Occurrence of malnutrition and associated factors in community-dwelling older adults

Autor: C Van Den Broeke, Vivianne C. G. Tjan-Heijnen, M Ummels, Laura Deckx, M van den Akker, F Buntinx, T De Burghgraeve, N Gescher
Přispěvatelé: RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, MUMC+: MA Medische Oncologie (9), Interne Geneeskunde, RS: CAPHRI - R5 - Optimising Patient Care, Family Medicine, RS: CAPHRI - R6 - Promoting Health & Personalised Care
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
0301 basic medicine
Gerontology
Pediatrics
medicine.medical_specialty
NUTRITIONAL-STATUS
Activities of daily living
Multivariate analysis
HOSPITAL PATIENTS
Medicine (miscellaneous)
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Quality of life
GERIATRIC DEPRESSION SCALE
QUALITY-OF-LIFE
PEOPLE
Neoplasms
Activities of Daily Living
medicine
Humans
cancer
030212 general & internal medicine
Geriatric Assessment
Depression (differential diagnoses)
INSTRUMENTAL-ACTIVITIES
Aged
FUNCTIONAL DECLINE
Aged
80 and over
030109 nutrition & dietetics
Nutrition and Dietetics
business.industry
Malnutrition
Cancer
medicine.disease
PREVALENCE
Distress
community-dwelling older adults
DISTRESS THERMOMETER
Quality of Life
Female
Geriatric Depression Scale
Geriatrics and Gerontology
business
RECEIVING HOME-CARE
Zdroj: Journal of Nutrition Health & Aging, 22(2), 191-198. Springer
ISSN: 1279-7707
Popis: In older adults, nutritional health is essential for good quality of life and living independently at home. Especially in cancer patients, malnutrition is common and known to complicate treatment. This study aims to evaluate the nutritional status and its associated factors in community-dwelling older adults with and without cancer. This is an observational study. This study focuses on older community-dwelling people. This study included older people with and without cancer (ae70 years). Cancer patients included patients with a new diagnosis of breast, lung, prostate, or colorectal cancer. Data collection included measures of nutritional status, quality of life, depression, fatigue, distress and functional status. We used multivariate logistic regression analysis to assess the association between personal characteristics and malnutrition. Data were available for 657 people; 383 people without cancer and 274 with a cancer diagnosis. Overall, malnutrition was detected in 245 (37.5%) people; in cancer patients this was 66.1%. Multivariate analysis showed that having cancer (OR 14.4, 95% CI: 8.01 - 23.3), being male (OR 2.38, 95% CI: 1.49-3.70), having depression (OR 13.5, 95% CI: 6.02-30.0), distress (OR 2.60, 95% CI: 1.55-4.37) and impaired instrumental activities of daily living (IADL) (OR 2.63, 95% CI: 1.63-4.24) were associated with a higher risk of malnutrition. The prevalence of malnutrition in community-dwelling older people is high, particularly in patients with cancer. Benchmarking and routine screening of older patients may be helpful strategies to increase awareness of (risk of) malnutrition among professionals.
Databáze: OpenAIRE
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