Assessment of the zinc nutritional status of selected elderly subjects

Abstract Objectives The aim of our work was to assess the nutritional status and to determine the prevalence of undernutrition in type 2 diabetic patients hospitalized in a center specializing in Nutrition, Diabetology and Metabolic Diseases. Methods This is a descriptive cross-sectional prospective study, which involved 40 type 2 diabetic patients, aged 18 and over, hospitalized in department A of the National Institute of Nutrition and Food Technology. The assessment of nutritional status was carried out using clinical means (kinetics of weight loss, a dietary survey, anthropometric measurements, impedancemetry, Nutritional Risk Score 2002 for those under 70 years old and the Mini Nutritional Assessment from 70 years old) and biological (albuminemia). The positive diagnosis of malnutrition was selected according to the criteria of the High Authority of Health of 2019 for adults under 70 years, and of 2007 for elderly subjects. Results The mean age was 59.6 ± 11.59 years old. The average duration of diabetes was 10.83 ± 8.03 years. The mean level of glycated hemoglobin was 11.03 ± 1.97% and the Body Mass Index was 28.88 kg/m² with extremes ranging from 14.6 to 40.9 kg/m². Weight loss was noted in 48% of patients. Calorie intake was low in 30% of the patients. Protein and mono-unsaturated fatty acid low intake was noted in respectively 28% and 70% of patients. More than half of patients had deficiency in vitamin C, D, B12 and B9 as well as in zinc, calcium, magnesium and cooper. Iron and vitamin B12 low intake was more prevalent in patients with malnutrition (p = 0.043 and p = 0.003 respectively). The mean serum albumin was 37.58 ± 2.93 g/l with ranges ranging from 27.2 to 43.8 g/l. Malnutrition was diagnosed in 25% of patients and in half of the cases, it was severe. Conclusions Patients with type 2 diabetes mellitus are at high risk of malnutrition with a high prevalence of dietary intakes deficiencies. Funding Sources 1. HAS. Diagnostic de la dénutrition de l'enfant et l'adulte. Service de bonnes pratiques professionnelles, 2019. 2. HAS. Stratégie de prise en charge en cas de dénutrition protéino-énergétique chez la personne âgée. Service des recommandations professionnelles. Avril 2007. 3. Anses. Actualisation des repères du PNNS: élaboration des références nutritionnelles. Saisie n° 2012-SA-0186. Avis de l'Anses. Rapport d'expertise collective. Décembre 2016.

Download Full-text

Socioeconomic, Nutritional Profile Correlates with Morbidity Risks and Quality of Health Status among Elderly Residing at Old Age Home & Residence from Different Region of South Karnataka

International Journal of Health Sciences and Research ◽

10.52403/ijhsr.20210652 ◽

2021 ◽

Vol 11 (6) ◽

pp. 349-355

Author(s):

Pooja Anudhar G ◽

Sushma B. V

Keyword(s):

Nutritional Status ◽

Old Age ◽

Sampling Technique ◽

The Elderly ◽

The Body ◽

Deficiency Anemia ◽

Elderly Subjects ◽

Randomized Sampling ◽

Nutritional Profile

Ageing is the multidimensional process in humans with changes occurring in physical, psychological and social aspects which increase their proneness to health ailments. The associated functional impairment and physical inability will influence on their absorption and metabolism leading to the changes in nutritional status. Epidemiological study was conducted among the elderly subjects with respective to understand the quality of health in relation to the nutritional profile. Using a purposive randomized sampling technique, the elderly subjects were selected and assessed for the nutrition and health condition. The investigation comprises approximately 90 subjects of old age institutions and 90 subjects of residents from different domiciles. The study was conducted using standardized validated tools and checklist with oral interview technique and one to one interactions. Findings: In accordance with the body mass evaluation; approximately 59% elderly living at own houses were under Grade 1, Grade 2 and Grade 3 obesity in comparison to their counterpart. Medical health records indicated iron deficiency anemia among 10% of subjects. Gastritis, Diabetes, hypertension, arthritis was observed to be the major health problems. Comparatively 64% male elderly from household had oral problems and underwent for dentures. Often had three meal patterns in a day. Henceforth, there is a need to understand and address on the nutritional needs, etiology and demographic characteristics interlinked with comorbidities and health disabilities among aging population. Evidently a significant association was noticed between nutritional status on morbidities and health quality among elderly. Key words: Old age home, elderly, Ageing, nutritional profile, quality of health.

Download Full-text

Interrelationship between dental health status and nutritional status among elderly subjects in India

Journal of Family Medicine and Primary Care ◽

10.4103/jfmpc.jfmpc_353_18 ◽

2019 ◽

Vol 8 (2) ◽

pp. 477 ◽

Cited By ~ 4

Author(s):

Umesh Kapil ◽

Aakriti Gupta ◽

Ritika Khandelwal

Keyword(s):

Health Status ◽

Nutritional Status ◽

Dental Health ◽

Elderly Subjects ◽

Dental Health Status

Download Full-text

Association of Nutritional and Oral Health Status Amongst Geriatric Population in India (P01-005-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz028.p01-005-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Aakriti Gupta ◽

Umesh Kapil

Keyword(s):

Health Status ◽

Oral Health ◽

Nutritional Status ◽

Weight Status ◽

Food Selection ◽

The Elderly ◽

Oral Health Status ◽

Elderly Subjects ◽

Effective Measure ◽

Dietary Recall

Abstract Objectives Poor oral health status has been suggested to negatively impact the food selection leading to malnutrition. There is lack of evidence on the association of oral health and nutritional status amongst elderly subjects in India. The present study was undertaken to assess the association of oral health and nutritional status amongst elderly subjects in India. Methods A community based cross-sectional study was conducted during 2015–2016 in District Nainital, Uttarakhand state, India. A total of 1003 elderly population were enrolled from 30 clusters (villages) identified by using population proportionate to size sampling methodology. Information on socio demographic profile and anthropometric measurements was collected. Body mass index and Mini Nutritional Assessment (MNA) scale was calculated for assessment of nutritional status. A trained professional assessed the oral health status through physical examination. Dietary intake data were collected using 24 h dietary recall methodology. Results We found that the prevalence of complete edentulism was 11%. Use of dentures was reported amongst only 9.6% subjects who were completely edentulous. Prevalence of underweight and malnutrition was significantly higher amongst subjects with complete loss of teeth, who were suffering with chewing problems and who did not wear dentures as compared to others. Subjects who wore dentures had significantly lower prevalence of malnutrition as compared to the subjects who did not wear dentures. The 24 hour dietary recall found that nutrient intake of macronutrients such as energy, protein, fat (all P < 0.05) and micronutrients such as calcium and riboflavin (all P < 0.01) were significantly higher in subjects who used rehabilitative measures through use of dentures as compared to those who did not wear dentures. Conclusions We found that the poor oral health status of the elderly subjects resulted in poor nutritional status amongst them. The present study will help the dentists in educating the elderly about the importance of maintaining adequate oral health status for achieving optimal nutritional and weight status. In addition, improvement in primary as well as rehabilitative dental care services and oralhealth care assess by the dentists will prove to be an effective measure in improving the nutritional status of the elderly. Funding Sources Not Applicable.

Download Full-text

Helicobacter pylori Infection in Asymptomatic Elderly Subjects living at Home or in a Nursing Home: Effects on Gastric Function and Nutritional Status

Age and Ageing ◽

10.1093/ageing/25.3.245 ◽

1996 ◽

Vol 25 (3) ◽

pp. 245-249 ◽

Cited By ~ 35

Author(s):

ALBERTO PILOTTO ◽

RENATO FABRELLO ◽

MARILISA FRANCESCHI ◽

MARIUCCIA SCAGNELLI ◽

GIULIANO SOFFIATI ◽

...

Keyword(s):

Helicobacter Pylori ◽

Nursing Home ◽

Nutritional Status ◽

Helicobacter Pylori Infection ◽

Elderly Subjects ◽

Gastric Function ◽

At Home

Download Full-text

Associations between the quality of life in sarcopenia measured with the SarQoL® and nutritional status

Health and Quality of Life Outcomes ◽

10.1186/s12955-020-01619-2 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Yongtaek Kim ◽

Ki Soo Park ◽

Jun Il Yoo

Keyword(s):

Quality Of Life ◽

Nutritional Status ◽

Risk Group ◽

Elderly Subjects ◽

Health Related Quality ◽

Calf Circumference ◽

Related Quality ◽

Health Related ◽

Group B

Abstract Background The purpose of this study was to evaluate the relationship between nutritional status and health-related quality of life after adjusting for essential factors of muscle mass, calf circumference, grip strength, and the timed up and go (TUG) test for diagnosis of sarcopenia. Methods The subjects of this study were those who visited a health care center or a senior welfare center among the aged 65 years or older living in a community in two counties (Jinju, Sacheon), and the survey was conducted from April to August 2019. Among them, those with cardiovascular disease, cognitive disorder, or malignancy were excluded. To determine the nutritional status of the elderly subjects, a questionnaire-based screening tool called DETERMINE was used. Developed as a health-related quality of life tool for sarcopenia, the Sarcopenia-specific Quality of Life (SarQoL) questionnaire was used. For screening of sarcopenia, a rapid questionnaire based on self-reported information about falls, mobility, and strength known as the SARC-F questionnaire was used. Assessment of sarcopenia included skeletal muscle mass, calf circumference, grip strength, and the TUG test. Results A total of 324 elderly people living in rural villages who were able to move to senior and welfare centers was surveyed. As a result of evaluating the association between SarQoL and nutritional risk in elderly subjects, the association was statistically significant in the moderate-risk group (B = − 5.542, p = 0.001) and in the high-risk group (B = − 8.136, p < 0.001) in comparison to the low-risk group. Significant correlations were found in all seven domains of SarQoL, except the fear domain. Conclusions This study confirms an association between quality of life dimensions surveyed by the SarQoL questionnaire and nutritional status in elderly subjects. Therefore, appropriate interventions are needed following brief evaluation of sarcopenia and nutritional deficiency among elderly people in communities.

Download Full-text