A Study of Factors Contributing to the Nutritional Status of Elderly People Receiving Home Care.

IF 4.8 2区医学 Q1 NUTRITION & DIETETICS

Nutrients Pub Date : 2024-09-17 DOI:10.3390/nu16183135

Eirini Stratidaki, Enkeleint A Mechili, Christina Ouzouni, Athina E Patelarou, Konstantinos Giakoumidakis, Aggelos Laliotis, Evridiki Patelarou

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Abstract

(1) Background: Nutrition is a critical aspect of health and well-being in the elderly population, as physiological changes associated with aging can impact nutrient utilization and dietary needs. The aim of this study was the assessment of nutritional screening and associated factors among community-dwelling elderly people. (2) Methods: This study is the first phase of an intervention trial of people aged 65 years and over who received primary health services and resided in the municipality of Archanes Asterousia in Crete, Greece. Nutritional risk was assessed using the Mini Nutritional Assessment. Diet-related factors were analyzed, including health status (oral hygiene, depression, cognitive decline, impaired functioning, quality of life), social factors (educational attainment, marital status, type of work before 60 years), and lifestyle factors (smoking, drinking, diet). (3) Results: A total of 730 elderly people were evaluated (males, 31.5%), with an average age (±SD) of 76.83 (±6.68) years. MNA was found to have a statistically significant connection with assessment of oral hygiene, mental state, Charlson comorbidity, functional independence (assessed with the Barthel scale), and quality of life. The exception was geriatric depression (GDS), with which no statistically significant association was found (p > 0.05). Nutritional risk analysis revealed 379 participants (51.9%) to be adequately nourished, 205 (28.1%) to be at risk of malnutrition, and 146 (20.0%) to be malnourished. (4) Conclusions: These results clearly demonstrated the key factors that contribute to the nutritional screening of elderly people and need to be addressed by health authorities and social services.

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关于导致接受家庭护理的老年人营养状况的因素的研究。

(1) 背景：营养是老年人健康和幸福的一个重要方面，因为与衰老相关的生理变化会影响营养素的利用和膳食需求。本研究旨在评估社区老年人的营养筛查及相关因素。(2) 方法：本研究是对居住在希腊克里特岛 Archanes Asterousia 市、接受初级保健服务的 65 岁及以上老年人进行干预试验的第一阶段。营养风险通过 "迷你营养评估 "进行评估。分析了与饮食相关的因素，包括健康状况（口腔卫生、抑郁、认知能力下降、功能受损、生活质量）、社会因素（教育程度、婚姻状况、60 岁前的工作类型）和生活方式因素（吸烟、饮酒、饮食）。(3) 结果：共评估了 730 名老年人（男性，31.5%），平均年龄（±SD）为 76.83（±6.68）岁。结果发现，MNA 与口腔卫生评估、精神状态、Charlson 合并症、功能独立性（用 Barthel 量表评估）和生活质量有显著的统计学联系。只有老年抑郁症（GDS）与之无明显统计学关联（P > 0.05）。营养风险分析显示，379 名参与者（51.9%）营养充足，205 名（28.1%）有营养不良风险，146 名（20.0%）营养不良。(4) 结论：这些结果清楚地表明了导致老年人营养筛查的关键因素，需要卫生当局和社会服务部门加以解决。

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来源期刊

Nutrients NUTRITION & DIETETICS-

CiteScore

9.20

自引率

15.30%

发文量

4599

审稿时长

16.74 days

期刊介绍： Nutrients (ISSN 2072-6643) is an international, peer-reviewed open access advanced forum for studies related to Human Nutrition. It publishes reviews, regular research papers and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.