Factors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital.

<h4>Background</h4>Unintentional weight loss (UWL) is defined as unintentional reduction of more than 5% of baseline body weight over 6 to 12 months. UWL is a common problem in the older adults, resulting in increased rate of morbidity and mortality. With specific reference to Thailand,...

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Autores principales:	Chuthamas Sripongpunkul, Aisawan Petchlorlian, Tanchanok Chattaris, Saran Thanapluetiwong, Orapitchaya Sriwannopas, Sirintorn Chansirikarnjana, Taweevat Assavapokee, Praopilad Srisuwarn, Sirasa Ruangritchankul
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/7c6bce68443f4349923abea9f3c75c7e
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spelling	oai:doaj.org-article:7c6bce68443f4349923abea9f3c75c7e2021-12-02T20:12:44ZFactors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital.1932-620310.1371/journal.pone.0260233https://doaj.org/article/7c6bce68443f4349923abea9f3c75c7e2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0260233https://doaj.org/toc/1932-6203<h4>Background</h4>Unintentional weight loss (UWL) is defined as unintentional reduction of more than 5% of baseline body weight over 6 to 12 months. UWL is a common problem in the older adults, resulting in increased rate of morbidity and mortality. With specific reference to Thailand, no information on factors associated with UWL in older adults could be traced. The aims of this research were to identify the factors associated with UWL and to assess the common causes of UWL among older adults in the geriatric outpatient clinic of university hospital.<h4>Methods</h4>A case-control study was conducted from June 1st, 2020 to December 31st, 2020. Eighty older adults aged 60 years or older were enrolled in the UWL group while the non-UWL group consisted of 160 participants. Data collection was performed by structural questionnaire including baseline characteristics, psychosocial factors, health information, lifestyle behaviors, and medications. The factors associated with UWL were analyzed by using univariate and multivariate logistic regression analysis. Causes of UWL were recorded from electronic medical records.<h4>Results</h4>The mean age of the 240 participants was 79.6 years (SD 7.4). Most patients were female (79.2%) and had fewer than 12 years of education (62.6%). The three common causes of UWL were reduced appetite (20.1%), dementia and behavioral and psychological symptoms of dementia (13.7%) and medications (11.0%). Multivariate logistic regression analysis showed that a Charlson Comorbidity Index (CCI) score of >1 (OR 2.55, 95% CI 1.37-4.73; P = 0.003), vitamin D deficiency (OR 4.01, 95% CI 1.62-9.97; P = 0.003), and hemoglobin level of <12 g/dL (OR 2.47, 95% CI 1.32-4.63; P = 0.005) were factors significantly associated with UWL.<h4>Conclusions</h4>Factors associated with UWL were CCI score >1, vitamin D deficiency, and hemoglobin level of <12 g/dl. The early detection of these associated factors, reduced appetite, dementia and polypharmacy may be important in UWL prevention in older adults.Chuthamas SripongpunkulAisawan PetchlorlianTanchanok ChattarisSaran ThanapluetiwongOrapitchaya SriwannopasSirintorn ChansirikarnjanaTaweevat AssavapokeePraopilad SrisuwarnSirasa RuangritchankulPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11, p e0260233 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chuthamas Sripongpunkul Aisawan Petchlorlian Tanchanok Chattaris Saran Thanapluetiwong Orapitchaya Sriwannopas Sirintorn Chansirikarnjana Taweevat Assavapokee Praopilad Srisuwarn Sirasa Ruangritchankul Factors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital.
description	<h4>Background</h4>Unintentional weight loss (UWL) is defined as unintentional reduction of more than 5% of baseline body weight over 6 to 12 months. UWL is a common problem in the older adults, resulting in increased rate of morbidity and mortality. With specific reference to Thailand, no information on factors associated with UWL in older adults could be traced. The aims of this research were to identify the factors associated with UWL and to assess the common causes of UWL among older adults in the geriatric outpatient clinic of university hospital.<h4>Methods</h4>A case-control study was conducted from June 1st, 2020 to December 31st, 2020. Eighty older adults aged 60 years or older were enrolled in the UWL group while the non-UWL group consisted of 160 participants. Data collection was performed by structural questionnaire including baseline characteristics, psychosocial factors, health information, lifestyle behaviors, and medications. The factors associated with UWL were analyzed by using univariate and multivariate logistic regression analysis. Causes of UWL were recorded from electronic medical records.<h4>Results</h4>The mean age of the 240 participants was 79.6 years (SD 7.4). Most patients were female (79.2%) and had fewer than 12 years of education (62.6%). The three common causes of UWL were reduced appetite (20.1%), dementia and behavioral and psychological symptoms of dementia (13.7%) and medications (11.0%). Multivariate logistic regression analysis showed that a Charlson Comorbidity Index (CCI) score of >1 (OR 2.55, 95% CI 1.37-4.73; P = 0.003), vitamin D deficiency (OR 4.01, 95% CI 1.62-9.97; P = 0.003), and hemoglobin level of <12 g/dL (OR 2.47, 95% CI 1.32-4.63; P = 0.005) were factors significantly associated with UWL.<h4>Conclusions</h4>Factors associated with UWL were CCI score >1, vitamin D deficiency, and hemoglobin level of <12 g/dl. The early detection of these associated factors, reduced appetite, dementia and polypharmacy may be important in UWL prevention in older adults.
format	article
author	Chuthamas Sripongpunkul Aisawan Petchlorlian Tanchanok Chattaris Saran Thanapluetiwong Orapitchaya Sriwannopas Sirintorn Chansirikarnjana Taweevat Assavapokee Praopilad Srisuwarn Sirasa Ruangritchankul
author_facet	Chuthamas Sripongpunkul Aisawan Petchlorlian Tanchanok Chattaris Saran Thanapluetiwong Orapitchaya Sriwannopas Sirintorn Chansirikarnjana Taweevat Assavapokee Praopilad Srisuwarn Sirasa Ruangritchankul
author_sort	Chuthamas Sripongpunkul
title	Factors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital.
title_short	Factors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital.
title_full	Factors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital.
title_fullStr	Factors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital.
title_full_unstemmed	Factors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital.
title_sort	factors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/7c6bce68443f4349923abea9f3c75c7e
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Factors associated with unintentional weight loss among older adults in a geriatric outpatient clinic of university hospital.

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