Family caregivers' better nutritional status is associated with care recipients' better nutritional status.


Journal

Clinical nutrition ESPEN
ISSN: 2405-4577
Titre abrégé: Clin Nutr ESPEN
Pays: England
ID NLM: 101654592

Informations de publication

Date de publication:
Aug 2024
Historique:
received: 21 09 2023
revised: 14 05 2024
accepted: 21 05 2024
medline: 21 6 2024
pubmed: 21 6 2024
entrez: 20 6 2024
Statut: ppublish

Résumé

A high proportion of older care recipients (CRs) face malnutrition and risk of malnutrition, affecting their functional abilities and posing challenges for caregiving. The aim of this study was to assess the risk for malnutrition among older CRs and the associated characteristics of both CRs and family caregivers (FCs) with nutritional status of CRs. A cross-sectional study consisted of 120 CRs (≥65 years) and their 118 FCs (≥60 years). Nutritional status was assessed with the Mini Nutritional Assessment (MNA). The majority (63%) of the CRs had a risk of malnutrition (MNA score 17-23.5), and 7% had malnutrition (MNA score <17). The CRs had significantly lower MNA scores compared to their FCs (p < 0.001). The multivariate linear regression analysis showed that CRs' higher number of comorbidities (B = -0.37, p = 0.013) and higher P-hs-CRP (B = -0.10, p = 0.047) were associated with their decreased MNA scores. There was a positive association between CRs' hand grip strength (B = 0.11, p = 0.004) and FCs' MNA scores (B = 0.41, p = 0.004) with MNA scores of the CRs. Malnutrition and risk of malnutrition are common concerns in older CRs, especially those with a higher number of comorbidities and low-grade inflammation. Regular assessment of the nutritional status of both older CRs and FCs is justified, as FCs' better nutritional status is associated with better nutritional status of CR. ClinicalTrials.gov NCT04003493.

Sections du résumé

BACKGROUND AND AIMS OBJECTIVE
A high proportion of older care recipients (CRs) face malnutrition and risk of malnutrition, affecting their functional abilities and posing challenges for caregiving. The aim of this study was to assess the risk for malnutrition among older CRs and the associated characteristics of both CRs and family caregivers (FCs) with nutritional status of CRs.
METHODS METHODS
A cross-sectional study consisted of 120 CRs (≥65 years) and their 118 FCs (≥60 years). Nutritional status was assessed with the Mini Nutritional Assessment (MNA).
RESULTS RESULTS
The majority (63%) of the CRs had a risk of malnutrition (MNA score 17-23.5), and 7% had malnutrition (MNA score <17). The CRs had significantly lower MNA scores compared to their FCs (p < 0.001). The multivariate linear regression analysis showed that CRs' higher number of comorbidities (B = -0.37, p = 0.013) and higher P-hs-CRP (B = -0.10, p = 0.047) were associated with their decreased MNA scores. There was a positive association between CRs' hand grip strength (B = 0.11, p = 0.004) and FCs' MNA scores (B = 0.41, p = 0.004) with MNA scores of the CRs.
CONCLUSION CONCLUSIONS
Malnutrition and risk of malnutrition are common concerns in older CRs, especially those with a higher number of comorbidities and low-grade inflammation. Regular assessment of the nutritional status of both older CRs and FCs is justified, as FCs' better nutritional status is associated with better nutritional status of CR.
CLINICAL TRIAL REGISTRATION NUMBER BACKGROUND
ClinicalTrials.gov NCT04003493.

Identifiants

pubmed: 38901942
pii: S2405-4577(24)00135-9
doi: 10.1016/j.clnesp.2024.05.016
pii:
doi:

Banques de données

ClinicalTrials.gov
['NCT04003493']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

199-205

Informations de copyright

Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The funder had no role in any of the following: study design; data collection, analyses, or interpretation; manuscript composition; or decision to publish the results.

Auteurs

Sohvi Koponen (S)

Institute of Public Health and Clinical Nutrition, School of Medicine, University of Eastern Finland, P.O. Box 1627, FI-70211 Kuopio, Finland. Electronic address: sohvi.koponen@uef.fi.

Irma Nykänen (I)

Institute of Public Health and Clinical Nutrition, School of Medicine, University of Eastern Finland, P.O. Box 1627, FI-70211 Kuopio, Finland.

Roosa-Maria Savela (RM)

Department of Nursing Science, University of Eastern Finland, P.O. Box 1627, FI-70211 Kuopio, Finland; INVEST Research Flagship Centre, University of Turku, Turku, Finland.

Tarja Välimäki (T)

Department of Nursing Science, University of Eastern Finland, P.O. Box 1627, FI-70211 Kuopio, Finland.

Anna Liisa Suominen (AL)

Institute of Dentistry, School of Medicine, University of Eastern Finland, P.O. Box 1627, FI-70211 Kuopio, Finland; Oral and Maxillofacial Diseases Teaching Unit, Kuopio University Hospital, P.O. Box 1711, FI-70211 Kuopio, Finland.

Ursula Schwab (U)

Institute of Public Health and Clinical Nutrition, School of Medicine, University of Eastern Finland, P.O. Box 1627, FI-70211 Kuopio, Finland; Department of Medicine, Endocrinology and Clinical Nutrition, Kuopio University Hospital, P.O. Box 100, FI-70029 KYS, Finland.

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