Elderly Persons Aged 80 Years and Older and Their Nutritional Status

Abstract

A challenge for health care providers is that there will be a distinct rise globally in the number of elderly people aged 80 years and over. Malnutrition is a well-known problem among elderly people; few studies have focused on the nutritional status of those aged over 80, irrespective of whether they live in nursing homes (NHs) or in ordinary housing. The aim of the study was to examine the nutritional status of elderly people aged 80 or older. The study was cross-sectional with 64 elderly persons (80 - 100 years old) living in NHs (n = 35) or in ordinary housing (n = 29). Their nutritional status was assessed with the Mini Nutritional Assessment. Among the elderly people living in NHs, half were at risk and one fourth were suffering from malnutrition. Ten percent of the elderly persons in ordinary housing were found to be at risk; none were malnourished. Thirty-one percent had BMI values <23. The majority of the participants ate 2 - 3 meals per day and were prescribed more than three medications daily. Although not statistically significant, well-nourished participants were more likely to be married, and to rate their psychological and physical health very good/good compared to participants who were at risk of becoming malnourished or were malnourished. In conclusion, the results indicate that special attention regarding nutritional intake is required for those aged 80 years and older irrespective of type of accommodation. The RNs have a responsibility to identify the problems and needs and to implement and evaluate nutritional care in this age group. There is a further need for knowledge regarding the effects of both nutritional interventions and of their optimum timing.

Share and Cite:

Persenius, M. , Glawing, G. , Hermansson, H. and Karlsson, I. (2014) Elderly Persons Aged 80 Years and Older and Their Nutritional Status. Open Journal of Nursing, 4, 356-365. doi: 10.4236/ojn.2014.45041.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Kaiser, M., Bauer, J., Rämsch, C., Uther, W., Guigoz, Y., Cederholm, T., et al. (2010) Frequency of Malnutrition in Older Adults: A Multinational Perspective Using the Mini Nutritional Assessment. The American Geriatrics Society, 58, 1734-1748. http://dx.doi.org/10.1111/j.1532-5415.2010.03016.x
[2] Valentini, L., Schindler, K., Schlaffer, R., Bucher, H., Mouhieddine, M., Steinger, K., et al. (2009) The First Nutrition Day in Nursing Homes: Participation May Improve Malnutrition Awareness. Clinical Nutrition, 28, 109-116.
http://dx.doi.org/10.1016/j.clnu.2009.01.021
[3] Van Nie-Visser, N.C., Meijers, J.M.M., Schols, M.G.A., Lohrmann, C., Bartholomeyczik, S. and Halfens, R.J.G. (2011) Comparing Quality of Nutritional Care in Dutch and German Nursing Homes. Journal of Clinical Nursing, 20, 2501-2508. http://dx.doi.org/10.1111/j.1365-2702.2011.03761.x
[4] Törmä, J., Winbladh, U., Cederholm, T. and Saletti, A. (2013) Does Undernutrition Still Prevail among Nursing Home Residents? Clinical Nutrition, 32, 562-568. http://dx.doi.org/10.1016/j.clnu.2012.10.007
[5] Stratton, R.J. and Elia, M. (2011) Prevalence of Malnutrition. In: Sobotka, L., Ed., Basics in Clinical Nutrition, 4th Edition, Galen, Prague, 46-52.
[6] Fagerström, C., Palmqvist, R., Carlsson, J. and Hellström, Y. (2011) Malnutrition and Cognitive Impairment among People 60 Years of Age and above Living in Regular Housing and Special Housing in Sweden: A Population-Based Cohort Study. International Journal of Nursing Studies, 48, 863-871. http://dx.doi.org/10.1016/j.ijnurstu.2011.01.007
[7] Statistiska Centralbyrån (2012) Demografiska rapporter-sveriges framtida befolkning 2012-2060. Statistiska Centralbyrån, Stockholm. (In Swedish)
[8] United Nations. World Population Ageing: 1950-2050.
http://www.un.org/esa/population/publications/worldageing19502050/
[9] Socialstyrelsen (2013) &AUMLldrevård och omsorg den 1 oktober 2012. (In Swedish)
http://www.socialstyrelsen.se/publikationer2013/2013-4-15
[10] The National Board of Health and Welfare (2007) Current Developments in Care of the Elderly in Sweden.
http://www.socialstyrelsen.se/Lists/Artikelkatalog/Attachments/9296/2007-131-40_200713140.pdf
[11] Sverigeskommuner och landsting (Swedish Association of Local Authorities and Regions) (2013) &OUMLppna jämförelser 2013. Vård och omsorg om äldre. Jämförelser mellan kommuner och län. (In Swedish) http://www.skl.se/
[12] Polit, D.F. and Tatano, B.C. (2012) Nursing Research: Generating and Assessing Evidence for Nursing Practice. 9th Edition, Lippincott Williams and Wilkins, Philadelphia.
[13] Guigoz, Y., Vellas, B. and Garry, P.J. (1994) Mini Nutritional Assessment: A practical Assessment Tool for Grading the Nutritional State of Elderly Patients. In: Vellas, B., Ed., The Mini Nutritional Assessment (MNA), Supplement No 2, Serdi Publisher, Paris, 15-59.
[14] Vellas, B., Guigoz, Y. and Garry, P.J. (1999) The Mini Nutritional Assessment (MNA) and Its Use in Grading the Nutritional State of Elderly Patients. Nutrition, 15, 116-122. http://dx.doi.org/10.1016/S0899-9007(98)00171-3
[15] Guigoz, Y. (2006) The Mini Nutritional Assessment (MNA) Review of the Literature—What Does It Tell Us? Journal of Nutrition, Health and Aging, 10, 466-487.
[16] Bååth, C., Hall-Lord, M.L., Idvall, E., Wiberg-Hedman, K. and Larsson, B.W. (2008) Interrater Reliability Using Modified Norton Scale, Pressure Ulcer Card, Short Form-Mini Nutritional Assessment by Registered and Enrolled Nurses in Clinical Practice. Journal of Clinical Nursing, 17, 618-626.
http://dx.doi.org/10.1111/j.1365-2702.2007.02131.x
[17] World Medical Association (2008) Declaration of Helsinki—Ethical Principles for Medical Research Involving Human Subjects. http://www.wma.net/en/30publications/10policies/b3/
[18] Northern Nurses Federation (2003) Ethical Guidelines for Nursing Research in the Nordic Countries. Vård i Norden: Nordic Journal of Nursing Research, 23, 1-19.
[19] Patientdatalag (2008) http://www.notisum.se/rnp/sls/lag/20080355.htm
[20] Verbrugghe, M., Beeckman, D., Van Hecke, A., Vanderwee, K., Van Herck, K., Clays, E., et al. (2013) Malnutrition and Associated Factors in Nursing Home Residents: A Cross-Sectional, Multi-Centre Study. Clinical Nutrition, 32, 438-443. http://dx.doi.org/10.1016/j.clnu.2012.09.008
[21] Lopez-Jornet, P., Saura-Perez, M. and Llevat-Espinosa, N. (2013) Effect of Oral Health Dental State and Risk of Malnutrition in Elderly People. Geriatrics Gerontology International, 13, 43-49.
http://dx.doi.org/10.1111/j.1447-0594.2012.00853.x
[22] Johansson, Y., Bacharach-Lindström, M., Carstensen, J. and Ek, A.-C. (2008) Malnutrition in a Home-Living Older Population: Prevalence, Incidence and Risk Factors. A Prospective Study. Journal of Clinical Nursing, 18, 1354-1364.
http://dx.doi.org/10.1111/j.1365-2702.2008.02552.x
[23] Saava, M. and Kisper-Hint, I.-R. (2002) Nutritional Assessment of Elderly People Living in Nursing House and at Home in Tallin. The Journal of Nutrition, Health & Aging, 1, 93-95.
[24] Simmons, S.F. and Reuben, D. (2000) Nutritional Intake Monitoring for Nursing Home Residents: A Comparison of Staff Documentation, Direct Observation, and Photography Methods. Journal of American Geriatric Society, 48, 209-213.
[25] Suominen, M., Laine, T., Routasalo, P., Pitkala, K.H. and Rasanen, L. (2004) Nutrient Content of Served Food, Nutrient Intake and Nutritional Status of Residents with Dementia in a Finnish Nursing Home. The Journal of Nutrition, Health & Aging, 8, 234-238.
[26] Suominen, M., Muurinen, S., Routasalo, P., Soini, H., Suur-Iski, I., Peiponen, A., et al. (2005) Malnutrition and Associated Factors among Aged Residents in All Nursing Homes in Helsinki. European Journal of Clinical Nutrition, 59, 578-583. http://dx.doi.org/10.1038/sj.ejcn.1602111
[27] Xia, C. and McCutcheon, H. (2006) Mealtimes in Hospital—Who Does What? Journal of Clinical Nursing, 15, 1221-1227. http://dx.doi.org/10.1111/j.1365-2702.2006.01425.x
[28] &OUMLdlund, O.A., Koochek, A., Ljungqvist, O. and Cederholm, T. (2005) Nutritional Status, Well-Being and Functional Ability in Frail Elderly Service Flat Residents. European Journal of Clinical Nutrition, 59, 263-270.
http://dx.doi.org/10.1038/sj.ejcn.1602067
[29] Dahl Eide, H., Aukner, C. and Iversen, P.O. (2012) Nutritional Status and Duration of Overnight Fast among Elderly Residents in Municipal Nursing Homes in Oslo. Vård i Norden: Nordic Journal of Nursing Research, 105, 20-24.
[30] Söderström, L., Adolfsson, T., Rosenblad, A., Frid, H. and Saletti, A. (2013) Mealtime Habits and Meal Provision Are Associated with Malnutrition among Elderly Patients Admitted to Hospital. Clinical Nutrition, 32, 281-288.
http://dx.doi.org/10.1016/j.clnu.2012.07.013
[31] Sidenvall, B., Fjellström, C. and Ek, A.C. (1996) Cultural Perspectives of Meals Expressed by Patients in Geriatric Care. International Journal of Nursing Studies, 33, 212-222. http://dx.doi.org/10.1016/0020-7489(95)00042-9
[32] Chen, C.C., Bai, Y.Y., Huang, G.H. and Tang, S.T. (2007) Revisiting the Concept of Malnutrition in Older People. Journal of Clinical Nursing, 16, 2015-2026. http://dx.doi.org/10.1111/j.1365-2702.2006.01867.x
[33] Chang, C.C. and Roberts, B.L. (2011) Malnutrition and Feeding Difficulty in Taiwanese Older with Dementia. Journal of Clinical Nursing, 20, 2153-2161. http://dx.doi.org/10.1111/j.1365-2702.2010.03686.x
[34] Liu, G.G. and Christensen, D.B. (2002) The Continuing Challenge of Inappropriate Prescribing in the Elderly: An Update of the Evidence. Journal of the American Pharmacist Association (Wash), 42, 847-857.
http://dx.doi.org/10.1331/108658002762063682
[35] Milos, V., Rekman, E., Bondesson, &ARING., Eriksson, T., Jakobsson, U., Westerlund., T., et al. (2013) Improving the Quality of Pharmacotherapy in Elderly Primary Care Patients through Medication Reviews: A Randomized Controlled Study. Drugs Aging, 30, 235-246. http://dx.doi.org/10.1007/s40266-013-0057-0
[36] Hajjar, E.R., Cafiero, A.C. and Hanlon, J.T. (2007) Polypharmacy in Elderly Patients. American Journal of Geriatric Pharmacotherapy, 5, 345-351. http://dx.doi.org/10.1016/j.amjopharm.2007.12.002
[37] Nordin Olsson, I., Wätterbjörk, I. and Blomberg, K. (2014) Registered Nurses’ Perception of Their Professional Role Regarding Medication Management in Nursing Care of the Elderly. Journal of Nursing Education and Practice, 4, 153-161.
[38] Shahin, E.S.M., Meijers, J.M.M., Scols, J.M.G.A., Tannen, A., Halfens, R.J.G. and Dassen, T. (2010) The Relationship between Malnutrition Parameters and Pressure Ulcers in Hospitals and Nursing Homes. Nutrition, 26, 886-889.
http://dx.doi.org/10.1016/j.nut.2010.01.016
[39] Fossum, M., Alexander, G.L., Göransson, K.E., Ehnfors, M. and Ehrenberg, A. (2011) Registered Nurses’ Thinking Strategies on Malnutrition and Pressure Ulcers in Nursing Homes: A Scenario-Based Think-Aloud Study. Journal of Clinical Nursing, 20, 2425-2435. http://dx.doi.org/10.1111/j.1365-2702.2010.03578.x
[40] Ebrahimi, Z. and Wijk, H. (2009) En hypotesgenererande studie av nattfastans längd, undernäring och hälsorelaterad livskvalitet hos äldre. Vård i Norden: Nordic Journal of Nursing Research, 91, 45-48. (in Swedish)

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.