Portal de investigação
Association between living setting and malnutrition among older adults: The PEN-3S study
Autores da FMUP
Participantes de fora da FMUP
- Madeira, T
- Peixoto-Plácido, C
- Sousa-Santos, N
- Santos, O
- Costa, J
- Alarcao, V
- Nicola, PJ
- Clara, JG
Unidades de investigação
Abstract
Objectives: Malnutrition is frequent among older adults, especially those living in nursing homes, but the association between residential setting and nutritional status is controversial. The aim of this study was to examine the association between living setting (nursing home versus community) and malnutrition while adjusting for demographic, socioeconomic, health-related, and psychosocial factors. Methods: This cross-sectional study included a randomly selected representative sample of Portuguese adults >= 65 y of age. Interviewers collected data regarding demographic and socioeconomic characteristics, nutritional status, physical activity, energy intake, cognitive function, self-reported general health, functional status, symptoms of depression, and loneliness. Logistic regression models were used to estimate the association between residential setting and malnutrition. Results: Participants were 1186 nursing home residents (72.8% women, 49.2% >= 85 y of age) and 1120 community dwellers (49% women, 21.3% >= 85 y of age). Following Mini Nutritional Assessment (MNA (R)) criteria, 29.6% of nursing home residents and 14.1% of community dwellers were at risk of malnutrition, whereas 2.3% and 0.3%, respectively, were malnourished. The living setting was not significantly associated with malnutrition after adjusting for functional status, symptoms of depression, and feelings of loneliness (odds ratio, 1.03; 95% confidence interval, 0.67-1.58). Conclusions: Risk of malnutrition and malnutrition are more prevalent among nursing home residents than community dwellers. Physical (functional status) and mental health (symptoms of depression and loneliness) seems more relevant to nutritional status than residential setting by itself. These findings should be taken into account when designing public health policies to tackle malnutrition among older adults. (C) 2019 Elsevier Inc. All rights reserved.
Dados da publicação
- ISSN/ISSNe:
- 1873-1244, 0899-9007
- Tipo:
- Article
- Páginas:
- -
- Link para outro recurso:
- www.scopus.com
Nutrition Elsevier Inc.
Citações Recebidas na Web of Science: 5
Citações Recebidas na Scopus: 9
Documentos
- Não há documentos
Filiações
Keywords
- Malnutrition; Older adults; Living setting; MNA; Community dwelling; Nursing homes
Financiamento
Proyectos asociados
Tracking the acquisition of eating habits in children and its effects on behaviours related to appetite
Investigador Principal: Carla Maria de Moura Lopes
Estudo Clínico Académico . 2019
Citar a publicação
Madeira T,Peixoto C,Sousa N,Santos O,Costa J,Alarcao V,Nicola PJ,Severo M,Lopes C,Clara JG. Association between living setting and malnutrition among older adults: The PEN-3S study. Nutrition. 2020. 73. 110660. IF:4,008. (2).
