Nutritional Status of Elderly Living in Nursing Homes and the Factors Affecting Their Nutritional Status


Abstract views: 648 / PDF downloads: 269

Authors

  • Ayşe Nur ŞAHİN
  • Dide KILIÇALP KILINÇ
  • Serap GÖKÇE ESKİN

DOI:

https://doi.org/10.5281/zenodo.7601269

Keywords:

Elderly, Mental Health, Nutrition, Physical Activity

Abstract

Objective: The research was carried out to determine the nutritional status of the elderly living in nursing homes and to determine the effects of daily living activity levels, cognitive status and sociodemographic characteristics on their nutritional status.

Materials and Methods: The research was planned as analytical cross-sectional type. Research data were collected from 67 elderly people living in a Nursing Home Elderly Care Center and meeting the research criteria. Personal Information Form, Mini Nutritional Assessment Test Scale (MNA), Mini-Mental Test Scale (MMT) and Daily Basic Activities of Living Scale (KATZ) were used as data collection tools. Anthropometric measurements were made by the researcher. The data were evaluated in the IBM SPSS package program; number, percentage, chi-square and correlation analyzes were performed. The research was conducted within the framework of ethical rules and ethics committee permission was obtained.

Results: According to the results of the research, 73% (49) of the participants were male; 85.6% (56) of them were single. According to BMI, 39.4% of the elderly were overweight. When the nutritional status of the participants, whose mean age was 74.74±7.18, was evaluated according to MNA, 38.8% had a risk of malnutrition but 59.7% had a normal nutritional status. It was determined that 62.7% of the elderly had cognitive impairment. 80.6% of the participants were independent in their daily living activities. Individuals mini nutritional assessment test (MNA); A significant and positive correlation was found between the mini mental test and the Katz scale. There was no significant difference between the age, gender, marital status, education level, income level and nutritional status of the elderly.

Conclusion: As a result of this study, the majority of the elderly living in nursing homes perform their daily living activities but nearly half of them have malnutrition risk. It has been observed that most of the elderly have cognitive impairment. In order to prevent malnutrition, it was concluded that regular nutritional screening and factors affecting nutritional status should be evaluated in a wider population.

References

Agarwal, E., Miller, M., Yaxley, A., Isenring, E. (2013). Malnutrition in the elderly: A narrative review. Maturitas, 76(4):296-302.

Bahat, G., Tufan, F., Saka, B., Akin, S., Ozkaya, H., Yucel, N., Erten, N., Karan, M.A. (2012). Which body mass index (BMI) is better in the elderly for functional status? Archives of gerontology and geriatrics, 54(1):78-81. Doi:10.1016/j.archger.2011.04.019.

Balcı, E., Şenol, V., Eşel, E., Günay, O., Elmalı, F. (2012). 65 Yaş ve Üzeri Bireylerin Depresyon ve Malnutrisyon Durumları Arasındaki İlişki. Türkiye Halk Sağlığı Dergisi, 10(1).

Bell, C. L., Lee, A. S., & Tamura, B. K. (2015). Malnutrition in the nursing home. Current opinion in clinical nutrition and metabolic care, 18(1), 17–23. https://doi.org/10.1097/MCO.0000000000000130

Dağhan, Ş., Arabacı, Z., Hasgül, E. (2017). Yaşlılarda ev kazalarının bilişsel durum ve ilişkili faktörlere göre incelenmesi. Sosyal politika çalışmaları dergisi, 17(39): 75-95.

Damayanthi, H. D. W. T., Moy, F. M., Abdullah, K. L., & Dharmaratne, S. D. (2018). Prevalence of malnutrition and associated factors among community-dwelling older persons in Sri Lanka: a cross-sectional study. BMC geriatrics, 18(1), 199. https://doi.org/10.1186/s12877-018-0892-2

De Lima, C.B.V., Moraes, F.L., Souza, L.A.C. (2012). Nutritional Status and Associated Factors in Institutionalized Elderly. Journal of Nutritional Disorders & Therapy, 2(3).

spinosa Del Pozo, P. H., Espinosa, P. S., Donadi, E. A., Martinez, E. Z., Salazar-Uribe, J. C., Guerrero, M. A., Moriguti, J. C., Colcha, M. C., Garcia, S. E., Naranjo, R., Altamirano, W. E., & Koek, A. Y. (2018). Cognitive Decline in Adults Aged 65 and Older in Cumbayá, Quito, Ecuador: Prevalence and Risk Factors. Cureus, 10(9), e3269. https://doi.org/10.7759/cureus.3269

Faramarzi, M., Zarin Kamar, M., Kheirkhah, F., Karkhah, A., Bijani, A., & Hosseini, S. R. (2018). Psychosocial Predictors of Cognitive Impairment in the Elderly: A Cross-Sectional Study. Iranian journal of psychiatry, 13(3), 207–214.

Gökçe Kutsal,Y. (2012). Ülkemizde Yaşlı Sağlığı. Turkiye Klinikleri Family Medicine-Special Topics,3(6),1-8

Guigoz, Y., & Vellas, B. J. (1997). Malnutrition im Alter: Das Mini Nutritional Assessment (MNA) [Malnutrition in the elderly: the Mini Nutritional Assessment (MNA)]. Therapeutische Umschau. Revue therapeutique, 54(6), 345–350.

Guyonnet, S., & Rolland, Y. (2015). Screening for Malnutrition in Older People. Clinics in geriatric medicine, 31(3), 429–437. https://doi.org/10.1016/j.cger.2015.04.009

Güngen, C., Ertan, T., Eker, E., Yaşar, R., Engin, F. (2002). Standardize Mini Mental Test’in Türk toplumunda hafif demans tanısında geçerlik ve güvenirliği. Türk Psikiyatri Dergisi, 13(4):273-281.

Kaiser, M. J., Bauer, J. M., Rämsch, C., Uter, W., Guigoz, Y., Cederholm, T., Thomas, D. R., Anthony, P. S., Charlton, K. E., Maggio, M., Tsai, A. C., Vellas, B., Sieber, C. C., & Mini Nutritional Assessment International Group (2010). Frequency of malnutrition in older adults: a multinational perspective using the mini nutritional assessment. Journal of the American Geriatrics Society, 58(9), 1734–1738. https://doi.org/10.1111/j.1532-5415.2010.03016.x

Katz, S., Downs, T. D., Cash, H. R., & Grotz, R. C. (1970). Progress in development of the index of ADL. The Gerontologist, 10(1), 20–30. https://doi.org/10.1093/geront/10.1_part_1.20

Kefeli, B., Başarır, G., uygun, S., Taban, Ö., Kavaklı, Y. (2016). Sağlıklı Yaş Alabilmek İçin Beslenme, In: Yaşlılık, Hastalıkları ve Beslenme (1), Göksu Şeker E(eds), Hatipoğlu Yayınları, Ankara, s 2-3.

Khan, Z. A., Singh, C., & Khan, T. (2018). Correlates of physical disability in the elderly population of Rural North India (Haryana). Journal of family & community medicine, 25(3), 199–204. https://doi.org/10.4103/jfcm.JFCM_160_17.

Kucuk, Ö.E., Kapucu, S. (2017). Huzurevinde Kalan Yaşlılarda Malnutrisyon. Konuralp Tıp Dergisi,9(3),46-51.

Madeira, T., Peixoto-Plácido, C., Sousa-Santos, N., Santos, O., Alarcão, V., Goulão, B., Mendonça, N., Nicola, P. J., Yngve, A., Bye, A., Bergland, A., Amaral, T. F., Lopes, C., & Gorjão Clara, J. (2018). Malnutrition among older adults living in Portuguese nursing homes: the PEN-3S study. Public health nutrition, 1–12. Advance online publication. https://doi.org/10.1017/S1368980018002318

Marshall, S., Young, A., Bauer, J., & Isenring, E. (2016). Nutrition Screening in Geriatric Rehabilitation: Criterion (Concurrent and Predictive) Validity of the Malnutrition Screening Tool and the Mini Nutritional Assessment-Short Form. Journal of the Academy of Nutrition and Dietetics, 116(5), 795–801. https://doi.org/10.1016/j.jand.2015.06.012

Mazzola, P., Ward, L., Zazzetta, S., Broggini, V., Anzuini, A., Valcarcel, B., Brathwaite, J. S., Pasinetti, G. M., Bellelli, G., & Annoni, G. (2017). Association Between Preoperative Malnutrition and Postoperative Delirium After Hip Fracture Surgery in Older Adults. Journal of the American Geriatrics Society, 65(6), 1222–1228. https://doi.org/10.1111/jgs.14764.

Özer, E., Kapucu, S. (2013). Yaşlılarda Görülen Yetersiz Beslenme ve Risk Faktörleri. Akad Geriatri,, 5: 5-11.

Özkan Pehlivanoğlu, E.F., Özkan, M.U., Balcıoğlu, H., Bilge, U., Ünlüoğlu, İ. (2018). Yaşlılar için Katz Günlük Yaşam Aktiviteleri Ölçeğinin Türkçe’ye Uyarlanması ve Güvenilirliği. Ankara Medical Journal, (2):219-23. Doi: 1017098/amj.435264 https://dergipark.org.tr/tr/download/article-file/499940

Pérez Cruz, E., Lizárraga Sánchez, D. C., & Martínez Esteves, M.delR. (2014). Asociación entre desnutrición y depresión en el adulto mayor [Association between malnutrition and depression in elderly]. Nutricion hospitalaria, 29(4), 901–906. https://doi.org/10.3305/nh.2014.29.4.7228

Perkisas, S., De Cock, A. M., Vandewoude, M., & Verhoeven, V. (2019). Prevalence of sarcopenia and 9-year mortality in nursing home residents. Aging clinical and experimental research, 31(7), 951–959. https://doi.org/10.1007/s40520-018-1038-2

Rocaspana-García, M., Blanco-Blanco, J., Arias-Pastor, A., Gea-Sánchez, M., & Piñol-Ripoll, G. (2018). Study of community-living Alzheimer's patients' adherence to the Mediterranean diet and risks of malnutrition at different disease stages. PeerJ, 6, e5150. https://doi.org/10.7717/peerj.5150

Rodríguez-Tadeo, A., Wall-Medrano, A., Gaytan-Vidaña, M. E., Campos, A., Ornelas-Contreras, M., & Novelo-Huerta, H. I. (2012). Malnutrition risk factors among the elderly from the US-Mexico border: the "one thousand" study. The journal of nutrition, health & aging, 16(5), 426–431. https://doi.org/10.1007/s12603-011-0349-1

Saka B. (2012). Yaşlı Hastalarda Malnütrisyon. Klinik Gelişim, 25: 82-89.

Serrano-Urrea R, Garcia-Meseguer MJ. Malnutrition in an elderly population without cognitive impairment living in nursing homes in Spain: study of prevalence using the Mini Nutritional Assessment test. Gerontology. 2013;59(6):490-8. Doi: 10.1159/000351763.

Slavíková, M., Procházka, B., Dlouhý, P., Anděl, M., & Rambousková, J. (2018). Prevalence of malnutrition risk among institutionalized elderly from North Bohemia is higher than among those in the Capital City of Prague, Czech Republic. Central European journal of public health, 26(2), 111–117. https://doi.org/10.21101/cejph.a4944

Soubeyran, P., Fonck, M., Blanc-Bisson, C., Blanc, J. F., Ceccaldi, J., Mertens, C., Imbert, Y., Cany, L., Vogt, L., Dauba, J., Andriamampionona, F., Houédé, N., Floquet, A., Chomy, F., Brouste, V., Ravaud, A., Bellera, C., & Rainfray, M. (2012). Predictors of early death risk in older patients treated with first-line chemotherapy for cancer. Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 30(15), 1829–1834. https://doi.org/10.1200/JCO.2011.35.7442

Şahin, H., Çiçek, B., Yılmaz, M., Ongan, D., Kaya, N., İnanç, N. (2013). Kayseri İlinde Yaşayan 65 Yaş ve Üzeri Bireylerde Beslenme Durumu ve Yaşam Kalitesinin Saptanması, Turkish Journal of Geriatrics, 16 (3) 322-329.

TÜİK (2022) Türkiye İstatistik Kurumu https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2021-45636

Vellas, B., Guigoz, Y., Garry, P. J., Nourhashemi, F., Bennahum, D., Lauque, S., & Albarede, J. L. (1999). The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition (Burbank, Los Angeles County, Calif.), 15(2), 116–122. https://doi.org/10.1016/s0899-9007(98)00171-3

Verbrugghe, M., Beeckman, D., Van Hecke, A., Vanderwee, K., Van Herck, K., Clays, E., Bocquaert, I., Derycke, H., Geurden, B., & Verhaeghe, S. (2013). Malnutrition and associated factors in nursing home residents: a cross-sectional, multi-centre study. Clinical nutrition (Edinburgh, Scotland), 32(3), 438–443. https://doi.org/10.1016/j.clnu.2012.09.008

World Health Organization, Ageing - World Health Organization (WHO) https://www.who.int › ageing 07.12.2022)

Published

2023-02-04

How to Cite

ŞAHİN, A. N., KILIÇALP KILINÇ , D., & GÖKÇE ESKİN , S. (2023). Nutritional Status of Elderly Living in Nursing Homes and the Factors Affecting Their Nutritional Status. GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES, 8(1), 163–171. https://doi.org/10.5281/zenodo.7601269

Issue

Section

Articles