Nutritional status and risk of dysphagia in institutionalized elderly
DOI:
https://doi.org/10.5902/2236583473608Keywords:
Elderly, Life estimate, Deglutition, NutritionAbstract
Objective: To evaluate and relate the nutritional status and swallowing, by life expectancy scores in institutionalized elderly. Methods: Thirteen male elderly residents of a long-stay institution participated in the study. The sample was stratified into two groups according to the age-corrected Charlson Index: high mortality risk (n=8) and low mortality risk (n=5). The mean age was 81.31±7.1 years. Nutritional estimates performed (calculation of the Body Mass Index, measurement of abdominal commissariats, arm and calf; bioimpedance, mini-eating assessment, handgrip strength); clinical evaluation of swallowing and risk for dysphagia. Results: The group with a high mortality risk was overweight (62.5%), the risk for cardiovascular disease due to abdominal restriction (50%), risk for malnutrition based on mini-dietary assessment (50%), dynapenia (50%), and risk for dysphagia (62.5%). The group with low mortality risk was overweight (80%), at risk for cardiovascular disease (80%); risk for malnutrition (20%) and risk for dysphagia (80%). A positive and moderate relationship was found between the Charlson Index and mini-dietary assessment (r=0.62); a negative and moderate between the mini-eating assessment and the risk of dysphagia (rho=-0.59) and a positive and moderate between the risk for dysphagia and the handgrip strength (rho=0.67). Conclusion: Elderly, regardless of life expectancy, presented nutritional alteration and risk for dysphagia. However, dynapenia was prevalent in the group with high mortality risk.
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