Impact of Malnutrition on Physical, Cognitive Function and Mortality among Older Men Living in Veteran Homes by Minimum Data Set: A Prospective Cohort Study in Taiwan.
J Nutr Health Aging
; 20(1): 41-7, 2016 Jan.
Article
en En
| MEDLINE
| ID: mdl-26728932
ABSTRACT
OBJECTIVES:
To evaluate the prevalence of malnutrition and its impact on mortality, functional decline and cognitive impairment among elder residents in long-term care settings. DESIGNS A prospective cohort study. SETTINGS Two veteran homes in Taiwan.PARTICIPANTS:
A total of 1,248 male residents aged equal or more than 65 years. MEASUREMENTS Charlson's comorbidity index (CCI), Minimum data set (MDS), resident assessment protocols (RAP), Activity of daily living-Hierarchy scale, Cognitive Performance Scale, MDS Social engagement scale.RESULTS:
The mean age of participants is 83.1 ± 5.1 years, and the prevalence of malnutrition was 6.1%. Inadequate dietary content (57.9%) and unintentional weight loss (31.6%) account for the majority of malnutrition identified by MDS tool. Higher 18-month mortality rate (25% vs. 14.2%), higher baseline CCI (median 1 vs. 0), and higher baseline sum of RAP triggers (median 8.5 vs. 5) were noted among residents with malnutrition. Furthermore, malnutrition was shown predictive for functional decline (OR 3.096, 95% CI 1.715-5.587) and potential cognitive improvement (OR 2.469, 95% CI 1.188-5.128) among survivors after adjustment for age, body mass index and CCI.CONCLUSION:
Malnutrition among elder men residing in veteran homes was associated with multimorbidities and higher care complexity, and was predictive for mortality and functional decline.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
6_ODS3_enfermedades_notrasmisibles
Problema de salud:
6_malnutrition_nutritional_deficiencies
/
6_mental_health_behavioral_disorders
Asunto principal:
Veteranos
/
Actividades Cotidianas
/
Causas de Muerte
/
Cognición
/
Trastornos del Conocimiento
/
Desnutrición
/
Hogares para Ancianos
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Aged
/
Aged80
/
Humans
/
Male
País/Región como asunto:
Asia
Idioma:
En
Revista:
J Nutr Health Aging
Asunto de la revista:
CIENCIAS DA NUTRICAO
/
GERIATRIA
Año:
2016
Tipo del documento:
Article