Malnutrition among older adults living in Portuguese nursing homes: the PEN-3S study

Teresa Madeira, Catarina Peixoto-Plácido, Nuno Sousa-Santos, Osvaldo Santos, Violeta Alarcão, Beatriz Goulão, Nuno Mendonça, Paulo Jorge Nicola, Agneta Yngve, Asta Bye, Astrid Bergland, Teresa F Amaral, Carla Lopes, João Gorjão Clara

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To characterise the nutritional status and to identify malnutrition-associated variables of older adults living in Portuguese nursing homes.

DESIGN: Cross-sectional study. Data on demographic and socio-economic characteristics, self-reported morbidity, eating-related problems, nutritional status, cognitive function, depression symptoms, loneliness feelings and functional status were collected by trained nutritionists through a computer-assisted face-to-face structured interview followed by standardised anthropometric measurements. Logistic regression was used to identify factors associated with being at risk of malnutrition/malnourished.

SETTING: Portuguese nursing homes.

SUBJECTS: Nationally representative sample of the Portuguese population aged 65 years or over living in nursing homes.

RESULTS: A total of 1186 individuals (mean age 83·4 years; 72·8 % women) accepted to participate. According to the Mini Nutritional Assessment, 4·8 (95 % CI 3·2, 7·3) % were identified as malnourished and 38·7 (95 % CI 33·5, 44·2) % were at risk of malnutrition. These percentages increased with age and were significantly higher for women. Logistic regression showed (OR; 95 % CI) that older adults reporting no or little appetite (6·5; 2·7, 15·3), those revealing symptoms of depression (2·6; 1·6, 4·2) and those who were more dependent in their daily living activities (4·7; 2·0, 11·1) were also at higher odds of being malnourished or at risk of malnutrition.

CONCLUSIONS: Malnutrition and risk of malnutrition are prevalent among nursing home residents in Portugal. It is crucial to routinely screen for nutritional disorders, as well as risk factors such as symptoms of depression and lower functional status, to prevent and treat malnutrition.

Original languageEnglish
Pages (from-to)486-497
Number of pages12
JournalPublic Health Nutrition
Volume22
Issue number3
Early online date15 Oct 2018
DOIs
Publication statusPublished - Mar 2019

Fingerprint

Nursing Homes
Malnutrition
Depression
Nutritional Status
Logistic Models
Nutrition Disorders
Loneliness
Nutrition Assessment
Portugal
Nutritionists
Appetite
Activities of Daily Living
Cognition
Emotions
Cross-Sectional Studies
Eating
Economics
Demography
Interviews
Morbidity

Keywords

  • malnutrition
  • undernutrition
  • mini nutritional assessment
  • BMI
  • older adults
  • nursing homes

Cite this

Madeira, T., Peixoto-Plácido, C., Sousa-Santos, N., Santos, O., Alarcão, V., Goulão, B., ... Gorjão Clara, J. (2019). Malnutrition among older adults living in Portuguese nursing homes: the PEN-3S study. Public Health Nutrition, 22(3), 486-497. https://doi.org/10.1017/S1368980018002318

Malnutrition among older adults living in Portuguese nursing homes : the PEN-3S study. / Madeira, Teresa; Peixoto-Plácido, Catarina; Sousa-Santos, Nuno; Santos, Osvaldo; Alarcão, Violeta; Goulão, Beatriz; Mendonça, Nuno; Nicola, Paulo Jorge; Yngve, Agneta; Bye, Asta; Bergland, Astrid; Amaral, Teresa F; Lopes, Carla; Gorjão Clara, João.

In: Public Health Nutrition, Vol. 22, No. 3, 03.2019, p. 486-497.

Research output: Contribution to journalArticle

Madeira, T, Peixoto-Plácido, C, Sousa-Santos, N, Santos, O, Alarcão, V, Goulão, B, Mendonça, N, Nicola, PJ, Yngve, A, Bye, A, Bergland, A, Amaral, TF, Lopes, C & Gorjão Clara, J 2019, 'Malnutrition among older adults living in Portuguese nursing homes: the PEN-3S study' Public Health Nutrition, vol. 22, no. 3, pp. 486-497. https://doi.org/10.1017/S1368980018002318
Madeira, Teresa ; Peixoto-Plácido, Catarina ; Sousa-Santos, Nuno ; Santos, Osvaldo ; Alarcão, Violeta ; Goulão, Beatriz ; Mendonça, Nuno ; Nicola, Paulo Jorge ; Yngve, Agneta ; Bye, Asta ; Bergland, Astrid ; Amaral, Teresa F ; Lopes, Carla ; Gorjão Clara, João. / Malnutrition among older adults living in Portuguese nursing homes : the PEN-3S study. In: Public Health Nutrition. 2019 ; Vol. 22, No. 3. pp. 486-497.
@article{cd439bbda4e54879a118dce9c2b65b8f,
title = "Malnutrition among older adults living in Portuguese nursing homes: the PEN-3S study",
abstract = "OBJECTIVE: To characterise the nutritional status and to identify malnutrition-associated variables of older adults living in Portuguese nursing homes.DESIGN: Cross-sectional study. Data on demographic and socio-economic characteristics, self-reported morbidity, eating-related problems, nutritional status, cognitive function, depression symptoms, loneliness feelings and functional status were collected by trained nutritionists through a computer-assisted face-to-face structured interview followed by standardised anthropometric measurements. Logistic regression was used to identify factors associated with being at risk of malnutrition/malnourished.SETTING: Portuguese nursing homes.SUBJECTS: Nationally representative sample of the Portuguese population aged 65 years or over living in nursing homes.RESULTS: A total of 1186 individuals (mean age 83·4 years; 72·8 {\%} women) accepted to participate. According to the Mini Nutritional Assessment, 4·8 (95 {\%} CI 3·2, 7·3) {\%} were identified as malnourished and 38·7 (95 {\%} CI 33·5, 44·2) {\%} were at risk of malnutrition. These percentages increased with age and were significantly higher for women. Logistic regression showed (OR; 95 {\%} CI) that older adults reporting no or little appetite (6·5; 2·7, 15·3), those revealing symptoms of depression (2·6; 1·6, 4·2) and those who were more dependent in their daily living activities (4·7; 2·0, 11·1) were also at higher odds of being malnourished or at risk of malnutrition.CONCLUSIONS: Malnutrition and risk of malnutrition are prevalent among nursing home residents in Portugal. It is crucial to routinely screen for nutritional disorders, as well as risk factors such as symptoms of depression and lower functional status, to prevent and treat malnutrition.",
keywords = "malnutrition, undernutrition, mini nutritional assessment, BMI, older adults, nursing homes",
author = "Teresa Madeira and Catarina Peixoto-Pl{\'a}cido and Nuno Sousa-Santos and Osvaldo Santos and Violeta Alarc{\~a}o and Beatriz Goul{\~a}o and Nuno Mendon{\cc}a and Nicola, {Paulo Jorge} and Agneta Yngve and Asta Bye and Astrid Bergland and Amaral, {Teresa F} and Carla Lopes and {Gorj{\~a}o Clara}, Jo{\~a}o",
year = "2019",
month = "3",
doi = "10.1017/S1368980018002318",
language = "English",
volume = "22",
pages = "486--497",
journal = "Public Health Nutrition",
issn = "1368-9800",
publisher = "Cambridge University Press",
number = "3",

}

TY - JOUR

T1 - Malnutrition among older adults living in Portuguese nursing homes

T2 - the PEN-3S study

AU - Madeira, Teresa

AU - Peixoto-Plácido, Catarina

AU - Sousa-Santos, Nuno

AU - Santos, Osvaldo

AU - Alarcão, Violeta

AU - Goulão, Beatriz

AU - Mendonça, Nuno

AU - Nicola, Paulo Jorge

AU - Yngve, Agneta

AU - Bye, Asta

AU - Bergland, Astrid

AU - Amaral, Teresa F

AU - Lopes, Carla

AU - Gorjão Clara, João

PY - 2019/3

Y1 - 2019/3

N2 - OBJECTIVE: To characterise the nutritional status and to identify malnutrition-associated variables of older adults living in Portuguese nursing homes.DESIGN: Cross-sectional study. Data on demographic and socio-economic characteristics, self-reported morbidity, eating-related problems, nutritional status, cognitive function, depression symptoms, loneliness feelings and functional status were collected by trained nutritionists through a computer-assisted face-to-face structured interview followed by standardised anthropometric measurements. Logistic regression was used to identify factors associated with being at risk of malnutrition/malnourished.SETTING: Portuguese nursing homes.SUBJECTS: Nationally representative sample of the Portuguese population aged 65 years or over living in nursing homes.RESULTS: A total of 1186 individuals (mean age 83·4 years; 72·8 % women) accepted to participate. According to the Mini Nutritional Assessment, 4·8 (95 % CI 3·2, 7·3) % were identified as malnourished and 38·7 (95 % CI 33·5, 44·2) % were at risk of malnutrition. These percentages increased with age and were significantly higher for women. Logistic regression showed (OR; 95 % CI) that older adults reporting no or little appetite (6·5; 2·7, 15·3), those revealing symptoms of depression (2·6; 1·6, 4·2) and those who were more dependent in their daily living activities (4·7; 2·0, 11·1) were also at higher odds of being malnourished or at risk of malnutrition.CONCLUSIONS: Malnutrition and risk of malnutrition are prevalent among nursing home residents in Portugal. It is crucial to routinely screen for nutritional disorders, as well as risk factors such as symptoms of depression and lower functional status, to prevent and treat malnutrition.

AB - OBJECTIVE: To characterise the nutritional status and to identify malnutrition-associated variables of older adults living in Portuguese nursing homes.DESIGN: Cross-sectional study. Data on demographic and socio-economic characteristics, self-reported morbidity, eating-related problems, nutritional status, cognitive function, depression symptoms, loneliness feelings and functional status were collected by trained nutritionists through a computer-assisted face-to-face structured interview followed by standardised anthropometric measurements. Logistic regression was used to identify factors associated with being at risk of malnutrition/malnourished.SETTING: Portuguese nursing homes.SUBJECTS: Nationally representative sample of the Portuguese population aged 65 years or over living in nursing homes.RESULTS: A total of 1186 individuals (mean age 83·4 years; 72·8 % women) accepted to participate. According to the Mini Nutritional Assessment, 4·8 (95 % CI 3·2, 7·3) % were identified as malnourished and 38·7 (95 % CI 33·5, 44·2) % were at risk of malnutrition. These percentages increased with age and were significantly higher for women. Logistic regression showed (OR; 95 % CI) that older adults reporting no or little appetite (6·5; 2·7, 15·3), those revealing symptoms of depression (2·6; 1·6, 4·2) and those who were more dependent in their daily living activities (4·7; 2·0, 11·1) were also at higher odds of being malnourished or at risk of malnutrition.CONCLUSIONS: Malnutrition and risk of malnutrition are prevalent among nursing home residents in Portugal. It is crucial to routinely screen for nutritional disorders, as well as risk factors such as symptoms of depression and lower functional status, to prevent and treat malnutrition.

KW - malnutrition

KW - undernutrition

KW - mini nutritional assessment

KW - BMI

KW - older adults

KW - nursing homes

UR - http://www.mendeley.com/research/malnutrition-among-older-adults-living-portuguese-nursing-homes-pen3s-study

U2 - 10.1017/S1368980018002318

DO - 10.1017/S1368980018002318

M3 - Article

VL - 22

SP - 486

EP - 497

JO - Public Health Nutrition

JF - Public Health Nutrition

SN - 1368-9800

IS - 3

ER -