Nutritional status of community-dwelling elderly with newly diagnosed Alzheimer’s disease: Prevalence of malnutrition and the relation of various factors to nutritional status
OBJETIVES: To determine the prevalence of malnutrition and its relation to various factors in community-dwelling elderly with newly diagnosed Alzheimer’s disease (AD). DESIGN: Retrospective crosssectional study. SETTING: Memory clinic in a rural part of the Netherlands. PARTICIPANTS: 312 Community-d...
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| Veröffentlicht in: | The Journal of nutrition, health & aging health & aging, 2013-07, Vol.17 (7), p.606-610 |
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| creator | Droogsma, E Van Asselt, D. Z. B Scholzel-Dorenbos, C. J. M Van Steijn, J. H. M Van Walderveen, P. E Van Der Hooft, C. S |
| description | OBJETIVES: To determine the prevalence of malnutrition and its relation to various factors in community-dwelling elderly with newly diagnosed Alzheimer’s disease (AD). DESIGN: Retrospective crosssectional study. SETTING: Memory clinic in a rural part of the Netherlands. PARTICIPANTS: 312 Community-dwelling AD patients, aged 65 years or older, were included. MEASUREMENTS: At the time the diagnosis AD was made, socio-demographic characteristics and data on nutritional status (Mini Nutritional Assessment (MNA)), cognitive function (Mini Mental State Examination (MMSE), Cambridge Cognitive Examination (Camcog)), functional status (Interview for Deterioration in Daily Living Activities in Dementia (IDDD), Barthel Index (BI)) and behaviour (Revised Memory and Behaviour Problems Checklist (RMBPC)) were assessed. Characteristics of well-nourished patients (MNA score >23.5) were compared to characteristics of patients at risk of malnutrition (MNA score 17–23.5). Linear regression analysis was performed to assess the effect of various factors on nutritional status. RESULTS: The prevalence of malnutrition was 0% and 14.1% was at risk of malnutrition. AD patients at risk of malnutrition were more impaired in basic and complex daily functioning than well-nourished AD patients (median IDDD score 41.5 [25th–75th percentile 38.8–48.0] versus median IDDD score 40.0 [25th–75th percentile 37.0–43.0], p = 0.028). The degree of impairment in basic and complex daily functioning (IDDD) was independently related to nutritional status (MNA) (p = 0.001, B = −0.062). CONCLUSION: One in seven community-dwelling elderly with newly diagnosed AD is at risk of malnutrition. The degree of impairment in daily functioning is independently related to nutritional status. Therefore, assessment of the nutritional status should be included in the comprehensive assessment of AD patients. The relation between daily functioning, nutritional status and AD warrants further investigation. |
| doi_str_mv | 10.1007/s12603-013-0032-9 |
| format | Article |
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Z. B ; Scholzel-Dorenbos, C. J. M ; Van Steijn, J. H. M ; Van Walderveen, P. E ; Van Der Hooft, C. S</creator><creatorcontrib>Droogsma, E ; Van Asselt, D. Z. B ; Scholzel-Dorenbos, C. J. M ; Van Steijn, J. H. M ; Van Walderveen, P. E ; Van Der Hooft, C. S</creatorcontrib><description>OBJETIVES: To determine the prevalence of malnutrition and its relation to various factors in community-dwelling elderly with newly diagnosed Alzheimer’s disease (AD). DESIGN: Retrospective crosssectional study. SETTING: Memory clinic in a rural part of the Netherlands. PARTICIPANTS: 312 Community-dwelling AD patients, aged 65 years or older, were included. MEASUREMENTS: At the time the diagnosis AD was made, socio-demographic characteristics and data on nutritional status (Mini Nutritional Assessment (MNA)), cognitive function (Mini Mental State Examination (MMSE), Cambridge Cognitive Examination (Camcog)), functional status (Interview for Deterioration in Daily Living Activities in Dementia (IDDD), Barthel Index (BI)) and behaviour (Revised Memory and Behaviour Problems Checklist (RMBPC)) were assessed. Characteristics of well-nourished patients (MNA score >23.5) were compared to characteristics of patients at risk of malnutrition (MNA score 17–23.5). Linear regression analysis was performed to assess the effect of various factors on nutritional status. RESULTS: The prevalence of malnutrition was 0% and 14.1% was at risk of malnutrition. AD patients at risk of malnutrition were more impaired in basic and complex daily functioning than well-nourished AD patients (median IDDD score 41.5 [25th–75th percentile 38.8–48.0] versus median IDDD score 40.0 [25th–75th percentile 37.0–43.0], p = 0.028). The degree of impairment in basic and complex daily functioning (IDDD) was independently related to nutritional status (MNA) (p = 0.001, B = −0.062). CONCLUSION: One in seven community-dwelling elderly with newly diagnosed AD is at risk of malnutrition. The degree of impairment in daily functioning is independently related to nutritional status. Therefore, assessment of the nutritional status should be included in the comprehensive assessment of AD patients. The relation between daily functioning, nutritional status and AD warrants further investigation.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-013-0032-9</identifier><identifier>PMID: 23933871</identifier><language>eng</language><publisher>Paris: Springer-Verlag</publisher><subject>Activities of Daily Living ; Aged ; Aged, 80 and over ; Aging ; Alzheimer disease ; Alzheimer Disease - complications ; Alzheimer's disease ; behavior problems ; Body mass index ; Caregivers ; cognition ; Cognitive ability ; Cross-Sectional Studies ; Dementia ; elderly ; Female ; functional status ; Geriatric Assessment ; Geriatrics/Gerontology ; Humans ; linear models ; Male ; Malnutrition ; Malnutrition - complications ; Malnutrition - epidemiology ; Medicine ; Medicine & Public Health ; Memory ; Netherlands - epidemiology ; Neurosciences ; Nutrition ; Nutrition Assessment ; Nutritional Status ; Patients ; Prevalence ; Primary Care Medicine ; Quality of Life Research ; regression analysis ; Residence Characteristics ; Retrospective Studies ; Risk ; sociodemographic characteristics ; Sociodemographics</subject><ispartof>The Journal of nutrition, health & aging, 2013-07, Vol.17 (7), p.606-610</ispartof><rights>Serdi and Springer-Verlag France 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-86f382ea38ab91a8ad1646d9ec98d55b5d85ca727714bbee19a36c0b0ce847073</citedby><cites>FETCH-LOGICAL-c439t-86f382ea38ab91a8ad1646d9ec98d55b5d85ca727714bbee19a36c0b0ce847073</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12603-013-0032-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12603-013-0032-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23933871$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Droogsma, E</creatorcontrib><creatorcontrib>Van Asselt, D. Z. B</creatorcontrib><creatorcontrib>Scholzel-Dorenbos, C. J. M</creatorcontrib><creatorcontrib>Van Steijn, J. H. M</creatorcontrib><creatorcontrib>Van Walderveen, P. E</creatorcontrib><creatorcontrib>Van Der Hooft, C. S</creatorcontrib><title>Nutritional status of community-dwelling elderly with newly diagnosed Alzheimer’s disease: Prevalence of malnutrition and the relation of various factors to nutritional status</title><title>The Journal of nutrition, health & aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>OBJETIVES: To determine the prevalence of malnutrition and its relation to various factors in community-dwelling elderly with newly diagnosed Alzheimer’s disease (AD). DESIGN: Retrospective crosssectional study. SETTING: Memory clinic in a rural part of the Netherlands. PARTICIPANTS: 312 Community-dwelling AD patients, aged 65 years or older, were included. MEASUREMENTS: At the time the diagnosis AD was made, socio-demographic characteristics and data on nutritional status (Mini Nutritional Assessment (MNA)), cognitive function (Mini Mental State Examination (MMSE), Cambridge Cognitive Examination (Camcog)), functional status (Interview for Deterioration in Daily Living Activities in Dementia (IDDD), Barthel Index (BI)) and behaviour (Revised Memory and Behaviour Problems Checklist (RMBPC)) were assessed. Characteristics of well-nourished patients (MNA score >23.5) were compared to characteristics of patients at risk of malnutrition (MNA score 17–23.5). Linear regression analysis was performed to assess the effect of various factors on nutritional status. RESULTS: The prevalence of malnutrition was 0% and 14.1% was at risk of malnutrition. AD patients at risk of malnutrition were more impaired in basic and complex daily functioning than well-nourished AD patients (median IDDD score 41.5 [25th–75th percentile 38.8–48.0] versus median IDDD score 40.0 [25th–75th percentile 37.0–43.0], p = 0.028). The degree of impairment in basic and complex daily functioning (IDDD) was independently related to nutritional status (MNA) (p = 0.001, B = −0.062). CONCLUSION: One in seven community-dwelling elderly with newly diagnosed AD is at risk of malnutrition. The degree of impairment in daily functioning is independently related to nutritional status. Therefore, assessment of the nutritional status should be included in the comprehensive assessment of AD patients. The relation between daily functioning, nutritional status and AD warrants further investigation.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Alzheimer disease</subject><subject>Alzheimer Disease - complications</subject><subject>Alzheimer's disease</subject><subject>behavior problems</subject><subject>Body mass index</subject><subject>Caregivers</subject><subject>cognition</subject><subject>Cognitive ability</subject><subject>Cross-Sectional Studies</subject><subject>Dementia</subject><subject>elderly</subject><subject>Female</subject><subject>functional status</subject><subject>Geriatric Assessment</subject><subject>Geriatrics/Gerontology</subject><subject>Humans</subject><subject>linear models</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Malnutrition - complications</subject><subject>Malnutrition - epidemiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Memory</subject><subject>Netherlands - epidemiology</subject><subject>Neurosciences</subject><subject>Nutrition</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status</subject><subject>Patients</subject><subject>Prevalence</subject><subject>Primary Care Medicine</subject><subject>Quality of Life Research</subject><subject>regression analysis</subject><subject>Residence Characteristics</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>sociodemographic characteristics</subject><subject>Sociodemographics</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kUFu1TAQhiMEoqVwADZgiU03ATtOYptdVVFAqgAJurYmzuQ9V4ldbKdPjxXX4BhciZPgkBYhkFiMbI2_mfk9f1E8ZvQ5o1S8iKxqKS8py0F5Vao7xSETLS1rIeXdfK-EKoWg4qB4EOMlpXWjZHu_OKi44lwKdlh8fzenYJP1DkYSE6Q5Ej8Q46dpdjbty36H42jdhuDYYxj3ZGfTljjc5WtvYeN8xJ6cjF-2aCcMP75-izkfESK-JB8CXsOIzuDSdILR3U4j4HqStkgCjvArkYFrCNZnAQOY5EMkyRP3j7yHxb0BxoiPbs6j4uLs1afTN-X5-9dvT0_OS1NzlUrZDlxWCFxCpxhI6Flbt71Co2TfNF3Ty8aAqIRgddchMgW8NbSjBmWdV8aPiuO171Xwn2eMSU82mrwMcJhFalZXlDWiVgv67C_00s8hS14oLmouqWKZYitlgo8x4KCvgp0g7DWjevFTr37q7Kde_NQq1zy56Tx3E_a_K24NzEC1AjE_uQ2GP0b_p-vTtWgAr2ETbNQXH_NvapqDq6z1JxQ8ueY</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Droogsma, E</creator><creator>Van Asselt, D. 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Z. B ; Scholzel-Dorenbos, C. J. M ; Van Steijn, J. H. M ; Van Walderveen, P. E ; Van Der Hooft, C. S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-86f382ea38ab91a8ad1646d9ec98d55b5d85ca727714bbee19a36c0b0ce847073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Alzheimer disease</topic><topic>Alzheimer Disease - complications</topic><topic>Alzheimer's disease</topic><topic>behavior problems</topic><topic>Body mass index</topic><topic>Caregivers</topic><topic>cognition</topic><topic>Cognitive ability</topic><topic>Cross-Sectional Studies</topic><topic>Dementia</topic><topic>elderly</topic><topic>Female</topic><topic>functional status</topic><topic>Geriatric Assessment</topic><topic>Geriatrics/Gerontology</topic><topic>Humans</topic><topic>linear models</topic><topic>Male</topic><topic>Malnutrition</topic><topic>Malnutrition - complications</topic><topic>Malnutrition - epidemiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Memory</topic><topic>Netherlands - epidemiology</topic><topic>Neurosciences</topic><topic>Nutrition</topic><topic>Nutrition Assessment</topic><topic>Nutritional Status</topic><topic>Patients</topic><topic>Prevalence</topic><topic>Primary Care Medicine</topic><topic>Quality of Life Research</topic><topic>regression analysis</topic><topic>Residence Characteristics</topic><topic>Retrospective Studies</topic><topic>Risk</topic><topic>sociodemographic characteristics</topic><topic>Sociodemographics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Droogsma, E</creatorcontrib><creatorcontrib>Van Asselt, D. Z. B</creatorcontrib><creatorcontrib>Scholzel-Dorenbos, C. J. M</creatorcontrib><creatorcontrib>Van Steijn, J. H. M</creatorcontrib><creatorcontrib>Van Walderveen, P. E</creatorcontrib><creatorcontrib>Van Der Hooft, C. S</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition, health & aging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Droogsma, E</au><au>Van Asselt, D. Z. B</au><au>Scholzel-Dorenbos, C. J. M</au><au>Van Steijn, J. H. M</au><au>Van Walderveen, P. E</au><au>Van Der Hooft, C. S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nutritional status of community-dwelling elderly with newly diagnosed Alzheimer’s disease: Prevalence of malnutrition and the relation of various factors to nutritional status</atitle><jtitle>The Journal of nutrition, health & aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2013-07-01</date><risdate>2013</risdate><volume>17</volume><issue>7</issue><spage>606</spage><epage>610</epage><pages>606-610</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>OBJETIVES: To determine the prevalence of malnutrition and its relation to various factors in community-dwelling elderly with newly diagnosed Alzheimer’s disease (AD). DESIGN: Retrospective crosssectional study. SETTING: Memory clinic in a rural part of the Netherlands. PARTICIPANTS: 312 Community-dwelling AD patients, aged 65 years or older, were included. MEASUREMENTS: At the time the diagnosis AD was made, socio-demographic characteristics and data on nutritional status (Mini Nutritional Assessment (MNA)), cognitive function (Mini Mental State Examination (MMSE), Cambridge Cognitive Examination (Camcog)), functional status (Interview for Deterioration in Daily Living Activities in Dementia (IDDD), Barthel Index (BI)) and behaviour (Revised Memory and Behaviour Problems Checklist (RMBPC)) were assessed. Characteristics of well-nourished patients (MNA score >23.5) were compared to characteristics of patients at risk of malnutrition (MNA score 17–23.5). Linear regression analysis was performed to assess the effect of various factors on nutritional status. RESULTS: The prevalence of malnutrition was 0% and 14.1% was at risk of malnutrition. AD patients at risk of malnutrition were more impaired in basic and complex daily functioning than well-nourished AD patients (median IDDD score 41.5 [25th–75th percentile 38.8–48.0] versus median IDDD score 40.0 [25th–75th percentile 37.0–43.0], p = 0.028). The degree of impairment in basic and complex daily functioning (IDDD) was independently related to nutritional status (MNA) (p = 0.001, B = −0.062). CONCLUSION: One in seven community-dwelling elderly with newly diagnosed AD is at risk of malnutrition. The degree of impairment in daily functioning is independently related to nutritional status. Therefore, assessment of the nutritional status should be included in the comprehensive assessment of AD patients. The relation between daily functioning, nutritional status and AD warrants further investigation.</abstract><cop>Paris</cop><pub>Springer-Verlag</pub><pmid>23933871</pmid><doi>10.1007/s12603-013-0032-9</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of Daily Living Aged Aged, 80 and over Aging Alzheimer disease Alzheimer Disease - complications Alzheimer's disease behavior problems Body mass index Caregivers cognition Cognitive ability Cross-Sectional Studies Dementia elderly Female functional status Geriatric Assessment Geriatrics/Gerontology Humans linear models Male Malnutrition Malnutrition - complications Malnutrition - epidemiology Medicine Medicine & Public Health Memory Netherlands - epidemiology Neurosciences Nutrition Nutrition Assessment Nutritional Status Patients Prevalence Primary Care Medicine Quality of Life Research regression analysis Residence Characteristics Retrospective Studies Risk sociodemographic characteristics Sociodemographics |
| title | Nutritional status of community-dwelling elderly with newly diagnosed Alzheimer’s disease: Prevalence of malnutrition and the relation of various factors to nutritional status |
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