Predictors of nutritional status among community-dwelling older adults in Wuhan, China

Han, Yanhong; Li, Sijian; Zheng, Yanling

doi:10.1017/s1368980008003686

Cited by 65 publications

(66 citation statements)

References 34 publications

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“…A possible explanation for this is that in those studies undernutrition was defined using the MNA (61)(62)(63) , a tool which includes information on health status. Therefore, it is to be expected that health status is associated with the MNA score.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with (risk of) undernutrition in community-dwelling older adults receiving home care: a cross-sectional study in the Netherlands

Pols-Vijlbrief¹,

Wijnhoven²,

Molenaar³

et al. 2016

Public Health Nutr.

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Objective: It is generally thought that causes of undernutrition are multifactorial, but there are limited quantitative studies performed. We therefore examined a wide range of potential factors associated with undernutrition in communitydwelling older adults. Design: Cross-sectional study. Setting: Community-dwelling older adults (≥65 years) receiving home care in the Netherlands. Subjects: Data on potential factors associated with (risk of) undernutrition were collected among 300 older adults. Nutritional status was assessed by the SNAQ 65 + instrument. Undernutrition was defined as mid-upper arm circumference <25 cm or unintentional weight loss of ≥4 kg in 6 months. Being at risk of undernutrition was defined as having poor appetite and inability to walk up and down stairs of fifteen steps, without resting. Results: Of all participants, ninety-two (31·7 %) were undernourished and twentyfour (8·0 %) were at risk of undernutrition. Based on multivariate logistic regression analyses, the statistically significant factors associated with (risk of) undernutrition (P < 0·05) were: unable to go outside (OR = 5·39), intestinal problems (OR = 2·88), smoking (OR = 2·56), osteoporosis (OR = 2·46), eating fewer than three snacks daily (OR = 2·61), dependency in activities of daily living (OR = 1·21), physical inactivity (OR = 2·01), nausea (OR = 2·50) and cancer (OR = 2·84); a borderline significant factor was depression symptoms (OR = 1·83, P = 0·053). Conclusions: The study suggests that (risk of) undernutrition is a multifactorial problem and that associated factors can be found in several domains. These findings may support the development of intervention trials for the prevention and treatment of undernutrition in community-dwelling older adults. Keywords Mid-upper arm circumferenceWeight loss Cross-sectional Older adults Community-dwellingIn older adults, undernutrition or protein-energy malnutrition is a commonly reported and worldwide health problem (1) , but there is considerable variety in the reported prevalence rates due to different assessment methods (2,3) . When based on low mid-upper arm circumference (MUAC < 25 cm) and/or unintentional weight loss of ≥4 kg in 6 months, the prevalence of undernutrition in community-dwelling older adults is estimated to be between 11 and 35 % (4) . The prevalence of (risk of) undernutrition, defined as poor appetite in the previous week in combination with difficulty climbing stairs, is estimated between 2 and 9 % (4) . Due to the ageing population, increasing pressure on health-care systems initiates a shift in care from the institutional setting to the community. For this reason, prevention and treatment of undernutrition in community-dwelling older adults is essential.In order to prevent and treat undernutrition in community-dwelling older adults, clear insight into the primary and secondary factors associated with undernutrition is needed. In previous studies undernutrition in older adults was associated with poor health outcomes including decreased functionali...

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Section: Discussionmentioning

confidence: 99%

Factors associated with (risk of) undernutrition in community-dwelling older adults receiving home care: a cross-sectional study in the Netherlands

Pols-Vijlbrief¹,

Wijnhoven²,

Molenaar³

et al. 2016

Public Health Nutr.

View full text Add to dashboard Cite

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“…Moreover, older people who are widowed (3) , living alone (2,9) and of advanced age (3,4,8) are especially vulnerable for being at risk for undernutrition.…”

Section: Instrument Testing Nutrition Older People Screening Instrumentmentioning

confidence: 99%

“…However, among older community-dwelling Chinese people, the prevalence rate was found to be 44 % (3) , and it was as high as 76 % among very old (90 + years) Chinese community-dwelling people (4) . In other Chinese studies performed among hospitalised patients, the prevalence has been found to vary between 20 % and 40 % (5,6) .…”

mentioning

confidence: 96%

Reliability and validity of the Chinese version of the Nutritional Form For the Elderly

Gao¹,

Söderhamn²,

Zhang³

et al. 2015

Public Health Nutr.

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Objective: The present study aimed to translate the English version of the Nutritional Form For the Elderly into Simplified Chinese, as well as to test the reliability (homogeneity and stability) and validity (content and construct validity) of the Chinese version of the Nutritional Form For the Elderly (NUFFE-CHI). Design: The study adopted a cross-sectional design. The English version of the NUFFE was translated into Simplified Chinese and a questionnaire survey was conducted. The data were analysed with statistical methods to estimate the homogeneity, stability, content and construct validity. Setting: Jinzhou City, China. Subjects: A total number of 701 community-dwelling older adults answered the questionnaire, including background variables and the NUFFE-CHI. A small group of the participants (n 50) completed the NUFFE-CHI twice for test-retest reliability. Results: Cronbach's α was 0·65 and the split-half reliability was 0·67. Item-to-total correlation analyses showed that the scale has sufficient internal consistency. The test-retest reliability regarding the total scores of NUFFE-CHI was reflected in an intra-class correlation coefficient of 0·88. The intra-class correlation coefficients between the test and retest of the NUFFE-CHI items varied between 0·43 and 0·98. A content validity index of 0·83 explained good content validity. Construct validity was demonstrated in an exploratory factor analysis with a six-factor solution, explaining 57·65 % of the variance. Conclusions: This first testing of the NUFFE-CHI indicates sufficient evidence for reliability, content and construct validity. Further testing studies regarding homogeneity, concurrent validity, sensitivity and specificity are required before the NUFFE-CHI can be used as a screening instrument in clinical settings and in research. Keywords Instrument testing Nutrition Older people Screening instrumentThe prevalence of older people who are undernourished or at risk of undernutrition is high; for example, the prevalence rate was 27 % among geriatric in-and out-patients in a French study (1) and 22 % among older home-dwelling people in a Swedish study (2) . However, among older community-dwelling Chinese people, the prevalence rate was found to be 44 % (3) , and it was as high as 76 % among very old (90 + years) Chinese community-dwelling people (4) . In other Chinese studies performed among hospitalised patients, the prevalence has been found to vary between 20 % and 40 % (5,6) .To be undernourished or at risk of undernutrition among older people is an extensive problem, since it is associated with several serious factors including morbidity, longer hospital stays, mortality, deteriorated functional ability (7) , mobility impairment (8) , cognitive dysfunction (4,7,8) , reduced well-being (7) and poor self-rated health (2,4) . Moreover, older people who are widowed (3) , living alone (2,9) and of advanced age (3,4,8) are especially vulnerable for being at risk for undernutrition.In order to find potential and existing nutritional problem...

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“…[1,2] Sa¤l›kl› bir yafllanma sürecinde bile ya¤ dokusundan metabolik olarak daha aktif olan kas dokusunun ve fiziksel aktivitenin azalmas› ile günlük enerji gereksinimi azal›r; di¤er yandan besin ayarlayabilme kapasitesi de azal›r ve afl›r› yeme veya yetersiz yeme olarak ortaya ç›kar. [3] Literatürde toplum içinde yaflayan yafll›larda ilerlemifl yafl›n, [4][5][6][7] çoklu komorbidite varl›¤›n›n, [5][6][7] bir ön-ceki sene hastane yat›fl öyküsünün, [7] entelektüel kapasite azalmas›n›n, [8] fonksiyonel ba¤›ml›l›¤›n [6][7] malnütrisyon riski veya malnütrisyon ile iliflkisi gösterilmifltir. Efl kayb›, tek bafl›na yaflamak, düflük e¤itim düzeyi, kötü sa¤l›k alg›-s› bozulmufl beslenme durumu ile iliflkili di¤er faktörler-dir.…”

unclassified

“…Efl kayb›, tek bafl›na yaflamak, düflük e¤itim düzeyi, kötü sa¤l›k alg›-s› bozulmufl beslenme durumu ile iliflkili di¤er faktörler-dir. [6][7][8][9][10][11][12] Bak›mevinde kalanlarda ve hastanede yatan yafll›larda malnütrisyon riski ve malnütrisyon daha s›kl›kla gözlen-mektedir. [13][14][15] Epidemiyolojik çal›flmalara bak›ld›¤›nda toplum içinde yaflayan yafll›lar›n %5-10'unda malnütris-yon mevcuttur.…”

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Evde sağlık birimine başvuran yaşlı hastaların beslenme durumları

Akan¹

2013

Turk Aile Hek Derg

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SummaryObjective: Undernutrition is common among the elderly. It is even more common in the older people taking home care compared to general population. In this study, it is aimed to examine nutritional status of elderly patients taking home-health care service and its relation with sociodemographic variables and laboratory parameters. Methods:This cross-sectional study was carried out between August 2011 and September 2012 in home health care unit of Taksim Research and Training Hospital in Istanbul also providing home health care service to an elderly institute. For sociodemographic features health status and laboratoy parameters, the nationally standardized patient files have been used. Mini Nutritional Assesment test has been used for nutritional assessment and applied by the nurse or the doctor. Scores classified as normal nutrional state as risk for malnutrition between 17-23, and below 17 as malnutrition.Results: A total of 89 elderly patients included in the study. Twelve (13.5%) were in normal nutritional status, 38.2% were at risk for malnutrition and 48.3% were malnourished. The presence of a wound/pressure ulcer, being bed-ridden, suffering from hypertension or cardiac insufficiency were significantly associated with malnutrition (p<0.05). Self-caring people were also at higher risk for malnutrition or were more malnourished (p<0.05). Total protein, albumin were significantly lower and CRP were significantly higher among the participants who were malnourished (p<0.05).Conclusions: Malnutrition and risk of malnutrition are common among elderly patients taking home health care service. To assess the nutritional status of patients taking health care service at home and to intervene as it is needed will positively effect general health status, quality of life and complications of chronic diseases of these patients.

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Predictors of nutritional status among community-dwelling older adults in Wuhan, China

Cited by 65 publications

References 34 publications

Factors associated with (risk of) undernutrition in community-dwelling older adults receiving home care: a cross-sectional study in the Netherlands

Factors associated with (risk of) undernutrition in community-dwelling older adults receiving home care: a cross-sectional study in the Netherlands

Reliability and validity of the Chinese version of the Nutritional Form For the Elderly

Evde sağlık birimine başvuran yaşlı hastaların beslenme durumları

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