liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Self-reported energy and nutrient intake among older people: a two year follow-up study
Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Objectives: The aim was to investigate older people’s energy intake regarding macro- and micronutrients, related to nutritional status, symptoms of depression, self-perceived health and demographical factors, and describe possible changes of energy intake during a period of two years.

Method: The study included 115 individuals 80 years-old who performed a yearly 24h recallvof food intake, a total of three times. Energy requirement was estimated using weight, agevand gender and a Physical Activity Level of 1.6, and the Nordic Nutrition Recommendationsvwere used as a reference for nutrients. Nutritional status was assessed using the MinivNutritional Assessment and symptoms of depression using the Geriatric Depression Scale-20.

Result: Three groups with different self-reported energy intakes appeared in the analysis, onev with <1500 kcal, a second with a fluctuating intake over time (±1500 kcal), and a third with ≥1500 kcal. Intake of vitamins A, D, E, folate and fibre were below the recommended levels in all groups. The same pattern of energy intake and micronutrients was found over time. No correlation between energy intake and MNA and GDS-20 was found.

Conclusion: Reported energy intake and some micronutrients were low in relation to estimated energy requirement. This might be due to a combination of low energy intake, underreporting and the day on which the 24h recall was performed. Weight loss was found in women and men who reported a fluctuating energy intake and among men who reported an energy intake <1500 kcal. This might indicate an inadequate energy intake and an increased vulnerability to malnutrition.

National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-51552OAI: oai:DiVA.org:liu-51552DiVA: diva2:275635
Available from: 2009-11-06 Created: 2009-11-06 Last updated: 2010-01-14Bibliographically approved
In thesis
1. Self-Perceived Health and Nutritional Status among Home-Living Older People: A Prospective Study
Open this publication in new window or tab >>Self-Perceived Health and Nutritional Status among Home-Living Older People: A Prospective Study
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim was to follow the development of nutritional status and its significance for general health status using an epiemiologic method in a representative population‐based selection of older individuals in two cohorts. The main focus was to prospectively examine the significance of demographic, social and medical factors and to establish a basis to investigate the possibilities of preventive measures.

Methods: Five hundred and eighty‐three individuals (278 women and 305 men), 75 and 80 years old, when included, living in a municipality in Östergötland in Sweden, participated in this study. Data collection took place 2001‐2006 with one examination yearly. The examination included a single question regarding self‐perceived health demographical questions, different questionnaires in the areas of nutritional status, symptoms of depression, cognitive function, health‐related quality of life and well being and objective assessments such as anthropometrical, physical and biochemical measurements.

Results: Fifty percent of the women (I) and 58% of the men (II) perceived themselves as healthy. Important factors for women’s health (I) at baseline were no or few symptoms of depression, better physical mobility and better physical health. Among men who perceived themselves as healthy (II) at baseline, important factors were better physical health, maintaining a social network and the ability to walk outdoors. After one year 69% of the women and 75% of the men still perceived themselves as healthy. Among those women (I) who perceived themselves as healthy after one year, better physical mobility and better physical health were still important, with the addition of less or no pain. Important predictors for preserving health among men (II) were no symptoms of depression and the ability to walk up and down stairs. The prevalence of risk for malnutrition (III) was 14.5% (n=84), among women 18.8% and men 10.6%. Risk factors for malnutrition at baseline were a lower TSF, lower handgrip strength and worse physical health according to the PGC MAI. The incidence was 7.6%‐16.2%, and was distributed equally among women and men over time. Predictors for developing malnutrition were lower self‐perceived health, increased number of symptoms of depression.  Especially men with symptoms of depression ran a higher risk. Reported energy intake (IV) was low in relation to the estimated requirement, on average 74% among women and 67% among men. Intake of vitamins A, D, E and folate was below the recommended intake and the same pattern was found over time. A smaller weight loss was found among women and men from baseline to Follow‐up 2.

Conclusions: The experience of a good physical health was the only common factor for a good self‐perceived health among women and men. The highest risk for developing malnutrition was a combination of impaired self‐perceived health and increased number of symptoms of depression.

Clinical implications: A combination of nutritional status, self‐perceived health and symptoms of depression can be a base for clinical judgement and can be used by different professionals in ealth and medical care and in home care service.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2009. 63 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1154
Keyword
Energy intake, Gender, Health Physical activity, Risk for malnutrition, Symptoms of depression
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-51276 (URN)978-91-7393-511-1 (ISBN)
Public defence
2009-11-06, Berzeliussalen, Hälsouniversitetet, ingång 65, Campus US, Linköpings universitet, Linköping, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2009-11-06 Created: 2009-10-26 Last updated: 2010-05-03Bibliographically approved

Open Access in DiVA

No full text

Other links

Link to Ph.D. Thesis

Authority records BETA

Johansson, YvonneEk, Anna-ChristinaBachrach-Lindström, Margareta

Search in DiVA

By author/editor
Johansson, YvonneEk, Anna-ChristinaBachrach-Lindström, Margareta
By organisation
Nursing ScienceFaculty of Health Sciences
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 18 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf