Mini nutritional assessment short form as a predictor of mortality among older adults with dementia residing in group homes: A 5-year longitudinal study.

Autor: Yasutake K; Department of Nutritional Sciences, Faculty of Nutritional Sciences, Nakamura Gakuen University, Fukuoka 814-0198, Japan; Graduate School of Nutritional Sciences, Nakamura Gakuen University, Fukuoka 814-0198, Japan; Food & Health Innovation Center, Nakamura Gakuen University, Fukuoka 814-0198, Japan. Electronic address: yasutake@nakamura-u.ac.jp., Kawano M; Graduate School of Nutritional Sciences, Nakamura Gakuen University, Fukuoka 814-0198, Japan. Electronic address: kwn.marinana20@gmail.com., Kumahara H; Department of Nutritional Sciences, Faculty of Nutritional Sciences, Nakamura Gakuen University, Fukuoka 814-0198, Japan; Graduate School of Nutritional Sciences, Nakamura Gakuen University, Fukuoka 814-0198, Japan; Food & Health Innovation Center, Nakamura Gakuen University, Fukuoka 814-0198, Japan. Electronic address: kumahara@nakamura-u.ac.jp.
Jazyk: angličtina
Zdroj: Clinical nutrition ESPEN [Clin Nutr ESPEN] 2024 Dec; Vol. 64, pp. 455-460. Date of Electronic Publication: 2024 Nov 02.
DOI: 10.1016/j.clnesp.2024.10.165
Abstrakt: Background & Aims: Many people with dementia frequently experience various health-related problems and are known to have poor nutritional status. However, very few studies have examined the nutritional status of dementia residents in group homes, which play an important role in a society-wide system of support for people with dementia, or the relationship between nutritional status and long-term prognosis. This study was conducted to determine the nutritional status of group-home residents and to examine the relationship between nutritional status and the 5-year survival rate.
Methods: Participant characteristic (e.g., age, sex, body mass index, and medical history) and Mini Nutritional Assessment-Short Form (MNA-SF), Barthel index (BI), and Clinical Dementia Rating (CDR) data were collected from 79 older people (12 men/67 women; mean age: 88.3 ± 5.5 years) residing in 5 group homes as a baseline survey. Mortality data were obtained from medical records using an endline survey.
Results: The nutritional status of the participants using the MNA-SF was normal, at risk of malnutrition, and malnourished in 15.2 % (n = 12), 69.6 % (n = 55), and 15.2 % (n = 12) of participants, respectively. Following the survey, mortality data were collected for 5 years, and the 5-year survival rates were 64.3 % in those with normal nutritional status, 30.4 % in those at risk of malnutrition, and 9.1 % in the malnourished group, with a significant difference observed in the Kaplan-Meier analysis (p < 0.001). The hazard ratio for the MNA-SF scores and survival rates adjusted for sex, age, BI, and CDR were significant 0.80 [0.69-0.93, p = 0.003].
Conclusion: This study showed that 84.8 % of patients with dementia residing in group homes were malnourished or at risk of malnutrition and that low MNA-SF levels were an independent determinant of the 5-year survival rate.
Competing Interests: Declaration of competing interest The authors declare no conflicts of interest.
(Copyright © 2024 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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