Nutritional status in older adults with mild cognitive impairment living in elderly homes in Cairo, Egypt
- 332 Downloads
To delineate the difference in nutritional risk between older adults with normal cognitive function and mild cognitive impairment living in elderly homes.
Three elderly homes in Cairo, Egypt.
One hundred twenty older adults; men and women aged 60 years and older.
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).
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.
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.
Key wordsMild cognitive impairment nutritional status older adults
Unable to display preview. Download preview PDF.
- 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.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.Google Scholar
- 19.Shehata AS. Prevalence of depression among Egyptian geriatric community. Master thesis. Faculty of Medicine, Ain Shams University 1998.Google Scholar
- 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
- 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
- 40.Feliziani FT, Mariani E, Ercolani S et al. Functional decline in Mild Cognitive Impairment. Results from the ReGAl project, 10th ICAD, Madrid 2006.Google Scholar