Tags

Type your tag names separated by a space and hit enter

Different components of nutritional status in older inpatients with cognitive impairment.

Abstract

OBJECTIVES

To evaluate different components of nutritional status in older patients with cognitive deficit, particularly in those with mild cognitive impairment (MCI).

DESIGN

Cross-sectional study.

SETTING AND PARTICIPANTS

560 elderly subjects aged ≥ 65 years consecutively admitted to an acute Geriatric Unit of Apulia region of southern Italy.

MEASUREMENTS

A standardized comprehensive geriatric assessment was used to evaluate medical, cognitive, affective and social aspects. Nutritional status was assessed using the mini nutritional assessment (MNA). The cognitive function was categorized into three levels - MCI, dementia or normal cognition (NoCI) - according to the neuropsychological test score.

RESULTS

Subjects with cognitive decline had significantly lower frequency of well-nourished (MCI=10%, dementia=8%, NoCI=22%, p<0.05) and higher frequency of malnourished (MCI=47%, dementia=62%, NoCI=19%, p<0.001) than patients with normal cognition. Similarly, MNA total score, MNA-3 and MNA-4 subscores were significantly lower in patients with MCI and dementia than patients with normal cognition (p<0.001).

CONCLUSIONS

These results suggest that cognitive decline may be associated with malnutrition in this sample of hospitalized older patients. Dietary habits (MNA-3) and subjective assessment of self-perceived quality of health and nutrition (MNA-4) are particularly poor also in patients with MCI and could be very important variables to be considered in the multidimensional evaluation of subjects with cognitive impairment.

Links

Authors+Show Affiliations

Geriatric Unit, Paradiso Hospital, Gioia del Colle (Ba), Azienda sanitaria Locale Bari, Italy. giuseppeorsitto@katamail.com

Source

MeSH

Aged
Aged, 80 and over
Cognitive Dysfunction
Cross-Sectional Studies
Dementia
Diet
Feeding Behavior
Female
Geriatric Assessment
Health Status
Hospitalization
Humans
Italy
Male
Malnutrition
Nutrition Assessment
Nutritional Status
Perception
Prevalence
Reference Values

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22555793

Citation

Orsitto, G. "Different Components of Nutritional Status in Older Inpatients With Cognitive Impairment." The Journal of Nutrition, Health & Aging, vol. 16, no. 5, 2012, pp. 468-71.
Orsitto G. Different components of nutritional status in older inpatients with cognitive impairment. J Nutr Health Aging. 2012;16(5):468-71.
Orsitto, G. (2012). Different components of nutritional status in older inpatients with cognitive impairment. The Journal of Nutrition, Health & Aging, 16(5), pp. 468-71.
Orsitto G. Different Components of Nutritional Status in Older Inpatients With Cognitive Impairment. J Nutr Health Aging. 2012;16(5):468-71. PubMed PMID: 22555793.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Different components of nutritional status in older inpatients with cognitive impairment. A1 - Orsitto,G, PY - 2012/5/5/entrez PY - 2012/5/5/pubmed PY - 2012/8/21/medline SP - 468 EP - 71 JF - The journal of nutrition, health & aging JO - J Nutr Health Aging VL - 16 IS - 5 N2 - OBJECTIVES: To evaluate different components of nutritional status in older patients with cognitive deficit, particularly in those with mild cognitive impairment (MCI). DESIGN: Cross-sectional study. SETTING AND PARTICIPANTS: 560 elderly subjects aged ≥ 65 years consecutively admitted to an acute Geriatric Unit of Apulia region of southern Italy. MEASUREMENTS: A standardized comprehensive geriatric assessment was used to evaluate medical, cognitive, affective and social aspects. Nutritional status was assessed using the mini nutritional assessment (MNA). The cognitive function was categorized into three levels - MCI, dementia or normal cognition (NoCI) - according to the neuropsychological test score. RESULTS: Subjects with cognitive decline had significantly lower frequency of well-nourished (MCI=10%, dementia=8%, NoCI=22%, p<0.05) and higher frequency of malnourished (MCI=47%, dementia=62%, NoCI=19%, p<0.001) than patients with normal cognition. Similarly, MNA total score, MNA-3 and MNA-4 subscores were significantly lower in patients with MCI and dementia than patients with normal cognition (p<0.001). CONCLUSIONS: These results suggest that cognitive decline may be associated with malnutrition in this sample of hospitalized older patients. Dietary habits (MNA-3) and subjective assessment of self-perceived quality of health and nutrition (MNA-4) are particularly poor also in patients with MCI and could be very important variables to be considered in the multidimensional evaluation of subjects with cognitive impairment. SN - 1760-4788 UR - https://www.unboundmedicine.com/medline/citation/22555793/Different_components_of_nutritional_status_in_older_inpatients_with_cognitive_impairment_ L2 - https://medlineplus.gov/mildcognitiveimpairment.html DB - PRIME DP - Unbound Medicine ER -