Energy and Protein Intake, Anthropometrics, and Disease Burden in Elderly Home-care Receivers--A Cross-sectional Study in Germany (ErnSIPP Study)

Beitrag in einer Fachzeitschrift


Details zur Publikation

Autorinnen und Autoren: Pohlhausen S, Uhlig K, Kießwetter E, Diekmann R, Heseker H, Volkert D, Stehle P, Lesser S
Zeitschrift: The journal of nutrition, health & aging
Jahr der Veröffentlichung: 2016
Band: 20
Heftnummer: 3
Seitenbereich: 361-8
ISSN: 1279-7707
eISSN: 1760-4788


Abstract

To date, no study has examined the nutritional status and disease burden of elderly home-care receivers living in Germany. Aim of this cross-sectional study was, first, to assess disease burden and nutritional status, denoted in anthropometrics, and, second, to investigate associations between anthropometrics and disease burden.Cross-sectional multi-centre study.Home-care receivers living in three urban areas of Germany in 2010.353 elderly (>64 years) in home care (128 males aged 79.1 ±7.8 years, 225 females aged 82.0 ±7.5 years).Nutritional status was assessed by body mass index (BMI), mid upper arm circumference (MUAC) and calf circumference (CC). Medical conditions were assessed in personal interviews. A 3-day prospective nutrition diary was kept. Metric data are reported as mean±SD or median (interquartile range), p<0.05 was considered significant.Most participants were substantially (59%), and 11% severest in need of care. The seniors suffered from 5 (4-7) chronic diseases; dementia, depression, stroke, and respiratory illness were most prevalent (each 20-40%). More than one-third of participants had only moderate or poor appetite, nearly half were unable to eat independently. Chewing problems were reported for 52% of study participants, and more than one quarter of elderly had swallowing problems. Daily mean energy intake was 2017±528 kcal in men (n=123) and 1731±451 kcal in women (n=216; p<0.001). Mean protein intake amounted to 1.0 g/kg body weight. Mean BMI was 28.2±6.2 kg/m² (n=341), 14% of seniors had a BMI <22 kg/m² (including 4% with BMI <20 kg/m²). Critical MUAC (<22 cm) was indicated in 6% of subjects; and CC <31 cm in 11% of men, 21% of women (p<0.05). After adjusting for sex and age, BMI, MUAC and CC were negatively associated with high care level, hospitalization in the previous year, nausea/vomiting, prevalence of dementia, poor appetite, and eating difficulties like dependency, chewing and swallowing problems.We recommend to pay special attention to the nutritional status of elderly persons in home-care exhibiting named disease burden.


FAU-Autorinnen und Autoren / FAU-Herausgeberinnen und Herausgeber

Diekmann, Rebecca
Lehrstuhl für Innere Medizin (Geriatrie)
Kießwetter, Eva Dr.
Professur für Klinische Ernährung im Alter
Volkert, Dorothee Prof. Dr. rer. nat.
Professur für Klinische Ernährung im Alter


Einrichtungen weiterer Autorinnen und Autoren

Rheinische Friedrich-Wilhelms-Universität Bonn
Universität Paderborn


Zitierweisen

APA:
Pohlhausen, S., Uhlig, K., Kießwetter, E., Diekmann, R., Heseker, H., Volkert, D.,... Lesser, S. (2016). Energy and Protein Intake, Anthropometrics, and Disease Burden in Elderly Home-care Receivers--A Cross-sectional Study in Germany (ErnSIPP Study). The journal of nutrition, health & aging, 20(3), 361-8. https://dx.doi.org/10.1007/s12603-015-0586-9

MLA:
Pohlhausen, S., et al. "Energy and Protein Intake, Anthropometrics, and Disease Burden in Elderly Home-care Receivers--A Cross-sectional Study in Germany (ErnSIPP Study)." The journal of nutrition, health & aging 20.3 (2016): 361-8.

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Zuletzt aktualisiert 2018-10-10 um 02:28