Depressive symptoms and risk for malnutrition among hospitalized elderly people

German, Larissa; Feldblum, Ilana; Bilenko, Natalya; Castel, Hana; Harman-Boehm, Ilana; Shahar, Danit R.

doi:10.1007/bf02982661

Cited by 68 publications

(70 citation statements)

References 43 publications

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“…The results maintained in a sub-group analysis on patients with intra-abdominal tumours, whom are at greatest risk for both an impaired NS [7,9] and adverse outcomes after major surgery [12]. The results are comparable to results found in different studies including onco-geriatric patients or elderly hospitalized patients [9,[31][32][33]. Other associated geriatric domain impairments were cognitive and mobility impairments, which were assessed with the MMSE, TUG and risk of falls.…”

Section: Discussionsupporting

confidence: 68%

Poor nutritional status is associated with other geriatric domain impairments and adverse postoperative outcomes in onco-geriatric surgical patients – A multicentre cohort study

Huisman

Veronese

Audisio

et al. 2016

European Journal of Surgical Oncology (EJSO)

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Somasundar, P S et al. (2016) Poor nutritional status is associated with other geriatric domain impairments and adverse postoperative outcomes in onco-geriatric surgical patients -a multicentre cohort study. European Journal of Surgical Oncology, 42 (7). pp. 1009 -1017 This version is available from Sussex Research Online: http://sro.sussex.ac.uk/60520/ This document is made available in accordance with publisher policies and may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the URL above for details on accessing the published version. Copyright and reuse:Sussex Research Online is a digital repository of the research output of the University.Copyright and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable, the material made available in SRO has been checked for eligibility before being made available.Copies of full text items generally can be reproduced, displayed or performed and given to third parties in any format or medium for personal research or study, educational, or not-for-profit purposes without prior permission or charge, provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Accepted Manuscript M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPT M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPT

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Section: Discussionsupporting

confidence: 68%

Poor nutritional status is associated with other geriatric domain impairments and adverse postoperative outcomes in onco-geriatric surgical patients – A multicentre cohort study

Huisman

Veronese

Audisio

et al. 2016

European Journal of Surgical Oncology (EJSO)

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“…While depression is associated with weight gain in individuals before age 50 years, it leads to weight loss after that age, as was observed in a cohort of US adults (15) . Moreover, studies in hospitalised and communitydwelling elderly showed that depression increased the risk of impaired nutritional status and observed that malnourished patients had higher depression scores (16,17) .The aim of the present study was to assess nutritional status and prevalence of depression and associations between both. Furthermore, we wanted to explore their impact on selfcaring capacity and quality of life in elderly nursing-home residents.…”

mentioning

confidence: 92%

Malnutrition and depression in the institutionalised elderly

et al. 2009

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Malnutrition and depression are highly prevalent in the institutionalised elderly and can lead to unfavourable outcomes. The aim of the present study was to assess associations between nutritional status and depressive symptoms and to explore their impact on self-caring capacity and quality of life (QoL) in elderly nursing-home residents (NHR). We conducted a cross-sectional study with 114 NHR (eighty-six female) with a mean age of 84·6 (SD 9·1) years. Nutritional status was assessed with the Mini Nutritional Assessment (MNA). Depressive symptoms were rated with the Geriatric Depression Scale (GDS). Self-caring capacity was measured with the Barthel index (BI) and QoL was assessed with the short-form thirtysix-item (SF-36) questionnaire. Of the NHR, twenty-six (22·8 %) were malnourished according to the MNA and sixty-six (57·9 %) were at nutritional risk. Of the residents, seventy-five could be assessed with the GDS, whereof sixteen (21·3 %) had major and twenty-six (34·7 %) had minor depressive symptoms. GDS scores tended to be higher in patients with impaired nutritional status (5·4 (SD 3·6) in well-nourished subjects and 6·9 (SD 3·2) in residents with malnutrition or at risk of malnutrition). The MNA correlated significantly with the GDS (r 20·313; P¼ 0·006) and the GDS emerged as the only independent risk factor for malnutrition in a multiple regression analysis, whereas age, sex, care level, number of prescriptions and self-caring capacity had no influence. The BI was not reduced in patients with a high GDS. QoL was affected in malnourished residents as well as in study participants with depressive symptoms. The results of the present study point towards an association between malnutrition and depressive symptoms. However, the relationship is complex and it remains unclear whether depression in NHR is the cause or consequence of impaired nutritional status. Further studies are needed to identify the direction of this relationship and to assess the effect of depression treatment on nutritional and functional status as well as on QoL.Nursing-home residents: Malnutrition: Depression: Quality of life Malnutrition is a frequent problem in aged individuals. Whereas the prevalence in free-living elderly ranges between 5 and 10 % (1) , it can reach up to 60 % in institutionalised individuals (2,3) . The aetiology of malnutrition is multifactorial and the consequences are severe: a decrease in functional status (4) and consequently high dependency, an impaired quality of life (5) as well as higher morbidity and mortality (6,7) .Depression is a further common health problem in late life with prevalence rates of up to 45 % in the institutionalised elderly (8 -10) . The consequences of untreated depression are manifold and cause an increased use of health care and medical services (9,11) , affect quality of life and well-being negatively (11) and can cause increased mortality (12) . Despite growing evidence that depression is a problem especially in the institutionalised elderly, only little attention is paid to this ...

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“…Sabbattini et al reported that there is a relation between high PTH levels and sleep disorders in the ESRD population, which might be related to pruritus and bone pain, and those patients who are poor sleepers have lower hemoglobin levels compared with dIScuSSIOn All elderly patients have an increased risk for both malnutrition and depression even if they do not have a chronic illness. For example German et al reported a 28% frequency for depression and a higher rate of malnutrition presence in these depressed patients older than 65 years of age (15). Similarly Feldblum et al reported a malnutrition rate of 18.5% with mini nutritional assessment in a patient group of 259 patients older than 65 years of age (16,17).…”

Section: Resultsmentioning

confidence: 99%

Association of Nutritional Status with Depression and Sleep Disorders in Elderly End Stage Renal Disease Patients - Does Chronic Inflammation Cause it all?

Bilgic¹,

Ibis²,

Tutal³

et al. 2012

Turk Neph Dial Transpl

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OBjEcTIvE: In our study we aimed to analyze the association between nutritional status and depression and sleep disturbance in elderly dialysis patients. mATErIAl and mEThOdS: Seventy-three patients receiving dialysis treatment older than 65 years of age were enrolled in this study. Nutritional status was determined by Subjective Global Assessment (SGA). Patients were also evaluated with Beck Depression Inventory and Pittsburg Sleep Quality Index. Demographic and laboratory data were recorded.rESulTS: According to SGA, 48 (65.8%) patients were well nourished and 25 (34.2%) patients had mild-moderate and severe malnutrition. When the well-nourished and malnourished patients were compared, the well-nourished group had higher albumin (p<.0001) and creatinine (p=.03) levels, higher body mass indices (p<.01), lower CRP levels (p<.0001), better quality of sleep (p<.0001) and lower depression scores (p<.0001) than the malnourished group. When we grouped patients as Group I (not depressive and good sleep quality), Group II (depressive but good sleep quality) and Group III (both depressive and poor sleep quality, we found that Group III had the lowest albumin (p < .0001) and highest CRP (p < .0001) values when compared to the other two groups.cOncluSIOn: Depression, sleep disorders, and the nutritional status are important factors which interact with each other and elderly dialysis patients with malnutrition should be well assessed for the presence of any inflammatory status and/or psychological-sleep disorders.KEy wOrdS: Elderly patients, Dialysis, Malnutrition, Depression, Sleep disorder Öz AmAç: Çalışmamızda yaşlı diyaliz hastalarında beslenme durumu ile depresyon ve uyku bozukluğu arasındaki ilişkiyi incelemeyi amaçladık. gErEç ve yÖnTEmlEr: Çalışmaya diyaliz tedavisi almakta olan 65 yaş üzerindeki 73 hasta alındı. Beslenme durumu "Subjektif Global Değerlendirme (SGD)" ile belirlendi. Hastalar ayrıca "Beck Depresyon Görüşmesi" ve "Pittsburg Uyku Kalitesi İndeksi" ile değerlendirildi. Hastaların demografik ve laboratuvar verileri kaydedildi.BulgulAr: SGD sonuçlarına göre, 48 (%65.8) hastanın beslenme durumu iyi düzeyde iken 25 (%34.2) hasta hafif-orta ve ciddi derecede beslenme bozukluğuna sahipti. Beslenme durumu iyi olan hastalar ile malnutrisyonu olan hastalar karşılaştırıldığında, beslenmesi iyi olan grubun daha yüksek albümin (p<0,0001) ve kreatinin (p=0,03) düzeyleri ile vücut kitle indeksine (p<0,01), daha düşük CRP düzeylerine (p<.0001), daha iyi uyku kalitesine (p<0,0001) ve daha düşük depresyon skorlarına (p<0,0001) sahip olduğu görüldü. Hastaları, Grup I (depresyonu olmayan ve iyi uyku kalitesine sahip), Grup II (depresyonu olan ancak iyi uyku kalitesine sahip), Grup III (depresyonu olan ve kötü uyku kalitesine sahip) şeklinde gruplandığımızda Grup III'ün diğer gruplara kıyasla en düşük albümin (p<0,0001) ve en yüksek CRP (p<0,0001) düzeylerine sahip olduğu bulundu.SOnuç: Depresyon, uyku bozuklukları ve beslenme durumu birbirleriyle ilişkili önemli etkenlerdir ve malnutrisyonu olan yaşlı diyaliz has...

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Depressive symptoms and risk for malnutrition among hospitalized elderly people

Abstract: Nutritional risk is associated with depression in aged inpatients. Close case management of the elderly hospitalized patients that include assessment and treatment for both disorders may be beneficial.

Cited by 68 publications

References 43 publications

Poor nutritional status is associated with other geriatric domain impairments and adverse postoperative outcomes in onco-geriatric surgical patients – A multicentre cohort study

Poor nutritional status is associated with other geriatric domain impairments and adverse postoperative outcomes in onco-geriatric surgical patients – A multicentre cohort study

Malnutrition and depression in the institutionalised elderly

Association of Nutritional Status with Depression and Sleep Disorders in Elderly End Stage Renal Disease Patients - Does Chronic Inflammation Cause it all?

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