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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.
All patients underwent multidimensional geriatric assessment. The following nutritional biochemical parameters were also evaluated: All patients were reassessed days later. A severe cognitive impairment in MMSE performance was displayed in The present study clearly shows that malnutrition may play an important role in the progression of cognitive loss.
The elderly are particularly vulnerable to nutritional change deficits. Malnutrition in elderly patients has a large number of negative consequences on health: A recent study shows that the nutritional state of institutionalized dementia patients is worse than those not institutionalized of the same age and with a normal cognitive state or mild cognitive impairment.
The purpose of the present study was to investigate the relationship between cognitive deficit and nutritional state in a cohort of elderly residents in LTC on functional state and the load of assistance. A network of LTC facilities for the care of frail elderly, consisting of nursing homes and extensive rehabilitation organizations, operates in Calabria, Italy.
Baseline and follow-up data comprised a battery of validated indices chosen to establish an overview of health state. A sample of residents, female All patients underwent clinical, neuro-psychological, and biological investigations. The diagnosis of dementia was investigated in an interview covering detailed personal and family history and was subsequently confirmed by the administration of psychometric tests.
Comparison was performed between multiple parameters using analysis of variance ANOVAwhile categorical variables were compared using Wilcoxon—Mann signed-rank test for multiple comparisons.
At baseline, the average age was 74 years for men and 81 for women.
Calculation of complex comorbidity, according to the CIRS, showed an average number of illnesses of 2. The enrolled patients took an average of 5. The 86 patients of the total number Table 1 Population and measurement characteristics Notes: Table 2 Evaluation of and correlation between nutritional state and cognitive impairment Abbreviations: There was no statistically significant correlation between cognitive impairment, nutritional state, comorbidity, and use of drugs, but there was a weakly significant trend between severe cognitive impairment, impaired nutritional state, and care need in minutes of assistance.
These results indicate that the improvement of nutritional condition is accompanied by an improvement of cognitive function. Prevalence of malnutrition and risk of malnutrition in institutionalized elderly patients with dementia is high and increases with progression of disease.
The MNA, standardized for the elderly population, 30 is the preferred tool for nutritional assessment in LTC associated with ANASTE Calabria, although, in the literature, authors report different opinions about its use in institutionalized elderly with dementia.
Previous studies have shown an inverse correlation between cognitive impairment and comorbidity in a large sample of patients admitted to nursing homes: Generally, malnourished subjects show a greater functional impairment in ADL and higher care need.
Moreover, in the present study, no correlation was found between mood disorder and nutritional state, while, in another study, depression is considered a risk factor for malnutrition in institutionalized elderly.
The care need in these patients, calculated by RUG-III and expressed in minutes of assistance, shows a weak correlation with the prevalence of malnutrition, although ica does not reach statistical significance. These data can be explained by considering that the admission of patients in nursing homes follow criteria of homogeneity of utilization of resources.
This team kubdak also trained to identify as risk factors for malnutrition both kubrk cognitive lubrak and worsening of functional state. Malnutrition plays an important role in the progression of cognitive decline; early recognition and treatment of malnutrition or risk of malnutrition are important preventive measures to increase the quality of care and quality of life of patients with dementia.
Special thanks to Mrs Rosa Procopio for her kind revision of the manuscript for English style and grammar. This work was conducted in the following LTC: Nutritional screening in community-dwelling older adults: Asia Pac J Clin Nutr. Nutrition education intervention for dependent patients: Nutritional status in a kubrao study among institutionalized patients in Spain. Eur Cua Med Cja Sci. Nutritional status among older residents with dementia in open versus special care units in municipal nursing homes: Malnutrition in older people.
Screening and management strategies. Body composition changes with aging: Different modes of weight loss in Alzheimer disease: Am J Clin Nutr. Demented versus non-demented very old inpatients: Energy expenditure, energy intake, and weight loss in Alzheimer disease.
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The Haworth Press; Validation of the Cumulative Illness Rating Scale in a geriatric residential population. Assessing the nutritional status of the elderly. The Mini Nutritional Assessment as part of the geriatric evaluation.
Relationships between nutritional markers and the mini-nutritional assessment in older persons. An observational study of screening for malnutrition in elderly people living in sheltered accommodation. J Hum Nutr Diet. Changes in body composition in relation to the state of dementia in a group kubrzk institutionalized elderly. Functional status and clinical correlates in cognitively impaired community-living older people. J Geriatr Psychiatry Neurol. Nutritional care in a nursing home in Italy.
Dement Geriatr Cogn Disord. Comorbidity and its effect on mortality in nursing home patients with dementia. J Nerv Ment Dis.
Predicting the outcome of long-term care by clinical and functional indices: J Nutr Health Aging. Nutritional status and functional capacity of hospitalized elderly. Mini nutritional assessment is a good predictor of functional status in institutionalised elderly at risk of malnutrition. J Am Med Dir Assoc.
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The impact of malnutrition on morbidity, mortality, length of hospital stay and costs evaluated through a multivariate model analysis. Kubrak C, Jensen L. Malnutrition in acute care patients: Int J Nurs Stud. The German hospital malnutrition study. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https: By accessing the work you hereby accept the Terms.
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Home Journals Why publish with us? Abstract Fulltext Metrics Get Permission. Video abstract presented by Alba Malara Views: Materials and methods Study setting A network of LTC facilities for the care of frail elderly, consisting of nursing homes and extensive rehabilitation organizations, operates in Calabria, Italy. Subjects and measurements A sample of residents, female Results At baseline, the average age was 74 years for men and 81 ciq women.