Relationship between cognitive impairment and nutritional assessment on functional status in Calabrian long-term-care
| Autor: | Chiara Caruso, Michele Garo, Francesco Ceravolo, Vincenzo Rispoli, Grazia Francesca Renda, Fausto Spadea, Giovanni Sgrò, Alba Malara, Giuseppe Curinga |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Activities of daily living Nutritional Status Neuropsychological Tests elderly Internal medicine Activities of Daily Living medicine Prevalence Dementia Humans Cognitive Dysfunction Effects of sleep deprivation on cognitive performance Cognitive deficit Aged Original Research nutritional state business.industry Malnutrition Cognition General Medicine medicine.disease Long-Term Care Long-term care nursing home Nutrition Assessment Italy disability Clinical Interventions in Aging Cohort Physical therapy Female Geriatrics and Gerontology medicine.symptom business Cognition Disorders dementia |
| Zdroj: | Clinical Interventions in Aging |
| ISSN: | 1178-1998 |
| Popis: | Objective The interaction between dementia and nutritional state is very complex and not yet fully understood. The aim of the present study was to assess the interaction between cognitive impairment and nutritional state in a cohort of residential elderly in relationship with functional condition of patients and their load of assistance in long-term-care facilities of the National Association of Third Age Structures (ANASTE) Calabria. Methods One hundred seventy-four subjects (122 female and 52 male) were admitted to the long-term-care ANASTE Calabria study. All patients underwent multidimensional geriatric assessment. Nutritional state was assessed with the Mini Nutritional Assessment (MNA), whereas cognitive performance was evaluated by the Mini-Mental State Examination (MMSE). The functional state was assessed by Barthel Index (BI) and Activity Daily Living (ADL). The following nutritional biochemical parameters were also evaluated: albumin, cholesterol, iron, and hemoglobin. All patients were reassessed 180 days later. Results A severe cognitive impairment in MMSE performance was displayed in 49.7% patients, while 39.8% showed a moderate deficit; 6.9% had a slight deficit; and 3.4% evidenced no cognitive impairment. In MNA, 30% of patients exhibited an impairment of nutritional state; 56% were at risk of malnutrition; and 14% showed no nutritional problems. Malnutrition was present in 42% of patients with severe cognitive impairment, but only 4% of malnourished patients showed moderate cognitive deficit. The statistical analysis displayed a significant correlation between MNA and MMSE (P Video abstract |
| Databáze: | OpenAIRE |
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