Associations between nutritional status and abdominal adiposity with cognitive domains and depressive symptoms in older persons with multimorbidity: Understanding an understudied population

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia Pub Date : 2024-10-05 DOI:10.1016/j.regg.2024.101558

Mateo Londoño Pereira , Alejandro Estrada Restrepo , Ángela María Preciado Tamayo , Melissa Botero Bernal , Miguel Germán Borda

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引用次数: 0

Abstract

Background

Malnutrition is a prevalent issue among older persons and has been linked to adverse outcomes. Limited information exists regarding its connection with cognition and depression in older persons burdened by chronic diseases, experiencing heightened nutritional and psychosocial vulnerability. In this study, we examined the association between nutritional status, cognitive performance, and depressive symptomatology, in a cohort of older persons with multimorbidity.

Methods

This was a cross-sectional study of 114 pluripathological older persons. Nutritional status was assessed through Mini Nutritional Assessment (MNA), body mass index (BMI) and waist and calf circumferences. Cognition was assessed using Montreal Cognitive Assessment (MoCA) and depressive symptoms were measured with the 15-item Geriatric Depression Scale (GDS-15).

Results

MNA score was positively correlated with the MoCA's visuospatial score (rho = 0.262) and, participants with normal nutritional status according to MNA, performed better in orientation (p = 0.037) and abstraction (p = 0.013) domains. MNA was also associated with depressive symptoms, with odds 8.6 times higher in malnourished participants (AOR 8.6, 95% CI 2.6–28.8, p = 0.000). Abdominal obesity, meanwhile, was associated with a decrease of 3.33 points in the overall MoCA score (β −3.33, 95% CI = −5.92; −0.73, p = 0.013).

Conclusion

In older persons with multimorbidity, abdominal obesity and malnutrition were factors associated with lower global and domain-specific cognitive performance and increased depressive symptomatology.

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患有多种疾病的老年人的营养状况和腹部脂肪含量与认知领域和抑郁症状之间的关系：了解研究不足的人群。

背景：营养不良是老年人中普遍存在的问题，并与不良后果有关。对于患有慢性疾病、营养和心理社会脆弱性较高的老年人，有关营养不良与认知和抑郁之间关系的信息十分有限。在这项研究中，我们研究了一组患有多种疾病的老年人的营养状况、认知能力和抑郁症状之间的关系：这是一项针对 114 名多病老年人的横断面研究。营养状况通过迷你营养评估（MNA）、体重指数（BMI）以及腰围和小腿围进行评估。认知能力通过蒙特利尔认知评估（MoCA）进行评估，抑郁症状通过 15 项老年抑郁量表（GDS-15）进行测量：结果：MNA评分与MoCA的视觉空间评分呈正相关（rho=0.262），根据MNA评分，营养状况正常的参与者在定向（p=0.037）和抽象（p=0.013）领域表现更好。MNA 还与抑郁症状有关，营养不良的参与者出现抑郁症状的几率要高出 8.6 倍（AOR 8.6，95% CI 2.6-28.8，p=0.000）。同时，腹部肥胖与MoCA总分下降3.33分有关（β-3.33，95% CI=-5.92；-0.73，p=0.013）：在患有多病的老年人中，腹部肥胖和营养不良与整体和特定领域认知能力下降以及抑郁症状增加有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Espanola de Geriatria y Gerontologia Medicine-Medicine (miscellaneous)

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

85 days

期刊介绍： Una revista de gran prestigio por sus artículos originales de investigación y revisiones. Permite cubrir todas las áreas de la medicina pero siempre desde la atención al paciente anciano, y está presente en los más reconocidos índices internacionales.