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Ann Nutr Metab. 2013;62(3):201-6. doi: 10.1159/000346038. Epub 2013 Mar 7.

Nutritional status assessment of institutionalized elderly in Prague, Czech Republic.

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1
Centre for Research of Diabetes, Metabolism and Nutrition, Department of Nutrition, Third Faculty of Medicine, Charles University, Prague, Czech Republic. jolana.rambouskova@lf3.cuni.cz

Abstract

BACKGROUND:

There are few studies in the Czech Republic describing and evaluating the nutritional status of institutionalized elderly.

METHODS:

Data were collected from 659 women and 156 men aged 65 years and older and living in retirement homes in and around Prague. Data included: a Mini-Nutritional Assessment (MNA questionnaire), anthropometric measurements and biochemical evaluations.

RESULTS:

According to the MNA questionnaire, 10.2% of these elderly individuals were malnourished and 39.4% were at risk of malnutrition. More women than men were malnourished (OR = 0.59 and 95% CI 0.42-0.86). Mean BMI values were 25.5 for females and 27.5 for males. MNA was positively correlated mostly with immobility (r = 0.63; p < 0.001), BMI (r = 0.57; p < 0.001) and mid-arm circumference (r = 0.56; p < 0.001). Serum albumin levels were <28 g/l in 1.3% (1.3% of the women and 1.36% of the men) and between 29.0 - 34.0 g/l in 21% (22.5% of the women and 14.4% of the men). Statistically significant differences between groups according to MNA scores were found for albumin, prealbumin, transferrin and creatinine. Prevalence of smoking was significantly higher among males.

CONCLUSION:

The study results confirmed that institutionalized elderly, especially women, should be considered a nutritionally vulnerable population group that needs attention.

PMID:
23485785
DOI:
10.1159/000346038
[Indexed for MEDLINE]
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