Polypharmacy, chronic diseases and nutritional markers in community-dwelling older

Polypharmacy is a common practice among the elderly, but few studies have evaluated its association with nutritional markers. The aim of this study was to estimate the prevalence of polypharmacy and its association with nutritional markers, chronic diseases, sociodemographic and health variables. Th...

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Main Authors: Erika Aparecida Silveira, Luana Dalastra, Valéria Pagotto
Format: Article
Language:English
Published: Associação Brasileira de Pós-Graduação em Saúde Coletiva 2014-12-01
Series:Revista Brasileira de Epidemiologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000400818&lng=en&tlng=en
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author Erika Aparecida Silveira
Luana Dalastra
Valéria Pagotto
author_facet Erika Aparecida Silveira
Luana Dalastra
Valéria Pagotto
author_sort Erika Aparecida Silveira
collection DOAJ
description Polypharmacy is a common practice among the elderly, but few studies have evaluated its association with nutritional markers. The aim of this study was to estimate the prevalence of polypharmacy and its association with nutritional markers, chronic diseases, sociodemographic and health variables. This research is part of the Study Elderly/Goiânia, which evaluated 418 elderly community in a cross-sectional design. Polypharmacy was defined as the use of five or more concomitant medications. The following nutritional markers were investigated: BMI, waist circumference, percentage body fat, weight gain and loss, use of diet, daily consumption of fruits, vegetables, skimmed and whole milk. Multivariate analysis was performed using hierarchical Poisson regression, with significance level set at 5%. The prevalence of polypharmacy was 28% (95%CI 23.1 - 32.5), with a significant association with feminine gender, age range 75 - 79 years, eutrophic nutritional status and obesity, use of diet, poor self-rated health and presence of two, three or more chronic diseases. The high prevalence of polypharmacy and its association with nutritional markers and chronic diseases call the attention for the need of nutritional surveillance and monitoring in the elderly.
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spelling doaj.art-528f7c567f034b5e966f695ec9d020e62022-12-22T00:54:29ZengAssociação Brasileira de Pós-Graduação em Saúde ColetivaRevista Brasileira de Epidemiologia1980-54972014-12-0117481882910.1590/1809-4503201400040002S1415-790X2014000400818Polypharmacy, chronic diseases and nutritional markers in community-dwelling olderErika Aparecida SilveiraLuana DalastraValéria PagottoPolypharmacy is a common practice among the elderly, but few studies have evaluated its association with nutritional markers. The aim of this study was to estimate the prevalence of polypharmacy and its association with nutritional markers, chronic diseases, sociodemographic and health variables. This research is part of the Study Elderly/Goiânia, which evaluated 418 elderly community in a cross-sectional design. Polypharmacy was defined as the use of five or more concomitant medications. The following nutritional markers were investigated: BMI, waist circumference, percentage body fat, weight gain and loss, use of diet, daily consumption of fruits, vegetables, skimmed and whole milk. Multivariate analysis was performed using hierarchical Poisson regression, with significance level set at 5%. The prevalence of polypharmacy was 28% (95%CI 23.1 - 32.5), with a significant association with feminine gender, age range 75 - 79 years, eutrophic nutritional status and obesity, use of diet, poor self-rated health and presence of two, three or more chronic diseases. The high prevalence of polypharmacy and its association with nutritional markers and chronic diseases call the attention for the need of nutritional surveillance and monitoring in the elderly.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000400818&lng=en&tlng=enIdososPolifarmáciaEstado nutricionalDietaDoenças crônicasAutoavaliação
spellingShingle Erika Aparecida Silveira
Luana Dalastra
Valéria Pagotto
Polypharmacy, chronic diseases and nutritional markers in community-dwelling older
Revista Brasileira de Epidemiologia
Idosos
Polifarmácia
Estado nutricional
Dieta
Doenças crônicas
Autoavaliação
title Polypharmacy, chronic diseases and nutritional markers in community-dwelling older
title_full Polypharmacy, chronic diseases and nutritional markers in community-dwelling older
title_fullStr Polypharmacy, chronic diseases and nutritional markers in community-dwelling older
title_full_unstemmed Polypharmacy, chronic diseases and nutritional markers in community-dwelling older
title_short Polypharmacy, chronic diseases and nutritional markers in community-dwelling older
title_sort polypharmacy chronic diseases and nutritional markers in community dwelling older
topic Idosos
Polifarmácia
Estado nutricional
Dieta
Doenças crônicas
Autoavaliação
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000400818&lng=en&tlng=en
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AT valeriapagotto polypharmacychronicdiseasesandnutritionalmarkersincommunitydwellingolder