nach oben

The journal of nutrition, health & aging

Erschienen in:

29.06.2018

Determinants of Health Related Quality of Life in Home Dwelling Elderly Population: Appetite and Nutritional Status

verfasst von: Nilüfer Acar Tek, M. Ş. Karaçil-Ermumcu

Erschienen in: The journal of nutrition, health & aging | Ausgabe 8/2018

Einloggen, um Zugang zu erhalten

Abstract

Objective

The present study aimed to examine nutritional risk factors such as poor appetite, malnutrition or obesity affecting health related quality of life in elderly.

Design and participants

This is a cross-sectional population-based study consisted of 407 elderly (142 men and 265 women) mean aged 71.7±6.54 years.

Measurements

Questionnaire including the demographic and general characteristics, health information, nutritional habits was performed by face-to-face interviews. Daily food consumption was assessed using 24-hour dietary recall. Mini Nutrition Assessment (MNA) and Mini Nutrition Assessment-Short Form (MNA-SF) were used for assessment of nutrition status. Appetite was evaluated using the Simplified Nutritional Appetite Questionnaire (SNAQ). Health related life quality scale (Short Form Health Survey-SF36) was used for evalution health related quality of life.

Results

According to MNA and MNA-SF 6.1%; 4.2% of elderly people were malnutrition and 40.3%; 21.9% of them were at risk of malnutrition respectively. Accordingly, SNAQ 28.7% of elderly were risk at loss of weight. Health related quality of life scores of women were significantly lower than men. Good nutritional (MNA-SF) and good appetite (SNAQ) status, increased 1.69, 1.48 fold in the mental component summary scale scores respectively. SNAQ was the best determinant of physical component summary scale score had the greatest positive effect, good appetite status increased approximately 2.2 fold in physical scores. Polypharmacy and high BMI decreased health related quality of life in elderly.

Conclusion

Determinants of quality of life are preventable and treatable with early and appropriate interventions in elderly.

Acar Tek N. A Current Perspective on Health Sciences. In: Kaptanoğlu AY (ed) Nutritional Care and Management of Sarcopenia, Romania 2015, p:710–727.

World Population Ageing, 2015. Available:https://doi.org/www.un.org/en/development/desa/population/publications/,pdf/ageing/WPA2015_Report.pdf. Accessed 25 March 2018.

TUIK, 2017. Statistics for the elderly, 2017 https://doi.org/www.tuik.gov.tr/PreHaberBultenleri.do?id=27595 Accessed 25 March 2018.

Nair KS. Aging muscle Am J Clin Nutr 2005;81(5):953–63.CrossRefPubMed

Jimenez-Redondo S, Beltran de Miguel B, Gavidia Banegas J, Guzman Mercedes L, Gomez-Pavon J, Cuadrado Vives C. Influence of nutritional status on healthrelated quality of life of non-institutionalized older people. J Nutr Health Aging 2014;18(4):359–64 doi:10.1007/s12603-013-0416-x.CrossRefPubMed

Rasheed S, Woods RT. An investigation into the association between nutritional status and quality of life in older people admitted to hospital. J Hum Nutr Diet 2014;27(2):142–51 doi:10.1111/jhn.12072.CrossRefPubMed

Payahoo L, Khaje-Bishak Y, Pourghassem Gargari B, Kabir-Alavi MB, Asgharijafarabadi M. Assessment of Nutritional and Depression Status in Free- Living El-derly in Tabriz, Northwest Iran. Health Promot Perspect 2013;3(2):288–93 doi:10.5681/hpp.2013.033.PubMedPubMedCentral

Hernández-Galiot A, Goñi I. Quality of life and risk of malnutrition in a homedwelling population over 75 years old. Nutrition 2017;35:81–6.CrossRefPubMed

Perry L, McLaren S. An exploration of nutrition and eating disabilities in relation to quality of life at 6 months post-stroke. Health Soc Care Community 2004;12(4):288–97.CrossRefPubMed

10.

Pilgrim AL, Robinson SM, Sayer AA, Roberts HC. An overview of appetite decline in older people. Nurs Older People 2015;27(5):29–35 doi:10.7748/nop.27.5.29.e697.CrossRefPubMedPubMedCentral

11.

Giezenaar C, Chapman I, Luscombe-Marsh N, Feinle-Bisset C, Horowitz M, Soenen S. Ageing Is Associated with Decreases in Appetite and Energy Intake—A Meta-Analysis in Healthy Adults. Nutrients 2016;8(1):28 doi:10.3390/nu8010028.CrossRefPubMedCentral

12.

Rasheed S, Woods RT. Malnutrition and quality of life in older people: a systematic review and meta-analysis. Ageing Res Rev 2013;12(2):561–6 doi:10.1016/j.arr.2012.11.003.CrossRefPubMed

13.

Goodwin JS. Social, psychological and physical factors affecting the nutritional status of elderly subjects: separating cause and effect. Am J Clin Nutr 1989;50(5):1201–9; discussion 31-5.CrossRefPubMed

14.

Hickson M, Frost G. An investigation into the relationships between quality of life, nutritional status and physical function. Clin Nutr 2004;23(2):213–21 doi:10.1016/s0261-5614(03)00127-4.CrossRefPubMed

15.

Norman K, Schutz T, Kemps M, Josef Lubke H, Lochs H, Pirlich M. The Subjective Global Assessment reliably identifies malnutrition-related muscle dysfunction. Clin Nutr 2005;24(1):143–50 doi:10.1016/j.clnu.2004.08.007.CrossRefPubMed

16.

Heersink JT, Brown CJ, Dimaria-Ghalili RA, Locher JL. Undernutrition in hospitalized older adults: patterns and correlates, outcomes, and opportunities for intervention with a focus on processes of care. J Nutr Elder 2010;29(1):4–41 doi:10.1080/01639360903574585.CrossRefPubMed

17.

Donini LM, Savina C, Piredda M, et al. Senile anorexia in acute-ward and rehabilitations settings. J Nutr Health Aging 2008;12(8):511–17.CrossRefPubMed

18.

Lohman TG RA, Martoel R. Antropometric Standarsization Reference Manual, Michigan Üniversitesi, Human Kinetic Books, Champaign, İllinois, 1998.

19.

WHO. Body mass index–BMI. https://doi.org/www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi Accessed 27 March 2018

20.

Rakıcıoğlu N, Acar Tek, Ayaz A., Pekcan G. Yemek ve Besin ve Fotoğraf Kataloğu: Ölçü ve Miktarlar. Ata Ofset Matbaacılık, Ankara, 2012.

21.

Beslenme Bilgi Sistemleri. Ebispro for Windows S, Germany; Türkish version BEBİS; Data Bases: Bundeslebenmittelschlüssell,11.3 and other sorces, 2004.

22.

Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, Albarede JL. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 1999;15(2):116–22.CrossRefPubMed

23.

Kaiser MJ, Bauer J, Ramsch C, et al. Validation of the Mini Nutritional Assessment Short-Form (MNA®-SF): A practical tool for identification of nutritional status. J Nutr Health Aging 2009;13(9):782–8.CrossRefPubMed

24.

Wilson MMG TD, Rubenstein LZ, Chibnall JT, Anderson S, Baxi A, et al. Appetite assessment: simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents. Am J Clin Nutr 2005;82:1074–81.CrossRefPubMed

25.

Ware JE, Gandek B. Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project. J Clin Epidemiol 1998;51(11):903–12.CrossRefPubMed

26.

Kostka J, Borowiak E, Kostka T. Nutritional status and quality of life in different populations of older people in Poland Eur J Clin Nutr 2014;68(11):1210.CrossRefPubMed

27.

Méndez EE, Romero PJ, Fernández DM, et al. Do our elderly have an adequate nutritional status? Nutr Hosp 2012;28(3):903–13.

28.

Kvamme JM, Olsen JA, Florholmen J, Jacobsen BK. Risk of malnutrition and healthrelated quality of life in community-living elderly men and women: the Tromso study. Qual Life Res 2011;20(4):575–82 doi:10.1007/s11136-010-9788-0.CrossRefPubMed

29.

Keller HH, Ostbye T, Goy R. Nutritional risk predicts quality of life in elderly community-living Canadians. J Gerontol A Biol Sci Med Sci 2004;59(1):68–74.CrossRefPubMed

30.

Lopez-Garcia E, Banegas Banegas JR, Gutierrez-Fisac JL, Perez-Regadera AG, Ganan LD, Rodriguez-Artalejo F. Relation between body weight and health-related quality of life among the elderly in Spain. Int J Obes Relat Metab Disord 2003;27(6):701–9. doi:10.1038/sj.ijo.0802275CrossRefPubMed

31.

Maseda A, Diego-Diez C, Lorenzo-López L, López-López R, Regueiro-Folgueira L, Millán-Calenti JC. Quality of life, functional impairment and social factors as determinants of nutritional status in older adults: The VERISAÚDE study. Clin Nutr 2017;S0261-5614(17)30148–6 doi: 10.1016/j.clnu.2017.04.009.

32.

Guallar-Castillon P, Sendino AR, Banegas JR, Lopez-Garcia E, Rodriguez-Artalejo F. Differences in quality of life between women and men in the older population of Spain. Soc Sci Med 2005;60(6):1229–40 doi:10.1016/j.socscimed.2004.07.003CrossRefPubMed

33.

Konig HH, Heider D, Lehnert T, et al. Health status of the advanced elderly in six European countries: results from a representative survey using EQ-5D and SF-12. Health Qual Life Outcomes 2010;8:143 doi:10.1186/1477-7525-8-143.CrossRefPubMedPubMedCentral

34.

Arber S, Cooper H. Gender differences in health in later life: the new paradox? Soc Sci Med 1999;48(1):61–76.CrossRefPubMed

35.

Eguez-Guevara P, Andrade FC. Gender differences in life expectancy with and without disability among older adults in Ecuador. Arch Gerontol Geriatr 2015;61(3):472–9 doi:10.1016/j.archger.2015.08.012.CrossRefPubMed

36.

Regidor E, Barrio G, de la Fuente L, Domingo A, Rodriguez C, Alonso J. Association between educational level and health related quality of life in Spanish adults. J Epidemiol Community Health 1999;53(2):75–82.CrossRefPubMedPubMedCentral

37.

Harrison SL, Bradley C, Milte R, et al. Psychotropic medications in older people in residential care facilities and associations with quality of life: a cross-sectional study. BMC Geriatr 2018;18(1):60 doi:10.1186/s12877-018-0752-0.CrossRefPubMed

38.

Orfila F, Ferrer M, Lamarca R, Alonso J. Evolution of self-rated health status in the elderly: cross-sectional vs. longitudinal estimates. J Clin Epidemiol 2000;53(6):563–70.CrossRefPubMed

39.

Drewnowski A, Evans WJ. Nutrition, physical activity, and quality of life in older adults: summary. J Gerontol A Biol Sci Med Sci 2001;56(2):89–94.CrossRefPubMed

40.

Amarantos E, Martinez A, Dwyer J. Nutrition and quality of life in older adults. J Gerontol A Biol Sci Med Sci 2001;56(2):54–64.CrossRefPubMed

41.

Hernandez-Galiot A, Goni I. Quality of life and risk of malnutrition in a homedwelling population over 75 years old. Nutrition 2017;35:81–6. doi:10.1016/j. nut.2016.10.013CrossRefPubMed

42.

Lesourd B. Nutrition: a major factor influencing immunity in the elderly. J Nutr Health Aging 2004;8(1):28–37.PubMed

43.

Stuck AE, Walthert JM, Nikolaus T, Bula CJ, Hohmann C, Beck JC. Risk factors for functional status decline in community-living elderly people: a systematic literature review. Soc Sci Med 1999;48(4):445–69.CrossRefPubMed

44.

Perez-Tasigchana RF, Leon-Munoz LM, Lopez-Garcia E, Banegas JR, Rodriguez-Artalejo F, Guallar-Castillon P. Correction: Mediterranean diet and health-related quality of life in two cohorts of community-dwelling older adults. plos One 2016;11(5):0155171. doi:10.1371/journal.pone.0155171CrossRef

45.

Pérez-Tasigchana RF, León-Muñoz LM, López-García E, Banegas JR, Rodríguez-Artalejo F, Guallar-Castillón P. Mediterranean Diet and health-related quality of life in two cohorts of community-dwelling older adults. PloS one 2016;11(3):0151596.CrossRef

46.

Grzegorzewska A, Wolejko K, Kowalkowska A, Kowalczyk G, Jaroch A. Proper BMI ranges for the elderly in the context of morbidity, mortality and functional status. Gerontologia Polska 2016;24:114–8.

47.

Zhu J, Xiang YB, Cai H, et al. Associations of obesity and weight change with physical and mental impairments in elderly Chinese people. Maturitas 2018;108:77–83. doi:10.1016/j.maturitas.2017.11.015CrossRefPubMed

48.

Khan SS, Ning H, Wilkins JT, et al. Association of body mass index with lifetime risk of cardiovascular disease and compression of morbidity. JAMA cardiology, 2018. doi:10.1001/jamacardio.2018.0022.

Titel: Determinants of Health Related Quality of Life in Home Dwelling Elderly Population: Appetite and Nutritional Status
verfasst von: Nilüfer Acar Tek
M. Ş. Karaçil-Ermumcu
Publikationsdatum: 29.06.2018
Verlag: Springer Paris
Erschienen in: The journal of nutrition, health & aging / Ausgabe 8/2018
Print ISSN: 1279-7707
Elektronische ISSN: 1760-4788
DOI: https://doi.org/10.1007/s12603-018-1066-9

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

23.04.2024 | Ablationstherapie | Nachrichten

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Determinants of Health Related Quality of Life in Home Dwelling Elderly Population: Appetite and Nutritional Status

Abstract

Objective

Design and participants

Measurements

Results

Conclusion

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Wie erfolgreich ist eine Re-Ablation nach Rezidiv?

Europäische Ernährungsgewohnheiten: Das sind die häufigsten Fehler

Neuer Typ-1-Diabetes bei Kindern am Wochenende eher übersehen

Parkinson-Therapie im Wandel – aktuelle Leitlinie im Fokus

Update Innere Medizin

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Objective

Design and participants

Measurements

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 8/2018

Modified Texture Food Use is Associated With Malnutrition in Long Term Care: An Analysis of Making the Most of Mealtimes (M3) Project

Erratum to: Fruit and Vegetable Consumption and Frailty: A Systematic Review

Effect of a Minimal-Massive Intervention in Hospitalized Older Patients with Oropharyngeal Dysphagia: A Proof of Concept Study (1)

Social Frailty is Associated with Physical Functioning, Cognition, and Depression, and Predicts Mortality

Effect of Body Weight, Waist Circumference and their Changes on Mortality: A 10-Year Population-Based Study

Usefulness of Simplified Nutritional Appetite Questionnaire (SNAQ) in Appetite Assessment in Elder Patients with Liver Cirrhosis

Leitlinien kompakt für die Innere Medizin

Neu im Fachgebiet Innere Medizin

Wie erfolgreich ist eine Re-Ablation nach Rezidiv?

Europäische Ernährungsgewohnheiten: Das sind die häufigsten Fehler

Neuer Typ-1-Diabetes bei Kindern am Wochenende eher übersehen

Parkinson-Therapie im Wandel – aktuelle Leitlinie im Fokus

Update Innere Medizin