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- Akner, Gunnar, 1953-, et al.
(author)
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Vanligt att kommunalt bistånd till äldre rör nutrition
- 2013
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In: Läkartidningen. - 0023-7205 .- 1652-7518. ; 110:45
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Journal article (other academic/artistic)abstract
- För ungefär hälften av de personer över 65 år som hade kommunalt bistånd för vård och omsorginsatser var biståndsbesluten relaterade till mat, måltider eller nutrition. Det visar en punktprevalensstudie i Örebro kommun.
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- Engelheart, Stina, 1976-, et al.
(author)
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Assessment of nutritional status in the elderly : a proposed function-driven model
- 2018
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In: Food & Nutrition Research. - : Taylor & Francis. - 1654-6628 .- 1654-661X. ; 62
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Journal article (peer-reviewed)abstract
- Background: There is no accepted or standardized definition of 'malnutrition'. Hence, there is also no definition of what constitutes an adequate nutritional status. In elderly people, assessment of nutritional status is complex and is complicated by multi-morbidity and disabilities combined with nutrition-related problems, such as dysphagia, decreased appetite, fatigue, and muscle weakness.Objective: We propose a nutritional status model that presents nutritional status from a comprehensive functional perspective. This model visualizes the complexity of the nutritional status in elderly people.Design and results: The presented model could be interpreted as the nutritional status is conditional to a person's optimal function or situation. Another way of looking at it might be that a person's nutritional status affects his or her optimal situation. The proposed model includes four domains: (1) physical function and capacity; (2) health and somatic disorders; (3) food and nutrition; and (4) cognitive, affective, and sensory function. Each domain has a major impact on nutritional status, which in turn has a major impact on the outcome of each domain.Conclusions: Nutritional status is a multifaceted concept and there exist several knowledge gaps in the diagnosis, prevention, and optimization of treatment of inadequate nutritional status in elderly people. The nutritional status model may be useful in nutritional assessment research, as well as in the clinical setting.
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- Engelheart, Stina, 1976-, et al.
(author)
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Dehydration and loss of appetite: Key nutrition features in older people receiving home health care
- 2021
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In: Nutrition. - : Elsevier BV. - 0899-9007 .- 1873-1244. ; 91-92
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Journal article (peer-reviewed)abstract
- Objectives: The aim was to describe a population of older people in home health care based on what is probably a novel theoretical model, previously published, and to analyze longitudinal changes in different dimensions of nutritional status. Methods: This explorative and longitudinal study examines nutritional status based on four domains in the novel theoretical model: health and somatic disorders; cognitive, affective, and sensory function; physical function and capacity; and food and nutrition. Inclusion criteria were age ≥65 y and need of home health care for more than three months. A total of 69 men and women were enrolled in the study. Participants’ nutritional status was studied at baseline and regularly during the following three years. Results: At baseline, 44% (n = 27) reported one or more severe symptoms and 83% had polypharmacy (≥5 prescribed medications). The prevalence of malnutrition, sarcopenia, frailty, and dehydration at baseline were, respectively, 83% (n = 35), 44% (n = 24), 34% (n = 18), and 45% (n = 25). Participants that died during the 3-y follow-up (n = 14) differed from survivors in the following aspects: more reduced appetite, lower quality of life, worse cognitive function, lower physical activity, and less intake of dietary fiber and water. Dehydration at baseline was associated with lower function in several domains and with general decline over time. Conclusions: Most participants had poor nutritional status. Dehydration and reduced appetite were important indicators of worsening nutritional and overall status and mortality. © 2021 The Authors
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- Engelheart, Stina, 1976-, et al.
(author)
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Dietary intake of energy, nutrients and water in elderly people living at home or in nursing home
- 2015
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In: The Journal of Nutrition, Health & Aging. - Paris, France : Springer. - 1279-7707 .- 1760-4788. ; 19:3, s. 265-272
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Journal article (peer-reviewed)abstract
- Objectives: There is a lack of detailed information on dietary intake in elderly people at an individual level, which is crucial for improvement of nutritional support. The aim of this study was to investigate the dietary intake in elderly people in two types of living situations. Design: Observational study, analysing prospective data.Setting: The dietary intake was studied in elderly people living at home or in nursing home, in different cities of Sweden.Participants: A total of 264 elderly people (mean age 84) participated in the observational study.Measurements: Dietary intake was measured using weighed food records and food diaries, comparing females and males. The observed dietary intake was related to Recommended intake and Lower intake level.Results: All dietary intake and patient characteristic variables showed large individual differences (ranges). We found no significant differences (p>0.05) between those living at home and nursing home residents regarding the average intake of energy, protein and water when expressed as total intake per kg of body weight. A very low daily intake of energy (<20 kcal/kg body weight/day) was observed in 16% of the participants. For vitamin D and iron, 19% and 15%, respectively, had intakes below the Lower intake level. There was no correlation between intake of energy, protein or water and resident characteristics such as age, autonomy, morbidity, nutritional state or cognition.Conclusions: The large individual differences (ranges) in energy, nutrients and water show that the use of mean values when analysing dietary intake data from elderly people is misleading. From a clinical perspective it is more important to consider the individual intake of energy, nutrients and water. Ageism is intrinsic in the realm of ‘averageology’.
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