| Autor: |
Mugica-Errazquin I; Department of Nursing II, Faculty of Medicine and Nursing, University of the Basque Country, Paseo Doctor Begiristain 107, 20014 Donostia-San Sebastián, Spain.; Osakidetza Basque Health Service, General Surgery Service, Donostia University Hospital, Paseo Doctor Beguiristain, 20014 Donostia-San Sebastian, Spain., Zarrazquin I; Department of Nursing II, Faculty of Medicine and Nursing, University of the Basque Country, Paseo Doctor Begiristain 107, 20014 Donostia-San Sebastián, Spain., Seco-Calvo J; Institute of Biomedicine (IBIOMED), Campus of Vegazana, University of León, 24071 León, Spain.; Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country, Bº Sarriena s/n, 48940 Leioa, Spain., Gil-Goikouria J; Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country, Bº Sarriena s/n, 48940 Leioa, Spain., Rodriguez-Larrad A; Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country, Bº Sarriena s/n, 48940 Leioa, Spain., Virgala J; Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country, Bº Sarriena s/n, 48940 Leioa, Spain.; Osakidetza Basque Health Service, OSI Tolosaldea, Tolosa Primary Care Center, 20400 Tolosa, Spain., Arizaga N; Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country, Bº Sarriena s/n, 48940 Leioa, Spain.; Osakidetza Basque Health Service, OSI Donostialdea, Zarautz Primary Care Center, 20800 Zarautz, Spain., Matilla-Alejos B; Santa Maria Magdalena Long-Term Nursing Home, Sandiusterri 1, 20120 Hernani, Spain., Irazusta J; Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country, Bº Sarriena s/n, 48940 Leioa, Spain., Kortajarena M; Department of Nursing II, Faculty of Medicine and Nursing, University of the Basque Country, Paseo Doctor Begiristain 107, 20014 Donostia-San Sebastián, Spain. |
| Abstrakt: |
Among older adults living in long-term nursing homes (LTNHs), maintaining an adequate functional status and independence is a challenge. Whilst a poor nutritional status is a potential risk factor for a decreased function in this population, its role is not fully understood. Here, using a transversal multicenter study of 105 older adults living in 13 LTNHs, we analyzed the associations between nutritional status, as measured by the Mini Nutritional Assessment (MNA), and the parameters of functional status, physical performance, physical activity, and frailty as well as comorbidity and body composition. The MNA scores were positively correlated with the Barthel Index, handgrip strength, Short Physical Performance Battery (SPPB) scores, absolute muscle power, and Assessment of Physical Activity in Frail Older People (APAFOP) scores and were negatively correlated with dynamic balance and frailty. In a multiple linear regression model controlling for gender and age, the APAFOP score (β = 0.386), BMI (β = 0.301), and Barthel Index (β = 0.220) explained 31% of the variance in the MNA score. Given the observed close relationship between the MNA score and functional status, physical performance and activity, and frailty, interventions should jointly target improvements in both the nutritional status and functional status of LTNH residents. Strategies designed and implemented by interdisciplinary professional teams may be the most successful in improving these parameters to lead to better health and quality of life. |
