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Relationship between depression and risk of malnutrition among community-dwelling young-old and old-old elderly people
- Authors:
- YOSHIMURA Kazuya, et al
- Journal article citation:
- Aging and Mental Health, 17(4), 2013, pp.456-460.
- Publisher:
- Taylor and Francis
A cross-sectional design was implemented to explores the association between nutritional status and depression among healthy community-dwelling young-old (aged 65–74) and old-old elderly (aged 75 and older). A total of 274 community-dwelling older individuals (142 young-old; 132 old-old) were assessed using the Geriatric Depression Scale (GDS), Mini-Nutritional Assessment Short-Form (MNA-SF) and Life-Space Assessment. Logistic regression analysis was used to determine if depression was independently associated with risk of malnutrition, stratified by age (young-old vs. old-old). In the logistic regression model for young-old, being at risk of malnutrition Was strongly associated with depression. In contrast, in the old-old group, the model was not statistically significant. This study reveals that not only the factors correlated with but also the symptoms of depression may vary among different age stratifications of the elderly. (Edited publisher abstract)
A review and summary of the impact of malnutrition in older people and the reported costs and benefits of interventions
- Author:
- WILSON Lisa
- Publisher:
- Malnutrition Task Force
- Publication year:
- 2013
- Pagination:
- 30
- Place of publication:
- London
Malnutrition is one of the key issues affecting the health of older people in the UK, yet it remains under-detected, under-treated and under-resourced and often over looked by those working with and for older people. This report puts the financial case for the prevention and early treatment of malnutrition. In support, the author summarises the findings from recent studies and research on the economic cost of malnutrition in the UK; the costs to health and social care, and to individuals; evidence of cost savings; and interventions to prevent and treat malnutrition. Also discussed is the economic value of voluntary initiatives such as the Food Train in Dumfries and Age UK Oldham's shopping support service; also the role of community meals services. (Original abstract)
Relationship between obesity and depression in older Australian adults and examination of dietary patterns as influencing factors
- Authors:
- BUYS Nicholas, SUN Jing
- Journal article citation:
- International Journal of Mental Health Promotion, 15(2), 2013, pp.263-274.
- Publisher:
- Taylor and Francis
This study aims to investigate the association between depression and obesity in older adults in Australia and the influencing effects of dietary patterns. The cross-sectional study design was used for the study. The study was conducted across nine community settings in Gold Coast, Queensland. The study cohort included 301 randomly selected men and women, aged 50–88 years. Depression was measured using the General Health Questionnaire. Body mass index (BMI) was assessed according to the Australian Bureau of Statistics criteria, and obesity was classified as a BMI of 30.0 kg/m2. Dietary pattern was measured using a standardized Food Frequency Questionnaire. The associations between anxiety or depression and BMI and the dietary patterns were estimated using multinomial logistic regression models. In all participants, dietary patterns were associated with both depression and obesity. Diets had mediating effects on the association between depression and obesity. Participants who consumed more high-fat meat products and fewer fruits and vegetables had an increased chance of obesity. Participants who were depressed did not have an increased chance of obesity when dietary patterns were adjusted in the multinomial logistic regression model. The results of the study suggest that dietary patterns are related to both depression and obesity and are important mediators in the increasing probability of obesity. The results have implications to inform intervention programmes to target dietary-intake behaviour change so that depression and obesity can be prevented (Publisher abstract)
The impact of family-style dining in care homes or hospitals
- Author:
- WATTS Julie
- Journal article citation:
- Journal of Dementia Care, 21(5), 2013, pp.32-35.
- Publisher:
- Hawker
A review of research evidence was conducted to examine the impact of family style dining on the nutrition of older people and people with dementia in hospital and care home settings. Searches were carried out on a number of relevant databases, including Medline, Embase, CINAHL and HMIC. A total of 519 relevant abstracts were retrieved and these were screened according to predetermined selection criteria. Ten studies were included in the final review. The results of the studies were mixed. Critical appraisal of the studies found they did not offer high quality evidence to support the use of home-style dining or that it could improve nutritional status. However, there were indications that it could offer improved nutrition and contribute to improved quality of life. (Original abstract)
Exploring the mealtime experience in residential care settings for older people: an observational study
- Authors:
- BARNES Sarah, et al
- Journal article citation:
- Health and Social Care in the Community, 21(4), 2013, pp.442-450.
- Publisher:
- Wiley
Improving the mealtime experience in residential care can be a major facilitator in improving care, well-being and quality of life (QoL). This small-scale, observational study captures and describes individual residents’ mealtime experience. The study was carried out in seven dining settings in four residential care homes in Manchester. An adapted dementia care mapping tool was used alongside field notes. Observations showed two major differences in the way the mealtimes were organised: ‘pre-plated’ and ‘family-style’ (where either bowls of food are placed in the centre of the table or food is served directly from a hotplate by a chef). These two styles of service are discussed in relation to the emerging themes of ‘task versus resident-centred mealtimes’, ‘fostering resident independence’ and ‘levels of interaction’. Although improving mealtimes alone is not enough to improve quality of life in care homes, findings showed that relatively small changes to mealtime delivery can potentially have an impact on resident well-being in these homes. Observation is a useful method of engaging residents in care settings for older people who may not otherwise be able to take part in research. (Edited publisher abstract)
Time to listen in care homes: dignity and nutrition inspection programme 2012
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 40
- Place of publication:
- Newcastle upon Tyne
Report of an inspection of 500 care homes, which were inspected on five standards: respecting and involving people who use services; meeting their nutritional needs; safeguarding them from abuse; staffing; and records. Almost two-thirds (316) of the homes inspected met all the standards checked. This meant that staff were respecting and involving people and that people’s nutritional needs were being met. To support this, homes had enough skilled and knowledgeable staff, they had taken steps to protect people from the risk of abuse, and they kept accurate records to support people’s care. However, people living in one in six of the care homes (80 homes) did not always have their privacy and dignity respected or were not involved in their own care. All the inspections were unannounced, each scheduled to include a mealtime. Excerpts from individual inspection reports illustrate what worked well and what needed to improve. (Original abstract)
Nutritional status of community-dwelling older people with dementia: associations with individual and family caregivers' characteristics
- Authors:
- RULLIER Laetitia, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 28(6), 2013, pp.580-588.
- Publisher:
- Wiley
The object of this study was to explore the associations of individual characteristics of both older people with dementia and family caregivers with the nutritional status of older people with dementia. The cross-sectional study comprising community-dwelling older persons with dementia and 56 family caregivers was conducted at home by a psychogerontologist working for a community gerontological center. Older people with dementia were assessed with Mini mental state examination, Instrumental Activities of Daily Living, Activities of Daily Living (ADL), and NeuroPsychiatric Inventory (NPI) and family caregivers with the Burden Interview (Zarit scale), the State-Trait Anxiety Inventory, the Center for Epidemiologic Studies Depression Scale, and the emotional impact measure of NPI. For both, nutritional status was evaluated using the Mini Nutritional Assessment (MNA). Among older people with dementia, 58.9% were at risk of malnutrition and 23.2% presented a poor nutritional status, and among the family caregivers, 32.1% and 5.4%, respectively. The MNA score of older people with dementia was strongly and inversely associated with the ADL score and was strongly and positively associated with the MNA score of family caregiver. These two factors significantly explained 32% of variation of MNA score of older people with dementia. These findings confirm the value of investigating nutritional deficiencies in dementia within the caregiving dyad and suggest that the functional status of older people with dementia and the nutritional status of family caregivers should be carefully assessed. (Publisher abstract)
Time to listen in care homes: dignity and nutrition inspection programme 2012: summary
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 5
- Place of publication:
- Newcastle upon Tyne
Report of an inspection of 500 care homes. Almost two-thirds (316) of the homes inspected met all the standards checked. This meant that staff were respecting and involving people and that people’s nutritional needs were being met. To support this, homes had enough skilled and knowledgeable staff, they had taken steps to protect people from the risk of abuse, and they kept accurate records to support people’s care. However, People living in one in six of the care homes (80 homes) did not always have their privacy and dignity respected or were not involved in their own care. (Edited publisher abstract)
Time to listen in NHS hospitals: dignity and nutrition inspection programme 2012
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 37
- Place of publication:
- Newcastle upon Tyne
Comparing the results of the 2011 dignity and nutrition review with these latest findings, the inspectors found that more hospitals were meeting people’s nutritional needs. However, fewer hospitals were treating patients with dignity and respect. 50 hospitals were inspected against five standards: respecting and involving people; meeting their nutritional needs; safeguarding them from abuse; staffing; and records. 33 hospitals were meeting all five standards. At the other end of the scale, three hospitals were meeting just two of the five standards, one hospital was meeting only one and one was not meeting any. (Original abstract)
Time to listen in NHS hospitals: dignity and nutrition inspection programme 2012: summary
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2013
- Pagination:
- 5
- Place of publication:
- Newcastle upon Tyne
This inspection report compares the results of the 2011 dignity and nutrition review with the 2012 findings. The main findings are that more hospitals are meeting people’s nutritional needs but there are fewer hospitals where patients are always treated with dignity and their privacy and independence respected. (Original abstract)