Associations between Nutritional Status and Health-Related Quality of Life among Long-Term Care Residents in Helsinki

Autor: Kaisu H. Pitkälä, H. Soini, Karoliina Salminen, Merja H. Suominen, R. K. T. Saarela, Hannu Kautiainen, N. Savikko, Seija Muurinen
Přispěvatelé: Department of General Practice and Primary Health Care, Clinicum, University of Helsinki, HUS Helsinki and Uusimaa Hospital District, Helsinki University Hospital Area, Teachers' Academy
Rok vydání: 2019
Předmět:
Gerontology
NURSING-HOME PATIENTS
Male
Activities of daily living
030309 nutrition & dietetics
Population
Medicine (miscellaneous)
Nutritional Status
AGED RESIDENTS
03 medical and health sciences
0302 clinical medicine
Cognitive level
medicine
Dementia
Humans
030212 general & internal medicine
OLDER-PEOPLE
education
POPULATION
Nutrition
Helsinki Declaration
2. Zero hunger
Health related quality of life
RISK
Aged
80 and over
0303 health sciences
education.field_of_study
Nutrition and Dietetics
business.industry
DEMENTIA
FACILITIES
Nutritional status
MALNUTRITION
medicine.disease
Long-Term Care
PREVALENCE
Malnutrition
Long-term care
nursing home
Cross-Sectional Studies
Nutrition Assessment
MNA
3121 General medicine
internal medicine and other clinical medicine
Quality of Life
health-related quality-of-life
Female
Geriatrics and Gerontology
3143 Nutrition
business
Zdroj: The journal of nutrition, healthaging. 23(5)
ISSN: 1760-4788
Popis: ObjectivesWe evaluated the associations between nutritional status and health-related quality-of-life (HRQoL) among older long-term care residents in Helsinki.Design and participantsAll 3767 older (65 years) long-term care residents in Helsinki in 2017 were invited to participate in this cross-sectional study. After refusals and exclusions of residents without sufficient information, 2160 residents remained.MeasurementsData on characteristics, nutritional status (Mini Nutritional Assessment, MNA) and HRQoL (15D) were collected by trained nurses.ResultsOf the participants, 64% were at-risk of malnutrition and 18% suffered from malnutrition. Residents in the malnourished group were more dependent in activities of daily living (ADL) functioning, suffered more often from dementia, had lower cognitive level, used less medications, and were eating more often inadequately. HRQoL was statistically significantly associated with MNA total score in both female and male residents. There was a curvilinear correlation between MNA and 15D score in females: 0.50 (95% CI 0.46 to 0.53) and males: 0.56 (95% CI 0.50 to 0.61). In partial correlation analysis, all dimensions of 15D, except for sleeping and breathing, were positively associated with MNA score. In these analyses no significant differences emerged between males and females when the results were adjusted for age and dementia.ConclusionsNutrition plays an important role in HRQoL among older long-term care residents.
Databáze: OpenAIRE
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