Relationship between cognitive impairment and nutritional assessment on functional status in Calabrian long-term-care

Alba Malara, Giovanni Sgrò, Chiara Caruso, Francesco Ceravolo, Giuseppe Curinga, Grazia Francesca Renda, Fausto Spadea, Michele Garo, Vincenzo RispoliScientific Committee of the National Association of Third Age Structures (ANASTE) Calabria, ItalyObjective: The interaction between dementi...

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Autores principales:	Malara A, Sgrò G, Caruso C, Ceravolo F, Curinga G, Renda GF, Spadea F, Garo M, Rispoli V
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Nutritional status Dementia Elderly Nursing home Disability Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/e1dc1cc10e274e1f82781e29314c66a8
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spelling	oai:doaj.org-article:e1dc1cc10e274e1f82781e29314c66a82021-12-02T00:05:59ZRelationship between cognitive impairment and nutritional assessment on functional status in Calabrian long-term-care1178-1998https://doaj.org/article/e1dc1cc10e274e1f82781e29314c66a82014-01-01T00:00:00Zhttps://www.dovepress.com/relationship-between-cognitive-impairment-and-nutritional-assessment-o-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Alba Malara, Giovanni Sgrò, Chiara Caruso, Francesco Ceravolo, Giuseppe Curinga, Grazia Francesca Renda, Fausto Spadea, Michele Garo, Vincenzo RispoliScientific Committee of the National Association of Third Age Structures (ANASTE) Calabria, ItalyObjective: The interaction between dementia and nutritional state is very complex and not yet fully understood. The aim of the present study was to assess the interaction between cognitive impairment and nutritional state in a cohort of residential elderly in relationship with functional condition of patients and their load of assistance in long-term-care facilities of the National Association of Third Age Structures (ANASTE) Calabria.Methods: One hundred seventy-four subjects (122 female and 52 male) were admitted to the long-term-care ANASTE Calabria study. All patients underwent multidimensional geriatric assessment. Nutritional state was assessed with the Mini Nutritional Assessment (MNA), whereas cognitive performance was evaluated by the Mini-Mental State Examination (MMSE). The functional state was assessed by Barthel Index (BI) and Activity Daily Living (ADL). The following nutritional biochemical parameters were also evaluated: albumin, cholesterol, iron, and hemoglobin. All patients were reassessed 180 days later.Results: A severe cognitive impairment in MMSE performance was displayed in 49.7% patients, while 39.8% showed a moderate deficit; 6.9% had a slight deficit; and 3.4% evidenced no cognitive impairment. In MNA, 30% of patients exhibited an impairment of nutritional state; 56% were at risk of malnutrition; and 14% showed no nutritional problems. Malnutrition was present in 42% of patients with severe cognitive impairment, but only 4% of malnourished patients showed moderate cognitive deficit. The statistical analysis displayed a significant correlation between MNA and MMSE (P<0.001), as did MMSE correlated with Activity Daily Living (P<0.001) and BI (P<0.05). MNA correlated with BI (P<0.001) and albumin (P<0.001). The follow-up showed a strong correlation between cognitive deterioration and worsening of nutritional state (P<0.005) as well as with the functional state (P<0.05) and mortality (P<0.01).Conclusion: The present study clearly shows that malnutrition may play an important role in the progression of cognitive loss.Keywords: nutritional state, dementia, elderly, nursing home, disabilityMalara ASgrò GCaruso CCeravolo FCuringa GRenda GFSpadea FGaro MRispoli VDove Medical PressarticleNutritional statusDementiaElderlyNursing homeDisabilityGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 105-110 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Nutritional status Dementia Elderly Nursing home Disability Geriatrics RC952-954.6
spellingShingle	Nutritional status Dementia Elderly Nursing home Disability Geriatrics RC952-954.6 Malara A Sgrò G Caruso C Ceravolo F Curinga G Renda GF Spadea F Garo M Rispoli V Relationship between cognitive impairment and nutritional assessment on functional status in Calabrian long-term-care
description	Alba Malara, Giovanni Sgrò, Chiara Caruso, Francesco Ceravolo, Giuseppe Curinga, Grazia Francesca Renda, Fausto Spadea, Michele Garo, Vincenzo RispoliScientific Committee of the National Association of Third Age Structures (ANASTE) Calabria, ItalyObjective: The interaction between dementia and nutritional state is very complex and not yet fully understood. The aim of the present study was to assess the interaction between cognitive impairment and nutritional state in a cohort of residential elderly in relationship with functional condition of patients and their load of assistance in long-term-care facilities of the National Association of Third Age Structures (ANASTE) Calabria.Methods: One hundred seventy-four subjects (122 female and 52 male) were admitted to the long-term-care ANASTE Calabria study. All patients underwent multidimensional geriatric assessment. Nutritional state was assessed with the Mini Nutritional Assessment (MNA), whereas cognitive performance was evaluated by the Mini-Mental State Examination (MMSE). The functional state was assessed by Barthel Index (BI) and Activity Daily Living (ADL). The following nutritional biochemical parameters were also evaluated: albumin, cholesterol, iron, and hemoglobin. All patients were reassessed 180 days later.Results: A severe cognitive impairment in MMSE performance was displayed in 49.7% patients, while 39.8% showed a moderate deficit; 6.9% had a slight deficit; and 3.4% evidenced no cognitive impairment. In MNA, 30% of patients exhibited an impairment of nutritional state; 56% were at risk of malnutrition; and 14% showed no nutritional problems. Malnutrition was present in 42% of patients with severe cognitive impairment, but only 4% of malnourished patients showed moderate cognitive deficit. The statistical analysis displayed a significant correlation between MNA and MMSE (P<0.001), as did MMSE correlated with Activity Daily Living (P<0.001) and BI (P<0.05). MNA correlated with BI (P<0.001) and albumin (P<0.001). The follow-up showed a strong correlation between cognitive deterioration and worsening of nutritional state (P<0.005) as well as with the functional state (P<0.05) and mortality (P<0.01).Conclusion: The present study clearly shows that malnutrition may play an important role in the progression of cognitive loss.Keywords: nutritional state, dementia, elderly, nursing home, disability
format	article
author	Malara A Sgrò G Caruso C Ceravolo F Curinga G Renda GF Spadea F Garo M Rispoli V
author_facet	Malara A Sgrò G Caruso C Ceravolo F Curinga G Renda GF Spadea F Garo M Rispoli V
author_sort	Malara A
title	Relationship between cognitive impairment and nutritional assessment on functional status in Calabrian long-term-care
title_short	Relationship between cognitive impairment and nutritional assessment on functional status in Calabrian long-term-care
title_full	Relationship between cognitive impairment and nutritional assessment on functional status in Calabrian long-term-care
title_fullStr	Relationship between cognitive impairment and nutritional assessment on functional status in Calabrian long-term-care
title_full_unstemmed	Relationship between cognitive impairment and nutritional assessment on functional status in Calabrian long-term-care
title_sort	relationship between cognitive impairment and nutritional assessment on functional status in calabrian long-term-care
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/e1dc1cc10e274e1f82781e29314c66a8
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Relationship between cognitive impairment and nutritional assessment on functional status in Calabrian long-term-care

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