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

Autor:	van der Pols-Vijlbrief R; 1Department of Health Sciences and the EMGOInstitute for Health and Care Research, Faculty of Earth and Life Sciences,VU University,De Boelelaan 1085,1081 HV Amsterdam,The Netherlands., Wijnhoven HA; 1Department of Health Sciences and the EMGOInstitute for Health and Care Research, Faculty of Earth and Life Sciences,VU University,De Boelelaan 1085,1081 HV Amsterdam,The Netherlands., Molenaar H; 1Department of Health Sciences and the EMGOInstitute for Health and Care Research, Faculty of Earth and Life Sciences,VU University,De Boelelaan 1085,1081 HV Amsterdam,The Netherlands., Visser M; 1Department of Health Sciences and the EMGOInstitute for Health and Care Research, Faculty of Earth and Life Sciences,VU University,De Boelelaan 1085,1081 HV Amsterdam,The Netherlands.
Jazyk:	angličtina
Zdroj:	Public health nutrition [Public Health Nutr] 2016 Aug; Vol. 19 (12), pp. 2278-89. Date of Electronic Publication: 2016 Feb 29.
DOI:	10.1017/S1368980016000288
Abstrakt:	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 community-dwelling 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 SNAQ65+ 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 twenty-four (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.
Databáze:	MEDLINE
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