Malnutrición asociada con factores sociodemográficos en adultos mayores de Medellín (Colombia) / Malnutrition Associated with Sociodemographic Factors in Older Adults in Medellin, Colombia / Má nutrição associada a fatores sociodemográficos em idosos em Medellín-Colômbia

Introducción: los adultos mayores (AM) presentan riesgo de malnutrición (exceso o déficit de peso) debido a cambios fisiológicos, alimentarios, psicológicos y sociales derivados del envejecimiento. Objetivo: estimar la frecuencia de malnutrición por antropometría y el Mini Nutritional Assessment (MNA) en AM de Medellín (Colombia) y explorar su asociación con factores sociodemográficos. Materiales y métodos: estudio trans- versal con 1187 adultos ≥60 años, derivado del proyecto Propuesta técnica para el desarrollo del perfil de seguridad alimentaria y nutricional 2015, realizado en hogares de zona urbana y rural. Se tomaron como variables independientes las sociodemográficas, y como dependientes, las antropométricas y el MNA. La asociación entre malnutrición y variables sociodemográficas se determinó por modelos de regresión logística binaria y multinomial. Resultados: 65.2 % fueron mujeres, la edad promedio fue 70.0 ± 8.0 años; 61.5 % de estrato socioeconómico bajo, 65.9 % con nivel educativo primaria o inferior. Según el índice de masa corporal, 57.6 % presentó malnutrición, 20.8 % déficit de peso y 36.8 % exceso de peso. Según el MNA, 41.4 % tenía riesgo de desnutrición, y 5.4 %, desnutrición. Ambas condiciones se presentaron con mayor frecuencia en mujeres (OR = 2.0; IC95 %: 1.5-2.6), edades ≥75 años (OR = 1.7; IC95 %: 1.2-2.4), estrato socioeconómico bajo (OR = 3.2; IC95 %: 1.5-6.8), del área rural (OR = 1.7; IC95 %: 1.1-2.5), con estudios de primaria (OR = 2.1; IC95 %: 1.1-4.4) o sin educación (OR = 3.4; IC95 %: 1.5-7.5). Conclusión: la malnutrición en AM de Medellín es elevada y constituye un problema de salud pública, más frecuente en mujeres, edades avanzadas, zonas rurales, estratos socioeconómicos bajos y niveles educativos inferiores; condiciones que deben tenerse en cuenta para la implementación de políticas públicas

Introduction: Older adults (OA) are at risk of malnutrition (overnutrition or undernutrition) due to physio- logical, feeding, psychological, and social changes associated with aging. This study aimed to estimate the frequency of malnutrition using anthropometry and the Mini-Nutritional Assessment (MNA) among OA in Medellin, Colombia, and explore the association of malnutrition with sociodemographic factors. Methods: A cross-sectional study derived from the Technical Proposal for the Development of the Food and Nutrition Security Profile, 2015 was performed with 1187 adults aged ≥60 years old among urban and rural households. The sociodemographic characteristics were considered as independent variables, and anthropometric and MNA data were defined as dependent variables. To establish the association between malnutrition and sociodemographic variables, binary and multinomial logistic regression models were used. Results: The average age of the participants was 70.0 ± 8.0 years old; 65.2% were women; 61.5% were of low socioeconomic status; and 65.9% attained primary education or lower. Based on body mass index, 57.6% had malnutrition, 20.8% were undernutrition, and 36.8% were overweight/obese. According to the MNA, 5.4% had malnutrition, while 41.4% were at risk of malnutrition. Both conditions occurred more frequently in women (OR = 2.0; 95% confidence interval [CI]: 1.5­2.6), aged ≥75 years old (OR = 1.7; 95% CI: 1.2­2.4), with low socioeconomic status (OR = 3.2; 95% CI: 1.5­6.8), from rural areas (OR = 1.7; 95% CI: 1.1­2.5), with primary education (OR = 2.1; 95% CI: 1.1­4.4) or no education (OR = 3.4; 95% CI: 1.5­7.5). Conclusion: Malnutrition among OA in Medellin, Colombia, is high, especially among women living in rural areas with low socioeconomic status and education level. The study findings indicate a public health problem. These conditions must be considered in the implementation of public policies

Introdução: os idosos (AM de adultos mayores) estão sob risco de má nutrição (excesso de peso ou desnu- trição) devido às alterações fisiológicas, dietéticas, psicológicas e sociais decorrentes do envelhecimento. O objetivo deste estudo foi estimar a frequência de má nutrição por antropometria e pelo Mini Nutritional Assessment (MNA) em AM de Medellín-Colômbia e explorar sua associação com fatores sociodemográficos. Materiais e métodos: estudo transversal com 1187 adultos ≥ 60 anos, derivados do projeto Proposta técnica para elaboração do perfil de Segurança Alimentar e Nutricional 2015, realizado em domicílios de áreas urbanas e rurais. Variáveis sociodemográficas foram consideradas como variáveis independentes e as variáveis antropométricas e MNA como variáveis dependentes. A associação entre a má nutrição e as variáveis sociodemográficas foi determinada por modelos de regressão logística binária e multinomial. Resultados: 65.2% eram mulheres, idade média 70.0 ± 8.0 anos; 61.5% de estrato socioeconômico baixo, 65.9% com nível de escolaridade fundamental ou inferior. De acordo com o índice de massa corporal (IMC), 57.6% apresentaram desnutrição, 20.8% magreza e 36.8% excesso de peso. Segundo o MNA, 41.4% estavam em risco de desnutrição e 5.4% já apresentavam desnutrição. Ambas as condições ocorreram com maior frequência em mulheres (or = 2.0; Ic 95%: 1.5-2.6), idade ≥ 75 anos (or = 1.7; Ic 95%: 1.2-2.4), baixo nível socioeconômico (or = 3.2; Ic 95%: 1.5-6.8), da zona rural (or = 1.7; Ic 95%: 1.1-2.5), com ensino fundamental (or = 2.1; Ic 95%: 1.1-4.4) ou sem escolaridade (or = 3.4; Ic 95%: 1.5-7.5). Conclusão: a má nutrição em AM de Medellín é alta, constituindo um problema de saúde pública, mais frequente em mulheres, idades avançadas, áreas rurais, estratos socioeconômicos baixos e níveis educacionais mais baixos; condições que devem ser levadas em conta para a implementação de políticas públicas

Nutritional status and food environment of the elderly population residing in tea gardens of a block of Darjeeling District, West Bengal, India

Objectives: In India, poverty, illiteracy, and difficult terrains make the tea garden elderly population more vulnerable to malnutrition. The food environment shows the interface through which consumers interact with their food system. Hence, the present study was done to assess the nutrition status and identify the sociodemographic and food environmental factors affecting the nutritional status of the elderly population residing in tea gardens of Naxalbari block, Darjeeling district, West Bengal, India. Materials and Methods: A community-based cross‑sectional study was conducted in all tea gardens of Naxalbari block, Darjeeling, from March 2022 to September 2022, among older people aged 60 years and above selected by simple random sampling. Using the predesigned, pretested questionnaire, the Mini Nutritional Assessment tool for nutritional assessment and the elderly population’s perceived food environment was determined based on five points Likert’s scale. Perceived food environment clusters were identified using a two‑stage cluster analysis. Binary logistic regression was used to determine predictors of nutritional status. Results: Out of the 294 study participants, the majority of 190 (64.6%) of the older people were at the risk of malnutrition, 18 (6.1%) malnourished, and 86 (29.3%) had normal nutritional status. Binary logistics regression showed older people who were illiterate (adjusted odds ratio [AOR] 14.864; 95% confidence interval [CI]; 4.311–51.457) and not working (AOR 3.775; 95% CI; 1.753–8.128) had significantly higher odds of being undernourished. Older people who perceived a favorable food environment (AOR 0.408; 95% CI; 0.214–0.775) had significantly lesser odds of being undernourished. Conclusion: Tea garden older population is at higher risk of malnutrition. Illiteracy, working status, and perceived favorable food environment plays important role in altering the nutritional status of the elderly. Prior interventions such as awareness regarding food nutrition and developing elderly friendly food environment are needed.

Nutritional status of patients with pulmonary tuberculosis and anti-tuberculosis treatment effect / 中国热带医学

@#Abstract: Objective To investigate the nutritional status of patients with pulmonary tuberculosis and its effects on conventional anti-tuberculosis treatment, so as to provide a basis for improving the efficacy of conventional treatment of pulmonary tuberculosis. Methods The relevant data of 168 patients with pulmonary tuberculosis admitted to Suining Central Hospital from April 2020 to April 2022 were retrospectively analyzed. Nutritional status of the patients before treatment was investigated using the Mini Nutritional Assessment (MNA) score, and the influencing factors of nutritional status before treatment were analyzed. Therapeutic effects of anti-tuberculosis drugs in the non-nutritional risk group and the nutritional risk group were comparatively analyzed. Results Among the 168 patients, 64 were assessed as having good nutritional status before treatment, 59 had the risk of malnutrition and 45 were malnourished according to the MNA score. Univariate analysis and linear regression analysis showed that age, underlying diseases, and clinical symptoms were factors affecting the MNA score before treatment (t=3.173, 3.718, 2.018, P all<0.05); whereas gender and education level were not factors affecting MNA score before treatment (t=0.065, 0.059, P all>0.05). According to the MNA score before treatment, the patients were dividedinto a non-nutritional risk group (MNA score > 23.5) and a nutritional risk group (MNA score ≤23.5). The negative conversion rate of sputum bacteria, effective rate of focal absorption in the non-nutritional risk group were 92.19% (59/64)and90.63% (58/64) , respectively, which were significantly higher than corresponding 79.85% (82/104)and76.92% (80/104) in the nutritional risk group. The drug resistance rate, adverse reaction rate, and average treatment cost of the no nutritional risk group and nutritional risk group were 7.81% (5/64) and 21.15% (12/104), 15.63% (10/64) and 31.73% (33/104), (0.62±0.13) million yuan and (0.89±0.26) million yuan, respectively, with significant differences (χ2=5.228, 5.071, 7.685, 5.396, 7.728, P all<0.05). Conclusions Patients with pulmonary tuberculosis exhibit poor nutritional status before treatment. The patients’nutritional status is easily affected by age, underlying diseases, and clinical symptoms, thereby affecting the effect of anti-tuberculosis treatment. Therefore, early nutritional intervention for tuberculosis patients should be recommended in order to prevent malnutrition and enhance the effectiveness of anti-tuberculosis treatment.

Análise descritiva da mini avaliação nutricional em idosos da universidade aberta à terceira idade ­ UATI / Descriptive analysis of the mini nutritional assessment in the elderly at the open university for the third age ­ UATI

Introdução: o envelhecimento populacional é um fenômeno universal devido ao processo de transição demográfica característico de diversos países. Nesse processo, observam-se alterações fisiológicas e nutricionais nos indivíduos, acompanhadas do declínio das atividades funcionais cotidianas. A Mini Avaliação Nutricional foi desenvolvida para detectar a desnutrição ou o risco nutricional. Trata ­ se de uma ferramenta simples, de fácil aplicação, efetiva e validada, para utilização em pacientes idosos. Objetivo: avaliar o estado nutricional através da aplicação da Mini Avaliação Nutricional (MAN) e fatores associados em idosos frequentadores da Universidade Aberta à Terceira Idade (UATI), situada em Salvador, Bahia. Metodologia: trata-se de um estudo observacional, analítico e de corte transversal, em que foram avaliados 52 idosos a partir de 60 anos, de ambos os sexos, admitidos entre os meses de fevereiro e junho de 2021. Na avaliação do estado nutricional, utilizou ­ se a MAN e, para a análise estatística, foi aplicado o programa Statistical Package for Social Science 20.0. A amostra foi categorizada em três grupos: adequado, risco de desnutrição e desnutrição. Utilizou-se o teste de qui quadrado, considerando p<0,05. Conclusão: os Resultados encontrados neste estudo mostram que há prevalência e um elevado risco de desnutrição nos pacientes idosos da UATI. Os grupos estudados se caracterizam por maior frequência do sexo feminino, faixa etária entre 60 e 69 anos, sem ocupação e com hipossuficiência financeira. A aplicação desse método de avaliação nutricional em idosos é de baixo custo e de fácil reprodutividade e tem demonstrado eficácia no rastreio da desnutrição de forma precoce, proporcionando intervenções nutricionais mais rápidas e efetivas, especialmente no contexto da saúde pública.

Introduction: population aging is a universal phenomenon due to the demographic transition process characteristic of several countries. In this process, physiological and nutritional changes are observed in individuals, accompanied by a decline in daily functional activities. The mini nutritional assessment was developed to detect malnutrition or nutritional risk. It is a simple, easy-to-apply, effective and validated tool for use in elderly patients. Objective: to evaluate the nutritional status through the application of the mini nutritional assessment (man) and associated factors in elderly people attending the universidade aberta à terceira idade (uati) [open university for the third age ­ elderly], located in salvador, bahia. Methods: this is an observational, analytical and cross-sectional study, in which 52 elderly people aged 60 years and over, of both sexes, admitted between february and june 2021, were evaluated. In the assessment of nutritional status, man was used and, for statistical analysis, the statistical package for social science 20.0 program was applied. The sample was categorized into three groups: adequate, risk of undernutrition and malnutrition. The chi-square test was used, considering p<0.05. Conclusion: the Results found in this study show that there is a prevalence and a high risk of malnutrition in elderly patients at the uati. The groups studied are characterized by a higher frequency of females, aged between 60 and 69 years, without occupation and with financial deficiency. The application of this method of nutritional assessment in the elderly is low-cost and easily reproducible and has been shown to be effective in screening for malnutrition at an early stage, providing faster and more effective nutritional interventions, especially in the context of public health.

Quality of life among malnourished elderly population in rural Puducherry, South India

Context: Health of the elderly will be an important issue in defining the health status of a population in coming years. There is a paucity of information with regard to quality of life (QOL) among malnourished elderly. Aims: To assess the QOL among malnourished elderly in a rural field practice areas of tertiary care hospital, Puducherry, and to find the sociodemographic factors associated with QOL among malnourished elderly population. Settings and Design: A community?based cross?sectional study in the rural field areas of Government Medical College of Puducherry. Subjects and Methods: After obtaining ethical approval, the study was conducted among 225 malnourished elderly (>60 years) from April to June 2019 using multistage random sampling technique. Sociodemographic data were obtained using a semistructured questionnaire. Malnutrition was screened using Mini Nutritional Assessment Short Form and QOL was assessed using World Health Organization QOL?BREF questionnaire. Results: The mean and standard deviation of the study participants’ age was 69.89 + 6.3 years. 57.8% of them were female, 81.3% were unemployed, and 73.3% were dependent on their old age pension for their livelihood. QOL of malnourished elderly was poor in all the domains when compared to those without malnourished and this is found to be statistically significant. In binomial logistic regression analysis, the presence of comorbidity (adjusted odds ratio [AOR]: 2.4 and 95% confidence interval: 1.3–4.4), unemployed (AOR: 4.8; 1.4–15.9), and living without family (AOR: 0.2; 0.06–0.7) revealed the statistically significant association with low QOL score among malnourished elderly. Conclusions: The mean score of QOL among malnourished elderly was below average in all four domains in which psychosocial domain was badly affected.

A Cross Sectional Study on Nutritional Status and Risk Factors Associated With Malnutrition among Elderly Population in Hyderabad

Introduction: The elderly population is growing much faster. Ageing is a global phenomenon and it is expected that by 2050 every country in the world will have substantial increase in population aged 60 years and above. Malnutrition is common among older people over 60 years of age. They are likely to experience morbidity, premature mortality, poor quality of life and reduced functional ability than normally nourished persons. Malnutrition increases health care costs, reduces productivity, and slows economic growth, which can perpetuate a cycle of poverty and ill-health. Hence combating malnutrition in all its forms is one of the greatest global health challenges. Objectives: 1) To assess the nutritional status among elderly population in Hyderabad. 2) To assess the risk factors which are associated with malnutrition among elderly population. Method: A Cross sectional study was conducted in July - September 2021 among elderly persons aged 60 years and above residing in urban slums of Hyderabad. Considering the estimated prevalence of malnutrition among elderly population to be 14.5%, the sample size was calculated as 198 and was rounded off to 200. Data was entered into Microsoft Excel and analysed using Epi Info version 7.2.2.6. A predesigned, pre-tested questionnaire was used to collect data. Malnutrition was assessed using Mini Nutritional Assessment (MNA). Results: Among 200 participants, 52.5% were females. The mean age of the study population was 68.3 years. Among them 18% of the study participants were malnourished, 27% were at risk of malnutrition and 55% had normal nutritional status. Conclusion: Early diagnosis and prompt treatment of elderly people at high risk for malnutrition may improve their nutritional status and prognosis

Nutritional status and influencing factors in the elderly at home / 预防医学

Objective@#To learn the results of MNA ( mini nutritional assessment ） nutrition screening and influencing factors in the elderly living at home, so as to provide basis for improving the nutritional status of the elderly living at home. @*Methods@#The elderly people at home were recruited from Yinzhou District, Yiwu City and Changshan County in Zhejiang Province by the multi-stage random sampling method. Their demographic information, living habits and nutritional status were collected by the MNA scale and the questionnaire for nutrition and health status surveillance. The multivariate linear regression model was used to analyze influencing factors for the nutritional status.@*Results@#Of 374 study subjects, 186 ( 49.73% ) were males and 188 ( 50.27% ) were females. The age was ( 69.63±6.68 ) years ( range, 60-90 years ). The average score of MNA scale was 25.26±2.81. The prevalence of malnutrition risk in the elderly living at home was 20.59%. Age ( β'=-0.140), marital status ( β'=0.110 ), annual income ( β'=0.155 ), active physical exercise ( β'= 0.104 ), eating health products/nutritional supplements ( β'= 0.110 ) and satiety ( full diet β'=0.196 ) were influencing factors for MNA scores ( P<0.05 ）.@*Conclusion@#The prevalence of malnutrition risk among the elderly living at home is 20.59%. The prevalence increases with age. Having a spouse, doing active physical exercise, eating health products/nutritional supplements, having healthy eating habits are conducive to maintaining the nutritional health of the elderly.

Riesgo de desnutrición y factores asociados en una muestra de adultos mayores en la comunidad e institucionalizados de Yucatán, México / Malnutrition risk and associated factors in a sample of older adults in the community and institutionalized in Yucatan, Mexico

Evaluar la prevalencia de riesgo de desnutrición (RD) en adultos mayores de dos municipios de Yucatán, México, e identificar algunos factores asociados. Estudio transversal con muestreo intencional no probabilístico en 6 centros de atención geriátrica, una clínica universitaria y visitas domiciliares. Noventa y seis adultos mayores de 60 años (76% mujeres), 42 residentes de estancias geriátricas y 54 no institucionalizados. Se evaluó el RD con la escala de Valoración Mínima del Estado de Nutrición (VMEN), junto con variables demográficas, de funcionalidad, comorbilidades, depresión y apetito. La composición corporal se evaluó con ecuaciones basadas en antropometría e impedancia bioeléctrica. Se realizaron análisis descriptivos, t de Student, Kolmogorov-Smirnov, chi cuadrado, análisis univariado y análisis de regresión múltiple. El 47,9 % (46 sujetos; 37 mujeres y 9 varones) presentaron RD de acuerdo con la VMEN y 52,1% de los participantes fueron clasificados con estado nutricio normal de acuerdo con dicha escala. Los valores promedio de la masa corporal libre de grasa y la masa muscular esquelética en extremidades de sujetos con RD, fueron más bajos que en aquellos con estado de nutrición normal (p< 0,05). El análisis de regresión logístico múltiple ajustado por género indicó que la edad (OR=1,08, p=0,005) y la depresión (OR=3,79, p=0,017) fueron factores predictores asociados con RD. El 47,9 % de los participantes presentaron RD. Se requieren acciones para diagnosticar y atender el RD y evitar que progrese a desnutrición. La edad y la depresión se debieran incluir como posibles marcadores tempranos de desnutrición en futuros estudios poblacionales e intervenciones nutricionales en adultos mayores en comunidad e institucionalizados en Yucatán(AU)

To assess the prevalence of Malnutrition Risk (MR) in older adults from two municipalities of Yucatan, Mexico, and to identify some associated factors. Cross-sectional study, using non-probabilistic sample in six geriatric care centers, a university clinic, and home visits. Ninety-six adults over 60 years (76% women), 42 residents of geriatric care homes, and 54 non-institutionalized. The MR was assessed by the Mini Nutritional Assessment scale (MNA), along with demographic, functionality, comorbidities, depression, and appetite variables. Body composition was also assessed by bioelectrical impedance analysis. Descriptive analyzes, Student's t, Kolmogorov-Smirnov, chi-square, univariate, and multiple regression analysis were performed. Of the total sample, 47.9% (46 subjects; 37 women and 9 men) presented RD according to the VMEN and 52.1% of the participants were classified with normal nutritional status according to the scale. Mean values of fat-free mass and appendicular skeletal muscle mass were lower in subjects with MR than in those with normal nutritional status (p <0.05). The multiple logistic regression analysis adjusted by gender indicated that age (OR = 1.08, p = 0.005) and depression (OR = 3.79, p = 0.017) were predictor associated factors with MR. Almost forty eight percent of the participants present MR. Actions are required to diagnose and treat MR, avoiding progressing to malnutrition. Age and depression should be included as possible early markers of malnutrition in future population studies and nutritional interventions, in the community and institutionalized older adults in Yucatan(AU)

Effect of socio-economic, demographic and environmental factors on nutritional status of elderly: a cross sectional study

Background: Worldwide elderly population is rapidly increasing. This is posing many challenges in elderly population. Malnutrition in them is one of the major problems but ignored component. Socio-economic, demographic and environmental factors are those greatly influence their nutritional status. Hence the present study was undertaken to assess the effect of socio-economic, demographic and environmental factors on nutritional status of elderly. Methods: The present study was a cross-sectional study which included 545 elderly population of Uchagaon subcentre and was carried out over a period of 1½ years. After selecting Uchagaon subcentre by simple random sampling technique and house to house survey was carried out to select eligible elderly participants who met the selection criteria. Data was collected from eligible elderly by using pretested questionnaire and Mini Nutritional Assessment (MNA) tool. Results: 65.1% were between the age group of 60-69 years. 55% were females, 66% were currently married, 60% had no formal schooling, 67.2% were belongs to socio-economic status of either class IV/V. 23.5% were malnourished and 49% were at risk of malnutrition. There was association found between nutritional status of elderly with increase in age, marital status, educational status, occupation, socio-economic status, type of family and housing condition. Conclusions: In the present study majority of the elderly were at risk of malnutrition. The nutritional status of elderly was associated with increase in age, marital status, educational status, occupation, socio-economic status, type of family and housing condition of rural elderly and subsequently modify those factors to improve the nutritional status of elderly and this can be a scope for further study in future.

Nutritional Status of the Elderly Population in a Semiurban Area of Manipur

Population aging is enduring and so are the problems of the elderly. Malnutrition in the elderly is an ominous sign leading to poor health and decreased quality of life. There is less number of studies regarding this problem among the elderly. Hence this study was done to assess the problem of malnutrition among the elderly in a semi-urban area of Manipur. Aims: To determine the prevalence of malnutrition in the elderly and to assess the association of malnutrition with some variables of interest. Methods: A cross-sectional study was conducted in a semi-urban area of Manipur from September 2010 to June 2013.Mini nutritional assessment (MNA) tool was used. Data was collected using interview method. Data was analysed using descriptive statistics and Chi square test and multivariate analysis was done. Results: There was 386 respondents and 26 (6.7%) of them were malnourished. Further, 192 (49.7%) elderly were at the risk of malnutrition. Increasing age, being single, being illiterate, having income in the lower third quartile are significantly associated with malnutrition. Being engaged in an active occupation was associated with less risk of malnutrition. Tobacco consumption in any form was significantly associated with malnutrition in females. Conclusion: Using the Mini-Nutritional Assessment to assess the nutritional status of the elderly, we found that nearly a half of them were at risk of malnutrition. Increasing age, being single, being illiterate, having income in the lower third quartile was significantly associated with malnutrition.

Effect of nursing mode based on Omaha framework on nutrition intervention of low-weight patients with chronic obstructive pulmonary disease / 中国中西医结合急救杂志

Objective To explore the effect of Omaha system nursing model on nutritional status and disease condition of patients with low body mass and chronic obstructive pulmonary disease (COPD). Methods Sixty COPD patients with low body mass who were admitted to the First Affiliated Hospital of Huzhou University from January 2015 to November 2016 were enrolled, and they were randomly divided into an Omaha system nursing model group and a routine care intervention group, with 30 cases in each group. The Delphi expert consultation method was used to construct the Omaha nursing problem system and intervention system for COPD patients with low body mass. The patients in the routine care intervention group were given routine care intervention; the patients in the Omaha system nursing model group underwent nutritional intervention according to the Omaha system nursing model. The Mini Nutritional Assessment (MNA), COPD Assessment Test (CAT) and the modified Medical Research Council Dyspnea Scale (mMRC) were used to be the evaluation system of the Omaha system nursing model, the changes of MNA, CAT and mMRC evaluation scores on admission and in 1, 3, and 6 months after discharge in the two groups were recorded, and the correlations between MNA score and CAT, mMRC scores were analyzed. Results Omaha system analysis showed that the main health problems of the Omaha system nursing model group were distributed in the environmental (17.86%), social psychological (8.93%), physiological (19.64%), and health-related behavioral (53.57%) aspects, among which health-related behaviors were mostly common. There were no statistical significant differences in the scores of CAT, mMRC, and MNA between the two groups on admission (all P > 0.05). The CAT and mMRC scores of the Omaha system nursing model group in 1, 3, and 6 months after discharge were significantly lower than those on admission (CAT score: 16.98±2.39, 16.67±2.55, 15.36±2.17 vs. 25.76±3.67; mMRC score: 2.35±0.57, 1.97±0.52, 1.49±0.51 vs. 3.07±0.55, all P < 0.05), MNA scores were significantly higher than those on admission (11.89±3.57, 13.97±3.52, 15.49±3.51 vs. 10.33±3.02, all P < 0.05), and along with the prolongation of time the decrease and increase in scores were more significant. The scores of the Omaha system nursing model group were improved more significantly in 1, 3 and 6 months after discharge than those of the routine care intervention group (CAT score: 16.98±2.39, 16.67±2.55, 15.36±2.17 vs. 23.01±2.67, 21.15±2.79, 19.06±2.61; mMRC score: 2.35±0.57, 1.97±0.52, 1.49±0.51 vs. 3.06±0.65, 3.06±0.61, 2.65±0.67;MNA score: 11.89±3.57, 13.97±3.52, 15.49±3.51 vs. 9.96±3.15, 10.06±3.09, 8.55±3.17, all P < 0.05]. Pearson correlation analyses showed that MNA score was significantly negatively correlated with CAT score (r = -0.493, P = 0.001) and with mMRC score (r = -0.594, P = 0.001) respectively. Conclusion Using the Omaha system nursing model for nutrition intervention in COPD patients with low body mass can significantly improve their nutritional status and disease condition as well as quality of life.

Evaluation of relationship between nutritional status and oral health related quality of life in complete denture wearers

The prevalence of malnutrition increases with old age, especially in developing countries like India, and it is the most common cause of morbidity and mortality, because of many factors out of which dentate status is one. Aim and Objective: The aim of this study is to evaluate and determine the effect of nutritional status and dietary intake on the oral health-related quality of life (OHRQOL) of elderly edentulous complete denture-wearing patients and to know whether elderly complete denture wearers have a higher risk of malnutrition. The objective was to assess the need to include dietary and nutritional counseling during prosthodontic rehabilitation of elderly edentulous patients. Materials and Methods: A cross-sectional study was conducted among 200 elderly denture-wearing patients above 60 years of age from Nagpur, Maharashtra. Mini-Nutritional Assessment (MNA) questionnaire was used to assess nutritional status, and Geriatric Oral Health Assessment Index (GOHAI) questionnaire was used to determine the OHRQOL of these patients. Descriptive statistics were used to analyze data using SPSS version 21 (SPSS Inc., Chicago, IL, USA). Results: Among the assessed participants, nearly 95% of them had total scores of GOHAI between 12 and 57 which require “needed dental care.” As per MNA, 10.5% had adequate nutrition, 70% were at risk of malnutrition, and remaining 19.5% of participants were malnourished. There was a significant correlation between GOHAI and MNA scores. Conclusion: Low nutritional status was associated with the poor OHRQOL among the elderly. A strong association was found between mean GOHAI and MNA scores and thereby nutritional status and OHRQOL. The use of conventional dentures increases the risk of malnutrition in the elderly due to inability to eat and chew food properly. Dietary analysis and counseling should be strictly incorporated into geriatric treatment planning during prosthetic rehabilitation.

Validation of the revised mini nutritional assessment short-forms in geriatric internal medicine patients / 肠外与肠内营养

Objective:To validate the revised BMI-MNA-SF and CC-MNA-SF with regard to association and agreement with the full MNA(R),considered as gold standard,in geriatric internal medicine patients.Methods:105 cases of hospitalized elderly patients in internal medicine were recruited for the study.The nutritional status correlation and coherence were evaluated with the revised BMI-MNA-SF、CC-MNA-SF and the full MNA(R),respectively.Results:The BMI-MNA-SF and CC-MNA-SF all correlated strongly with the full MNA(R) (Pearson's correlation coefficient r=0.9080,0.8381 respectively;P ＜ 0.001).High values of sensitivity,specificity and predictive values were observed for the BMI-MNA-SF and CC-MNA-SF against the full MNA(R) as the dichotomized categorizations "malnourished-at risk of malnutrition" vs "well nourished" and "malnourished" vs "at risk of malnutrition-well nourished" were considered.Most of values of those for CC-MNA-SF are lower slightly than BMI-MNA-SF.Areas under the ROC curves also reached high values (BMI-MNA-SF:0.951 and CC-MNA-SF:0.938 for the first categorization;BMI-MNA-SF:1.000 and CC-MNA-SF:0.985 for the second one) showing both tests excellent accuracy with the full-MNA.The agreement between the MNA-SFs and the ful1-MNA was quantified as the percentage of correct classifications.The BMI-MNA-SF classified 83.81％,correctly and the CC-MNA-SF classified 68.57％ correctly.Malnutrition proportions of subjects were not underestimated by both MNA-SFs.Conclusion:The revised BMI-MNA-SF and CC-MNA-SF are rapid、easy and reliable tools are capable to identify malnourished individuals in internal medicine and those who are at risk of malnutrition.Due to the special characteristics of elderly patients,the CC-MNA-SF is a good option to replace the BMI-MNA-SF when BMI is not available.

Factors associated with risk of malnutrition in the elderly in south-eastern Brazil / Fatores associados ao risco de desnutrição em idosos do sudeste do Brasil

ABSTRACT: Objective: The aim of this study was to evaluate the prevalence of malnutrition risk and its association with socioeconomic, behavioral, and health characteristics in the community-dwelling elderly. Methods: A cross-sectional study with individuals aged ≥ 60 years. Nutritional status was evaluated using the Mini Nutritional Assessment. Socioeconomic, behavioral, and health information was also collected from all participants. The association between each variable and the risk of malnutrition was calculated and adjusted using Poisson hierarchical regression. Results: The initial sample consisted of 3,101 elderly people, of whom 28.3% (95%CI 25.3 - 31.4%) were at risk of malnutrition. The multivariate analysis showed that the risk of malnutrition was significantly higher in women without formal education, who did not live with a partner, and identified as black-skinned. The risk of malnutrition was twice as high in individuals with no family income as compared to those who earned at least three minimum wages. Smokers were also more likely to be at risk of malnutrition than individuals who had never smoked. Participants suffering from kidney, respiratory or heart disease were at higher risk of malnutrition than those with no history of such illnesses. Conclusion: These findings could be used to help in the development of health policies and in the establishment of adequate programs aimed at reducing the risk of malnutrition in this population.

RESUMO: Objetivo: O objetivo do trabalho foi avaliar a prevalência do risco de desnutrição e sua associação com fatores socioeconômicos, hábitos comportamentais e condições de saúde em idosos residentes na comunidade. Metodologia: Estudo transversal, realizado com indivíduos com ≥ 60 anos de idade. O estado nutricional foi avaliado pela Mini Avaliação Nutricional e foram obtidas informações socioeconômicas, hábitos comportamentais e de condições de saúde. Para a identificação dos fatores associados ao risco de desnutrição foram realizadas análises brutas e ajustadas por meio da regressão de Poisson, utilizando modelo hierárquico. Resultados: Foram analisados 3.101 idosos e, destes, 28,3% (IC95% 25,3 - 31,4) foram classificados com risco de desnutrição. Na análise multivariada, a prevalência de risco de desnutrição foi significantemente maior entre as mulheres, sem escolaridade, que não vivem com parceiros e cor de pela preta. O risco de desnutrição foi duas vezes maior nos indivíduos sem renda quando comparados aos que recebem acima de três salários mínimos. Os fumantes demonstraram maior probabilidade de risco de desnutrição quando comparados com os não fumantes. Os indivíduos que autorrelataram ter doenças renais, respiratórias e cardíacas apresentaram maior risco de desnutrição que aqueles que não relataram esses problemas. Conclusão: Estes resultados podem servir de subsídio para a formação de políticas de saúde no estabelecimento de programas adequados visando a redução do risco de desnutrição nesta população.

Comparação seriada da miniavaliação nutricional em idosos institucionalizados / Serial comparison of the nutritional small evaluation in institutionalized elderly

Os idosos representam o segmento da população que mais cresce no mundo, e, no Brasil, o envelhecimento populacional está ocorrendo de forma rápida e progressiva. Apesar de ser um processo natural, o envelhecimento submete o organismo a diversas alterações, podendo repercutir diretamente no estado nutricional do idoso. Com base no exposto, este estudo tem como objetivo comparar o estado nutricional utilizando a Miniavaliação nutricional de idosos moradores em uma instituição de longa permanência, em uma cidade no interior do RS, no período de 2013 a 2014. Trata-se de um estudo quantitativo com análise de dados retrospectivos, extraídos dos prontuários de idosos institucionalizados de 2013 e 2014, utilizando a Miniavaliação Nutricional (MAN) como instrumento da pesquisa. A população de estudo foi constituída por 36 idosos, totalizando um percentual de 66,7% do sexo feminino. O diagnóstico obtido por meio da Miniavaliação nutricional observou que a maioria dos idosos institucionalizados apresentou risco nutricional em 2013 (61,1%), bem como em 2014 (58,3%). Já em relação à desnutrição o percentual aumentou de 16,7% para 25% no ano de 2013 para 2014. Em suma, por ser um grupo nutricionalmente vulnerável, principalmente por se tratar de idosos institucionalizados, as avaliações seriadas se revestem de importância no sentido de propor intervenção para os casos com alterações nutricionais.

Old people represent the part of the population that increases more in the world, and, in Brazil, the population's aging happens in a progressive and fast way. In spite of being a natural process, aging submits the human body to many changes and it can influence directly on the elderly's nutritional status. Based on the above, this study aims to compare the nutritional status using the elderly's nutritional minivaluation in a long stay institution, in a town from Rio Grande do Sul, between 2013 and 2014. This is a quantitative study with retrospective data analysis, analyzing information from 2013 and 2014, extracted from the institutionalized elderly's records using Miniavaliação Nutrition (MNA) as a research instrument. The population of the research was formed by 36 old people, totaling a percentile of 66,7% of women. The diagnosis got from the nutritional minivaluation observed that most institutionalized elderly showed nutritional risk in 2013 (61,1%) as well as in 2014 (58,3%). In relation to innutrition, in 2013 the percentage was 16,7% and in 2014 it increased to 25%. In short, for being a group vulnerable nutricionalty, mainly for taking care of institutionalized seniors, the seriate evaluations are covered of importance in the sense of proposing intervention for the cases with alterations nutricionals

Prevalence and correlates of malnutrition among elderly in an urban area in Coimbatore.

Background: Different studies in India have shown that more than 50% of elderly population of India are suffering from malnutrition and more than 90% have less than recommended intake. Objectives: The aim of this study is to estimate the prevalence and correlates of malnutrition among elderly aged 60 years and above in an urban area in Coimbatore using Mini Nutritional Assessment (MNA). Methods: A cross-sectional study was conducted on 154 households and 190 elderly were interviewed. Nutritional status was assessed using the MNA questionnaire. Results: Mean (standard deviation) age of the total population (n = 190) was 71.09 (7.93) years and 30% was male. In this population, 37 (19.47%) was malnourished (MNA <17.0) and 47 (24.73%) were at risk for malnutrition (MNA 17.0-23.5). No significant association was observed between smoking, current alcohol consumption, higher medication use, higher comorbidity, and use of walk aid with malnutrition. Among the social factors studied, lower socioeconomic status compared to higher socioeconomic status (adjusted odds ratio [OR] =5.031, P < 0.001), single/widowed/divorced compared to married (adjusted OR = 3.323, P < 0.05), and no pension compared to those having pension (adjusted OR = 3.239, P < 0.05) were significantly associated with malnutrition. Conclusion: The prevalence of malnutrition observed in the aged people is unacceptably high. The increasing total number of lifestyle, somatic, functional, and social factors was associated with lower MNA scores. The findings of the present study clearly indicate that malnutrition is a multifactorial condition associated with sociodemographic, somatic, and functional status. Hence, we recommend that the treatment of malnutrition should be multifactorial, and the treatment team should be multidisciplinary. Further research is needed to develop appropriate guidelines for nutritional screening and interventional programs among geriatric population.

Application of mini-nutritional assessment in malnutrition risk evaluation of elderly inpatient with cardiovascular disease / 重庆医学

Objective To investigate the application of the mini nutritional assessment (MNA)in the malnutrition risk eval-uation of elderly inpatients with cardiovascular disease(CVD).Methods The MNA method was adopted to detect the MNA scores in 316 elderly inpatients with CVD.The inpatient′s nutritional status was evaluated according to the MNA scores.Results Among 316 cases,52 cases(16.46%)were malnutrition,60 cases (18.99%)had the malnutrition risk and 204 cases (64.56%)were in a good nutritional status;the occurrence rate of malnutrition and malnutrition risk in the female elderly patients were higher than those in the male patients,the differences were statistically significant(P 0.05);the occurrence rate of malnutrition and malnutrition risk in the rural patients were higher than those in the patients lived in city,the differences were statistically significant(P <0.05).Conclusion Elderly inpatients with CVD have the higher prevalence of the malnutrition risk,the MNA can be applied in elderly inpatients with CVD for conduc-ting the nutritional status monitoring and early screening the malnutrition risk.

The evaluation of some nutritional indexes in nutritional status of patients with maintenance hemodialysis / 中华肾脏病杂志

Objective To evaluate the diagnostic value of serum albumin (Alb),total protein (TP),body mass index (BMI),Mini Nutritional Assessment (MNA) and hand strength in the nutritional status in maintenance hemodialysis (MHD) patients.Methods A total of 126 MHD patients were included in this study who had been on MHD for at least 3 months.Depending on the levels of Alb,patients were divided into two groups:normal nutrition group (group A) and malnutrition group (group B).TP,BMI,MNA and hand strength were also detected at the same time.Independent samples t test,Spearman correlation analysis,ROC curve were used to analyze their difference between the two groups and evaluate their diagnostic value in nutritional status in MHD patients.Results Age,sex,height,weight and dialysis ages had no statistical significant difference (P ＞ 0.05) between group A and group B,while Alb,TP,BMI,MNA and hand strength had statistical significant difference (P ＜ 0.05) between two groups.After adjusting for age,sex and hemodialysis age,Alb,TP,BMI,MNA and hand strength were positively correlated with each other (P ＜ 0.05).Since the area under the ROC curve of BMI was the smallest,BMI had the lowest diagnostic value in evaluation of the nutritional status in those patients.Conclusions Alb,TP,MNA and hand strength are good indexes in evaluation of the nutritional status in MHD patients but BMI is not.

Avaliação do perfil nutricional de idosos com câncer de próstata nos municípios do Rio de Janeiro e Campo Grande / Assessment of nutritional status of elderly patients with prostate cancer in the municipalities of Rio de Janeiro and Campo Grande

A idade é considerada um importante fator de risco para o câncer. Com o crescimento do número de idosos na população, os casos de câncer em idosos serão cada vez mais frequentes.Devido a heterogeneidade que apresenta a população idosa, a Avaliação Geriátrica Multidimensional (AGM) tem sido utilizada para a determinação da saúde global de idoso com câncer e orientar a condução do tratamento. O domínio nutricional é um componente importante dessa avaliação, já que o risco nutricional está associado à ocorrência de efeitos adversos à saúde do idoso. O objetivo da dissertação foi caracterizar o perfil nutricional,estimar a prevalência de risco nutricional / desnutrição e avaliar fatores associados em pacientes idosos com câncer de próstata incidente no período que precede a definição da terapêutica oncológica, em Campo Grande, MS e no Rio de Janeiro, RJ. Este é um estudo seccional com 333 idosos. Foram analisadas variáveis sociodemográficas, clínicas e da AGM.O risco nutricional foi avaliado com a Mini Avaliação Nutricional reduzida (MANR). Foi também avaliado o Índice de Massa Corporal (IMC) segundo a classificação de Lipschitz. Utilizou-se o teste qui-quadrado para analisar diferenças entre as distribuições das categorias de classificação da MANR e do IMC segundo os itens componentes da MANR. A regressão de Poisson foi empregada na análise múltipla para avaliar a associação entre as diferentes covariáveis do estudo e a variável dependente. A idade média da população foi de 69,02 (mais ou menos 6,53) anos. Entre os idosos 73,0 por cento apresentavam estado nutricional adequado; 23,0 por cento a presentavam risco nutricional e 4,0 por cento eram desnutrição. As variáveis da MANR apresentaram proporções de idosos elevadas nos itens indicativos de risco / desnutrição com significância estatística...

Age is considered an important risk factor for cancer. With the growth of the number of eldersin the population, cancer cases will be more frequent. Due to the heterogeneity of the elderpopulation, the Multidimensional Geriatric Assessment (MGA) has been used to determinethe health condition of older adults with cancer and to aid in the conduction of treatment. Thenutritional domain is an important component of this evaluation, as it is associated withadverse health effects in elders. The objective of this study was to characterize the nutritionalprofile, to estimate the prevalence of nutritional risk/malnutrition and to evaluate associatedfactors, before therapeutic decision, in elders with incident prostate cancer, receivingoncological care in the National Health System in Campo Grande, MS and in Rio deJaneiro, RJ. This is a cross-sectional study with a sample of 333 elders. Socio-demographic, clinical and MGA variables were analyzed. Nutritional risk was evaluated by MNA-SF. TheIMC was evaluated according to the Lipschitz classification. Chi-square test was used to testthe statistical significance of differences among categories of the MNA-SF and the BMI classifications, according to the items that comprise the instrument. Poisson regression wasused for multivariate analysis in order to evaluate associations between the co-variables anddependent variable. Mean age was 69.02 (...) years. Among the older patients, 73.0 per cent hadadequate nutritional status; 23.0 per cent were at nutritional risk and 4.0 per cent had malnutrition. TheMNA-SF variables presented high proportions of elders in the items that indicate nutritionalrisk / malnutrition with statistical significance...

The application of Mini-Nutritional Assessment in nutritional assessment in middle-aged women with diabetes / 中国实用护理杂志

Objective To investigate the application value of the Mini-Nutritional Assessment (MNA) in assessing the nutritional status in middle-aged women with diabetes.Methods Using the normal range of traditional nutritional index as the reference standard,two hundred and forty middle-aged women with diabetes were recruited and their nutritional status were assessed by MNA and laboratory test (including PAB,Fib,TLC,CHOL),respectively.Finally,the results were analyzed and compared.Results The correlation coefficient of MNA value and BMI、PAB,Hb,TLC,CHOL were 0.571,0.614,0.781,0.568,0.218.MNA had good correlations with several traditional laboratory indicators regarding with nutritional status,with signifi-cant difference.In this study,the results of investigation by MNA showed that:the rates of malnutrition,potential malnutrition,and normal nutritional were 30％(72 cases),65％(156 cases),and 5％(12 cases),respectively.The sensitivity and specificity of MNA were 96.1％ and 98.2％ respectively.Laboratory testing resuits:malnutrition and normal nutrition were 31％ (74 cases) and 4％ (10 cases).Kappa test(Kappa=0.922):the results of MNA and laboratory testing had strong consistency.Conclusions MNA is feasible in assessing nutritional status in the domestic middle-aged women with diabetes.