Undernutrition in institutionalized elderly patients with neurological diseases: comparison between different diagnostic criteria
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.26/40009 |
Resumo: | Objectives: To determine and compare the frequency of undernutrition in institutionalized elderly patients with neurological diseases at admission using different nutritional assessment tools. Design: Cross-sectional observational study. Setting: One long-term care institution specialized in neurodegenerative diseases. Participants: 92 Elderly people (aged ≥ 65 years) with at least one neurological condition. Measurements: Mini Nutritional Assessment (MNA), body mass index (BMI), mid-arm (MAC) and calf circumferences (CC) were used for nutritional status assessment. Presence and severity of dysphagia, polypharmacy and feeding difficulties were also assessed. Results: According to MNA, 77.1% of the participants were undernourished at admission. BMI identified 46.8%, MAC identified 44.6% and CC identified 22.8% of undernourished participants. Undernutrition was more frequent in Alzheimer’s disease, stroke and dementia syndromes. 63% had dysphagia for at least one food consistence and most of these patients were malnourished. MNA revealed best concordance with BMI and MAC than with CC. BMI and feeding difficulties were the major risk factors for undernutrition. Conclusion: Undernutrition prevalence in institutionalized elderly with neurological diseases at admission is high. Nutritional assessment tools revealed low concordance between them. |
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Undernutrition in institutionalized elderly patients with neurological diseases: comparison between different diagnostic criteriaUndernutritionInstitutionalizedElderlyNeurological diseasesObjectives: To determine and compare the frequency of undernutrition in institutionalized elderly patients with neurological diseases at admission using different nutritional assessment tools. Design: Cross-sectional observational study. Setting: One long-term care institution specialized in neurodegenerative diseases. Participants: 92 Elderly people (aged ≥ 65 years) with at least one neurological condition. Measurements: Mini Nutritional Assessment (MNA), body mass index (BMI), mid-arm (MAC) and calf circumferences (CC) were used for nutritional status assessment. Presence and severity of dysphagia, polypharmacy and feeding difficulties were also assessed. Results: According to MNA, 77.1% of the participants were undernourished at admission. BMI identified 46.8%, MAC identified 44.6% and CC identified 22.8% of undernourished participants. Undernutrition was more frequent in Alzheimer’s disease, stroke and dementia syndromes. 63% had dysphagia for at least one food consistence and most of these patients were malnourished. MNA revealed best concordance with BMI and MAC than with CC. BMI and feeding difficulties were the major risk factors for undernutrition. Conclusion: Undernutrition prevalence in institutionalized elderly with neurological diseases at admission is high. Nutritional assessment tools revealed low concordance between them.Repositório ComumMiranda, DianaCardoso, RitaGomes, RGuimarães, IsabelAbreu, DaisyGodinho, CPereira, PDomingos, JosefaPona, NFerreira, Joaquim2022-04-01T13:14:45Z2016-08-122016-08-12T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.26/40009eng2496-0799http://dx.doi.org/10.14283/jnhrs.2016.11info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-10T05:35:06Zoai:comum.rcaap.pt:10400.26/40009Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:35:57.154091Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Undernutrition in institutionalized elderly patients with neurological diseases: comparison between different diagnostic criteria |
title |
Undernutrition in institutionalized elderly patients with neurological diseases: comparison between different diagnostic criteria |
spellingShingle |
Undernutrition in institutionalized elderly patients with neurological diseases: comparison between different diagnostic criteria Miranda, Diana Undernutrition Institutionalized Elderly Neurological diseases |
title_short |
Undernutrition in institutionalized elderly patients with neurological diseases: comparison between different diagnostic criteria |
title_full |
Undernutrition in institutionalized elderly patients with neurological diseases: comparison between different diagnostic criteria |
title_fullStr |
Undernutrition in institutionalized elderly patients with neurological diseases: comparison between different diagnostic criteria |
title_full_unstemmed |
Undernutrition in institutionalized elderly patients with neurological diseases: comparison between different diagnostic criteria |
title_sort |
Undernutrition in institutionalized elderly patients with neurological diseases: comparison between different diagnostic criteria |
author |
Miranda, Diana |
author_facet |
Miranda, Diana Cardoso, Rita Gomes, R Guimarães, Isabel Abreu, Daisy Godinho, C Pereira, P Domingos, Josefa Pona, N Ferreira, Joaquim |
author_role |
author |
author2 |
Cardoso, Rita Gomes, R Guimarães, Isabel Abreu, Daisy Godinho, C Pereira, P Domingos, Josefa Pona, N Ferreira, Joaquim |
author2_role |
author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Comum |
dc.contributor.author.fl_str_mv |
Miranda, Diana Cardoso, Rita Gomes, R Guimarães, Isabel Abreu, Daisy Godinho, C Pereira, P Domingos, Josefa Pona, N Ferreira, Joaquim |
dc.subject.por.fl_str_mv |
Undernutrition Institutionalized Elderly Neurological diseases |
topic |
Undernutrition Institutionalized Elderly Neurological diseases |
description |
Objectives: To determine and compare the frequency of undernutrition in institutionalized elderly patients with neurological diseases at admission using different nutritional assessment tools. Design: Cross-sectional observational study. Setting: One long-term care institution specialized in neurodegenerative diseases. Participants: 92 Elderly people (aged ≥ 65 years) with at least one neurological condition. Measurements: Mini Nutritional Assessment (MNA), body mass index (BMI), mid-arm (MAC) and calf circumferences (CC) were used for nutritional status assessment. Presence and severity of dysphagia, polypharmacy and feeding difficulties were also assessed. Results: According to MNA, 77.1% of the participants were undernourished at admission. BMI identified 46.8%, MAC identified 44.6% and CC identified 22.8% of undernourished participants. Undernutrition was more frequent in Alzheimer’s disease, stroke and dementia syndromes. 63% had dysphagia for at least one food consistence and most of these patients were malnourished. MNA revealed best concordance with BMI and MAC than with CC. BMI and feeding difficulties were the major risk factors for undernutrition. Conclusion: Undernutrition prevalence in institutionalized elderly with neurological diseases at admission is high. Nutritional assessment tools revealed low concordance between them. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-08-12 2016-08-12T00:00:00Z 2022-04-01T13:14:45Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.26/40009 |
url |
http://hdl.handle.net/10400.26/40009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2496-0799 http://dx.doi.org/10.14283/jnhrs.2016.11 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799134924240846848 |