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Nutritional status in older adults with mild cognitive impairment living in elderly homes in Cairo, Egypt

  • Nutritional Status in Older Adults with Mild Cognitive Impairment
  • Published:
The journal of nutrition, health & aging

Abstract

Objectives

To delineate the difference in nutritional risk between older adults with normal cognitive function and mild cognitive impairment living in elderly homes.

Design

Cross-sectional study.

Setting

Three elderly homes in Cairo, Egypt.

Participants

One hundred twenty older adults; men and women aged 60 years and older.

Measurements

Comprehensive geriatric assessment was done for every participant to evaluate medical, functional, cognitive and affective aspects. Nutritional status was assessed by using the mini-nutritional assessment (MNA). Nutritional deficit was considered to be present if the individuals were classified as malnourished or at nutritional risk by means of the MNA. The cognitive function was assessed by using the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA).

Results

MCI was identified in 46 (38.3%) of the participants. According to the MNA classification, 58 (48.3%) of the sample study was assessed as well nourished, 49 (40.8%) at risk of malnutrition and 13 (10.8%) as malnourished. Older adults with MCI had significantly higher frequency of being at risk of malnutrition or malnourished than those with normal cognition. Multiple logistic regression analysis revealed that the associations between MCI and nutritional deficit remained significant after adjustment for age, illiteracy, female gender and depression.

Conclusion

These results suggest that MCI may be associated with nutritional risk, which emphasizes the importance of early identification of nutritional status among individuals with MCI. It remains to be demonstrated whether improvement in nutritional status may improve the cognitive function or delay progression to dementia in these patients.

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References

  1. Petersen RC. Mild cognitive impairment as a diagnostic entity. J Intern Med. 2004; 256(3): 183–194.

    Article  PubMed  CAS  Google Scholar 

  2. Winblad B, Palmer K, Kivipelto M, et al. Mild cognitive impairment — beyond controversies, towards a consensus: report of the International Working Group on Mild Cognitive Impairment. J Int Medicine. 2004; 256: 240–246.

    CAS  Google Scholar 

  3. Busse A, Bischkopf J, Riedel-Heller SG, et al. Mild cognitive impairment: prevalence and incidence according to different diagnostic criteria—results of the Leipzig Longitudinal Study of the Aged (LEILA75+). Br J Psychiatry. 2003; 182: 449–454.

    Article  PubMed  Google Scholar 

  4. Petersen RC, Smith GE, Waring SC, et al. Mild cognitive impairment: clinical characterization and outcome. Arch Neurol. 1999; 56: 303–308.

    Article  PubMed  CAS  Google Scholar 

  5. Donini LM, De Bernardini L, De Felice MR, et al. Effect of nutritional status on clinical outcome in a population of geriatric rehabilitation patients. Aging Clin Exp Res 2004; 16: 132–138.

    PubMed  Google Scholar 

  6. Visvanathan R. Under-nutrition in older people: A serious and growing global problem! J Postgrad Med 2003; 49: 352–360.

    PubMed  CAS  Google Scholar 

  7. Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med 2002; 18: 737–757.

    Article  PubMed  Google Scholar 

  8. Zekry D, Hermann FR, Grandjean R, Meynet et al. Demented versus non-demented very old inpatients: the same comorbidities but poorer functional and nutritional status. Age Ageing 2008; 37(1): 83–9.

    Article  PubMed  Google Scholar 

  9. Kumar R, Dear KB, Christensen H et al. Prevalence of mild cognitive impairment in 60- to 64-year-old community-dwelling individuals: The Personality and Total Health through Life 60+ Study. Dement Geriatr Cogn Disord. 2005; 19(2–3): 67–74. Epub 2004 Nov 29

    Article  PubMed  Google Scholar 

  10. Orsitto G, Fulvio F, Tria D, et al. Nutritional status in hospitalized elderly patients with mild cognitive impairment. Clin Nutr. 2009 Feb; 28(1): 100–102. Epub 2008 Dec 24.

    Article  PubMed  Google Scholar 

  11. Katz S, Ford AB, Moskowitz RW, et al. Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychosocial function. Journal of the American Medical Association. 1963;185, 914–919.

    PubMed  CAS  Google Scholar 

  12. Lawton MP & Brody EM. Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist. 1969; 9, 179–186.

    PubMed  CAS  Google Scholar 

  13. El Okl MA. Prevalence of Alzhiemer dementia and other causes of dementia in Egyptian elderly. MD thesis, Faculty of Medicine, Ain Shams University 2002.

  14. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12: 189–198.

    Article  PubMed  CAS  Google Scholar 

  15. Rahman TT and El Gaafary MM. Montreal Cognitive Assessment Arabic version: reliability and validity prevalence of mild cognitive impairment among elderly attending geriatric clubs in Cairo. Geriatr Gerontol Int. 2009 Mar; 9(1): 54–61.

    Article  PubMed  Google Scholar 

  16. Nasreddine ZS, Phillips NA, Bedirian V, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005; 53: 695–699.

    Article  PubMed  Google Scholar 

  17. Petersen RC, Doody R, Kurz A et al. Current concepts in mild cognitive impairment. Arch Neurol 2001; 58: 1985–1992.

    Article  PubMed  CAS  Google Scholar 

  18. Guigoz Y, Vellas B, Garry PJ. Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation. Nutr Rev 1996; 54: S59–S65.

    Article  PubMed  CAS  Google Scholar 

  19. Shehata AS. Prevalence of depression among Egyptian geriatric community. Master thesis. Faculty of Medicine, Ain Shams University 1998.

  20. Sheikh SK and Yasavage JA. Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontology. A Guide to Assessment and Intervention. NY: The Hawarth Press 1986 pp 165–173.

    Google Scholar 

  21. Amer MS, Mousa SM, Abdel Rahman TT, & Saber HG. Malnutrition and its risk factors in nursing home residents in Cairo. J Am Geriatr Soc. 2009; 57(9):1716–8.

    Article  PubMed  Google Scholar 

  22. Pearson JM, Schlettwein-Gsell D, Brzozowska A et al. Life style characteristics associated with nutritional risk in elderly subjects aged 80–85 years. J. Nutr. Health Aging. 2001; 5: 278–283.

    PubMed  CAS  Google Scholar 

  23. Hänninen T, Hallikainen M, Tuomainen S, Vanhanen M, Ŝoininen H. Prevalence of mild cognitive impairment: a population-based study in elderly subjects. Acta Neurol Scand. 2002 Sep;106(3):148–54.

    Article  PubMed  Google Scholar 

  24. Ravaglia G, Forti P, Montesi F, et al. Mild cognitive impairment: epidemiology and dementia risk in an elderly Italian population. J Am Geriatr Soc. 2008; 56(1): 51–8.

    Article  PubMed  Google Scholar 

  25. Giovanni BF, Laura F, Johan F, et al. Mild cognitive impairment in the population and physical health: data on 1,435 individuals aged 75 to 95. J Gerontol: Med Sci. 2000; 55: 322–328.

    Google Scholar 

  26. Lopez OL, Jagust WJ, Dulberg C et al. Risk factors for mild cognitive impairment in the Cardiovascular Health Study Cognition Study: part 2, Arch Neurol 2003; 60: 1394–1399.

    Article  PubMed  Google Scholar 

  27. Tervo S, Kivipelto M, Hanninen T et al. Incidence and risk factors for mild cognitive impairment: a population-based three-year follow-up study of cognitively healthy elderly subjects, Dement Geriatr Cogn Disord 2004; 17: 196–203.

    Article  PubMed  Google Scholar 

  28. Lee KS, Hong CH, Cheong HK et al. Difference in nutritional risk between mild cognitive impairment group and normal cognitive function elderly group. Arch Gerontol Geriatr. 2009 Jul–Aug; 49(1): 49–53. Epub 2008 Jun 3.

    Article  PubMed  Google Scholar 

  29. Mariani E, Monastero R, Ercolani S et al. Influence of comorbidity and cognitive status on instrumental activities of daily living in amnestic mild cognitive impairment: results from the ReGAl project for the ReGAl Study Group Int J Geriatr Psychiatry. 2008; 23: 523–530.

    Article  PubMed  CAS  Google Scholar 

  30. Ishikawa T, Ikeda M. Mild cognitive impairment in a population-based epidemiological study. Psychogeriatrics. 2007; 7: 104–108.

    Article  Google Scholar 

  31. Barnes DE, Alexopoulos GS, Lopez OL et al. Depressive symptoms, vascular disease, and mild cognitive impairment: findings from the Cardiovascular Health Study. Arch Gen Psychiatry. 2006 Mar; 63(3): 273–9.

    Article  PubMed  Google Scholar 

  32. Burton, C.L., Strauss, E.H., Bunce, D., Hunter, M.A., & Hultsch, D.F. Functional abilities in older adults with mild cognitive impairment. Gerontology 2009; 55, 570–581.

    Article  PubMed  Google Scholar 

  33. Ahn IS, Kim JH, Kim S, et al. Impairment of instrumental activities of daily living in patients with mild cognitive impairment. Psychiatry Investig. 2009 Sep;6(3):180–4.

    Article  PubMed  Google Scholar 

  34. Luchsinger JA, Reitz C, Patel B, et al. Relation of diabetes to mild cognitive impairment. Arch Neurol. 2007; 64(4): 570–575.

    Article  PubMed  Google Scholar 

  35. Reitz C, Tang MX, Manly J, et al. Hypertension and the risk of mild cognitive impairment. Arch Neurol 2007; 64: 1734–1740.

    Article  PubMed  Google Scholar 

  36. Tan JP, Wang LN, Wang W. A case-control study of risk factors in mild cognitive impairment. Zhonghua Liu Xing Bing Xue Za Zhi. 2006 Jan; 27(1):55–7

    PubMed  Google Scholar 

  37. Geda YE, Knopman DS, Mrazek DA et al. Depression, apolipoprotein E genotype, and the incidence of mild cognitive impairment: a prospective cohort study. Arch Neurol. 2006 Mar; 63(3): 435–40.

    Article  PubMed  Google Scholar 

  38. Vellas B, Lauque S, Gillette-Guyonnet, et al H., REAL.FR Group. Impact of nutritional status on the evolution of Alzheimer’s disease and on response to acetylcholinestrease inhibitor treatment. J. Nutr. Health Aging. 2005; 9: 75–80.

    PubMed  CAS  Google Scholar 

  39. Perneczky R, Pohl C, Sorg C et al. Impairment of activities of daily living requiring memory or complex reasoning as part of the MCI syndrome. Int. J. Geriatr. Psychiatry. 2006; 21: 158–162.

    Article  PubMed  Google Scholar 

  40. Feliziani FT, Mariani E, Ercolani S et al. Functional decline in Mild Cognitive Impairment. Results from the ReGAl project, 10th ICAD, Madrid 2006.

  41. Auyeung TW, Kwok T, Lee J et al. Functional Decline in Cognitive Impairment — The Relationship between Physical and Cognitive Function. Neuroepidemiology. 2008; 31: 167–173.

    Article  PubMed  Google Scholar 

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Shawky Khater, M., Fawzy Abouelezz, N. Nutritional status in older adults with mild cognitive impairment living in elderly homes in Cairo, Egypt. J Nutr Health Aging 15, 104–108 (2011). https://doi.org/10.1007/s12603-011-0021-9

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  • DOI: https://doi.org/10.1007/s12603-011-0021-9

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