Hygiena 2014, 59(1):17-20 | DOI: 10.21101/hygiena.a1236

The Nutritional Status of the Elderly in Institutional Care

Hana Lukšová, Yvetta Vrublová
Ostravská univerzita v Ostravě, Lékařská fakulta, Ústav ošetřovatelství a porodní asistence, Ostrava

Introduction: Nutritional disorders in the elderly are described in relation to institutional care. Mini Nutritional Assessment (MNA) was used for assessing nutritional status.

Objective: To assess the nutritional status of the elderly in selected institutions through Mini Nutritional Assessment (MNA) and to analyze the Body Mass Index (BMI) of the studied population.

Methods: The research sample consisted of 200 people aged over 60 years in institutional care. Statistical tests were evaluated at a significance level of 5%.

Results: Of the 200 seniors in institutional care according to MNA, 32% were in good nutrition condition, 38% of respondents were at risk of malnutrition and 30% of seniors suffered from malnutrition. A statistically significant difference in nutritional status was revealed depending on the type of institution (p=0.001) and a statistically significant difference between the observed values of institutions in terms of BMI (p=0.0084). Values of BMI in excess of 23 were identified in 65% of the elderly, values of BMI below 19 were found in 16% of elderly.

Conclusion: The results show that only one third of the elderly were in good nutritional status. These findings emphasise the necessity of early detection of nutritional status using MNA.

Keywords: nutrition of the elderly, malnutrition, Mini Nutritional Assessment (MNA)

Received: March 2013; Accepted: July 15, 2013; Published: March 1, 2014  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Lukšová H, Vrublová Y. The Nutritional Status of the Elderly in Institutional Care. Hygiena. 2014;59(1):17-20. doi: 10.21101/hygiena.a1236.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Kalvach Z a kol. Geriatrické syndromy a geriatrický pacient. Praha: Grada; 2008.
    2. Jurášková B, Hrnčiariková D, Holmerová I, Kalvach Z. Poruchy výživy ve stáří. Medicína pro praxi. 2007;4(11):443-6.
    3. Kyle UG, Pirlich M, Schuetz T, Lochs H, Pichard C. Is nutritional depletion by Nutritional Risk Index associated with increased length of hospital stay? A population-based study. JPEN J Parenter Enteral Nutr. 2004 Mar-Apr;28(2):99-104. Go to original source... Go to PubMed...
    4. Topinková E. Využití standardizovaných škál pro hodnocení stavu výživy u starších nemocných. Česká geriatrická revue. 2003;1(1):6-11.
    5. Magri F, Borza A, del Vecchio S, Chytiris S, Cuzzoni G, Busconi L, et al. Nutritional assessment of demented patients: a descriptive study. Aging Clin Exp Res. 2003 Apr;15(2):148-53. Go to original source... Go to PubMed...
    6. Morley JE, Silver AJ. Nutritional issues in nursing home care. Ann Intern Med. 1995 Dec 1;123(11):850-9. Go to original source...
    7. Compan B, di Castri A, Plaze JM, Arnaud-Battandier F. Epidemiological study of malnutrition in elderly patients in acute, sub-acute and long-term care using the MNA. J Nutr Health Aging. 1999;3(3):146-51. Go to PubMed...
    8. Suominen M, Muurinen S, Routasalo P, Soini H, Suur-Uski I, Peiponen A, et al. Malnutrition and associated factors among aged residents in all nursing homes in Helsinki. Eur J Clin Nutr. 2005 Apr;59(4):578-83. Go to original source... Go to PubMed...
    9. StarnovskáT.Nutričnípéče.Medicínapropraxi.2011;8(3):144-5.
    10. Sobotka L. Využití doplňkové enterální výživy během hospitalizace. Onkologie. 2009;3(4):248-50.
    11. Starnovská T. Standardizace nutriční péče v domovech pro seniory. Nutricia Clinical - čtvrtletní noviny. 2007;1:8-10.
    12. Kozáková R, Jarošová D, Zeleníková R, Bocková S. Nástroje k hodnocení nutričního stavu hospitalizovaných pacientů. Hygiena. 2011;56(1):18-21.
    13. Wakefield B. Altered nutrition: less than body requirements. In: Maas ML, Buckwalter KC, Hardy MD, Tripp-Reimer T, Titler MG, Specht JP, editors. Nursing care of older adults: diagnoses, outcomes, interventions. St. Luis: Mosby; 2001. p. 145-157.
    14. Bleda MJ, Bolibar I, Parés R, Salvà A. Reliability of the mini nutritional assessment (MNA) in institutionalized elderly people. J Nutr Health Aging. 2002;6(2):134-7. Go to PubMed...
    15. Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition. The mini nutritional assessment. Clin Geriatr Med. 2002 Nov;18(4):737-57. Go to original source... Go to PubMed...
    16. Nutrition Day. Worldwide [Internet]. Vienna: nutritionDay; 2006 [cited 2014 Jan 12]. Available from: http://www.nutritionday.org/.
    17. Saletti A, Lindgren EY, Johansson L, Cederholm T. Nutritional status according to mini nutritional assessment in an institutionalized elderly population in Sweden. Gerontology. 2000 May-Jun;46(3):139-45. Go to original source... Go to PubMed...
    18. Suominen MH, Sandelin E, Soini H, Pitkala KH. How well do nurses recognize malnutrition in elderly patients? Eur J Clin Nutr. 2009 Feb;63(2):292-6. Go to original source... Go to PubMed...
    19. Cuervo M, García A, Ansorena D, Sánchez-Villegas A, Martínez-González M, Astiasarán I, et al. Nutritional assessment interpretation on 22,007 Spanish community-dwelling elders through the Mini Nutritional Assessment test. Public Health Nutr. 2009 Jan;12(1):82-90. Go to original source... Go to PubMed...
    20. Kaiser MJ, Bauer JM, Rämsch C, Uter W, Guigoz Y, Cederholm T, et al.; Mini Nutritional Assessment International Group. Frequency of malnutrition in older adults: a multinational perspective using the mini nutritional assessment. J Am Geriatr Soc. 2010 Sep;58(9):1734-8. Go to original source... Go to PubMed...
    21. Kozáková R, Kroulíková L, Jarošová D. Hodnocení stavu výživy pacientů v zařízeních dlouhodobé péče. Ošetřovatelství a porodní asistence. 2011;2(1):179-83.
    22. Ben-Ishay O, Gertsenzon H, Mashiach T, Kluger Y, Chermesh I. Malnutrition in surgical wards: a plea for concern. Gastroenterol Res Pract. 2011 Jan;2011:Article ID 840512. Go to original source... Go to PubMed...
    23. Deschamps V, Astier X, Ferry M, Rainfray M, Emeriau JP, Barberger-Gateau P. Nutritional status of healthy elderly persons living in Dordogne, France, and relation with mortality and cognitive or functional decline. Eur J Clin Nutr. 2002 Apr;56(4):305-12. Go to original source... Go to PubMed...
    24. Crogan NL, Pasvogel A. The influence of protein-calorie malnutrition on quality of life in nursing homes. J Gerontol A Biol Sci Med Sci. 2003 Feb;58(2):159-64. Go to original source...
    25. Langiano E, Di Russo C, Atrei P, Ferrara M, Allegretti V, Verdicchio I, et al. Nutritional status of elderly institutionalized subjects in a health district in Frosinone. Ig Sanita Pubbl. 2009 Jan-Feb;65(1):17-28. (In Italy.) Go to PubMed...

    Return to the content