Associations between nutritional status and abdominal adiposity with cognitive domains and depressive symptoms in older persons with multimorbidity: Understanding an understudied population.
| Autor: | Londoño Pereira M; Department of Clinical Nutrition, Clínica Las Américas AUNA, Diagonal, 75B #2A-80/140 Medellín, Antioquia, Colombia. Electronic address: mateolondonop@gmail.com., Estrada Restrepo A; Nutrition and Dietetics School, Universidad de Antioquia, Carrera 75 N° 65-87, Bloque 44, Medellín, Antioquia, Colombia., Preciado Tamayo ÁM; Hospital Alma Máter de Antioquia, Carrera 51ª #62-42, Medellín, Antioquia, Colombia., Botero Bernal M; Faculty of Psychology, Universidad CES, Calle 10ª #22-04, Medellín, Colombia., Germán Borda M; Centre for Age-Related Medicine (SESAM), Stavanger University Hospital, Jan Johnsens Gate 16, 4011 Stavanger, Stavanger, Norway; Division of Clinical Geriatrics, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 17177 Stockholm, Sweden. |
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| Jazyk: | angličtina |
| Zdroj: | Revista espanola de geriatria y gerontologia [Rev Esp Geriatr Gerontol] 2024 Oct 05; Vol. 60 (1), pp. 101558. Date of Electronic Publication: 2024 Oct 05. |
| DOI: | 10.1016/j.regg.2024.101558 |
| Abstrakt: | Background: Malnutrition is a prevalent issue among older persons and has been linked to adverse outcomes. Limited information exists regarding its connection with cognition and depression in older persons burdened by chronic diseases, experiencing heightened nutritional and psychosocial vulnerability. In this study, we examined the association between nutritional status, cognitive performance, and depressive symptomatology, in a cohort of older persons with multimorbidity. Methods: This was a cross-sectional study of 114 pluripathological older persons. Nutritional status was assessed through Mini Nutritional Assessment (MNA), body mass index (BMI) and waist and calf circumferences. Cognition was assessed using Montreal Cognitive Assessment (MoCA) and depressive symptoms were measured with the 15-item Geriatric Depression Scale (GDS-15). Results: MNA score was positively correlated with the MoCA's visuospatial score (rho=0.262) and, participants with normal nutritional status according to MNA, performed better in orientation (p=0.037) and abstraction (p=0.013) domains. MNA was also associated with depressive symptoms, with odds 8.6 times higher in malnourished participants (AOR 8.6, 95% CI 2.6-28.8, p=0.000). Abdominal obesity, meanwhile, was associated with a decrease of 3.33 points in the overall MoCA score (β -3.33, 95% CI=-5.92; -0.73, p=0.013). Conclusion: In older persons with multimorbidity, abdominal obesity and malnutrition were factors associated with lower global and domain-specific cognitive performance and increased depressive symptomatology. (Copyright © 2024 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.) |
| Databáze: | MEDLINE |
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