Association between nutritional status and cognitive decline in non-institutionalized elderly patients evaluated in a geriatric outpatient setting

This study aims to assess the relationship between nutritional status and cognitive decline in a population of non-institutionalized elderly patients evaluated in a geriatric outpatient setting. Data from 144 patients admitted to the general geriatric outpatient services of Luigi Vanvitelli Univers...

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Main Authors: Raffaele Pagliuca, Stefano Cacciatore, Mario Virgilio Papa, Eugenio Boccalone, Mena Ilaria Pagliuca, Federica Virginia Papa, Antonio Gambardella
Format: Article
Language:English
Published: PAGEPress Publications 2023-05-01
Series:Geriatric Care
Subjects:
Online Access:https://www.pagepressjournals.org/index.php/gc/article/view/11021
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author Raffaele Pagliuca
Stefano Cacciatore
Mario Virgilio Papa
Eugenio Boccalone
Mena Ilaria Pagliuca
Federica Virginia Papa
Antonio Gambardella
author_facet Raffaele Pagliuca
Stefano Cacciatore
Mario Virgilio Papa
Eugenio Boccalone
Mena Ilaria Pagliuca
Federica Virginia Papa
Antonio Gambardella
author_sort Raffaele Pagliuca
collection DOAJ
description This study aims to assess the relationship between nutritional status and cognitive decline in a population of non-institutionalized elderly patients evaluated in a geriatric outpatient setting. Data from 144 patients admitted to the general geriatric outpatient services of Luigi Vanvitelli University Hospital (Naples, Italy) and San Felice a Cancello Hospital (San Felice a Cancello, Italy) were collected between January 1 and December 31, 2017. Cognitive function was evaluated through the mini-mental state examination and nutritional status was assessed through mini nutritional assessment. Logistic regression was used to assess the association between clinical characteristics and nutritional status, and it is reported as unadjusted, adjusted for age and sex, and adjusted for other potential confounding factors. In the unadjusted model, poor nutritional status was associated with a worse cognitive deficit (odds ratio (OR)=2.36; 95% confidence interval (CI)=1.77-3.55). The association remained significant after adjusting for age and sex (OR=2.36; 95% CI=1.77-3.55) and in the fully adjusted model (OR=2.92; 95% CI=1.90-5.64). In patients with dementia, malnutrition represents a significant burden that grows heavier as the disease progresses.
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spelling doaj.art-cece2f7dc6d04b04bc05d76ed750cfcb2023-05-08T22:48:19ZengPAGEPress PublicationsGeriatric Care2465-11092465-13972023-05-019110.4081/gc.2023.11021Association between nutritional status and cognitive decline in non-institutionalized elderly patients evaluated in a geriatric outpatient settingRaffaele Pagliuca0Stefano Cacciatore1Mario Virgilio Papa2Eugenio Boccalone3Mena Ilaria Pagliuca4Federica Virginia Papa5Antonio Gambardella6Department of Geriatric Medicine, A.O.R.N. Caserta; Department of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, NaplesDepartment of Geriatrics and Orthopedics, Università Cattolica del Sacro Cuore, Rome, University Policlinic Foundation Agostino Gemelli, RomeDepartment of Medical and Surgical Sciences, University of PaduaASL, BeneventoDepartment of Pharmacology University of Naples Federico II, NaplesLocal health authority (ASL), CasertaDepartment of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples This study aims to assess the relationship between nutritional status and cognitive decline in a population of non-institutionalized elderly patients evaluated in a geriatric outpatient setting. Data from 144 patients admitted to the general geriatric outpatient services of Luigi Vanvitelli University Hospital (Naples, Italy) and San Felice a Cancello Hospital (San Felice a Cancello, Italy) were collected between January 1 and December 31, 2017. Cognitive function was evaluated through the mini-mental state examination and nutritional status was assessed through mini nutritional assessment. Logistic regression was used to assess the association between clinical characteristics and nutritional status, and it is reported as unadjusted, adjusted for age and sex, and adjusted for other potential confounding factors. In the unadjusted model, poor nutritional status was associated with a worse cognitive deficit (odds ratio (OR)=2.36; 95% confidence interval (CI)=1.77-3.55). The association remained significant after adjusting for age and sex (OR=2.36; 95% CI=1.77-3.55) and in the fully adjusted model (OR=2.92; 95% CI=1.90-5.64). In patients with dementia, malnutrition represents a significant burden that grows heavier as the disease progresses. https://www.pagepressjournals.org/index.php/gc/article/view/11021dementiamalnutritionfrailtyagedcognitive declinedisability
spellingShingle Raffaele Pagliuca
Stefano Cacciatore
Mario Virgilio Papa
Eugenio Boccalone
Mena Ilaria Pagliuca
Federica Virginia Papa
Antonio Gambardella
Association between nutritional status and cognitive decline in non-institutionalized elderly patients evaluated in a geriatric outpatient setting
Geriatric Care
dementia
malnutrition
frailty
aged
cognitive decline
disability
title Association between nutritional status and cognitive decline in non-institutionalized elderly patients evaluated in a geriatric outpatient setting
title_full Association between nutritional status and cognitive decline in non-institutionalized elderly patients evaluated in a geriatric outpatient setting
title_fullStr Association between nutritional status and cognitive decline in non-institutionalized elderly patients evaluated in a geriatric outpatient setting
title_full_unstemmed Association between nutritional status and cognitive decline in non-institutionalized elderly patients evaluated in a geriatric outpatient setting
title_short Association between nutritional status and cognitive decline in non-institutionalized elderly patients evaluated in a geriatric outpatient setting
title_sort association between nutritional status and cognitive decline in non institutionalized elderly patients evaluated in a geriatric outpatient setting
topic dementia
malnutrition
frailty
aged
cognitive decline
disability
url https://www.pagepressjournals.org/index.php/gc/article/view/11021
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