Living condition, weight loss and cognitive decline among people with dementia

Harsányiová, Marcela; Prokop, Pavol

doi:10.1002/nop2.137

Cited by 7 publications

(7 citation statements)

References 74 publications

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“…Fifthly, institutionalized seniors may be subject to other important factors, physical or psychological, connected with living in a NH that influence the development of depression, dementia or functional decline. Living in a NH and its associated social isolation both anticipate progress in dementia [ 56 ]. Isolation and loneliness are also associated with a rapid rate of motor decline [ 57 ].…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status Plays More Important Role in Determining Functional State in Older People Living in the Community than in Nursing Home Residents

2020

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The aim of this study was to verify whether the relationship between nutritional and functional status differs between seniors in the community and those in long-term care institutions. One hundred nursing home (NH) residents aged 60 years and above and 100 sex- and age-matched community-dwelling (CD) older adults were examined. Functional status was assessed using the Comprehensive Geriatric Assessment (CGA) and nutritional status using anthropometric measures, the Mini Nutritional Assessment questionnaire (MNA) and bioimpedance analysis (BIA). Significant environmental interactions were observed with resting metabolic rate (RMR), extracellular water (ECW) and intracellular water (ICW) ratio, skeletal muscle mass (SMM), skeletal muscle index (SMI) and impedance (Z) and resistance (R) to the results of the Timed Up and Go (TUG) test. The two groups demonstrated different relationships between Z and R and handgrip strength and between Geriatric Depression Scale (GDS) score and fat free mass (FFM), body density, total body water (TBW) and phase angle (PhA). Nutritional status seems to be more important for functional state in CD older people than in NH residents. Therefore, to ensure the functional independence of seniors living in the community, it is crucial to maintain the correct nutritional parameters. Further studies are necessary to account for the fact that this relationship is less significant among NH residents and to identify other factors that may contribute to these discrepancies between community and institutional environments.

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Section: Discussionmentioning

confidence: 99%

Nutritional Status Plays More Important Role in Determining Functional State in Older People Living in the Community than in Nursing Home Residents

2020

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“…Our results showed similar cognitive impairment in older adults living in LTCFs and patients with AD, suggesting that elderly individuals in LTCF have a high risk of dementia, although few screening psychiatric evaluations are implemented, leading to underdiagnosis in this population. Several studies have shown a cognitive decline in institutionalized elderly individuals [3][4][5][6][7] , and the hospitalization and social isolation have also been shown to have significant impacts 23 . Among other factors, the increased sedentary behaviour correlates with motor and cognitive decline in this population 24,25 .…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies suggested that who have become institutionalized present more cognitive decline than those who remain in the community [4][5][6] . Institutionalization leads to a reduction in the motor demands inherent in social life and shows an important relationship with the decrease in cognitive abilities 7 .…”

Section: Introductionmentioning

confidence: 99%

Floor Maze Test as a predictor of cognitive decline in older adults living in nursing homes

Almeida

Figueiredo

Plácido

et al. 2020

J. bras. psiquiatr.

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Objective Long-term care facilities (LTCF) are associated with an increased risk of cognitive decline and impairment in spatial navigation abilities. Recent studies have demonstrated that spatial navigation as a complex skill, involving cognitive and motor functions, emerging as a new marker for the progression of dementia. The present study aims to compare spatial navigation in healthy, institutionalized, and AD elderly subjects. Methods In a cross-sectional study, we evaluated 78 elderly individuals (healthy = 37, AD = 22, institutionalized = 19) using the Mini-Mental State Examination (MMSE), Floor Maze Test (FMT) and 8-foot-up-and-gotest (8UG) to assess global cognitive function, spatial navigation and motor function, respectively. Results In the FMT, the immediate maze time (IMT) and delay maze time (DMT) were significantly shorter in the healthy group than those of the institutionalized and AD groups ( X 2 = 31.23; p < 0.01) and ( X 2 = 41.21; p < 0.01), while there were no significant differences between the AD and institutionalized groups in terms of the DMT and MMSE results. However, the institutionalized group showed worse results in terms of IMT (p < 0.01) and 8UG (p < 0.01) than those in the dementia group. Conclusion Our results indicate that both institutionalized older people and patients with Dementia have a deficit in the spatial navigation ability, cognitive functions and motor skills. We should consider that there might be a possibility of underdiagnosis in institutionalized older people.

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“…The Urban Benchmarking Tool and the CityBench Tool are widely used in Europe [28,29]. Some other experts and scholars have also carried out some relevant research works [30][31][32][33][34][35][36][37][38][39][40][41][42][43][44].…”

Section: Introductionmentioning

confidence: 99%

The Application of the Fuzzy Analytic Hierarchy Process in the Assessment and Improvement of the Human Settlement Environment

Zhang

Fan

2020

Sustainability

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With the development of urbanization in developing countries, some large cities have experienced rapid population growth and industrial expansion in a short period of time. In order to reasonably expand the scale of the city and guide the orderly outward movement of population and industries, it is urgent to improve the human settlement environment (THSE) in the surrounding areas of large cities. In the case of limited financial funds, different areas around the city need to be improved one by one according to the order of improvement grades. Since THSE is a comprehensive system involving multiple levels and indexes, it is difficult to assess it in a simple way. The previous assessment of THSE mainly focused on qualitative and semi-quantitative aspects, with poor accuracy. In this paper, the author takes JianYang County under the jurisdiction of Chengdu City in Southwest China as an example and uses the Fuzzy Analytic Hierarchy Process (FAHP) to quantitatively calculate the improvement grade of THSE in 55 townships of JianYang County. The author carried out an investigation for more than one year. According to the actual situation of JianYang County, five primary indexes and 22 secondary indexes were selected to establish a comprehensive evaluation index system. This index system contains 1210 statistical data points, and more than 30,000 data points were calculated and derived in this article. Finally, the author calculated the improvement grade of 55 townships by FAHP quantitatively and carried out a horizontal comparison of townships within the same grade to further determine the order of improvement of THSE.

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Living condition, weight loss and cognitive decline among people with dementia

Cited by 7 publications

References 74 publications

Nutritional Status Plays More Important Role in Determining Functional State in Older People Living in the Community than in Nursing Home Residents

Nutritional Status Plays More Important Role in Determining Functional State in Older People Living in the Community than in Nursing Home Residents

Floor Maze Test as a predictor of cognitive decline in older adults living in nursing homes

The Application of the Fuzzy Analytic Hierarchy Process in the Assessment and Improvement of the Human Settlement Environment

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