Browsing by Author "Rico, Miguel"
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- Malnutrition in elderly population: hospital versus communityPublication . Cebola, Marisa; Mendes, Diana; Costa-Veiga, Ana; Tomás, Maria Teresa; Coelho, André; Mendes, Lino; Rico, Miguel; Guerreiro, AntónioIntroduction: There are many factors that lead to malnutrition in the elderly. Prevention of malnutrition is important, and screening and assessment are necessary. Objectives: The aim was relating malnutrition in the elderly population at hospital admission and in the community. Materials and methods: Multicentric quasi-experimental, correlational, longitudinal, developed in the district of Lisbon. Elderly people (≥ 65 years) admitted to the Internal Medicine Unit of a central hospital (up to 72 hours) and in the community were eligible. The elderly participants had to present the capacity to make their informed consent, without the intervention of any element of coercion, with enough knowledge and understanding of the objectives of the study that allowed free and informed decision making. The nutritional assessment was performed through the MNA-LF® and the analysis of the body composition through the measurement of the calf circumference and triceps skinfold. Results: n= 56 patients, with a mean age of 79.8 + 6.3 years (70-94), 60.3% (n=35) males, 5.2% (n=3) were malnourished, 38,2% (n=19) presented nutritional risk, 24.1% (n=14) presented depletion of lean mass and 30,4% (n=17) depletion of fat mass. When we reported the presence of malnutrition with the calf circumference and tricipital skin fold, there was a statistically significant correlation (4=0,000; r=0,009). Malnourished patients presented the depletion of lean mass and fat mass. At hospital admission 7.9% were malnourished, 39.5% presented a nutritional risk, 34.2% presented depletion of lean mass and 31.6% depletion of fat mass. In community 22.2% presented a nutritional risk, 5.6% presented depletion of lean mass and 27.8% depletion of fat mass. No statistically significant differences were found between nutritional status and depletion of lean and fat mass. Discussion/Conclusion: Screening and nutritional assessment are important in the elderly population. It was verified that nutritional status and depletion of lean mass and fat mass is a reality in situations of acute illness.
- Malnutrition, sarcopenia and current medical use in elderly populationPublication . Cebola, Marisa; Mendes, Diana; Costa-Veiga, Ana; Tomás, Maria Teresa; Coelho, André; Mendes, Lino; Rico, Miguel; Guerreiro, AntónioIntroduction: Ageing leads to an increase in chronic disease’s prevalence, progressive loss of muscle mass, muscle weakness, and polypharmacy, contributing to the establishment of malnutrition and sarcopenia. Objectives: The aim was: 1. Characterize the prevalence of malnutrition, sarcopenia, and current medication use; 2. Relate malnutrition to sarcopenia and current medication use. Materials and methods: Cross-sectional study, developed in the district of Lisbon, in the period from January 1, 2019, to June 30, 2019. Elderly people (≥ 65 years) admitted to the Internal Medicine Unit of a hospital institution (up to 72 hours) were admitted to the study. Participants in this study were the elderly with the capacity to make their informed consent, without the intervention of any element of coercion, with enough knowledge and understanding of the objectives of the study that allowed free and informed decision making. Nutritional assessment was assessed through MNA® and sarcopenia through the SARC-F® Questionnaire. The medication was counted through the number of drugs. Results: n=38 patients, with a mean age of 78.8 + 5.8 years (70-91), born in Lisbon, living in their own home, 50% (n=19) males and 73.6% (n=28) with the first cycle of basic education. At hospital admission 7.9% (n=3) were malnourished, 39.5 (n=15) presented a nutritional risk, 47.4% (n=18) presented a risk of sarcopenia and 60.5% had a prescription of more than three drugs. There was a statistically significant correlation between polypharmacy and malnutrition, (r=0,046). Discussion/Conclusion: The nutritional assessment, presence of sarcopenia and current medication use are extremely relevant at hospital admission. This assessment allows patients to be signaled that they need early nutritional intervention to prevent deteriorating during hospitalization.
- Sarcopenia and malnutrition in elderly admitted to hospitalPublication . Dias, Ana; Monteiro, Catarina; Mendes, Diana; Cebola, Marisa; Carolino, Elisabete; Mendes, Lino; Rico, Miguel; Guerreiro, AntónioIntroduction: Sarcopenia is a progressive and generalized skeletal muscle disorder. The sarcopenia phenotype is also associated with malnutrition, regardless of whether the malnourished condition is rooted in low dietary intake, reduced nutrient bioavailability or high nutrient requirements. Aims: Relating sarcopenia with malnutrition. Materials and Methods: Cross-sectional study, developed at a central hospital, between April and July 2019. Elderly people (≥ 70 years) admitted to internal medicine service with the capacity to make their informed consent, without the intervention of any element of coercion were admitted to the study. Sarcopenia was assessed through the European Working Group on Sarcopenia criteria in Older People (EWGSOP), which include the evaluation of the grip strength (GS), appendicular skeletal muscle mass (ASM) predicted by bioelectrical impedance analysis and physical performance (gait speed). The risk of malnutrition was assessed according to the Mini Nutrition Assessment - MNA® Elderly. Results: n=32 patients, with a mean age of 79.7 + 5.9 years (70-91). At hospital admission 93.8% (n=30) were sarcopenic, 100% (n=30) presented low GS, 75% (n=24) had low ASMM and 3.1% (n=1) had normal gait speed. According to the MNA® short form, 59% (n=19) had a nutritional risk and of that group, 68% (n=13) were at risk of malnutrition and 16% (n=3) were malnourish after completing the MNA® long-form, both also had a diagnostic of sarcopenia. However, there were no significant correlations between the MNA® and the sarcopenia evaluation criteria. Discussion/Conclusion: In a population of geriatric inpatients, subjects with malnutrition risk and sarcopenia are at increased risk of long-term all-cause mortality compared to subjects with either malnutrition/malnutrition risk or sarcopenia. Therefore, the malnutrition-sarcopenia syndrome may serve as an important prognostic factor in the management of hospitalized older patients.