Factors associated with (risk of) undernutrition in community-dwelling older adults receiving home care:a cross-sectional study in the Netherlands

OBJECTIVE: It is generally thought that causes of undernutrition are multifactorial, but there are limited quantitative studies performed. We therefore examined a wide range of potential factors associated with undernutrition in community-dwelling older adults. DESIGN: Cross-sectional study. SETTING: Community-dwelling older adults (≥65 years) receiving home care in the Netherlands. SUBJECTS: Data on potential factors associated with (risk of) undernutrition were collected among 300 older adults. Nutritional status was assessed by the SNAQ65+ instrument. Undernutrition was defined as mid-upper... Mehr ...

Verfasser: van der Pols-Vijlbrief, Rachel
Wijnhoven, Hanneke Ah
Molenaar, Hilde
Visser, Marjolein
Dokumenttyp: Artikel
Erscheinungsdatum: 2016
Reihe/Periodikum: van der Pols-Vijlbrief , R , Wijnhoven , H A , Molenaar , H & Visser , M 2016 , ' Factors associated with (risk of) undernutrition in community-dwelling older adults receiving home care : a cross-sectional study in the Netherlands ' , Public Health Nutrition , vol. 19 , no. 12 , pp. 2278-2289 . https://doi.org/10.1017/S1368980016000288
Schlagwörter: Community-dwelling / Cross-sectional / Mid-upper arm circumference / Older adults / Weight loss / /dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being / name=SDG 3 - Good Health and Well-being / /dk/atira/pure/sustainabledevelopmentgoals/zero_hunger / name=SDG 2 - Zero Hunger
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27231882
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://research.vu.nl/en/publications/fe68c791-5ecc-4ea3-ac2b-7a443804b9ff

OBJECTIVE: It is generally thought that causes of undernutrition are multifactorial, but there are limited quantitative studies performed. We therefore examined a wide range of potential factors associated with undernutrition in community-dwelling older adults. DESIGN: Cross-sectional study. SETTING: Community-dwelling older adults (≥65 years) receiving home care in the Netherlands. SUBJECTS: Data on potential factors associated with (risk of) undernutrition were collected among 300 older adults. Nutritional status was assessed by the SNAQ65+ instrument. Undernutrition was defined as mid-upper arm circumference <25 cm or unintentional weight loss of ≥4 kg in 6 months. Being at risk of undernutrition was defined as having poor appetite and inability to walk up and down stairs of fifteen steps, without resting. RESULTS: Of all participants, ninety-two (31·7 %) were undernourished and twenty-four (8·0 %) were at risk of undernutrition. Based on multivariate logistic regression analyses, the statistically significant factors associated with (risk of) undernutrition (P<0·05) were: unable to go outside (OR=5·39), intestinal problems (OR=2·88), smoking (OR=2·56), osteoporosis (OR=2·46), eating fewer than three snacks daily (OR=2·61), dependency in activities of daily living (OR=1·21), physical inactivity (OR=2·01), nausea (OR=2·50) and cancer (OR=2·84); a borderline significant factor was depression symptoms (OR=1·83, P=0·053). CONCLUSIONS: The study suggests that (risk of) undernutrition is a multifactorial problem and that associated factors can be found in several domains. These findings may support the development of intervention trials for the prevention and treatment of undernutrition in community-dwelling older adults.