High prevalence of undernutrition in Dutch community-dwelling older individuals

Schilp, J.; Kruizenga, Hinke; Wijnhoven, Hanneke A. H.; Leistra, E.; Evers, A.M.; Binsbergen, J.J. van; Deeg, Dorly J. H.; Visser, Marjolein

doi:10.1016/j.nut.2012.02.016

Cited by 95 publications

(87 citation statements)

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“…Analyzing the differences by gender, this study found a higher risk for women than men, consistent with the studies carried out by Cuerda et al (10) and Schilp et al (19) , and contrary to the study of Méndez et al (16) in which it was higher among men. These results could be attributed to the geographic environment or the time of data collection.…”

Section: Discussionsupporting

confidence: 91%

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Nutritional status and factors associated with non-institutionalized people over 75 years of age

2018

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Objective: to determine the factors related to the risk of malnutrition in a non-institutionalized population over 75 years of age. Method: a cross-sectional study was conducted using a questionnaire in a sample of 326 individuals over 75 years of age in Castellón (Spain), during 2015, and selected through intentional sampling. Results: Malnutrition prevalence was 2.8%. 26.9% of the individuals were at risk of malnutrition, whereas women presented a higher rate (31.5%). Women with a good overall health status showed a lower rate than men, 55% and 69%, respectively. Individuals that showed a lower risk of malnutrition are those with a positive perception than those who have a good overall health. Frail elderly people showed a higher risk of malnutrition (57.5%) compared to non-frail subjects (20.2%) p< 0.001. Conclusion: Frail women, self-assessed health, overall health, and use of health care services (nursing consultation) were related to a higher risk of malnutrition. Descriptors: Malnutrition; Quality of Life; Frail Elderly; Risk Factor; Nursing. RESUMEN Objetivo: determinar los factores relacionados con el riesgo de desnutrición en la población de mayores de 75años no institucionalizada. Método: estudio transversal realizado mediante cuestionario en una muestra de 326 individuos mayores de 75 en Castellón (España), durante 2015. Seleccionados mediante muestreo intencionado. Resultados: Prevalencia de desnutrición 2,8%. El 26,9% de los individuos están en riesgo de desnutrición, las mujeres lo presentan en mayor proporción (31,5%). Las mujeres presentan una salud general buena en menor proporción que los hombres, el 55% frente a 69%. Tienen menor riesgo de desnutrición los individuos que tienen una percepción positiva y los que tienen una buena salud general. Los mayores frágiles presentan un mayor riesgo de desnutrición (57,5%) frente a los no frágiles (20,2%) p< 0.001. Conclusión: Se relacionan con mayor riesgo de desnutrición, mujeres fragilidad, percepción de la salud, salud global y utilización de Servicios sanitarios (consulta de la enfermería). Descriptores: Desnutrición; Calidad de Vida; Anciano Frágil; Factores de Riesgo; Enfermería. RESUMO Objetivo: determinar os fatores relacionados com o risco de desnutrição na população acima de 75 anos não institucionalizada. Método: estudo transversal realizado mediante questionário em uma amostra de 326 indivíduos acima de 75 anos em Castellón (Espanha), durante 2015, e que foram selecionados por meio de amostragem intencional. Resultados: prevalência de desnutrição de 2,8%. 26,9% dos indivíduos correm risco de desnutrição, sendo que as mulheres se apresentam em maior proporção (31,5%). As mulheres apresentam uma boa saúde geral em menor proporção que os homens, 55% e 69%, respectivamente. Os indivíduos que apresentam um menor risco de desnutrição são os que têm uma percepção positiva e os que têm uma boa saúde geral. Os idosos frágeis apresentam um risco maior de desnutrição (57,5%) comparado aos não frágeis (20,2%) p< 0.001. Conclusão: relacionam-se...

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Section: Discussionsupporting

confidence: 91%

“…In addition, regarding frailty, statistically significant differences between women and men and similar to Schilp et al (19) have been found. There is a significant link between frailty and the risk of malnutrition (p<0.001).…”

Section: Discussionsupporting

confidence: 84%

Nutritional status and factors associated with non-institutionalized people over 75 years of age

2018

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“…The same study also confirmed that the prevalence increased with age and was more frequent in females (33).…”

Section: Discussionsupporting

confidence: 66%

Prevalencia de desnutrición en sujetos mayores de 65 años en la Comunidad de Madrid. Estudio DREAM + 65

et al. 2016

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Cuerda C, Álvarez J, Ramos P, Abánades JC, García-de-Lorenzo A, Gil P, de-la-Cruz JJ. Prevalence of malnutrition in subjects over 65 years of age in the Community of Madrid. ResumenIntroducción: la desnutrición relacionada con la enfermedad (DRE) es un problema sociosanitario frecuente que afecta preferentemente a los mayores de 65 años, que aumenta la morbimortalidad y disminuye la calidad de vida.Objetivo: estudiar la prevalencia de DRE en mayores de 65 años en diferentes centros sociosanitarios del Servicio Regional de Bienestar Social de la Comunidad de Madrid.Métodos: estudio transversal en 33 centros sociosanitarios de Madrid (6 centros de atención primaria [AP], 9 centros de mayores [CM], 9 hospitales [H] y 9 residencias [R]) seleccionados mediante muestreo polietápico. Las variables estudiadas fueron edad, sexo, nivel de dependencia según la escala de incapacidad de la Cruz Roja, motivo de ingreso y enfermedad de base, hábitat (urbano-periurbano-rural) y distribución geográfica (norte-centro-sur). Como herramienta de cribado nutricional se utilizó el Mini Nutritional Assessment (MNA-cribaje) en todos los centros. En los pacientes con cribado positivo (en riesgo-desnutrición) se realizó el MNA-evaluación. El estudio estadístico se realizó con el paquete SSS 21.0 e incluyó estadística descriptiva, test de Chi-cuadrado y prueba exacta de Fisher, ANOVA de un factor, Kruskal-Wallis y análisis de regresión logística (RL) binaria univariante y multivariante. Se consideró significación estadística p < 0,05.Resultados: se reclutaron 1.103 sujetos (275 AP, 278 CM, 281 H, 269 R), edad media de 79,5 ± 8,4 años (41,2% varones, 58,8% mujeres). Los sujetos procedentes de H y R tuvieron un mayor grado de incapacidad (p < 0,001). La prevalencia global de DRE fue del 10%, encontrándose un 23,3% en riesgo de desnutrición, con diferencias entre los cuatro tipos de centros sociosanitarios (p < 0,001). El análisis univariante de RL mostró diferencias significativas en la prevalencia de desnutrición según la edad, sexo, grado de dependencia, tipo de centro sociosanitario, hábitat y zona geográfica. Sin embargo, en el análisis multivariante solo el grado de dependencia, el tipo de centro y el hábitat tuvieron significación estadística.Conclusiones: la prevalencia de DRE en mayores de 65 años en la Comunidad de Madrid es del 10%, encontrándose además un 23,3% en riesgo de desnutrición. Las únicas variables que se relacionaron de forma independiente con la desnutrición en el análisis multivariante fueron el nivel de dependencia de los pacientes y el tipo y hábitat de centro sociosanitario. AbstractIntroduction: Disease-related malnutrition (DRM) is a frequent community healthcare problem that predominantly affects adults over 65 years of age and increases morbidity and mortality rates, while also decreasing quality of life.

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“…Despite all the alarming data released in the last decade on the negative influence of undernutrition on older population health status, undernutrition occurrence is still very high in Europe [3][4][5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

Undernutrition and associated factors in a Portuguese older adult community

2015

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A B S T R A C T ObjectiveTo evaluate the prevalence of undernutrition in older adults aged ≥75 years living in communities and to identify the main factors independently associated with undernutrition. MethodsA cross-sectional study was conducted using a random sample of family physicians' medical records of 86 older adults aged ≥75 years living in the community studied. Their nutritional status was evaluated using the Mini Nutritional Assessment. ResultsA total of 10.5% of the elderly were undernourished and 41.9% were at undernutrition risk. According to the logistic regression multivariable model, the following characteristics: being widowed (OR=6.7; 95%CI=1.8-24.6); being institutionalized (OR=12.6; 95%CI=1.7-90.5); or having a negative self-perception of health (OR=15.0; 95%CI=3.3-69.1) were independently associated with a significant increase of undernutrition risk. ConclusionThe current study shows that undernutrition is highly prevalent in Portuguese older adults aged ≥75 years living in communities. The major factors independently associated with their undernutrition are being widowed and institutionalized and having negative self-perception of health. The results obtained show that undernutrition and its associated factors are very serious problems for older adults and a challenge in their health care.

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High prevalence of undernutrition in Dutch community-dwelling older individuals

Abstract: The prevalence of undernutrition in Dutch community-dwelling older individuals was relatively high, especially in home care patients.

Cited by 95 publications

References 43 publications

Nutritional status and factors associated with non-institutionalized people over 75 years of age

Nutritional status and factors associated with non-institutionalized people over 75 years of age

Prevalencia de desnutrición en sujetos mayores de 65 años en la Comunidad de Madrid. Estudio DREAM + 65

Undernutrition and associated factors in a Portuguese older adult community

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