Lack of energy is associated with malnutrition in nursing home residents: Results from the INCUR study
Lack of energy is a symptom frequently complained by older people, leading to the inability to continue functioning at the expected level of activity. This study aimed to investigate whether nutritional status was associated with lack of energy in nursing home (NH) residents. This was a cross-sectio...
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2021-11, Vol.69 (11), p.3242-3248 |
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| creator | Azzolino, Domenico Marzetti, Emanuele Proietti, Marco Calvani, Riccardo de Souto Barreto, Philipe Rolland, Yves Cesari, Matteo |
| description | Lack of energy is a symptom frequently complained by older people, leading to the inability to continue functioning at the expected level of activity. This study aimed to investigate whether nutritional status was associated with lack of energy in nursing home (NH) residents.
This was a cross-sectional study. A total of 570 NH residents (72.1% women) in 13 French NHs from the Incidence of pNeumonia and related ConseqUences in nursing home Residents study cohort were included in the study. Lack of energy was measured by the question "Did you feel full of energy during the past week?" from the geriatric depression scale. Nutritional status was evaluated according to Mini Nutritional Assessment Short-Form (MNA-SF). Unadjusted and adjusted logistic regression models were performed to test the association of nutritional status with lack of energy.
The mean age of participants was 86.5 (SD 7.5) years. A total of 246 NH residents (43.2%) reported a lack of energy. Overall, 71 (12.5%) residents were malnourished and 323 (56.7%) residents were at risk of malnutrition. Malnutrition was significantly associated with lack of energy (OR = 3.42, 95% CI = 1.92-6.08, P |
| doi_str_mv | 10.1111/jgs.17393 |
| format | Article |
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This was a cross-sectional study. A total of 570 NH residents (72.1% women) in 13 French NHs from the Incidence of pNeumonia and related ConseqUences in nursing home Residents study cohort were included in the study. Lack of energy was measured by the question "Did you feel full of energy during the past week?" from the geriatric depression scale. Nutritional status was evaluated according to Mini Nutritional Assessment Short-Form (MNA-SF). Unadjusted and adjusted logistic regression models were performed to test the association of nutritional status with lack of energy.
The mean age of participants was 86.5 (SD 7.5) years. A total of 246 NH residents (43.2%) reported a lack of energy. Overall, 71 (12.5%) residents were malnourished and 323 (56.7%) residents were at risk of malnutrition. Malnutrition was significantly associated with lack of energy (OR = 3.42, 95% CI = 1.92-6.08, P < 0.001), even after adjustment for potential confounders (OR = 2.41, 95% CI = 1.29-4.52, P = 0.006). Among the single items of the MNA-SF, decrease in food intake, low mobility, and psychological stress or acute disease were individually associated with lack of energy, independently of potential confounders (OR = 1.85, 95% CI = 1.24-2.77, P = 0.003; OR = 1.43, 95% CI = 1.10-1.86, P = 0.008; OR = 1.48, 95% CI = 1.19-1.84, P < 0.001; for each point respectively).
Lack of energy and malnutrition were closely associated. The reporting of lack of energy should lead to a comprehensive assessment of the aging individual (as happening for malnutrition) in order to preventively/promptly act on potentially reversible causes.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/jgs.17393</identifier><identifier>PMID: 34369598</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged, 80 and over ; Aging ; Brief Psychiatric Rating Scale ; Brief Report ; Cohort Studies ; Cross-Sectional Studies ; Energy ; Fatigue - psychology ; Female ; Food intake ; France - epidemiology ; Geriatric Assessment ; Humans ; Incidence ; Life Sciences ; Male ; Malnutrition ; Malnutrition - epidemiology ; Mobility Limitation ; Nursing Homes ; Nutrition Assessment ; Nutritional status ; Regression analysis ; Regular Issue Content ; Risk Factors ; Surveys and Questionnaires</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2021-11, Vol.69 (11), p.3242-3248</ispartof><rights>2021 The Authors. Journal of the American Geriatrics Society published by Wiley Periodicals LLC on behalf of The American Geriatrics Society.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Attribution - NonCommercial</rights><rights>2021 The Authors. published by Wiley Periodicals LLC on behalf of The American Geriatrics Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-5928ba4f4ac04451a575fab9ee0534999185bdd36cd5c79ae94e9ae640ff06303</citedby><cites>FETCH-LOGICAL-c437t-5928ba4f4ac04451a575fab9ee0534999185bdd36cd5c79ae94e9ae640ff06303</cites><orcidid>0000-0002-0348-3664 ; 0000-0001-9567-6983 ; 0000-0003-1452-2478 ; 0000-0002-4910-7373 ; 0000-0002-8860-425X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34369598$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://ut3-toulouseinp.hal.science/hal-04487769$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Azzolino, Domenico</creatorcontrib><creatorcontrib>Marzetti, Emanuele</creatorcontrib><creatorcontrib>Proietti, Marco</creatorcontrib><creatorcontrib>Calvani, Riccardo</creatorcontrib><creatorcontrib>de Souto Barreto, Philipe</creatorcontrib><creatorcontrib>Rolland, Yves</creatorcontrib><creatorcontrib>Cesari, Matteo</creatorcontrib><title>Lack of energy is associated with malnutrition in nursing home residents: Results from the INCUR study</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>Lack of energy is a symptom frequently complained by older people, leading to the inability to continue functioning at the expected level of activity. This study aimed to investigate whether nutritional status was associated with lack of energy in nursing home (NH) residents.
This was a cross-sectional study. A total of 570 NH residents (72.1% women) in 13 French NHs from the Incidence of pNeumonia and related ConseqUences in nursing home Residents study cohort were included in the study. Lack of energy was measured by the question "Did you feel full of energy during the past week?" from the geriatric depression scale. Nutritional status was evaluated according to Mini Nutritional Assessment Short-Form (MNA-SF). Unadjusted and adjusted logistic regression models were performed to test the association of nutritional status with lack of energy.
The mean age of participants was 86.5 (SD 7.5) years. A total of 246 NH residents (43.2%) reported a lack of energy. Overall, 71 (12.5%) residents were malnourished and 323 (56.7%) residents were at risk of malnutrition. Malnutrition was significantly associated with lack of energy (OR = 3.42, 95% CI = 1.92-6.08, P < 0.001), even after adjustment for potential confounders (OR = 2.41, 95% CI = 1.29-4.52, P = 0.006). Among the single items of the MNA-SF, decrease in food intake, low mobility, and psychological stress or acute disease were individually associated with lack of energy, independently of potential confounders (OR = 1.85, 95% CI = 1.24-2.77, P = 0.003; OR = 1.43, 95% CI = 1.10-1.86, P = 0.008; OR = 1.48, 95% CI = 1.19-1.84, P < 0.001; for each point respectively).
Lack of energy and malnutrition were closely associated. 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Marzetti, Emanuele ; Proietti, Marco ; Calvani, Riccardo ; de Souto Barreto, Philipe ; Rolland, Yves ; Cesari, Matteo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-5928ba4f4ac04451a575fab9ee0534999185bdd36cd5c79ae94e9ae640ff06303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Brief Psychiatric Rating Scale</topic><topic>Brief Report</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Energy</topic><topic>Fatigue - psychology</topic><topic>Female</topic><topic>Food intake</topic><topic>France - epidemiology</topic><topic>Geriatric Assessment</topic><topic>Humans</topic><topic>Incidence</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Malnutrition</topic><topic>Malnutrition - epidemiology</topic><topic>Mobility Limitation</topic><topic>Nursing Homes</topic><topic>Nutrition Assessment</topic><topic>Nutritional status</topic><topic>Regression analysis</topic><topic>Regular Issue Content</topic><topic>Risk Factors</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Azzolino, Domenico</creatorcontrib><creatorcontrib>Marzetti, Emanuele</creatorcontrib><creatorcontrib>Proietti, Marco</creatorcontrib><creatorcontrib>Calvani, Riccardo</creatorcontrib><creatorcontrib>de Souto Barreto, Philipe</creatorcontrib><creatorcontrib>Rolland, Yves</creatorcontrib><creatorcontrib>Cesari, Matteo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Azzolino, Domenico</au><au>Marzetti, Emanuele</au><au>Proietti, Marco</au><au>Calvani, Riccardo</au><au>de Souto Barreto, Philipe</au><au>Rolland, Yves</au><au>Cesari, Matteo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lack of energy is associated with malnutrition in nursing home residents: Results from the INCUR study</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>69</volume><issue>11</issue><spage>3242</spage><epage>3248</epage><pages>3242-3248</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><abstract>Lack of energy is a symptom frequently complained by older people, leading to the inability to continue functioning at the expected level of activity. This study aimed to investigate whether nutritional status was associated with lack of energy in nursing home (NH) residents.
This was a cross-sectional study. A total of 570 NH residents (72.1% women) in 13 French NHs from the Incidence of pNeumonia and related ConseqUences in nursing home Residents study cohort were included in the study. Lack of energy was measured by the question "Did you feel full of energy during the past week?" from the geriatric depression scale. Nutritional status was evaluated according to Mini Nutritional Assessment Short-Form (MNA-SF). Unadjusted and adjusted logistic regression models were performed to test the association of nutritional status with lack of energy.
The mean age of participants was 86.5 (SD 7.5) years. A total of 246 NH residents (43.2%) reported a lack of energy. Overall, 71 (12.5%) residents were malnourished and 323 (56.7%) residents were at risk of malnutrition. Malnutrition was significantly associated with lack of energy (OR = 3.42, 95% CI = 1.92-6.08, P < 0.001), even after adjustment for potential confounders (OR = 2.41, 95% CI = 1.29-4.52, P = 0.006). Among the single items of the MNA-SF, decrease in food intake, low mobility, and psychological stress or acute disease were individually associated with lack of energy, independently of potential confounders (OR = 1.85, 95% CI = 1.24-2.77, P = 0.003; OR = 1.43, 95% CI = 1.10-1.86, P = 0.008; OR = 1.48, 95% CI = 1.19-1.84, P < 0.001; for each point respectively).
Lack of energy and malnutrition were closely associated. The reporting of lack of energy should lead to a comprehensive assessment of the aging individual (as happening for malnutrition) in order to preventively/promptly act on potentially reversible causes.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34369598</pmid><doi>10.1111/jgs.17393</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0348-3664</orcidid><orcidid>https://orcid.org/0000-0001-9567-6983</orcidid><orcidid>https://orcid.org/0000-0003-1452-2478</orcidid><orcidid>https://orcid.org/0000-0002-4910-7373</orcidid><orcidid>https://orcid.org/0000-0002-8860-425X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aged, 80 and over Aging Brief Psychiatric Rating Scale Brief Report Cohort Studies Cross-Sectional Studies Energy Fatigue - psychology Female Food intake France - epidemiology Geriatric Assessment Humans Incidence Life Sciences Male Malnutrition Malnutrition - epidemiology Mobility Limitation Nursing Homes Nutrition Assessment Nutritional status Regression analysis Regular Issue Content Risk Factors Surveys and Questionnaires |
| title | Lack of energy is associated with malnutrition in nursing home residents: Results from the INCUR study |
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