Gender Differences in Factors Associated with Nutritional Status of Older Medical Patients

Castel, Hana; Shahar, Danit R.; Harman-Boehm, Ilana

doi:10.1080/07315724.2006.10719523

Cited by 64 publications

(46 citation statements)

References 42 publications

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“…The risk of undernutrition is prevalent among older patients and is sex-gender-related. Female in-patients are at a markedly increased (by more than 3-fold) risk for undernutrition when compared to men (Castel et al, 2006). These findings are in contrast with previous publications reporting similar prevalence rates in elderly men and women (Perissinotto et al, 2002;Rea et al, 1997) or higher rates in men (Ritchie et al, 1997).…”

Section: Nutrients and Food Components In Health And Disease In A Sexcontrasting

confidence: 79%

Nutrition and human health from a sex–gender perspective

Marino

Masella

Bulzomi

et al. 2011

Molecular Aspects of Medicine

127

108

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Section: Nutrients and Food Components In Health And Disease In A Sexcontrasting

confidence: 79%

Nutrition and human health from a sex–gender perspective

Marino

Masella

Bulzomi

et al. 2011

Molecular Aspects of Medicine

127

108

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“…The overall dietary intake was higher than that found in prior studies conducted in our area [45,46] . Additionally, our population had a higher education level and a higher than average socioeconomic level.…”

Section: Discussioncontrasting

confidence: 54%

Nutritional Status in Relation to Balance and Falls in the Elderly

Shahar¹,

Levi²,

Kurtz³

et al. 2009

Ann Nutr Metab

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Background/Aim: In elderly persons, fall-related injury is a serious public health problem. We investigated the impact of essential nutritional elements on falls in the elderly. Methods: Clinical function, balance, gait and disability tests and health and nutritional status assessments were performed. All subjects were interviewed regarding the occurrence of falls in the last year. Blood tests for serum vitamin D, folate and B₁₂ were conducted among a randomly selected subsample of 54 participants in the same month. Results: One hundred 65- to 91-year-old volunteers participated in the study, and 29 of them fell at least once during the past year. The depression score was higher (indicating more depressive symptoms) among fallers compared with non-fallers (4.0 ± 3.2 vs. 2.5 ± 2.3, respectively). The overall function score (indicating better function) was marginally higher in non-fallers. Subsequent comparisons between fallers and non-fallers were adjusted for overall function and depression scores. Serum folate was significantly lower in fallers (9.5 ± 7.1 vs. 16.2 ± 6.7 ng/ml, p = 0.02). Dietary intake was equal in both groups. Correlation analyses indicate a significant association between vitamin D and the functional measurements: timed get up and go (negative), Berg balance test, overall functional score, lower extremity score and limitation score (positive correlation coefficients). Serum folate was highly and negatively associated with the number of falls and with prescribed medications and was the only protective factor against falls in a multivariate analysis. Conclusions: Vitamin D was related to most functional and balance measurements. Serum folate was protective against falls. For every 1 ng/ml increase in serum folate the occurrence of falls decreased by 19%.

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“…Poor nutritional status can have negative effects on rehabilitation, lead to longer stay in hospital, and may even quadruple the risk of mortality. (7,10–13) Malnutrition is largely caused by either an increase in nutritional needs or a decrease in food intake due to many factors. (14) In addition to factors related to aging or poor health, a decrease in food intake may be associated with environmental characteristics.…”

Section: Introductionmentioning

confidence: 99%

Geriatric Rehabilitation Patients’ Perceptions of Unit Dining Locations

2014

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BackgroundEating together is promoted among hospitalized seniors to improve their nutrition. This study aimed to understand geriatric patients’ perceptions regarding meals in a common dining area versus at the bedside.MethodsAn exploratory qualitative study was conducted. Open-ended questions were asked of eight patients recruited from a geriatric rehabilitation unit where patients had a choice of meal location.ResultsEating location was influenced by compliance with the perceived rules of the unit, physical and emotional well-being, and quarantine orders. Certain participants preferred eating in the common dining room where they had more assistance from hospital staff, a more attractive physical environment, and the opportunity to socialize. However, other participants preferred eating at their bedsides, feeling the quality of social interaction was poor in the dining room.ConclusionsParticipants’ experiences of, and preferences for, communal dining differed. If the benefits of communal dining are to be maximized, different experiences of this practice must be considered.

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Gender Differences in Factors Associated with Nutritional Status of Older Medical Patients

Abstract: Risk of under-nutrition is prevalent among older in-patients and is gender-related. Female inpatients are at markedly increased risk for under-nutrition. The mechanism of the gender discrepancy in factors related to nutritional deterioration is complex and poorly understood.

Cited by 64 publications

References 42 publications

Nutrition and human health from a sex–gender perspective

Nutrition and human health from a sex–gender perspective

Nutritional Status in Relation to Balance and Falls in the Elderly

Geriatric Rehabilitation Patients’ Perceptions of Unit Dining Locations

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