Nutritional status and related risk factors which may lead to functional decline in community-dwelling Turkish elderly

Akın, Sibel; Şafak, Elif Deni̇z; Çoban, Sibel Arguvanli; Mucuk, Salime; Kiris, Y.; Öztürk, Ahmet; Mazıcıoğlu, Mumtaz M.; Göçer, Şemsinur

doi:10.1016/j.eurger.2014.08.008

Cited by 8 publications

(7 citation statements)

References 20 publications

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“…Numerous cross-sectional studies included in this review reported no association between marital status and malnutrition [ 34 , 37 , 46 , 47 , 50 , 51 , 62 , 70 , 88 , 93 ]. Conversely, other studies, including a recent meta-analysis of longitudinal studies, did report a relationship, whereby not being married was associated with an increased risk of developing malnutrition [ 33 , 42 , 45 , 56 , 73 , 76 , 95 , 99 ].…”

Section: Discussionmentioning

confidence: 99%

Ageing rate of older adults affects the factors associated with, and the determinants of malnutrition in the community: a systematic review and narrative synthesis

et al. 2021

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Background Malnutrition negatively impacts on health, quality of life and disease outcomes in older adults. The reported factors associated with, and determinants of malnutrition, are inconsistent between studies. These factors may vary according to differences in rate of ageing. This review critically examines the evidence for the most frequently reported sociodemographic factors and determinants of malnutrition and identifies differences according to rates of ageing. Methods A systematic search of the PubMed Central and Embase databases was conducted in April 2019 to identify papers on ageing and poor nutritional status. Numerous factors were identified, including factors from demographic, food intake, lifestyle, social, physical functioning, psychological and disease-related domains. Where possible, community-dwelling populations assessed within the included studies (N = 68) were categorised according to their ageing rate: ‘successful’, ‘usual’ or ‘accelerated’. Results Low education level and unmarried status appear to be more frequently associated with malnutrition within the successful ageing category. Indicators of declining mobility and function are associated with malnutrition and increase in severity across the ageing categories. Falls and hospitalisation are associated with malnutrition irrespective of rate of ageing. Factors associated with malnutrition from the food intake, social and disease-related domains increase in severity in the accelerated ageing category. Having a cognitive impairment appears to be a determinant of malnutrition in successfully ageing populations whilst dementia is reported to be associated with malnutrition within usual and accelerated ageing populations. Conclusions This review summarises the factors associated with malnutrition and malnutrition risk reported in community-dwelling older adults focusing on differences identified according to rate of ageing. As the rate of ageing speeds up, an increasing number of factors are reported within the food intake, social and disease-related domains; these factors increase in severity in the accelerated ageing category. Knowledge of the specific factors and determinants associated with malnutrition according to older adults’ ageing rate could contribute to the identification and prevention of malnutrition. As most studies included in this review were cross-sectional, longitudinal studies and meta-analyses comprehensively assessing potential contributory factors are required to establish the true determinants of malnutrition.

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Section: Discussionmentioning

confidence: 99%

Ageing rate of older adults affects the factors associated with, and the determinants of malnutrition in the community: a systematic review and narrative synthesis

et al. 2021

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“…Previous studies have linked malnutrition to increased mortality and functional insufficiency [ 31 , 32 ]. Many studies have used activities of daily living (ADL) and instrumental activities of daily living (IADL) scales for determination of functional status [ 33 – 35 ]. Accordingly, Cavarro-carvajal et al reported that functional capacity (ADL- and IADL-independent) was an independent predictor of nutritional status [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Malnutrition in Community-Dwelling Elderly in Turkey: A Multicenter, Cross-Sectional Study

et al. 2015

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BackgroundThis study aimed to investigate the prevalence of malnutrition and explore the somatic, psychological, functional, and social or lifestyle characteristics linked to malnutrition in elderly people at a hospital in Turkey.Material/MethodsThis study included 1030 patients older than 65 years of age who were seen at the internal medicine and geriatrics outpatient clinics of the study centers in Istanbul, Ankara, Duzce, Corum, Mardin, Malatya, and Diyarbakir provinces between January and December 2014. All patients underwent Mini Nutritional Assessment (MNA) and Geriatric Depression Scale (GDS) tests via one-on-one interview method. The demographic properties of the patients were also recorded during this interview.ResultsAmong 1030 patients included in this study, 196 (19%) had malnutrition and 300 (29.1%) had malnutrition risk. The malnutrition group and the other groups were significantly different with respect to mean GDS score, income status, educational status, the number of children, functional status (ADL, IADL), the number of patients with depression, and the number of comorbid disorders. According to the results of the logistic regression analysis, age (OR=95% CI: 1.007–1.056; p=0.012), BMI (OR=95% CI: 0.702–0.796; p<0.001), educational status (OR=95% CI: 0.359–0.897; p=0.015), comorbidity (OR=95% CI: 2.296–5.448; p<0.001), and depression score (OR=95% CI: 1.104–3.051; p=0.02) were independently associated with malnutrition.ConclusionsOur study demonstrates that age, depression, BMI, comorbidity, and the educational status were independently associated with malnutrition in an elderly population.

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“…The KEHES study protocol is described in detail elsewhere. 7 We extracted data from the above-mentioned study in which the community-dwelling elderly population living in the urban area of Kayseri/Turkey was examined. At least 1% of the community-dwelling elderly population was included from a region in which 88% of the general population live in the urban area.…”

Section: Methodsmentioning

confidence: 99%

Muscle function-dependent sarcopenia and cut-off values of possible predictors in community-dwelling Turkish elderly: calf circumference, midarm muscle circumference and walking speed

et al. 2015

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Nutritional status and related risk factors which may lead to functional decline in community-dwelling Turkish elderly

Cited by 8 publications

References 20 publications

Ageing rate of older adults affects the factors associated with, and the determinants of malnutrition in the community: a systematic review and narrative synthesis

Ageing rate of older adults affects the factors associated with, and the determinants of malnutrition in the community: a systematic review and narrative synthesis

Malnutrition in Community-Dwelling Elderly in Turkey: A Multicenter, Cross-Sectional Study

Muscle function-dependent sarcopenia and cut-off values of possible predictors in community-dwelling Turkish elderly: calf circumference, midarm muscle circumference and walking speed

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