Artigo em revista científica Q1
Malnutrition among older adults living in Portuguese nursing homes: the PEN-3S study
Maria Teresa Marques Madeira da Silva (Madeira, T.); Catarina Peixoto-Plácido (Peixoto-Plácido, C.); Nuno Sousa-Santos (Sousa-Santos, N.); Osvaldo Santos (Santos, O.); Violeta Alarcão (Alarcão, V.); Beatriz Goulão (Goulão, B.); Nuno Mendonça (Mendonça, N); Nicola, P.J. (Nicola, P. J.); Agneta Yngve (Yngve, Y.); Asta Bye (Bye, A.); Astrid Bergland (Bergland, A.); Teresa Amaral (Amaral, T.F.); Carla Lopes (Lopes, C.); João Gorjão Clara (Clara, J. G.); et al.
Título Revista
Public Health Nutrition
Ano
2019
Língua
Inglês
País
Reino Unido
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Abstract/Resumo
Objective To characterise the nutritional status and to identify malnutrition-associated variables of older adults living in Portuguese nursing homes.Design Cross-sectional study. Data on demographic and socio-economic characteristics, self-reported morbidity, eating-related problems, nutritional status, cognitive function, depression symptoms, loneliness feelings and functional status were collected by trained nutritionists through a computer-assisted face-to-face structured interview followed by standardised anthropometric measurements. Logistic regression was used to identify factors associated with being at risk of malnutrition/malnourished.Setting Portuguese nursing homes.Subjects Nationally representative sample of the Portuguese population aged 65 years or over living in nursing homes.Results A total of 1186 individuals (mean age 83·4 years; 72·8 % women) accepted to participate. According to the Mini Nutritional Assessment, 4·8 (95 % CI 3·2, 7·3) % were identified as malnourished and 38·7 (95 % CI 33·5, 44·2) % were at risk of malnutrition. These percentages increased with age and were significantly higher for women. Logistic regression showed (OR; 95 % CI) that older adults reporting no or little appetite (6·5; 2·7, 15·3), those revealing symptoms of depression (2·6; 1·6, 4·2) and those who were more dependent in their daily living activities (4·7; 2·0, 11·1) were also at higher odds of being malnourished or at risk of malnutrition.Conclusions Malnutrition and risk of malnutrition are prevalent among nursing home residents in Portugal. It is crucial to routinely screen for nutritional disorders, as well as risk factors such as symptoms of depression and lower functional status, to prevent and treat malnutrition.
Agradecimentos/Acknowledgements
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Palavras-chave
BMI,Malnutrition,Mini Nutritional Assessment,Nursing homes,Older adults,Undernutrition
  • Medicina Clínica - Ciências Médicas
  • Ciências da Saúde - Ciências Médicas
  • Outras Ciências Médicas - Ciências Médicas