Are fat free mass, fat mass and meal frequency associated with malnutrition in institutionalized elderly: a cross-sectional study

Merve Özgür; Müjgan Öztürk

Article Details

Are fat free mass, fat mass and meal frequency associated with malnutrition in institutionalized elderly: a cross-sectional study

Authors:

Merve Özgür | Müjgan Öztürk

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Klinik Beslenme | Geriatri ve Gerontoloji

Journal:

Journal of Health Sciences and Medicine Vol.8 Issue 3, pp.489-497

Document Type:

Article

Publication Date:

5/2025

Document Language:

English

Document ID (Org No.):

2001349476

pISSN:

2636-8579

Keywords:

Abstract:

 Aims: Malnutrition is a major concern that increases morbidity and mortality in older adults living in nursing homes. This study aimed to evaluate the nutritional status, body composition, and dietary intake of older adults in nursing homes while identifying the risk factors contributing to malnutrition. Methods: This is a descriptive and cross-sectional study conducted with 150 older adults from two nursing homes. Malnutrition was assessed using the full version of mini nutritional assessment MNA. Data were collected by face to face interview and anthropometric measurements and body composition analysis were performed. Statistical analyses included the Mann-Whitney U test, independent sample T test, Chi-square test, Spearman correlation coefficient and logistic regression. Results: Among participants 81.80 were male. Mean age was 75.137.35 years. The prevalence of malnutritionmalnutrition risk was 14.7. While energy, macronutrient intake, and nutrient adequacy ratio NAR were similar between participants with good nutritional status and malnutritionmalnutrition risk, vitamin E intake was significantly higher in older adults with good nutritional status p0.009. A higher number of chronic diseases significantly increased the risk of malnutrition OR2.083, p0.038, OR:2.065, p0.027. However, consuming more meals per day OR0.086 p0.001, OR:0.130, p0.001, higher fat mass OR0.911, p0.030 and a greater Fat Free Mass Index OR 0.697, p0.009 were found to be protective. Conclusion: Assessing nutritional status, determining food consumption and identifying the factors contributing to malnutrition are crucial for the early prevention and management of malnutrition in older adults. Longitudinal studies with larger sample sizes are needed to develop effective strategies for improving the nutritional well-being of nursing home residents.

 Aims: Malnutrition is a major concern that increases morbidity and mortality in older adults living in nursing homes. This study aimed to evaluate the nutritional status, body composition, and dietary intake of older adults in nursing homes while identifying the risk factors contributing to malnutrition. Methods: This is a descriptive and cross-sectional study conducted with 150 older adults from two nursing homes. Malnutrition was assessed using the full version of mini nutritional assessment MNA. Data were collected by face to face interview and anthropometric measurements and body composition analysis were performed. Statistical analyses included the Mann-Whitney U test, independent sample T test, Chi-square test, Spearman correlation coefficient and logistic regression. Results: Among participants 81.80 were male. Mean age was 75.137.35 years. The prevalence of malnutritionmalnutrition risk was 14.7. While energy, macronutrient intake, and nutrient adequacy ratio NAR were similar between participants with good nutritional status and malnutritionmalnutrition risk, vitamin E intake was significantly higher in older adults with good nutritional status p0.009. A higher number of chronic diseases significantly increased the risk of malnutrition OR2.083, p0.038, OR:2.065, p0.027. However, consuming more meals per day OR0.086 p0.001, OR:0.130, p0.001, higher fat mass OR0.911, p0.030 and a greater Fat Free Mass Index OR 0.697, p0.009 were found to be protective. Conclusion: Assessing nutritional status, determining food consumption and identifying the factors contributing to malnutrition are crucial for the early prevention and management of malnutrition in older adults. Longitudinal studies with larger sample sizes are needed to develop effective strategies for improving the nutritional well-being of nursing home residents.

 Aims: Malnutrition is a major concern that increases morbidity and mortality in older adults living in nursing homes. This study aimed to evaluate the nutritional status, body composition, and dietary intake of older adults in nursing homes while identifying the risk factors contributing to malnutrition. Methods: This is a descriptive and cross-sectional study conducted with 150 older adults from two nursing homes. Malnutrition was assessed using the full version of mini nutritional assessment MNA. Data were collected by face to face interview and anthropometric measurements and body composition analysis were performed. Statistical analyses included the Mann-Whitney U test, independent sample T test, Chi-square test, Spearman correlation coefficient and logistic regression. Results: Among participants 81.80 were male. Mean age was 75.137.35 years. The prevalence of malnutritionmalnutrition risk was 14.7. While energy, macronutrient intake, and nutrient adequacy ratio NAR were similar between participants with good nutritional status and malnutritionmalnutrition risk, vitamin E intake was significantly higher in older adults with good nutritional status p0.009. A higher number of chronic diseases significantly increased the risk of malnutrition OR2.083, p0.038, OR:2.065, p0.027. However, consuming more meals per day OR0.086 p0.001, OR:0.130, p0.001, higher fat mass OR0.911, p0.030 and a greater Fat Free Mass Index OR 0.697, p0.009 were found to be protective. Conclusion: Assessing nutritional status, determining food consumption and identifying the factors contributing to malnutrition are crucial for the early prevention and management of malnutrition in older adults. Longitudinal studies with larger sample sizes are needed to develop effective strategies for improving the nutritional well-being of nursing home residents.

 Malnütrisyon, huzurevlerinde yaşayan yaşlı yetişkinlerde morbidite ve mortaliteyi artıran önemli bir sorundur. Bu çalışma, huzurevlerindeki yaşlı yetişkinlerin beslenme durumunu, vücut kompozisyonunu ve diyete bağlı alımını saptamayı ve malnütrisyona katkıda bulunan risk faktörlerini belirlemeyi amaçlamaktadır. Yöntem: Bu çalışma, tanımlayıcı ve kesitsel bir çalışma olup, iki farklı huzurevinde, 150 yaşlı birey ile yürütülmüştür. Malnütrisyon, Mini Nutrisyonel Değerlendirme MNA aracının uzun hali kullanılarak değerlendirilmiştir. Veriler yüz yüze görüşme yöntemi ile toplanmış, antropometrik ölçümler ve vücut kompozisyonu analizi araştırmacı tarafından yapılmıştır. İstatistiksel analizler için Mann-Whitney U testi, bağımsız örneklem t-testi, ki-kare testi, Spearman korelasyon katsayısı ve lojistik regresyon kullanılmıştır. Bulgular: Katılımcıların 81,80i erkek olup, tüm bireylerin ortalama yaşı 75,13  7,35 yıldır. Malnütrisyonmalnütrisyon riski prevalansı 14,7 olarak bulunmuştur. Enerji, makro besin ögesi alımı ve besin ögesi yeterlilik oranı NAR açısından gruplar arasında bir farklılık bulunmazken, E vitamini alımının iyi beslenen yaşlı bireylerde anlamlı olarak yüksek olduğu bulunmuştur p  0.009. Kronik hastalık sayısındaki artış, malnutrisiyon riskini anlamlı olarak artırırken OR: 2.083, p0.038, OR:2.065, p0.027, günlük öğün sayısının artışı OR:0.086 p0.001, OR:0.130, p0.001, vücut yağ kütlesi OR:0.911, p0.030 ve yağsız kütle indeksindeki her bir birimlik artışın FFMI OR 0.697, p0.009 koruyucu etkisi olduğu görülmüştür.. Sonuç: Yaşlı yetişkinlerde beslenme durumununun değerlendirilmesi, besin tüketiminin saptanması ve malnutrisyona katkıda bulunan faktörlerin belirlenmesi, malnutrisyonun erken dönemde önlenmesi ve yönetimi için çok önemlidir. Huzurevi sakinlerinin beslenme ile ilgili iyilik halini iyileştirmeye yönelik etkili stratejiler geliştirmek için daha geniş örneklem büyüklüklerine sahip uzunlamasına çalışmalara ihtiyaç vardır.

Article Details

Are fat free mass, fat mass and meal frequency associated with malnutrition in institutionalized elderly: a cross-sectional study

Authors:

Merve Özgür | Müjgan Öztürk

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Klinik Beslenme | Geriatri ve Gerontoloji

Journal:

Journal of Health Sciences and Medicine Vol.8 Issue 3, pp.489-497

Document Type:

Article

Publication Date:

5/2025

Document Language:

English

Document ID (Org No.):

2001349476

pISSN:

2636-8579

Malnutrition

nursing homes

elderly

meal frequency

Fat Free Mass Index

FFMI

fat mass: Malnütrisyon

huzurevi

yaşlı

öğün sıklığı

yağsız doku kütle indeksi

yağ kütlesi

Issues

Article Details

Authors: Merve Özgür | Müjgan Öztürk

Publisher: MediHealth Academy Yayıncılık

Main Topics: Klinik Beslenme | Geriatri ve Gerontoloji

Journal: Journal of Health Sciences and Medicine Vol.8 Issue 3, pp.489-497

Document Type: Article

Publication Date: 5/2025

Document Language: English

Document ID (Org No.): 2001349476

pISSN: 2636-8579

Issues

Authors:

Merve Özgür | Müjgan Öztürk

Publisher:

MediHealth Academy Yayıncılık

Main Topics:

Klinik Beslenme | Geriatri ve Gerontoloji

Journal:

Journal of Health Sciences and Medicine Vol.8 Issue 3, pp.489-497

Document Type:

Article

Publication Date:

5/2025

Document Language:

English

Document ID (Org No.):

2001349476

pISSN:

2636-8579