Correlates of Health-Related Quality of Life in Community-Dwelling Older Adults in Guadeloupe (French West Indies): Results from the KASADS Study

Simo, Nadine; Boucaud-Maitre, Denis; Gebhard, Pierre; Villeneuve, Roxane; Rinaldo, Leila; Dartigues, Jean‐François; Dramé, Moustapha; Tabué-Teguo, Maturin

doi:10.3390/ijerph20043004

Cited by 3 publications

(3 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This observational, cross-sectional study in Guadeloupe, a French overseas department situated in the Caribbean sea, used data from the Karukera Study Aging-Drug Storage (KASADS) [11]. In the KASADS cohort, the selected patients were contacted over the phone by two medical school students.…”

Section: Methodsmentioning

confidence: 99%

“…In addition to this, the geographical location of the island in terms of access to care is also challenging. In the current context, the economic, medical, social, and human stakes are considerable, and the question that needs to be addressed is to what extent does living in Guadeloupe have an impact on the care of the elderly population [11,12]. It is of particular importance to identify the factors associated with undernutrition in this context, especially since certain modifiable risk factors are susceptible to influence by the geographic, psycho-socio-cultural, and ethno-anthropological environment.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Correlates of Undernutrition in Older People in Guadeloupe (French West Indies): Results from the KASADS Study

Simo-Tabue,

Boucaud-Maitre,

Letchimy

et al. 2023

Nutrients

Self Cite

View full text Add to dashboard Cite

Objectives: This study aimed to determine the risk factors for undernutrition in community-dwelling older adults in Guadeloupe (Caribbean islands). Methods: We used data from the KArukera Study of Aging-Drugs Storage (KASADS), an observational cross-sectional study of community-dwelling older people living in Guadeloupe. The Mini Nutritional Assessment (MNA) was used to assess the risk of undernutrition. An MNA-short form (SF) score ≤11 defined the risk of undernutrition. Depression was assessed using the Center for Epidemiologic Studies Depression (CES-D) scale, cognitive function was assessed using the Mini Mental State Examination (MMSE), frailty was assessed using the Study of Osteoporotic Fractures index (SOF), and dependency was assessed using Lawton’s instrumental activities of daily living (IADL) scale. Bivariate and multivariate analyses were used to determine the correlates of undernutrition. Results: The study sample comprised 115 patients aged 65 years or older; 67.8% were women, and the mean age was 76 ± 7.8 years. The prevalence of undernutrition was 21.7% (95% CI = 15.2–30.1%). In our bivariate analysis, the risk of undernutrition was associated with MMSE score, IADL score, frailty, and CES-D score. We found no significant relation between nutrition risk and other variables, such as marital status, pain, or polypharmacy. In the multivariate analysis, the factors associated with the risk of undernutrition were MMSE score (Odd-Ratio (OR): 0.74 (0.58–0.97)) and CES-D score (OR: 1.13 (1.02–1.27)). Conclusions: Cognitive decline and the risk of depression were independently associated with the risk of undernutrition in community-dwelling older people in Guadeloupe. Although we cannot imply causality in this relation, the detection of these three key geriatric syndromes in community-dwelling elders is essential to prevent adverse health outcomes. Further studies are warranted to confirm these findings.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Correlates of Undernutrition in Older People in Guadeloupe (French West Indies): Results from the KASADS Study

Simo-Tabue,

Boucaud-Maitre,

Letchimy

et al. 2023

Nutrients

Self Cite

View full text Add to dashboard Cite

show abstract

“…To the best of our knowledge, in the Caribbean region [20][21][22] and in Guadeloupe in particular [23], very few studies have investigated falls and fall severity in our region [20][21][22]. Guadeloupe (an island in the French West Indies) is a territory with speci c characteristics, namely a high prevalence of hypertension, diabetes, presence of atypical Parkinsonian syndrome, amongst other issues, with the prospect of rapid ageing of the population in the coming years [24][25][26]. The aim of this study was therefore to identify the factors associated with fall severity (as assessed by need for hospitalization) in patients aged 70 years and over attending the emergency department in Guadeloupe.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with fall severity Among Older Patients Admitted to the Emergency Department in Guadeloupe (French West Indies): A retrospective cohort study

Simo,

laurys,

ludwig

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

Introduction: Falls are a common geriatric syndrome in older people. Falls are associated with adverse health events such as dependency, unplanned emergency admissions and death. This study aimed to identify factors associated with fall severity (hospitalization) in patients aged 70 years and over admitted to the emergency department in Guadeloupe. Method: Single-center, observational, retrospective study of patients aged 70 years and over, admitted to the emergency department (ED) of the University Hospital of Guadeloupe for a fall, between 1 May 2018 and 30 April 2019. Fall severity was defined as the need for hospitalization. Bivariate analysis was used to determine the associations between fall severity and sociodemographic characteristics, comorbidities, history of falls and polypharmacy (defined as the daily use of at least 5 drugs). Polypharmacy was analyzed as a binary variable (yes/no), and in categories (0–3 (ref.), 4–6, 7–9 and ≥ 10 drugs). Results: During the study period, 625 patients who attended the ED for a fall were included. Mean age was 82.6 ± 7.6 years, 48.8% were men. Of these, 277 patients (44.3%) were admitted to the hospital, and three patients (0.5%) died. In bivariate analysis, only polypharmacy was associated with hospitalization for fall (OR: 1.63 [95%CI: 1.33–2.02]). The odds ratios for polypharmacy categories were 1.46 [95%CI 0.99 − 2.14], 1.65 [1.09–2.50] and 1.48 [0.76–2.85] for 4–6, 7–9 and ≥ 10 drugs respectively. Conclusion: Polypharmacy was associated with hospitalization as a proxy for fall severity. Regular review of drug prescription is essential to reduce polypharmacy in older adults.

show abstract

Malnutrition and Its Determinants among Older Adults Living in French Caribbean Nursing Homes: A Cross-Sectional Study

Tabue Teguo,

Letchimy,

Rinaldo

et al. 2024

Nutrients

View full text Add to dashboard Cite

Background: This study aimed to assess the prevalence of malnutrition and its determinants in older adults living in French Caribbean nursing homes. Methods: This cross-sectional study was taken from the KASEHAD (Karukera Study of Ageing in EHPAD) study. Nutritional status was assessed with the Mini Nutritional Assessment Short-Form (MNA-SF). Clinical characteristics and scores on geriatric scales (Mini-Mental State Examination (MMSE), Activities of Daily Living (ADL), Short Physical Performance Battery (SPPB), Center for Epidemiologic Studies-Depression (CESD) and Questionnaire Quality of Life Alzheimer’s Disease (QoL-AD)) were extracted. Bivariate analysis and logistic models adjusted were performed to test the association between nutritional status and both socio-demographic variables and geriatric scales. Results: A total of 332 older adults from six nursing homes were included in the KASEHPAD study. Among the participants, 319 had an MNA-SF score. The mean age was 81.3 ± 10.6 years, and half of the participants were men. The frequency of malnutrition (MNA-SF ≤ 7) was 27.6% (95% confidence interval (CI): 22.0–32.5) (n = 88). Based on the multivariable analysis, a low MMSE was associated with malnutrition (OR: 0.81 (0.68–0.92); p = 0.015) and there was a borderline significant link between a higher CESD score and malnutrition (OR: 1.05 (1.00–1.12); p = 0.07). Conclusions: Cognitive decline and a tendency toward depression were associated with malnutrition in nursing homes in the French West Indies. Although this study cannot establish causal relationships, the identification of these three geriatric syndromes in nursing homes is crucial for preventing adverse health events.

show abstract

Correlates of Health-Related Quality of Life in Community-Dwelling Older Adults in Guadeloupe (French West Indies): Results from the KASADS Study

Cited by 3 publications

References 38 publications

Correlates of Undernutrition in Older People in Guadeloupe (French West Indies): Results from the KASADS Study

Correlates of Undernutrition in Older People in Guadeloupe (French West Indies): Results from the KASADS Study

Factors associated with fall severity Among Older Patients Admitted to the Emergency Department in Guadeloupe (French West Indies): A retrospective cohort study

Malnutrition and Its Determinants among Older Adults Living in French Caribbean Nursing Homes: A Cross-Sectional Study

Contact Info

Product

Resources

About