학술논문
Relationship between cognitive impairment and nutritional assessment on functional status in Calabrian long-term-care
Document Type
Report
Author
Source
Clinical Interventions in Aging. January 1, 2014, Vol. 9, p105, 6 p.
Subject
Language
English
ISSN
1178-1998
Abstract
Objective: The interaction between dementia and nutritional state is very complex and not yet fully understood. The aim of the present study was to assess the interaction between cognitive impairment and nutritional state in a cohort of residential elderly in relationship with functional condition of patients and their load of assistance in long-term-care facilities of the National Association of Third Age Structures (ANASTE) Calabria. Methods: One hundred seventy-four subjects (122 female and 52 male) were admitted to the long-term-care ANASTE Calabria study. All patients underwent multidimensional geriatric assessment. Nutritional state was assessed with the Mini Nutritional Assessment (MNA), whereas cognitive performance was evaluated by the Mini-Mental State Examination (MMSE). The functional state was assessed by Barthel Index (BI) and Activity Daily Living (ADL). The following nutritional biochemical parameters were also evaluated: albumin, cholesterol, iron, and hemoglobin. All patients were reassessed 180 days later. Results: A severe cognitive impairment in MMSE performance was displayed in 49.7% patients, while 39.8% showed a moderate deficit; 6.9% had a slight deficit; and 3.4% evidenced no cognitive impairment. In MNA, 30% of patients exhibited an impairment of nutritional state; 56% were at risk of malnutrition; and 14% showed no nutritional problems. Malnutrition was present in 42% of patients with severe cognitive impairment, but only 4% of malnourished patients showed moderate cognitive deficit. The statistical analysis displayed a significant correlation between MNA and MMSE (P Conclusion: The present study clearly shows that malnutrition may play an important role in the progression of cognitive loss. Keywords: nutritional state, dementia, elderly, nursing home, disability
Introduction The elderly are particularly vulnerable to nutritional change deficits. Malnutrition in elderly patients has a large number of negative consequences on health: it can often influence the prognosis of [...]
Introduction The elderly are particularly vulnerable to nutritional change deficits. Malnutrition in elderly patients has a large number of negative consequences on health: it can often influence the prognosis of [...]