The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty

Among older adults living in long-term nursing homes (LTNHs), maintaining an adequate functional status and independence is a challenge. Whilst a poor nutritional status is a potential risk factor for a decreased function in this population, its role is not fully understood. Here, using a transversa...

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Published inNutrients Vol. 13; no. 11; p. 3716
Main Authors Mugica-Errazquin, Itxaso, Zarrazquin, Idoia, Seco-Calvo, Jesús, Gil-Goikouria, Javier, Rodriguez-Larrad, Ana, Virgala, Janire, Arizaga, Nagore, Matilla-Alejos, Beatriz, Irazusta, Jon, Kortajarena, Maider
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 22.10.2021
MDPI
Subjects
Adults
Body composition
Exercise
Frailty
functional status
Muscles
Nursing homes
Nutrition
Nutrition assessment
Nutritional status
older adults
Older people
Parameters
Physical activity
Physical fitness
physical performance
Quality of life
Risk analysis
Risk factors
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Abstract Among older adults living in long-term nursing homes (LTNHs), maintaining an adequate functional status and independence is a challenge. Whilst a poor nutritional status is a potential risk factor for a decreased function in this population, its role is not fully understood. Here, using a transversal multicenter study of 105 older adults living in 13 LTNHs, we analyzed the associations between nutritional status, as measured by the Mini Nutritional Assessment (MNA), and the parameters of functional status, physical performance, physical activity, and frailty as well as comorbidity and body composition. The MNA scores were positively correlated with the Barthel Index, handgrip strength, Short Physical Performance Battery (SPPB) scores, absolute muscle power, and Assessment of Physical Activity in Frail Older People (APAFOP) scores and were negatively correlated with dynamic balance and frailty. In a multiple linear regression model controlling for gender and age, the APAFOP score (β = 0.386), BMI (β = 0.301), and Barthel Index (β = 0.220) explained 31% of the variance in the MNA score. Given the observed close relationship between the MNA score and functional status, physical performance and activity, and frailty, interventions should jointly target improvements in both the nutritional status and functional status of LTNH residents. Strategies designed and implemented by interdisciplinary professional teams may be the most successful in improving these parameters to lead to better health and quality of life.
AbstractList Among older adults living in long-term nursing homes (LTNHs), maintaining an adequate functional status and independence is a challenge. Whilst a poor nutritional status is a potential risk factor for a decreased function in this population, its role is not fully understood. Here, using a transversal multicenter study of 105 older adults living in 13 LTNHs, we analyzed the associations between nutritional status, as measured by the Mini Nutritional Assessment (MNA), and the parameters of functional status, physical performance, physical activity, and frailty as well as comorbidity and body composition. The MNA scores were positively correlated with the Barthel Index, handgrip strength, Short Physical Performance Battery (SPPB) scores, absolute muscle power, and Assessment of Physical Activity in Frail Older People (APAFOP) scores and were negatively correlated with dynamic balance and frailty. In a multiple linear regression model controlling for gender and age, the APAFOP score (β = 0.386), BMI (β = 0.301), and Barthel Index (β = 0.220) explained 31% of the variance in the MNA score. Given the observed close relationship between the MNA score and functional status, physical performance and activity, and frailty, interventions should jointly target improvements in both the nutritional status and functional status of LTNH residents. Strategies designed and implemented by interdisciplinary professional teams may be the most successful in improving these parameters to lead to better health and quality of life.
Author Zarrazquin, Idoia
Arizaga, Nagore
Mugica-Errazquin, Itxaso
Gil-Goikouria, Javier
Rodriguez-Larrad, Ana
Virgala, Janire
Irazusta, Jon
Kortajarena, Maider
Matilla-Alejos, Beatriz
Seco-Calvo, Jesús
AuthorAffiliation 7 Santa Maria Magdalena Long-Term Nursing Home, Sandiusterri 1, 20120 Hernani, Spain; lahar@hernani.eus
6 Osakidetza Basque Health Service, OSI Donostialdea, Zarautz Primary Care Center, 20800 Zarautz, Spain
1 Department of Nursing II, Faculty of Medicine and Nursing, University of the Basque Country, Paseo Doctor Begiristain 107, 20014 Donostia-San Sebastián, Spain; itxaso.mugica@ehu.eus (I.M.-E.); idoia.zarrazquin@ehu.eus (I.Z.)
3 Institute of Biomedicine (IBIOMED), Campus of Vegazana, University of León, 24071 León, Spain; jesus.seco@unileon.es
5 Osakidetza Basque Health Service, OSI Tolosaldea, Tolosa Primary Care Center, 20400 Tolosa, Spain
2 Osakidetza Basque Health Service, General Surgery Service, Donostia University Hospital, Paseo Doctor Beguiristain, 20014 Donostia-San Sebastian, Spain
4 Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country, Bº Sarriena s/n, 48940 Leioa, Spain; javier.gilgoikouria@ehu.eus (J.G.-G.); ana.rodriguez@ehu.eus (A.R.
AuthorAffiliation_xml – name: 5 Osakidetza Basque Health Service, OSI Tolosaldea, Tolosa Primary Care Center, 20400 Tolosa, Spain
– name: 6 Osakidetza Basque Health Service, OSI Donostialdea, Zarautz Primary Care Center, 20800 Zarautz, Spain
– name: 3 Institute of Biomedicine (IBIOMED), Campus of Vegazana, University of León, 24071 León, Spain; jesus.seco@unileon.es
– name: 4 Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country, Bº Sarriena s/n, 48940 Leioa, Spain; javier.gilgoikouria@ehu.eus (J.G.-G.); ana.rodriguez@ehu.eus (A.R.-L.); janire.virgala@ehu.eus (J.V.); nagore.arizaga@ehu.eus (N.A.); jon.irazusta@ehu.eus (J.I.)
– name: 1 Department of Nursing II, Faculty of Medicine and Nursing, University of the Basque Country, Paseo Doctor Begiristain 107, 20014 Donostia-San Sebastián, Spain; itxaso.mugica@ehu.eus (I.M.-E.); idoia.zarrazquin@ehu.eus (I.Z.)
– name: 7 Santa Maria Magdalena Long-Term Nursing Home, Sandiusterri 1, 20120 Hernani, Spain; lahar@hernani.eus
– name: 2 Osakidetza Basque Health Service, General Surgery Service, Donostia University Hospital, Paseo Doctor Beguiristain, 20014 Donostia-San Sebastian, Spain
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Copyright_xml – notice: 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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Snippet Among older adults living in long-term nursing homes (LTNHs), maintaining an adequate functional status and independence is a challenge. Whilst a poor...
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pubmedcentral
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SourceType Open Website
Open Access Repository
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StartPage 3716
SubjectTerms Adults
Body composition
Exercise
Frailty
functional status
Muscles
Nursing homes
Nutrition
Nutrition assessment
Nutritional status
older adults
Older people
Parameters
Physical activity
Physical fitness
physical performance
Quality of life
Risk analysis
Risk factors
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Title The Nutritional Status of Long-Term Institutionalized Older Adults Is Associated with Functional Status, Physical Performance and Activity, and Frailty
URI https://www.proquest.com/docview/2602152640
https://search.proquest.com/docview/2604023941
https://pubmed.ncbi.nlm.nih.gov/PMC8619061
https://doaj.org/article/6a3592dc27b3441fa7c7b6a27846ee99
Volume 13
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