Improvement of nutritional status enhances cognitive and physical functions in older adults with orthostatic hypotension
•Both Malnutrition and OH cause many negative health outcomes in older adults.•Malnutrition is related to the development of OH.•Optimization of nutritional status leads to improvement of global cognitive and gait-balance functions and prevents falls in elderly people with OH. Malnutrition may be an...
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| Veröffentlicht in: | Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2021-10, Vol.90, p.111261-111261, Article 111261 |
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| creator | Kocyigit, Suleyman Emre Ates Bulut, Esra Aydin, Ali Ekrem Isik, Ahmet Turan |
| description | •Both Malnutrition and OH cause many negative health outcomes in older adults.•Malnutrition is related to the development of OH.•Optimization of nutritional status leads to improvement of global cognitive and gait-balance functions and prevents falls in elderly people with OH.
Malnutrition may be an important risk factor for orthostatic hypotension (OH). The aim of this study was to investigate the relationship between malnutrition and OH, and the effect of nutritional improvement on cognitive functions and gait-balance parameters in patients with OH.
A total of 692 patients were included in the study. The Head-up Tilt Table Test and Mini Nutritional Assessment (MNA) were implemented for participants. Patients underwent a comprehensive geriatric assessment, including a neurocognitive evaluation and physical performance. After 6 mo, the participants who had OH were reevaluated.
Women comprised 64.8% of the patients and the mean age was 74.98 ± 7.68 y. The frequencies of OH, malnutrition, and risk of malnutrition were 31.9%, 7.4%, and 13.3%, respectively. The rates of dementia, hypertension, sarcopenia, frailty, and a history of falls in the past year were higher in the OH-positive group. OH was associated with malnutrition (odds ratio: 2.48; confidence interval, 1.35‒4.54; P = 0.003) and risk of malnutrition (odds ratio: 1.64; CI, 1.03‒2.62; P = 0.035) in contrast with normal nutritional status. A higher MNA score during the follow-up period resulted in improved cognitive and gait-balance scores when confounding factors were adjusted (P < 0.05). Patients with OH whose MNA score improved during the follow up also had a significant decrease in the number of falls (P = 0.034).
Optimization of nutritional status may improve global cognition and gait-balance functions, and prevent falls in older people with OH. |
| doi_str_mv | 10.1016/j.nut.2021.111261 |
| format | Article |
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Malnutrition may be an important risk factor for orthostatic hypotension (OH). The aim of this study was to investigate the relationship between malnutrition and OH, and the effect of nutritional improvement on cognitive functions and gait-balance parameters in patients with OH.
A total of 692 patients were included in the study. The Head-up Tilt Table Test and Mini Nutritional Assessment (MNA) were implemented for participants. Patients underwent a comprehensive geriatric assessment, including a neurocognitive evaluation and physical performance. After 6 mo, the participants who had OH were reevaluated.
Women comprised 64.8% of the patients and the mean age was 74.98 ± 7.68 y. The frequencies of OH, malnutrition, and risk of malnutrition were 31.9%, 7.4%, and 13.3%, respectively. The rates of dementia, hypertension, sarcopenia, frailty, and a history of falls in the past year were higher in the OH-positive group. OH was associated with malnutrition (odds ratio: 2.48; confidence interval, 1.35‒4.54; P = 0.003) and risk of malnutrition (odds ratio: 1.64; CI, 1.03‒2.62; P = 0.035) in contrast with normal nutritional status. A higher MNA score during the follow-up period resulted in improved cognitive and gait-balance scores when confounding factors were adjusted (P < 0.05). Patients with OH whose MNA score improved during the follow up also had a significant decrease in the number of falls (P = 0.034).
Optimization of nutritional status may improve global cognition and gait-balance functions, and prevent falls in older people with OH.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/j.nut.2021.111261</identifier><identifier>PMID: 33975062</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Activities of daily living ; Age ; Balance ; Blood pressure ; Cardiovascular disease ; Cognition ; Cognitive ability ; Cognitive functions ; Confidence intervals ; Dementia ; Dementia disorders ; Elderly ; Falls ; Frailty ; Gait ; Geriatrics ; Hemoglobin ; Hypertension ; Hypotension ; Laboratories ; Malnutrition ; Mobility ; Mortality ; Nutrition assessment ; Nutritional status ; Older people ; Optimization ; Orthostatic hypotension ; Patients ; Physical performance ; Quality of life ; Risk analysis ; Risk factors ; Sarcopenia ; Thyroid gland</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 2021-10, Vol.90, p.111261-111261, Article 111261</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><rights>2021. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-98395f24e0b1c27d5258ae0c8a70eb943abcc6e4f39f6c22336801a7799123d63</citedby><cites>FETCH-LOGICAL-c381t-98395f24e0b1c27d5258ae0c8a70eb943abcc6e4f39f6c22336801a7799123d63</cites><orcidid>0000-0003-0182-2850</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0899900721001234$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33975062$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kocyigit, Suleyman Emre</creatorcontrib><creatorcontrib>Ates Bulut, Esra</creatorcontrib><creatorcontrib>Aydin, Ali Ekrem</creatorcontrib><creatorcontrib>Isik, Ahmet Turan</creatorcontrib><title>Improvement of nutritional status enhances cognitive and physical functions in older adults with orthostatic hypotension</title><title>Nutrition (Burbank, Los Angeles County, Calif.)</title><addtitle>Nutrition</addtitle><description>•Both Malnutrition and OH cause many negative health outcomes in older adults.•Malnutrition is related to the development of OH.•Optimization of nutritional status leads to improvement of global cognitive and gait-balance functions and prevents falls in elderly people with OH.
Malnutrition may be an important risk factor for orthostatic hypotension (OH). The aim of this study was to investigate the relationship between malnutrition and OH, and the effect of nutritional improvement on cognitive functions and gait-balance parameters in patients with OH.
A total of 692 patients were included in the study. The Head-up Tilt Table Test and Mini Nutritional Assessment (MNA) were implemented for participants. Patients underwent a comprehensive geriatric assessment, including a neurocognitive evaluation and physical performance. After 6 mo, the participants who had OH were reevaluated.
Women comprised 64.8% of the patients and the mean age was 74.98 ± 7.68 y. The frequencies of OH, malnutrition, and risk of malnutrition were 31.9%, 7.4%, and 13.3%, respectively. The rates of dementia, hypertension, sarcopenia, frailty, and a history of falls in the past year were higher in the OH-positive group. OH was associated with malnutrition (odds ratio: 2.48; confidence interval, 1.35‒4.54; P = 0.003) and risk of malnutrition (odds ratio: 1.64; CI, 1.03‒2.62; P = 0.035) in contrast with normal nutritional status. A higher MNA score during the follow-up period resulted in improved cognitive and gait-balance scores when confounding factors were adjusted (P < 0.05). Patients with OH whose MNA score improved during the follow up also had a significant decrease in the number of falls (P = 0.034).
Optimization of nutritional status may improve global cognition and gait-balance functions, and prevent falls in older people with OH.</description><subject>Activities of daily living</subject><subject>Age</subject><subject>Balance</subject><subject>Blood pressure</subject><subject>Cardiovascular disease</subject><subject>Cognition</subject><subject>Cognitive ability</subject><subject>Cognitive functions</subject><subject>Confidence intervals</subject><subject>Dementia</subject><subject>Dementia disorders</subject><subject>Elderly</subject><subject>Falls</subject><subject>Frailty</subject><subject>Gait</subject><subject>Geriatrics</subject><subject>Hemoglobin</subject><subject>Hypertension</subject><subject>Hypotension</subject><subject>Laboratories</subject><subject>Malnutrition</subject><subject>Mobility</subject><subject>Mortality</subject><subject>Nutrition assessment</subject><subject>Nutritional status</subject><subject>Older 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County, Calif.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kocyigit, Suleyman Emre</au><au>Ates Bulut, Esra</au><au>Aydin, Ali Ekrem</au><au>Isik, Ahmet Turan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improvement of nutritional status enhances cognitive and physical functions in older adults with orthostatic hypotension</atitle><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle><addtitle>Nutrition</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>90</volume><spage>111261</spage><epage>111261</epage><pages>111261-111261</pages><artnum>111261</artnum><issn>0899-9007</issn><eissn>1873-1244</eissn><abstract>•Both Malnutrition and OH cause many negative health outcomes in older adults.•Malnutrition is related to the development of OH.•Optimization of nutritional status leads to improvement of global cognitive and gait-balance functions and prevents falls in elderly people with OH.
Malnutrition may be an important risk factor for orthostatic hypotension (OH). The aim of this study was to investigate the relationship between malnutrition and OH, and the effect of nutritional improvement on cognitive functions and gait-balance parameters in patients with OH.
A total of 692 patients were included in the study. The Head-up Tilt Table Test and Mini Nutritional Assessment (MNA) were implemented for participants. Patients underwent a comprehensive geriatric assessment, including a neurocognitive evaluation and physical performance. After 6 mo, the participants who had OH were reevaluated.
Women comprised 64.8% of the patients and the mean age was 74.98 ± 7.68 y. The frequencies of OH, malnutrition, and risk of malnutrition were 31.9%, 7.4%, and 13.3%, respectively. The rates of dementia, hypertension, sarcopenia, frailty, and a history of falls in the past year were higher in the OH-positive group. OH was associated with malnutrition (odds ratio: 2.48; confidence interval, 1.35‒4.54; P = 0.003) and risk of malnutrition (odds ratio: 1.64; CI, 1.03‒2.62; P = 0.035) in contrast with normal nutritional status. A higher MNA score during the follow-up period resulted in improved cognitive and gait-balance scores when confounding factors were adjusted (P < 0.05). Patients with OH whose MNA score improved during the follow up also had a significant decrease in the number of falls (P = 0.034).
Optimization of nutritional status may improve global cognition and gait-balance functions, and prevent falls in older people with OH.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33975062</pmid><doi>10.1016/j.nut.2021.111261</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-0182-2850</orcidid></addata></record> |
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| ispartof | Nutrition (Burbank, Los Angeles County, Calif.), 2021-10, Vol.90, p.111261-111261, Article 111261 |
| issn | 0899-9007 1873-1244 |
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| source | Elsevier ScienceDirect Journals |
| subjects | Activities of daily living Age Balance Blood pressure Cardiovascular disease Cognition Cognitive ability Cognitive functions Confidence intervals Dementia Dementia disorders Elderly Falls Frailty Gait Geriatrics Hemoglobin Hypertension Hypotension Laboratories Malnutrition Mobility Mortality Nutrition assessment Nutritional status Older people Optimization Orthostatic hypotension Patients Physical performance Quality of life Risk analysis Risk factors Sarcopenia Thyroid gland |
| title | Improvement of nutritional status enhances cognitive and physical functions in older adults with orthostatic hypotension |
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