Relationship between Nutritional Status and Functional Capacity for Older People

Abstract

Functional capacity is the condition of an individual living independently and the lack of it for preparing and eating food, which is a factor that can result in malnutrition and deserves the attention of professionals and his family members. Then, the aim of this work was to evaluate the relationship between nutritional status and functional capacity for older adults using anthropometric measures and questionnaires for activities of daily and instrumental living. It was an epidemiological cross-sectional study using a representative sample of older adults selected from a previous study about quality of life in a Botucatu city, São Paulo. Brazil. The sample size was calculated considering 95% of reliability and 5% of error margin, resulting from a total of 365 individuals of both sexes but only 361 of them completed the protocol. Data included sociodemographic and morbidities questionnaires, activities of daily and instrumental living (ADL and IADL) and anthropometric variables. 62.6% of the older were women, 44.68% were hypertensive, 28.81% were diabetic and 15.51% had hypercholesterolemia. 94.24% and 92.42% of the older were fully independent for ADL and IADL, respectively. Associations between ADL with marital status and schooling were found as well as with IADL. Also, it was found association with IADL and heart disease. Regarding anthropometry most of measures when compared men and women were significant. No significant association was found between nutritional status and ADL. A logistic regression model was fitted considering ADL as a response variable showed BMI as a protection factor and WC as a risk factor for dependence. For IADL, heart disease was a risk factor for dependence. In conclusion, low weight and increased waist circumference have influence in a functional capacity of older adults according to the activities daily living (ADL) and heart disease for IADL.

Comprehensive geriatric assessment in a marginal community of Ecuador

“…La fuerza prensil de la mano se asoció con el estado nutricional de los participantes, sumándose así a las sugerencias expuestas por otros autores sobre el uso de la dinamometría como parte de la valoración nutricional de los adultos mayores (35,37).…”

Nutritional Status And Fuctional Status Among Elderly In Santo Yosef Surabaya Nursing Home

“…Decreasing nutritional status is considered the first event that can lead to increased dependency of elderly. Thus, there is a possibility that decrease in food intake can lead to reduced independence in carrying out daily activities, thinning of muscle mass, and the occurrence of malnutrition (21) . The loss of physical capacity will occur along with reduced mobility and limitations in carrying out daily activities such as shopping, cooking and eating so that it will have an impact on nutritional status (20) .…”

Functional and nutritional status of older adults admitted to a general surgery ward

“…Thus, impaired functional capacity may be an indicator of nutritional risk (Dehghankar, Shahrokhi, Oveisi, Esmailzadehha, & Ghorbani, 2016), particularly among older inpatients since hospitalization aggravates functional and cognitive decline (Mendes et al, 2016). Souza et al (2015) concluded that older people's independence to perform basic and instrumental activities of daily living was associated with a healthy weight. Similarly, Tramontano et al (2016) reported that the physical performance and functional status of older people were significantly associated with their nutritional status.…”

“…Self-care deficit is influenced by intrinsic factors, such as age, and multiple extrinsic factors, which include, for the purposes of this study, diseases that require hospitalization and surgical intervention. The decline in functional capacity is mostly associated with lower food intake and decreased muscle mass and strength (Fried et al, 2001;Souza et al, 2015). Thus, impaired functional capacity may be an indicator of nutritional risk (Dehghankar, Shahrokhi, Oveisi, Esmailzadehha, & Ghorbani, 2016), particularly among older inpatients since hospitalization aggravates functional and cognitive decline (Mendes et al, 2016).…”

“…Functional capacity is defined as the ability to live independently by performing tasks and activities of daily living (Souza, Papini, & Corrente, 2015). Self-care deficit is influenced by intrinsic factors, such as age, and multiple extrinsic factors, which include, for the purposes of this study, diseases that require hospitalization and surgical intervention.…”