Skip to main content
Log in

Caregiver’s education level, not income, as determining factor of dietary intake and nutritional status of individuals cared for at home

  • JNHA: Nutrition
  • Published:
JNHA - The Journal of Nutrition, Health and Aging

Abstract

Introduction

Home care should intervene in the nutritional status of the elderly.

Objective

To analyze the nutritional status of the elderly assisted by a Home Care Program (PAD) and associate it with income and education level of the caregiver.

Casuistic and Method

Thirty-four individuals of both genders who received home care from PAD. The MNA (Mini Nutritional Assessment) was used along with arm circumference. Dietary intake assessment was done with three 24-hour recalls in non-consecutive days. We collected data on income, education level of the caregiver and user in years of formal education and autonomy of user. The differences between the proportions of the nominal variables were tested by the chi-square test. The continuous variables were tested for normality and if normal, the Student’s t-test or ANOVA was applied. The adopted significance level was P < 0.05.

Results

The studied sample represented individuals older than 65 years, assisted by PAD and 100% dependent on the caregiver. MNA revealed that 38.2% of the users were malnourished and 61.8% were at risk for malnourishment. Energy, fiber, vitamin E, calcium and zinc intakes were inadequate. Education level of the caregivers was a determining factor (P=0.01) for the nutritional status of the elderly while no association was found with respect to income.

Conclusion

These findings allows us to conclude that the nutritional status of this population is worrisome and that it may be associated with low quality of life influenced by the education level of the caregiver, but also by age, economic conditions and limited autonomy of this population.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Instituto de Geografia e Estatística — IBGE, Censo 2000. www.ibge.gov.br.

  2. Rosa TEC, Benício MHD, Latorre MRDO, Ramos LR. Fatores determinantes da capacidade funcional entre idosos. Rev Saúde Pública 2003; 37(1):40–48.

    Google Scholar 

  3. Karsch UM. Idosos dependentes: famílias e cuidadores. Cad Saúde Publica 2003; 19(3):861–866.

    Google Scholar 

  4. Marchini JS, Ferriolli E, Moriguti JC. Suporte nutricional no paciente idoso: definição, diagnóstico, avaliação e intervenção. Medicina 1998; 31: 54–61.

    Google Scholar 

  5. Silvestre JA, Kalache A, Ramos LR, Veras RP. O envelhecimento populacional brasileiro e o setor saúde. Sociedade Brasileira de Geriatria e Gerontologia. Editora Científica Nacional Ltda.1996.

  6. 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):116–122.

    Article  CAS  PubMed  Google Scholar 

  7. Acuña K, Cruz T. Avaliação do Estado Nutricional de Adultos e Idosos e Situação Nutricional da População Brasileira. Arq Bras Endocrinol Metab 2004; 48(3):345–361.

    Article  Google Scholar 

  8. Rodrígues AK, Linares MCG, Fernández MCG, Arias MTG, Evaluación dietética y parámetros bioquímicos de minerales en un colectivo de ancianos de la provincia de León (España). Instituto de Ciencia y tecnología de los Alimentos (ICTAL). Universidad de León. Espanha, 2002.

    Google Scholar 

  9. Anção NS, Cuppari L, Tudisco ES, Draibe SA, Sigulen D. Sistema de apoio a decisã em Nutrição — versão 2,5-Centro de informática em saúde — CIS — Universidade Federal de São Paulo (UNIFESP/EPM) 1995.

  10. Philippi ST, Szarfarc SC, Latterza AR. Virtual nutri (software), versão 1.0 for windows. Departamento de nutrição/Faculdade de Saúde Pública/USP. São Paulo, 1996.

    Google Scholar 

  11. Dietary Reference Intake for energy (DRI), carbohydrates, fiber, fat, protein and amino acids (Macronutrients). Institute of Medicine (IOM) [online] 2002 [cited 5-10-2002]. Disponível em: http://www.nap.edu/openbook/0309085373/html/1.html

  12. Papaléo NM, Tieppo A. Serviço de assistência domiciliária da clínica geronto geriátrica do Hospital do Servidor Público Municipal de São Paulo. In: Duarte YA de O, Diogo MJD. Atendimento Domiciliar: um enfoque gerontológico. São Paulo (SP): Atheneu; 2000. p.549–564.

    Google Scholar 

  13. Silvestre JA, Costa NMM. Abordagem do idoso em programas de saúde da família. Cad Saúde Pública 2003; 19: 839–847.

    Article  PubMed  Google Scholar 

  14. Nogués R. Factors que afectan la ingesta de nutrientes en el anciano y que condicionan su correcta nutrición. Nutrición Clínica 1995; 15(2):39–44.

    Google Scholar 

  15. Tavares EL, Anjos LA dos. Anthropometric profile of the elderly Brazilian population: results of the National Health and Nutrition Survey, 1989. Cad. Saúde Pública. 1999; 15(4):759–768.

    Article  CAS  PubMed  Google Scholar 

  16. Campos MTFS, Monteiro JBR, Ornelas APRC. Fatores que afetam o consumo alimentar e a nutrição do idoso. Rev. Nutr. 2000; 13(3):157–165.

    Article  Google Scholar 

  17. Fabrício SCC, Wehbe G, Nassur FB, Andrade JI. Assistência domiciliar: A experiência de um hospital privado do interior paulista. Rev Latino-americana de Enfermagem 2004; 12(5):721–726.

    Google Scholar 

  18. Smith KL, Soriano TA, Boal J. Brief communication: National quality-of-care standards in home-based primary care. Ann Intern Med. 2007; 146(3):188–192.

    PubMed  Google Scholar 

  19. Saliba D, Solomon D, Rubenstein L, Young R, Schnelle J, Roth C, Wenger N. Feasibility of quality indicators for the management of geriatric syndromes in nursing home residents. J Am Med Dir Assoc. 2004;5(5):310–319.

    Article  PubMed  Google Scholar 

  20. Vallerand AH, Collins-Bohler D, Templin T, Hasenau SM. Knowledge of and barriers to pain management in caregivers of cancer patients receiving homecare. Cancer Nurs. 2007;30(1):31–37

    Article  PubMed  Google Scholar 

  21. Joosten E, Vanderelst B, Pelemans W. The effect of different diagnostic criteria on the prevalence of malnutrition in a hospitalized geriatric population. Aging. 1999;11(6)390–394.

    CAS  PubMed  Google Scholar 

  22. Collins S. Using middle upper arm circunference to assess severe adult malnutrition during famine. J. Am. Med Assoc. 1996; 276:391–395.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Vânia Aparecida Leandro-Merhi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Correa, B., Leandro-Merhi, V.A., Pagotto Fogaca, K. et al. Caregiver’s education level, not income, as determining factor of dietary intake and nutritional status of individuals cared for at home. J Nutr Health Aging 13, 609–614 (2009). https://doi.org/10.1007/s12603-009-0171-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12603-009-0171-1

Key words

Navigation