Factors associated with nutritional risk and appetite loss in long-aged older people

Autores

  • Mariana de Paula SANTANA Universidade Federal de Mato Grosso do Sul
  • Nadine Motta FIGUEIREDO Universidade Federal de Mato Grosso do Sul
  • Sergio CHOCIAY JUNIOR Universidade Federal de Mato Grosso do Sul
  • Tainá Aparecida SILVA Universidade Federal de Mato Grosso do Sul
  • Rosimeire Aparecida Manoel SEIXAS Universidade Federal de Mato Grosso do Sul
  • Bruna Moretti LUCHESI Universidade Federal de Mato Grosso do Sul

Palavras-chave:

Aging, Geriatric Assessment, Longevity, Nutrition Surveys

Resumo

Objective
To analyze the factors that are associated with the nutritional risk and appetite loss of long-aged older people with two assessment instruments.
Methods
A cross-sectional and quantitative study was developed in Três Lagoas, a city in the Brazilian state of Mato Grosso do Sul. The household data collection was conducted with 87 long-aged older adults (≥90 years) living in the community.
The risk of malnutrition, malnutrition, and the risk of weight loss were the dependent variables, assessed by the Simplified Nutritional Appetite Questionnaire and by the Mini-Nutritional Assessment – Short Form. The association with independent sociodemographic, general health, psychological, cognitive, and physical variables was analyzed using logistic regressions.
Results
Most of the older adults were female (55.2%), with an average age of 93.3 years, and 1.4 years of schooling. According to the Simplified Nutritional Appetite Questionnaire, 34.5% of the older individuals were at risk of losing weight. As for the results of the Mini-Nutritional Assessment, 19.5% were classified as malnourished, and 39.1% at risk of malnutrition. A greater nutritional risk in both instruments was associated with the individual’s poorer self-perceived health, lower calf circumference, and presence of depressive symptoms. The greater the number of medications used, the lower the chance of weight loss. The agreement between the two instruments was low.
Conclusion
There was an association connecting malnutrition and appetite/weight loss with lower calf circumference, worse self perceived health status, and presence of depressive symptoms. These results can assist in interventions planning to reduce the nutritional risk and improve the life quality of older adults. 

Referências

Lauretti GR, Mattos AL. Quarta idade e velhice extrema: substituição da polifarmácia por um comprimido de hidromorfona de liberação controlada para o controle da dor crônica. Rev Dor. 2011;12(3):235-9. https://doi.org/10.1590/S1806-00132011000300008

Krug RR, Schneider IJC, Giehl MWC, Antes DL, Confortin SC, Mazo GZ, et al. Fatores sociodemográficos, comportamentais e de saúde associados à autopercepção de saúde positiva de idosos longevos residentes em Florianópolis, Santa Catarina. Rev Bras Epidemiol. 2018;21:e180004. https://doi.org/10.1590/1980-549720180004

Oliveira JAD, Ribeiro JM, Emmerick ICM, Luiza VL. Longevity and cost of care: the challenge of a self-managed health plan. Ciênc Saúde Coletiva. 2020;25(10):4045-54. https://doi.org/10.1590/1413-812320202510.15562018

Almeida BL, Souza MEBF, Rocha FC, Fernandes TF, Evangelista CB, Ribeiro KSMA. Qualidade de vida de idosos que praticam atividade física. Rev Online Pesq: Cuid Fundam. 2020;12:432-6. https://doi.org/10.9789/2175-5361.rpcfo.v12.8451

Santos VP, Lima WR, Rosa RS, Barros IMC, Boery RNSO, Ciosak SI. Perfil de saúde de idosos muito velhos em vulnerabilidade social na comunidade. Rev Cuidart. 2018;9(3):2322-37. https://doi.org/10.15649/cuidarte.v9i3.542

Datasus. Projeção da População das Unidades da Federação por sexo e grupos de idade: 2000-2030. 2021[cited 2021 April 27]. Available from: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?ibge/cnv/projpopuf.def

Pereira MM, Filipe EMV. Qualidade de vida e nutrição em idosos participantes de centros de convivência. Rev Baiana Saúde Pública. 2016;40(1):156-68. https://doi.org/10.22278/2318-2660.2016.v40.n1.a1615

Masón DFC, Suasnavas GFC, Suasnavas VAC. Relación entre desnutrición y depresión en mujeres adultas mayores en La consulta de un hospital de Quito, 2017. Cambios Rev Med. 2018;17(2):5-11. https://doi.org/10.36015/cambios.v17.n2.2018.292

Bandeira GFS, Moreira RS, Silva VL. Nutritional status of elderly assisted in primary care and their relationship with social determinants of health. Rev Nutr. 2019;32:e190042. https://doi.org/10.1590/1678-9865201932e190042

Sistema de Vigilância Alimentar e Nutricional (Brasil). Relatório Público de Estado Nutricional. 2019[cited 2020 May 30]. Available from: https://sisaps.saude.gov.br/sisvan/

Schirmer C, Camargo L, Safian C, Binotto V, Grigol M, Bós Ângelo. Desnutrição em nonagenários e centenários é um problema médico? Rev Bra Ciênc Envelhec Hum. 2019;64(1):62-8. https://doi.org/10.5335/rbceh.v16i2.10217

Besora-Moreno M, Llauradó E, Tarro L, Solà R. Social and economic factors and malnutrition or the risk of malnutrition in the elderly: a systematic review and meta-analysis of observational studies. Nutrients. 2020;12(3):737. https://doi.org/10.3390/nu12030737

Kaiser MJ, Bauer JM, Ramsch C, Uter W, Cederholm T, Thomas DR, et al. Validation of the Mini Nutritional Assessment Short Form (MNA-SF): a practical tool for identification of nutritional status. J Nutr Health Aging. 2009;13(9):782-8. https://doi.org/10.1007/s12603-009-0214-7

Sousa APG, Gallello DC, Silva ALND, Carreira MC, Damasceno NRT. Nutritional screening using the Mini Nutritional Assessment short form: applicability and challenges. Geriatr Gerontol Aging. 2015;9(2):49-53. https://doi.org/10.5327/Z2447-2115201500020003

Cereda E, Pedrolli C, Klersy C, Bonardia C, Quarleria L, Cappello S, et al. Nutritional status in older persons according to healthcare setting: a systematic review and meta-analysis of prevalence data using MNA®. Clin Nutr. 2016;35(6):1282-90. https://doi.org/10.1016/j.clnu.2016.03.008

Sties SW, Gonzáles AI, Viana MS, Brandt R, Bertin RL, Goldfeder R, et al. Simplified Nutritional Appetite Questionnaire (SNAQ) for cardiopulmonary and metabolic rehabilitation program. Rev Bras Med Esporte. 2012;18(5):313-7. https://doi.org/10.1590/S1517-86922012000500006

Instituto Brasileiro de Geografia e Estatística. Censo demográfico 2010 [citado 2021 abril 30]. Disponível em: https://censo2010.ibge.gov.br/resultados.html

Pagotto V, Santos KF, Malaquias SG, Bachion MM, Silveira EA. Calf circumference: clinical validation for evaluation of muscle mass in the elderly. Rev Bras Enferm. 2018;71(2):322-8. https://doi.org/10.1590/0034-7167-2017-0121

Santos IS, Tavares BS, Munhoz TN, Almeida LSP, Silva NTS, Tams BD, et al. Sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre adultos da população geral. Cad Saúde Pública. 2013;29(8):1533-43. https://doi.org/10.1590/0102-311X00144612

Martiny C, Silva ACO, Nardi AE, Pachana NA. Tradução e adaptação transcultural da versão brasileira do Inventário de Ansiedade Geriátrica (GAI). Rev Psiq Clin. 2011;38(1):8-12. https://doi.org/10.1590/S0101-60832011000100003

Esteves CS, Oliveira CR, Moret-Tatay C, Navarro-Pardo E, Carli GA, Silva IG, et al. Phonemic and semantic verbal fluency tasks: normative data for elderly Brazilians. Psicol Reflex Crit. 2015;28(2):350-5. https://doi.org/10.1590/1678-7153.201528215

Rocha JP, Oliveira GG, Cefrin J, Bós AMG, Bós ÂJG. Impacto clínico, socioeconômico e da autopercepção de saúde na funcionalidade de idosos. Geriatr Geront Aging. 2017;11(3):124-32. https://doi.org/10.5327/Z2447-211520171700051

Dell’Osbel RS, Zanotti J. Relação entre força de preensão palmar e estado nutricional em idosas de Caxias do Sul/RS. Braspen J. 2018[cited 2021 Apr 25];33(2):111-5. Disponível em: http://arquivos.braspen.org/journal/abr-maijun-2018/01-AO-Relacao-entre-forca-de-preensao.pdf

Grden CRB, Lenardt MH, Sousa JAVD, Kusomota L, Dellaroza MSG, Betiolli SE. Associação da síndrome da fragilidade física às características sociodemográficas de idosos longevos da comunidade. Rev Latino-Am de Enf. 2017;25:e2886. https://doi.org/10.1590/1518-8345.1770.2886

Jerez-Roig J, Souza DLB, Andrade FLJPD, Lima Filho BFD, Medeiros RJD, Oliveira NPDD, Cabral Neto SM, Lima, KC. Autopercepção da saúde em idosos institucionalizados. Ciênc Saúde Coletiva. 2016;21(11):3367-75. https://doi.org/10.1590/1413-812320152111.15562015

Caires SDS, Souza AA, Leal Neto JDS, Almeida CBD, Casotti CA. Fatores associados à incapacidade funcional em idosos residentes em comunidade. Rev Bras Ciênc Saúde. 2019;23(4):421-8. https://doi.org/10.22478/ufpb.2317-6032.2019v23n4.42501

Jansen AK, Rosa GGG, Lopes Filho JD, Cruz MICD, Moraes END, Santos RRD. Padrão alimentar de idosos longevos não frágeis e sua relação com baixo peso, massa, força muscular e teste de velocidade de marcha. Rev Bras Geriatr Gerontol. 2020;23(4):e200194. https://doi.org/10.1590/1981-22562020023.200194

Abd Aziz NAS, Teng NIMF, Hamid MRA, Ismail NH. Assessing the nutritional status of hospitalized elderly. Clinical Interventions in Aging. 2017;12:1615. https://doi.org/10.2147/CIA.S140859

O’Keffe M, Kelly M, O’Herlihy E, O’Toole PW, Kearney PM, Timmons S, et al. Potentially modifiable determinants of malnutrition in older adults: a systematic review. Clin Nutr. 2019;38:2477-98. https://doi.org/10.1016/j.clnu.2018.12.007

Stoffel LMB, Muniz FWMG, Colussi PRG, Rösing CK, Colussi EL. Nutritional assessment and associated factors in the elderly: a population-based cross-sectional study. J Nutrition. 2018;55-56:104-10. https://doi.org/10.1016/j.nut.2018.03.053

Damião R, Santos AS, Matijasevich A, Menezes PR. Factors associated with risk of malnutrition in the elderly in south-eastern Brazil. Rev Bras Epidemiol. 2017;20(4):598-610. https://doi.org/10.1590/1980-5497201700040004

Liguori I, Cursio F, Russo G, Cellurale M. Risk of malnutrition evaluated by mini nutritional assessment and sarcopenia in noninstitutionalized elderly people. Nutr Clinical Pract. 2018;33(6):879-86. https://doi.org/10.1002/ncp.10022

Carneiro JA, Gomes CAD, Durães W, Jesus DR, Chaves KLL, Costa FM, et al. Autopercepção negativa da saúde: prevalência e fatores associados entre idosos assistidos em centro de referência. Rev Ciênc Saúde Coletiva. 2020;25(3):909-18. https://doi.org/10.1590/1413-81232020253.16402018

Manso MEG, Jesus LS, Gino DR. Self-perceived health in a group of older adults covered by a health insurance plan. Geriatrics, Gerontoly and Aging. 2020;14(2):91-7. https://doi.org/10.5327/Z2447-212320202000040

Mello FS, Waisberg J, Silva MLN. Calf circumference is associated with the worst clinical outcome in elderly patients. Geriatr Gerontol Aging. 2016;10(2):80-5. https://doi.org/10.5327/Z2447-211520161600011

Corcoran C, Murphy C, Culligan EP, Walton J, Sleator RD. Malnutrition in the elderly. Sci Progr. 2019;102(2):171-80. https://doi.org/10.1177/0036850419854290

Rossi AP, Caliari C, Urbani S, Fantin F, Brandimarte P, Martini A, et al. Sarcopenia risk evaluation in a sample of hospitalized elderly men and women: combined use of the Mini Sarcopenia Risk Assessment (MSRA) and the SARC-F. Nutrients. 2021;13(2):635. https://doi.org/10.3390/nu13020635

Gündüz E, Eskin F, Gündüz M, Bentli R, Zengin Y, Dursun R, et al. Malnutrition in community-dwelling elderly in Turkey: a multicenter, cross-sectional study. Med Sci Monit. 2015;21:2750-6. https://doi.org/10.12659/MSM.893894

Al-Rasheed R, Alrasheedi R, Johani RA, Alrashidi H, Almaimany B, Alshalawi B, et al. Malnutrition in elderly and its relation to depression. Int J Community Med Public Health. 2018;5(6):2156-60. https://doi.org/10.18203/2394-6040.ijcmph20181974

Tek NA, Karaçil-Ermumcu MŞ. Determinants of health related quality of life in home dwelling elderly population: appetite and nutritional status. J Nutr Health Aging. 2018;22(8):996-1002. https://doi.org/10.1007/s12603-018-1066-9

Isautier JMJ, Bosni M, Yeung SSY, Trappenburg MC, Meskers CGM, Whittaker AC, et al. Validity of nutritional screening tools for community-dwelling older adults: a systematic review and meta-analysis. JAMDA. 2019;20(10):13-25. https://doi.org/10.1016/j.jamda.2019.06.024

Reber E, Gomes F, Vasiloglou MF, Schuetz P, Stanga Z. Nutritional risk screening and assessment. J Clin Med. 2019;8(7):1065. https://doi.org/10.3390/jcm8071065

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Publicado

08-07-2022

Como Citar

de Paula SANTANA, M. ., Motta FIGUEIREDO, N. ., CHOCIAY JUNIOR, S. ., SILVA, T. A. ., Manoel SEIXAS, R. A. ., & Moretti LUCHESI, B. . (2022). Factors associated with nutritional risk and appetite loss in long-aged older people. Revista De Nutrição, 34, 1–13. Recuperado de https://periodicos.puc-campinas.edu.br/nutricao/article/view/6294

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