Factors Associated with Malnutrition Risk in Residents of Long-Term Care Facilities in Mexico.

Q3 Medicine

Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2023-07-01 Epub Date: 2023-10-12 DOI:10.1080/21551197.2023.2259348

Luis E Fernández-Garza, Fernando Coindreau-Frías, Loubette Botello-González, Mauricio Ramos-Bacco, Hugo A Barrera-Saldaña

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引用次数: 0

Abstract

Objective: To investigate factors associated with the nutritional status in institutionalized Mexican older adults.

Material and methods: In this cross-sectional study of residents in three long-term care facilities (LTCFs) in Monterrey, Mexico, a medical history, Mini-Mental State Examination, Barthel index, and geriatric depression scale, and Mini Nutritional Assessment (MNA) were performed. Risk of malnutrition and malnutrition status were defined as MNA 17-23.5 and <17, respectively.

Results: Residents (n = 280) had a median age of 85 years and 72.1% were female. A total of 116 (41.4%) were at risk of malnutrition and 35 (12.5%) were malnourished. Having malnutrition or being at risk of malnutrition was associated with age (OR = 1.048), functional dependence (OR = 8.376), body mass index (BMI) <22 (OR = 7.518), cognitive impairment (OR = 2.210), urinary incontinence (OR = 2.397), previous stroke (OR = 2.870), Parkinson's disease (OR = 5.193), use of calcium channel blockers (OR = 3.706), and use of atypical antipsychotics (OR = 2.277). Having benign prostatic hyperplasia (OR = 0.067) or the use of angiotensin II receptor blockers (OR = 0.038) were related to being well-nourished.

Conclusions: In a population of residents of three LTCFs in Mexico, we found a high prevalence of malnutrition or being at risk of malnutrition. This underscores the need to implement guidelines for the prompt identification of this condition and further explanation of the factors identified as possibly related to malnutrition.

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墨西哥长期护理机构居民营养不良风险的相关因素。

目的：探讨墨西哥住院老年人营养状况的相关因素。材料和方法：在这项针对墨西哥蒙特雷三家长期护理机构（LTCF）居民的横断面研究中，进行了病史、迷你精神状态检查、Barthel指数、老年抑郁症量表和迷你营养评估（MNA）。营养不良风险和营养不良状况定义为MNA 17-23.5，结果：居民（n = 280）的中位年龄为85岁女性占72.1%。共有116人（41.4%）有营养不良的风险，35人（12.5%）营养不良。营养不良或有营养不良风险与年龄（or=1.048）、功能依赖（or=8.376）、体重指数（BMI）有关结论：在墨西哥三个LTCF的居民中，我们发现营养不良或营养不良风险较高。这突出表明，有必要执行指导方针，及时发现这种情况，并进一步解释可能与营养不良有关的因素。

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

Journal of Nutrition in Gerontology and Geriatrics Nursing-Nutrition and Dietetics

CiteScore

2.20

自引率

0.00%

发文量

期刊介绍： The Journal of Nutrition in Gerontology and Geriatrics publishes original research studies that are directly relevant to clinical and community nutrition issues that affect older adults. Epidemiologic and community-based studies are suitable for JNE, as are well-controlled clinical trials of preventive and therapeutic nutritional interventions. The Journal of Nutrition in Gerontology and Geriatrics invites papers on a broad array of topics in the nutrition and aging field, including but not limited to studies of: preventive nutrition, nutritional interventions for chronic disease, aging effects on nutritional requirements, nutritional status and dietary intake behaviors, nutritional frailty and functional status, usefulness of supplements, programmatic interventions, transitions in care and long term care, and community nutrition issues.