Type of Care and Living Situation Are Associated with Nutritional Care but Not Nutritional Status of Older Persons Receiving Home Care
Nutritional care and nutritional status may differ in older persons receiving informal (IC) or professional (PC) home care and further depend on the living situation, but little is known in this regard. In this analysis of a cross-sectional multicenter study, type of care, living situation, and nutr...
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| Format: | Article |
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MDPI AG
2020-08-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/8/3/296 |
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| author | Neshat Chareh Eva Kiesswetter Anja Rappl Peter Stehle Helmut Heseker Cornel C. Sieber Dorothee Volkert |
| author_facet | Neshat Chareh Eva Kiesswetter Anja Rappl Peter Stehle Helmut Heseker Cornel C. Sieber Dorothee Volkert |
| author_sort | Neshat Chareh |
| collection | DOAJ |
| description | Nutritional care and nutritional status may differ in older persons receiving informal (IC) or professional (PC) home care and further depend on the living situation, but little is known in this regard. In this analysis of a cross-sectional multicenter study, type of care, living situation, and nutritional care were enquired in 353 older adults (≥65) receiving IC or PC, living either with partner (LP), with others (LO) or alone (LA), and the nutritional status was determined by BMI and MNA<sup>®</sup>. For IC receivers, food shopping (IC-LP 94%, IC-LO 96%, IC-LA 92%) and warm meals (IC-LP 89%, IC-LO 90%, IC-LA 71%) were mainly provided by relatives, whereas 47% of PC-LA prepared warm meals by themselves and 22% received meals on wheels. Thirteen percent were underweight, 13% malnourished, and 57% at risk of malnutrition without differences between the groups. Adjusted odds ratios (OR) of being malnourished were also not different (IC-LP 2.2 [95% CI 0.5–9.7], IC-LO 1.4 [0.3–6.6], IC-LA 1.4 [0.3–6.6]) compared to PC-LA. In conclusion, provision of nutritional care obviously differed according to the type of care and living situation, whereas nutritional status does not seem to be affected by these aspects. More research is clearly needed in this field. |
| first_indexed | 2024-03-10T16:51:36Z |
| format | Article |
| id | doaj.art-3d2889570b9d49d2a0482898b3ec3456 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T16:51:36Z |
| publishDate | 2020-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-3d2889570b9d49d2a0482898b3ec34562023-11-20T11:17:04ZengMDPI AGHealthcare2227-90322020-08-018329610.3390/healthcare8030296Type of Care and Living Situation Are Associated with Nutritional Care but Not Nutritional Status of Older Persons Receiving Home CareNeshat Chareh0Eva Kiesswetter1Anja Rappl2Peter Stehle3Helmut Heseker4Cornel C. Sieber5Dorothee Volkert6Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstrasse 60, 90408 Nuremberg, GermanyInstitute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstrasse 60, 90408 Nuremberg, GermanyInstitute for Medical Informatics, Biometry, and Epidemiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsstrasse 22, 91054 Erlangen, GermanyIEL-Nutritional Physiology, Rheinische Friedrich-Wilhelms-Universität Bonn, Nußallee 9, 53115 Bonn, GermanyInstitute of Nutrition, Consumption and Health, Universität Paderborn, Warburgerstrasse 100, 33098 Paderborn, GermanyInstitute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstrasse 60, 90408 Nuremberg, GermanyInstitute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstrasse 60, 90408 Nuremberg, GermanyNutritional care and nutritional status may differ in older persons receiving informal (IC) or professional (PC) home care and further depend on the living situation, but little is known in this regard. In this analysis of a cross-sectional multicenter study, type of care, living situation, and nutritional care were enquired in 353 older adults (≥65) receiving IC or PC, living either with partner (LP), with others (LO) or alone (LA), and the nutritional status was determined by BMI and MNA<sup>®</sup>. For IC receivers, food shopping (IC-LP 94%, IC-LO 96%, IC-LA 92%) and warm meals (IC-LP 89%, IC-LO 90%, IC-LA 71%) were mainly provided by relatives, whereas 47% of PC-LA prepared warm meals by themselves and 22% received meals on wheels. Thirteen percent were underweight, 13% malnourished, and 57% at risk of malnutrition without differences between the groups. Adjusted odds ratios (OR) of being malnourished were also not different (IC-LP 2.2 [95% CI 0.5–9.7], IC-LO 1.4 [0.3–6.6], IC-LA 1.4 [0.3–6.6]) compared to PC-LA. In conclusion, provision of nutritional care obviously differed according to the type of care and living situation, whereas nutritional status does not seem to be affected by these aspects. More research is clearly needed in this field.https://www.mdpi.com/2227-9032/8/3/296type of careliving situationnutritional carenutritional statusolder adults |
| spellingShingle | Neshat Chareh Eva Kiesswetter Anja Rappl Peter Stehle Helmut Heseker Cornel C. Sieber Dorothee Volkert Type of Care and Living Situation Are Associated with Nutritional Care but Not Nutritional Status of Older Persons Receiving Home Care Healthcare type of care living situation nutritional care nutritional status older adults |
| title | Type of Care and Living Situation Are Associated with Nutritional Care but Not Nutritional Status of Older Persons Receiving Home Care |
| title_full | Type of Care and Living Situation Are Associated with Nutritional Care but Not Nutritional Status of Older Persons Receiving Home Care |
| title_fullStr | Type of Care and Living Situation Are Associated with Nutritional Care but Not Nutritional Status of Older Persons Receiving Home Care |
| title_full_unstemmed | Type of Care and Living Situation Are Associated with Nutritional Care but Not Nutritional Status of Older Persons Receiving Home Care |
| title_short | Type of Care and Living Situation Are Associated with Nutritional Care but Not Nutritional Status of Older Persons Receiving Home Care |
| title_sort | type of care and living situation are associated with nutritional care but not nutritional status of older persons receiving home care |
| topic | type of care living situation nutritional care nutritional status older adults |
| url | https://www.mdpi.com/2227-9032/8/3/296 |
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