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Advisor(s)
Abstract(s)
Introduction: 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.
Description
Keywords
Elderly Malnutrition Body composition Hospitalization Community
Citation
Cebola M, Mendes D, Costa-Veiga A, Tomás MT, Coelho A, Mendes L, et al. Malnutrition in elderly population: hospital versus community. In: 1st International Congress in Ageing Communities and Development Challenges, Escola Superior Agrária, Instituto Politécnico de Castelo Branco, November 14-16, 2019.