Research Article
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Malnutrition in Elderly Staying in Nursing Homes

Year 2017, Volume: 9 Issue: 3, 222 - 227, 22.09.2017
https://doi.org/10.18521/ktd.318404

Abstract

Aim: The aim of this study was to
determine to malnutrition of elderly receiving care in either public or private
nursing home.



Methods:
This descriptive study sampling of the study was comprised of 308 elderly, who
were living in public and private homes for the elderly in Ankara. Data were
collected by using an interview form, the Mini-Nutritional Assessment (MNA),
the Standardized Mini-Mental Test (SMMT), and the Barthel index.



Result: The
study results found that 28.57% of subjects suffered from malnutrition and 44.48%
were at risk for malnutrition in elderly person living in nursing homes.
Furthermore, 27.3% of study participants were found to have sensory losses,
53.6% had gastrointestinal problems, and 40% had deficiencies in their oral and
dental health. Those suffering from gastrointestinal problems have a
lower mean nutritional score (MNA) (p<0.05).



Conclusion: Results
of this study demonstrated a higher incidence of malnutrition among the elderly
receiving care in public or private nursing home

References

  • 1. Bolmsjo BB, Jakobsson U, Mo lstad S, Ostgren CJ, Midlöv P. The nutritional situation in Swedish nursing homes – A longitudinal study. Arch Gerontol Geriat. 2015; 60(1):128–33. doi: 10.1016/j.archger.2014.10.021. Epub 2014 Nov 6. 2. De Rouvray CL, Jésus P, Guerchet M, et al. The nutritional status of older people with and without dementia living in an urban setting in Central Africa: the EDAC study. J Nutr Health Aging. 2014;18(10):868-75, doi: 10.1007/s12603-014-0483-7. 3. Isaia G, Mondino S, Germinara C, et al. Malnutrition in an elderly demented population living at home. Arch Gerontol Geriat. 2011;53(3):249-51. doi: 10.1016/j.archger.2010.12.015. Epub 2011 Jan 13. 4. Lelovics Z, Bozo RK, Lampek K, Figler M. Results of nutritional screening in institutionalized elderly in Hungary. Arch Gerontol Geriat. 2009;49(1):190-6. doi: 10.1016/j.archger.2008.07.009. Epub 2008 Sep 10. 5. Serrano-Urrea R, Garcia-Meseguer MJ. Malnutrition in an Elderly Population without Cognitive Impairment Living in Nursing Homes in Spain: Study of Prevalence Using the Mini Nutritional Assessment Test. Gerontology. 2013;59(6):490-8. doi: 10.1159/000351763. Epub 2013 Aug 14. 6. Ulger Z, Halil M, Kalan I, et al. Comprehensive assessment of malnutrition risk and related factors in a large group of community-dwelling older adults. Clin Nutr. 2010;29(4):507-11. doi: 10.1016/j.clnu.2010.01.006. Epub 2010 Feb 1. 7. Ulger Z, Halil M, Cankurtaran M, et al. Malnutrition in Turkish Nursing Homes: A Correlate of Short Term Mortality, J Nutr Health Aging. 2013;17(4):305-9. doi: 10.1007/s12603-013-0016-9. 8. Kucukerdonmez O, Koksal E, Rakicioglu N, Pekcan G. Assessment and evaluation of the nutritional status of the elderly using 2 different instruments. Saudi Med J. 2005; 26(10):1611-6. 9. Saka B, Kaya O, Ozturk GB, et al. Malnutrition in the elderly and its relationship with other geriatric syndromes. Clin Nutr. 2010; 29(6):745-8. doi: 10.1016/j.clnu.2010.04.006. Epub 2010 Jun 2. 10. Sanlier N, Yabanci N. Mini nutritional assessment in elderly: living alone, with their family and nursing home in Turkey. J Nutr Food Sci. 2006; 36(1): 50-8. 11. Cankurtaran M, Saka B, Sahin S, et al. Turkish nursing homes and care homes nutritional status assessment project (THN-malnutrition). Eur Geriatric Med. 2013;4(5):329–334. DOI: 10.1016/j.eurger.2013.02.003. 12. Stanga Z. Basics in clinical nutrition: Nutrition in the elderly. E-SPEN, the European e-Journal of Clinical Nutrition and Metabolism. 2009; 4(6). DOI: 10.1016/j.eclnm.2009.06.019. 13. Ferry M, Gilbert T, Guerin O, et al. Frailty and nutrition: Searching for evidence. J Nutr Health Aging. 2015;19(3):250-7. 14. Holmes S. The effects of undernutrition in hospitalized patients. Nurs Stand. 2007; 22(12):35-8. 15. Lee LC, Tsai AC, Wang JY. Need-based nutritional intervention is effective in improving handgrip strength and Barthel Index scores of older people living in a nursing home: A randomized controlled trial. Intl J Nurs Stud. 2015;52:904–12. 16. Muurinen S, Soini H, Suominen M, Pitkala K. Nutritional status and psychological well-being. e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism. 20010; 5(1):26–9. 17. Lilamand M, Kelaiditi E, Demougeot L, et al. The Mini Nutritional Assessment-Short Form and mortality in nursing home residents-Results from the INCUR study. J Nutr Health Aging. 2015; 19(4): 383-8. 18. Peng LN, M.-H. Lin MH, Liu LK, et al. Nutritional status plays the mediating role of the functional status and comorbidity among older patients admitted to the Geriatric Evaluation and Management Unit: A Tobit model application. Eur Geriatric Med. 2014;5: 87–91. 19. Sarikaya D, Halil M, Kuyumcu ME, et al. Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults, Arch Gerontol Geriat. 2015; 61(1):56-60. doi: 10.1016/j.archger.2015.04.006. Epub 2015 Apr 22. 20. Folstein MF, Folstein SE, McHugh PR. Mini mental state” a practical method for grading the cognitive state of patients for the clinician. Journal Psychiatric Research. 1975;12:189-98. 21. Molloy DW, Standish TIM. A guide to the standardized mini mental state examination. International Psychogeriatry. 1997;9 (suppl 1):87-94. 22. Güngen C, Ertan T, Eker E, Yasar R, Engin F. Standardize mini mental testin Türk toplumunda hafif demans tanısında geçerlik ve güvenilirligi. Türk Psikiyatri Dergisi. 2002;13(4):273-281. 23. Mahoney FI, Barthel W. Functional evaluation: the Barthel index. Maryland State Medical Journal. 1965;14:61-5. 24. Yavuzer G, Süldür N, Küçükdeveci A, Elhan A. Türkiye’de nörorehabilitasyon hastalarının değerlendirilmesinde Fonksiyonel Bağımsızlık Ölçeği ve Modifiye Barthel indeksi’nin yeri. Romatoloji ve Tıbbi Rehabilitasyon Dergisi. 2000;11(1):26-31. 25. Bassey EJ. Demi-span as a measure of skeletal size. Ann Hum Biol. 1986; 13(5):499-502. 26. Nazemi L, Skoog I, Karlsson I, et al. Malnutrition, Prevalence and Relation to Some Risk Factors among Elderly Residents of Nursing Homes in Tehran, Iran. Iran J Public Health. 2015; 44(2): 218-27. 27. Van Lancker A, Verhaeghe S, Hecke AV, et al. The association between malnutrition and oral health status in elderly in long-term care facilities: A systematic review. Intl J Nurs Stud. 2012; 49(12):1568-81. doi: 10.1016/j.ijnurstu.2012.04.001. Epub 2012 Apr 27. 28. Marchi RJ, Hugo F, Hilgert J, Padilha D. Association between oral health status and nutritional status in South Brazilian independent-living older people. Nutrition. 2008; 2(4):546–53. 29. Stange I, Poeschl K, Stehle P, et al. Screening for malnutrition in nursing home residents: comparison of different risk markers and their association to functional impairment. J Nutr Health Aging. 2013;17(4):357-63.

Huzurevinde Kalan Yaşlılarda Malnutrisyon

Year 2017, Volume: 9 Issue: 3, 222 - 227, 22.09.2017
https://doi.org/10.18521/ktd.318404

Abstract

Amaç: Bu çalışmanın amacı özel ve
devlet huzurevlerinde kalan yaşlılarda görülen malnutrisyonu belirlemektir.

Yöntem: Tanımlayıcı
olarak yapılan çalışmada örneklemi Ankara ilinde bulunan özel ve devlet
huzurevlerinde kalan 308 yaşlı birey oluşturmaktadır. Veriler anket
formu, Mini Nutrisyonel Değerlendirme (MND), Standardize Mini Mental Test
(SMMT) ve Bartel İndeksi (Bİ) kullanılarak toplanmıştır.

Bulgular: Çalışma
sonucunda, huzurevlerinde kalan yaşlılarda malnutrisyon oranı %28.57,
malnutrisyon riski oranı ise %44.48 bulundu. Ayrıca yaşlıların %27.3’ünde duyu
kayıpları, %53.6’sında gastrointestinal sorunlar ve %40’ında ağız ve diş
sağlığı sorunları saptanmıştır. Gastrointestinal sorunu olana yaşlıların
beslenme skorları (MNA) düşük çıkmıştır (p<0.05).







Sonuç: Bu
çalışmanın sonucunda özel ve devlet huzurevinde kalan yaşlılarda malnutrisyon
oranı oldukça yüksek olduğu saptanmıştır. 

References

  • 1. Bolmsjo BB, Jakobsson U, Mo lstad S, Ostgren CJ, Midlöv P. The nutritional situation in Swedish nursing homes – A longitudinal study. Arch Gerontol Geriat. 2015; 60(1):128–33. doi: 10.1016/j.archger.2014.10.021. Epub 2014 Nov 6. 2. De Rouvray CL, Jésus P, Guerchet M, et al. The nutritional status of older people with and without dementia living in an urban setting in Central Africa: the EDAC study. J Nutr Health Aging. 2014;18(10):868-75, doi: 10.1007/s12603-014-0483-7. 3. Isaia G, Mondino S, Germinara C, et al. Malnutrition in an elderly demented population living at home. Arch Gerontol Geriat. 2011;53(3):249-51. doi: 10.1016/j.archger.2010.12.015. Epub 2011 Jan 13. 4. Lelovics Z, Bozo RK, Lampek K, Figler M. Results of nutritional screening in institutionalized elderly in Hungary. Arch Gerontol Geriat. 2009;49(1):190-6. doi: 10.1016/j.archger.2008.07.009. Epub 2008 Sep 10. 5. Serrano-Urrea R, Garcia-Meseguer MJ. Malnutrition in an Elderly Population without Cognitive Impairment Living in Nursing Homes in Spain: Study of Prevalence Using the Mini Nutritional Assessment Test. Gerontology. 2013;59(6):490-8. doi: 10.1159/000351763. Epub 2013 Aug 14. 6. Ulger Z, Halil M, Kalan I, et al. Comprehensive assessment of malnutrition risk and related factors in a large group of community-dwelling older adults. Clin Nutr. 2010;29(4):507-11. doi: 10.1016/j.clnu.2010.01.006. Epub 2010 Feb 1. 7. Ulger Z, Halil M, Cankurtaran M, et al. Malnutrition in Turkish Nursing Homes: A Correlate of Short Term Mortality, J Nutr Health Aging. 2013;17(4):305-9. doi: 10.1007/s12603-013-0016-9. 8. Kucukerdonmez O, Koksal E, Rakicioglu N, Pekcan G. Assessment and evaluation of the nutritional status of the elderly using 2 different instruments. Saudi Med J. 2005; 26(10):1611-6. 9. Saka B, Kaya O, Ozturk GB, et al. Malnutrition in the elderly and its relationship with other geriatric syndromes. Clin Nutr. 2010; 29(6):745-8. doi: 10.1016/j.clnu.2010.04.006. Epub 2010 Jun 2. 10. Sanlier N, Yabanci N. Mini nutritional assessment in elderly: living alone, with their family and nursing home in Turkey. J Nutr Food Sci. 2006; 36(1): 50-8. 11. Cankurtaran M, Saka B, Sahin S, et al. Turkish nursing homes and care homes nutritional status assessment project (THN-malnutrition). Eur Geriatric Med. 2013;4(5):329–334. DOI: 10.1016/j.eurger.2013.02.003. 12. Stanga Z. Basics in clinical nutrition: Nutrition in the elderly. E-SPEN, the European e-Journal of Clinical Nutrition and Metabolism. 2009; 4(6). DOI: 10.1016/j.eclnm.2009.06.019. 13. Ferry M, Gilbert T, Guerin O, et al. Frailty and nutrition: Searching for evidence. J Nutr Health Aging. 2015;19(3):250-7. 14. Holmes S. The effects of undernutrition in hospitalized patients. Nurs Stand. 2007; 22(12):35-8. 15. Lee LC, Tsai AC, Wang JY. Need-based nutritional intervention is effective in improving handgrip strength and Barthel Index scores of older people living in a nursing home: A randomized controlled trial. Intl J Nurs Stud. 2015;52:904–12. 16. Muurinen S, Soini H, Suominen M, Pitkala K. Nutritional status and psychological well-being. e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism. 20010; 5(1):26–9. 17. Lilamand M, Kelaiditi E, Demougeot L, et al. The Mini Nutritional Assessment-Short Form and mortality in nursing home residents-Results from the INCUR study. J Nutr Health Aging. 2015; 19(4): 383-8. 18. Peng LN, M.-H. Lin MH, Liu LK, et al. Nutritional status plays the mediating role of the functional status and comorbidity among older patients admitted to the Geriatric Evaluation and Management Unit: A Tobit model application. Eur Geriatric Med. 2014;5: 87–91. 19. Sarikaya D, Halil M, Kuyumcu ME, et al. Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults, Arch Gerontol Geriat. 2015; 61(1):56-60. doi: 10.1016/j.archger.2015.04.006. Epub 2015 Apr 22. 20. Folstein MF, Folstein SE, McHugh PR. Mini mental state” a practical method for grading the cognitive state of patients for the clinician. Journal Psychiatric Research. 1975;12:189-98. 21. Molloy DW, Standish TIM. A guide to the standardized mini mental state examination. International Psychogeriatry. 1997;9 (suppl 1):87-94. 22. Güngen C, Ertan T, Eker E, Yasar R, Engin F. Standardize mini mental testin Türk toplumunda hafif demans tanısında geçerlik ve güvenilirligi. Türk Psikiyatri Dergisi. 2002;13(4):273-281. 23. Mahoney FI, Barthel W. Functional evaluation: the Barthel index. Maryland State Medical Journal. 1965;14:61-5. 24. Yavuzer G, Süldür N, Küçükdeveci A, Elhan A. Türkiye’de nörorehabilitasyon hastalarının değerlendirilmesinde Fonksiyonel Bağımsızlık Ölçeği ve Modifiye Barthel indeksi’nin yeri. Romatoloji ve Tıbbi Rehabilitasyon Dergisi. 2000;11(1):26-31. 25. Bassey EJ. Demi-span as a measure of skeletal size. Ann Hum Biol. 1986; 13(5):499-502. 26. Nazemi L, Skoog I, Karlsson I, et al. Malnutrition, Prevalence and Relation to Some Risk Factors among Elderly Residents of Nursing Homes in Tehran, Iran. Iran J Public Health. 2015; 44(2): 218-27. 27. Van Lancker A, Verhaeghe S, Hecke AV, et al. The association between malnutrition and oral health status in elderly in long-term care facilities: A systematic review. Intl J Nurs Stud. 2012; 49(12):1568-81. doi: 10.1016/j.ijnurstu.2012.04.001. Epub 2012 Apr 27. 28. Marchi RJ, Hugo F, Hilgert J, Padilha D. Association between oral health status and nutritional status in South Brazilian independent-living older people. Nutrition. 2008; 2(4):546–53. 29. Stange I, Poeschl K, Stehle P, et al. Screening for malnutrition in nursing home residents: comparison of different risk markers and their association to functional impairment. J Nutr Health Aging. 2013;17(4):357-63.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Emine Ozer Kucuk This is me

Sevgisun Kapucu

Publication Date September 22, 2017
Acceptance Date August 22, 2017
Published in Issue Year 2017 Volume: 9 Issue: 3

Cite

APA Ozer Kucuk, E., & Kapucu, S. (2017). Malnutrition in Elderly Staying in Nursing Homes. Konuralp Medical Journal, 9(3), 222-227. https://doi.org/10.18521/ktd.318404
AMA Ozer Kucuk E, Kapucu S. Malnutrition in Elderly Staying in Nursing Homes. Konuralp Medical Journal. September 2017;9(3):222-227. doi:10.18521/ktd.318404
Chicago Ozer Kucuk, Emine, and Sevgisun Kapucu. “Malnutrition in Elderly Staying in Nursing Homes”. Konuralp Medical Journal 9, no. 3 (September 2017): 222-27. https://doi.org/10.18521/ktd.318404.
EndNote Ozer Kucuk E, Kapucu S (September 1, 2017) Malnutrition in Elderly Staying in Nursing Homes. Konuralp Medical Journal 9 3 222–227.
IEEE E. Ozer Kucuk and S. Kapucu, “Malnutrition in Elderly Staying in Nursing Homes”, Konuralp Medical Journal, vol. 9, no. 3, pp. 222–227, 2017, doi: 10.18521/ktd.318404.
ISNAD Ozer Kucuk, Emine - Kapucu, Sevgisun. “Malnutrition in Elderly Staying in Nursing Homes”. Konuralp Medical Journal 9/3 (September 2017), 222-227. https://doi.org/10.18521/ktd.318404.
JAMA Ozer Kucuk E, Kapucu S. Malnutrition in Elderly Staying in Nursing Homes. Konuralp Medical Journal. 2017;9:222–227.
MLA Ozer Kucuk, Emine and Sevgisun Kapucu. “Malnutrition in Elderly Staying in Nursing Homes”. Konuralp Medical Journal, vol. 9, no. 3, 2017, pp. 222-7, doi:10.18521/ktd.318404.
Vancouver Ozer Kucuk E, Kapucu S. Malnutrition in Elderly Staying in Nursing Homes. Konuralp Medical Journal. 2017;9(3):222-7.