study that assessed 240 hospitalized patients and found that 38% were at nutritional risk on admission. It was noted that nutritional risk increased with age, and the authors concluded that there was a correlation between nutritional status and the length of stay, the number of diagnosed problems, and number of physician visits before admission.…”

Section: Review Of Literaturementioning

confidence: 99%

Early Recognition of Malnutrition in the Older Adult: A Quality Improvement Project Using a Standardized Nutritional Tool

Wadas-Enright¹,

King

2015

Journal of Community Health Nursing

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Nutritional risk and health care use before and after an acute hospitalization among the elderly

Cited by 33 publications

References 24 publications

Association of Nutritional Status with Depression and Sleep Disorders in Elderly End Stage Renal Disease Patients - Does Chronic Inflammation Cause it all?

Association of Nutritional Status with Depression and Sleep Disorders in Elderly End Stage Renal Disease Patients - Does Chronic Inflammation Cause it all?

Malnutrition risk and hospitalization in elderly assisted in Primary Care

Early Recognition of Malnutrition in the Older Adult: A Quality Improvement Project Using a Standardized Nutritional Tool

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