Publicação
Comparison of nutritional status among elderly in hospital and in community environments
| Resumo: | Introduction: The elderly are considered vulnerable population by the senescence process, which puts them at high risk of morbidity and mortality. Several studies indicate a high prevalence of malnutrition in the elderly in the community and in hospital admissions, so the main purpose of this study is to compare the nutritional status of the elderly persons in both settings, located in Lisbon. Methods: The screening tool Mini Nutritional Assessment (MNA®), body mass index (BMI), arm circumference (AC), arm muscle area (AMA) and C-reactive protein (CRP) were used to assess nutritional status. Based on MNA® questions, food and water intake were evaluated. Results: A total of 99 elderly were evaluated (57.6% in hospital and 42.4% in the community). A higher level of inflammation was observed in hospital, according to CRP levels. It was reported a lower intake in the hospital for the number of meals (15% less), portions of fruit and vegetables (10.5% less), protein intake (33.4% less) and water intake (44.3% less). In the hospital, BMI indicated that 26.7% of the elderly were malnourished whilst in the community it was observed to be 20%. 43.9% had a form of malnutrition in the hospital and 45% in the community when AMA was evaluated. MNA® detected 63.1% of patients were malnourished or at risk of malnutrition in the hospital and 62% in the community. Overall the elderly revealed worse nutritional status is in hospital. The results suggest the need to regularly assess nutritional status allowing to identify and decrease complications associated with malnutrition, regardless of where the elderly are to remain. |
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| Autores principais: | Cebola, Marisa |
| Outros Autores: | Mahendra, A.; Pombo, M.; Marques, B.; Pinto, H.; Carolino, Elisabete; Mendes, Lino |
| Assunto: | Elderly Nutritional status Hospital Mini Nutritional Assessment Portugal |
| Ano: | 2016 |
| País: | Portugal |
| Tipo de documento: | documento de conferência |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Instituto Politécnico de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório Científico do Instituto Politécnico de Lisboa |
| Resumo: | Introduction: The elderly are considered vulnerable population by the senescence process, which puts them at high risk of morbidity and mortality. Several studies indicate a high prevalence of malnutrition in the elderly in the community and in hospital admissions, so the main purpose of this study is to compare the nutritional status of the elderly persons in both settings, located in Lisbon. Methods: The screening tool Mini Nutritional Assessment (MNA®), body mass index (BMI), arm circumference (AC), arm muscle area (AMA) and C-reactive protein (CRP) were used to assess nutritional status. Based on MNA® questions, food and water intake were evaluated. Results: A total of 99 elderly were evaluated (57.6% in hospital and 42.4% in the community). A higher level of inflammation was observed in hospital, according to CRP levels. It was reported a lower intake in the hospital for the number of meals (15% less), portions of fruit and vegetables (10.5% less), protein intake (33.4% less) and water intake (44.3% less). In the hospital, BMI indicated that 26.7% of the elderly were malnourished whilst in the community it was observed to be 20%. 43.9% had a form of malnutrition in the hospital and 45% in the community when AMA was evaluated. MNA® detected 63.1% of patients were malnourished or at risk of malnutrition in the hospital and 62% in the community. Overall the elderly revealed worse nutritional status is in hospital. The results suggest the need to regularly assess nutritional status allowing to identify and decrease complications associated with malnutrition, regardless of where the elderly are to remain. |
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