medigraphic.com

2018, Number 1

<< Back Next >>

Rev Hosp Jua Mex 2018; 85 (1)

Relationship of the caregiver overburden and the functional status with malnutrition in geriatrics

Delgado-Cortés HM, Sandoval-Flores MG, Alonso-Bello CD, Rivera-Pérez R, Martínez-Esteves MR, Conde-Mercado JM

Language: Spanish
References: 21
Page: 20-25
PDF size: 204.98 Kb.


ABSTRACT

Introduction: People over 60 years of age, representing 13 per cent of the world’s population, are estimated to reach 25 per cent by 2050, with an annual growth rate of 3 per cent, and a life expectancy of 83.6 years in Mexico. This stage of life conditions morphological and physiological changes, making them susceptible to being carriers of multiple pathologies, such as alterations in nutritional status. Objective: to establish the relationship of the primary caregiver’s overload to nutritional status and functional dependence. Material and methods: A total of 60 hospitalized patients were included in the geriatric service of the Juarez Hospital in Mexico, assessing their nutritional status by means of the Mini Nutritional Assessment (MNA), the body mass index adjusted for age and serum albumin determination, the degree of overload of the main caregiver was carried out by means of the Zarit questionnaire and the functional status by means of the Barthel questionnaire. Results: The population was stratified into 3 groups (no overload, slight overload and intense overload) according to Zarit, finding worse scores of the MNA as it increased; 21.23,18.45 and 16.4 points respectively (p = 0.02). Pearson’s correlation analysis of nutritional status was performed with the degree of overload (-0.426 p = 0.001) and functional status (0.607 p ‹ 0.001). Conclusions: The greater the degree of overload in caregivers, the worse nutritional status of patients. Malnutrition is associated with a worse prognosis, so efforts to limit this complication in this population should be increased.


REFERENCES

  1. Camina-Martín M, Mateo-Silleras B, Malafarina V, Lopez-Mongil R, Niño-Martín V, López-Trigo J, et al. Nutritional status assessment in Geriatrics: Consensus declaration by the Spanish Society of Geriatrics and Gerontology NutritionWork Group. Rev Esp Geriatr Gerontol 2016; 51(1): 52-7.

  2. United Nations, Department of Economic and Social Affairs, Population Division (2017). World Population Prospects: The 2017 Revision, Key Findings and Advance Tables. Working Paper No. ESA/P/WP/248.)

  3. Partida BV. La transición demográfica y el proceso de envejecimiento en México. Papeles de Población 2005; 11(45): 9-27.

  4. Salech F, Jara R, Michea L. Cambios fisiológicos asociados al envejecimiento que incluye alteraciones en su estado nutricio, que repercuten en su control t resultado clinico. Rev Med Clin Condes 2012; 23(1): 19-29.

  5. Salvà CA. The mini nutritional assessment. Twenty years contributing to nutritional assessment. Rev Esp Geriatr Gerontol 2012; 47(6): 245-6.

  6. Locatelli I, Monod S, Cornuz J, Büla CJ, Senn N. A prospective study assessing agreement and reliability of a geriatric evaluation. BMC Geriatr 2017; 17(1): 153.

  7. Kinosian B, Jeejeebhoy KN. What is malnutrition? Does it matter? Nutrition 1995; 11(2 Suppl): 196-7.

  8. Arbonés G, Carbajal A, Gonzalvo B, González M, Joyanes M, Marques I, et al. Nutrition and dietary recommendations for the elderly “Public Health” Working Group of the Spanish Nutrition Society. Nutr Hosp 2003; 18(3): 109-37.

  9. Dorner TE, Rieder A. Obesity paradox in elderly patients with cardiovascular diseases. Int J Cardiol 2012; 155(1): 56-65.

  10. Bouillanne O, Morineau G, Dupont C, Coulombel I, Vincent JP, Nicolis I, et al. Geriatric Nutritional Risk Index: a new index for evaluating at-risk elderly medical patients. Am J Clin Nutr 2005; 82(4): 777-83.

  11. Cid-Ruzafa J, Damián-Moreno J. Disability evaluation: Barthel’s index. Rev Esp Salud Publica 1997; 71(2): 127-37.

  12. Soberanes FS, González PA, Moreno CY. Funcionalidad en adultos mayores y su calidad de vida. Rev Esp Med-Quir 2009; 14(4): 161-72.

  13. Shiao CC, Hsu HC, Chen IL, Weng CY, Chuang JC, Lin SC, et al. Lower barthel index is associated with higher risk of hospitalization-requiring pneumonia in long-term care facilities. Tohoku J Exp Med 2015; 236(4): 281-8.

  14. Martins AC, da Silva LF, Figueiredo LC, Rosset I, Freitas CP, Partezani RA. Functional dependency of older individuals and caregiver burden. Rev Esc Enferm USP 2013; 47(1): 137-44.

  15. Morales EM, Jiménez BL, Serrano TA. Evaluation of the primary caregiver syndrome when caring for elderly adults with immobility syndrome. Rev Invest Clin 2012; 64(3): 240-6.

  16. Martin CM, Otermin P, Pérez CV, Pujol J, Agüera L, Martin MJ, et al. EDUCA study: psychometric properties of the spanish version of the zarit caregiver burden scale. Aging Ment Health 2010; 14(6): 705-11.

  17. Cardona AD, Segura CA, Berbesi FD, Agudelo MM. Prevalence and factors associated with the caregiver burden syndrome among the primary caregivers for the elderly. Rev Fac Nac Salud Pública 2013; 31(1): 30-9.

  18. Arbex F, Bergamo P, Liberalesso A. Sociodemographic and health factors associated with mortality in community-dwelling elderly. Rev Saude Publica. 2017; 51: 42.

  19. Rote S, Angel JL, Markides K. Health of elderly Mexican American adults and family caregiver distress. Res Aging 2015; 37(3): 306-31.

  20. Söderström L, Rosenblad A, Thors Adolfsson E, Bergkvist L. Malnutrition is associated with increased mortality in older adults regardless of the cause of death. Br J Nutr 2017; 117(4): 532-40.

  21. Montejo GJ, Culebras FJ, García L, Mateos A. Recommendations for the nutritional assessment of critically ill patients. Rev Med Chil. 2006; 134(8): 1049-56.




2020     |     www.medigraphic.com