Nutrition and geriatric psychiatry: a neglected field

Bhat, Ravi; Chiu, Edmond; Jeste, Dilip V.

doi:10.1097/01.yco.0000186814.08826.db

Cited by 20 publications

(15 citation statements)

References 72 publications

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“…For the clinical practitioner, our results on the one hand highlight the need for nutritional screening of elderly people presenting with mental health symptoms. Both in somatic and psychiatric settings, nutrition have often been neglected [3,36]. Screening for malnutrition can easily be performed by the use of instruments like the 'MUST' tool.…”

Section: Discussionmentioning

confidence: 99%

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Risk of malnutrition is associated with mental health symptoms in community living elderly men and women: The Tromsø Study

et al. 2011

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BackgroundLittle research has been done on the relationship between malnutrition and mental health in community living elderly individuals. In the present study, we aimed to assess the associations between mental health (particularly anxiety and depression) and both the risk of malnutrition and body mass index (BMI, kg/m2) in a large sample of elderly men and women from Tromsø, Norway.MethodsIn a cross-sectional survey, with 1558 men and 1553 women aged 65 to 87 years, the risk of malnutrition was assessed by the Malnutrition Universal Screening Tool ('MUST'), and mental health was measured by the Symptoms Check List 10 (SCL-10). BMI was categorised into six groups (< 20.0, 20.0-22.4, 22.5-24.9, 25.0-27.4, 27.5-29.9, ≥ 30.0 kg/m2).ResultsThe risk of malnutrition (combining medium and high risk) was found in 5.6% of the men and 8.6% of the women. Significant mental health symptoms were reported by 3.9% of the men and 9.1% of the women. In a model adjusted for age, marital status, smoking and education, significant mental health symptoms (SCL-10 score ≥ 1.85) were positively associated with the risk of malnutrition (odds ratio 3.9 [95% CI 1.7-8.6] in men and 2.5 [95%CI 1.3-4.9] in women), the association was positive also for subthreshold mental health symptoms. For individuals with BMI < 20.0 the adjusted odds ratio for significant mental health symptoms was 2.0 [95% CI 1.0-4.0].ConclusionsImpaired mental health was strongly associated with the risk of malnutrition in community living elderly men and women and this association was also significant for subthreshold mental health symptoms.

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Section: Discussionmentioning

confidence: 99%

“…Anxiety and depression, often seen as co-morbid conditions with overlapping symptoms [1], are the two most frequent mental health disorders [2]. Malnutrition is also relatively common in elderly individuals and may be associated with mental health, particularly depression [3]. …”

Section: Introductionmentioning

confidence: 99%

Risk of malnutrition is associated with mental health symptoms in community living elderly men and women: The Tromsø Study

et al. 2011

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“…This may in turn be of special importance to EQ5D dimensions like self-care and usual activities, both significantly associated with the risk of malnutrition in the present study. Furthermore, malnutrition may affect the mental health of elderly individuals adversely, thereby reducing HRQoL [25]. Malnutrition may also be associated with diseases and conditions, which in turn decrease HRQoL.…”

Section: Discussionmentioning

confidence: 99%

Risk of malnutrition and health-related quality of life in community-living elderly men and women: The Tromsø study

et al. 2010

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PurposeTo explore the association between risk of malnutrition as well as current body mass index (BMI) and health-related quality of life (HRQoL) in elderly men and women from the general population.MethodsIn a cross-sectional population survey including 1,632 men and 1,654 women aged 65 to 87 years from the municipality of Tromsø, Norway, we assessed HRQoL by using the EuroQol (EQ-5D) instrument in three risk groups of malnutrition and in different categories of BMI. The Malnutrition Universal Screening Tool (‘MUST’) was used to evaluate the risk of malnutrition.ResultsWe found a significant reduction in HRQoL with an increasing risk of malnutrition, and this was more pronounced in men than in women. The relationship between BMI and HRQoL was dome shaped, with the highest score values in the BMI category being 25–27.5 kg/m2.ConclusionsHRQoL was significantly reduced in elderly men and women at risk of malnutrition. The highest HRQoL was seen in moderately overweight individuals.

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“…11 Although well-known changes in micronutrient status in old age significantly correlate with adverse physical outcomes such as cardiovascular, disease, cerebrovascular disease, impaired immune function, and bone health, which in turn contribute to the development of frailty, less is known about a relationship between B 12 , folate, and quality of life. 16 However, there is evidence of a strong link between B 12 and folate status and depression in older adults. 17 The recent National Diet and Nutrition Survey of older persons from the United Kingdom, where the study sample of the current trial came from, identified low biochemical con-centration of one or more micronutrients in 40% of the population.…”

Section: Discussionmentioning

confidence: 99%

Dietary Supplementation and Quality of Life of Older Patients: A Randomized, Double‐Blind, Placebo‐Controlled Trial

Gariballa

Förster

2007

J American Geriatrics Society

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Nutrition and geriatric psychiatry: a neglected field

Abstract: Malnutrition is likely to have considerable impact on the mental and physical state of the elderly.

Cited by 20 publications

References 72 publications

Risk of malnutrition is associated with mental health symptoms in community living elderly men and women: The Tromsø Study

Risk of malnutrition is associated with mental health symptoms in community living elderly men and women: The Tromsø Study

Risk of malnutrition and health-related quality of life in community-living elderly men and women: The Tromsø study

Dietary Supplementation and Quality of Life of Older Patients: A Randomized, Double‐Blind, Placebo‐Controlled Trial

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