Nutritional Status Assessment of Institutionalized Elderly in Prague, Czech Republic

Rambousková, Jolana; Slavíková, Miroslava; Krsková, Andrea; Procházka, Bohumír; Andĕl, M; Dlouhý, Pavel

doi:10.1159/000346038

Cited by 13 publications

(10 citation statements)

References 18 publications

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“…Corroborating the present study, Rambousková et al 19 , in a study of elderly residents of an LTCF, found that malnutrition was positively correlated with weight loss in the previous 3 months (r=0.45, p<0.001).…”

Section: Discussionsupporting

confidence: 87%

Risk of malnutrition and associated factors in institutionalized elderly persons

Damo

Doring

Alves

et al. 2018

Rev. bras. geriatr. gerontol.

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Objective : to evaluate the risk of malnutrition and associated factors in institutionalized elderly persons. Method : a cross-sectional study was carried out with elderly persons living in long-term care facilities in the municipal regions of Passo Fundo (Rio Grande do Sul) and Carazinho (Rio Grande do Sul) in 2017. A standardized, pre-codified questionnaire with sociodemographic variables was used, along with anthropometric data and the Mini Nutritional Assessment. Cognitive decline and non-intentional weight loss were also evaluated. The qualitative variables were presented in terms of univariate frequencies and the quantitative variables were described through measures of central tendency and dispersion. In order to verify the association between the categorical variables, the Pearson’s correlation coefficient, Chi-Squared test and the Fisher Exact test were applied, and in the crude and adjusted analysis the Poisson regression was used with robust variance. The level of significance was 5%. Results : a total of 399 elderly people were included, of whom 69.9% were female, 54.5% were aged 80 years or older and 88.4% were white. Of these elderly people, 61.7% lived in non-profit facilities. In the evaluation of nutritional status, 26.6% of the elderly were found to be malnourished, 48.1% were at risk of malnutrition and 25.3% had normal nutritional status. The highest prevalence ratio of at risk of malnutrition/malnutrition was with cognitive decline and unintentional weight loss (p<0.001). Conclusion : through the results, identifying nutritional status and the characteristics associated with the risk of malnutrition contribute to effective evaluation and nutritional monitoring, assisting in the prevention of diseases related to this condition.

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Section: Discussionsupporting

confidence: 87%

Risk of malnutrition and associated factors in institutionalized elderly persons

Damo

Doring

Alves

et al. 2018

Rev. bras. geriatr. gerontol.

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“…In this cross-sectional study, most of the participants were females (70.2%) and they were older than the males, which is similar to most studies carried out in elderly nursing home residents (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26). Weight was higher in males but BMI was higher in females, in part due to their lower height (which could be influenced by the higher age and the higher prevalence of osteoporosis in females).…”

Section: Discussionsupporting

confidence: 77%

Disability and Its Influence in Nutritional Assessment Tools in Elderly People Living in Nursing Homes

et al. 2017

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ResumenIntroducción: un estado nutricional deficiente está asociado con un incremento de la morbilidad y la mortalidad, especialmente en personas ancianas. Objetivo: el objetivo de este estudio fue evaluar el estado nutricional en ancianos institucionalizados en residencias geriátricas mediante diferentes test nutricionales, y determinar qué parámetros utilizados en la valoración nutricional pueden ser realizados en esta población. Métodos: se llevó a cabo un estudio transversal en 383 ancianos. Las herramientas de valoración nutricional empleadas fueron el Mini Nutritional Assessment (MNA), el nuevo consenso de definición de malnutrición, y el CONUT. Además, la capacidad de realizar las actividades básicas de la vida diaria fue evaluada con el índice de Barthel. Resultados: según el índice de Barthel, hasta un 78,9% de los residentes tenía una dependencia total, y en solo el 20,9% se pudo determinar el peso y la talla. La prevalencia de malnutrición con MNA, el consenso de ESPEN y CONUT fueron 21,3%, 17,2% y 20,7%, respectivamente. La concordancia (kappa) entre el MNA y el ESPEN fue moderada (κ = 0,483), pero con CONUT fue baja. Conclusiones: en las residencias geriátricas públicas existe un elevado porcentaje de ancianos totalmente dependientes. Este alto grado de dependencia funcional dificulta la obtención de algunos parámetros antropométricos como el peso y la talla, que son esenciales para llevar a cabo la mayoría de los test de valoración nutricional. El MNA, el CONUT y los nuevos criterios de desnutrición de la ESPEN mostraron una elevada prevalencia de desnutrición y de riesgo de desnutrición en esta población de ancianos institucionalizados, en aquellos en los que fue posible realizarlos. AbstractIntroduction: Poor nutritional status is associated with increased morbidity and mortality, especially in older people. Objective: The aim of this study was to assess nutritional status in elderly nursing home residents with different nutritional test, and to determine which parameters used for nutritional assessment can be carried out in this population, which usually have a high prevalence of functionally dependent residents. Methods: A cross-sectional study was performed in 383 elderly. The nutritional assessment tools used were the Mini Nutritional Assessment (MNA), the new ESPEN consensus definition of malnutrition, and the tool for Controlling Nutritional Status (CONUT). Moreover, the ability to perform basic activities of daily living was assessed with the Barthel index (BI). Results: According to BI, 78.9% had a total dependence and only 20.9% could be weighed and heighed. The prevalence of malnutrition with MNA, ESPEN and CONUT was 21.3%, 17.6% and 20.7%, respectively. The agreement between MNA vs ESPEN criteria was moderate (κ = 0.483), but with CONUT was low. Conclusions: Nursing homes had a high percentage of totally dependent residents. This high degree of functional dependence made difficult to obtain some anthropometric parameters such as weight and height, which are essential to carry out most ...

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“…Increased nutritional risk in males was 64.3% versus 45.5% in females ( = 0.16), and this was confirmed by MacLellan and van Til [24]. Contrarily, Rambousková et al [27] concluded that institutionalized women should be considered a nutritionally vulnerable population group; the reason for this difference may be the higher average age of women versus men (86.1 ± 6.15 versus 81.5 ± 7.97 years) in their study. Meanwhile, Fang et al [4] found no gender difference in the prevalence of nutritional risk.…”

Section: Discussionmentioning

confidence: 56%

Nutritional and functional assessment of hospitalized elderly: Impact of sociodemographic variables

Esmayel

Eldarawy

Hassan

et al. 2013

European Geriatric Medicine

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Background. This work was constructed in order to assess the nutritional and functional status in hospitalized elderly and to study the associations between them and sociodemographic variables. Methods. 200 elderly patients (>65 years old) admitted to Internal Medicine and Neurology Departments in nonemergency conditions were included. Comprehensive geriatric assessments, including nutritional and functional assessments, were done according to nutritional checklist and Barthel index, respectively. Information was gathered from the patients, from the ward nurse responsible for the patient, and from family members who were reviewed. Results. According to the nutritional checklist, 56% of participants were at high risk, 18% were at moderate risk of malnutrition, and 26% had good nutrition. There was a high nutritional risk in patients with low income and good nutrition in patients with moderate income. Also, there was a high nutritional risk in rural residents (61.9%) in comparison with urban residents (25%). Barthel index score was significantly lower in those at high risk of malnutrition compared to those at moderate risk and those with good nutrition. Conclusions. Hospitalized elderly are exposed to malnutrition, and malnourished hospitalized patients are candidates for functional impairment. Significant associations are noticed between both nutritional and functional status and specific sociodemographic variables.

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Nutritional Status Assessment of Institutionalized Elderly in Prague, Czech Republic

Cited by 13 publications

References 18 publications

Risk of malnutrition and associated factors in institutionalized elderly persons

Risk of malnutrition and associated factors in institutionalized elderly persons

Disability and Its Influence in Nutritional Assessment Tools in Elderly People Living in Nursing Homes

Nutritional and functional assessment of hospitalized elderly: Impact of sociodemographic variables

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