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The journal of nutrition, health & aging

, Volume 22, Issue 8, pp 996–1002 | Cite as

Determinants of Health Related Quality of Life in Home Dwelling Elderly Population: Appetite and Nutritional Status

  • Nilüfer Acar Tek
  • M. Ş. Karaçil-Ermumcu
Article

Abstract

Objective

The present study aimed to examine nutritional risk factors such as poor appetite, malnutrition or obesity affecting health related quality of life in elderly.

Design and participants

This is a cross-sectional population-based study consisted of 407 elderly (142 men and 265 women) mean aged 71.7±6.54 years.

Measurements

Questionnaire including the demographic and general characteristics, health information, nutritional habits was performed by face-to-face interviews. Daily food consumption was assessed using 24-hour dietary recall. Mini Nutrition Assessment (MNA) and Mini Nutrition Assessment-Short Form (MNA-SF) were used for assessment of nutrition status. Appetite was evaluated using the Simplified Nutritional Appetite Questionnaire (SNAQ). Health related life quality scale (Short Form Health Survey-SF36) was used for evalution health related quality of life.

Results

According to MNA and MNA-SF 6.1%; 4.2% of elderly people were malnutrition and 40.3%; 21.9% of them were at risk of malnutrition respectively. Accordingly, SNAQ 28.7% of elderly were risk at loss of weight. Health related quality of life scores of women were significantly lower than men. Good nutritional (MNA-SF) and good appetite (SNAQ) status, increased 1.69, 1.48 fold in the mental component summary scale scores respectively. SNAQ was the best determinant of physical component summary scale score had the greatest positive effect, good appetite status increased approximately 2.2 fold in physical scores. Polypharmacy and high BMI decreased health related quality of life in elderly.

Conclusion

Determinants of quality of life are preventable and treatable with early and appropriate interventions in elderly.

Key words

Health related quality of life appetite nutritional status elderly 

References

  1. 1.
    Acar Tek N. A Current Perspective on Health Sciences. In: Kaptanoğlu AY (ed) Nutritional Care and Management of Sarcopenia, Romania 2015, p:710–727.Google Scholar
  2. 2.
  3. 3.
    TUIK, 2017. Statistics for the elderly, 2017 https://doi.org/www.tuik.gov.tr/PreHaberBultenleri.do?id=27595 Accessed 25 March 2018.
  4. 4.
    Nair KS. Aging muscle Am J Clin Nutr 2005;81(5):953–63.CrossRefPubMedGoogle Scholar
  5. 5.
    Jimenez-Redondo S, Beltran de Miguel B, Gavidia Banegas J, Guzman Mercedes L, Gomez-Pavon J, Cuadrado Vives C. Influence of nutritional status on healthrelated quality of life of non-institutionalized older people. J Nutr Health Aging 2014;18(4):359–64 doi:10.1007/s12603-013-0416-x.CrossRefPubMedGoogle Scholar
  6. 6.
    Rasheed S, Woods RT. An investigation into the association between nutritional status and quality of life in older people admitted to hospital. J Hum Nutr Diet 2014;27(2):142–51 doi:10.1111/jhn.12072.CrossRefPubMedGoogle Scholar
  7. 7.
    Payahoo L, Khaje-Bishak Y, Pourghassem Gargari B, Kabir-Alavi MB, Asgharijafarabadi M. Assessment of Nutritional and Depression Status in Free- Living El-derly in Tabriz, Northwest Iran. Health Promot Perspect 2013;3(2):288–93 doi:10.5681/hpp.2013.033.PubMedPubMedCentralGoogle Scholar
  8. 8.
    Hernández-Galiot A, Goñi I. Quality of life and risk of malnutrition in a homedwelling population over 75 years old. Nutrition 2017;35:81–6.CrossRefPubMedGoogle Scholar
  9. 9.
    Perry L, McLaren S. An exploration of nutrition and eating disabilities in relation to quality of life at 6 months post-stroke. Health Soc Care Community 2004;12(4):288–97.CrossRefPubMedGoogle Scholar
  10. 10.
    Pilgrim AL, Robinson SM, Sayer AA, Roberts HC. An overview of appetite decline in older people. Nurs Older People 2015;27(5):29–35 doi:10.7748/nop.27.5.29.e697.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Giezenaar C, Chapman I, Luscombe-Marsh N, Feinle-Bisset C, Horowitz M, Soenen S. Ageing Is Associated with Decreases in Appetite and Energy Intake—A Meta-Analysis in Healthy Adults. Nutrients 2016;8(1):28 doi:10.3390/nu8010028.CrossRefPubMedCentralGoogle Scholar
  12. 12.
    Rasheed S, Woods RT. Malnutrition and quality of life in older people: a systematic review and meta-analysis. Ageing Res Rev 2013;12(2):561–6 doi:10.1016/j.arr.2012.11.003.CrossRefPubMedGoogle Scholar
  13. 13.
    Goodwin JS. Social, psychological and physical factors affecting the nutritional status of elderly subjects: separating cause and effect. Am J Clin Nutr 1989;50(5):1201–9; discussion 31-5.CrossRefPubMedGoogle Scholar
  14. 14.
    Hickson M, Frost G. An investigation into the relationships between quality of life, nutritional status and physical function. Clin Nutr 2004;23(2):213–21 doi:10.1016/s0261-5614(03)00127-4.CrossRefPubMedGoogle Scholar
  15. 15.
    Norman K, Schutz T, Kemps M, Josef Lubke H, Lochs H, Pirlich M. The Subjective Global Assessment reliably identifies malnutrition-related muscle dysfunction. Clin Nutr 2005;24(1):143–50 doi:10.1016/j.clnu.2004.08.007.CrossRefPubMedGoogle Scholar
  16. 16.
    Heersink JT, Brown CJ, Dimaria-Ghalili RA, Locher JL. Undernutrition in hospitalized older adults: patterns and correlates, outcomes, and opportunities for intervention with a focus on processes of care. J Nutr Elder 2010;29(1):4–41 doi:10.1080/01639360903574585.CrossRefPubMedGoogle Scholar
  17. 17.
    Donini LM, Savina C, Piredda M, et al. Senile anorexia in acute-ward and rehabilitations settings. J Nutr Health Aging 2008;12(8):511–17.CrossRefPubMedGoogle Scholar
  18. 18.
    Lohman TG RA, Martoel R. Antropometric Standarsization Reference Manual, Michigan Üniversitesi, Human Kinetic Books, Champaign, İllinois, 1998.Google Scholar
  19. 19.
  20. 20.
    Rakıcıoğlu N, Acar Tek, Ayaz A., Pekcan G. Yemek ve Besin ve Fotoğraf Kataloğu: Ölçü ve Miktarlar. Ata Ofset Matbaacılık, Ankara, 2012.Google Scholar
  21. 21.
    Beslenme Bilgi Sistemleri. Ebispro for Windows S, Germany; Türkish version BEBİS; Data Bases: Bundeslebenmittelschlüssell,11.3 and other sorces, 2004.Google Scholar
  22. 22.
    Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, Albarede JL. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 1999;15(2):116–22.CrossRefPubMedGoogle Scholar
  23. 23.
    Kaiser MJ, Bauer J, Ramsch C, et al. Validation of the Mini Nutritional Assessment Short-Form (MNA®-SF): A practical tool for identification of nutritional status. J Nutr Health Aging 2009;13(9):782–8.CrossRefPubMedGoogle Scholar
  24. 24.
    Wilson MMG TD, Rubenstein LZ, Chibnall JT, Anderson S, Baxi A, et al. Appetite assessment: simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents. Am J Clin Nutr 2005;82:1074–81.CrossRefPubMedGoogle Scholar
  25. 25.
    Ware JE, Gandek B. Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project. J Clin Epidemiol 1998;51(11):903–12.CrossRefPubMedGoogle Scholar
  26. 26.
    Kostka J, Borowiak E, Kostka T. Nutritional status and quality of life in different populations of older people in Poland Eur J Clin Nutr 2014;68(11):1210.CrossRefPubMedGoogle Scholar
  27. 27.
    Méndez EE, Romero PJ, Fernández DM, et al. Do our elderly have an adequate nutritional status? Nutr Hosp 2012;28(3):903–13.Google Scholar
  28. 28.
    Kvamme JM, Olsen JA, Florholmen J, Jacobsen BK. Risk of malnutrition and healthrelated quality of life in community-living elderly men and women: the Tromso study. Qual Life Res 2011;20(4):575–82 doi:10.1007/s11136-010-9788-0.CrossRefPubMedGoogle Scholar
  29. 29.
    Keller HH, Ostbye T, Goy R. Nutritional risk predicts quality of life in elderly community-living Canadians. J Gerontol A Biol Sci Med Sci 2004;59(1):68–74.CrossRefPubMedGoogle Scholar
  30. 30.
    Lopez-Garcia E, Banegas Banegas JR, Gutierrez-Fisac JL, Perez-Regadera AG, Ganan LD, Rodriguez-Artalejo F. Relation between body weight and health-related quality of life among the elderly in Spain. Int J Obes Relat Metab Disord 2003;27(6):701–9. doi:10.1038/sj.ijo.0802275CrossRefPubMedGoogle Scholar
  31. 31.
    Maseda A, Diego-Diez C, Lorenzo-López L, López-López R, Regueiro-Folgueira L, Millán-Calenti JC. Quality of life, functional impairment and social factors as determinants of nutritional status in older adults: The VERISAÚDE study. Clin Nutr 2017;S0261-5614(17)30148–6 doi: 10.1016/j.clnu.2017.04.009.Google Scholar
  32. 32.
    Guallar-Castillon P, Sendino AR, Banegas JR, Lopez-Garcia E, Rodriguez-Artalejo F. Differences in quality of life between women and men in the older population of Spain. Soc Sci Med 2005;60(6):1229–40 doi:10.1016/j.socscimed.2004.07.003CrossRefPubMedGoogle Scholar
  33. 33.
    Konig HH, Heider D, Lehnert T, et al. Health status of the advanced elderly in six European countries: results from a representative survey using EQ-5D and SF-12. Health Qual Life Outcomes 2010;8:143 doi:10.1186/1477-7525-8-143.CrossRefPubMedPubMedCentralGoogle Scholar
  34. 34.
    Arber S, Cooper H. Gender differences in health in later life: the new paradox? Soc Sci Med 1999;48(1):61–76.CrossRefPubMedGoogle Scholar
  35. 35.
    Eguez-Guevara P, Andrade FC. Gender differences in life expectancy with and without disability among older adults in Ecuador. Arch Gerontol Geriatr 2015;61(3):472–9 doi:10.1016/j.archger.2015.08.012.CrossRefPubMedGoogle Scholar
  36. 36.
    Regidor E, Barrio G, de la Fuente L, Domingo A, Rodriguez C, Alonso J. Association between educational level and health related quality of life in Spanish adults. J Epidemiol Community Health 1999;53(2):75–82.CrossRefPubMedPubMedCentralGoogle Scholar
  37. 37.
    Harrison SL, Bradley C, Milte R, et al. Psychotropic medications in older people in residential care facilities and associations with quality of life: a cross-sectional study. BMC Geriatr 2018;18(1):60 doi:10.1186/s12877-018-0752-0.CrossRefPubMedGoogle Scholar
  38. 38.
    Orfila F, Ferrer M, Lamarca R, Alonso J. Evolution of self-rated health status in the elderly: cross-sectional vs. longitudinal estimates. J Clin Epidemiol 2000;53(6):563–70.CrossRefPubMedGoogle Scholar
  39. 39.
    Drewnowski A, Evans WJ. Nutrition, physical activity, and quality of life in older adults: summary. J Gerontol A Biol Sci Med Sci 2001;56(2):89–94.CrossRefPubMedGoogle Scholar
  40. 40.
    Amarantos E, Martinez A, Dwyer J. Nutrition and quality of life in older adults. J Gerontol A Biol Sci Med Sci 2001;56(2):54–64.CrossRefPubMedGoogle Scholar
  41. 41.
    Hernandez-Galiot A, Goni I. Quality of life and risk of malnutrition in a homedwelling population over 75 years old. Nutrition 2017;35:81–6. doi:10.1016/j. nut.2016.10.013CrossRefPubMedGoogle Scholar
  42. 42.
    Lesourd B. Nutrition: a major factor influencing immunity in the elderly. J Nutr Health Aging 2004;8(1):28–37.PubMedGoogle Scholar
  43. 43.
    Stuck AE, Walthert JM, Nikolaus T, Bula CJ, Hohmann C, Beck JC. Risk factors for functional status decline in community-living elderly people: a systematic literature review. Soc Sci Med 1999;48(4):445–69.CrossRefPubMedGoogle Scholar
  44. 44.
    Perez-Tasigchana RF, Leon-Munoz LM, Lopez-Garcia E, Banegas JR, Rodriguez-Artalejo F, Guallar-Castillon P. Correction: Mediterranean diet and health-related quality of life in two cohorts of community-dwelling older adults. plos One 2016;11(5):0155171. doi:10.1371/journal.pone.0155171CrossRefGoogle Scholar
  45. 45.
    Pérez-Tasigchana RF, León-Muñoz LM, López-García E, Banegas JR, Rodríguez-Artalejo F, Guallar-Castillón P. Mediterranean Diet and health-related quality of life in two cohorts of community-dwelling older adults. PloS one 2016;11(3):0151596.CrossRefGoogle Scholar
  46. 46.
    Grzegorzewska A, Wolejko K, Kowalkowska A, Kowalczyk G, Jaroch A. Proper BMI ranges for the elderly in the context of morbidity, mortality and functional status. Gerontologia Polska 2016;24:114–8.Google Scholar
  47. 47.
    Zhu J, Xiang YB, Cai H, et al. Associations of obesity and weight change with physical and mental impairments in elderly Chinese people. Maturitas 2018;108:77–83. doi:10.1016/j.maturitas.2017.11.015CrossRefPubMedGoogle Scholar
  48. 48.
    Khan SS, Ning H, Wilkins JT, et al. Association of body mass index with lifetime risk of cardiovascular disease and compression of morbidity. JAMA cardiology, 2018. doi:10.1001/jamacardio.2018.0022.Google Scholar

Copyright information

© Serdi and Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Gazi University, Faculty of Health Science, Department of Nutrition and DieteticAnkaraTurkey

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