Oral status and nutrition in the institutionalized elderly

Lamy, Marc; Mojon, Philippe; Kalykakis, G.; Legrand, Roman; Butz-Jorgensen, E.

doi:10.1016/s0300-5712(99)00002-0

Cited by 160 publications

(140 citation statements)

References 42 publications

Supporting

Mentioning

114

Contrasting

Unclassified

Order By: Relevance

“…A significant proportion of our participants suffered from severe dementia and high dependency. In previous studies, low MNA values have been consistently shown to be associated with dementia and stroke (Morley, 2001), as well as with symptoms of mouth disease (Lamy et al, 1999). Constipation and dysphagia have been risk factors for poor appetite (Morley, 2001).…”

Section: Discussionmentioning

confidence: 91%

“…There are several well-known patient-related causes for eating only a small part of the offered food portion such as difficulties in swallowing (Morley, 2001), aversive eating behavior, restlessness and anxiety related to dementia (Blandford et al, 1998). In addition, diseases and symptoms in the mouth can cause poor appetite and are common among institutionalized residents (Hildebrandt et al, 1997;Lamy et al, 1999;Mojon et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have shown that aged residents living in institutions suffer from malnutrition (Abbasi & Rudman, 1994;Lamy et al, 1999;Lauque et al, 2000;Van Nes et al, 2001;Christensson et al, 2002;Gerber et al, 2003). In Sweden, one-third of aged residents living in old people's homes were malnourished (Saletti et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

“…With advanced dementia behavioral disturbances such as aversive eating behavior, restlessness and depression may cause weight loss (Blandford et al, 1998). Several other illnesses are known to be associated with malnutrition, such as stroke, Parkinson's disease and diseases of the mouth and throat (Hildebrandt et al, 1997;Lamy et al, 1999;Mojon et al, 1999;Wells et al, 2003). Alterations in smell and taste that come with aging may cause the feeling of early satiation.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Malnutrition and associated factors among aged residents in all nursing homes in Helsinki

Muurinen²,

et al. 2005

View full text Add to dashboard Cite

Objective: To acquire information about nutritional problems and factors associated with them in all nursing homes in Helsinki, Finland. Design: Descriptive, cross-sectional study. The residents were assessed by the Mini Nutritional Assessment test (MNA) and information was gathered about residents' backgrounds, functional status, diseases and about daily routines in institutions providing nutritional care. Setting: All nursing homes in Helsinki community, the capital of Finland. Subjects: Of 2424 eligible subjects, 2114 (87%) aged residents, mean age 82 y, were examined. Results: One-third (29%) of the studied residents suffered from malnutrition (MNAo17), and 60% were at risk (MNA 17-23.5). Malnutrition was associated with the female gender, a longer stay in the nursing home, functional impairment, dementia, stroke, constipation and difficulties in swallowing. In addition, eating less than half of the offered food portion, not eating snacks and resident's weight control at long intervals were associated with malnutrition. In logistic regression analysis mainly patientrelated factors predicted malnutrition: impaired functioning (OR 3.71, 95% CI 2.76-4.99), swallowing difficulties (OR 3.03, 95% CI 2.10-4.37), dementia (OR 2.06, 95% CI 1.45-2.93), constipation (OR 1.84, 95% CI 1.38-2.47), but also eating less than half of the offered food portion (OR 3.03, 95% CI 2.21-4.15). Conclusions: Although internal factors explain most about the poor nutritional status of aged residents in nursing homes, the factors related to nutritional care need further investigation to clarify their role in maintaining the nutritional status of aged residents.

show abstract

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Malnutrition and associated factors among aged residents in all nursing homes in Helsinki

Muurinen²,

et al. 2005

View full text Add to dashboard Cite

show abstract

“…Indeed, studies using either anthropometric criteria or the Mini Nutritional Assessment (MNA) (4) have estimated prevalence of undernutrition at 20-40% (4)(5)(6)(7)(8)(9)(10)(11)(12). This prevalence varies according to the kind of institutions and could be as high as 70% in long-term care according to MNA assessments (4) but as low as 2% or 6% in some settings (13,14). Some of these studies, however, did not claim to be representative of the institutionalized population.…”

Section: Introductionmentioning

confidence: 99%

Undernutrition in geriatric institutions in South-West France: Policies and risk factors

et al. 2009

View full text Add to dashboard Cite

Objective: This study aimed to describe the nutritional status of geriatric home residents according to their place of dwelling and to identify institutional factors associated with higher rates of undernutrition. Method: Results:The estimated prevalence of undernutrition was 19.1 (95% CI: 14.0-24.2) with a higher rate in long-term care (48.0 % (95% CI: 15.9-80.2) than in nursing homes (14.5 % (95% CI: 10.6-18.4), p< .0001). In univariate analyses the risk of undernutrition was higher in long-term care (P < .0001), in settings with better weighing equipment (P < .0001), higher * Manuscript 2 staff ratio (P = .0001), higher rate of subjects needing help for eating (P < .0001) and was lower in settings with a higher rate of training in nutrition screening (P = .0001) and management (P < .0001). In nursing homes, each item of the MNA-Short Form was independently predictive of undernutrition. In multivariate analyses in nursing homes only, better weighing equipment (OR adj 2.34, 95% CI 1.39-4.12, P = .0017) and higher staff ratio (OR adj 1.03, 95% CI 1.00-1.05, P = .0230) were associated with higher rates of undernutrition.Conclusions: Undernutrition in institutions was linked to the resident health problems with little evidence in favor of the influence of institutional policies

show abstract

The Role of Diet in the Prevention of Dental Diseases

Moynihan¹

2012

Comprehensive Preventive Dentistry

View full text Add to dashboard Cite

Oral status and nutrition in the institutionalized elderly

Cited by 160 publications

References 42 publications

Malnutrition and associated factors among aged residents in all nursing homes in Helsinki

Malnutrition and associated factors among aged residents in all nursing homes in Helsinki

Undernutrition in geriatric institutions in South-West France: Policies and risk factors

The Role of Diet in the Prevention of Dental Diseases

Contact Info

Product

Resources

About